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  1. Chemical analysis of fogwater at Delhi, North India

    Science.gov (United States)

    Kapoor, R. K.; Tiwari, S.; Ali, K.; Singh, G.

    Fogwater collected at Delhi (28° 35'N, 77°12'E, 217 m a.s.l.) during winter 1989-1990 was found to be acidic compared to pure water pH of 7. This was attributed to highway widening work in progress and an increase in vehicular traffic on the nearby road, apart from construction work in a residential complex and an increase in industrial activity within 6 km to the southwest. Results are compared with the earlier studies at Delhi and those with highly acidic fog data published for some regions of California in the United States of America.

  2. Uranium exploration in albitised rocks of North Delhi Fold Belt in Rajasthan and Haryana, India

    International Nuclear Information System (INIS)

    Pandey, P.; Khandelwal, M.; Bhairam, C.; Parihar, P.

    2014-01-01

    Uranium deposits in Na-metasomatised granites and metasediments are reported from several places in the world. In India, uranium mineralization associated with soda metasomatic activity has been recognized at a number of places in North Delhi Fold Belt (NDFB) in Rajasthan and adjoining Haryana. Exploration activities for uranium in Khetri Sub Basin (KSB) of North Delhi Fold Belt (NDFB) in last six decades have resulted in locating number of uranium occurrences in the albitites and albitised metasediments at Sior, Siswali, Maonda, Hurra ki Dhani, Diara, Saladipura, Khandela, Rohil, Ghateshwar, Bichun, Sakhun, Ladera and Chota Udaipur in parts of Rajasthan and Dhancholi, Raghunathpura, Rambas and Gorir, in parts of Haryana. Incidentally, the occurrences fall along a NNE-SSW trending “Albitite line”, which comprises a 170 km long, structurally weak zone/lineament and axial trace of major folds in the KSB extending from Raghunathpura in Mahendragarh district of southern Haryana to Ladera-Sakun-Bichun in Rajasthan. Lithounits of KSB comprise lower Alwar Group consisting quartzite, amphibole quartzite, subordinate phyllite and schist and upper Ajabgarh Group consisting schist, phyllite, marble, quartzite and carbon phyllite. The post-Delhi magmatic activity in NDFB is represented by alkali granites, pegmatites, aplites and albitites. The rocks of Delhi supergroup have undergone low to medium grade metamorphism (amphibolite facies) and polyphase deformation. First two deformations with N-S to NNE-SSW axial plane are coaxial while the third phase have E-W axial plane. Prominent shear zones are developed along the N-S to NNE-SSW axial planes, characterized by intense silicification, brecciation and ferruginisation. The NE-SW trending disposition of albitised granites indicate that the metasomatic fluids originated during reactivation of the NE-SW trending Khetri lineament, caused pervasive albitisation of the preexisting rocks, the deformed lithounits providing conduits

  3. Prevalence of reproductive tract infections and their determinants in married women residing in an urban slum of North-East Delhi, India.

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    Bhilwar, Meenakshi; Lal, Panna; Sharma, Nandini; Bhalla, Preena; Kumar, Ashok

    2015-08-01

    Reproductive tract infections (RTIs) have adverse implications on the health of the women. Community-based studies in India have shown a high prevalence of RTIs but here is a lack of sizeable literature from urban slums and resettlement areas. The objective was to document the prevalence and determinants of RTIs in married women (15-49 years) residing in an urban slum in Delhi, India. The study was conducted in an urban resettlement colony of Gokulpuri in the North-East district of Delhi. Systematic random sampling method was adopted to choose the study subjects, that is, married and non-pregnant women in the reproductive age group (15-49 years) residing in the study area. Data were collected using a pretested semi-structured questionnaire, through the house to house visits. The diagnosis of RTIs was made as per the World Health Organization syndromic approach. Data were analyzed in SPSS version 16 (Chicago, IL, USA). A total of 802 women were interviewed. The mean age of study subjects was 30.79 ± 7 years. A total of 352 (43.9%) women currently had symptoms of RTIs. The most frequently reported symptoms included abdominal pain (68.2%), back pain (69.6%), and vaginal discharge (59.3%). Older women (≥25 years) (odds ratio [OR] 2.2, 95% confidence interval [CI]; 1.4-3.5), those belonging to the lower socioeconomic status (OR 2.1, 95% CI; 1.5-2.9), those using cloth during menses (OR 2.6, 95% CI; 1.6-4.3), those having more than three pregnancies (OR 1.8, 95% CI; 1.2-2.6) and those using an intrauterine contraceptive device (OR 11.8, 95% CI; 4.3-32.0) had higher odds of having RTIs. A high case load was found based on the syndromic approach. Generating community awareness, ensuring proper menstrual hygiene, and improving the socioeconomic status would help in reducing the cases of RTI.

  4. Prevalence of myopia and its risk factors in urban school children in Delhi: the North India Myopia Study (NIM Study.

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    Rohit Saxena

    Full Text Available Assess prevalence of myopia and identify associated risk factors in urban school children.This was a cross-sectional study screening children for sub-normal vision and refractive errors in Delhi. Vision was tested by trained health workers using ETDRS charts. Risk factor questionnaire was filled for children with vision 11 years children (p 5 hours per day (p 2 hours / day (p 2 hours in a day.Myopia is a major health problem in Indian school children. It is important to identify modifiable risk factors associated with its development and try to develop cost effective intervention strategies.

  5. Prevalence of myopia and its risk factors in urban school children in Delhi: the North India Myopia Study (NIM Study).

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    Saxena, Rohit; Vashist, Praveen; Tandon, Radhika; Pandey, R M; Bhardawaj, Amit; Menon, Vimala; Mani, Kalaivani

    2015-01-01

    Assess prevalence of myopia and identify associated risk factors in urban school children. This was a cross-sectional study screening children for sub-normal vision and refractive errors in Delhi. Vision was tested by trained health workers using ETDRS charts. Risk factor questionnaire was filled for children with vision 11 years) children (phistory (p 5 hours per day (p 2 hours / day (p video/mobile games (p 2 hours in a day. Myopia is a major health problem in Indian school children. It is important to identify modifiable risk factors associated with its development and try to develop cost effective intervention strategies.

  6. Incidence and progression of myopia and associated factors in urban school children in Delhi: The North India Myopia Study (NIM Study.

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    Rohit Saxena

    Full Text Available To evaluate the incidence and progression of myopia and factors associated with progression of myopia in school going children in Delhi.Prospective longitudinal study of 10,000 school children aged 5 to 15 years screened after an interval of 1 year to identify new myopes (Spherical Equivalent≤ -0.5D and progression of myopia in previously diagnosed myopic children. Association between risk factors and progression was analyzed using adjusted odds ratio.Of the 9,616 children re-screened (97.3% coverage, annual incidence of myopia was 3.4%with mean dioptric change of -1.09 ± 0.55. There was a significant higher incidence of myopia in younger children compared to older children (P = 0.012 and among girls compared to boys (P = 0.002. Progression was observed in 49.2%children with mean dioptric change of -0.27 ± 0.42 diopters. The demographic and behavioral risk factors were analyzed for children with progression (n = 629 and adjusted odds ratio values were estimated. Hours of reading-writing/week (p 2 hours in a day were protective with an inverse association with progression of myopia (P< 0.001.Myopia is an important health issue in India and is associated with long hours of reading and screen time with use of computers and video games. An annual eye vision screening should be conducted, and outdoor activities be promoted to prevent the increase of myopia among school children.

  7. Awareness and eye health-seeking practices for cataract among urban slum population of Delhi: The North India eye disease awareness study.

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    Misra, Vasundhra; Vashist, Praveen; Singh, Senjam Suraj; Malhotra, Sumit; Gupta, Vivek; Dwivedi, S N; Gupta, Sanjeev K

    2017-12-01

    The objective of the study was to assess the awareness and health-seeking practices related to cataract in urban slums of Delhi. This study design was a population-based cross-sectional study. Participants aged 18-60 years were recruited from randomly selected five slums of South Delhi. They were interviewed using a semi-structured interview schedule on awareness and eye health-seeking practices related to cataract. The practices were recorded if the respondents themselves or any other member of the family was diagnosed with cataract in previous 2 years. A total of 1552 respondents participated in the study, of which, 89.9% had heard of cataract but only (42%) were aware of any symptom of cataract. The common symptoms of cataract reported by the participants were white opacity in eyes (25.9%) and loss of vision (20.6%). Surgery as a treatment of cataract was known to only 559 (40.1%) participants. Awareness about surgery as treatment of cataract was significantly higher among people aged 45-60 years (adjusted odds ratio = 2.89, 95% confidence interval = 2.11-3.97) and in educated people (adjusted OR = 3.69 95% CI = 2.37-5.73). Out of 84 respondents who had been diagnosed with cataract, the health-seeking practices were observed by 70 (83.3%) participants. Among them, 51 (72.9%) had undergone surgery and another 19 (27.1%) had been advised to wait for surgery. Most of the operated patients 48 (94.1%) attended the postoperative follow-up. The study findings suggest the majority of participants have heard of cataract, but there is low awareness of its symptoms and treatment, and good eye health-seeking practices observed for cataract in urban slum population. Gaps in awareness observed can be filled up by implementing proper eye health education programs.

  8. Air pollution and public health: the challenges for Delhi, India.

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    Sharma, Arun Kumar; Baliyan, Palak; Kumar, Prashant

    2018-03-28

    Mitigating the impact of pollution on human health worldwide is important to limit the morbidity and mortality arising from exposure to its effect. The level and type of pollutants vary in different urban and rural settings. Here, we explored the extent of air pollution and its impacts on human health in the megacity of Delhi (India) through a review of the published literature. The study aims at describing the extent of air pollution in Delhi, the magnitude of health problems due to air pollution and the risk relationship between air pollution and associated health effects. We found 234 published articles in the PubMed search. The search showed that the extent of air pollution in Delhi has been described by various researchers from about 1986 onwards. We synthesized the findings and discuss them at length with respect to reported values, their possible interpretations and any limitations of the methodology. The chemical composition of ambient air pollution is also discussed. Further, we discuss the magnitude of health problem with respect to chronic obstructive pulmonary diseases (COPD), bronchial asthma and other illnesses. The results of the literature search showed that data has been collected in last 28 years on ambient air quality in Delhi, though it lacks a scientific continuity, consistency of locations and variations in parameters chosen for reporting. As a result, it is difficult to construct a spatiotemporal picture of the air pollution status in Delhi over time. The number of sites from where data have been collected varied widely across studies and methods used for data collection is also non-uniform. Even the parameters studied are varied, as some studies focused on particulate matter ≤10 μm in aerodynamic diameter (PM10) and those ≤2.5 μm in aerodynamic diameter (PM2.5), and others on suspended particulate matter (SPM) and respirable suspended particulate matter (RSPM). Similarly, the locations of data collection have varied widely. Some of the

  9. Quantifying the influence of agricultural fires in northwest India on urban air pollution in Delhi, India

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    Cusworth, Daniel H.; Mickley, Loretta J.; Sulprizio, Melissa P.; Liu, Tianjia; Marlier, Miriam E.; DeFries, Ruth S.; Guttikunda, Sarath K.; Gupta, Pawan

    2018-04-01

    Since at least the 1980s, many farmers in northwest India have switched to mechanized combine harvesting to boost efficiency. This harvesting technique leaves abundant crop residue on the fields, which farmers typically burn to prepare their fields for subsequent planting. A key question is to what extent the large quantity of smoke emitted by these fires contributes to the already severe pollution in Delhi and across other parts of the heavily populated Indo-Gangetic Plain located downwind of the fires. Using a combination of observed and modeled variables, including surface measurements of PM2.5, we quantify the magnitude of the influence of agricultural fire emissions on surface air pollution in Delhi. With surface measurements, we first derive the signal of regional PM2.5 enhancements (i.e. the pollution above an anthropogenic baseline) during each post-monsoon burning season for 2012–2016. We next use the Stochastic Time-Inverted Lagrangian Transport model (STILT) to simulate surface PM2.5 using five fire emission inventories. We reproduce up to 25% of the weekly variability in total observed PM2.5 using STILT. Depending on year and emission inventory, our method attributes 7.0%–78% of the maximum observed PM2.5 enhancements in Delhi to fires. The large range in these attribution estimates points to the uncertainties in fire emission parameterizations, especially in regions where thick smoke may interfere with hotspots of fire radiative power. Although our model can generally reproduce the largest PM2.5 enhancements in Delhi air quality for 1–3 consecutive days each fire season, it fails to capture many smaller daily enhancements, which we attribute to the challenge of detecting small fires in the satellite retrieval. By quantifying the influence of upwind agricultural fire emissions on Delhi air pollution, our work underscores the potential health benefits of changes in farming practices to reduce fires.

  10. Pepsi and Coca Cola in Delhi, India: availability, price and sales.

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    Taylor, Fiona C; Satija, Ambika; Khurana, Swati; Singh, Gurpreet; Ebrahim, Shah

    2011-04-01

    India is experiencing increased consumption of sugar-sweetened carbonated drinks, consumption that may be associated with increased risk of type 2 diabetes and obesity. The aim of the study was to determine the availability, price and quantity sold of 'Pepsi' and 'Coca Cola' in their 'regular' and 'diet' forms in Delhi and London. A questionnaire about the availability, price and quantity sold per day of both regular and diet Pepsi and Coca Cola was devised and piloted. Using this, a survey of food and drink outlets within a 100 m radius of randomly selected Metro stations was conducted in both cities. Store vendors, owners and staff of food and drink outlets. Delhi, India; London, United Kingdom. In Delhi, of the outlets stocking regular Pepsi and Coca Cola, only 34% sold diet versions and these were more readily available in the most affluent areas than in the poorest areas (34% v. 6%, Z=3.67, PCoca Cola was observed in Delhi; however, profit margins were better for regular, relative to diet, Coca Cola. Sales of regular products were significantly greater than those of diet products (PCoca Cola in less affluent areas of Delhi is likely to exacerbate the obesity and diabetes trends. Price differentials to promote diet versions and other healthier or traditional low-energy drinks may be beneficial.

  11. Deviations from the O3-NO-NO2 photo-stationary state in Delhi, India

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    Chate, Dilip M.; Ghude, Sachin D.; Beig, Gurfan; Mahajan, Anoop S.; Jena, Chinmay; Srinivas, Reka; Dahiya, Anita; Kumar, Nandini

    2014-10-01

    A network of air quality and weather monitoring stations was set-up across Delhi, India, under the System of Air quality Forecasting And Research (SAFAR) project. The objective of this network was to enable better understanding of air quality in terms of atmospheric chemistry, emissions and forecasting in Delhi, one of the largest metropolises in the world. In this study, we focus on the O3-NO-NO2-triad Photo Stationary State (PSS), and investigate site-specific deviations in the Leighton Ratio (Φ) during a short period in 2012 (1-31 December). Large variations were observed in the NO ( 1) were also observed occasionally, and these data were used to estimate the total peroxy radical (PO2) mixing ratios. This is the first estimate of PO2 reported for the city of Delhi and compares well with the results in the literature.

  12. State of municipal solid waste management in Delhi, the capital of India

    International Nuclear Information System (INIS)

    Talyan, Vikash; Dahiya, R.P.; Sreekrishnan, T.R.

    2008-01-01

    Delhi is the most densely populated and urbanized city of India. The annual growth rate in population during the last decade (1991-2001) was 3.85%, almost double the national average. Delhi is also a commercial hub, providing employment opportunities and accelerating the pace of urbanization, resulting in a corresponding increase in municipal solid waste (MSW) generation. Presently the inhabitants of Delhi generate about 7000 tonnes/day of MSW, which is projected to rise to 17,000-25,000 tonnes/day by the year 2021. MSW management has remained one of the most neglected areas of the municipal system in Delhi. About 70-80% of generated MSW is collected and the rest remains unattended on streets or in small open dumps. Only 9% of the collected MSW is treated through composting, the only treatment option, and rest is disposed in uncontrolled open landfills at the outskirts of the city. The existing composting plants are unable to operate to their intended treatment capacity due to several operational problems. Therefore, along with residue from the composting process, the majority of MSW is disposed in landfills. In absence of leachate and landfill gas collection systems, these landfills are a major source of groundwater contamination and air pollution (including generation of greenhouse gases). This study describes and evaluates the present state of municipal solid waste management in Delhi. The paper also summarizes the proposed policies and initiatives of the Government of Delhi and the Municipal Corporation of Delhi to improve the existing MSW management system

  13. Challenges constraining access to insulin in the private-sector market of Delhi, India.

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    Sharma, Abhishek; Kaplan, Warren A

    2016-01-01

    India's majority of patients-including those living with diabetes-seek healthcare in the private sector through out-of-pocket (OOP) payments. We studied access to insulin in the private-sector market of Delhi state, India. A modified World Health Organization/Health Action International (WHO/HAI) standard survey to assess insulin availability and prices, and qualitative interviews with insulin retailers (pharmacists) and wholesalers to understand insulin market dynamics. In 40 pharmacy outlets analysed, mean availability of the human and analogue insulins on the 2013 Delhi essential medicine list was 44.4% and 13.1%, respectively. 82% of pharmacies had domestically manufactured human insulin phials, primarily was made in India under licence to overseas pharmaceutical companies. Analogue insulin was only in cartridge and pen forms that were 4.42 and 5.81 times, respectively, the price of human insulin phials. Domestically manufactured human phial and cartridge insulin (produced for foreign and Indian companies) was less expensive than their imported counterparts. The lowest paid unskilled government worker in Delhi would work about 1.5 and 8.6 days, respectively, to be able to pay OOP for a monthly supply of human phial and analogue cartridge insulin. Interviews suggest that the Delhi insulin market is dominated by a few multinational companies that import and/or license in-country production. Several factors influence insulin uptake by patients, including doctor's prescribing preference. Wholesalers have negative perceptions about domestic insulin manufacturing. The Delhi insulin market is an oligopoly with limited market competition. Increasing competition from Indian companies is going to require some additional policies, not presently in place. As more Indian companies produce biosimilars, brand substitution policies are needed to be able to benefit from market competition.

  14. Challenges constraining access to insulin in the private-sector market of Delhi, India

    Science.gov (United States)

    Kaplan, Warren A

    2016-01-01

    Objective India's majority of patients—including those living with diabetes—seek healthcare in the private sector through out-of-pocket (OOP) payments. We studied access to insulin in the private-sector market of Delhi state, India. Methods A modified World Health Organization/Health Action International (WHO/HAI) standard survey to assess insulin availability and prices, and qualitative interviews with insulin retailers (pharmacists) and wholesalers to understand insulin market dynamics. Results In 40 pharmacy outlets analysed, mean availability of the human and analogue insulins on the 2013 Delhi essential medicine list was 44.4% and 13.1%, respectively. 82% of pharmacies had domestically manufactured human insulin phials, primarily was made in India under licence to overseas pharmaceutical companies. Analogue insulin was only in cartridge and pen forms that were 4.42 and 5.81 times, respectively, the price of human insulin phials. Domestically manufactured human phial and cartridge insulin (produced for foreign and Indian companies) was less expensive than their imported counterparts. The lowest paid unskilled government worker in Delhi would work about 1.5 and 8.6 days, respectively, to be able to pay OOP for a monthly supply of human phial and analogue cartridge insulin. Interviews suggest that the Delhi insulin market is dominated by a few multinational companies that import and/or license in-country production. Several factors influence insulin uptake by patients, including doctor's prescribing preference. Wholesalers have negative perceptions about domestic insulin manufacturing. Conclusions The Delhi insulin market is an oligopoly with limited market competition. Increasing competition from Indian companies is going to require some additional policies, not presently in place. As more Indian companies produce biosimilars, brand substitution policies are needed to be able to benefit from market competition. PMID:28588966

  15. Forecasting malaria cases using climatic factors in delhi, India: a time series analysis.

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    Kumar, Varun; Mangal, Abha; Panesar, Sanjeet; Yadav, Geeta; Talwar, Richa; Raut, Deepak; Singh, Saudan

    2014-01-01

    Background. Malaria still remains a public health problem in developing countries and changing environmental and climatic factors pose the biggest challenge in fighting against the scourge of malaria. Therefore, the study was designed to forecast malaria cases using climatic factors as predictors in Delhi, India. Methods. The total number of monthly cases of malaria slide positives occurring from January 2006 to December 2013 was taken from the register maintained at the malaria clinic at Rural Health Training Centre (RHTC), Najafgarh, Delhi. Climatic data of monthly mean rainfall, relative humidity, and mean maximum temperature were taken from Regional Meteorological Centre, Delhi. Expert modeler of SPSS ver. 21 was used for analyzing the time series data. Results. Autoregressive integrated moving average, ARIMA (0,1,1) (0,1,0)(12), was the best fit model and it could explain 72.5% variability in the time series data. Rainfall (P value = 0.004) and relative humidity (P value = 0.001) were found to be significant predictors for malaria transmission in the study area. Seasonal adjusted factor (SAF) for malaria cases shows peak during the months of August and September. Conclusion. ARIMA models of time series analysis is a simple and reliable tool for producing reliable forecasts for malaria in Delhi, India.

  16. Status and Evolution of Environmental Education at School Level in Delhi, India

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    Sudarshana Kalita

    2017-02-01

    Full Text Available The need for imparting environmental education in school students has been well understood in Delhi, India and efforts have been made to incorporate environmental education (EE in the curriculum. At the same time, increasing interest in the protection and conservation of environment, nature and natural resources has led to the initiation and adoption of several campaigns, programmes and projects by various schools. Consequently, the integration of EE in the curriculum as well as through extra-curricular activities is exposing the school students to contemporary environmental challenges and their solutions. This research work is an attempt at exploring the various measures being taken to promote environmental awareness and create better attitude towards the environment in the schools in Delhi, India.

  17. Health effects of air quality regulations in Delhi, India

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    Foster, Andrew; Kumar, Naresh

    2011-03-01

    This, the first systematic study, quantifies the health effects of air quality regulations in Delhi, which adopted radical measures to improve air quality, including, for example, the conversion of all commercial vehicles to compressed natural gas (CNG), and the closure of polluting industries in residential areas from 2000 to 2002. Air pollution data, collected at 113 sites (spread across Delhi and its neighboring areas) from July-December 2003, were used to compute exposure at the place of residence of 3989 subjects. A socio-economic and respiratory health survey was administered in 1576 households. This survey collected time-use, residence histories, demographic information, and direct measurements of lung function with subjects. The optimal interpolation methods were used to link air pollution and respiratory health data at the place of their residence. Resident histories, in combination with secondary data, were used to impute cumulative exposure prior to the air-quality interventions, and the effects of recent air quality measures on lung function were then evaluated. Three important findings emerge from the analysis. First, the interventions were associated with a significant improvement in respiratory health. Second, the effect of these interventions varied significantly by gender and income. Third, consistent with a causal interpretation of these results, effects were the strongest among those individuals who spend a disproportionate share of their time out-of-doors.

  18. Pepsi and Coca Cola in Delhi, India: availability, price and sales.

    OpenAIRE

    Taylor, FC; Satija, A; Khurana, S; Singh, G; Ebrahim, S

    2010-01-01

    : India is experiencing increased consumption of sugar-sweetened carbonated drinks, consumption that may be associated with increased risk of type 2 diabetes and obesity. The aim of the study was to determine the availability, price and quantity sold of 'Pepsi' and 'Coca Cola' in their 'regular' and 'diet' forms in Delhi and London. : A questionnaire about the availability, price and quantity sold per day of both regular and diet Pepsi and Coca Cola was devised and piloted. Using this, a surv...

  19. Psychosocial Determinants of Tobacco Use among School Going Adolescents in Delhi, India.

    Science.gov (United States)

    Kumar, Varun; Talwar, Richa; Roy, Neelam; Raut, Deepak; Singh, Saudan

    2014-01-01

    Background. Tobacco use is one of the major preventable causes of premature death and disease in the world. Many psychosocial factors were found to influence tobacco use. Therefore the present study was designed to determine the role of psychosocial factors associated with tobacco use among school going adolescents in Delhi, India. Methods. Cross-sectional study was conducted from February 2013 to September 2013 in four government schools in South district of Delhi, India. The questionnaire contains questions adapted from GYTS (Global Youth Tobacco Survey) to find the prevalence and pattern of tobacco use among adolescents. Data were analyzed using SPSS version 21. Results. The prevalence of ever and current tobacco use was found in 16.4% and 13.1%. Current smoking and current tobacco chewing were found in 10.2% and 9.4% students, respectively. The risk of current tobacco use was found to be higher among males (P value = 0.000) and in those who got higher pocket money (P value = 0.000). Psychosocial factors like lower general self-efficacy and maladjustments with peers, teachers, and schools were also found to be significant predictors of current tobacco use. Conclusion. The study has revealed higher prevalence of ever and current tobacco use among adolescent students in Delhi, India.

  20. Psychosocial Determinants of Tobacco Use among School Going Adolescents in Delhi, India

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    Varun Kumar

    2014-01-01

    Full Text Available Background. Tobacco use is one of the major preventable causes of premature death and disease in the world. Many psychosocial factors were found to influence tobacco use. Therefore the present study was designed to determine the role of psychosocial factors associated with tobacco use among school going adolescents in Delhi, India. Methods. Cross-sectional study was conducted from February 2013 to September 2013 in four government schools in South district of Delhi, India. The questionnaire contains questions adapted from GYTS (Global Youth Tobacco Survey to find the prevalence and pattern of tobacco use among adolescents. Data were analyzed using SPSS version 21. Results. The prevalence of ever and current tobacco use was found in 16.4% and 13.1%. Current smoking and current tobacco chewing were found in 10.2% and 9.4% students, respectively. The risk of current tobacco use was found to be higher among males (P value = 0.000 and in those who got higher pocket money (P value = 0.000. Psychosocial factors like lower general self-efficacy and maladjustments with peers, teachers, and schools were also found to be significant predictors of current tobacco use. Conclusion. The study has revealed higher prevalence of ever and current tobacco use among adolescent students in Delhi, India.

  1. Evolutionary Analysis of Dengue Serotype 2 Viruses Using Phylogenetic and Bayesian Methods from New Delhi, India.

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    Nazia Afreen

    2016-03-01

    Full Text Available Dengue fever is the most important arboviral disease in the tropical and sub-tropical countries of the world. Delhi, the metropolitan capital state of India, has reported many dengue outbreaks, with the last outbreak occurring in 2013. We have recently reported predominance of dengue virus serotype 2 during 2011-2014 in Delhi. In the present study, we report molecular characterization and evolutionary analysis of dengue serotype 2 viruses which were detected in 2011-2014 in Delhi. Envelope genes of 42 DENV-2 strains were sequenced in the study. All DENV-2 strains grouped within the Cosmopolitan genotype and further clustered into three lineages; Lineage I, II and III. Lineage III replaced lineage I during dengue fever outbreak of 2013. Further, a novel mutation Thr404Ile was detected in the stem region of the envelope protein of a single DENV-2 strain in 2014. Nucleotide substitution rate and time to the most recent common ancestor were determined by molecular clock analysis using Bayesian methods. A change in effective population size of Indian DENV-2 viruses was investigated through Bayesian skyline plot. The study will be a vital road map for investigation of epidemiology and evolutionary pattern of dengue viruses in India.

  2. Microbiological evaluation of drinking water sold by roadside vendors of Delhi, India

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    Chauhan, Abhishek; Goyal, Pankaj; Varma, Ajit; Jindal, Tanu

    2017-07-01

    Delhi has emerged as one of the greenest capital city of the world. Microbiological assessment of drinking water emphasizes estimation of the hygienic quality of the water sold with reference to community health significance. This study was conducted to evaluate the quality of drinking water sold by roadside vendors in east, west, north and south zones of capital of India. A total number of 36 samples (nine from each zone) were collected as per national guidelines and studied for microbiological assessment. All the drinking water samples were collected in gamma-sterilized bottles and were kept in an ice pack to prevent any significant change in the microbial flora of the samples during the transportation. The water samples were transported to the laboratory in vertical position maintaining the temperature 1-4 °C with ice pack enveloped conditions. Samples were analyzed for total MPN coliform per 100 ml and for the presence and absence of common human pathogenic bacteria such as Escherichia coli, Salmonella, Staphylococcus aureus and Pseudomonas aeruginosa. All the samples were found to be contaminated with coliform organisms in the range of 14 to >1600 per 100 ml of sample. Out of 36 water samples, the occurrence of E. coli was 61 %, Salmonella 25 % S. aureus 14 % and P. aeruginosa 53 % as 22, 9, 5 and 19 samples were found contaminated, respectively. The numbers of coliform bacteria and presence of some common pathogenic bacteria suggested that the quality of drinking water sold by roadside vendors is not within the Indian standard and WHO guidelines laid down for drinking water quality. Hence, there is a vital need to study the root cause in terms of hygiene, sanitation of vendors and source of contamination to prevent waterborne diseases.

  3. Access to antibiotics in New Delhi, India: implications for antibiotic policy.

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    Kotwani, Anita; Holloway, Kathleen

    2013-01-01

    The present survey was conducted to investigate the price and availability of a basket of 24 essential antibiotics and eight high-end antibiotics at various levels of health care in public and private sector in National Capital Territory of Delhi, India using standardized WHO/HAI methodology. DATA ON PROCUREMENT PRICE AND AVAILABILITY WAS COLLECTED FROM THREE PUBLIC HEALTHCARE PROVIDERS IN THE STATE: the federal (central) government, state government and Municipal Corporation of Delhi (MCD). Overall a total of 83 public facilities, 68 primary care, 10 secondary cares and 5 tertiary care facilities were surveyed. Data was also collected from private retail (n = 40) and chain pharmacies (n = 40) of a leading corporate house. Prices were compared to an international reference price (expressed as median price ratio-MPR). PUBLIC SECTOR: Delhi state government has its essential medicine list (Delhi state EML) and was using Delhi state EML 2007 for procurement; the other two agencies had their own procurement list. All the antibiotics procured including second and third generation antibiotics except for injections were available at primary care facilities. Antibiotic available were on the basis of supply rather than rationality or the Delhi state EML and none was 100% available. There was sub-optimal availability of some essential antibiotics while other non-essential ones were freely available. Availability of antibiotics at tertiary care facilities was also sub-optimal. Private sector: Availability of antibiotics was good. For most of the antibiotics the most expensive and popular trade names were often available. High-end antibiotics, meropenam, gemifloxacin, and moxifloxacin were commonly available. In retail pharmacies some newer generation non-essential antibiotics like gemifloxacin were priced lower than the highest-priced generic of amoxicillin + clavulanic acid, azithromycin, and cefuroxime aexitl. Inappropriate availability and pricing of newer

  4. Attitude of doctors toward euthanasia in Delhi, India

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    Sheetal Singh

    2015-01-01

    Full Text Available Introduction: Deliberation over euthanasia has been enduring for an extended period of time. On one end, there are populaces talking for the sacrosanctity of life and on the other end, there are those, who promote individual independence. All over the world professionals from different areas have already spent mammoth period over the subject. A large number of cases around the world have explored the boundaries of current legal distinctions, drawn between legitimate and nonlegitimate instances of ending the life. The term euthanasia was derived from the Greek words "eu" and "thanatos" which means "good death" or "easy death." It is also known as mercy killing. Euthanasia literally means putting a person to painless death especially in case of incurable suffering or when life becomes purposeless as a result of mental or physical handicap. Objective: To study the attitude of doctors toward euthanasia in Delhi. Methodology: It was a questionnaire based descriptive cross-sectional study carried out between July 2014 and December 2014. The study population included Doctors from 28 hospitals in Delhi both public and private. Equal numbers of doctors from four specialties were included in this study (50 oncologists, 50 hematologists, 50 psychiatrists, and 50 intensivists. Demographic questionnaire, as well as the Euthanasia Attitude Scale (EAS, a 30 items Likert-scale questionnaire developed by (Holloway, Hayslip and Murdock, 1995 was used to measure attitude toward Euthanasia. The scale uses both positively (16 items and negatively (14 items worded statements to control the effect of acquiescence. The scale also has four response categories, namely "definitely agree," "agree," "disagree," and "definitely disagree." The total score for the EAS was generated by adding all the sub-scales (question′s responses. The demographic questionnaire and EAS, a 30 items Likert-scale questionnaire developed by (Holloway, Hayslip and Murdock, 1995 was distributed

  5. Carbonaceous aerosol characteristics over Delhi in Northern India: Seasonal variability and possible sources

    Science.gov (United States)

    Srivastava, Atul Kumar; Bisht, Ds; Tiwari, S.

    Carbonaceous aerosols have been the focus of extensive studies during the last decade due to its significant impacts on human health, visibility and climate change. As per Asian regions are concerned, aerosols in south-Asia are gaining considerable importance because of their potential impacts on regional climate, yet their possible sources are poorly understood. Semi-continuous measurements of organic carbon (OC) and elemental carbon (EC) and continuous measurements of black carbon (BC) aerosols were conducted simultaneously at Delhi during the period from January 2011 to May 2012. Delhi is the capital city of India and one of the densely populated and industrialized urban megacities in Asia, located at the Ganga basin in the northern part of India. Being highly polluted region, mass concentrations of OC, EC and BC over Delhi were found to vary from about 6-92 mug m (-3) (mean: 23±16 mug m (-3) ), 3-38 mug m (-3) (mean: 11±7 mug m (-3) ) and 1-24 mug m (-3) (mean: 7±5 mug m (-3) ), respectively during the entire measurement period, with about two times higher concentration during winter as compared to summer. A significant correlation between OC and EC (R=0.95, n=232) and relatively lower OC/EC ratio (range: 1.0-3.6; mean: 2.2±0.5) suggest fossil fuel emission as a dominant source of carbonaceous aerosols over the station. The average mass concentration of EC was found about 38% higher than BC during the study period, which is interestingly different as reported at other locations over Ganga basin. We also determined the associated optical properties of carbonaceous species (e.g. absorption coefficient and mass absorption efficiency) over the station. Significant loading of carbonaceous species over such regions emphasize an urgent need to focus on air quality management and proper impact assessment on health perspective.

  6. Regular School Teachers’ Concerns and Perceived Barriers to Implement Inclusive Education in New Delhi, India

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    Nisha Bhatnagar

    2014-07-01

    Full Text Available Since the passage of The Persons with Disabilities (PWD Act in 1995 and subsequent implementation of various policies and programs by the Indian government to enhance the participation of students with disabilities in regular schools, there has been a steady growth of inclusive education. Such initiatives, however, have placed new demands on schools, especially on teachers who have the major responsibility for implementing inclusion at the classroom level. Literature from other countries indicates that for inclusion to be successful, it is essential that classroom teachers’ concerns about implementing such programs be identified and systematically addressed. Unfortunately, there is a paucity of research about teacher concerns regarding inclusive education in India. This study was undertaken to identify the concerns and perceived barriers of regular school teachers in Delhi, India about the inclusion of students with disabilities. Respondents were secondary school teachers working in schools in Delhi that were involved in teaching special needs children. Two focus group interviews and 20 individual semi-structured interviews were conducted to collect data from the participants. The flexible qualitative analysis program QRS NVivo was utilized for data analysis. Three concerns and eleven barrier themes emerged

  7. The Challenges of Spanish Language Teaching in Multilingual India: A Case Study of Delhi

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    Dhiraj Kumar Rai

    2017-12-01

    Full Text Available The multilingual surrounding of Spanish Language Teaching (SLT in India has presented a unique linguistic principle. This principle relies upon the application of English language instructions (as FL1 to combine several methods for teaching-learning Spanish language (as FL2. However, the effectiveness and appropriateness of this linguistic principle, whereby English language instructions are used for SLT, remain undiagnosed. In fact, the technique of SLT in India needs to take into account the local linguistic or dialectical make-up of the actual or potential learners. As such, the process of Spanish Language acquisition in India as inspired by an exposure to local languages/dialects needs to be creatively explored. Furthermore, the recently increasing entries of specific Spanish words/terms in the Indian ‘popular language usage’, and their implications for SLT in India require to be sufficiently investigated. This article aims at filling in the above-mentioned lacunae by conducting a case study of the status of Spanish Language Teaching in Delhi. It draws the conclusion that the maximum flexibility in the process of eclectically mixing various pedagogical methods of SLT could go a long way in motivating and benefitting both the teachers as well as the students, thereby enhancing the overall efficiency of SLT in multilingual India.

  8. 78 FR 66336 - U.S. Healthcare Education Mission to New Delhi, Hyderabad, and Ahmedabad, India, January 27...

    Science.gov (United States)

    2013-11-05

    ... DEPARTMENT OF COMMERCE International Trade Administration U.S. Healthcare Education Mission to New... U.S. Healthcare Education Mission to New Delhi, Hyderabad, and Ahmedabad, India to revise the date... to allow for additional recruitment and marketing in support of the mission. Applications will now be...

  9. 78 FR 68030 - U.S. Healthcare Education Mission to New Delhi, Hyderabad, and Ahmedabad, India, January 27...

    Science.gov (United States)

    2013-11-13

    ... DEPARTMENT OF COMMERCE International Trade Administration U.S. Healthcare Education Mission to New... U.S. Healthcare Education Mission to New Delhi, Hyderabad, and Ahmedabad, India to revise the... above, the Contact Information section of the Notice of the U.S. Healthcare Education Mission to New...

  10. The problem of the pillion rider: India's helmet law and New Delhi's exemption.

    Science.gov (United States)

    Swaroop, Mamta; Marie Siddiqui, Selma; Sagar, Sushma; Crandall, Marie L

    2014-05-01

    In India, motorized two-wheeler (MTW) road traffic accidents injure or kill 72,000 women annually. Before the Motor Vehicle Act of 1988, which required mandatory helmet use for MTW riders, a study found 0.6% of all MTW pillions (backseat passengers) were helmeted. Citing religious protests to the legislation, Delhi's high court exempted the city's 12 million women from the law. We hypothesize that currently male pillions use helmets more frequently than females, and that overall pillion helmet usage has increased over the last 20 y. Continuous video was recorded in half-hour blocks at four locations in Delhi on separate days, totaling 8 hours of high- and low-volume traffic. Videos were reviewed with at least two reviewers extracting the number of MTW pillions, as well as their gender, approximate age, and helmet usage. Of 4010 pillions identified, 63.8% were male, 32.4% female, and 3.3% children. Among males, there were significantly more helmeted pillions (88.4%, P < 0.001); among females, there were significantly more unhelmeted pillions (99.4%, P < 0.001). Among unhelmeted pillions, significantly more were female (81.4%) than male (P < 0.001). Current overall pillion helmet use is significantly higher than historical rate (P < 0.001). The significantly higher male pillion helmet usage compared with females indicates Delhi's helmet law is associated with increased compliance among those who fall under its jurisdiction. This augments the growing body of evidence that mandatory helmet laws are efficacious, thus repealing the exemption of women is an important step in increasing female pillion helmet usage. Copyright © 2014 Elsevier Inc. All rights reserved.

  11. Quality of life, depression, anxiety and suicidal ideation among men who inject drugs in Delhi, India

    Science.gov (United States)

    2013-01-01

    Background Mental disorders such as depression, anxiety and suicide represent an important public health problem in India. Elsewhere in the world a high prevalence of symptoms of common mental disorders have been found among people who inject drugs (PWID). Research in India has largely overlooked symptoms of common mental disorders among this high risk group. This paper reports on the results of a survey examining quality of life, depression, anxiety and suicidal ideation among adult males who inject drugs living in Delhi. Methods Participants (n = 420) were recruited from needle and syringe programs using time location sampling and were interviewed using an interviewer-administered questionnaire. Self-report symptom scales were used to measure the severity of symptoms of depression (PHQ-9) and anxiety (GAD-2) within the preceding 2 weeks. We assessed the presence of suicidal thoughts and attempts within the past 12 months. Results The mean length of injecting career was 20.9 years indicating a sample of chronic injecting drug users, of whom only one-third (38%) were born in Delhi. The level of illiteracy was very high (62%), and just 2% had completed class 12. Scavenging / rag picking was the main form of income for 48%, and many were homeless (69%). One-third (33%) had been beaten up at least twice during the preceding 6 months, and many either never (45%) or rarely (27%) attended family events. We found a high prevalence of depressive (84%, cut-off ≥10) and anxiety (71%, cut-off score of ≥3) symptoms. Fifty-three percent thought about killing themselves in the past 12 months, and 36% had attempted to kill themselves. Conclusions Our findings revealed a socially excluded population of PWID in Delhi who have minimal education and are often homeless, leaving them vulnerable to physical violence, poverty, poor health, imprisonment and disconnection from family. The high prevalence of psychological distress found in this study has implications for

  12. Molecular characterization of Fasciola gigantica in Delhi, India and its phylogenetic relation to the species from South Asian countries.

    Science.gov (United States)

    Hayashi, Kei; Mohanta, Uday K; Neeraja, Tambireddy; Itagaki, Tadashi

    2016-10-01

    The aim of this study was to phylogenetically analyze Fasciola gigantica (F. gigantica) from mainland India and to reveal the expansion history of F. gigantica in the Indian subcontinent. We analyzed 40 Fasciola flukes that were collected from Delhi, in the Indian mainland, and identified them as F. gigantica by using nucleotide analyses of the nuclear phosphoenolpyruvate carboxykinase (pepck) and DNA polymerase delta (pold) genes. Based on the nucleotide sequence of mitochondrial NADH dehydrogenase subunit 1 (nad1) gene, the flukes had 18 haplotypes. The haplotypes were classified under haplogroup A, which is predominant in the F. gigantica of South Asia. The population genetics of haplogroup A revealed that Delhi population showed higher π value than eastern India population. These results suggest that F. gigantica of haplogroup A might have spread from the west to the east in India along with the artificial migration of the domestic Zebu cattle, Bos indicus.

  13. Characterization, genetic diversity, and evolutionary link of Cucumber mosaic virus strain New Delhi from India.

    Science.gov (United States)

    Koundal, Vikas; Haq, Qazi Mohd Rizwanul; Praveen, Shelly

    2011-02-01

    The genome of Cucumber mosaic virus New Delhi strain (CMV-ND) from India, obtained from tomato, was completely sequenced and compared with full genome sequences of 14 known CMV strains from subgroups I and II, for their genetic diversity. Sequence analysis suggests CMV-ND shares maximum sequence identity at the nucleotide level with a CMV strain from Taiwan. Among all 15 strains of CMV, the encoded protein 2b is least conserved, whereas the coat protein (CP) is most conserved. Sequence identity values and phylogram results indicate that CMV-ND belongs to subgroup I. Based on the recombination detection program result, it appears that CMV is prone to recombination, and different RNA components of CMV-ND have evolved differently. Recombinational analysis of all 15 CMV strains detected maximum recombination breakpoints in RNA2; CP showed the least recombination sites.

  14. An evaluation of prosthetic status and treatment needs among institutionalized elderly individuals of Delhi, India

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    Nisha Yadav

    2017-01-01

    Full Text Available Context: Oral health is essential for elderly person's general health and well-being. The most common oral problem in elderly is tooth loss which results due to periodontal diseases and caries. Prosthetic status is very important as it is related to dietary intake and maintaining nutritional status. Hence, to promote the oral health of the elderly, we need to know their prosthetic status and need. Aims: The aim of this study is to find the prosthetic status and need of 65–74 years old elderly residing in old age homes of Delhi, India. Settings and Design: A cross-sectional study was conducted among a total of 464 residents of 20 old age homes of Delhi, India. Material and Methods: Residents with age group of 64–75 were included in the study. The prosthetic status with treatment need was recorded using the World Health Organization Oral Health Assessment Form (1997. Statistical Analysis Used: Chi-square test and t-test were used to find significance of variables. P < 0.05 was considered significant. Results: Full removable dentures were worn by 7.30% of participants with predominance in upper arch, and one bridge was seen in 9.10% of participants with predominance in lower arch. Full removable denture was required in 25.20% of participants. Most of participants required multiunit prosthesis in both upper as well as lower arch (42.20% and 36.20%, respectively. Conclusion: The present study underlines a considerable need for dental treatment in elderly as the prosthetic status of participants was poor, and prosthetic needs were high.

  15. Social Security Measures for Elderly Population in Delhi, India: Awareness, Utilization and Barriers.

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    Kohli, Charu; Gupta, Kalika; Banerjee, Bratati; Ingle, Gopal Krishna

    2017-05-01

    World population of elderly is increasing at a fast pace. The number of elderly in India has increased by 54.77% in the last 15 years. A number of social security measures have been taken by Indian government. To assess awareness, utilization and barriers faced while utilizing social security schemes by elderly in a secondary care hospital situated in a rural area in Delhi, India. A cross-sectional study was conducted among 360 individuals aged 60 years and above in a secondary care hospital situated in a rural area in Delhi. A pre-tested, semi-structured schedule prepared in local language was used. Data was analysed using SPSS software (version 17.0). Chi-square test was used to observe any statistical association between categorical variables. The results were considered statistically significant if p-value was less than 0.05. A majority of study subjects were females (54.2%), Hindu (89.7%), married (60.3%) and were not engaged in any occupation (82.8%). Awareness about Indira Gandhi National Old Age Pension Scheme (IGNOAPS) was present among 286 (79.4%) and Annapurna scheme in 193 (53.6%) subjects. Among 223 subjects who were below poverty line, 179 (80.3%) were aware of IGNOAPS; while, 112 (50.2%) were utilizing the scheme. There was no association of awareness with education status, occupation, religion, family type, marital status and caste (p>0.05). Corruption and tedious administrative formalities were major barriers reported. Awareness generation, provision of information on how to approach the concerned authority for utilizing the scheme and ease of administrative procedures should be an integral part of any social security scheme or measure. In the present study, about 79.4% of elderly were aware and 45% of the eligible subjects were utilizing pension scheme. Major barriers reported in utilization of schemes were corruption and tedious administrative procedures.

  16. Most probable mixing state of aerosols in Delhi NCR, northern India

    Science.gov (United States)

    Srivastava, Parul; Dey, Sagnik; Srivastava, Atul Kumar; Singh, Sachchidanand; Tiwari, Suresh

    2018-02-01

    Unknown mixing state is one of the major sources of uncertainty in estimating aerosol direct radiative forcing (DRF). Aerosol DRF in India is usually reported for external mixing and any deviation from this would lead to high bias and error. Limited information on aerosol composition hinders in resolving this issue in India. Here we use two years of aerosol chemical composition data measured at megacity Delhi to examine the most probable aerosol mixing state by comparing the simulated clear-sky downward surface flux with the measured flux. We consider external, internal, and four combinations of core-shell (black carbon, BC over dust; water-soluble, WS over dust; WS over water-insoluble, WINS and BC over WINS) mixing. Our analysis reveals that choice of external mixing (usually considered in satellite retrievals and climate models) seems reasonable in Delhi only in the pre-monsoon (Mar-Jun) season. During the winter (Dec-Feb) and monsoon (Jul-Sep) seasons, 'WS coating over dust' externally mixed with BC and WINS appears to be the most probable mixing state; while 'WS coating over WINS' externally mixed with BC and dust seems to be the most probable mixing state in the post-monsoon (Oct-Nov) season. Mean seasonal TOA (surface) aerosol DRF for the most probable mixing states are 4.4 ± 3.9 (- 25.9 ± 3.9), - 16.3 ± 5.7 (- 42.4 ± 10.5), 13.6 ± 11.4 (- 76.6 ± 16.6) and - 5.4 ± 7.7 (- 80.0 ± 7.2) W m- 2 respectively in the pre-monsoon, monsoon, post-monsoon and winter seasons. Our results highlight the importance of realistic mixing state treatment in estimating aerosol DRF to aid in policy making to combat climate change.

  17. Stage at diagnosis and delay in seeking medical care among women with breast cancer, delhi, India.

    Science.gov (United States)

    Pakseresht, Sedigheh; Ingle, Gopal Krishna; Garg, Suneela; Sarafraz, Nahid

    2014-12-01

    Patients with cancer often delay seeking medical advice in developing countries. It can adversely influence the outcome of disease. The present study was performed to determine the stage at diagnosis and delay in seeking medical care among women with breast cancer in Delhi, India. This was a cross-sectional study based on a census (case series) approach to reach all women (172) diagnosed with primary breast cancer "detected in surgery Out Patient Department (OPD) from January 2007 to December 2009" at Lok Nayak Hospital, Delhi, India. Patients were interviewed using a self-structure questionnaire. Seeking behavior variables were awareness of problem, first consultation, followed physician's advice, detection of problem, system of medicine and gap between knowing the problem and consultation (patient delay). Statistical Analysis was performed using the Microsoft SPSS-pc version 14.0 statistical program. The analytic methods were used (mean, standard deviation, X(2), Fisher's Exact Test, K-S, Kruskal-Wallis) for variables. All statistical tests were performed at a significance level of 5% (P cancer at the time of diagnosis. The mean duration of gap between knowing the problem and consulting a physician (patients delay) was 10.90 months. There was no significant association between stage of cancer and consultation gap. A significant association was found between the stage of breast cancer and income; women with lower income had a higher stage of breast cancer (P breast cancer. It seems necessary to design educating programs for women in both clinical and community settings, about breast cancer and early detection practices.

  18. Patient safety in maternal healthcare at secondary and tertiary level facilities in Delhi, India

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    Chandrakant Lahariya

    2015-01-01

    Full Text Available Background: There is insufficient information on causes of unsafe care at facility levels in India. This study was conducted to understand the challenges in government hospitals in ensuring patient safety and to propose solutions to improve patient care. Materials and Methods: Desk review, in-depth interviews, and focused group discussions were conducted between January and March 2014. Healthcare providers and nodal persons for patient safety in Gynecology and Obstetrics Departments of government health facilities from Delhi state of India were included. Data were analyzed using qualitative research methods and presented adopting the "health system approach." Results: The patient safety was a major concern among healthcare providers. The key challenges identified were scarcity of resources, overcrowding at health facilities, poor communications, patient handovers, delay in referrals, and the limited continuity of care. Systematic attention on the training of care providers involved in service delivery, prescription audits, peer reviews, facility level capacity building plan, additional financial resources, leadership by institutional heads and policy makers were suggested as possible solutions. Conclusions: There is increasing awareness and understanding about challenges in patient safety. The available local information could be used for selection, designing, and implementation of measures to improve patient safety at facility levels. A systematic and sustained approach with attention on all functions of health systems could be beneficial. Patient safety could be used as an entry point to improve the quality of health care services in India.

  19. Poverty indicators and mental health functioning among adults living with HIV in Delhi, India.

    Science.gov (United States)

    Kang, Ezer; Delzell, Darcie A P; McNamara, Paul E; Cuffey, Joel; Cherian, Anil; Matthew, Saira

    2016-01-01

    Poor mental health functioning among persons living with HIV (PLHIV) has gained considerable attention particularly in low-income countries that disproportionately carry the global HIV/AIDS burden. Fewer studies, however, have examined the relationship between poverty indicators and mental health among PHLIV in India. Based on this cross-sectional study of 196 HIV-seropositive adults who received medical services at Shalom AIDS Project in Delhi, India, structural equation modeling and mediation analysis were employed to estimate the associations between poverty indices (household asset index, food security, unemployment, water treatment, sanitation), HIV-health factors (illness in the past 3 months, co-morbid medical conditions), and psychological distress. In the final model, ownership of fewer household assets was associated with higher levels of food insecurity, which in turn was associated with higher psychological distress. Also, the household asset index, food insecurity, and unemployment had a larger effect on psychological distress than new opportunistic infections. These findings build on increasing evidence that support concerted efforts to design, evaluate, and refine HIV mental health interventions that are mainstreamed with livelihood programming in high poverty regions in India.

  20. Accelerating TB notification from the private health sector in Delhi, India.

    Science.gov (United States)

    Kundu, Debashish; Chopra, Kamal; Khanna, Ashwani; Babbar, Neeti; Padmini, T J

    2016-01-01

    In India, almost half of all patients with tuberculosis (TB) seek care in the private sector as the first point of care. The national programme is unable to support such TB patients and facilitate effective treatment, as there is no information on TB and Multi or Extensively Drug Resistant TB (M/XDR-TB) diagnosis and treatment in private sector. To improve this situation, Government of India declared TB a notifiable disease for establishing TB surveillance system, to extend supportive mechanism for TB treatment adherence and standardised practices in the private sector. But TB notification from the private sector is a challenge and still a lot needs to be done to accelerate TB notification. Delhi State TB Control Programme had taken initiatives for improving notification of TB cases from the private sector in 2014. Key steps taken were to constitute a state level TB notification committee to oversee the progress of TB notification efforts in the state and direct 'one to one' sensitisation of private practitioners (PPs) (in single PP's clinic, corporate hospitals and laboratories) by the state notification teams with the help of available tools for sensitising the PP on TB notification - TB Notification Government Order, Guidance Tool for TB Notification and Standards of TB Care in India. As a result of focussed state level interventions, without much external support, there was an accelerated notification of TB cases from the private sector. TB notification cases from the private sector rose from 341 (in 2013) to 4049 (by the end of March 2015). Active state level initiatives have led to increase in TB case notification. Copyright © 2016 Tuberculosis Association of India. Published by Elsevier B.V. All rights reserved.

  1. "I am witness to": a profile of Sakshi Violence Intervention Centre in New Delhi, India.

    Science.gov (United States)

    Kapur, A

    1998-11-01

    Sakshi, a group formed in New Delhi, India, in 1992, seeks to create awareness of violence against women and promote justice for its victims. Its creation was spurred by the gang rape by police officers of a girl in custody and the subsequent minimization on the part of the Supreme Court of India of the seriousness of the crime. Program activities have included informational workshops for governmental and nongovernmental organizations, feminist legal research into violations of women's human rights, counseling for victims of violence, and sensitization programs for police and the judiciary. As a result of Sakshi's lobbying, the Supreme Court passed a set of Guidelines on Sexual Harassment at the Workplace in 1997. An ongoing problem has been Sakshi's dependence on donor funding and the related requirement of adopting development agencies' agendas rather than allowing development to be a demand-driven, needs-based process. Sakshi's experience has led to the awareness that violence cannot be countered by intervention measures alone; rather, program activities must be linked with other forms of gender development. The group has adopted use of the term "substantive equality" to form links between different systems in society and to empower women.

  2. Rapid assessment of visual impairment in urban population of Delhi, India.

    Science.gov (United States)

    Gupta, Noopur; Vashist, Praveen; Malhotra, Sumit; Senjam, Suraj Singh; Misra, Vasundhara; Bhardwaj, Amit

    2015-01-01

    To determine the prevalence, causes and associated demographic factors related to visual impairment amongst the urban population of New Delhi, India. A population-based, cross-sectional study was conducted in East Delhi district using cluster random sampling methodology. This Rapid Assessment of Visual Impairment (RAVI) survey involved examination of all individuals aged 40 years and above in 24 randomly selected clusters of the district. Visual acuity (VA) assessment and comprehensive ocular examination were done during the door-to-door survey. A questionnaire was used to collect personal and demographic information of the study population. Blindness and Visual Impairment was defined as presenting VA visual impairment. Of 2421 subjects enumerated, 2331 (96.3%) were available for ophthalmic examination. Among those examined, 49.3% were males. The prevalence of visual impairment (VI) in the study population, was 11.4% (95% C.I. 10.1, 12.7) and that of blindness was 1.2% (95% C.I. 0.8, 1.6). Uncorrected refractive error was the leading cause of VI accounting for 53.4% of all VI followed by cataract (33.8%). With multivariable logistic regression, the odds of having VI increased with age (OR = 24.6[95% C.I.: 14.9, 40.7]; p visual impairment is considerable in this region despite availability of adequate eye care facilities. Awareness generation and simple interventions like cataract surgery and provision of spectacles will help to eliminate the major causes of blindness and visual impairment in this region.

  3. Heavy metal levels and solid phase speciation in street dusts of Delhi, India

    International Nuclear Information System (INIS)

    Banerjee, Anju D.K.

    2003-01-01

    Although the street dusts of Delhi contain considerably high levels of Cr, Ni, Cu, Cd, Zn and Pb, solid phase speciation results indicate comparatively limited environmental mobility and bioavailability of Ni and Cr. - Street dust samples were collected from three different localities (industrial, heavy traffic and rural) situated in the greater Delhi area of India. The samples analyzed for Cd, Zn, Pb, Ni, Cu, and Cr indicated remarkably high levels of Cr, Ni, and Cu in the industrial area, whilst Pb and Cd did not show any discernible variations between the three localities. A multivariate statistical approach (Principal Component Analysis) was used to define the possible origin of metals in dusts. The street dusts were sequentially extracted so that the solid pools of Cd, Zn, Pb, Ni, Cu, Cr could be partitioned into five operationally defined fractions viz. exchangeable, bound to carbonates, bound to Fe-Mn oxides, bound to organic matter and residual. Metal recoveries in sequential extractions were ±10% of the independently measured total metal concentrations. Cd was the only metal present appreciably (27.16%) in the exchangeable fraction and Cu was the only metal predominantly associated (44.26%) with organic fraction. Zn (45.64%) and Pb (28.26%) were present mainly in the Fe-Mn oxide fraction and the residual fraction was the most dominant solid phase pool of Cr (88.12%) and Ni (70.94%). Assuming that the mobility and bioavailability are related to the solubility of geochemical forms of the metals and decrease in order of extraction, the apparent mobility and potential metal bioavailability for these highly contaminated street dust samples is: Cd>Zn congruent with Pb>Ni>Cu>Cr

  4. Prevalence and pattern of self-medication practices in an urban area of Delhi, India

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    Varun Kumar

    2015-01-01

    Full Text Available Background: Self-medication is one of the major health concerns worldwide and World Health Organization has laid emphasis on correctly investigating and controlling it. There is much public and professional concern regarding self-medication practices, which has dramatically increased in the last few decades, especially in the developing countries. Hence, this study was designed to study the prevalence and practice of self-medication practices in an urban area of Delhi, India. Materials and Methods: A cross-sectional study was conducted in March 2013 and data were collected by personal interviews using pretested questionnaires. An urban colony in the south district of Delhi was chosen and the eldest member of the family, present at the time of the visit was interviewed. Data were collected from 236 persons and analyzed using SPSS version 21. Results: The prevalence of self-medication was 92.8% (95 confidence interval: 66.5-79.4. 74.9% preferred allopathic medicines. Self-medication was found to be practiced more among younger persons than older age group persons (P = 0.000. Graduates and postgraduates practiced self-medication more than others (P = 0.002. Common cold (61.6% and fever (51.8% were the most common ailments for which self-medication were practiced. Paracetamol and cough syrups were the most commonly used class of drugs. Conclusion: The prevalence of self-medication in this study was high. Drugs especially antimicrobials were not taken for the proper length of time. Awareness regarding self-medication practices to help patients decide on the appropriateness of self-medication is required.

  5. Health risks of NO 2, SPM and SO 2 in Delhi (India)

    Science.gov (United States)

    Pandey, Jai Shanker; Kumar, Rakesh; Devotta, Sukumar

    There is increasingly growing evidence linking urban air pollution to acute and chronic illnesses amongst all age groups. Therefore, monitoring of ambient concentrations of various air pollutants as well as quantification of the dose inhaled becomes quite important, specially in view of the fact that in many countries, policy decisions for reducing pollutant concentrations are mainly taken on the basis of their health impacts. The dose when gets combined with the likely responses, indicates the ultimate health risk (HR). Thus, as an extension of our earlier studies, HR has been estimated for three pollutants, namely, suspended particulate matter (SPM), nitrogen dioxide (NO 2) and sulfur dioxide (SO 2) for Delhi City in India. For estimation and analyses, three zones have been considered, namely, residential, industrial and commercial. The total population has been divided into three age classes (infants, children and adults) with different body weights and breathing rates. The exercise takes into account age-specific breathing rates, body weights for different age categories and occupancy factors for different zones. Results indicate that health risks due to air pollution in Delhi are highest for children. For all age categories, health risks due to SO 2 (HR_SO 2) are the lowest. Hence, HR_SO 2 has been taken as the reference with respect to which HR values due to SPM and NO 2 have been compared. Taking into account all the age categories and their occupancy in different zones, average HR values for NO 2 and SPM turn out to be respectively 22.11 and 16.13 times more than that for SO 2. The present study can be useful in generating public awareness as well as in averting and mitigating the health risks.

  6. Food acquisition and intra-household consumption patterns: a study of low and middle income urban households in Delhi, India

    OpenAIRE

    MR Pradhan; FC Taylor; S Agrawal; D Prabhakaran; S Ebrahim

    2013-01-01

    Background: Food habits and choices in India are shifting due to many factors: changing food markets, fast urbanization, food price inflation, uncertain food production and unequal distribution during the past decade. This study aims to explore food acquisition and intra-household consumption patterns in urban low and middle income (LMI) households in Delhi. Methods: Twenty households were randomly selected from the Center for Cardio-metabolic Risk Reduction in South Asia (CARRS) surveillance...

  7. Food acquisition and intra-household consumption patterns: a study of low and middle income urban households in Delhi, India

    OpenAIRE

    MR Pradhan .; F C Taylor; S Agrawal; D Prabhakaran; S Ebrahim

    2013-01-01

    Background: Food habits and choices in India are shifting due to many factors: changing food markets, fast urbanization, food price inflation, uncertain food production and unequal distribution during the past decade. This study aims to explore food acquisition and intra-household consumption patterns in urban low and middle income (LMI) households in Delhi. Methods: Twenty households were randomly selected from the Center for Cardio-metabolic Risk Reduction in South Asia (CARRS) surveillance...

  8. Reproductive Ethics in Commercial Surrogacy: Decision-Making in IVF Clinics in New Delhi, India.

    Science.gov (United States)

    Tanderup, Malene; Reddy, Sunita; Patel, Tulsi; Nielsen, Birgitte Bruun

    2015-09-01

    As a neo-liberal economy, India has become one of the new health tourism destinations, with commercial gestational surrogacy as an expanding market. Yet the Indian Assisted Reproductive Technology (ART) Bill has been pending for five years, and the guidelines issued by the Indian Council of Medical Research are somewhat vague and contradictory, resulting in self-regulated practices of fertility clinics. This paper broadly looks at clinical ethics in reproduction in the practice of surrogacy and decision-making in various procedures. Through empirical research in New Delhi, the capital of India, from December 2011 to November 2012, issues of decision-making on embryo transfer, fetal reduction, and mode of delivery were identified. Interviews were carried out with doctors in eighteen ART clinics, agents from four agencies, and fourteen surrogates. In aiming to fulfil the commissioning parents' demands, doctors were willing to go to the greatest extent possible in their medical practice. Autonomy and decision-making regarding choice of the number of embryos to transfer and the mode of delivery lay neither with commissioning parents nor surrogate mothers but mostly with doctors. In order to ensure higher success rates, surrogates faced the risk of multiple pregnancy and fetal reduction with little information regarding the risks involved. In the globalized market of commercial surrogacy in India, and with clinics compromising on ethics, there is an urgent need for formulation of regulative law for the clinical practice and maintenance of principles of reproductive ethics in order to ensure that the interests of surrogate mothers are safeguarded.

  9. Molecular epidemiology and evolutionary analysis of dengue virus type 2, circulating in Delhi, India.

    Science.gov (United States)

    Sharma, Pankaj; Mittal, Veena; Chhabra, Mala; Kumari, Roop; Singh, Priyanka; Venkatesh, Srinivas

    2016-12-01

    Dengue virus type 2 (DENV-2) has been associated with severe dengue outbreaks in many countries including India. Its predominance was recorded nearly after a decade in the capital city, Delhi in 2013. The present study characterizes DENV-2 circulated during 2013-2014. Analysis based on envelope (E) gene showed the presence of two clades (I and II) of DENV-2, within the Cosmopolitan genotype. Analysis of time of most recent common ancestor revealed the existence of clade I for more than a decade (95 % HPD 13-16 years) however, clade II showed comparatively recent emergence (95 % HPD 5-13 years). Presence of different clades is of high significance as this may result in increased virus transmission and major outbreaks. Further, the presence of a unique amino acid substitution, Q325H was also observed in an isolate; 14/D2/Del/2013 (KT717981). This substitution falls in immune epitope (epitope id: 150268) and may have important role in host immune response.

  10. Chemical characteristics of ambient aerosols contributed by cooking process at Noorpur village near Delhi (India)

    Science.gov (United States)

    Singh, Sudha; Kumar, Bablu; Gupta, Gyan Prakash; Kulshrestha, U. C.

    2013-05-01

    Combustion of fuels such as wood, crop residue and dung cakes etc. is one of the major sources of air pollution in developing countries. These fuels are still used commonly for cooking purpose in rural India. This study investigates the chemical composition of the ambient aerosols during cooking hours at a village called Noorpur (28.470 N, 77.030 E) which lies near Delhi city. Aerosol sampling was carried out during August 2011-May 2012 by using handy sampler (Envirotech model APM 821) installed at the terrace of a building (˜6m). The samples were collected on 8 hourly basis using Teflon filters. The water extract of these filters was analyzed for major anions (F-, Cl-, NO3-, SO42-) and major cations (Na+, NH4+, K+, Ca2+ Mg2+) by ion chromatography (Metrohm 883 Basic IC Plus). Results highlighted that cooking process contributed significant amount of SO42- and K+ṡ. Biomass burning is considered as a potential source of K+ in air. The high concentration of SO42- might be due to oxidation of SO2 contributed by the combustion of dung cakes. Further, the detailed results will be discussed during the conference.

  11. Effectiveness of Awareness Package on Occupational Health Hazards among Ragpickers of New Delhi, India.

    Science.gov (United States)

    Agarwalla, Rashmi; Pathak, Rambha; Singh, Mitasha; Islam, Farzana; Parashar, Mamta

    2017-01-01

    Ragpickers are informal workers who collect recyclable materials to earn a small wage on daily basis. They work in vulnerable conditions and awareness regarding occupational and environmental hazard is essential for them. To study the effectiveness of awareness program on various occupational health hazards among the ragpickers. This interventional study was conducted from May through October 2016 among the ragpickers living near field practice area of Department of Community Medicine and those living in slum areas around HAHC Hospital, New Delhi, India. The awareness regarding occupational and environmental health hazards was assessed using a pretested and predesigned pro forma. Snowball sampling technique was used to select the ragpickers from the various areas. Health awareness and education package was designed for the ragpickers. The package was delivered by medical officers and health workers. A posttest assessment was done 2 weeks after the awareness activity. Among 150 ragpickers, there was significant improvement in knowledge immediate post training on knowledge of occupational hazard and hygiene. Efforts should be put to develop training materials on occupation and environmental health and injury issue relating to waste management.

  12. Assessment of Oral Health Related Quality of Life Among the Institutionalised Elderly in Delhi, India.

    Science.gov (United States)

    Rekhi, Amit; Marya, Charu Mohan; Nagpal, Ruchi; Oberoi, Sukhvinder Singh

    To assess the oral health related quality of life (OHRQoL) among older people residing in old-age homes in Delhi, India. Oral health related quality of life was measured by using the Hindi version of Geriatric Oral Health Assessment Index (GOHAI) which was tested for its reliability and validity. Sociodemographic data were collected and questions regarding the self-perception of general health, oral health and perceived need for dental treatment were put forward. Clinical assessment was also performed. The mean additive-GOHAI score of the study population was found to be 41.57 ± 6.07. Statistically significant associations were found between GOHAI and perceived measures. GOHAI scores decreased with a decrease in the number of teeth present and a decrease in the number of teeth having coronal and root caries. Those subjects who were in need of multi-unit prostheses or full prostheses had significantly poorer OHRQoL compared to those without any prosthetic need or need of single-unit prostheses. This study revealed the extent of dental problems in old-age home residents and may help to plan appropriate preventive measures.

  13. Adherence to diabetes care processes at general practices in the National Capital Region-Delhi, India

    Directory of Open Access Journals (Sweden)

    Roopa Shivashankar

    2016-01-01

    Full Text Available Aim: To assess the level of adherence to diabetes care processes, and associated clinic and patient factors at general practices in Delhi, India. Methods: We interviewed physicians (n = 23 and patients with diabetes (n = 406, and reviewed patient charts at general practices (government = 5; private = 18. We examined diabetes care processes, specifically measurement of weight, blood pressure (BP, glycated hemoglobin (HbA1c, lipids, electrocardiogram, dilated eye, and a foot examination in the last one year. We analyzed clinic and patient factors associated with a number of care processes achieved using multilevel Poisson regression model. Results: The average number of clinic visits per patient was 8.8/year (standard deviation = 5.7, and physicians had access to patient's previous records in only 19.7% of patients. Dilated eye exam, foot exam, and electrocardiogram were completed in 7.4%, 15.1%, and 29.1% of patients, respectively. An estimated 51.7%, 88.4%, and 28.1% had ≥1 measurement of HbA1c, BP, and lipids, respectively. Private clinics, physician access to patient's previous records, use of nonphysicians, patient education, and the presence of diabetes complication were positively associated with a number of care processes in the multivariable model. Conclusion: Adherence to diabetes care processes was suboptimal. Encouraging implementation of quality improvement strategies like Chronic Care Model elements at general practices may improve diabetes care.

  14. Source Apportionment of PM2.5 in Delhi, India Using PMF Model.

    Science.gov (United States)

    Sharma, S K; Mandal, T K; Jain, Srishti; Saraswati; Sharma, A; Saxena, Mohit

    2016-08-01

    Chemical characterization of PM2.5 [organic carbon, elemental carbon, water soluble inorganic ionic components, and major and trace elements] was carried out for a source apportionment study of PM2.5 at an urban site of Delhi, India from January, 2013, to December, 2014. The annual average mass concentration of PM2.5 was 122 ± 94.1 µg m(-3). Strong seasonal variation was observed in PM2.5 mass concentration and its chemical composition with maxima during winter and minima during monsoon. A receptor model, positive matrix factorization (PMF) was applied for source apportionment of PM2.5 mass concentration. The PMF model resolved the major sources of PM2.5 as secondary aerosols (21.3 %), followed by soil dust (20.5 %), vehicle emissions (19.7 %), biomass burning (14.3 %), fossil fuel combustion (13.7 %), industrial emissions (6.2 %) and sea salt (4.3 %).

  15. Traffic Related Aerosol Exposure And Their Risk Assessment Of Associated Metals In Delhi, India

    Directory of Open Access Journals (Sweden)

    Rajesh Kushwaha

    2013-12-01

    Full Text Available A pilot study was carried out in New Delhi, India, to assess the level of traffic related aerosol exposure, individually and associated metals. These investigations also try to formulate their risk assessment using different modes of transport on a typical journey to work route and compared Bus, Auto-rickshaws and Bike (Two Wheelers during the journey. The inhalable particulate matter monitored in winter period and also evaluated the potential health risk due to inhalation in the study. The exposure of Particulate matter was observed maximum in the Bike (502 ± 176.38 μgm-3 and minimum in the Auto-rickshaw (208.15 ± 61.38 μgm-3. In case of human exposure to metals (viz. Cu, Cd, Mn, Pb, Ni, Co, Cr, Fe, Zn, it was mostly exposed by Fe, Zn and Co and least exposed by Cd, Cr and Pb. Human health risk was estimated based on exposure and dosage response. The assessment of particulate-bound elements was calculated by assuming exposure of 6 h. The findings indicated that the exposure to particulate bound elements have relatively more adverse health effects. International Journal of Environment, Volume-2, Issue-1, Sep-Nov 2013, Pages 26-36 DOI: http://dx.doi.org/10.3126/ije.v2i1.9205

  16. Knowledge and Practices Related to Screening for Breast Cancer among Women in Delhi, India

    Science.gov (United States)

    Dahiya, Neha; Basu, Saurav; Singh, Megha Chandra; Garg, Suneela; Kumar, Rajesh; Kohli, Charu

    2018-01-27

    Background: Breast cancer is a major public health problem globally. The ongoing epidemiological, socio-cultural and demographic transition by accentuating the associated risk factors has disproportionately increased the incidence of breast cancer cases and resulting mortality in developing countries like India. Early diagnosis with rapid initiation of treatment reduces breast cancer mortality. Therefore awareness of breast cancer risk and a willingness to undergo screening are essential. The objective of the present study was to assess the knowledge and practices relating to screening for breast cancer among women in Delhi. Methods: Data were obtained from 222 adult women using a pretested selfadministered questionnaire. Results: Rates for knowledge of known risk factors of breast cancer were: family history of breast cancer, 59.5%; smoking, 57.7%; old age, 56.3%; lack of physical exercise, 51.9%; lack of breastfeeding, 48.2%; late menopause, 37.4%; and early menarche, 34.7%. Women who were aged awareness generation among adult women regarding risk factors and methods for early detection of breast cancer. Creative Commons Attribution License

  17. Sleep Quality of Call Handlers Employed in International Call Centers in National Capital Region of Delhi, India.

    Science.gov (United States)

    Raja, J D; Bhasin, S K

    2016-10-01

    Call center sector in India is a relatively new and fast growing industry driving employment and growth in modern India today. Most international call centers in National Capital Region (NCR) of Delhi operate at odd work hours corresponding to a time suitable fortheir international customers. The sleep quality of call handlers employed in these call centers is in jeopardy owing to their altered sleep schedule. To assess the sleep quality and determine its independent predictors among call handlers employed in international call centers in NCR of Delhi. A cross-sectional questionnaire-based study was conducted on 375 call handlers aged 18-39 years employed in international call centers in NCR of Delhi. Sleep quality was assessed using Athens Insomnia scale along with a pre-tested, structured questionnaire. The mean age of respondents was 24.6 (SD 2.4) years. 78% of participants were male. 83.5% of respondents were unmarried. 44.3% of call handlers were cigarette smokers. Physical ailments were reported by 37% call handlers. 77.6% of call handlers had somesuspicion of insomnia or suspected insomnia; the rest had no sleep problem. Smoking, poor social support, heavy workload, lack of relaxation facility at office, and prolonged travel time to office were independent predictors of sleep quality (pSafeguarding their health becomes an occupational health challenge to public health specialists.

  18. Primary hyperparathyroidism in North India

    International Nuclear Information System (INIS)

    Bhansali, Anil; Masoodi, Shariq Rashid; Reddy, K.S.S.; Dash, Jiban Radharaman; Behera, Aruanshu; Katariya, Rabinder Nath; Mittal, Bhagwant Rai

    2005-01-01

    Primary hyperparathyroidism (PHPT) has a variable clinical expression. Symptomatic PHPT is still predominant form of the disease in many parts of the world, especially developing countries. Because the clinical profile of the disease has changed from that described in the past we sought to improve our understanding of the disease in patients in North India. We summarized the clinical presentation, biochemical and radiological features, and operative findings from the case records from the last 13 years of 52 patients at a tertiary care center in North India who had documented PHPT. The male: female was 1:3.3 with ages ranging from 6 to 60 years (mean+-SD, 36.38+-12.73). Bone disease (46%), recurrent renal stones (21%) and body aches and pains (21%) were the most common modes of the presentation. The lag time varied ranged from 1 month to 16 years. Common clinical manifestations included bone pain (67%), weakness/fatigue (56%), fracture of long bones (48%), abdominal pain (39%), polyuria (37%) and psychiatric manifestations (23.1%). Hypertension was observed in 42% and a palpable nodule in the neck in 19%. Biochemical features included hypercalcemia (86.5%), hypophosphatemia (65.4%) and hyperphosphatasia (67.3%). Mean intact PTH (+-SD)was 809.0+-696.3 ng/L with levels significantly lower in patients who had only kidney stone diseases compared with those with bone disease (P=0.017). A single parathyroid was localized in 50(98%) patients. Hungry bone disease was seen in 59% patients. (author)

  19. A GIS based emissions inventory at 1 km × 1 km spatial resolution for air pollution analysis in Delhi, India

    Science.gov (United States)

    Guttikunda, Sarath K.; Calori, Giuseppe

    2013-03-01

    In Delhi, between 2008 and 2011, at seven monitoring stations, the daily average of particulates with diameter generation, and construction activities. In this paper, we present a multi-pollutant emissions inventory for the National Capital Territory of Delhi, covering the main district and its satellite cities - Gurgaon, Noida, Faridabad, and Ghaziabad. For the base year 2010, we estimate emissions (to the nearest 000's) of 63,000 tons of PM2.5, 114,000 tons of PM10, 37,000 tons of sulfur dioxide, 376,000 tons of nitrogen oxides, 1.42 million tons of carbon monoxide, and 261,000 tons of volatile organic compounds. The inventory is further spatially disaggregated into 80 × 80 grids at 0.01° resolution for each of the contributing sectors, which include vehicle exhaust, road dust re-suspension, domestic cooking and heating, power plants, industries (including brick kilns), diesel generator sets and waste burning. The GIS based spatial inventory coupled with temporal resolution of 1 h, was utilized for chemical transport modeling using the ATMoS dispersion model. The modeled annual average PM2.5 concentrations were 122 ± 10 μg m-3 for South Delhi; 90 ± 20 μg m-3 for Gurgaon and Dwarka; 93 ± 26 μg m-3 for North-West Delhi; 93 ± 23 μg m-3 for North-East Delhi; 42 ± 10 μg m-3 for Greater Noida; 77 ± 11 μg m-3 for Faridabad industrial area. The results have been compared to measured ambient PM pollution to validate the emissions inventory.

  20. Weight-related concerns and weight-control behaviors among overweight adolescents in Delhi, India: A cross-sectional study

    Directory of Open Access Journals (Sweden)

    Shrivastav Radhika

    2011-02-01

    Full Text Available Abstract Background Obesity is emerging as a public health problem among adolescents in India. The aim of this study was to describe specific weight-related concerns among school-going youth in Delhi, India and to assess the prevalence of weight control behaviors, including healthy and unhealthy ones. Differences by weight status, gender, grade level, and school-type (a proxy for SES in this setting are considered. Methods This study is cross-sectional by design. A sample of eighth and tenth graders (n = 1818 enrolled in Private (middle-high SES and Government (low SES schools (n = 8 in Delhi, India participated. All students' height and weight were measured. Students participated in a survey of weight-related concerns and weight-control behaviors, as well. Mixed-effects regression models were used to test for differences in weight-related concerns and weight-control behaviors across key factors of interest (i.e., weight status, gender, grade level, and SES. Results The combined prevalence of obesity and overweight was 16.6%, overall. Controlling one's weight was important to overweight and non-overweight youth, alike (94.2% v. 84.8%, p p Conclusions Interventions to promote healthy weight control should be pertinent to and well-received by school-going youth in India. Healthy weight control practices need to be explicitly encouraged and unhealthy practices reduced. Future interventions should address issues specific to body image, too, as body dissatisfaction was not uncommon among youth.

  1. Attitudes of Secondary School Teachers towards Inclusive Education in New Delhi, India

    Science.gov (United States)

    Bhatnagar, Nisha; Das, Ajay

    2014-01-01

    This study was undertaken to determine the attitudes of secondary regular schoolteachers towards the inclusion of students with disabilities in New Delhi. A total of 470 teachers, working in schools managed by a private organisation in Delhi, returned the completed survey. A two-part questionnaire was used in this study. Part one gathered…

  2. Mechanical characterization of municipal solid waste from two waste dumps at Delhi, India.

    Science.gov (United States)

    Ramaiah, B J; Ramana, G V; Datta, Manoj

    2017-10-01

    The article presents the physical and mechanical properties of the emplaced municipal solid waste (MSW) recovered from different locations of the Ghazipur and Okhla dumps both located at Delhi, India. Mechanical compressibility and shear strength of the collected MSW were evaluated using a 300×300mm direct shear (DS) shear box. Compression ratio (C c ') of MSW at these two dumps varied between 0.11 and 0.17 and is falling on the lower bound of the range (0.1-0.5) of the data reported in the literature for MSW. Low C c ' of MSW is attributed to the relatively low percentages of compressible elements such as textiles, plastics and paper, coupled with relatively high percentages of inert materials such as soil-like and gravel sized fractions. Shear strength of MSW tested is observed to be displacement dependent. The mobilized shear strength parameters i.e., the apparent cohesion intercept (c') and friction angle (ϕ') of MSW at these two dumps are best characterized by c'=13kPa and ϕ'=23° at 25mm displacement and c'=17kPa and ϕ'=34° at 55mm displacement and are in the range reported for MSW in the literature. A large database on the shear strength of MSW from 18 countries that includes: the experimental data from 277 large-scale DS tests (in-situ and laboratory) and the data from back analysis of 11 failed landfill slopes is statistically analyzed. Based on the analysis, a simple linear shear strength envelope, characterized by c'=17kPa and ϕ'=32°, is proposed for MSW for preliminary use in the absence of site-specific data for stability evaluation of the solid waste landfill under drained conditions. Copyright © 2017 Elsevier Ltd. All rights reserved.

  3. Numerical simulation of a rare winter hailstorm event over Delhi, India on 17 January 2013

    Science.gov (United States)

    Chevuturi, A.; Dimri, A. P.; Gunturu, U. B.

    2014-12-01

    This study analyzes the cause of the rare occurrence of a winter hailstorm over New Delhi/NCR (National Capital Region), India. The absence of increased surface temperature or low level of moisture incursion during winter cannot generate the deep convection required for sustaining a hailstorm. Consequently, NCR shows very few cases of hailstorms in the months of December-January-February, making the winter hail formation a question of interest. For this study, a recent winter hailstorm event on 17 January 2013 (16:00-18:00 UTC) occurring over NCR is investigated. The storm is simulated using the Weather Research and Forecasting (WRF) model with the Goddard Cumulus Ensemble (GCE) microphysics scheme with two different options: hail and graupel. The aim of the study is to understand and describe the cause of hailstorm event during over NCR with a comparative analysis of the two options of GCE microphysics. Upon evaluating the model simulations, it is observed that the hail option shows a more similar precipitation intensity with the Tropical Rainfall Measuring Mission (TRMM) observation than the graupel option does, and it is able to simulate hail precipitation. Using the model-simulated output with the hail option; detailed investigation on understanding the dynamics of hailstorm is performed. The analysis based on a numerical simulation suggests that the deep instability in the atmospheric column led to the formation of hailstones as the cloud formation reached up to the glaciated zone promoting ice nucleation. In winters, such instability conditions rarely form due to low level available potential energy and moisture incursion along with upper level baroclinic instability due to the presence of a western disturbance (WD). Such rare positioning is found to be lowering the tropopause with increased temperature gradient, leading to winter hailstorm formation.

  4. Numerical simulation of a winter hailstorm event over Delhi, India on 17 January 2013

    Science.gov (United States)

    Chevuturi, A.; Dimri, A. P.; Gunturu, U. B.

    2014-09-01

    This study analyzes the cause of rare occurrence of winter hailstorm over New Delhi/NCR (National Capital Region), India. The absence of increased surface temperature or low level of moisture incursion during winter cannot generate the deep convection required for sustaining a hailstorm. Consequently, NCR shows very few cases of hailstorms in the months of December-January-February, making the winter hail formation a question of interest. For this study, recent winter hailstorm event on 17 January 2013 (16:00-18:00 UTC) occurring over NCR is investigated. The storm is simulated using Weather Research and Forecasting (WRF) model with Goddard Cumulus Ensemble (GCE) microphysics scheme with two different options, hail or graupel. The aim of the study is to understand and describe the cause of hailstorm event during over NCR with comparative analysis of the two options of GCE microphysics. On evaluating the model simulations, it is observed that hail option shows similar precipitation intensity with TRMM observation than the graupel option and is able to simulate hail precipitation. Using the model simulated output with hail option; detailed investigation on understanding the dynamics of hailstorm is performed. The analysis based on numerical simulation suggests that the deep instability in the atmospheric column led to the formation of hailstones as the cloud formation reached upto the glaciated zone promoting ice nucleation. In winters, such instability conditions rarely form due to low level available potential energy and moisture incursion along with upper level baroclinic instability due to the presence of WD. Such rare positioning is found to be lowering the tropopause with increased temperature gradient, leading to winter hailstorm formation.

  5. Numerical simulation of a rare winter hailstorm event over Delhi, India on 17 January 2013

    KAUST Repository

    Chevuturi, A.

    2014-12-19

    This study analyzes the cause of the rare occurrence of a winter hailstorm over New Delhi/NCR (National Capital Region), India. The absence of increased surface temperature or low level of moisture incursion during winter cannot generate the deep convection required for sustaining a hailstorm. Consequently, NCR shows very few cases of hailstorms in the months of December-January-February, making the winter hail formation a question of interest. For this study, a recent winter hailstorm event on 17 January 2013 (16:00–18:00 UTC) occurring over NCR is investigated. The storm is simulated using the Weather Research and Forecasting (WRF) model with the Goddard Cumulus Ensemble (GCE) microphysics scheme with two different options: hail and graupel. The aim of the study is to understand and describe the cause of hailstorm event during over NCR with a comparative analysis of the two options of GCE microphysics. Upon evaluating the model simulations, it is observed that the hail option shows a more similar precipitation intensity with the Tropical Rainfall Measuring Mission (TRMM) observation than the graupel option does, and it is able to simulate hail precipitation. Using the model-simulated output with the hail option; detailed investigation on understanding the dynamics of hailstorm is performed. The analysis based on a numerical simulation suggests that the deep instability in the atmospheric column led to the formation of hailstones as the cloud formation reached up to the glaciated zone promoting ice nucleation. In winters, such instability conditions rarely form due to low level available potential energy and moisture incursion along with upper level baroclinic instability due to the presence of a western disturbance (WD). Such rare positioning is found to be lowering the tropopause with increased temperature gradient, leading to winter hailstorm formation.

  6. Assessment of air quality after the implementation of compressed natural gas (CNG) as fuel in public transport in Delhi, India.

    Science.gov (United States)

    Ravindra, Khaiwal; Wauters, Eric; Tyagi, Sushil K; Mor, Suman; Van Grieken, René

    2006-04-01

    Public transport in Delhi was amended by the Supreme Court of India to use Compressed Natural Gas (CNG) instead of diesel or petrol. After the implementation of CNG since April 2001, Delhi has the highest fraction of CNG-run public vehicles in the world and most of them were introduced within 20 months. In the present study, the concentrations of various criteria air pollutants (SPM, PM(10), CO, SO(2) and NO(x)) and organic pollutants such as benzene, toluene, xylene (BTX) and polycyclic aromatic hydrocarbons (PAHs) were assessed before and after the implementation of CNG. A decreasing trend was found for PAHs, SO(2) and CO concentrations, while the NO(x) level was increased in comparison to those before the implementation of CNG. Further, SPM, PM(10), and BTX concentrations showed no significant change after the implementation of CNG. However, the BTX concentration demonstrated a clear relation with the benzene content of gasoline. In addition to the impact of the introduction of CNG the daily variation in PAHs levels was also studied and the PAHs concentrations were observed to be relatively high between 10 pm to 6 am, which gives a proof of a relation with the limited day entry and movement of heavy vehicles in Delhi.

  7. Influence of ozone precursors and particulate matter on the variation of surface ozone at an urban site of Delhi, India

    Directory of Open Access Journals (Sweden)

    Ashima Sharma

    2016-03-01

    Full Text Available Continuous measurements of surface O3 and its precursors (NO, NO2, CO, CH4 and NMHCs at an urban site of Delhi, India during January 2012 to December 2013 are presented. In the present study, the annual average mixing ratios of surface O3, NO, NO2, CO, CH4 and NMHC were 30 ± 6 ppb, 24 ± 6 ppb, 15 ± 4 ppb, 1.5 ± 0.4 ppm, 2.4 ± 0.4 ppm and 0.4 ± 0.1 ppm, respectively. The maximum average mixing ratios of surface O3, NO and NO2 were observed during the summer, whereas, the minimum average mixing ratios of ambient NO and NO2 were during monsoon seasons. The surface O3, NO and NO2 have shown the prominent diurnal variations during all the seasons at the observational site of Delhi. The result reveals that the surface O3 was negatively correlated with NOx and CO during the study. The linear scatter plot analysis shows that the PM2.5 and PM10 present in the ambient air of Delhi influence the production of surface O3 at observational site.

  8. Learning to Be Gendered: Gender Socialization in Early Adolescence Among Urban Poor in Delhi, India, and Shanghai, China.

    Science.gov (United States)

    Basu, Sharmistha; Zuo, Xiayun; Lou, Chaohua; Acharya, Rajib; Lundgren, Rebecka

    2017-10-01

    The purpose of the study is to understand the gender socialization process in early adolescence. The study was located in two disadvantaged urban communities in Delhi, India and Shanghai, China and was part of the multicountry (15) Global Early Adolescent Study. Qualitative methodologies were used with boys and girls aged 11-13 years, including 16 group-based timeline exercises and 65 narrative interviews. In addition, 58 parents of participating adolescents were interviewed. Interviews were recorded, transcribed, translated, and uploaded into Atlas.ti for coding and thematic analysis. Boys and girls growing up in the same community were directed onto different pathways during their transition from early to late adolescence. Adolescents and parents in both sites identified mothers as the primary actor, socializing adolescents into how to dress and behave and what gender roles to play, although fathers were also mentioned as influential. Opposite-sex interactions were restricted, and violations enforced by physical violence. In Delhi, gender roles and mobility were more strictly enforced for girls than boys. Restrictions on opposite-sex interactions were rigid for both boys and girls in Delhi and Shanghai. Sanctions, including beating, for violating norms about boy-girl relationships were more punitive than those related to dress and demeanor, especially in Delhi. Education and career expectations were notably more equitable in Shanghai. Parents teach their children to adhere to inequitable gender norms in both Delhi and Shanghai. However, education and career expectations for boys and girls in the two sites differed. Although gender norms varied by site according to the particular cultural and historical context, similar patterns of gender inequity reflect the underlying patriarchal system in both settings. The tendency of parents to pass on the norms they grew up with is evident, yet these results illustrate the social construction of gender through children

  9. Reducing Tobacco Use among Low Socio-Economic Status Youth in Delhi, India: Outcomes from Project ACTIVITY, a Cluster Randomized Trial

    Science.gov (United States)

    Harrell, Melissa B.; Arora, Monika; Bassi, Shalini; Gupta, Vinay K.; Perry, Cheryl L.; Reddy, K. Srinath

    2016-01-01

    To test the efficacy of an intervention to reduce tobacco use among youth (10-19 years old) in slum communities in Delhi, India. This community-based cluster-randomized trial included 14 slums composed of purposely built resettlement colonies and adjacent inhabitant-built Jhuggi Jhopris. Youth in the intervention received a 2 year…

  10. Chemical Composition and Source Apportionment of high temporal resolution PM1 data for January-August 2017 in Delhi, India

    Science.gov (United States)

    Bhandari, S.; Wang, D. S.; Gani, S.; Seraj, S.; Arub, Z.; Habib, G.; Apte, J.; Hildebrandt Ruiz, L.

    2017-12-01

    Exposure to fine particulate matter (PM) poses significant health risks, especially to residents in heavily populated areas. The current understanding of the sources and dynamics of PM pollution in developing countries like India is limited. Delhi, India is the second most populated city in the world that has extremely high winter PM concentrations and frequent severe pollution episodes. This study reports on composition measurements of submicron aerosol at 1 minute time resolution from January to August of 2017, collected at the Indian Institute of Technology Delhi using an Aerodyne Aerosol Chemical Speciation Monitor (ACSM) and black carbon (BC) measurements using an Aethalometer. Source apportionment was conducted on organic and inorganic mass spectra measured by the ACSM and black carbon data measured using Positive Matrix Factorization (PMF). High concentrations of particulate matter were observed with total PM1 at times exceeding 200 µg m-3 in winter. A significant drop in PM1 concentrations was observed in the winter-spring transition. As observed elsewhere, organic species dominated the submicron mass, contributing 60% of the total mass over the duration of the campaign. However, this fractional contribution varied substantially over the day: from 48% early in the morning to 73% late at night. Along with diurnal variation in total PM1 mass loadings, particulate chloride levels also exhibited a strong diurnal cycle, with concentrations as high as 50 µg m-3 observed in the early mornings of January 2017. Literature review on identification of winter chloride sources in Delhi points to local and regional sources such as biomass/open-waste burning and coal combustion. PMF receptor modeling identified several factors with distinct diurnal patterns. While hydrocarbon-like organic aerosol (HOA) factor has the largest mass fraction contribution, PMF results consistently suggest chloride presence as attributable to ammonium chloride. Interestingly, aerosol

  11. On the occurrence of Common Baron (Lepidoptera: Nymphalidae: Limenitidinae: Euthalia aconthea Cramer, 1777 in the Delhi area and analysis of abiotic factors affecting its distribution in India

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    Rajv K. Singh Bais

    2016-10-01

    Full Text Available This paper gives details of the occurrence of Euthalia aconthea from Delhi area situated in the Indo-Gangetic plains.  Occurrence records of this species suggest that it is most frequent in five zones of India, despite the fact that its main larval food plant Mango Mangifera indica is abundantly available almost throughout India.  Possible abiotic factors are hypothesized for this distribution. 

  12. Resident Knowledge and Willingness to Engage in Waste Management in Delhi, India

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    Sudipta Bhawal Mukherji

    2016-10-01

    Full Text Available Delhi generates about 8360 tons of municipal solid waste per day, and there is low compliance to rules regarding waste management. The objective of this paper was to understand the situation in Delhi with respect to the segregation, storage, collection, and disposal of household waste, and to assess the knowledge of the residents of Delhi, and their willingness to engage in solid-waste management. A stratified random sample, comprising 3047 respondents, was chosen for a questionnaire survey, covering all municipalities of Delhi, with socio-economic classification as the stratifying variable. Survey results indicate that 60% of residents do not know the difference between biodegradable and non-biodegradable waste, and only 2% of them segregate waste. Fifty-eight percent of respondents reported that the waste collector mixes the segregated waste, 97% of respondents reported that they sold items to an itinerant waste buyer, and 87% of households are covered by doorstep waste collection services. Abstract knowledge (general knowledge about waste management is seen to have a significant correlation with willingness to engage in waste management. Differences between the socio-economic groups indicate that the highest (most educated and wealthy, as well as the lowest socio-economic category (least educated and poor, older age-groups, and women, have greater abstract knowledge. Socio-economic categories having higher abstract knowledge can be active participants in decentralized models of waste management.

  13. Awareness About Anti-Smoking Related Laws and Legislation Among General Population in Slums of Delhi, India.

    Science.gov (United States)

    Sharma, Nandini; Anand, Tanu; Grover, Shekhar; Kumar, Arun; Singh, Mongjam M; Ingle, Gopal K

    2018-04-02

    Almost 40% of Delhi's population lives in slums and is vulnerable to tobacco use. It is therefore important to assess their opinion and ensure compliance to antismoking legislation. The present study was undertaken to assess the awareness of the general public residing in slums in Delhi regarding the smoke-free initiative of 2009, 3 years after intensive implementation. It was a cross-sectional study conducted among participants selected by cluster sampling from the slums in six districts of Delhi using a pretested semistructured questionnaire. A total of 708 slum dwellers were interviewed. Out of the total, only 16.1% (n = 114) of the participants had heard of The Cigarettes and Other Tobacco Products (Prohibition of Advertisement and Regulation of Trade and Commerce, Production, Supply and Distribution) Act, 2003 (COTPA), though, they were aware about some of the provisions of the COTPA. Majority (n = 529; 74.7%) perceived the smoke-free zones as the places where smoking forms of tobacco are banned. Regarding the awareness about the places designated as smoke-free zones, 82.1% (n = 581) of the respondents named educational institutions. About 61% of the people interviewed reported to have seen people smoking at public places on the day of interview while only 21.5% reported to have seen any one getting punished for smoking. Awareness about COTPA was low. The study respondents perceived that no action was being taken against persons acting in violation of the law. Thus, there is a need for stricter implementation of COTPA and increased spreading of awareness among the general public. While awareness about antismoking legislation among general population (particularly slums) has been studied world over, this has not been the case in India. The study depicts opinion of one of the susceptible populations regarding tobacco control legislation, which has hitherto not been studied in the Indian context. This study has an important implication as it highlights the need

  14. Land-Air Interactions over Urban-Rural Transects Using Satellite Observations: Analysis over Delhi, India from 1991–2016

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    Madhavi Jain

    2017-12-01

    Full Text Available Over the past four decades Delhi, India, has witnessed rapid urbanization and change in land use land cover (LULC pattern, with most of the cultivable areas and wasteland being converted into built-up areas. Presently around 40% land is under built-up area, a drastic rise of 30% from 1977. The effect of changing LULC, at a local scale, on various variables-land surface temperature (LST, normalized difference vegetation index (NDVI, emissivity, albedo, evaporation, Bowen ratio, and planetary boundary layer (PBL height, from 1991–2016, is investigated. To assess the spatio-temporal dynamics of land-air interactions, we select two different 100 km transects covering the NE-SW and NW-SE expanse of Delhi and its adjoining areas. High NDVI and emissivity is found for regions with green cover and drastic reduction is noted in built-up area clusters. In both of the transects, land surface variations manifest itself in patterns of LST variation. Parametric and non-parametric correlations are able to statistically establish the land-air interactions in the city. NDVI, an indirect indicator for LULC classes, significantly helps in understanding the modifications in LST and ultimately air temperature. Significant, strong positive relationships exist between skin temperature and evaporation, skin temperature and PBL height, and PBL height and evaporation, providing insights into the meteorological changes that are associated with urbanization.

  15. Source apportionment of PM2.5 in North India using source-oriented air quality models

    International Nuclear Information System (INIS)

    Guo, Hao; Kota, Sri Harsha; Sahu, Shovan Kumar; Hu, Jianlin; Ying, Qi; Gao, Aifang; Zhang, Hongliang

    2017-01-01

    In recent years, severe pollution events were observed frequently in India especially at its capital, New Delhi. However, limited studies have been conducted to understand the sources to high pollutant concentrations for designing effective control strategies. In this work, source-oriented versions of the Community Multi-scale Air Quality (CMAQ) model with Emissions Database for Global Atmospheric Research (EDGAR) were applied to quantify the contributions of eight source types (energy, industry, residential, on-road, off-road, agriculture, open burning and dust) to fine particulate matter (PM 2.5 ) and its components including primary PM (PPM) and secondary inorganic aerosol (SIA) i.e. sulfate, nitrate and ammonium ions, in Delhi and three surrounding cities, Chandigarh, Lucknow and Jaipur in 2015. PPM mass is dominated by industry and residential activities (>60%). Energy (∼39%) and industry (∼45%) sectors contribute significantly to PPM at south of Delhi, which reach a maximum of 200 μg/m 3 during winter. Unlike PPM, SIA concentrations from different sources are more heterogeneous. High SIA concentrations (∼25 μg/m 3 ) at south Delhi and central Uttar Pradesh were mainly attributed to energy, industry and residential sectors. Agriculture is more important for SIA than PPM and contributions of on-road and open burning to SIA are also higher than to PPM. Residential sector contributes highest to total PM 2.5 (∼80 μg/m 3 ), followed by industry (∼70 μg/m 3 ) in North India. Energy and agriculture contribute ∼25 μg/m 3 and ∼16 μg/m 3 to total PM 2.5 , while SOA contributes <5 μg/m 3 . In Delhi, industry and residential activities contribute to 80% of total PM 2.5 . - Highlights: • Sources of PM 2.5 in North India were quantified by source-oriented CMAQ. • Industrial/residential activities are the dominating sources (60–70%) for PPM. • Energy/agriculture are the most important sources (30–40%) for SIA. • Strong seasonal

  16. Measurement of radon activity, exhalation rate and radiation dose in fly ash and coal samples from NTPC, Badarpur, Delhi, India

    International Nuclear Information System (INIS)

    Gupta, Mamta; Verma, K.D.; Mahur, A.K.; Prasad, R.; Sonkawade, R.G.

    2013-01-01

    In the present study radon activities and exhalation rates from fly ash and coal samples from NTPC (National Thermal Power Corporation) situated at Badarpur, Delhi, India, have been measured. 'Sealed Can Technique' using LR-115 type II track detectors was employed. In fly ash samples, radon activity has been found to vary from 400.0 ± 34.7 to 483.9 ± 38.1Bqm -3 with an average value of 447.1 ± 36.6 Bqm -3 and in coal samples, radon activity has been found to vary from 504.0 ± 39.0 to 932.1 ± 52.9 Bqm -3 with an average value of 687.2 ± 45.2 Bqm -3 . Radon exhalation rate from coal is found to be higher than radon exhalation rate from its ash products, whereas the opposite is expected. Indoor inhalation exposure (radon) effective dose has also been estimated. (author)

  17. Headline violence and silenced pleasure: contested framings of consensual sex, power and rape in Delhi, India 2011-2014.

    Science.gov (United States)

    Edmunds, Emme; Gupta, Ankit

    2016-05-01

    Though coercion and rape have cast a persistent shadow over prospects of sexual health and consent in contemporary India, other narratives, agency and tools are quietly emerging to transform collective claims of power and bodily dignity. In these narratives from collectives, NGOs, on social media and among friends, dialogues about consent and pleasure feature prominently. This paper analyses statements in the news made by highly visible political and public figures regarding the subject of rape in the context of themes emerging from ethnography and semi-structured interviews with middle class people in Delhi. Using the device of social frameworks, contested framings of rape and consent are examined in order to interrogate essentialist gender norms, compare putative "causes" of rape, and highlight local efforts promoting sexual consent, health and well-being. Copyright © 2016 Elsevier Inc. All rights reserved.

  18. Seroprevalence of HIV in pregnant women in North India: a tertiary care hospital based study

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    Singh Sarman

    2007-11-01

    Full Text Available Abstract Background Estimating the seroprevalence of HIV in a low risk population such as pregnant women provides essential information for an effective implementation of AIDS control programmes, and also for the monitoring of HIV spread within a country. Very few studies are available from north India showing the current trend in HIV prevalence in the antenatal population;which led us to carry outthis study at a tertiary care hospital in north India Methods Blood samples from pregnant women attending antenatal clinics at the All India Institute of Medical Sciences, New Delhi were collected after informed consent and pre-test counseling. The samples were tested for HIV antibodies as per the WHO guidelines, over a period of four years from January 2003 to December 2006. Results Of the 3529 pregnant women tested in four years, 0.88% (CI 0.5 – 1.24 women were found to be HIV seroreactive. Majority of the seroreactive pregnant women (41.9% were in the age group of 20–24 years followed by the 30–34 yrs (25.8% and 25–29 years (22.6% age group. The mean age of the HIV positive women was 24.9 years (SD ± 1.49 yrs. The HIV seroprevalence rates showed an increasing trend from 0.7% (CI 0.14 – 2.04 in 2003–2004 to 0.9% (CI 0.49 – 1.5 in 2005–2006. This prevalence rate indicates concern, as Delhi and its adjoining states are otherwise considered as 'low prevalence states'. Conclusion Seroprevalence of HIV infection was found to be increasing in the last four years amongst pregnant women of North India. These findings are in contrast to the national projections.

  19. Estimation of vehicular emissions using dynamic emission factors: A case study of Delhi, India

    Science.gov (United States)

    Mishra, Dhirendra; Goyal, P.

    2014-12-01

    The estimation of vehicular emissions depends mainly on the values of emission factors, which are used for the development of a comprehensive emission inventory of vehicles. In this study the variations of emission factors as well as the emission rates have been studied in Delhi. The implementation of compressed natural gas (CNG), in the diesel and petrol, public vehicles in the year 2001 has changed the complete air quality scenario of Delhi. The dynamic emission factors of criteria pollutants viz. carbon monoxide (CO), nitrogen oxide (NOx) and particulate matter (PM10) for all types of vehicles have been developed after, which are based on the several factors such as regulated emission limits, number of vehicle deterioration, vehicle increment, vehicle age etc. These emission factors are found to be decreased continuously throughout the study years 2003-2012. The International Vehicle Emissions (IVE) model is used to estimate the emissions of criteria pollutants by utilizing a dataset available from field observations at different traffic intersections in Delhi. Thus the vehicular emissions, based on dynamic emission factors have been estimated for the years 2003-2012, which are found to be comparable with the monitored concentrations at different locations in Delhi. It is noticed that the total emissions of CO, NOx, and PM10 are increased by 45.63%, 68.88% and 17.92%, respectively up to the year 2012 and the emissions of NOx and PM10 are grown continuously with an annual average growth rate of 5.4% and 1.7% respectively.

  20. Awareness and Attitude of Select Professionals toward Euthanasia in Delhi, India

    OpenAIRE

    Singh, Sheetal; Gupta, Shakti; Singh, IB; Madaan, Nirupam

    2016-01-01

    Introduction: The topic of euthanasia has induced differences not only among professionals in the medical fraternity but also in other fields as well. The dying process is being lengthened by the new state of art technologies erupting as such higher pace, and it is at the expense of standard quality of life and of a gracious death. Aim: To study the awareness and attitude toward euthanasia among select professionals in Delhi. Methodology: It was a questionnaire-based descriptive cross-section...

  1. Awareness and Attitude of Select Professionals toward Euthanasia in Delhi, India.

    Science.gov (United States)

    Singh, Sheetal; Gupta, Shakti; Singh, I B; Madaan, Nirupam

    2016-01-01

    The topic of euthanasia has induced differences not only among professionals in the medical fraternity but also in other fields as well. The dying process is being lengthened by the new state of art technologies erupting as such higher pace, and it is at the expense of standard quality of life and of a gracious death. To study the awareness and attitude toward euthanasia among select professionals in Delhi. It was a questionnaire-based descriptive cross-sectional study. The study population included doctors, nurses, judges, lawyers, journalist, and social activists of Delhi. Tool included a sociodemographic questionnaire, two questions to know awareness regarding euthanasia and a modified euthanasia attitude scale used to measure attitude toward euthanasia. Data were analyzed using Stata 11.2. Through our study, it is evident that professionals who participated in the study (judges, advocates, doctors, nurses, journalists, and social activists) in Delhi were familiar with the term euthanasia. No significant difference was seen in the attitude of professionals of different age group and sex toward euthanasia. Through this study, it is found that judiciary group most strongly endorsed euthanasia. The attitude of doctors was elicited from mixed group with doctors belonging to different specialties. Oncologists are not in favor of any form of euthanasia. However, doctors from other specialties did support euthanasia.

  2. Transport scenarios in two metropolitan cities in India: Delhi and Mumbai

    International Nuclear Information System (INIS)

    Das, Anjana; Parikh, Jyoti

    2004-01-01

    With rising population and increasing migration to the cities, it is expected that the urban population will increase and many more metropolitan cities will arise. Urban transport will also increase due to the high growth in population, travel demand and vehicles. In this paper, we look at the growth in vehicles and travel demand up to 2020, assuming business as usual, high GDP growth and low GDP growth scenarios for Mumbai and Delhi assuming a certain population growth. The consequent energy needs and local and global environment implications are studied. The case studies demonstrate that despite similar population and higher per capita GDP, due to the higher share of public bus transport and suburban railway system, the Mumbai transport results in 60% less energy and emissions compared to Delhi. This picture may change in the future with the introduction of metro in Delhi, but basic differences remain even in 2020, perhaps also due to the different urban design. The vehicle stock increases nearly three times in both cities in 23 years due to the increase in population, migration and economic growth. However, the vehicle ownership per 1000 persons only doubles and is far lower in 2020, even compared to the present world average ownership. Emissions, however, do not rise as much due to the introduction of more efficient vehicles and fuels, such as CNG or battery operated vehicles. The high share of public transport also helps. The effects of various policies, such as urban design, suburban railway system, transport management, control practices, etc. are very important

  3. Association between full service and fast food restaurant density, dietary intake and overweight/obesity among adults in Delhi, India.

    Science.gov (United States)

    Patel, Opal; Shahulhameed, Safraj; Shivashankar, Roopa; Tayyab, Mohammad; Rahman, Atiqur; Prabhakaran, Dorairaj; Tandon, Nikhil; Jaacks, Lindsay M

    2017-07-19

    The food environment has been implicated as an underlying contributor to the global obesity epidemic. However, few studies have evaluated the relationship between the food environment, dietary intake, and overweight/obesity in low- and middle-income countries (LMICs). The aim of this study was to assess the association of full service and fast food restaurant density with dietary intake and overweight/obesity in Delhi, India. Data are from a cross-sectional, population-based study conducted in Delhi. Using multilevel cluster random sampling, 5364 participants were selected from 134 census enumeration blocks (CEBs). Geographic information system data were available for 131 CEBs (n = 5264) from a field survey conducted using hand-held global positioning system devices. The number of full service and fast food restaurants within a 1-km buffer of CEBs was recorded by trained staff using ArcGIS software, and participants were assigned to tertiles of full service and fast food restaurant density based on their resident CEB. Height and weight were measured using standardized procedures and overweight/obesity was defined as a BMI ≥25 kg/m 2 . The most common full service and fast food restaurants were Indian savory restaurants (57.2%) and Indian sweet shops (25.8%). Only 14.1% of full service and fast food restaurants were Western style. After adjustment for age, household income, education, and tobacco and alcohol use, participants in the highest tertile of full service and fast food restaurant density were less likely to consume fruit and more likely to consume refined grains compared to participants in the lowest tertile (both p restaurant density were significantly more likely to be overweight/obese: odds ratio (95% confidence interval), 1.44 (1.24, 1.67). After adjustment for age, household income, and education, the effect was attenuated: 1.08 (0.92, 1.26). Results were consistent with further adjustment for tobacco and alcohol use, moderate physical activity

  4. The Spread of Dengue in an Endemic Urban Milieu--The Case of Delhi, India.

    Science.gov (United States)

    Telle, Olivier; Vaguet, Alain; Yadav, N K; Lefebvre, B; Cebeillac, A; Nagpal, B N; Daudé, Eric; Paul, Richard E

    2016-01-01

    Dengue is a major international public health concern, one of the most important arthropod-borne diseases. More than 3.5 billion people are at risk of dengue infection and there are an estimated 390 million dengue infections annually. This prolific increase has been connected to societal changes such as population growth and increasing urbanization generating intense agglomeration leading to proliferation of synanthropic mosquito species. Quantifying the spatio-temporal epidemiology of dengue in large cities within the context of a Geographic Information System is a first step in the identification of socio-economic risk factors. This Project has been approved by the ethical committee of Institut Pasteur. Data has been anonymized and de-identified prior to geolocalisation and analysis. A GIS was developed for Delhi, enabling typological characterization of the urban environment. Dengue cases identified in the Delhi surveillance system from 2008 to 2010 were collated, localised and embedded within this GIS. The spatio-temporal distribution of dengue cases and extent of clustering were analyzed. Increasing distance from the forest in Delhi reduced the risk of occurrence of a dengue case. Proximity to a hospital did not increase risk of a notified dengue case. Overall, there was high heterogeneity in incidence rate within areas with the same socio-economical profiles and substantial inter-annual variability. Dengue affected the poorest areas with high density of humans, but rich areas were also found to be infected, potentially because of their central location with respect to the daily mobility network of Delhi. Dengue cases were highly clustered in space and there was a strong relationship between the time of introduction of the virus and subsequent cluster size. At a larger scale, earlier introduction predicted the total number of cases. DENV epidemiology within Delhi has a forest fire signature. The stochastic nature of this invasion process likely smothers any

  5. The Spread of Dengue in an Endemic Urban Milieu--The Case of Delhi, India.

    Directory of Open Access Journals (Sweden)

    Olivier Telle

    Full Text Available Dengue is a major international public health concern, one of the most important arthropod-borne diseases. More than 3.5 billion people are at risk of dengue infection and there are an estimated 390 million dengue infections annually. This prolific increase has been connected to societal changes such as population growth and increasing urbanization generating intense agglomeration leading to proliferation of synanthropic mosquito species. Quantifying the spatio-temporal epidemiology of dengue in large cities within the context of a Geographic Information System is a first step in the identification of socio-economic risk factors.This Project has been approved by the ethical committee of Institut Pasteur. Data has been anonymized and de-identified prior to geolocalisation and analysis. A GIS was developed for Delhi, enabling typological characterization of the urban environment. Dengue cases identified in the Delhi surveillance system from 2008 to 2010 were collated, localised and embedded within this GIS. The spatio-temporal distribution of dengue cases and extent of clustering were analyzed. Increasing distance from the forest in Delhi reduced the risk of occurrence of a dengue case. Proximity to a hospital did not increase risk of a notified dengue case. Overall, there was high heterogeneity in incidence rate within areas with the same socio-economical profiles and substantial inter-annual variability. Dengue affected the poorest areas with high density of humans, but rich areas were also found to be infected, potentially because of their central location with respect to the daily mobility network of Delhi. Dengue cases were highly clustered in space and there was a strong relationship between the time of introduction of the virus and subsequent cluster size. At a larger scale, earlier introduction predicted the total number of cases.DENV epidemiology within Delhi has a forest fire signature. The stochastic nature of this invasion process

  6. Health care expenditure associated with overweight/obesity: a study among urban married women in Delhi, India.

    Science.gov (United States)

    Agrawal, Praween; Agrawal, Sutapa

    2015-08-01

    Obesity is a multifaceted problem with wide-reaching medical, social and economic consequences. While health consequences are much known, but due to paucity of data, economic consequences are less known in India. The prevalence for excessive weight particularly among women population has been increasing dramatically in India in the last decades. We examined the economic burden on individual and households due to overweight and obesity among women in the national capital territory of India, Delhi. We particularly examined the health expenditure pattern in absolute amount as well as a proportion to their household expenditure among women according to their level of body mass index (BMI). A population based follow-up survey of 325 ever-married women aged 20-54 years residing in the national capital territory of Delhi in India, systematically selected from the second round of National Family Health Survey (NFHS-2, 1998-99) samples who were re-interviewed after four years in 2003. Women's expenditure on health has been seen as a gross and as a ratio of total household expenditure. Anthropometric measurements were obtained from women to compute their current body mass index. Multiple logistic regression analysis was used to estimate the odds ratios adjusting for various socio demographic confounders. A significantly (peconomic burden which accounts for more than 5% of their total household expenditure on their health compared to only 10% normal weight women. Significantly, obese and morbidly obese women were more than two times more likely to spend higher amount on their health (OR 2.29 95% CI: 1.07-4.90; p=0.033) than normal weight women. Also overweight women were significantly two times more likely to spend high proportion on their health with respect to total household expenditure (OR 2.11; 95% CI: 1.03-4.35; p=0.042) than normal weight women. There is substantial economic burden of obesity for individuals as well as for the households which calls for urgent

  7. 78 FR 70278 - Automotive Trade Mission to New Delhi, Pune and Chennai, India

    Science.gov (United States)

    2013-11-25

    ... expanding automotive market. Many global automotive manufacturing companies such as Ford, GM, BMW, AUDI... India for over five decades. Also known as the Detroit of India, Pune today is one of India's largest... and finished goods, and ease of setting up business have been key drivers of the growth of the auto...

  8. AHP 45: REVIEW: FOUNDING AN EMPIRE ON INDIA'S NORTH-EASTERN FRONTIERS 1790-1840

    Directory of Open Access Journals (Sweden)

    Hilary Howes

    2017-03-01

    Full Text Available This thoroughly researched and carefully constructed monograph focuses on what is now north-eastern India, an irregularly-shaped region joined only by a narrow neck of land to the remainder of the Indian subcontinent and jostled (or nestled, depending on one's point of view between Bangladesh, Bhutan, Myanmar, Nepal, and Tibet. Crucially, author Gunnel Cederlöf argues, this representation of northeast India on modern maps - an island in constant danger of drifting away from mainland India, held in place only by the "Chicken's Neck" or Siliguri Corridor - bears no relation to the way in which this region was imagined by the British East India Company (EIC in the late eighteenth and early nineteenth centuries. Having obtained revenuefarming rights and judicial duties over the North-Eastern Frontier, as it was then known, through a 1765 diwani grant from the Great Mughal in Delhi, the EIC aspired first and foremost to revive the administration of revenue in the region, adding a monopoly in territory to their existing monopolies in the eastern trade. Given these primarily commercial interests, it should come as no surprise that the EIC's map-makers, their eyes fixed on the web of lucrative trade routes crisscrossing the region, homed in on the North-Eastern Frontier as the central point in "a synoptic vision that connected Bengal to China" (72. ...

  9. Prevalence of induced abortions and contraceptive use among married women in an urban slum of Delhi, India.

    Science.gov (United States)

    Bhilwar, Meenakshi; Lal, Panna; Sharma, Nandini; Bhalla, Preena; Kumar, Ashok

    2017-01-01

    To document abortion practices and contraceptive use among women of reproductive age in an urban slum of Delhi. Data were collected as part of a cross-sectional study conducted in an urban resettlement colony in the North East District of Delhi between November 2010 and December 2011. Systematic random sampling was used to enroll 200 married women aged 15-49 years from each of the four blocks of the colony. Participants were interviewed and data were entered into a pretested semi-structured questionnaire. Among 802 participants, 284 (35.4%) reported at least one spontaneous or induced abortion, and 196 (24.4%) reported induced abortions. Unsupervised medical termination was reported by 78 (27.5%) of the 284 women. Overall, only 207 (25.8%) women practiced any type of contraception. The predominant decision maker regarding contraception was the husband for 95 (45.9%) women and the mother-in-law for 78 (37.7%). There is a need for focused community-based education to address specific issues, particularly regarding the dangers of unsafe abortion and choosing a method of contraception in consultation with a healthcare practitioner. © 2016 International Federation of Gynecology and Obstetrics.

  10. Multiple Stakeholder Perspectives on Cancer Stigma in North India.

    Science.gov (United States)

    Gupta, Adyya; Dhillon, Preet K; Govil, Jyotsna; Bumb, Dipika; Dey, Subhojit; Krishnan, Suneeta

    2015-01-01

    Cancer is a leading cause of death worldwide. A large proportion of cancer deaths are preventable through early detection but there are a range of social, emotional, cultural and financial dimensions that hinder the effectiveness of cancer prevention and treatment efforts. Cancer stigma is one such barrier and is increasingly recognized as an important factor influencing health awareness and promotion, and hence, disease prevention and control. The impact and extent of stigma on the cancer early detection and care continuum is poorly understood in India. To evaluate cancer awareness and stigma from multiple stakeholder perspectives in North India, including men and women from the general population, health care professionals and educators, and cancer survivors. A qualitative study was conducted with in-depth interviews (IDIs) and focus group discussions (FGDs) among 39 individuals over a period of 3 months in 2014. Three groups of participants were chosen purposively - 1) men and women who attended cancer screening camps held by the Indian Cancer Society, Delhi; 2) health care providers and 3) cancer survivors. Most participants were unaware of what cancers are in general, their causes and ways of prevention. Attitudes of families towards cancer patients were observed to be positive and caring. Nevertheless, stigma and its impact emerged as a cross cutting theme across all groups. Cost of treatment, lack of awarenes and beliefs in alternate medicines were identified as some of the major barriers to seeking care. This study suggests a need for spreading awareness, knowledge about cancers and assessing associated impact among the people. Also Future research is recommended to help eradicate stigma from the society and reduce cancer-related stigma in the Indian context.

  11. Multi drug resistance and Extended Spectrum Beta Lactamases in clinical isolates of Shigella: A study from New Delhi, India.

    Science.gov (United States)

    Aggarwal, Prabhav; Uppal, Beena; Ghosh, Roumi; Krishna Prakash, S; Chakravarti, Anita; Jha, Arun Kumar; Rajeshwari, Krishnan

    2016-01-01

    Shigella is an important cause of gastroenteritis in local Indian population, as well as of traveler's diarrhea in the international visitors to India. These patients often require appropriate antimicrobial therapy; however, rapid development of antimicrobial resistance poses a major hurdle in achieving this goal. A prospective study was conducted during 2009-12 in New Delhi, India, including 6339 stool samples from gastroenteritis patients. 121 Shigella strains were identified on the basis of colony morphology, biochemical reactions, serotyping and ipaH gene based PCR. Antimicrobial susceptibility testing by disc diffusion, MIC determination by Vitek(®) 2 and phenotypic tests for ESBL/AmpC production were done. Nineteen percent strains (23/121) were found to be resistant to third generation cephalosporins and all were phenotypically confirmed to be ESBL producers; one strain was positive for AmpC. ESBL producing strains were also found to be significantly more resistant (p Shigella is a matter of concern for the local population as well as international travelers. Therefore, better national level antimicrobial management programs are the priority needs. Copyright © 2016 Elsevier Ltd. All rights reserved.

  12. Study on air pollution trends (2010-2015 due to fireworks during Diwali festival in Delhi, India

    Directory of Open Access Journals (Sweden)

    Abhinav Pandey

    2016-07-01

    Full Text Available The burning of massive amount of fire crackers on the evening(s of a nation-wide celebrated festival called ‘Diwali’ in India, gives rise to a remarkably high concentration of criteria air pollutants and it is of utmost importance to investigate the impact of such high loads originated during a relatively shorter time span in a mega-city like Delhi where the situation of ambient air quality has already been alarming almost through-out the year. In view of the same, the present study analyzes available concentration data during this festival’s night for five criteria pollutants namely PM10, PM2.5, SO2, NO2, and CO (Particulate Matter, Sulfur Dioxide, Nitrogen Dioxide and Carbon Monoxide respectively along with NH3 at six key locations of Delhi. Following the analysis, PM10 concentration in Anand Vihar during nighttime of Diwali was reported to be ~8 times higher than the 24 hours values prescribed by National Ambient Air Quality Standards (NAAQS. On the other hand, the same at IGI airport was recorded lowest even though about 3.5 times that of the guiding standard. PM2.5 concentrations were reported as highest and lowest at RK Puram and Civil lines respectively, in both the cases quite exceeding the comparable standard values. Interestingly, remaining criteria pollutants, namely, SO2, NO2 and CO along with NH3 measured in 2015 showed no values in excess of corresponding 24-hrs guidelines, thereby reporting a better scenario compared to previous years. Further, the extensive use of firecrackers during Diwali festival leads to substantial increase in air pollutants necessitating special measures to control.

  13. Size distributions of n-alkanes, fatty acids and fatty alcohols in springtime aerosols from New Delhi, India.

    Science.gov (United States)

    Kang, Mingjie; Fu, Pingqing; Aggarwal, Shankar G; Kumar, Sudhanshu; Zhao, Ye; Sun, Yele; Wang, Zifa

    2016-12-01

    Size-segregated aerosol samples were collected in New Delhi, India from March 6 to April 6, 2012. Homologous series of n-alkanes (C 19 C 33 ), n-fatty acids (C 12 C 30 ) and n-alcohols (C 16 C 32 ) were measured using gas chromatography/mass spectrometry. Results showed a high-variation in the concentrations and size distributions of these chemicals during non-haze, haze, and dust storm days. In general, n-alkanes, n-fatty acids and n-alcohols presented a bimodal distribution, peaking at 0.7-1.1 μm and 4.7-5.8 μm for fine modes and coarse modes, respectively. Overall, the particulate matter mainly existed in the coarse mode (≥2.1 μm), accounting for 64.8-68.5% of total aerosol mass. During the haze period, large-scale biomass burning emitted substantial fine hydrophilic smoke particles into the atmosphere, which leads to relatively larger GMDs (geometric mean diameter) of n-alkanes in the fine mode than those during the dust storms and non-haze periods. Additionally, the springtime dust storms transported a large quantity of coarse particles from surrounding or local areas into the atmosphere, enhancing organic aerosol concentration and inducing a remarkable size shift towards the coarse mode, which are consistent with the larger GMDs of most organic compounds especially in total and coarse modes. Our results suggest that fossil fuel combustion (e.g., vehicular and industrial exhaust), biomass burning, residential cooking, and microbial activities could be the major sources of lipid compounds in the urban atmosphere in New Delhi. Copyright © 2016 Elsevier Ltd. All rights reserved.

  14. THE DECISION MAKING OF BUSINESS TRAVELLERS IN SELECTING ONLINE TRAVEL PORTALS FOR TRAVEL BOOKING: AN EMPIRICAL STUDY OF DELHI NATIONAL CAPITAL REGION, INDIA

    OpenAIRE

    Bivek DATTA; Manohar SAJNANI; Joby THOMAS

    2018-01-01

    The purpose of this paper is to understand the decision making pattern of the Business Travellers in Delhi National Capital Region in India while booking their trips through Online Travel Portals. The study revolves around purchase decision pattern of Business Travellers by investigating their travel decision making style in selecting online travel portals for their trip booking. The authors have adopted the quantitative methodology to achieve the objective of the study. The study is confi...

  15. Dietary practices and nutritional profile of female nurses from Government Hospitals in Delhi, India

    Directory of Open Access Journals (Sweden)

    Shipra Gupta

    2017-01-01

    Full Text Available Background: Nursing is a demanding profession and nurses face a considerable degree of stress at work that can adversely influence their dietary practices and nutritional status. The current study was designed to conduct a preliminary investigation of the dietary practices and nutritional profile of nurses from government hospitals in Delhi. Materials and Methods: A cross-sectional descriptive study was carried out among 80 female nurses aged between 25 and 39 years from government hospitals. Data on demographic profile and dietary practices were gathered using a questionnaire-cum-interview schedule. Nutrient intake of the participants was determined using a 2-day 24-hour diet recall method, and adequacy of intake of nutrients was assessed using the Nutrient Adequacy Ratio approach. Weight, height, and waist circumference were recorded and the body mass index (BMI and waist-to-height ratio (WHtR were computed. Results: Findings revealed that though majority of nurses were involved in rotating shift duties in their hospitals, more than two-thirds of them had more or less appropriate dietary practices. Intake of most nutrients, except iron, vitamin A, vitamin B12, dietary folate, and riboflavin ranged from fairly adequate to adequate among nearly 85% of the nurses. Approximately 70% of the nurses were categorized as overweight and obese and had a WHtR above 0.52. Conclusions: The study indicated that most female nurses in government hospitals in Delhi had appropriate dietary practices and nutrient intakes but still had high BMI and WHtR, which increased their vulnerability to health problems.

  16. Growing stock and woody biomass assessment in Asola-Bhatti Wildlife Sanctuary, Delhi, India.

    Science.gov (United States)

    Kushwaha, S P S; Nandy, S; Gupta, Mohini

    2014-09-01

    Biomass is an important entity to understand the capacity of an ecosystem to sequester and accumulate carbon over time. The present study, done in collaboration with the Delhi Forest Department, focused on the estimation of growing stock and the woody biomass in the so-called lungs of Delhi--the Asola-Bhatti Wildlife Sanctuary in northern Aravalli hills. The satellite-derived vegetation strata were field-inventoried using stratified random sampling procedure. Growing stock was calculated for the individual sample plots using field data and species-specific volume equations. Biomass was estimated from the growing stock and the specific gravity of the wood. Among the four vegetation types, viz. Prosopis juliflora, Anogeissus pendula, forest plantation and the scrub, the P. juliflora was found to be the dominant vegetation in the area, covering 23.43 km(2) of the total area. The study revealed that P. juliflora forest with moderate density had the highest (10.7 m(3)/ha) while A. pendula forest with moderate density had the lowest (3.6 m(3)/ha) mean volume. The mean woody biomass was also found to be maximum in P. juliflora forest with moderate density (10.3 t/ha) and lowest in A. pendula forest with moderate density (3.48 t/ha). The total growing stock was estimated to be 20,772.95 m(3) while total biomass worked out to be 19,366.83 t. A strong correlation was noticed between the normalized difference vegetation index (NDVI) and the growing stock (R(2) = 0.84)/biomass (R(2) = 0.88). The study demonstrated that growing stock and the biomass of the woody vegetation in Asola-Bhatti Wildlife Sanctuary could be estimated with high accuracy using optical remote sensing data.

  17. Role of meteorology in seasonality of air pollution in megacity Delhi, India.

    Science.gov (United States)

    Guttikunda, Sarath K; Gurjar, Bhola R

    2012-05-01

    The winters in megacity Delhi are harsh, smoggy, foggy, and highly polluted. The pollution levels are approximately two to three times those monitored in the summer months, and the severity is felt not only in the health department but also in the transportation department, with regular delays at airport operations and series of minor and major accidents across the road corridors. The impacts felt across the city are both manmade (due to the fuel burning) and natural (due to the meteorological setting), and it is hard to distinguish their respective proportions. Over the last decade, the city has gained from timely interventions to control pollution, and yet, the pollution levels are as bad as the previous year, especially for the fine particulates, the most harmful of the criteria pollutants, with a daily 2009 average of 80 to 100 μg/m(3). In this paper, the role of meteorology is studied using a Lagrangian model called Atmospheric Transport Modeling System in tracer mode to better understand the seasonality of pollution in Delhi. A clear conclusion is that irrespective of constant emissions over each month, the estimated tracer concentrations are invariably 40% to 80% higher in the winter months (November, December, and January) and 10% to 60% lower in the summer months (May, June, and July), when compared to annual average for that year. Along with monitoring and source apportionment studies, this paper presents a way to communicate complex physical characteristics of atmospheric modeling in simplistic manner and to further elaborate linkages between local meteorology and pollution.

  18. Association between full service and fast food restaurant density, dietary intake and overweight/obesity among adults in Delhi, India

    Directory of Open Access Journals (Sweden)

    Opal Patel

    2017-07-01

    Full Text Available Abstract Background The food environment has been implicated as an underlying contributor to the global obesity epidemic. However, few studies have evaluated the relationship between the food environment, dietary intake, and overweight/obesity in low- and middle-income countries (LMICs. The aim of this study was to assess the association of full service and fast food restaurant density with dietary intake and overweight/obesity in Delhi, India. Methods Data are from a cross-sectional, population-based study conducted in Delhi. Using multilevel cluster random sampling, 5364 participants were selected from 134 census enumeration blocks (CEBs. Geographic information system data were available for 131 CEBs (n = 5264 from a field survey conducted using hand-held global positioning system devices. The number of full service and fast food restaurants within a 1-km buffer of CEBs was recorded by trained staff using ArcGIS software, and participants were assigned to tertiles of full service and fast food restaurant density based on their resident CEB. Height and weight were measured using standardized procedures and overweight/obesity was defined as a BMI ≥25 kg/m2. Results The most common full service and fast food restaurants were Indian savory restaurants (57.2% and Indian sweet shops (25.8%. Only 14.1% of full service and fast food restaurants were Western style. After adjustment for age, household income, education, and tobacco and alcohol use, participants in the highest tertile of full service and fast food restaurant density were less likely to consume fruit and more likely to consume refined grains compared to participants in the lowest tertile (both p < 0.05. In unadjusted logistic regression models, participants in the highest versus lowest tertile of full service and fast food restaurant density were significantly more likely to be overweight/obese: odds ratio (95% confidence interval, 1.44 (1.24, 1.67. After adjustment for age

  19. Determination of wood burning and fossil fuel contribution of black carbon at Delhi, India using aerosol light absorption technique.

    Science.gov (United States)

    Tiwari, S; Pipal, A S; Srivastava, A K; Bisht, D S; Pandithurai, G

    2015-02-01

    A comprehensive measurement program of effective black carbon (eBC), fine particle (PM2.5), and carbon monoxide (CO) was undertaken during 1 December 2011 to 31 March 2012 (winter period) in Delhi, India. The mean mass concentrations of eBC, PM2.5, and CO were recorded as 12.1 ± 8.7 μg/m(3), 182.75 ± 114.5 μg/m(3), and 3.41 ± 1.6 ppm, respectively, during the study period. Also, the absorption Angstrom exponent (AAE) was estimated from eBC and varied from 0.38 to 1.29 with a mean value of 1.09 ± 0.11. The frequency of occurrence of AAE was ~17 % less than unity whereas ~83 % greater than unity was observed during the winter period in Delhi. The mass concentrations of eBC were found to be higher by ~34 % of the average value of eBC (12.1 μg/m(3)) during the study period. Sources of eBC were estimated, and they were ~94 % from fossil fuel (eBCff) combustion whereas only 6 % was from wood burning (eBCwb). The ratio between eBCff and eBCwb was 15, which indicates a higher impact from fossil fuels compared to biomass burning. When comparing eBCff during day and night, a factor of three higher concentrations was observed in nighttime than daytime, and it is due to combustion of fossil fuel (diesel vehicle emission) and shallow boundary layer conditions. The contribution of eBCwb in eBC was higher between 1800 and 2100 hours due to burning of wood/biomass. A significant correlation between eBC and PM2.5 (r = 0.78) and eBC and CO (r = 0.46) indicates the similarity in location sources. The mass concentration of eBC was highest (23.4 μg/m(3)) during the month of December when the mean visibility (VIS) was lowest (1.31 km). Regression analysis among wind speed (WS), VIS, soot particles, and CO was studied, and significant negative relationships were seen between VIS and eBC (-0.65), eBCff (-0.66), eBCwb (-0.34), and CO (-0.65); however, between WS and eBC (-0.68), eBCff (-0.67), eBCwb (-0.28), and CO (-0.53). The regression analysis indicated

  20. Fatal carbon monoxide poisoning: A lesson from a retrospective study at All India Institute of Medical Sciences, New Delhi

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    Asit Kumar Sikary

    2017-01-01

    Full Text Available Background: Carbon monoxide (CO is a colorless, odorless, tasteless, and nonirritating gas which makes it difficult for those who are exposed, to detect it, leading to unexpected death. This study was undertaken to see the pattern of fatal CO poisoning and to discuss preventive aspect. Materials and Methods: It was a retrospective descriptive study of fatal CO cases which were autopsied at All India Institute of Medical Sciences, New Delhi, from the year 2010 to the year 2015. The cases were analyzed as per age groups, circumstances of death, season of death, and sources of CO formation. Results and Discussion: The study involved 40 cases of fatal CO poisoning. About 80% of cases were reported in winter months. The maximum cases were reported in the month of January followed by November and December. All the cases except one, died with a source of CO nearby and the person was inside a room or some closed space without ventilation. Source of CO was firepot and electric room heater in most of the cases. Some cases were of CO build inside the car with a running engine. Most of the cases occurred accidentally. Conclusion: Clustering of cases is seen in winters. Poisoning can occur in different ways. The study documents the various possibilities of CO poisoning and advocates community education targeting the high-risk groups and masses, especially during the winter season.

  1. Public-Private roundtables at the fourth Clean Energy Ministerial, 17-18 April 2013, New Delhi, India

    Energy Technology Data Exchange (ETDEWEB)

    Crowe, Tracey [Energetics, Incorporated, Washington, DC (United States)

    2013-06-30

    The Clean Energy Ministerial (CEM) is a high-level global forum to share best practices and promote policies and programs that advance clean energy technologies and accelerate the transition to a global clean energy economy. The CEM works to increase energy efficiency, expand clean energy supply, and enhance clean energy access worldwide. To achieve these goals, the CEM pursues a three-part strategy that includes high-level policy dialogue, technical cooperation, and engagement with the private sector and other stakeholders. Each year, energy ministers and other high-level delegates from the 23 participating CEM governments come together to discuss clean energy, review clean energy progress, and identify tangible next steps to accelerate the clean energy transition. The U.S. Department of Energy, which played a crucial role in launching the CEM, hosted the first annual meeting of energy ministers in Washington, DC, in June 2010. The United Arab Emirates hosted the second Clean Energy Ministerial in 2011, and the United Kingdom hosted the third Clean Energy Ministerial in 2012. In April 2013, India hosted the fourth Clean Energy Ministerial (CEM4) in New Delhi. Key insights from CEM4 are summarized in the report. It captures the ideas and recommendations of the government and private sector leaders who participated in the discussions on six discussion topics: reducing soft costs of solar PV; energy management systems; renewables policy and finance; clean vehicle adoption; mini-grid development; and power systems in emerging economies.

  2. FOOD ACQUISITION AND INTRA-HOUSEHOLD CONSUMPTION PATTERNS: A STUDY OF LOW AND MIDDLE INCOME URBAN HOUSEHOLDS IN DELHI, INDIA.

    Science.gov (United States)

    Pradhan, Mr; Taylor, Fc; Agrawal, S; Prabhakaran, D; Ebrahim, S

    2013-12-01

    Food habits and choices in India are shifting due to many factors: changing food markets, fast urbanization, food price inflation, uncertain food production and unequal distribution during the past decade. This study aims to explore food acquisition and intra-household consumption patterns in urban low and middle income (LMI) households in Delhi. Twenty households were randomly selected from the Center for Cardio-metabolic Risk Reduction in South Asia (CARRS) surveillance study. Data were derived from 20 questionnaires administered to women responsible for food preparation, four key-informant-interviews, and 20 in-depth interviews with household heads during September-November 2011. STATA and ATLAS.ti software were used for data analysis. Half of the households spent at least two-thirds of their income on food. The major expenditures were on vegetables (22% of total food expenditure), milk and milk products (16%), and cereal and related products (15%). Income, food prices, food preferences, and seasonal variation influenced food expenditure. Adults usually ate two to three times a day while children ate more frequently. Eating sequence was based on the work pattern within the household and cultural beliefs. Contrary to previous evidence, there was no gender bias in intra-household food distribution. Women considered food acquisition, preparation and distribution part of their self-worth and played a major role in food related issues in the household. Women's key roles in food acquisition, preparation and intra household food consumption should be considered in formulating food policies and programs.

  3. Perceptions of nonsurgical permanent contraception among potential users, providers, and influencers in Wardha district and New Delhi, India: Exploratory research.

    Science.gov (United States)

    Aengst, Jennifer C; Harrington, Elizabeth K; Bahulekar, Pramod; Shivkumar, Poonam; Jensen, Jeffrey T; Garg, B S

    2017-01-01

    New permanent contraceptive methods are in development, including nonsurgical permanent contraception (NSPC). In the present study, perceptions of NSPC in India among married women, married men, mothers-in-law, providers, and health advocates in Eastern Maharashtra (Wardha district) and New Delhi were examined. We conducted semi-structured interviews with 40 married women and 20 mothers-in-law; surveys with 150 married men; and focus group discussions with obstetrics/gynecology providers and advocates. Transcripts were coded and analyzed using a grounded theory approach, where emerging themes are analyzed during the data collection period. The majority of female respondents expressed support of permanent contraception and interest in NSPC, stating the importance of avoiding surgery and minimizing recovery time. They expressed concerns about safety and efficacy; many felt that a confirmation test would be necessary regardless of the failure rate. Most male respondents were supportive of female permanent contraception (PC) and preferred NSPC to a surgical method, as long as it was safe and effective. Providers were interested in NSPC yet had specific concerns about safety, efficacy, cost, uptake, and government pressure. They also had concerns that a nonsurgical approach could undermine the inherent seriousness of choosing PC. Advocates were interested in NSPC but had concerns about safety and potential misuse in the Indian context. Although perceptions of NSPC were varied, all study populations indicated interest in NSPC. Concerns about safety, efficacy, appropriate patient counseling, and ethics emerged from the present study and should be considered as NSPC methods continue to be developed.

  4. Seeding Social Innovation in Private Schools: A Case Study of St. Mary’s School, Delhi, India

    Directory of Open Access Journals (Sweden)

    Niket Sagar

    2017-08-01

    Full Text Available Education has an important role in creating new learning opportunities and driving social progress. As social institutions, schools form a fundamental block to understand about life and society. While schools have done a good job in preparing students for life and society, newer challenges facing humanity have now emerged. How can schools meaningfully engage students on various pressing social issues and empower their students to take action on issues like environmental crisis, social injustice and developmental challenges? Current school curriculum does not provide adequate opportunities where students can experiment and explore these issues and look for solutions. Problem identifications and their solutions can be explored by creating an interface between community and school. This would create an open space for creativity and innovation amongst students to explore, develop and understand social issues. Such practices would further fuel the students to think and act to address social and environmental challenges. Such approach will pave the way for students to implement and share innovative solutions rather than simply limiting their knowledge to the classroom. This paper is an attempt to highlight the initiatives taken by St. Mary’s School (Delhi, India under its social footprint projects and social innovation in the context of community engagement and emerging environmental issues.

  5. Molecular evidence for the occurrence of tomato leaf curl New Delhi virus on chayote (Sechium edule) in southern India.

    Science.gov (United States)

    Nagendran, K; Mohankumar, S; Mohammed Faisal, P; Bagewadi, B; Karthikeyan, G

    2017-12-01

    During 2012-2014, mosaic disease on chayote in the farmers field of Kodaikanal region (high altitude zone) of Tamil Nadu was observed. The disease was characterized with severe mosaic, cupping and enation on leaves with reduced fruit size. Disease was found to causes an yield loss of more than 60% with the maximum disease incidence of 100% for the past 5 years consecutively. Preliminary serological and molecular screening indicated the association of begomovirus with the disease. Complete nucleotide sequence and phylogenetic analysis of DNA A revealed the identity of the virus as tomato leaf curl New Delhi virus (ToLCNDV). In recombination analysis study, the major parent was identified as ToLCNDV from Pakistan infecting tomato. Thus the present finding confirms expansion of new geographical region and host for ToLCNDV causing mosaic disease on chayote from Tamil Nadu. To our knowledge this is the first confirmed report for the occurrence of ToLCNDV on chayote in southern India.

  6. Using heronry birds to monitor urbanization impacts: a case study of painted stork Mycteria leucocephala nesting in the Delhi Zoo, India.

    Science.gov (United States)

    Urfi, Abdul Jamil

    2010-03-01

    Although urbanization is a frequently cited cause of biodiversity loss (Czech and Krausman 1997) our understanding about urban ecology is severely limited (Marzluff et al. 2001). Birds are popular bio-indicators of environmental change because they are ecologically versatile, their populations as well as select fitness parameters can be conveniently monitored, often with the voluntary involvement of local nature enthusiasts across large geographical scales, and their presence/absence in a particular area is consequential (Bibby et al. 1992; Urfi 2004). In India, while several studies have focused on changes in bird populations and distributions in natural habitats (Urfi et al. 2005), very few have actually attempted to study either the impacts of urbanization on birds or how different species have adjusted to environmental change. However, many Indian cities offer foraging and nesting habitat for birds, especially colonial waterbirds such as stork, ibis, spoonbill, heron, egret, cormorant, and spoonbill. Some notable examples in this regard are Piele Gardens in Bhavnagar city (Parasharya and Naik 1990), Karanji Tank in Mysore (Jamgaonkar et al. 1994) and the National Zoological Park (hence forth Delhi Zoo) in India's capital city New Delhi (Urfi 1997). In this article, I focus on the opportunities for meaningful ecological research offered by the wild waterbirds nesting in the Delhi Zoo premises and discuss the significance for initiating novel, long term conservation monitoring programs, involving volunteers and bird watchers, to create data bases that will be useful for understanding urbanization and climate change impacts on biodiversity.

  7. Gender Inequality in North East India

    OpenAIRE

    Mahanta, Bidisha; Nayak, Purusottam

    2013-01-01

    The present paper is an attempt to analyze the status of gender inequality in North East India using various indicators based on secondary data. The study reveals that the northeast is better off than that of the nation as a whole in terms of gender equality. However inequality between women and men exists in the region in spite of the predominance of various ethnic groups who by and large do not believe in sex discrimination. The study reveals that women are relatively disempowered and enjoy...

  8. Evaluation of heavy metal contamination using environmetrics and indexing approach for River Yamuna, Delhi stretch, India

    Directory of Open Access Journals (Sweden)

    Richa Bhardwaj

    2017-04-01

    Full Text Available The objective of the present study is to investigate the current status of heavy metal pollution in River Yamuna, Delhi stretch. The concentrations of Nickel, Cadmium, Chromium, Copper, Iron, Lead, and Zinc in water samples have been studied during December 2013–August 2015. The overall mean concentration of heavy metals was observed in the following order Fe > Cu > Zn > Ni > Cr > Pb > Cd. Correlation analysis formed two distinct groups of heavy metals highlighting similar sources. This was further corroborated by results from principal components analysis that showed similar grouping of heavy metals (Ni, Zn, Fe, Pb, Cd into PC1 having one common source for these heavy metals and PC2 (Cu, Cr having another common source. Further, our study pointed out two sites i.e. Najafgarh drain and Shahdara drain outlet in river Yamuna as the two potential sources responsible for the heavy metal contamination. Based on heavy metal pollution index value (1491.15, we concluded that our study area as a whole is critically polluted with heavy metals under study due to pollutant load from various anthropogenic activities.

  9. Evaluation of pharmacists' services for dispensing emergency contraceptive pills in Delhi, India: A mystery shopper study

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    Pikee Saxena

    2016-01-01

    Full Text Available Background: Although emergency contraceptive pills are available over the counter, the quality of consultation, including key areas of contraceptive counseling and prevention of sexually transmitted infections (STI, has not been well documented. Objective: To evaluate actual pharmacist services while dispensing emergency contraception through a mystery shopper technique. Material and Methods: This cross-sectional study was conducted in 81 pharmacies situated in Delhi by 4 trained mystery shoppers posed as customers over a period of 6 months. Results: None of the pharmacists asked about the time lapsed since last unprotected sexual intercourse or last menstrual period before deciding the eligibility of the customer. The majority were unclear about side effects associated with emergency contraception (78.57% or with anticipated changes in menstrual flow (78.57%; 85.71% did not know whether subsequent unprotected intercourse would be protected. Only 15.71% counseled shoppers regarding risk of STI on asking leading questions and 88.5% did not provide any contraceptive advice. Conclusion: There is a huge gap in the technical knowledge and mindset of the pharmacists when it comes to checking for the eligibility of the client and providing advice regarding use of regular contraception and barrier for protection from STI, which needs to be addressed in order to realize the full benefit of making emergency contraceptive pills available over the counter.

  10. Ante natal care (ANC) utilization, dietary practices and nutritional outcomes in pregnant and recently delivered women in urban slums of Delhi, India: an exploratory cross-sectional study.

    Science.gov (United States)

    Ghosh-Jerath, Suparna; Devasenapathy, Niveditha; Singh, Archna; Shankar, Anuraj; Zodpey, Sanjay

    2015-03-20

    Antenatal Care (ANC) is one of the crucial factors in ensuring healthy outcomes in women and newborns. Nutrition education and counselling is an integral part of ANC that influences maternal and child health outcomes. A cross sectional study was conducted in Pregnant Women (PW) and mothers who had delivered in the past three months; Recently Delivered Women (RDW) in urban slums of North-east district of Delhi, India, to explore ANC utilization, dietary practices and nutritional outcomes. A household survey was conducted in three urban slums to identify PW and RDW. Socio-economic and demographic profile, various components of ANC received including nutrition counselling, dietary intake and nutritional outcomes based on anthropometric indices and anaemia status were assessed. Socio-demographic characteristics, nutrient intake and nutritional status were compared between those who availed ANC versus those who did not using logistic regression. Descriptive summary for services and counselling received; dietary and nutrient intake during ANC were presented. Almost 80% (274 out of 344) women received some form of ANC but the package was inadequate. Determinants for non-utilization of ANC were poverty, literacy, migration, duration of stay in the locality and high parity. Counselling on nutrition was reported by a fourth of the population. Nutrient intake showed suboptimal consumption of protein and micronutrients like iron, calcium, vitamin A, vitamin C, thiamine, riboflavin niacin, zinc and vitamin B12 by more than half of women. A high prevalence of anaemia among PW (85%) and RDW (97.1%) was observed. There was no difference in micronutrient intake and anaemia prevalence among women who received ANC versus who did not. Pregnant women living in urban poor settlements have poor nutritional status. This may be improved by strengthening the nutrition counselling component of ANC which was inadequate in the ANC package received. Empowering community based health workers in

  11. Effect of Diwali Firecrackers on Air Quality and Aerosol Optical Properties over Mega City (Delhi) in India

    Science.gov (United States)

    Sateesh, M.; Soni, V. K.; Raju, P. V. S.

    2018-06-01

    In this paper, the variations of aerosol properties due to crackers burning during Diwali event (11th-18th 2012) over mega city Delhi were investigated. The sky radiometer POM-2 aerosol optical property data from Skynet-India along with ambient air pollution data were critically analyzed. The aerosol optical depth (AOD) at 500 nm was 1.60 on 13th November, the Diwali day, and its value a maximum of 1.84 on 16th November. Due to stable atmosphere over Delhi during post Diwali, aerosols accumulate and remain in the atmosphere for longer time, which leads to higher AOD on 16th November. A lower value of single-scattering albedo (SSA) was observed at a longer wavelength (1020 nm) during the entire period that clearly indicates the dominance of absorbing-type black carbon aerosol. SSA showed a steep decrease after 16th November. Asymmetry parameter decreased to a maximum of 0.79 for the shorter wavelength at 340 nm and 0.632 is reported at the higher wavelength 1020 nm. Asymmetry parameter showed a decrease in value just after Diwali on 14th November, this suggesting the dominance of fine-mode aerosol from anthropogenic activities. The lowest value of the refractive index (1.4527) on 14th and 15th November indicates the higher loading of absorbing-type aerosol which may be associated with firecracker burning of Diwali festival. The significant correlation with the value of r = 0.9 was observed between sky radiometer and MODIS AOD with a standard deviation of 0.31 and an RMSE of 0.17 during the event. Radiative forcing and heating rate were estimated using SBDART. The maximum average concentrations 2641 and 1876 μg/m3 of PM10 and PM2.5, respectively, were observed on the Diwali night. A highest of 109 ppb surface ozone was reported in the night at 23:00 IST, which can be attributed to burning of the firecrackers.

  12. Quantifying enhancement in aerosol radiative forcing during 'extreme aerosol days' in summer at Delhi National Capital Region, India.

    Science.gov (United States)

    Kumar, Sumant; Dey, Sagnik; Srivastava, Arun

    2016-04-15

    Changes in aerosol characteristics (spectral aerosol optical depth, AOD and composition) are examined during the transition from 'relatively clean' to 'extreme' aerosol days in the summer of 2012 at Delhi National Capital Region (NCR), India. AOD smaller than 0.54 (i.e. 12-year mean AOD-1σ) represents 'relatively clean' days in Delhi during the summer. 'Extreme' days are defined by the condition when AOD0.5 exceeds 12-year mean AOD+1 standard deviation (σ). Mean (±1σ) AOD increases to 1.2±0.12 along with a decrease of Angstrom Exponent from 0.54±0.09 to 0.22±0.12 during the 'extreme' days. Aerosol composition is inferred by fixing the number concentrations of various individual species through iterative tweaking when simulated (following Mie theory) AOD spectrum matches with the measured one. Contribution of coarse mode dust to aerosol mass increased from 76.8% (relatively clean) to 96.8% (extreme events), while the corresponding contributions to AOD0.5 increased from 35.0% to 70.8%. Spectrally increasing single scattering albedo (SSA) and CALIPSO aerosol sub-type information support the dominant presence of dust during the 'extreme' aerosol days. Aerosol direct radiative forcing (ADRF) at the top-of-the-atmosphere increases from 21.2Wm(-2) (relatively clean) to 56.6Wm(-2) (extreme), while the corresponding change in surface ADRF is from -99.5Wm(-2) to -153.5Wm(-2). Coarse mode dust contributes 60.3% of the observed surface ADRF during the 'extreme' days. On the contrary, 0.4% mass fraction of black carbon (BC) translates into 13.1% contribution to AOD0.5 and 33.5% to surface ADRF during the 'extreme' days. The atmospheric heating rate increased by 75.1% from 1.7K/day to 2.96K/day during the 'extreme' days. Copyright © 2016 Elsevier B.V. All rights reserved.

  13. Male-to-male sex among men who inject drugs in Delhi, India: overlapping HIV risk behaviours.

    Science.gov (United States)

    Armstrong, Gregory; Jorm, Anthony F; Samson, Luke; Joubert, Lynette; Singh, Shalini; Kermode, Michelle

    2015-04-01

    HIV among people who inject drugs (PWID) is a major public health challenge in India. This paper examines PWID in Delhi who also have male-to-male sex with a focus on overlapping HIV risk behaviours and the psychosocial correlates of a history of male-to-male anal sex. We analysed data collected in April-May of 2012 from a community-based sample of 420 male PWID in Delhi obtained using time location sampling. One third (37%) of the men reported a history of anal sex with men, among whom just 16% used a condom at last anal sex. Almost all (93%) participants who had a history of anal sex with men also had sex with women. Chi-square tests revealed that a history of anal sex with men was associated with a higher number of female sexual partners and sharing of needles and syringes. Additionally, unprotected sex at last sex with a male partner was significantly associated with unprotected sex at last sex with regular and paid female partners. Multivariate binary logistic regression revealed that the psychosocial correlates of a history of anal sex with other men were: being aged 18-24 (OR = 2.4, p = 0.014), illiteracy (OR = 1.9, p = 0.033), having never been married (OR = 2.6, p = 0.007), a main source of income of crime/begging (OR = 3.1, p = 0.019), a duration of injecting drug use greater than 20 years (OR = 3.4, p = 0.035) and suicidal ideation (OR = 1.7, p = 0.048). Male-to-male sex was associated with psychosocial vulnerability, including a longer history of injecting drug use, suicidal ideation and socio-economic disadvantage. Given the extent of overlapping HIV risk behaviours, HIV programs for PWID would benefit from a strong focus on prevention of sexual HIV transmission, especially among male injectors who also have sex with other men. Copyright © 2014 Elsevier B.V. All rights reserved.

  14. 78 FR 42505 - U.S. Healthcare Education Mission to New Delhi, Hyderabad, and Ahmedabad, India, January 27...

    Science.gov (United States)

    2013-07-16

    ..., student interactions and networking opportunities in New Delhi, Hyderabad and Ahmedabad, three of the top cities for recruiting Indian students to the United States. These cities have been top of the list of the... three cities of New Delhi, Hyderabad and Ahmedabad; (2) To provide an opportunity for participants to...

  15. FTA mission to India : Delhi, Ahmedabad, Mumbai, September 20 - 30, 2007

    Science.gov (United States)

    2008-03-01

    This report summarizes the activities associated with the FTA Mission to India conducted in September 2007. The mission provided the U.S. delegation with the opportunity to meet with senior Indian transportation officials, and to gain first-hand know...

  16. 75 FR 58361 - U.S. Franchise Trade Mission to India Mumbai, Hyderabad, and New Delhi

    Science.gov (United States)

    2010-09-24

    ... Hut fast-food chains, plans to add 40-60 restaurants in the next 12-18 months. Dominos Pizza India has... to meet certain conditions and best satisfy the selection criteria as outlined below. This mission is...-one percent U.S. content. Selection Criteria for Participation Suitability of the company's products...

  17. FTA mission to India : Delhi, Visakhapatnam, Hyderabad, Mumbai September 20-30, 2008.

    Science.gov (United States)

    2008-11-01

    This report summarizes the activities that occurred as part of the FTA Mission to India conducted in September 2008. The mission provided the opportunity to members of the U.S. delegation to meet with senior Indian transportation officials, and to le...

  18. The Challenges of Spanish Language Teaching in Multilingual India: A Case Study of Delhi

    Science.gov (United States)

    Rai, Dhiraj Kumar

    2017-01-01

    The multilingual surrounding of Spanish Language Teaching (SLT) in India has presented a unique linguistic principle. This principle relies upon the application of English language instructions (as FL1) to combine several methods for teaching-learning Spanish language (as FL2). However, the effectiveness and appropriateness of this linguistic…

  19. Reproductive Ethics in Commercial Surrogacy: Decision-Making in IVF Clinics in New Delhi, India

    DEFF Research Database (Denmark)

    Tanderup, Malene; Reddy, Sunita; Patel, Tulsi

    2015-01-01

    As a neo-liberal economy, India has become one of the new health tourism destinations, with Commercial gestational surrogacy as an expanding market. Yet the Indian Assisted Reproductive Technology (ART) Bill has been pending for five years, and the guidelines issued by the Indian Council of Medic...

  20. Epidemiological study of ocular trauma in an urban slum population in Delhi, India

    Science.gov (United States)

    Vats, S; Chandra, M; Gupta, S K; Vashist, P; Gogoi, M

    2008-01-01

    Purpose: To study the epidemiology and clinical profile of victims of ocular trauma in an urban slum population. Materials and Methods: This cross-sectional study, conducted on 500 families each in three randomly selected urban slums in Delhi, collected demographic data for all members of these families, and clinical data for all those who suffered ocular trauma at any time, that required medical attention. Data was managed on SPSS 11.0. Results: Of 6704 participants interviewed, 163 episodes of ocular trauma were reported by 158 participants (prevalence = 2.4%, confidence interval = 2.0 to 2.7) Mean age at trauma was 24.2 years. The association between the age of participants and the history of ocular trauma was significant (P < 0.001), when adjusted for sex, education and occupation. Males were significantly more affected. Blunt trauma was the commonest mode of injury (41.7%). Blindness resulted in 11.4% of injured eyes ( P = 0.028). Of 6704 participants, 1567 (23.4%) were illiterate, and no association was seen between education status and trauma, when adjusted for sex and age at injury. A significant association was noted between ocular trauma and workplace (Chi-square = 43.80, P < 0.001), and between blindness and place (Chi-square = 9.98, P = 0.041) and source (Chi-square = 10.88, P = 0.028) of ocular trauma. No association was found between visual outcome and the time interval between trauma and first consultation (Chi-square = 0.50, P = 0.78), between receiving treatment and the best corrected visual acuity (Chi-square = 0.81, P = 0.81), and between the person consulted and blinding ocular trauma (Chi-square = 1.88, P = 0.170). Conclusion: A significant burden of ocular trauma in the community requires that its prevention and early management be a public health priority. PMID:18579991

  1. Epidemiological study of ocular trauma in an urban slum population in Delhi, India

    Directory of Open Access Journals (Sweden)

    Vats S

    2008-01-01

    Full Text Available Purpose: To study the epidemiology and clinical profile of victims of ocular trauma in an urban slum population. Materials and Methods: This cross-sectional study, conducted on 500 families each in three randomly selected urban slums in Delhi, collected demographic data for all members of these families, and clinical data for all those who suffered ocular trauma at any time, that required medical attention. Data was managed on SPSS 11.0. Results: Of 6704 participants interviewed, 163 episodes of ocular trauma were reported by 158 participants (prevalence = 2.4%, confidence interval = 2.0 to 2.7 Mean age at trauma was 24.2 years. The association between the age of participants and the history of ocular trauma was significant ( P < 0.001, when adjusted for sex, education and occupation. Males were significantly more affected. Blunt trauma was the commonest mode of injury (41.7%. Blindness resulted in 11.4% of injured eyes ( P = 0.028. Of 6704 participants, 1567 (23.4% were illiterate, and no association was seen between education status and trauma, when adjusted for sex and age at injury. A significant association was noted between ocular trauma and workplace (Chi-square = 43.80, P < 0.001, and between blindness and place (Chi-square = 9.98, P = 0.041 and source (Chi-square = 10.88, P = 0.028 of ocular trauma. No association was found between visual outcome and the time interval between trauma and first consultation (Chi-square = 0.50, P = 0.78, between receiving treatment and the best corrected visual acuity (Chi-square = 0.81, P = 0.81, and between the person consulted and blinding ocular trauma (Chi-square = 1.88, P = 0.170. Conclusion: A significant burden of ocular trauma in the community requires that its prevention and early management be a public health priority.

  2. Uterine rupture: A seven year review at a tertiary care hospital in New Delhi, India

    Directory of Open Access Journals (Sweden)

    Maruti Sinha

    2016-01-01

    Full Text Available Objective: To identify the obstetric risk factors, incidence, and causes of uterine rupture, management modalities, and the associated maternal and perinatal morbidity and mortality in one of the largest tertiary level women care hospital in Delhi. Materials and Methods: A 7-year retrospective analysis of 47 cases of uterine rupture was done. The charts of these patients were analyzed and the data regarding demographic characteristics, clinical presentation, risk factors, management, operative findings, maternal and fetal outcomes, and postoperative complications was studied. Results: The incidence of rupture was one in 1,633 deliveries (0.061%. The vast majority of patients had prior low transverse cesarean section (84.8%. The clinical presentation of the patients with rupture of the unscarred uterus was more dramatic with extensive tears compared to rupture with scarred uterus. The estimated blood loss ranged from 1,200 to 1,500 cc. Hemoperitoneum was identified in 95.7% of the patient and 83% of the patient underwent repair of rent with or without simultaneous tubal ligation. Subtotal hysterectomy was performed in five cases. There were no maternal deaths in our series. However, there were 32 cases of intrauterine fetal demise and five cases of stillbirths. Conclusions: Uterine rupture is a major contributor to maternal morbidity and neonatal mortality. Four major easily identifiable risk factors including history of prior cesarean section, grand multiparity, obstructed labor, and fetal malpresentations constitute 90% of cases of uterine rupture. Identification of these high risk women, prompt diagnosis, immediate transfer, and optimal management needs to be overemphasized to avoid adverse fetomaternal complications.

  3. Antenatal care and morbidity profile of pregnant women in an urban resettlement colony of Delhi, India.

    Science.gov (United States)

    Rustagi, N; Prasuna, J G; Vibha, M D

    2011-06-01

    The burden of antenatal morbidities and health care services utilization during antenatal period serve an important role in defining service needs and to assess reproductive health status of women. To evaluate the burden of antenatal morbidities in women and to assess the health care utilization by study subjects during antenatal period. A community based follow up study was carried out in an urban resettlement colony of Delhi. All pregnant women in the study area were enrolled and followed for two more visits to collect information about morbidities suffered and health care services utilized during pregnancy. Appropriate tests of significance were applied. Of 358 women enrolled, three hundred could be followed for two more visits. Majority of women (80.3%) suffered one or more morbidities during their current pregnancy but overall care sought for illness during pregnancy was poor. Visits for routine preventive check up was made by most of women (95% and above) but recommended three antenatal visits was significantly low among women of age more than thirty (OR=16.6; 2.2-125.9), of lower middle socio economic status (OR=2.84; 1.16-6.93) and parity three or more (OR=4.37; 1.07-17.83). Women with education status of high school and above had significantly lower odd ratio (OR=0.33; 0.11-0.99) for having less than three antenatal visits. Care sought for antenatal morbidities is still poor among women of urban resettlement colonies and age, parity and education of women has a significant bearing on antenatal visits.

  4. PM2.5 exposure in highly polluted cities: A case study from New Delhi, India.

    Science.gov (United States)

    Pant, Pallavi; Habib, Gazala; Marshall, Julian D; Peltier, Richard E

    2017-07-01

    Personal exposure (PE) to air pollutants is driven by a combination of pollutant concentrations in indoor and outdoor environments, and time-activity pattern of individuals. The objectives of this study were to estimate personal exposure to PM 2.5 and black carbon (BC), and assess the representability of ambient air quality monitoring stations to serve as surrogates for PE in New Delhi. Personal exposure to air pollutants (PM 2.5-PE and BC PE ) was measured using portable, battery-operated instruments (PM 2.5 - pDR1500 and BC- microAethalometer AE51) in a small cohort of healthy adults (n=12 in summer, n=6 in winter) with no occupational exposure. Average PM 2.5-PE and BC PE (µg/m 3 ) were 53.9±136 and 3.71±4.29 respectively, in summer and 489.2±209.2 and 23.3±14.9 respectively, in winter. Activities associated with highest exposure levels were cooking and indoor cleaning for PM 2.5 , and commuting for BC. Within transport microenvironments, autorickshaws were found to be the most polluted, and lowest BC exposure was registered in public buses. Comparison of fixed-site ambient monitoring data showed a higher correlation with personal exposure dataset in winter compared to summer (r 2 of 0.51 (winter) and 0.21 (summer); 51% (winter) and 20% (summer)). This study highlights the need for detailed assessment of PE to air pollutants in Indian cities, and calls for a denser network of monitoring stations for better exposure assessment. Copyright © 2017 Elsevier Inc. All rights reserved.

  5. Quantifying enhancement in aerosol radiative forcing during ‘extreme aerosol days’ in summer at Delhi National Capital Region, India

    Energy Technology Data Exchange (ETDEWEB)

    Kumar, Sumant [School of Environmental Sciences, Jawaharlal Nehru University, New Delhi 110067 (India); Dey, Sagnik [Centre for Atmospheric Sciences, IIT Delhi, New Delhi 110016 (India); Srivastava, Arun [School of Environmental Sciences, Jawaharlal Nehru University, New Delhi 110067 (India)

    2016-04-15

    Changes in aerosol characteristics (spectral aerosol optical depth, AOD and composition) are examined during the transition from ‘relatively clean’ to ‘extreme’ aerosol days in the summer of 2012 at Delhi National Capital Region (NCR), India. AOD smaller than 0.54 (i.e. 12-year mean AOD − 1σ) represents ‘relatively clean’ days in Delhi during the summer. ‘Extreme’ days are defined by the condition when AOD{sub 0.5} exceeds 12-year mean AOD + 1 standard deviation (σ). Mean (± 1σ) AOD increases to 1.2 ± 0.12 along with a decrease of Angstrom Exponent from 0.54 ± 0.09 to 0.22 ± 0.12 during the ‘extreme’ days. Aerosol composition is inferred by fixing the number concentrations of various individual species through iterative tweaking when simulated (following Mie theory) AOD spectrum matches with the measured one. Contribution of coarse mode dust to aerosol mass increased from 76.8% (relatively clean) to 96.8% (extreme events), while the corresponding contributions to AOD{sub 0.5} increased from 35.0% to 70.8%. Spectrally increasing single scattering albedo (SSA) and CALIPSO aerosol sub-type information support the dominant presence of dust during the ‘extreme’ aerosol days. Aerosol direct radiative forcing (ADRF) at the top-of-the-atmosphere increases from 21.2 W m{sup −2} (relatively clean) to 56.6 W m{sup −2} (extreme), while the corresponding change in surface ADRF is from − 99.5 W m{sup −2} to − 153.5 W m{sup −2}. Coarse mode dust contributes 60.3% of the observed surface ADRF during the ‘extreme’ days. On the contrary, 0.4% mass fraction of black carbon (BC) translates into 13.1% contribution to AOD{sub 0.5} and 33.5% to surface ADRF during the ‘extreme’ days. The atmospheric heating rate increased by 75.1% from 1.7 K/day to 2.96 K/day during the ‘extreme’ days. - Graphical abstract: Deviation (in %) of aerosol properties from ‘relatively clean’ days to ‘extreme’ aerosol days. - Highlights:

  6. Persistence of lindane in model cattle dips in sub-tropical climate of Delhi, India

    International Nuclear Information System (INIS)

    Singh, D.K.; Menon, P.; Agarwal, H.C.

    1997-01-01

    Persistence of lindane in model cattle dips under field conditions in the sub-tropical climate of Delhi was studied. In one set of experiments two model dips were utilized and filled with 200 L of water and treated with 2.37 MBq of 14 C-labelled and 4 g unlabelled lindane each. The radioactivity in water samples at zero time was estimated and considered to be 100 % (744 dpm/mL) which declined to 17.5 % (132 dpm/mL) 180 d after the treatment in Dip 1 (control dip). In the second dip 50 g of cowdung and soil were added 28 d after treatment and subsequently every time before sampling. The results in both the dips were similar indicating no effect of soil and cowdung on the persistence of lindane in the dips. The half life of lindane in water was 101 days. Lindane was extracted from water by hexane in the presence of methanol. The efficiency of this procedure was 99+ %. The main metabolises of lindane in water, identified by HPLC, were 1, 2, 4- trichlorobenzene, 1,3,5-trichlorobenzene and an unknown compound. In another experiment, 50 L of water was added to one dip which was treated with 2.90 MBq of 14 C-labelled and 1 g unlabelled lindane in 25 ml acetone. The cattle dip was recharged at monthly intervals with about 10 % of the initially applied lindane (290 kBq of 14 C labelled and 100 mg unlabelled lindane in 25 mL acetone). Soil and cow dung were added as in the first experiment. The concentration of lindane declined rapidly to 11.69 % (1.9 μg/mL, 425 dpm/mL) after the third recharge. The main metabolite was 1,2,4- trichlorobenzene which accounted for about 21 % after first and second recharge. The effect of pH ranging from 5 to 9 was also investigated. The dissipation appeared to be faster at pH 8 and comparatively slower at pH 6. (author)

  7. Resurrecting social infrastructure as a determinant of urban tuberculosis control in Delhi, India.

    Science.gov (United States)

    Chandra, Shivani; Sharma, Nandini; Joshi, Kulanand; Aggarwal, Nishi; Kannan, Anjur Tupil

    2014-01-17

    The key to universal coverage in tuberculosis (TB) management lies in community participation and empowerment of the population. Social infrastructure development generates social capital and addresses the crucial social determinants of TB, thereby improving program performance. Recently, there has been renewed interest in the concept of social infrastructure development for TB control in developing countries. This study aims to revive this concept and highlight the fact that documentation on ways to operationalize urban TB control is required from a holistic development perspective. Further, it explains how development of social infrastructure impacts health and development outcomes, especially with respect to TB in urban settings. A wide range of published Government records pertaining to social development parameters and TB program surveillance, between 2001 and 2011 in Delhi, were studied. Social infrastructure development parameters like human development index along with other indicators reflecting patient profile and habitation in urban settings were selected as social determinants of TB. These include adult literacy rates, per capita income, net migration rates, percentage growth in slum population, and percentage of urban population living in one-room dwelling units. The impact of the Revised National Tuberculosis Control Program on TB incidence was assessed as an annual decline in new TB cases notified under the program. Univariate linear regression was employed to examine the interrelationship between social development parameters and TB program outcomes. The decade saw a significant growth in most of the social development parameters in the State. TB program performance showed 46% increment in lives saved among all types of TB cases per 100,000 population. The 7% reduction in new TB case notifications from the year 2001 to 2011, translates to a logarithmic decline of 5.4 new TB cases per 100,000 population. Except per capita income, literacy, and net

  8. Informed consent in medical decision-making in commercial gestational surrogacy: a mixed methods study in New Delhi, India.

    Science.gov (United States)

    Tanderup, Malene; Reddy, Sunita; Patel, Tulsi; Nielsen, Birgitte Bruun

    2015-05-01

    To investigate ethical issues in informed consent for decisions regarding embryo transfer and fetal reduction in commercial gestational surrogacy. Mixed methods study employing observations, an interview-guide and semi-structured interviews. Fertility clinics and agencies in Delhi, India, between December 2011 and December 2012. Doctors providing conceptive technologies to commissioning couples and carrying out surrogacy procedures; surrogate mothers; agents functioning as links for surrogacy. Interviews using semi-structured interview guides were carried out among 20 doctors in 18 fertility clinics, five agents from four agencies and 14 surrogate mothers. Surrogate mothers were interviewed both individually and in the presence of doctors and agents. Data on socio-economic context and experiences among and between various actors in the surrogacy process were coded to identify categories of ethical concern. Numerical and grounded theory-oriented analyses were used. Informed consent, number of embryos transferred, fetal reduction, conflict of interest among the involved parties. None of the 14 surrogate mothers were able to explain the risks involved in embryo transfer and fetal reduction. The majority of the doctors took unilateral decisions about embryo transfer and fetal reduction. The commissioning parents were usually only indirectly involved. In the qualitative analysis, difficulties in explaining procedures, autonomy, self-payment of fertility treatment and conflicts of interest were the main themes. Clinical procedural decisions were primarily made by the doctors. Surrogate mothers were not adequately informed. There is a need for regulation on decision-making procedures to safeguard the interests of surrogate mothers. © 2015 Nordic Federation of Societies of Obstetrics and Gynecology.

  9. Antibody screening & identification in the general patient population at a tertiary care hospital in New Delhi, India.

    Science.gov (United States)

    Makroo, Raj Nath; Bhatia, Aakanksha; Hegde, Vikas; Chowdhry, Mohit; Thakur, Uday Kumar; Rosamma, N L

    2014-09-01

    The development of alloantibodies can significantly complicate transfusion therapy and results in difficulties in cross-matching of blood. Most literature on alloimmunization is limited to multitransfused individuals, with very few studies on the general hospital patients. This study was aimed at assessing the frequency and type of unexpected red cell antibodies in the general patient population at a multispecialty tertiary care centre in New Delhi, India. The results of 49,077 antibody screening tests carried out on patients, from January 2009 to December 2012 were analyzed. The clinical and transfusion records were reviewed. The data were compiled and statistically analysed. A total of 49,077 (29,917; 60.96% males and 19,160; 39.04% females) patient samples were screened for the presence of unexpected antibodies. Antibody screening was positive in 403 patients (0.82%). In the serum samples of 164 patients only autoantibodies were identified, 27 revealed autoantibodies with one or more underlying alloantibodies, while 212 patients had only alloantibody/ies in their serum. The overall alloimmunization rate was 0.49 per cent. Antibodies against the Rh system were the most frequent (64.1%), the most common alloantibody identified being anti E (37.2%), followed by anti D (19.2%). Since clinically significant antibodies are frequently detected in our patient population, antibody screening and if required, identification is the need of the hour. Since antibodies against the common Rh and Kell blood group antigens are the most frequent, provision of Rh and Kell matched red cells may be of protective value.

  10. High terbinafine resistance in Trichophyton interdigitale isolates in Delhi, India harbouring mutations in the squalene epoxidase gene.

    Science.gov (United States)

    Singh, Ashutosh; Masih, Aradhana; Khurana, Ananta; Singh, Pradeep Kumar; Gupta, Meenakshi; Hagen, Ferry; Meis, Jacques F; Chowdhary, Anuradha

    2018-03-25

    In the last few years, infections caused by dermatophytes along with a concomitant increase in the number of difficult to treat cases have increasingly been recognised, indicating that dermatophytosis remains a challenging public health problem. The majority of infections are caused by Trichophyton rubrum and Trichophyton mentagrophytes complex. Terbinafine, an allylamine antifungal used orally and topically is considered to be a first-line drug in the therapy of dermatophyte infections. Terbinafine resistance has been predominately attributed to point mutations in the squalene epoxidase (SQLE) target gene a key enzyme in the ergosterol biosynthetic pathway leading to single amino acid substitutions. Here, we report the largest series of 20 terbinafine-resistant Trichophyton interdigitale isolates obtained predominately from cases of tinea corporis/cruris in three hospitals in Delhi, India exhibiting elevated MICs (4 to ≥32 μg/mL) to terbinafine and all harbouring single-point mutations Leu393Phe or Phe397Leu in the SQLE gene. In 12 (60%) T. interdigitale isolates, the Phe397Leu substitution was observed, whereas in the remaining 8 (40%) isolates the substitution Leu393Phe was reported for the first time in T. interdigitale. Furthermore, 10 susceptible T. interdigitale isolates (0.125-2 μg/mL) had a wild-type genotype. Remarkably, considerably high terbinafine resistance rate of 32% was observed among 63 T. interdigitale isolates identified by sequencing of the internal transcribed spacer region. This high level of terbinafine resistance of Indian dermatophyte isolates is worrisome warranting antifungal susceptibility testing and mutation analysis for monitoring this emerging resistance. © 2018 Blackwell Verlag GmbH.

  11. Sleep Pattern of Adolescents in a School in Delhi, India: Impact on their Mood and Academic Performance.

    Science.gov (United States)

    Singh, Ruchi; Suri, Jagdish C; Sharma, Renuka; Suri, Tejas; Adhikari, Tulsi

    2018-03-16

    To examine the sleep pattern and observe differences in sleep routines, phase preferences, mood, attendance, and academic performance among different adolescent age students. Secondly, to observe the age at which sleep phase transition and changes in sleep requirement become evident. A cross-sectional study was conducted among 501 students (aged 11-15 y) of a school in Delhi, India. Students were evaluated for their sleep patterns, sleep duration, habits of napping, quality of sleep, sleepiness, depression, phase preferences by self-reported school sleep habits survey questionnaire along with school performance and attendance. Significant differences were found in sleep pattern of students aged 11-12 y and 13-15 y. Bedtime shifted to a later time with increasing age but early morning schools kept the wake time same, leading to a decline in total sleep duration of older adolescents. Older adolescents had higher depression but poor attendance and academic performance. Prevalence of sleep deprivation increased with age, from 83.7% to 87.1% in 11-12 y to 90.5% to 92.5% in 13-15 y. The study clearly identifies 12-13 y as age of transition of sleep pattern among adolescents. Though significant differences were found in the academic performance, mood and attendance among preteens and teens but no direct association was seen between academic performances and sleep pattern. A complex multifactorial association between sleep patterns, attendance, mood and academic performance which may change over days, months, or years should be explored further in a longitudinal follow up study.

  12. Informal e-waste recycling: environmental risk assessment of heavy metal contamination in Mandoli industrial area, Delhi, India.

    Science.gov (United States)

    Pradhan, Jatindra Kumar; Kumar, Sudhir

    2014-01-01

    Nowadays, e-waste is a major source of environmental problems and opportunities due to presence of hazardous elements and precious metals. This study was aimed to evaluate the pollution risk of heavy metal contamination by informal recycling of e-waste. Environmental risk assessment was determined using multivariate statistical analysis, index of geoaccumulation, enrichment factor, contamination factor, degree of contamination and pollution load index by analysing heavy metals in surface soils, plants and groundwater samples collected from and around informal recycling workshops in Mandoli industrial area, Delhi, India. Concentrations of heavy metals like As (17.08 mg/kg), Cd (1.29 mg/kg), Cu (115.50 mg/kg), Pb (2,645.31 mg/kg), Se (12.67 mg/kg) and Zn (776.84 mg/kg) were higher in surface soils of e-waste recycling areas compared to those in reference site. Level exceeded the values suggested by the US Environmental Protection Agency (EPA). High accumulations of heavy metals were also observed in the native plant samples (Cynodon dactylon) of e-waste recycling areas. The groundwater samples collected form recycling area had high heavy metal concentrations as compared to permissible limit of Indian Standards and maximum allowable limit of WHO guidelines for drinking water. Multivariate analysis and risk assessment studies based on total metal content explains the clear-cut differences among sampling sites and a strong evidence of heavy metal pollution because of informal recycling of e-waste. This study put forward that prolonged informal recycling of e-waste may accumulate high concentration of heavy metals in surface soils, plants and groundwater, which will be a matter of concern for both environmental and occupational hazards. This warrants an immediate need of remedial measures to reduce the heavy metal contamination of e-waste recycling sites.

  13. Motivating and demotivating factors for community health workers: A qualitative study in urban slums of Delhi, India.

    Science.gov (United States)

    George, Mathew Sunil; Pant, Shradha; Devasenapathy, Niveditha; Ghosh-Jerath, Suparna; Zodpey, Sanjay P

    2017-04-01

    Background Community health workers play an important role in delivering health-care services, especially to underserved populations in low- and middle-income countries. They have been shown to be successful in providing a range of preventive, promotive and curative services. This qualitative study investigated the factors motivating or demotivating community health workers in urban settings in Delhi, India. Methods In this sub-study of the ANCHUL (Ante Natal and Child Healthcare in Urban Slums) implementation research project, four focus-group discussions and nine in-depth interviews were conducted with community health workers and medical officers. Utilizing a reflexive and inductive qualitative methodology, the data set was coded, to allow categories of motivating and demotivating factors to emerge. Results Motivating factors identified were: support from family members for their work, improved self-identity, job satisfaction and a sense of social responsibility, prior experiences of ill health, the opportunity to acquire new skills and knowledge, social recognition and status conferred by the community, and flexible work and timings. Negative experiences in the community and at health centres, constraints in the local health system in response to the demand generated by the community health workers, and poor pay demotivated community health workers in this study, even causing some to quit their jobs. Conclusion Community-health-worker programmes that focus on ensuring the technical capacity of their staff may not give adequate attention to the factors that motivate or discourage these workers. As efforts get under way to ensure universal access to health care, it is important that these issues are recognized and addressed, to ensure that community health worker programmes are effective and sustainable.

  14. Food acquisition and intra-household consumption patterns: a study of low and middle income urban households in Delhi, India

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    MR Pradhan

    2013-12-01

    Full Text Available Background: Food habits and choices in India are shifting due to many factors: changing food markets, fast urbanization, food price inflation, uncertain food production and unequal distribution during the past decade. This study aims to explore food acquisition and intra-household consumption patterns in urban low and middle income (LMI households in Delhi. Methods: Twenty households were randomly selected from the Center for Cardio-metabolic Risk Reduction in South Asia (CARRS surveillance study. Data were derived from 20 questionnaires administered to women responsible for food preparation, four key-informant-interviews, and 20 in-depth interviews with household heads during September-November 2011. STATA and ATLAS.ti software were used for data analysis. Results: Half of the households spent at least two-thirds of their income on food. The major expenditures were on vegetables (22% of total food expenditure, milk and milk products (16%, and cereal and related products (15%. Income, food prices, food preferences, and seasonal variation influenced food expenditure. Adults usually ate two to three times a day while children ate more frequently. Eating sequence was based on the work pattern within the household and cultural beliefs. Contrary to previous evidence, there was no gender bias in intra-household food distribution. Women considered food acquisition, preparation and distribution part of their self-worth and played a major role in food related issues in the household. Conclusion: Women’s key roles in food acquisition, preparation and intra household food consumption should be considered in formulating food policies and programs. 

  15. Food acquisition and intra-household consumption patterns: a study of low and middle income urban households in Delhi, India

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    MR Pradhan .

    2013-12-01

    Full Text Available Background: Food habits and choices in India are shifting due to many factors: changing food markets, fast urbanization, food price inflation, uncertain food production and unequal distribution during the past decade. This study aims to explore food acquisition and intra-household consumption patterns in urban low and middle income (LMI households in Delhi. Methods: Twenty households were randomly selected from the Center for Cardio-metabolic Risk Reduction in South Asia (CARRS surveillance study. Data were derived from 20 questionnaires administered to women responsible for food preparation, four key-informant-interviews, and 20 in-depth interviews with household heads during September-November 2011. STATA and ATLAS.ti software were used for data analysis. Results: Half of the households spent at least two-thirds of their income on food. The major expenditures were on vegetables (22% of total food expenditure, milk and milk products (16%, and cereal and related products (15%. Income, food prices, food preferences, and seasonal variation influenced food expenditure. Adults usually ate two to three times a day while children ate more frequently. Eating sequence was based on the work pattern within the household and cultural beliefs. Contrary to previous evidence, there was no gender bias in intra-household food distribution. Women considered food acquisition, preparation and distribution part of their self-worth and played a major role in food related issues in the household. Conclusion: Women’s key roles in food acquisition, preparation and intra household food consumption should be considered in formulating food policies and programs.  

  16. Performance of skylight illuminance inside a dome shaped adobe house under composite climate at New Delhi (India: A typical zero energy passive house

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    Arvind Chel

    2014-06-01

    Full Text Available This paper presents annual experimental performance of pyramid shaped skylight for daylighting of a dome shaped adobe house located at solar energy park in New Delhi (India. This approach of single story dome shaped building with skylight is more useful for rural and semi-urban sectors for both office and residential buildings reducing artificial lighting energy consumption. The hourly measured data of inside and outside illuminance for three different working surface levels inside the existing rooms are presented for each month of the year. The embodied energy payback time of the skylight is also determined on the basis of lighting energy saving potential.

  17. Five-year measurements of ambient ammonia and its relationships with other trace gases at an urban site of Delhi, India

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    Saraswati; Sharma, S. K.; Mandal, T. K.

    2018-04-01

    In this study, we present the 5-year measurements of ambient ammonia (NH3), oxides of nitrogen (NO and NO2) and carbon monoxide (CO) along with the meteorological parameters at an urban site of Delhi, India from January 2011 to December 2015. The average mixing ratios of ambient NH3, NO, NO2 and CO over the entire period of observations were recorded as 19.3 ± 4.4 (ppb), 20.1 ± 5.9 (ppb), 18.6 ± 4.6 (ppb) and 1.8 ± 0.5 (ppm), respectively. The mixing ratios of NH3, NO, NO2 and CO were recorded highest during winter season, followed by summer and monsoon season. In the present case, a substantial seasonal variation of NH3 was observed during all the seasons except NO, NO2 and CO. The results emphasized that the traffic could be one of the significant sources of ambient NH3 at the urban site of Delhi as illustrated by positive correlations of NH3 with traffic related pollutants (NO x and CO). Surface wind as well as back trajectory analysis also supports the road side traffic and agricultural activities at the nearby area indicating possible major sources of ambient NH3 at observational site. Trajectory analysis, potential source contribution function and concentration weighted trajectory analysis indicated the surrounding nearby areas (NCR, Haryana, Punjab, Rajasthan and Uttar Pradesh) as a significant source region of ambient NH3 at the observational site of Delhi.

  18. Awareness about HIV infection among the paramedical staff in a tertiary care hospital in Delhi, India

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    Nikhil Gupta

    2012-01-01

    Full Text Available In India, acquired immunodeficiency syndrome (AIDS is a growing epidemic involving all sections of the society. Health care personnel are at increased risk of acquiring blood borne diseases like AIDS, hepatitis, etc. We aimed to assess the level of awareness of HIV infection among the paramedical staff working in a tertiary care hospital. A total number of 207 paramedical staff were asked to complete a questionnaire covering the various aspects of HIV and AIDS which was then critically reviewed. We observed that 57.54% of the staff was aware of the different aspects of HIV infection. Our results highlighted that awareness regarding the different facets of HIV varied among the nurses, lab technicians and support staff. Transmission of blood borne infections through needle stick injury is a harsh reality involving health care personnel. There is an urgent need to teach basic knowledge about HIV infection among high-risk populations.

  19. Environmental and comfort upgrading through lean technologies in informal settlements: Case study in Nairobi, Kenia and New Delhi, India

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    De Angelis, Enrico; Tagliabue, Lavinia Chiara; Zecchini, Paolo; Milanesi, Mattia

    2016-07-01

    Informal settlements, namely slums (or bidonville or favelas) are one of the stronger challenge for urban context in developing countries. The increase of urban population leads to a widespread poverty and critical life conditions for a large segment of population, in particular in Sub-Saharan Africa, where a high percentage of people lives in informal settlements. The problems in slums are multiple: people suffer malnutrition and poor sanitation, flooding or drought, and live in shelters providing no thermal comfort in many days of the year, furthermore scarce and highly polluting energy sources are available. Climate change and an unavoidable heat island effect make these living conditions nearly catastrophic. This paper focuses on the main characters of these slums and on how to what promote the improvement of living conditions with a lean, low cost, low impact, feasible upgrading of the housing or more properly shelters. The subject of the analysis is the Mathare 4A Upgrading Programme in the city of Nairobi, Kenya, one of the highest slum-dwellers growing rate. The technological solutions applied in this context have been verified in a different climate condition such as the city of New Delhi, India where the phenomenon of the slums is significantly burdensome. The analysis of the comfort conditions inside a type housing has been carried out using hourly weather data and dynamic heat transfer simulation, without any HVAC system and striving only natural ventilation. Data about internal temperature and relative humidity conditions have been applied to evaluate the comfort hours using the Predicted Mean Vote method, the adaptive thermal comfort principles and the bioclimatic charts for the two climates in Nairobi and New Delhi. The percentage of hours within the comfort range and the amount of degree-hours exceeding comfort values showed for different upgrading strategies, how it is possible to deeply influence the living conditions by technological and

  20. Clinical profile and quality of life of patients with occupational contact dermatitis from New Delhi, India.

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    Bhatia, Riti; Sharma, Vinod K; Ramam, M; Sethuraman, Gomathy; Yadav, Chander P

    2015-09-01

    Data regarding occupational contact dermatitis (OCD) and its effect on quality of life (QOL) in India are limited. To evaluate patients with OCD and record the outcome of treatment. All patients with OCD were evaluated for severity of disease (by the use of physician global assessment) and its effect on QOL (by use of the Dermatology Life Quality Index) questionnaire) at the first visit and after 3 months of treatment. Among 117 patients with OCD, hand eczema was present in 81.2%. Positive patch test reactions were found in 76%. The most common allergens were Parthenium hysterophorus and potassium dichromate. The most frequent diagnosis was occupational allergic contact dermatitis (OACD) (57%), caused by farming and construction work, followed by occupational irritant contact dermatitis (OICD) (24%), caused by wet work. Severe psychosocial distress was recorded in 62.5% of patients. After 3 months of treatment, 83% improved significantly, and 54% had improvement in QOL. Farmers were most frequently affected, followed by construction workers and housewives. OACD was found at a higher frequency than OICD. The most frequent allergens were Parthenium hysterophorus in farmers, potassium dichromate in construction workers, and vegetables in housewives. OCD has a significant impact on QOL. Patch testing, in addition to standard treatment, improves the outcome considerably. © 2015 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

  1. Evaluating awareness and practices pertaining to radioactive waste management among scrap dealers in Delhi, India.

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    Makkar, Nayani; Chandra, Tany; Agrawal, Prachi; Bansal, Harshit; Singh, Simranjeet; Anand, Tanu; Gupta, Mannan Kumar; Kumar, Rajesh

    2014-01-01

    With nuclear technology rapidly taking the spotlight in the last 50 years, radiation accidents seem to be a harsh reality of the modern world. The Mayapuri Radiation accident of 2010 was the worst radiation accident India has yet dealt with. Two years thereafter, we designed a study to assess the awareness and practices regarding radioactive waste among scrap dealers aiming to assess deficiencies in radiation disaster preparedness. A community based cross-sectional study. The study population consisted of 209 volunteers (from 108 scrap dealerships) including 108 shop-owners and 101 workers segregated as Group A consisting of 54 dealerships in Mayapuri and Group B of 54 dealerships from the rest of the city. Subjects were then interviewed using a semi-structured questionnaire. Awareness about radioactive waste varied significantly with level of education (p = 0.024), Kuppuswamy's socio-economic scale (p = 0.005), age of the scrap dealer (p = 0.049) and his work experience (p = 0.045). The larger dealerships in Mayapuri were more aware about radioactive waste (p = 0.0004), the accident in 2010 (p = 0.0002), the symbol for radiation hazard (p = 0.016), as well as the emergency guidelines and the agencies to contact in the event of a radiation accident. Our findings seem to signify that while governmental and non-governmental agencies were successful in implementing prompt disaster response and awareness programs, the community continues to be inadequately prepared. These go on to suggest that though concerted awareness and training programs do benefit the affected community, economic and social development is the key to disaster prevention and mitigation.

  2. Alineando uso energético, calidad del aire y cambio climático vía desarrollo sostenible: El caso de Delhi en India

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    Amit Garg

    2007-05-01

    Full Text Available La rápida industrialización y urbanización en India en la última década ha resultado en un alto consumo de combustibles fósiles, incremento en la emisión de gases de invernadero y deterioro de la calidad del aire. India ha emprendido varias iniciativas para resolver estos problemas como son nuevas políticas de combustibles de automóviles, medidas de uso eficiente de la energía, promoción del uso de recursos renovables, relocalización de industrias altamente contaminantes, uso de combustibles bajos en emisiones como el CNG en ciudades grandes, e introducción de redes de metro-ferrocarriles en mega-ciudades. El presente artículo resume los resultados de políticas adoptadas en Delhi que muestran los nexos entre calidad del aire y cambio climático teniendo como fuerza impulsora el desarrollo sostenible con énfasis en las dimensiones ambientales y sociales./ High consumption of fossil fuels, increased greenhouse gas emissions and deterioration of local air quality have resulted from rapid industrialization and urbanization in India in the last decade. India has taken many initiatives to address these problems such as new automobile fuel policies, energy efficiency measures, promotion of renewable energy use, relocation of highly polluting industries, enforcing use of low emission fuels like CNG for public transport in large cities, and introducing metro rail networks in megacities. This paper highlights results of adopted policies in Delhi showing relationships between air quality and climate change and having sustainable development as the driving force with focus on environmental and social dimensions.

  3. A passage from India: Association between air traffic and reported cases of New Delhi Metallo-beta-lactamase 1 from 2007 to 2012.

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    MacFadden, Derek R; Bogoch, Isaac I; Brownstein, John S; Daneman, Nick; Fisman, David; German, Matthew; Khan, Kamran

    2015-01-01

    Highly transmissible genes encoding resistance to carbapenems have demonstrated global spread. The New Delhi Metallo-beta-lactamase 1 gene is hypothesized to have originated in India, with subsequent dissemination by colonized or infected travelers. We conducted an ecological study evaluating the association between the cumulative air traffic departing India between 2007 and 2012 and published cases of NDM-1. Receiver operator characteristic curves were generated as well as multivariate logistic regression models. 193 countries with complete flight and World Bank data were included in the analysis. Receiver operator characteristic curves (ROC) of the dichotomous outcome of a published case of NDM-1 were generated, yielding an unadjusted area under the curve (AUC) of 0.88 and adjusted AUC of 0.85. The unadjusted odds ratio of having a reported case of NDM-1, for every percentage increase in cumulative air traffic departing India, was 2.3 (95% CI 1.4 to 3.7) and adjusted was 2.0 (95% CI 1.2 to 3.4). We demonstrate that flows of international travelers departing India by air is associated with published NDM-1 cases, globally. Countries with high passenger flight traffic from India with no reported cases of NDM-1 may be at increased risk of having unreported transmission of NDM-1. Copyright © 2015 Elsevier Ltd. All rights reserved.

  4. Determinants of childhood immunisation coverage in urban poor settlements of Delhi, India: a cross-sectional study

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    Devasenapathy, Niveditha; Ghosh Jerath, Suparna; Sharma, Saket; Allen, Elizabeth; Shankar, Anuraj H; Zodpey, Sanjay

    2016-01-01

    Objectives Aggregate data on childhood immunisation from urban settings may not reflect the coverage among the urban poor. This study provides information on complete childhood immunisation coverage among the urban poor, and explores its household and neighbourhood-level determinants. Setting Urban poor community in the Southeast district of Delhi, India. Participants We randomly sampled 1849 children aged 1–3.5 years from 13 451 households in 39 clusters (cluster defined as area covered by a community health worker) in 2 large urban poor settlements. Of these, 1343 completed the survey. We collected information regarding childhood immunisation (BCG, oral polio vaccine, diphtheria–pertussis–tetanus vaccine, hepatitis B and measles) from vaccination cards or mothers’ recall. We used random intercept logistic regression to explore the sociodemographic determinants of complete immunisation. Results Complete immunisation coverage was 46.7% and 7.5% were not immunised. The odds of complete vaccination (OR, 95% CI) were lower in female children (0.70 (0.55 to 0.89)) and Muslim households (0.65 (0.45 to 0.94)). The odds of complete vaccination were higher if the mother was literate (1.6 (1.15 to 2.16)), if the child was born within the city (2.7 (1.97 to 3.65)), in a health facility ( 1.5 (1.19 to 2.02)), belonged to the highest wealth quintile (compared with the poorest; 2.46 (1.5 to 4.02)) or possessed a birth certificate (1.40 (1.03 to 1.91)). Cluster effect due to unmeasured neighbourhood factors expressed as median OR was 1.32. Conclusions Immunisation coverage in this urban poor area was much lower than that of regional surveys reporting overall urban data. Socioeconomic status of the household, female illiteracy, health awareness and gender inequality were important determinants of coverage in this population. Hence, in addition to enhancing the infrastructure for providing mother and child services, efforts are also needed to address these issues in

  5. Diurnal and seasonal variations of black carbon and PM2.5 over New Delhi, India: Influence of meteorology

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    Tiwari, S.; Srivastava, A. K.; Bisht, D. S.; Parmita, P.; Srivastava, Manoj K.; Attri, S. D.

    2013-05-01

    Black carbon (BC), which is one of the highly absorbing capacities of solar radiation, reduces albedo of atmospheric aerosol. BC along with fine particulate matters (PM2.5), which play crucial role in climate and health, was monitored online for an entire year of 2011 at an urban megacity of Delhi, situated in the northern part of India. Daily mass concentration of BC varies from 0.9 to 25.5 μg m- 3, with an annual mean of 6.7 ± 5.7 μg m- 3 displayed clear monsoon minima and winter maxima; however, PM2.5 concentration was ranging from 54.3 to 338.7 μg m- 3, with an annual mean of 122.3 ± 90.7 μg m- 3. BC typically peaked between 0800 and 1000 LST and again between 2100 and 2300 LST, corresponding to the morning and evening traffic combined with the ambient meteorological effect. During summer and monsoon, the BC concentrations were found less than 5 μg m- 3; however, the highest concentrations occurred during winter in segments from 10 μg m- 3. In over all study, the BC mass concentration was accounted for ~ 6% of the total PM2.5 mass, with a range from 1.0% to 14.3%. The relationship between meteorological parameters and BC mass concentrations was studied and a clear inverse relationship (r = - 0.53) between BC and wind speed was observed. Relation between visibility and BC mass concentrations was also significantly negative (- 0.81), having relatively higher correlation during post-monsoon (- 0.85) and winter (- 0.78) periods and lower during summer (- 0.45) and monsoon (- 0.54) periods. The mixed layer depths (MLDs) were found to be shallower during post monsoon (379 m) and winter (335 m) as compared during summer (1023 m) and monsoon (603 m). The study indicated that during post-monsoon season, the impact of biomass burning is higher as compared to combustion of fossil fuels. Results are well associated with the rapid growth of anthropogenic emissions and ambient meteorological conditions over the station.

  6. Determinants of childhood immunisation coverage in urban poor settlements of Delhi, India: a cross-sectional study.

    Science.gov (United States)

    Devasenapathy, Niveditha; Ghosh Jerath, Suparna; Sharma, Saket; Allen, Elizabeth; Shankar, Anuraj H; Zodpey, Sanjay

    2016-08-26

    Aggregate data on childhood immunisation from urban settings may not reflect the coverage among the urban poor. This study provides information on complete childhood immunisation coverage among the urban poor, and explores its household and neighbourhood-level determinants. Urban poor community in the Southeast district of Delhi, India. We randomly sampled 1849 children aged 1-3.5 years from 13 451 households in 39 clusters (cluster defined as area covered by a community health worker) in 2 large urban poor settlements. Of these, 1343 completed the survey. We collected information regarding childhood immunisation (BCG, oral polio vaccine, diphtheria-pertussis-tetanus vaccine, hepatitis B and measles) from vaccination cards or mothers' recall. We used random intercept logistic regression to explore the sociodemographic determinants of complete immunisation. Complete immunisation coverage was 46.7% and 7.5% were not immunised. The odds of complete vaccination (OR, 95% CI) were lower in female children (0.70 (0.55 to 0.89)) and Muslim households (0.65 (0.45 to 0.94)). The odds of complete vaccination were higher if the mother was literate (1.6 (1.15 to 2.16)), if the child was born within the city (2.7 (1.97 to 3.65)), in a health facility ( 1.5 (1.19 to 2.02)), belonged to the highest wealth quintile (compared with the poorest; 2.46 (1.5 to 4.02)) or possessed a birth certificate (1.40 (1.03 to 1.91)). Cluster effect due to unmeasured neighbourhood factors expressed as median OR was 1.32. Immunisation coverage in this urban poor area was much lower than that of regional surveys reporting overall urban data. Socioeconomic status of the household, female illiteracy, health awareness and gender inequality were important determinants of coverage in this population. Hence, in addition to enhancing the infrastructure for providing mother and child services, efforts are also needed to address these issues in order to improve immunisation coverage in deprived urban

  7. Women and substance use: a qualitative study on sexual and reproductive health of women who use drugs in Delhi, India.

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    Sharma, Vartika; Sarna, Avina; Tun, Waimar; Saraswati, Lopamudra Ray; Thior, Ibou; Madan, Ira; Luchters, Stanley

    2017-11-19

    To explore contextual factors that increase vulnerabilities to negative sexual and reproductive health (SRH) outcomes and possible differences in SRH-related behaviours and the needs of women who use drugs (WUD) through non-injecting and injecting routes. Qualitative study design using semi-structured in-depth interviews. Twenty women who injected drugs in the past 3 months and 28 women who reported using drugs through non-injecting routes in the past 1 month. Interviews were conducted at community-based, drop-in centres in Delhi, India. Study findings illustrate that WUD were sexually active and had multiple sex partners including clients of sex work. Transient relationships were reported and many participants engaged in unsafe sex. Factors which affected safe sex behaviours included: gender power imbalance, limited agency for decision-making, lack of accurate information for correct self-risk assessment, and being under the influence of drugs. Despite high awareness, low and inconsistent contraceptive use was reported. Some participants were coerced to conceive while a few others reported their inability to conceive. Violence was a key determinant for SRH outcomes. Perception of certain adverse health outcomes (such as infertility) to be 'common and expected among WUD' influenced access to healthcare. Further, healthcare providers' stigmatising attitudes and lack of women-centric services deterred women from uptake of healthcare services. Findings highlight that SRH-related behaviours and needs of this group are a complex interplay of multiple determinants which need to be addressed at all levels: individual, family, community and institutional. It is imperative to roll out a 'one-stop-shop' for a comprehensive package of health services. Expansion of existing drop-in-centres could be considered for setting-up community-based women-centric services with appropriate linkage to drug dependence treatment and reproductive health services. © Article author(s) (or

  8. Characterisation and antimicrobial resistance of sepsis pathogens in neonates born in tertiary care centres in Delhi, India: a cohort study.

    Science.gov (United States)

    2016-10-01

    Sepsis is one of the most common causes of neonatal deaths globally. Most sepsis-related deaths occur in low-income and middle-income countries, where the epidemiology of neonatal sepsis remains poorly understood. Most of these countries lack proper surveillance networks, hampering accurate assessment of the burden of sepsis, implementation of preventive measures, and investment in research. We report results of neonates born in hospital from a multicentre collaboration on neonatal sepsis. In this cohort study, dedicated research teams prospectively followed up neonates born in one of three tertiary care centres in Delhi, India (Vardhaman Mahavir Medical College, Maulana Azad Medical College, and All India Institute of Medical Sciences [coordinating centre]) and subsequently admitted to the intensive care unit. Neonates were followed up daily until discharge or death. On clinical suspicion, neonates underwent sepsis work-up including blood cultures. The isolated organisms were identified and tested for antimicrobial susceptibility. We defined Gram-negative isolates resistant to any three of five antibiotic classes (extended-spectrum cephalosporins, carbapenems, aminoglycosides, fluoroquinolones, and piperacillin-tazobactam) as multidrug resistant. 13 530 neonates of 88 636 livebirths were enrolled between July 18, 2011, and Feb 28, 2014. The incidence of total sepsis was 14·3% (95% CI 13·8-14·9) and of culture-positive sepsis was 6·2% (5·8-6·6). Nearly two-thirds of total episodes occurred at or before 72 h of life (defined as early onset; 1351 [83%] of 1980). Two-thirds (645 [64%]) of 1005 isolates were Gram-negative including, Acinetobacter spp (22%), Klebsiella spp (17%), and Escherichia coli (14%). The pathogen mix in early-onset sepsis did not differ from that of late-onset sepsis (ie, after 72 h). High rates of multidrug resistance were observed in Acinetobacter spp (181/222, 82%), Klebsiella spp (91/169, 54%), and Escherichia coli (52/137, 38

  9. Molecular Evidence for Occurrence of Tomato leaf curl New Delhi virus in Ash Gourd (Benincasa hispida) Germplasm Showing a Severe Yellow Stunt Disease in India.

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    Roy, Anirban; Spoorthi, P; Panwar, G; Bag, Manas Kumar; Prasad, T V; Kumar, Gunjeet; Gangopadhyay, K K; Dutta, M

    2013-06-01

    An evaluation of 70 accessions of ash gourd germplasm grown at National Bureau of Plant Genetic Resources, New Delhi, India during Kharif season (2010) showed natural occurrence of a yellow stunt disease in three accessions (IC554690, IC036330 and Pusa Ujjwal). A set of begomovirus specific primers used in PCR gave expected amplicon from all the symptomatic plants; however no betasatellite was detected. Complete genome of the begomovirus (DNA-A and DNA-B), amplified through rolling circle amplification, was cloned and sequenced. The begomovirus under study shared high sequence identities to different isolates of Tomato leaf curl New Delhi virus (ToLCNDV) and clustered with them. Among those isolates, the DNA-A and DNA-B of the present begomovirus isolate showed highest 99.6 and 96.8 % sequence identities, respectively with an isolate reported on pumpkin from India (DNA-A: AM286433, DNA-B: AM286435). Based on the sequence analysis, the begomovirus obtained from ash gourd was considered as an isolate of ToLCNDV. Thus, the present findings constitute the first report of occurrence of a new yellow stunt disease in ash gourd from India and demonstrated the association of ToLCNDV with the symptomatic samples. Occurrence of ToLCNDV in ash gourd germplasm not only adds up a new cucurbitaceous host of this virus but also raises the concern about the perpetuation of this virus in absence of its main host tomato and thus has an epidemiological relevance for understanding the rapid spread of this virus in tomato and other hosts in Indian sub-continent.

  10. Meteorologically-adjusted trend analysis of surface observed ozone at three monitoring sites in Delhi, India: 2007-2011

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    Biswas, J.; Farooqui, Z.; Guttikunda, S. K.

    2012-12-01

    It is well known that meteorological parameters have significant impact on surface ozone concentrations. Therefore it is important to remove the effects of meteorology on ozone concentrations to correctly estimate long-term trends in ozone levels due to the alterations in precursor emissions. This is important for the development of effectual control strategies. In this study surface observed ozone trends in New Delhi are analyzed using Komogorov-Zurbenko (KZ) filter, US EPA ozone adjustment due to weather approach and the classification and regression tree method. The statistical models are applied to the ozone data at three observational sites in New Delhi metropolitan areas, 1) Income Tax Office (ITO) 2) Sirifort and 3) Delhi College of Engineering (DCE). The ITO site is located adjacent to a traffic crossing, Sirifort is an urban site and the DCE site is located in a residential area. The ITO site is also influenced by local industrial emissions. DCE has higher ozone levels than the other two sites. It was found that ITO has lowest ozone concentrations amongst the three sites due to ozone titrating due to industrial and on-road mobile NOx emissions. The statistical methods employed can assess ozone trends at these sites with a high degree of confidence and the results can be used to gauge the effectiveness of control strategies on surface ozone levels in New Delhi.

  11. Characteristics of the event mean concentration (EMCs) from rainfall runoff on mixed agricultural land use in the shoreline zone of the Yamuna River in Delhi, India

    Science.gov (United States)

    Sharma, Deepshikha; Gupta, Ruchi; Singh, Ram Karan; Kansal, Arun

    2012-03-01

    This paper is focused on the monitoring of the diffuse pollution characteristics from the agricultural land confining the River Yamuna in Delhi (capital of India). Agricultural fields surrounding the Yamuna river are direct nonpoint source of pollution impacting the river quality. The study includes watershed delineation for the River Yamuna using SWAT (2005) and land use classification for the city using GIS and remote sensing. Thereafter, the rainfall-runoff pollutant concentrations from the mixed agricultural land use were assessed for the 2006 and 2007 monsoon period (July-September). Runoff was measured using SCS method and grab samples of rainfall runoff were collected at three stations namely Old Delhi Railway Bridge (ODRB), Nizamuddin and Okhla bridge in Delhi. The samples were analysed for physico-chemical and biological parameters. Rainfall runoff and event mean concentrations (EMCs) for different water quality parameters were characterized and the effect of land use was analyzed. The average EMCs for BOD, COD, ammonia, nitrate, TKN, hardness, TDS, TSS, chlorides, sulfates, phosphate, fluorides and TC were 21.82 mg/L, 73.48 mg/L, 72.68 μg/L, 229.87 μg/L, 15.32 μg/L, 11.36 mg/L, 117.44 mg/L, 77.60 mg/L, 117.64 mg/L, 135.82 mg/L, 0.08 mg/L, 0.85 mg/L and 2,827.47 MPN/100 mL, respectively. The EMCs of TSS, nitrogen and its compounds, phosphate and BOD were high.

  12. THE DECISION MAKING OF BUSINESS TRAVELLERS IN SELECTING ONLINE TRAVEL PORTALS FOR TRAVEL BOOKING: AN EMPIRICAL STUDY OF DELHI NATIONAL CAPITAL REGION, INDIA

    Directory of Open Access Journals (Sweden)

    Bivek DATTA

    2018-05-01

    Full Text Available The purpose of this paper is to understand the decision making pattern of the Business Travellers in Delhi National Capital Region in India while booking their trips through Online Travel Portals. The study revolves around purchase decision pattern of Business Travellers by investigating their travel decision making style in selecting online travel portals for their trip booking. The authors have adopted the quantitative methodology to achieve the objective of the study. The study is confined purely to the Business Travellers who book their travel through online travel portals. The data was collected through a structured questionnaire. 300 Business Travellers were interviewed at the departure lounge of Indira Gandhi International Airport, New Delhi, India out of which 150 questionnaires were incomplete in many respects and could not be used and only 150 questionnaires were usable resulting in the response rate of 50%. The Analytical Hierarchy process method was adopted to analyze the relative weights assigned by Business Travellers. The present study identifies through literature review the nine fundamental values of internet purchase i.e. product quality, cost, time to receive the product, convenience, time spent, confidentiality, shopping enjoyment, security and environmental impact. The research findings indicate that business travellers value confidentiality, security and product quality the most while choosing the Online Travel Portal to book their trip. The study is primarily centered on the consumer typology approach to study the decision making patterns of business travellers whereas there are other variables such as lifestyle, personality, attitude which can also be investigated. The study is only restricted to Business Travellers decision making pattern pertaining to their travel booking whereas a study can also be undertaken on leisure travellers decision making pattern. The study is restricted to only Delhi National Capital Region

  13. Providers' knowledge, attitude and dispensing practices of e-pills in government dispensaries of South district in delhi, India.

    Science.gov (United States)

    Kishore, Vertika; Misro, Man M; Nandan, Deoki

    2010-01-01

    South Delhi is one of the well developed districts in the capital with best public health care facilities. Knowledge, attitude and dispensing practices of emergency contraceptive pills (E-pills) were assessed among health care providers of government dispensaries in South Delhi. A descriptive epidemiological study. Both medical and paramedical (n = 428) providers in 63 government health care facilities were interviewed between August to December 2007 using a semi-structured interview schedule. Among the different categories of the providers, medical officers were observed to be most knowledgeable about E-pills and the pharmacists were the least. The correct prescribed dose of E-pill was known only to 32% of the providers while 49% knew about its right time of intake. Misconceptions and apprehensions for promoting its use were very much prevalent even among medical officers as majority felt that open access to E-pills would increase promiscuity. The dispensing practice of providers was found positively (P pills.

  14. Artificial intelligence based approach to forecast PM2.5 during haze episodes: A case study of Delhi, India

    Science.gov (United States)

    Mishra, Dhirendra; Goyal, P.; Upadhyay, Abhishek

    2015-02-01

    Delhi has been listed as the worst performer across the world with respect to the presence of alarmingly high level of haze episodes, exposing the residents here to a host of diseases including respiratory disease, chronic obstructive pulmonary disorder and lung cancer. This study aimed to analyze the haze episodes in a year and to develop the forecasting methodologies for it. The air pollutants, e.g., CO, O3, NO2, SO2, PM2.5 as well as meteorological parameters (pressure, temperature, wind speed, wind direction index, relative humidity, visibility, dew point temperature, etc.) have been used in the present study to analyze the haze episodes in Delhi urban area. The nature of these episodes, their possible causes, and their major features are discussed in terms of fine particulate matter (PM2.5) and relative humidity. The correlation matrix shows that temperature, pressure, wind speed, O3, and dew point temperature are the dominating variables for PM2.5 concentrations in Delhi. The hour-by-hour analysis of past data pattern at different monitoring stations suggest that the haze hours were occurred approximately 48% of the total observed hours in the year, 2012 over Delhi urban area. The haze hour forecasting models in terms of PM2.5 concentrations (more than 50 μg/m3) and relative humidity (less than 90%) have been developed through artificial intelligence based Neuro-Fuzzy (NF) techniques and compared with the other modeling techniques e.g., multiple linear regression (MLR), and artificial neural network (ANN). The haze hour's data for nine months, i.e. from January to September have been chosen for training and remaining three months, i.e., October to December in the year 2012 are chosen for validation of the developed models. The forecasted results are compared with the observed values with different statistical measures, e.g., correlation coefficients (R), normalized mean square error (NMSE), fractional bias (FB) and index of agreement (IOA). The performed

  15. Parent dietary, physical activity and sedentary behaviors associated with child behaviors and weight status among private school children in Delhi, India: A cross-sectional study

    Directory of Open Access Journals (Sweden)

    Blanche Greene-Cramer

    2016-01-01

    Full Text Available Background Family can be an important socializing agent that strongly influences child and adolescent behavior. While studies have found associations between parent modeling of healthy behaviors and these behaviors in children in the US and other western countries, there is a dearth of research examining these associations among low and middle-income countries like India. This study examines the association between parent dietary, physical activity, and sedentary behaviors and child behaviors and weight status in Delhi, India. Methods The study was cross-sectional by design. The target population was comprised of a convenience sample of 6th and 8th grade children enrolled at 6 private schools in Delhi, India and their parents. A total of 551 child-parent dyads were used in analysis. Measures included parent and child BMI; physical activity and sedentary behavior; and dietary intake, such as weekly breakfast consumption, daily fruit and vegetable (FV consumption, daily low-fat dairy consumption, daily energy-dense (ED food consumption, daily sugar-sweetened beverage (SSB consumption. Mixed-effects linear regression models were used to test for the association between parent dietary, physical activity, and sedentary behaviors (independent variables and child dietary, physical activity and sedentary behaviors (dependent variables while controlling for parent and child demographics. Results Significant, positive associations were observed between all parent and child dietary behaviors (weekly breakfast consumption, daily FV consumption, daily low-fat dairy consumption, daily ED food consumption, daily SSB consumption after adjusting for child sex and grade, parent sex, and parent weight status (p<0.05, all. Parent moderate/vigorous physical activity was positively associated with child moderate/vigorous physical activity (p=0.000, however there was no significant association between parent and child light physical activity levels (p=0.310. Parent

  16. Candida Species Prevalence Profile in HIV Seropositive Patients from a Major Tertiary Care Hospital in New Delhi, India

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    Monika Maheshwari

    2016-01-01

    Full Text Available Candida is a common opportunistic pathogen during the course of human immunodeficiency virus (HIV disease progression. Changes in the clinical severity of candidiasis and the Candida species prevalence profile may be a reflection of immunological changes in HIV positive patients. The aim of this study was to document the changing pattern of Candida species prevalence profile in HIV seropositive patients from a tertiary care hospital in North India. One hundred and twenty HIV seropositive subjects were recruited for Candida microbial screening. Clinical specimens including blood, oral swabs, expectorated or induced sputum/bronchoalveolar lavage specimens, and urine were collected depending on the patient’s symptoms. A total of 128 Candida isolates were obtained from 88 cases and 7 different Candida species were identified. C. albicans (50% was the most common species isolated followed by C. glabrata (17% and C. dubliniensis (12.5%. Other species isolated were C. parapsilosis (7.8%, C. krusei, C. tropicalis (4.6% each, and C. kefyr (3%. Strong clinical suspicion along with optimal sampling of an accurate diagnosis of Candida species involved would go a long way in decreasing the morbidity associated with non-albicans Candida species.

  17. Vulnerability to HIV/AIDS among women of reproductive age in the slums of Delhi and Hyderabad, India.

    Science.gov (United States)

    Ghosh, Jayati; Wadhwa, Vandana; Kalipeni, Ezekiel

    2009-02-01

    This report explores how vulnerability to HIV/AIDS applies to women in the reproductive age range living in the slum areas of Delhi and Hyderabad. The paper is based on a qualitative study of AIDS awareness levels conducted during the summer of 2006. It offers insightful narratives from a sample of 32 women, providing an in depth view of their vulnerability to HIV/AIDS due to their precarious socioeconomic conditions and low AIDS awareness. The women cited lack of education, low empowerment in expressing and accessing information related to sexual matters, and poverty as key factors to vulnerability.

  18. Effect of mHealth on modifying behavioural risk-factors of non-communicable diseases in an adult, rural population in Delhi, India.

    Science.gov (United States)

    Sharma, Malvika; Banerjee, Bratati; Ingle, G K; Garg, Suneela

    2017-01-01

    The rising trend of non-communicable diseases (NCDs) has led to a "dual burden" in low and middle-income (LAMI) countries like India which are still battling with high prevalence of communicable diseases. The incorporation of a target specially dedicated to NCDs within the goal 3 of the newly adopted Sustainable Development Goals indicates the importance the world now accords to prevention and control of these diseases. Mobile phone technology is increasingly viewed as a promising communication channel that can be utilized for primary prevention of NCDs by promoting behaviour change and risk factor modification. A "Before and After" Intervention study was conducted on 400 subjects, over a period of one year, in Barwala village, Delhi, India. An mHealth intervention package consisting of weekly text messages and monthly telephone calls addressing lifestyle modification for risk factors of NCDs was given to the intervention group, compared to no intervention package in control group. After Intervention Phase, significant reduction was seen in behavioural risk factors (unhealthy diet and insufficient physical activity) in the intervention group compared to control group. Body mass index (BMI), systolic blood pressure and fasting blood sugar level also showed significant difference in the intervention group as compared to controls. Our study has demonstrated the usefulness of mHealth for health promotion and lifestyle modification at community level in a LAMI country. With the growing burden of NCDs in the community, such cost effective and innovative measures will be needed that can easily reach the masses.

  19. Theory and social practice of agency in combining breastfeeding and employment: A qualitative study among health workers in New Delhi, India.

    Science.gov (United States)

    Omer-Salim, Amal; Suri, Shobha; Dadhich, Jai Prakash; Faridi, Mohammad Moonis Akbar; Olsson, Pia

    2014-12-01

    Women's agency, or intentional actions, in combining breastfeeding and employment is significant for health and labour productivity. Previous research in India showed that mothers use various collaborative strategies to ensure a "good enough" combination of breastfeeding and employment. Bandura's theoretical agency constructs previously applied in various realms could facilitate the exploration of agency in an Indian context. To explore manifestations of agency in combining breastfeeding and employment amongst Indian health workers using Bandura's theoretical constructs of agency and women's experiences. Qualitative semi-structured interviews were conducted with ten women employees within the governmental health sector in New Delhi, India. Both deductive and inductive qualitative content analyses were used. Bandura's features and modes of agency revealed that intentionality is underpinned by knowledge, forethought means being prepared, self-reactiveness includes collaboration and that self-reflectiveness gives perspective. Women's interviews revealed four approaches to agency entitled: 'All within my stride or the knowledgeable navigator'; 'Much harder than expected, but ok overall'; This is a very lonely job'; and 'Out of my control'. Agency features and their elements are complex, dynamic and involve family members. Bandura's theoretical agency constructs are partially useful in this context, but additional social practice constructs of family structure and relationship quality are needed for better correspondence with women's experiences of agency. The variation in individual approaches to agency has implications for supportive health and workplace services. Copyright © 2014 Australian College of Midwives. Published by Elsevier Ltd. All rights reserved.

  20. Disability-adjusted life years and economic cost assessment of the health effects related to PM2.5 and PM10 pollution in Mumbai and Delhi, in India from 1991 to 2015.

    Science.gov (United States)

    Maji, Kamal Jyoti; Dikshit, Anil Kumar; Deshpande, Ashok

    2017-02-01

    Particulate air pollution is becoming a serious public health concern in urban cities in India due to air pollution-related health effects associated with disability-adjusted life years (DALYs) and economic loss. To obtain the quantitative result of health impact of particulate matter (PM) in most populated Mumbai City and most polluted Delhi City in India, an epidemiology-based exposure-response function has been used to calculate the attributable number of mortality and morbidity cases from 1991 to 2015 in a 5-year interval and the subsequent DALYs, and economic cost is estimated of the health damage based on unit values of the health outcomes. Here, we report the attributable number of mortality due to PM 10 in Mumbai and Delhi increased to 32,014 and 48,651 in 2015 compared with 19,291 and 19,716 in year 1995. And annual average mortality due to PM 2.5 in Mumbai and Delhi was 10,880 and 10,900. Premature cerebrovascular disease (CEV), ischemic heart disease (IHD), and chronic obstructive pulmonary disease (COPD) causes are about 35.3, 33.3, and 22.9% of PM 2.5 -attributable mortalities. Total DALYs due to PM10 increased from 0.34 million to 0.51 million in Mumbai and 0.34 million to 0.75 million in Delhi from average year 1995 to 2015. Among all health outcomes, mortality and chronic bronchitis shared about 95% of the total DALYs. Due to PM 10 , the estimated total economic cost at constant price year 2005 US$ increased from 2680.87 million to 4269.60 million for Mumbai City and 2714.10 million to 6394.74 million for Delhi City, from 1995 to 2015, and the total amount accounting about 1.01% of India's gross domestic product (GDP). A crucial presumption is that in 2030, PM 10 levels would have to decline by 44% (Mumbai) and 67% (Delhi) absolutely to maintain the same health outcomes in year 2015 levels. The results will help policy makers from pollution control board for further cost-benefit analyses of air pollution management programs in Mumbai and Delhi.

  1. Five-year study of unidentified/unclaimed and unknown deaths brought for medicolegal autopsy at Premier Hospital in New Delhi, India.

    Science.gov (United States)

    Yadav, Abhishek; Kumar, Adarsh; Swain, Rajanikanta; Gupta, Sudhir Kumar

    2017-01-01

    Delhi is the second largest city of the world both in terms of population and area, as well as being the capital of India. Every year, thousands of people from different states throng to the capital in search of a job in order to earn a living. When these people die and their bodies are found without any identifying documentation, it is very difficult for the police to establish their identities. These bodies are labelled as unidentified/unclaimed or unknown, and are sent for usually sent for medicolegal autopsy. Invariably, skeletonised bodies are also recovered, which are also subjected to medicolegal autopsy. Female foeticide is another social problem, and whenever such foetuses are disposed of illegally, they are also grouped under this category and brought for medicolegal autopsy. We undertook a five-year retrospective analysis (for the period 2010-2014) of all such cases brought for medicolegal autopsy at our centre, which caters only for the south and south-east districts of Delhi. A total of 7964 cases were brought for medicolegal autopsy, of which unknown cases accounted for about 16%. About 25-30 foetuses and skeletonised bodies were brought each year that was studied. The manner of death was certified as natural in about 71% of cases, with predominant pathology in the lungs. There was a clear predominance of males over females, with the 31- to 50-year age group accounting for half of all cases. There was an increase in the number of deaths during months of extreme temperatures. The average time between the recovery of a body by the police and the post-mortem was about seven days. These findings raise many questions, including the failure of governmental policies, police investigating agencies and social menace. The creation of a national missing-persons database as well as a DNA databank is needed to aid in the identification of unidentified/unclaimed and unknown bodies.

  2. Providers′ knowledge, attitude and dispensing practices of E-Pills in government dispensaries of south district in Delhi, India

    Directory of Open Access Journals (Sweden)

    Kishore Vertika

    2010-01-01

    Full Text Available Background: South Delhi is one of the well developed districts in the capital with best public health care facilities. Knowledge, attitude and dispensing practices of emergency contraceptive pills (E-pills were assessed among health care providers of government dispensaries in South Delhi. Study Design: A descriptive epidemiological study. Materials and Methods: Both medical and paramedical (n = 428 providers in 63 government health care facilities were interviewed between August to December 2007 using a semi-structured interview schedule. Results: Among the different categories of the providers, medical officers were observed to be most knowledgeable about E-pills and the pharmacists were the least. The correct prescribed dose of E-pill was known only to 32% of the providers while 49% knew about its right time of intake. Misconceptions and apprehensions for promoting its use were very much prevalent even among medical officers as majority felt that open access to E-pills would increase promiscuity. The dispensing practice of providers was found positively ( P < 0.05 correlated with their knowledge. Training resulted a significant ( P < 0.05 improvement in knowledge, attitude and dispensing practice of the providers. Knowledge and training combined together contributed 35% to the dispensing practice (R 2 = 0.35. Conclusion: Besides knowledge, behavior change communication strategies should form a part of the training curricula of health care providers that would help to improve the dispensing practice of E-pills.

  3. Suicidal ideation and HIV risk behaviors among a cohort of injecting drug users in New Delhi, India

    Directory of Open Access Journals (Sweden)

    Sarin Enisha

    2013-01-01

    Full Text Available Abstract Background Data on mental health among injecting drug users in South Asia is scarce yet poor mental health among users has significant implications for the success of HIV prevention and treatment programmes. A cohort of 449 injecting drug users in Delhi was examined on the following issues (1 examine trends in suicidal ideation, suicide plan and suicidal attempts over a 12-month period, (2 examine association between injecting practices (receive and give used syringes and suicidal ideation over a 12 month study period. Methods An observational study was conducted providing phased interventions with follow up interviews every 3 months to 449 injecting drug users (IDUs, from August 2004 to November 2005. The study was conducted in Yamuna Bazaar, a known hub of drug peddling in Delhi. Interventions included nutrition, basic medical services, needle exchange, health education, HIV voluntary counseling and testing, STI diagnosis and treatment, oral buprenorphine substitution, and detoxification, each introduced sequentially. Results Suicidal ideation and suicide attempts, did not significantly change over 12 months of observation, while suicide plans actually increased over the time period. Keeping other factors constant, IDUs with suicidal ideation reported more giving and receiving of used syringes in the recent past. Conclusions: Mental health services are warranted within harm reduction programmes. Special attention must be paid to suicidal IDUs given their higher risk behaviours for acquiring HIV and other blood borne infections. IDU intervention programmes should assess and address suicide risk through brief screening and enhanced counseling.

  4. Genetic architecture of HIV-1 genes circulating in north India & their functional implications.

    Science.gov (United States)

    Neogi, Ujjwal; Sood, Vikas; Ronsard, Larence; Singh, Jyotsna; Lata, Sneh; Ramachandran, V G; Das, S; Wanchu, Ajay; Banerjea, Akhil C

    2011-12-01

    This review presents data on genetic and functional analysis of some of the HIV-1 genes derived from HIV-1 infected individuals from north India (Delhi, Punjab and Chandigarh). We found evidence of novel B/C recombinants in HIV-1 LTR region showing relatedness to China/Myanmar with 3 copies of Nfκb sites; B/C/D mosaic genomes for HIV-1 Vpr and novel B/C Tat. We reported appearance of a complex recombinant form CRF_02AG of HIV-1 envelope sequences which is predominantly found in Central/Western Africa. Also one Indian HIV-1 envelope subtype C sequence suggested exclusive CXCR4 co-receptor usage. This extensive recombination, which is observed in about 10 per cent HIV-1 infected individuals in the Vpr genes, resulted in remarkably altered functions when compared with prototype subtype B Vpr. The Vpu C was found to be more potent in causing apoptosis when compared with Vpu B when analyzed for subG1 DNA content. The functional implications of these changes as well as in other genes of HIV-1 are discussed in detail with possible implications for subtype-specific pathogenesis highlighted.

  5. Mass awareness regarding snake bite induced early morning neuroparalysis can prevent many deaths in North India

    OpenAIRE

    Sharma, Rupinder; Dogra, Varundeep; Sharma, Gurudutt; Chauhan, Vivek

    2016-01-01

    Introduction: In North India snake bite deaths are predominantly seen with neurotoxic envenomations (NEs) whereas in South India the hemotoxic envenomation (HE) is more common. Krait is responsible for most deaths in North India. It bites people sleeping on the floors, mostly at night. We describe the profile of venomous snake bites over 1 year in 2013. Materials and Methods: The study was conducted in a rural tertiary care hospital in North India. Demographics, circumstances of bite, envenom...

  6. Migration and access to maternal healthcare: determinants of adequate antenatal care and institutional delivery among socio-economically disadvantaged migrants in Delhi, India.

    Science.gov (United States)

    Kusuma, Yadlapalli S; Kumari, Rita; Kaushal, Sonia

    2013-10-01

    To identify the determinants of adequate antenatal care (ANC) utilisation and institutional deliveries among socio-economically disadvantaged migrants living in Delhi, India. In a cross-sectional survey, 809 rural-urban migrant mothers with a child aged below 2 years were interviewed with a pretested questionnaire. Data on receiving antenatal, delivery and post-natal services, migration history and other social, demographic and income were collected. Recent migrants used the services significantly less than settled migrants. ANC was adequate only among 37% (35% of recent migrant women and 39% of settled migrants). Multinomial regression revealed that being a recent migrant, multiparous, illiterate and married to an unskilled worker were significant risk factors for receiving inadequate ANC. Around 53% of deliveries took place at home. ANC seeking has a strong influence on place of delivery: 70% of births to women who received inadequate ANC were at home. Women who are educated, had their first delivery after the age of 20 years and received adequate ANC were more likely to deliver their child in hospital. Post-natal care is grossly neglected among these groups. Migrant women, particularly recent migrants, are at the risk of not receiving adequate maternal healthcare. Because migration is a continuing phenomenon, measures to mitigate disadvantage due to migration need to be taken in the healthcare system. © 2013 John Wiley & Sons Ltd.

  7. Prevalence and correlates of tobacco smoking, awareness of hazards, and quitting behavior among persons aged 30 years or above in a resettlement colony of Delhi, India.

    Science.gov (United States)

    Garg, Ankur; Singh, Mongjam Meghachandra; Gupta, Vimal Kishore; Garg, Suneela; Daga, Mradul Kumar; Saha, Renuka

    2012-10-01

    To assess the prevalence and correlates of current smoking, awareness of hazards, and quitting behavior among smokers 30 years and above. Cross-sectional; Gokulpuri, a resettlement colony in East Delhi, India; 911, persons aged 30 years and above using systematic random sampling; Study tools: Semi-structured questionnaire. Prevalence of current smoking was found to be 24.6% (95% CI 21.90 - 27.49). Majority 198 (88.4%) of current smokers smoked bidi exclusively, and on an average 13.5 bidi/cigarette were smoked per day. Multivariate analysis showed the factors associated with current smoking as male sex, advancing age, illiteracy, skilled occupation, low socio-economic status, and low BMI (P < 0.001). 64.2% were aware of the hazards of smoking. 63 (21.9%) had quit smoking in the past, majority due to the health problems. Low educational status was associated with poor hazard awareness and quitting behavior. Smoking is a significant problem among poor and illiterate males, shows an increasing trend with an advancing age and is directly associated with skilled occupation and low BMI. There are significant gaps in knowledge regarding hazards of smoking.

  8. A case study of a typical 2.32 kW{sub P} stand-alone photovoltaic (SAPV) in composite climate of New Delhi (India)

    Energy Technology Data Exchange (ETDEWEB)

    Chel, Arvind; Tiwari, G.N. [Center for Energy Studies (CES), Indian Institute of Technology, Hauz Khas, New Delhi 110 016 (India)

    2011-04-15

    This paper presents rigorous experimental outdoor performance of a 2.32 kW{sub P} stand-alone photovoltaic (SAPV) system in New Delhi (India) for four weather types in each month such as clear, hazy, partially cloudy/foggy and fully cloudy/foggy weather conditions respectively. The daily power generated from the existing SAPV system was experimentally found in the range of 4-6 kW h/day depending on the prevailing sky conditions. The number of days and daily power generated corresponding to four weather types in each month were used to determine monthly and subsequently annual power generation from the existing SAPV system. There are three daily load profiles with and without earth to air heat exchanger suitable for three seasons like summer (3.75-6.15 kW h/day), winter (2.79-5.19 kW h/day) and rainy (3.75 kW h/day). The hourly efficiency of the SAPV system components are determined and presented in this paper. The life cycle cost (LCC) analysis for the existing typical SAPV system is carried out to determine unit cost of electricity. The effect of annual degradation rate of PV system efficiency is also presented in this paper. The energy production factor (EPF) and the energy payback time (EPBT) of the SAPV system was also determined and presented in this paper. (author)

  9. 'Women at risk': the health and social vulnerabilities of the regular female partners of men who inject drugs in Delhi, India.

    Science.gov (United States)

    Sharma, Vartika; Sarna, Avina; Luchters, Stanley; Sebastian, Mary; Degomme, Olivier; Saraswati, Lopamudra Ray; Madan, Ira; Thior, Ibou; Tun, Waimar

    2015-01-01

    Needle and syringe sharing is common among people who inject drugs and so is unprotected sex, which consequently puts their sex partners at risk of sexually transmitted infections (STIs) including HIV and other blood-borne infections, like hepatitis. We undertook a nested study with the regular female partners of men who inject drugs participating in a longitudinal HIV incidence study in Delhi, India. In-depth interviews were conducted with female partners of 32 men. The interviews aimed to gather focused and contextual knowledge of determinants of safe sex and reproductive health needs of these women. Information obtained through interviews was triangulated and linked to the baseline behavioural data of their partner (index men who injected drugs). The study findings illustrate that women in monogamous relationships have a low perception of STI- and HIV-related risk. Additionally, lack of awareness about hepatitis B and C is a cause of concern. Findings also suggest impact of male drug use on the fertility of the female partner. It is critical to empower regular female partners to build their self-risk assessment skills and self-efficacy to negotiate condom use. Future work must explore the role of drug abuse among men who inject drugs in predicting fertility and reproductive morbidity among their female partners.

  10. Prevalence and correlates of tobacco smoking, awareness of hazards, and quitting behavior among persons aged 30 years or above in a resettlement colony of Delhi, India

    Directory of Open Access Journals (Sweden)

    Ankur Garg

    2012-01-01

    Full Text Available Aim: To assess the prevalence and correlates of current smoking, awareness of hazards, and quitting behavior among smokers 30 years and above. Materials and Methods: Study design: Cross-sectional; Setting: Gokulpuri, a resettlement colony in East Delhi, India; Sample size: 911, persons aged 30 years and above using systematic random sampling; Study tools: Semi-structured questionnaire. Results: Prevalence of current smoking was found to be 24.6% (95% CI 21.90 - 27.49. Majority 198 (88.4% of current smokers smoked bidi exclusively, and on an average 13.5 bidi/cigarette were smoked per day. Multivariate analysis showed the factors associated with current smoking as male sex, advancing age, illiteracy, skilled occupation, low socio-economic status, and low BMI (P < 0.001. 64.2% were aware of the hazards of smoking. 63 (21.9% had quit smoking in the past, majority due to the health problems. Low educational status was associated with poor hazard awareness and quitting behavior. Conclusion: Smoking is a significant problem among poor and illiterate males, shows an increasing trend with an advancing age and is directly associated with skilled occupation and low BMI. There are significant gaps in knowledge regarding hazards of smoking.

  11. Spatial molecular epidemiology of carbapenem-resistant and New Delhi metallo beta-lactamase (blaNDM)-producing Escherichia coli in the piglets of organized farms in India.

    Science.gov (United States)

    Pruthvishree, B S; Vinodh Kumar, O R; Sinha, D K; Malik, Y P S; Dubal, Z B; Desingu, P A; Shivakumar, M; Krishnaswamy, N; Singh, B R

    2017-06-01

    A cross-sectional study was conducted in 10 government-organized pig farms between 2014 and 2016 representing seven states of India to understand the epidemiology of carbapenem resistance in the Escherichia coli. In this study, fecal sample (n = 673) from non-diarrheic (n = 501) and diarrheic (n = 172) piglets were processed for isolation of carbapenem resistant E. coli. Of 673, E. coli isolate (n = 112) was genotyped for confirming the carbapenem resistance and associated virulence factors. Of the 112 isolates, 23 were phenotypically resistant to carbapenem and 8 were carrying the New Delhi metallo beta-lactamase (blaNDM) gene. The carbapenem-resistant isolates also produced extended spectrum beta-lactamases and were multidrug resistant. The PCR-based pathotyping revealed the presence of stx1, stx2, eae and hlyA genes. The enterobacterial repetitive intergenic consensus PCR dendrogram analysis of the isolates yielded three distinct clusters. The statistical analysis revealed no association between carriages of carbapenem-resistant E. coli in different breed of piglets however, location, sex, health status of piglets and age showed significant difference. The spatial analysis with SaTScan helped in identification of carbapenem-resistant clusters. The presence of carbapenem resistant E. coli isolates with virulence genes in the piglet poses a potential public health risk through possible access and spread via the food chain and environment. Efflux pump may also play an important role in carbapenem resistance in piglet E. coli isolates. Furthermore, identification of risk factors in relation to spatial clusters will help in designing preventive strategies for reducing the risk of spread of carbapenem resistant bacteria. 1. Piglets harbor carbapenem resistant E. coli and have great public health significance. 2. Apart from carbapenemase, efflux pump is also important for carbapenem resistance. 3. This is the first report of blaNDM in the piglets from India. © 2017

  12. 'Negotiating the tensions of having to attach and detach concurrently': a qualitative study on combining breastfeeding and employment in public education and health sectors in New Delhi, India.

    Science.gov (United States)

    Omer-Salim, Amal; Suri, Shoba; Dadhich, Jai Prakash; Faridi, Mohammad Moonis Akbar; Olsson, Pia

    2015-04-01

    the aim of this study was to explore the factors involved in combining breastfeeding and employment in the context of six months of maternity leave in India. qualitative semi-structured interviews were conducted and analysed using a Grounded Theory approach. Health and Education sectors in New Delhi, India. 20 first-time mothers with one 8-12 month-old infant and who had returned to work after six months׳ maternity leave. the interviews followed a pre-tested guide with a vignette, one key question and six thematic areas; intentions, strategies, barriers, facilitators, actual experiences and appraisal of combining breastfeeding and employment. Probing covered pre-pregnancy, pregnancy, maternity leave, the transition and return to work. This study revealed a model of how employed women negotiate the tensions of concurrently having to attach and detach from their infant, work, and family. Women managed competing interests to ensure trusted care and nutrition at home; facing workplace conditions; and meeting roles and responsibilities in the family. In order to navigate these tensions, they used various satisficing actions of both an anticipatory and troubleshooting nature. in spite of a relatively generous maternity leave of six months available to these women, several individual, familial and workplace factors interacted to both hinder and facilitate the process of combining breastfeeding and employment. Tension, negotiation and compromise are inherent to the process. antenatal and postnatal interventions providing information and support for working mothers need to address factors at the individual, family and workplace levels in addition to the provision of paid maternity leave to enable the successful combination of breastfeeding and employment. Copyright © 2015 Elsevier Ltd. All rights reserved.

  13. TB Notification from Private Health Sector in Delhi, India: Challenges Encountered by Programme Personnel and Private Health Care Providers

    Directory of Open Access Journals (Sweden)

    Mahasweta Satpati

    2017-01-01

    Full Text Available Objective. To identify the challenges encountered by private health care providers (PHCP to notify tuberculosis cases through a programme developed web-based portal mechanism called “NIKSHAY.” Study Design. It is a descriptive qualitative study conducted at two revised national tuberculosis control programme (RNTCP districts of New Delhi. The study included in-depth interviews of PHCP registered with “NIKSHAY” and RNTCP programme personnel. Grounded theory was used to conceptualise the latent social patterns in implementation of tuberculosis case notification process and promptly identifying their challenges. Results. The analysis resulted in identification of three broad themes: (a system implementation by RNTCP: it emphasizes the TB notification process by the RNTCP programme personnel; (b challenges faced by PHCP for TB notification with five different subthemes; and (c perceived gaps and suggestions: to improvise the TB notification process for the private health sector. The challenges encountered by PHCP were mainly related to unsystematic planning and suboptimal implementation by programme personnel at the state and district level. The PHCP lacked clarity on the need for TB notification. Conclusion. Implementation of TB notification among private health care providers requires systematic planning by the programme personnel. The process should be user-friendly with additional benefits to the patients.

  14. Sex selection through traditional drugs in rural north India

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    Bandyopadhyay S

    2007-01-01

    Full Text Available Background : Repidly declining sex ratio has highlighted a strong son preference among many societies various methods are employed by people to get a son. Objective: To determine the use pattern of sex selection drugs (SSDs in rural North India. Methods: An integrated qualitative and quantitative study was conducted in rural North India. A rapid population and hospital based survey of women in their early reproductive life was done in the study area to enlist the respondents. Few SSD samples were collected and analyzed. Results: SSDs were freely available from grocers, chemist shops and specific people in villages. These contained Shivalingi (Bryonia Laciniosa and Majuphal (Gtuercus infectoria. SSD use rate was 46% and 30% in community based and hospital based studies respectively. Use rate was significantly higher in women who did not have any son. Of the SSD samples and two individual ingredients analyzed by thin layer chromatography, 3 contained testosterone and one progesterone; one ingredient contained testosterone and the other natural steroids. Conclusion: Use of SSDs seems to be very common in North India. Implication of presence of steroids in SSDs needs further evaluation.

  15. Association of breakfast intake with obesity, dietary and physical activity behavior among urban school-aged adolescents in Delhi, India: results of a cross-sectional study

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    Arora Monika

    2012-10-01

    Full Text Available Abstract Background In developed countries, regular breakfast consumption is inversely associated with excess weight and directly associated with better dietary and improved physical activity behaviors. Our objective was to describe the frequency of breakfast consumption among school-going adolescents in Delhi and evaluate its association with overweight and obesity as well as other dietary, physical activity, and sedentary behaviors. Methods Design: Cross-sectional study. Setting: Eight schools (Private and Government of Delhi in the year 2006. Participants: 1814 students from 8th and 10th grades; response rate was 87.2%; 55% were 8th graders, 60% were boys and 52% attended Private schools. Main outcome measures: Body mass index, self-reported breakfast consumption, diet and physical activity related behaviors, and psychosocial factors. Data analysis: Mixed effects regression models were employed, adjusting for age, gender, grade level and school type (SES. Results Significantly more Government school (lower SES students consumed breakfast daily as compared to Private school (higher SES students (73.8% vs. 66.3%; p. More 8th graders consumed breakfast daily vs.10th graders (72.3% vs. 67.0%; p. A dose–response relationship was observed such that overall prevalence of overweight and obesity among adolescents who consumed breakfast daily (14.6% was significantly lower vs. those who only sometimes (15.2% or never (22.9% consumed breakfast (p. This relationship was statistically significant for boys (15.4 % vs. 16.5% vs. 26.0; p but not for girls. Intake of dairy products, fruits and vegetables was 5.5 (95% CI 2.4-12.5, 1.7 (95% CI 1.1-2.5 and 2.2 (95% CI 1.3-3.5 times higher among those who consumed breakfast daily vs. those who never consumed breakfast. Breakfast consumption was associated with greater physical activity vs. those who never consumed breakfast. Positive values and beliefs about healthy eating; body image satisfaction; and positive

  16. Widespread fear of dengue transmission but poor practices of dengue prevention: A study in the slums of Delhi, India.

    Science.gov (United States)

    Daudé, Éric; Mazumdar, Sumit; Solanki, Vandana

    2017-01-01

    This study has been conducted to throw light on the knowledge and practices related to dengue fever among the poor population living in Delhi's slums. A household survey was conducted in 2013 among 3,350 households. The households were stratified by a number of variables related to socio-economic status and health events such as hospitalisation. The data collection was completed through face-to-face interviews conducted with the help of 25 field investigators. About 8% of the households had at least one diagnosed dengue case. In comparison to the population surveyed, teenagers (15-19 years) and adults (30-34 years) were more affected whereas children under four years of age were underrepresented. Housewives are more affected by dengue (24%) compared to their share of the population surveyed (17%). Despite the fact that 77% of the respondents are worried about mosquitoes, only 43% of them monitor environment to avoid the presence of breeding sites. One cannot exclude the possibility that though young children under the age of four years are exposed to the virus, either their cases were asymptomatic or family members infected during this period had potentially more serious symptoms leading to hospitalisation. This result could thus be explained by budget-related health choices made by this population which do not favour small children. Educational programs should target housewives to improve their impact, as they are the ones mostly responsible for water storage and cleanliness of the house and its neighbourhood. Even with a dengue experience and potentially an acute perception of the risk and its factors, a proper management of environmental conditions is lacking. This along with the fact that word-of-mouth is the main source of information quoted should be a message for municipality health workers to give door-to-door information on how to prevent breeding sites and dengue infection.

  17. Factors and sources influencing ionic composition of atmospheric condensate during winter season in lower troposphere over Delhi, India.

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    Kumar, Pawan; Yadav, Sudesh

    2013-03-01

    Atmospheric condensate (AC) and rainwater samples were collected during 2010-2011 winter season from Delhi and characterized for major cations and anions. The observed order of abundance of cations and anions in AC samples was NH (4) (+)  > Ca(2+) > Na(+) > K(+) > Mg(2+) and HCO (3) (-)  > SO (4) (2-)  > Cl(-) > NO (2) (-)  > NO (3) (-)  > F(-), respectively. All samples were alkaline in nature and Σ (cation)/Σ (anion) ratio was found to be close to one. NH (4) (+) emissions followed by Ca(2+) and Mg(2+) were largely responsible for neutralization of acidity caused by high NO( x ) and SO(2) emissions from vehicles and thermal power plants in the region. Interestingly, AC samples show low nitrate content compared with its precursor nitrite, which is commonly reversed in case of rainwater. It could be due to (1) slow light-mediated oxidation of HONO; (2) larger emission of NO(2) and temperature inversion conditions entrapping them; and (3) formation and dissociation of ammonium nitrite, which seems to be possible as both carry close correlation in our data set. Principal component analysis indicated three factors (marine mixed with biomass burning, anthropogenic and terrestrial, and carbonates) for all ionic species. Significantly higher sulfate/nitrate ratio indicates greater anthropogenic contributions in AC samples compared with rainwater. Compared with rainwater, AC samples show higher abundance of all ionic species except SO(4), NO(3), and Ca suggesting inclusion of these ions by wash out process during rain events. Ionic composition and related variations in AC and rainwater samples indicate that two represent different processes in time and space coordinates. AC represents the near-surface interaction whereas rainwater chemistry is indicative of regional patterns. AC could be a suitable way to understand atmospheric water interactions with gas and solid particle species in the lower atmosphere.

  18. Genetic signatures coupled with lineage shift characterise endemic evolution of Dengue virus serotype 2 during 2015 outbreak in Delhi, India.

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    Choudhary, Manish Chandra; Gupta, Ekta; Sharma, Shvetank; Hasnain, Nadeem; Agarwala, Pragya

    2017-07-01

    In 2015, New Delhi witnessed a massive outbreak of Dengue virus (DENV) resulting in high morbidity and mortality. We report the molecular characterisation of the dominant circulating DENV strain to understand its evolution and dispersal. DENV infections were diagnosed by detection of IgM/NS1 antigen, and serotyping was performed by C-PrM PCR. Envelope gene was amplified, and variation(s) in envelope gene were analysed. Phylogenetic tree construction, time-based phylogeny and origin of DENV were analysed. Site-specific selection pressure of envelope gene variants was analysed. Confirmed DENV infection was observed in 11.34% (32 of 282) cases, while PCR positivity for C-PrM region was observed in 54.16% (13 of 24) of NS1 antigen-positive cases. All samples belonged to serotype 2 and cosmopolitan genotype. Phylogenetic analysis using envelope gene revealed segregation of cosmopolitan genotype strains into specific lineages. The Indian strains clustered separately forming a distinct monophyletic lineage (lineage III) with a signature amino acid substitution viz., I162V and R288K. Selection pressure analysis revealed that 215D, 288R and 304K were positively selected sites. The rate of nucleotide substitution was 6.93 × 10 -4 substitutions site-1 year-1 with time to most common ancestor was around 10 years with JX475906 (Hyderabad strain) and JN030345 (Singapore strain) as its most probable ancestor. We observed evolution of a distinct lineage of DENV-2 strains on the Indian subcontinent with possible changes in endemic circulating dengue strains that might give rise to more pathogenic strains. © 2017 John Wiley & Sons Ltd.

  19. First study conducted in Northern India that identifies group C rotavirus as the etiological agent of severe diarrhea in children in Delhi.

    Science.gov (United States)

    Tiku, Vasundhara Razdan; Jiang, Baoming; Kumar, Praveen; Aneja, Satender; Bagga, Arvind; Bhan, Maharaj Kishen; Ray, Pratima

    2017-05-30

    Group C Rotavirus (RVC) is an enteric pathogen responsible for acute gastroenteritis in children and adults globally. At present there are no surveillance studies on group C Rotaviruses in India and therefore their prevalence in India remains unknown. The present study aimed to evaluate group C rotavirus infection among rotavirus (N = 180) by Enzyme immunoassay were screened for group C rotavirus by RT-PCR with VP6, VP7 and VP4 gene specific primers. The PCR products were further sequenced (VP6, VP7, VP4) and analyzed to ascertain their origin and G and P genotypes. Six out of 180 (group A rotavirus negative) samples were found positive for group C rotavirus by VP6 gene specific RT-PCR, of which 3 were also found positive for VP7 and VP4 genes. Phylogenetic analysis of VP7 and VP4 genes of these showed them to be G4 and P[2] genotypes. Overall, the nucleotide sequence data (VP6, VP7 and VP4) revealed a close relationship with the human group C rotavirus with no evidence of animal ancestry. Interestingly, the nucleotide sequence analysis of various genes also indicated differences in their origin. While the identity matrix of VP4 gene (n = 3) showed high amino acid sequence identity (97.60 to 98.20%) with Korean strain, the VP6 gene (n = 6) showed maximum identity with Nigerian strain (96.40 to 97.60%) and VP7 gene (n = 3) with Bangladeshi and USA strains. This is true for all analyzed samples. Our study demonstrated the group C rotavirus as the cause of severe diarrhea in young children in Delhi and provides insights on the origin of group C rotavirus genes among the local strains indicating their source of transmission. Our study also highlights the need for a simple and reliable diagnostic test that can be utilized to determine the disease burden due to group C rotavirus in India.

  20. The willingness for using mobile phone for health education among women caregivers of under 5 children in an urban resettlement colony in Delhi, India

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    Saurav Basu

    2017-12-01

    Full Text Available Background: The delivery of health education through mobile phones either through voice calls or text messages (mHealth provide valuable opportunities for bridging gaps in maternal and child healthcare in resource constrained settings. Aims & Objectives: The objective of the present study was to assess willingness to receive m-Health services among women caregivers of under-5 children. Material & Methods: We conducted a cross sectional study in an urban resettlement colony of North East District of Delhi during the period from September’ 2016 to Feb’ 2017.  We enrolled 201 adult women up to 35 years of age who were active caregiver of at-least one under 5 child in their familial household. Results: The mean age of the women was 26.4 and mean years of schooling was 10.1 years. Nearly three-fourth (73.2% could read text messages (SMS while more than a third (36.8% were using mobile internet services. The willingness to receive mHealth services for health promotion was affirmed by 157 (78.2% subjects but it was significantly lower in women with low educational attainment. Conclusion: There exists a strong unmet need for mHealth services among young women caregivers of under 5 children. However, bridging the digital divide is a key challenge towards advancing mHealth for all.

  1. Prevalence of hypothyroidism in term pregnancies in North India

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    Bharti Kalra

    2018-01-01

    Full Text Available Background: Hypothyroidism is common in pregnancy. No study has determined the prevalence of hypothyroidism in term pregnancies in India. Aim: This study aims to determine the prevalence and correlates of hypothyroidism in women who delivered at a center in Karnal, Haryana, North India. Results: Indoor records of all women who had delivered at this centre from April 2016 to March 2017 were reviewed. The prevalence of hypothyroidism was 12.3%, of which 15.5% were diagnosed during pregnancy. The dose requirement of L-thyroxine ranged from 25 to 200 μg (mean 76.38 +- 43.02. With this, 80% were able to achieve trimester-specific thyroid-stimulating hormone targets. Hypothyroidism did not correlate with any medical or obstetric complications. Conclusion: Hypothyroidism is common in term pregnancies. If treated adequately, healthy fetomaternal outcomes can be achieved.

  2. Impacts of Bus-stops on the Speed of Motorized Vehicles under Heterogeneous Traffic Conditions: A Case-Study of Delhi, India

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    Prateek Bansal

    2014-06-01

    Full Text Available The presence of friction generators1 such as bus-stops, intersections, petrol pumps and pedestrian crossings, etc. significantly influences the speed of traffic stream. Among all the friction generators, understanding the impact of bus-stops is particularly important from planning and modeling perspective in the Indian context. Therefore, this study presents a methodology to quantify the impact of bus-stops on the speed of other motorized vehicles (the total motorized vehicle fleet minus the buses under heterogeneous traffic conditions. The methodology was validated on the typical urban arterials in Delhi, India. Two types of data, location of bus-stops and speed profiles of motorized vehicles, were collected by GPS and V-box respectively. These two data sets were mapped and merged using ArcGIS. To understand the nature of traffic stream near bus-stops, ‘influence regions’ of bus-stops were extracted. Later, characteristic parameters such as lengths of the influence regions and average speeds in the influence regions were computed. Finally, 95% confidence intervals of these characteristic parameters were obtained and regression analysis was performed to quantify the impact of bus-stops on the speed of motorized vehicles. The results of study suggest that the influence region of bus-stops on the corridors investigated varies from 140–170 meters and average speed of motorized vehicles in the influence region is reduced by 26–38% of the free flow speed. These findings can better inform planners about the speeds used in traffic flow and travel demand modeling under heterogeneous conditions by helping them in accounting for the speed-reducing impacts of bus-stops. Moreover, transit planners may also consider the magnitudes and characteristics of the influence regions of bus-stops while determining their locations along the corridor to minimize their adverse impacts on the speed of other motorized vehicles.

  3. A comparative study of job satisfaction among regular and staff on contract in the primary health care system in Delhi, India

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    Pawan Kumar

    2014-01-01

    Full Text Available Background: Job satisfaction is a pleasant emotional state associated with the appreciation of one′s work and contributes immensely to performance in an organization. The purpose of this study was to assess the comparative job satisfaction among regular and staff on contract in Government Primary Urban Health Centers in Delhi, India. Materials and Methods: The study was conducted in 2013, on a sample of 333 health care providers who were selected using a multistage random sampling technique. The sample included medical officers (MOs, auxiliary nurses and midwives (ANMs, pharmacists and laboratory technicians (LTs/laboratory assistants (LAs among regular and staff on contract. Analysis was done using SPSS version 18, and appropriate statistical tests were applied. Results: The job satisfaction for all the regular staff that is, MOs, ANMs, pharmacists, LAs, and LTs were relatively higher (3.3 ± 0.44 than the contract staff (2.7 ± 0.45 with ′t′value 10.54 (P < 0.01. The mean score for regular and contract MOs was 3.2 ± 0.46 and 2.7 ± 0.56, respectively, and the same trends were found between regular and ANMs on the contract which was 3.4 ± 0.30 and 2.7 ± 0.38, regular and pharmacists on the contract was 3.3 ± 0.50 and 2.8 ± 0.41, respectively. The differences between groups were significant with a P < 0.01. Conclusion: Overall job satisfaction level was relatively low in both regular and contract staff. The factors contributing to satisfaction level were privileges, interpersonal relations, working-environment, patient relationship, the organization′s facilities, career development, and the scarcity of human resources (HRs. Therefore, specific recommendations are suggested to policy makers to take cognizance of the scarcity of HRs and the on-going experimentation with different models under primary health care system.

  4. Water-soluble ions and carbon content of size-segregated aerosols in New Delhi, India: direct and indirect influences of firework displays.

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    Kumar, Pawan; Kumar, Rakesh; Yadav, Sudesh

    2016-10-01

    The particle size distribution and water-soluble inorganic ion (WSII) and carbonaceous species in size-segregated aerosols, Dp firework displays in New Delhi, India. The firework activity had the maximum contribution to the mass loading of PM 0.95 (786 μg/m 3 ) followed by PM 0.95-1.5 (216 μg/m 3 ) with all other three fractions accounting to a total of 214 μg/m 3 . The percentage contributions of WSII to the total mass of aerosols were highest in first two size fractions (39 and 40 %, respectively), compared to other fractions. The firework marker ion (Mg 2+ , Cl - , and K + ) mass concentration shows higher values in PM 0.95 during Diwali compared to before Diwali period. The mass size distribution of particles, NH 4 + , K + , Cl - , SO 4 2- , Mg 2+ , and NO 3 - , also showed changes on the Diwali night compared to previous and after days. The high Cl - /Na + (5.6) and OC/EC (3.4) ratio of PM 0.95 can be used as the indicators of firework displays. The lowering of mixing height on Diwali night to 50 m compared to before (277 mts) and after (269 mts) Diwali period further concentrated the aerosols in ambient atmosphere. Therefore, the firework display not only released the gaseous or elemental constituent but also influenced the temperature profile and both put together result in high aerosol concentrations, WSII, OC, and BC contents in ambient atmosphere. The alveolar, respirable, and inhalable fractions accounted for 64.6, 90.8, and 97.8 %, respectively, of the total PM 10 mass. People stay exposed to such high pollution level in short span of 6-8 h and experience adverse health impacts due to high mass concentrations and the chemical components of fine aerosols.

  5. Performance of a community-based health and nutrition-education intervention in the management of diarrhoea in a slum of Delhi, India.

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    Pahwa, Smriti; Kumar, Geeta Trilok; Toteja, G S

    2010-12-01

    Diarrhoeal infections are the fifth leading cause of death worldwide and continue to take a high toll on child health. Mushrooming of slums due to continuous urbanization has made diarrhoea one of the biggest public-health challenges in metropolitan cities in India. The objective of the study was to carry out a community-based health and nutrition-education intervention, focusing on several factors influencing child health with special emphasis on diarrhoea, in a slum of Delhi, India. Mothers (n=370) of children, aged >12-71 months, identified by a door-to-door survey from a large urban slum, were enrolled in the study in two groups, i.e. control and intervention. To ensure minimal group interaction, enrollment for the control and intervention groups was done purposively from two extreme ends of the slum cluster. Baseline assessment of knowledge, attitudes, and practices on diarrhoea-related issues, such as oral rehydration therapy (ORT), oral rehydration salt (ORS), and continuation of breastfeeding during diarrhoea, was carried out using a pretested questionnaire. Thereafter, mothers (n=195) from the intervention area were provided health and nutrition education through fortnightly contacts achieved by two approaches developed for the study--'personal discussion sessions' and 'lane approach'. The mothers (n=175) from the control area were not contacted. After the intervention, there was a significant (p=0.000) improvement in acquaintance to the term 'ORS' (65-98%), along with its method of reconstitution from packets (13-69%); preparation of home-made sugar-salt solution (10-74%); role of both in the prevention of dehydration (30-74%) and importance of their daily preparation (74-96%); and continuation of breastfeeding during diarrhoea (47-90%) in the intervention area. Sensitivity about age-specific feeding of ORS also improved significantly (p=0.000) from 13% to 88%. The reported usage of ORS packets and sugar-salt solution improved significantly from 12% to 65

  6. Spectrum of Perforation Peritonitis in Delhi: 77 Cases Experience

    OpenAIRE

    Yadav, Dinesh; Garg, Puneet K.

    2012-01-01

    Perforation peritonitis is the most common surgical emergency encountered by surgeons all over the world as well in India. The spectrum of etiology of perforation peritonitis in tropical countries continues to differ from its western counterpart. This study was conducted at Hindu Rao Hospital, Municipal Corporation of Delhi, New Delhi, India, designed to highlight the spectrum of perforation peritonitis in the eastern countries and to improve its outcome. This prospective study included 77 co...

  7. Searching for Sexual Revolutions in India: Non-Governmental Organisation-Designed Sex Education Programmes as a Means towards Gender Equality and Sexual Empowerment in New Delhi, India

    Science.gov (United States)

    Gabler, Mette

    2012-01-01

    At the foundation of most inequalities in expression of sexuality lie social constructions of gender. In this paper, sex education is considered as a possibility to challenge sexism and promote healthy and self-affirmative sex lives. In the past decade, the discourse of sex education in India has become a "battle of morality" where…

  8. Pulmonary Function Tests In Young Healthy Subjects Of North India

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    Parag Rastogi

    2004-06-01

    Full Text Available Study Objectives : The diagnosis of disease done by skiagram can be substantiated by pulmonary function tests. Substantial data of Indians on PFTs is not available. The present study therefore has been planned on young healthy north Indians.Setting : 119 males and 49 female medical students of North India.Measurements : PFT's, T.V. FEV1, FVC, FER and PEFR were measured. P<0.05 was considered as significant.Results : In North Indian males, mean T. V was 437.56 ± 65.83 ml, FEV1 3.26 ±041 L, FVC 3.82 ± 0.48 L, FER 85.09 ± 2.42% and PEFR was 495.42 ± 101.82 L / min. In North Indian females, average T. V was 386.12 ± 37.90 ml, FEV1 2.39 ± 0.38 L, FVC 2.79 ± 0.43 L, FER 85.38 ± 257% and PEFR was 307.12 ± 75.74 L / min.Conclusions: Males in comparison to females had more value of PFTs. All the PFTs showed positive correlation with Height, Weight and Surface area except Tidal Volume and FER.

  9. Active and passive measurements of radon/thoron exhalation from coal and flyash samples collected from various thermal power plants of Delhi, India

    International Nuclear Information System (INIS)

    Singh, Lalit Mohan; Kumar, Rajesh; Sahoo, B.K.; Sapra, B.K.; Rajendra Prasad

    2013-01-01

    Measurement of radon ( 222 Rn) exhalation from coal, flyash and soil samples was carried out using active (Scintillation based Smart Radon Monitor) as well as passive technique (SSNTD based Can technique). In addition, thoron ( 220 Rn) exhalation measurements were also made for the above samples using Scintillation based Smart Thoron Monitor. To the best of our knowledge, thoron exhalation measurement is first of its kind in India. In this study, a total of 26 samples collected from Badarpur Thermal Power Station, Badarpur and Rajghat Power Station, Rajghat, Delhi were analysed. Thoron surface exhalation rate measured by Scintillation based Thoron Monitor for Badarpur Thermal Power Station varied from 327.8 Bq/m 2 /h to 874.2 Bq/m 2 /h and for Rajghat Thermal Power Station it varied from 176.0 Bq/m 2 /h to 781.1 Bq/m 2 /h. Similarly, the radon mass exhalation rate measured by active technique varied from 12.13 mBq/Kg/h to 118.08 mBq/Kg/h for the samples collected from Badarpur Thermal Power Station; while it varied from 15.00 Bq/Kg/h to 168.07 mBq/Kg/h for the samples collected from Rajghat Thermal Power station. On the other hand, result of measurements made by the conventional Can technique were significantly lower varying from 0.44 mBq/Kg/h to 2.34 mBq/Kg/h for Rajghat Thermal Power Station and from 0.78 mBq/Kg/h to 2.88 mBq/Kg/h for Badarpur Thermal Power Station. This vast variation in the results obtained by active and passive techniques is due to the fact that the active technique accounts for the effect of back-diffusion and possible leakage from the chamber in the process of least square fitting of exponential model while it is not so in the case of SSNTD based Can technique. In view of this, results of active technique are more reliable as compared to the passive technique. More importantly, there was no thoron interference in the radon measurement by the active technique. Further experiments are being carried out using controlled radon and thoron

  10. The North-South divide in snake bite envenomation in India

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    Vivek Chauhan

    2016-01-01

    Full Text Available Snake bite envenomations are common in rural areas and the incidence peaks during monsoons in India. Prominent venomous species have been traditionally labeled as the ′big four′ that includes Cobra, Krait, Russel′s viper and Saw scaled viper. Systematic attempts for identification and classification of prevalent snakes in various states of India are missing till now and there is no concrete data on this aspect. The published literature however shows that some species of snakes are more prevalent in a particular region than the other parts of India e.g. Saw scaled vipers in Rajasthan. We reviewed the published literature from various parts of India and found that there is a North-South divide in the snake bite profile from India. Neurotoxic envenomations are significantly higher in North India compared to South India where Hematotoxic envenomations are prevalent. Russel′s viper causes local necrosis, gangrene and compartment syndrome. These manifestations have never been reported in North Indian snake bite profile in the published literature. Early morning neuroparalysis caused by Krait is a common problem in North India leading to high mortality after snake bite. This review presents supporting evidence for the North-South divide and proposes a way forward in formulation and revision of guidelines for snake bite in India.

  11. Bioclimatism and vernacular architecture of north-east India

    Energy Technology Data Exchange (ETDEWEB)

    Singh, Manoj Kumar; Atreya, S.K. [Instrument Design and Development Centre, Indian Institute of Technology Delhi, New Delhi 110016 (India); Mahapatra, Sadhan [Department of Energy, Tezpur University, Tezpur 784028, Assam (India)

    2009-05-15

    Vernacular architecture based on bioclimatism concepts was developed and used through the centuries by many civilizations across the world. Different civilizations have produced their own architectural styles based on the local conditions. This study is carried out on the vernacular buildings of north-east India across all the bioclimatic zones. A survey of 42 houses, more than 70 years old was carried out at representative locations across all bioclimatic zones. The study has yielded findings relating bioclimatism, socio-economic status and cultural setup to the vernacular architecture of the region. Also, different solar passive features are available in most of these houses, related to temperature control and promoting natural ventilation. These houses are constructed using locally available materials like wood, cane, bamboo, stone, mud, jute, lime and represent unique examples towards sustainable building design. (author)

  12. Changing trends in sexually transmitted diseases in North Eastern India

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    Jaiswal A

    2002-01-01

    Full Text Available A retrospective data analysis was carried out to find the trends in frequency and distribution of different STDs in North Eastern (NE India during 1995 - 1999. The commonest STD was chancroid (25.7% followed by condylomata acuminata (CA, nongonococcal urethritis (NGU, lymphogranuloma venereum (LGV, syphilis, gonorrhoea (GONO, herpes genitalis (HG, mixed infection (MI and balanoposthitis (BP. Interestingly no case of donovanosis (Dono was seen. HIV infection accounted for 9.62% of the total STD patients. A comparison of the present data with that reported a decade back (1986 - 1990 revealed a sharp decline in the incidence of syphilis, chancroid, GONO, whereas a conspicuous upward trend in CA and NGU. Factors responsible for these variations are analysed briefly.

  13. Seasonal prediction skill of winter temperature over North India

    Science.gov (United States)

    Tiwari, P. R.; Kar, S. C.; Mohanty, U. C.; Dey, S.; Kumari, S.; Sinha, P.

    2016-04-01

    The climatology, amplitude error, phase error, and mean square skill score (MSSS) of temperature predictions from five different state-of-the-art general circulation models (GCMs) have been examined for the winter (December-January-February) seasons over North India. In this region, temperature variability affects the phenological development processes of wheat crops and the grain yield. The GCM forecasts of temperature for a whole season issued in November from various organizations are compared with observed gridded temperature data obtained from the India Meteorological Department (IMD) for the period 1982-2009. The MSSS indicates that the models have skills of varying degrees. Predictions of maximum and minimum temperature obtained from the National Centers for Environmental Prediction (NCEP) climate forecast system model (NCEP_CFSv2) are compared with station level observations from the Snow and Avalanche Study Establishment (SASE). It has been found that when the model temperatures are corrected to account the bias in the model and actual orography, the predictions are able to delineate the observed trend compared to the trend without orography correction.

  14. Earthquake precursory studies in Kangra valley of North West Himalayas, India, with special emphasis on radon emission

    International Nuclear Information System (INIS)

    Kumar, Arvind; Singh, Surinder; Mahajan, Sandeep; Bajwa, Bikramjit Singh; Kalia, Rajeev; Dhar, Sunil

    2009-01-01

    The continuous soil gas radon monitoring is carried out at Palampur and the daily monitoring of radon concentration in water is carried out at Dharamshala region of Kangra valley of North West Himalayas, India, a seismic zone V, to study the correlation of radon anomalies in relation to seismic activities. In this study, radon monitoring in soil was carried out by using barasol probe manufactured by Algade France, whereas the radon content in water was recorded using RAD 7 radon monitoring system of Durridge Company USA. The effect of meteorological parameters viz. temperature, pressure, wind velocity, rainfall, and humidity on radon emission has been studied. The seasonal average value and standard deviation of radon in soil and water is calculated to find the radon anomaly to minimize the effect of meteorological parameters on radon emission. The radon anomalies observed in the region have been correlated with the seismic events of M≥2 reported by Wadia Institute of Himalayas Geology Dehradoon and Indian Meteorological Department, New Delhi in NW Himalayas within 250 km distance from the monitoring stations.

  15. Prospective surveillance of device-associated health care-associated infection in an intensive care unit of a tertiary care hospital in New Delhi, India.

    Science.gov (United States)

    Kumar, Shilpee; Sen, Poornima; Gaind, Rajni; Verma, Pardeep Kumar; Gupta, Poonam; Suri, Prem Rose; Nagpal, Sunita; Rai, Anil Kumar

    2018-02-01

    Surveillance of health care-associated infections (HAIs) plays a key role in the hospital infection control program and reduction of HAIs. In India, most of the surveillance of HAIs is reported from private sector hospitals that do not depict the situation of government sector hospitals. Other studies do not confirm with the Centers for Disease Control and Prevention's (CDC) National Healthcare Safety Network (NHSN) surveillance criterion, or deal with ventilator-associated pneumonia (VAP) instead of ventilator-associated event (VAE). The aim of this study was to identify the incidences of 3 device-associated HAIs (DA-HAIs) (VAE, central line-associated bloodstream infection [CLABSI], and catheter-associated urinary tract infection [CAUTI]) by active surveillance using CDC's NHSN surveillance criteria and to identify the pathogens associated with these DA-HAIs. This was a prospective surveillance study (January 2015-December 2016) conducted in an intensive care unit (ICU) of a large, tertiary care, government hospital situated in Delhi, India. Targeted surveillance was done as per the CDC's NHSN 2016 surveillance criteria. There were 343 patients admitted to the ICU that were included in the study. The surveillance data was reported over 3,755 patient days. A DA-HAIs attack rate of 20.1 per 100 admissions and incidence of 18.3 per 1,000 patient days was observed. The duration of use for each device for patients with DA-HAIs was significantly longer than for patients without DA-HAIs. The device utilization ratios of central line, ventilator, and urinary catheters were 0.57, 0.85, and 0.72, respectively. The crude excess length of stay for patients with DA-HAI was 13 days, and crude excess mortality rate was 11.8%. VAE, CLABSI, and CAUTI rates were 11.8, 7.4, and 9.7 per 1,000 device days, respectively. Among 69 DA-HAIs reported, pathogens could be identified for 49 DA-HAI cases. Klebsiella spp was the most common organism isolated, accounting 28.5% for all DA

  16. Resurgence of diphtheria in rural areas of North Karnataka, India.

    Science.gov (United States)

    Parande, Mahantesh V; Roy, Subarna; Mantur, B G; Parande, Aisha M; Shinde, Rupali S

    2017-01-01

    A diphtheria outbreak was identified from Vijayapura (formerly Bijapur) district in the South Indian state of Karnataka in 2011. There was a surge in the number of throat swab samples received under the Integrated Disease Surveillance Programme (IDSP) in North Karnataka since then. A microbiological study was undertaken to generate information on the status of resurgence of the disease in the region. Throat swabs from 432 suspected cases of diphtheria during 2012-2015 were obtained from government hospitals and primary health centres of 8 districts in North Karnataka and were processed for the culture and identification of Corynebacterium diphtheriae. Polymerase chain reaction for the presence of toxin gene (toxA and toxB) was carried out on the isolates. Antibiotic sensitivity tests were performed on the isolates with a panel of 14 antibiotics. Thirty-eight (8.79%) out of 432 samples yielded C. diphtheriae on culture. All isolates possessed the diphtheria toxin gene. Out of the 38 confirmed cases, whereas 21 (55.26%) were between 1 and 5 years of age, 14 (36.84%) were aged between 5 and 10 years. Male children were three times more than females in confirmed cases. No information was available on the immunisation status of the cases. Emergence of resistance to penicillin was found with minimum inhibitory concentration reaching up to 6.00 μg/ml. Our study identified an upsurge in cases of diphtheria in North Karnataka, particularly in Vijayapura District, and to the best of our knowledge, reports the emergence of penicillin resistance for the first time in India. The study calls for enhanced surveillance for the disease, making antidiphtheritic serum available in key hospitals in the region and serves to provide a baseline for future assessment of the impact of the recently launched 'Mission Indradhanush' programme in strengthening Universal Immunisation Programme (UIP).

  17. Resurgence of diphtheria in rural areas of North Karnataka, India

    Directory of Open Access Journals (Sweden)

    Mahantesh V Parande

    2017-01-01

    Full Text Available Background: A diphtheria outbreak was identified from Vijayapura (formerly Bijapur district in the South Indian state of Karnataka in 2011. There was a surge in the number of throat swab samples received under the Integrated Disease Surveillance Programme (IDSP in North Karnataka since then. Objectives: A microbiological study was undertaken to generate information on the status of resurgence of the disease in the region. Materials and Methods: Throat swabs from 432 suspected cases of diphtheria during 2012–2015 were obtained from government hospitals and primary health centres of 8 districts in North Karnataka and were processed for the culture and identification of Corynebacterium diphtheriae. Polymerase chain reaction for the presence of toxin gene (toxA and toxB was carried out on the isolates. Antibiotic sensitivity tests were performed on the isolates with a panel of 14 antibiotics. Results: Thirty-eight (8.79% out of 432 samples yielded C. diphtheriae on culture. All isolates possessed the diphtheria toxin gene. Out of the 38 confirmed cases, whereas 21 (55.26% were between 1 and 5 years of age, 14 (36.84% were aged between 5 and 10 years. Male children were three times more than females in confirmed cases. No information was available on the immunisation status of the cases. Emergence of resistance to penicillin was found with minimum inhibitory concentration reaching up to 6.00 μg/ml. Conclusion and Discussion: Our study identified an upsurge in cases of diphtheria in North Karnataka, particularly in Vijayapura District, and to the best of our knowledge, reports the emergence of penicillin resistance for the first time in India. The study calls for enhanced surveillance for the disease, making antidiphtheritic serum available in key hospitals in the region and serves to provide a baseline for future assessment of the impact of the recently launched 'Mission Indradhanush' programme in strengthening Universal Immunisation Programme

  18. Clinical & biochemical profile of trichinellosis outbreak in north India

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    Rahul K Sharma

    2014-01-01

    Full Text Available Background & objectives: Trichinellosis is a parasitic infection caused by Trichinella nematodes, acquired from consumption of raw meat. However, data from Indian subcontinent are limited. The aim of this study was to investigate the clinical and biochemical profile of a suspected trichinellosis outbreak in a village in Tehri Garhwal district of Uttarakhand state in north India. Methods: Three index cases presenting as acute febrile myalgia syndrome with eosinophilia, after consumption of uncooked pork in a common feast, were confirmed as trichinellosis on muscle biopsy. A detailed epidemiological survey was carried out in the affected community and all the people who participated in the feast were investigated for clinical and biochemical profile. Results: A total of 54 patients were evaluated in the study. The type of pork consumed included uncooked in 24 per cent (n=13, open fire roasted in 39 per cent (n=21 and fried in 37 per cent (n=20. Clinical symptoms were found in those who consumed pork in uncooked or open fire roasted form (n=34. These included fever with chills and myalgia (100%, periorbital oedema (67%, dyspnoea (9%, and dysphagia (3%. Laboratory parameters studied in both symptomatic and asymptomatic patients showed eosinophilia in 90 per cent (n=41, raised ESR in 98 per cent (n=45, and an elevated creatinine phosphokinase (CPK level in 85 per cent (n=39. All symptomatic patients were treated with a short course of oral steroids and albendazole therapy. Conclusions: Trichinella infection is not uncommon in India, and should be suspected in case of acute febrile myalgia especially in areas, where habits of consumption of raw meat is more prevalent.

  19. Genetic assessment of ornamental fish species from North East India.

    Science.gov (United States)

    Dhar, Bishal; Ghosh, Sankar Kumar

    2015-01-25

    Ornamental fishes are traded with multiple names from various parts around the world, including North East India. Most are collected from the wild, due to lack of species-specific culture or breeding, and therefore, such unmanaged collection of the wild and endemic species could lead to severe threats to biodiversity. Despite many regulatory policies, trade of threatened species, including the IUCN listed species have been largely uncontrolled, due to species identification problems arising from the utilization of multiple trade names. So, the development of species-specific DNA marker is indispensable where DNA Barcoding is proved to be helpful in species identification. Here, we investigated, through DNA Barcoding and morphological assessment, the identification of 128 ornamental fish specimens exported from NE India from different exporters. The generated sequences were subjected to similarity match in BOLD-IDS as well as BLASTN, and analysed using MEGA5.2 for species identification through Neighbour-Joining (NJ) clustering, and K2P distance based approach. The analysis revealed straightforward identification of 84 specimens into 35 species, while 44 specimens were difficult to distinguish based on CO1 barcode alone. However, these cases were resolved through morphology, NJ and distanced based method and found to be belonging to 16 species. Among the 51 identified species, 14 species represented multiple trade names; 17 species belonged to threatened category. Species-level identification through DNA Barcoding along with traditional morphotaxonomy reflects its efficacy in regulating ornamental fish trade and therefore, appeals for their conservation in nature. The use of trade names rather than the zoological name created the passage for trafficking of the threatened species and demands immediate attention for sustaining wildlife conservation. Copyright © 2014 Elsevier B.V. All rights reserved.

  20. AHP 45: REVIEW: FOUNDING AN EMPIRE ON INDIA'S NORTH-EASTERN FRONTIERS 1790-1840

    OpenAIRE

    Hilary Howes

    2017-01-01

    This thoroughly researched and carefully constructed monograph focuses on what is now north-eastern India, an irregularly-shaped region joined only by a narrow neck of land to the remainder of the Indian subcontinent and jostled (or nestled, depending on one's point of view) between Bangladesh, Bhutan, Myanmar, Nepal, and Tibet. Crucially, author Gunnel Cederlöf argues, this representation of northeast India on modern maps - an island in constant danger of drifting away from mainland India, h...

  1. Modulation of aerosol radiative forcing due to mixing state in clear and cloudy-sky: A case study from Delhi National Capital Region, India

    Science.gov (United States)

    Srivastava, Parul; Dey, Sagnik; Srivastava, Atul K.; Singh, Sachchidanand; Tiwari, Suresh; Agarwal, Poornima

    2016-04-01

    Aerosol properties change with the change in mixing state of aerosols and therefore it is a source of uncertainty in estimated aerosol radiative forcing (ARF) from observations or by models assuming a specific mixing state. The problem is important in the Indo-Gangetic Basin, Northern India, where various aerosol types mix and show strong seasonal variations. Quantifying the modulation of ARF by mixing state is hindered by lack of knowledge about proper aerosol composition. Hence, first a detailed chemical composition analysis of aerosols for Delhi National capital region (NCR) is carried out. Aerosol composition is arranged quantitatively into five major aerosol types - accumulation dust, coarse dust, water soluble (WS), water insoluble (WINS), and black carbon (BC) (directly measured by Athelometer). Eight different mixing cases - external mixing, internal mixing, and six combinations of core- shell mixing (BC over dust, WS over dust, WS over BC, BC over WS, WS over WINS, and BC over WINS; each of the combinations externally mixed with other species) have been considered. The spectral aerosol optical properties - extinction coefficient, single scattering albedo (SSA) and asymmetry parameter (g) for each of the mixing cases are calculated and finally 'clear-sky' and 'cloudy-sky' ARF at the top-of-the-atmosphere (TOA) and surface are estimated using a radiative transfer model. Comparison of surface-reaching flux for each of the cases with MERRA downward shortwave surface flux reveals the most likely mixing state. 'BC-WINS+WS+Dust' show least deviation relative to MERRA during the pre-monsoon (MAMJ) and monsoon (JAS) seasons and hence is the most probable mixing states. During the winter season (DJF), 'BC-Dust+WS+WINS' case shows the closest match with MERRA, while external mixing is the most probable mixing state in the post-monsoon season (ON). Lowest values for both TOA and surface 'clear-sky' ARF is observed for 'BC-WINS+WS+ Dust' mixing case. TOA ARF is 0.28±2

  2. Understanding heavy mineral dynamics using magnetic fingerprinting technique: A case study of North Maharashtra Coast, India

    Digital Repository Service at National Institute of Oceanography (India)

    Badesab, F.K.; Iyer, S.D.; Gujar, A; Naik, D.K.; Gaonkar, S.S.; Luis, R.A.A; Shirodkar, P.; Naik, Smita

    Environmental magnetic and grain size measurements were carried out on sand samples collected from nine sand pits along a 20-km coastal stretch of Arnala Beach, North Maharashtra, India. This study sets out to identify the potential heavy (magnetite...

  3. Soil Health Management under Hill Agroecosystem of North East India

    Directory of Open Access Journals (Sweden)

    R. Saha

    2012-01-01

    Full Text Available The deterioration of soil quality/health is the combined result of soil fertility, biological degradation (decline of organic matter, biomass C, decrease in activity and diversity of soil fauna, increase in erodibility, acidity, and salinity, and exposure of compact subsoil of poor physicochemical properties. Northeast India is characterized by high soil acidity/Al+3 toxicity, heavy soil, and carbon loss, severe water scarcity during most parts of year though it is known as high rainfall area. The extent of soil and nutrient transfer, causing environmental degradation in North eastern India, has been estimated to be about 601 million tones of soil, and 685.8, 99.8, 511.1, 22.6, 14.0, 57.1, and 43.0 thousand tones of N, P, K, Mn, Zn, Ca, and Mg, respectively. Excessive deforestation coupled with shifting cultivation practices have resulted in tremendous soil loss (200 t/ha/yr, poor soil physical health in this region. Studies on soil erodibility characteristics under various land use systems in Northeastern Hill (NEH Region depicted that shifting cultivation had the highest erosion ratio (12.46 and soil loss (30.2–170.2 t/ha/yr, followed by conventional agriculture system (10.42 and 5.10–68.20 t/ha/yr, resp.. The challenge before us is to maintain equilibrium between resources and their use to have a stable ecosystem. Agroforestry systems like agri-horti-silvi-pastoral system performed better over shifting cultivation in terms of improvement in soil organic carbon; SOC (44.8%, mean weight diameter; MWD (29.4%, dispersion ratio (52.9%, soil loss (99.3%, soil erosion ratio (45.9%, and in-situ soil moisture conservation (20.6% under the high rainfall, moderate to steep slopes, and shallow soil depth conditions. Multipurpose trees (MPTs also played an important role on soil rejuvenation. Michelia oblonga is reported to be a better choice as bioameliorant for these soils as continuous leaf litter and root exudates improved soil physical

  4. ROLE OF PLANTS FOUND IN NORTH EAST INDIA AND BANGLADESH IN CONTROLLING POPULATION GROWTH

    Directory of Open Access Journals (Sweden)

    Jhimly Das

    2014-08-01

    Full Text Available Being part of the Indian subcontinent both the North Eastern region of India and the Bangladesh share a long common cultural, economic and political history. One of the most critical problems of developing countries like India as well as Bangladesh is their enormous increase in human population. Contraceptive Prevalence Rate (CPR of India is 48.3 and that of Bangladesh is 53.8. As the large majority of population of both the countries belong to rural area, the family planning programmes have largely remained unsuccessful because of many factors including lack of availability of contraceptive drugs in rural markets, lack of accessibility of rural people to medical personnel as well as the lack of acceptability of synthetic drugs due to various socio-cultural and religious perceptions prevailing among many ethnic communities. These contributed to a growing interest among researchers in developing contraceptives of natural origin and at present natural herbal contraception have become one of the major focuses of modern contraceptive research. Since time immemorial herbal drugs are being practiced by various rural communities and ethnic tribes in North East India as well as in Bangladesh, and hence the acceptability of herbal contraceptives is expected to be much higher among rural folk. In different parts of North East India and Bangladesh, ethnic communities are using plant based medicinal products till today. This study aims at highlighting the contraceptive property of some plants found in North-Eastern India as well as in Bangladesh.

  5. Genetic Diversity of Mycobacterium tuberculosis Isolates from Assam, India: Dominance of Beijing Family and Discovery of Two New Clades Related to CAS1_Delhi and EAI Family Based on Spoligotyping and MIRU-VNTR Typing.

    Science.gov (United States)

    Devi, Kangjam Rekha; Bhutia, Rinchenla; Bhowmick, Shovonlal; Mukherjee, Kaustab; Mahanta, Jagadish; Narain, Kanwar

    2015-01-01

    Tuberculosis (TB) is one of the major public health concerns in Assam, a remote state located in the northeastern (NE) region of India. The present study was undertaken to explore the circulating genotypes of Mycobacterium tuberculosis complex (MTBC) in this region. A total of 189 MTBC strains were collected from smear positive pulmonary tuberculosis cases from different designated microscopy centres (DMC) from various localities of Assam. All MTBC isolates were cultured on Lowenstein-Jensen (LJ) media and subsequently genotyped using spoligotyping and 24-loci mycobacterial interspersed repetitive units-variable number of tandem repeats (MIRU-VNTR) typing. Spoligotyping of MTBC isolates revealed 89 distinct spoligo patterns. The most dominant MTBC strain belonged to Beijing lineage and was represented by 35.45% (n = 67) of total isolates, followed by MTBC strains belonging to Central Asian-Delhi (CAS/Delhi) lineage and East African Indian (EAI5) lineage. In addition, in the present study 43 unknown spoligo patterns were detected. The discriminatory power of spoligotyping was found to be 0.8637 based on Hunter Gaston Discriminatory Index (HGDI). On the other hand, 24-loci MIRU-VNTR typing revealed that out of total 189 MTBC isolates from Assam 185 (97.9%) isolates had unique MIRU-VNTR profiles and 4 isolates grouped into 2 clusters. Phylogenetic analysis of 67 Beijing isolates based on 24-loci MIRU-VNTR typing revealed that Beijing isolates from Assam represent two major groups, each comprising of several subgroups. Neighbour-Joining (NJ) phylogenetic tree analysis based on combined spoligotyping and 24-loci MIRU-VNTR data of 78 Non-Beijing isolates was carried out for strain lineage identification as implemented by MIRU-VNTRplus database. The important lineages of MTBC identified were CAS/CAS1_Delhi (41.02%, n = 78) and East-African-Indian (EAI, 33.33%). Interestingly, phylogenetic analysis of orphan (23.28%) MTBC spoligotypes revealed that majority of these orphan

  6. Prevalence of peste des petits ruminants in goats in North-East India

    OpenAIRE

    Balamurugan, V.; Das, Sutopa; Raju, D. S. N.; Chakravarty, Indirani; Nagalingam, M.; Hemadri, D.; Govindaraj, G.; Ibotombi Singh, N.; Ltu, Keduzol; Devi, Maitryee; Sharma, K.; Gajendragad, M. R.; Rahman, H.

    2014-01-01

    The present study describes prevalence of peste des petits ruminants (PPR) virus infection in goats in various parts of North-East (NE) India by screening of suspected serum samples collected during outbreak investigation and random samples during 2013–2014 survey. A total of 391 serum samples (318 random and 73 outbreak/suspected) were collected from 28 districts in 7 states (Meghalaya, Assam, Manipur, Nagaland, Arunachal Pradesh, Tripura and Mizoram) of NE India. Serum samples were screened...

  7. Occurrences and fate of selected human antibiotics in influents and effluents of sewage treatment plant and effluent-receiving river Yamuna in Delhi (India).

    Science.gov (United States)

    Mutiyar, Pravin K; Mittal, Atul K

    2014-01-01

    Antibiotics consumption has increased worldwide, and their residues are frequently reported in aquatic environments. It is believed that antibiotics reach aquatic water bodies through sewage. Medicine consumed for healthcare practices are often released into sewage, and after sewage treatment plant, it reaches the receiving water bodies of lakes or rivers. In the present study, we determined the fate of some commonly used antibiotics in a sewage treatment plant (STP) located in Delhi and the environmental concentration of these antibiotics in the Yamuna River, which receives the sewage and industrial effluent of Delhi. There are many reports on antibiotics occurrences in STP and river water worldwide, but monitoring data from the Indian subcontinent is sparse. Samples were taken from a STP and from six sampling sites on the Yamuna River. Several antibiotics were tested for using offline solid-phase extraction followed by high-performance liquid chromatography equipped with photodiode array analysis. Recoveries varied from 25.5-108.8 %. Ampicillin had the maximum concentration in wastewater influents (104.2 ± 98.11 μg l(-1)) and effluents (12.68 ± 8.38 μg l(-1)). The fluoroquinolones and cephalosporins had the lower concentrations. Treatment efficiencies varied between 55 and 99 %. Significant amounts of antibiotics were discharged in effluents and were detected in the receiving water body. The concentration of antibiotics in the Yamuna River varied from not detected to 13.75 μg l(-1) (ampicillin) for the compounds investigated.

  8. India.

    Science.gov (United States)

    1985-05-01

    In this discussion of India attention is directed to the following: the people; geography; history; government; political conditions; the economy; foreign relations (Pakistan and Bangladesh, China, and the Soviet Union); defense; and the relations between the US and India. In 1983 India's population was estimated at 746 million with an annual growth rate of 2.24%. The infant mortality rate was estimated at 116/1000 in 1984 with a life expectancy of 54.9 years. Although India occupies only 2.4% of the world's land area, it supports nearly 15% of the world's population. 2 major ethnic strains predominate in India: the Aryan in the north and the Dravidian in the south, although the lines between them are blurred. India dominates the South Asian subcontinent geographically. The people of India have had a continuous civilization since about 2500 B.C., when the inhabitants of the Indus River Valley developed an urban culture based on commerce, trade, and, to a lesser degree, agriculture. This civilization declined about 1500 B.C. and Aryan tribes originating in central Asia absorbed parts of its culture as they spread out over the South Asian subcontinent. During the next few centuries, India flourished under several successive empires. The 1st British outpost in South Asia was established in 1619 at Surat on the northwestern coast of India. The British gradually expanded their influence until, by the 1850s, they controlled almost the entire area of present-day India. Independence was attained on August 15, 1947, and India became a dominion within the Commonwealth of Nations with Jawaharlal Nehru as prime minister. According to its constitution, India is a "sovereign socialist secular democratic republic." Like the US, India has a federal form of government, but the central government in India has greater power in relation to its states, and government is patterned after the British parliamentary system. The Congress Party has ruled India since independence with the

  9. Prevalence of reproductive morbidity amongst males in an urban slum of north India

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    Uppal Y

    2007-01-01

    Full Text Available Background: Studies assessing the prevalence of reproductive morbidity among males in India have chiefly focused on prevalence of Reproductive Tract Infections/Sexually Transmitted Infections (RTIs/STIs among males attending Sexually Transmitted Disease clinics, blood donors and other selected population groups, with only few focused on the magnitude and the type of reproductive morbidity amongst Indian males at community level. Objective: To estimate prevalence of reproductive morbidity including (RTIs/STIs among males in the age group of 20-50 years residing in an urban slum of Delhi. Methods: Out of 268 males in the targeted age group, selected by systematic random sampling, residing in an urban sum of Delhi, 260 males were subjected to clinical examination and laboratory investigations for diagnosis of reproductive morbidity. Laboratory investigations were done for diagnosis of Hepatitis B and C, Syphilis, Gonorrhoea, Non gonococcal urethritis and urinary tract infection. Results: A total of 90 (33.6% of 268 study subjects reported one or more perceived symptoms of reproductive tract / sexual morbidity in last six months. Overall reproductive morbidity based on clinical and laboratory diagnosis was present in 76 (29.2% study subjects and of this sexually acquired morbidity accounted for 21.2% cases. Hepatitis B was most common (10.3% reproductive morbidity followed by Urinary Tract Infection (5.0%, scabies (3.5% and congenital anomalies (3.5%. Conclusion: High prevalence of reproductive morbidity (29.2% amongst males in an urban slum highlights the need for more studies in different settings. There is a need for developing interventions in terms of early diagnosis and treatment and prevention.

  10. Control of Aedes aegypti Breeding: A Novel Intervention for Prevention and Control of Dengue in an Endemic Zone of Delhi, India.

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    B N Nagpal

    Full Text Available The study is based on hypothesis that whether continuous entomological surveillance of Ae. aegypti and simultaneous appropriate interventions in key containers during non-transmission (December-May months would have any impact on breeding of Aedes and dengue cases during the following transmission months (June-November. The impact of the surveillance and intervention measures undertaken during non-transmission months were assessed by entomological indicators namely container index (CI, house index (HI, pupal index (PI and breteau index (BI.A total of 28 localities of West Zone of Delhi with persistent dengue endemicity were selected for the study. Out of these localities, 20 were included in study group while other 8 localities were in control group. IEC and various Aedes breeding control activities were carried out in study group in both non-transmission and transmission season whereas control group did not have any such interventions during non-transmission months as per guidelines of MCD. These activities were undertaken by a team of investigators from NIMR and SDMC, Delhi. In control group, investigators from NIMR carried out surveillance activity to monitor the breeding of Aedes mosquito in localities.Comparison of baseline data revealed that all indices in control and study group of localities were comparable and statistically non-significant (p>0.05. In both study and control groups, indices were calculated after pooling data on seasonal basis, i.e., transmission and non-transmission months for both years. The test of significance conducted on all the four indices, i.e., HI, PI, CI, and BI, revealed a significant difference (p<0.05 between the study group and control group during transmission and non-transmission months except in HI. Due to consistent intervention measures undertaken in non-transmission months in study group, reduction in CI, HI, BI and PI was observed 63%, 62%, 64% and 99% respectively during transmission months as

  11. Control of Aedes aegypti Breeding: A Novel Intervention for Prevention and Control of Dengue in an Endemic Zone of Delhi, India.

    Science.gov (United States)

    Nagpal, B N; Gupta, Sanjeev Kumar; Shamim, Arshad; Vikram, Kumar; Srivastava, Aruna; Tuli, N R; Saxena, Rekha; Singh, Himmat; Singh, V P; Bhagat, V N; Yadav, N K; Valecha, Neena

    2016-01-01

    The study is based on hypothesis that whether continuous entomological surveillance of Ae. aegypti and simultaneous appropriate interventions in key containers during non-transmission (December-May) months would have any impact on breeding of Aedes and dengue cases during the following transmission months (June-November). The impact of the surveillance and intervention measures undertaken during non-transmission months were assessed by entomological indicators namely container index (CI), house index (HI), pupal index (PI) and breteau index (BI). A total of 28 localities of West Zone of Delhi with persistent dengue endemicity were selected for the study. Out of these localities, 20 were included in study group while other 8 localities were in control group. IEC and various Aedes breeding control activities were carried out in study group in both non-transmission and transmission season whereas control group did not have any such interventions during non-transmission months as per guidelines of MCD. These activities were undertaken by a team of investigators from NIMR and SDMC, Delhi. In control group, investigators from NIMR carried out surveillance activity to monitor the breeding of Aedes mosquito in localities. Comparison of baseline data revealed that all indices in control and study group of localities were comparable and statistically non-significant (p>0.05). In both study and control groups, indices were calculated after pooling data on seasonal basis, i.e., transmission and non-transmission months for both years. The test of significance conducted on all the four indices, i.e., HI, PI, CI, and BI, revealed a significant difference (pcontrol group during transmission and non-transmission months except in HI. Due to consistent intervention measures undertaken in non-transmission months in study group, reduction in CI, HI, BI and PI was observed 63%, 62%, 64% and 99% respectively during transmission months as compared to control group where increase of 59

  12. Identification of species and genetic variation in Taenia isolates from human and swine of North India.

    Science.gov (United States)

    Singh, Satyendra K; Prasad, Kashi N; Singh, Aloukick K; Gupta, Kamlesh K; Chauhan, Ranjeet S; Singh, Amrita; Singh, Avinash; Rai, Ravi P; Pati, Binod K

    2016-10-01

    Taenia solium is the major cause of taeniasis and cysticercosis/neurocysticercosis (NCC) in the developing countries including India, but the existence of other Taenia species and genetic variation have not been studied in India. So, we studied the existence of different Taenia species, and sequence variation in Taenia isolates from human (proglottids and cysticerci) and swine (cysticerci) in North India. Amplification of cytochrome c oxidase subunit 1 gene (cox1) was done by polymerase chain reaction (PCR) followed by sequencing and phylogenetic analysis. We identified two species of Taenia i.e. T. solium and Taenia asiatica in our isolates. T. solium isolates showed similarity with Asian genotype and nucleotide variations from 0.25 to 1.01 %, whereas T. asiatica displayed nucleotide variations ranged from 0.25 to 0.5 %. These findings displayed the minimal genetic variations in North Indian isolates of T. solium and T. asiatica.

  13. The Effect of Early Childhood Developmental Program Attendance on Future School Enrollment in Rural North India

    Science.gov (United States)

    Hazarika, Gautam; Viren, Vejoya

    2013-01-01

    This paper examines the effect of prior participation in early childhood developmental programs, considered endogenous, upon 7-18 years olds' school enrollment in rural North India. Analyses by age group of data from the World Bank's 1997-98 Survey of Living Conditions in Uttar Pradesh and Bihar reveal that 7-10 year olds, 11-14 year olds, and…

  14. A Tangled Weave: Tracing Outcomes of Education in Rural Women's Lives in North India

    Science.gov (United States)

    Ghose, Malini; Mullick, Disha

    2015-01-01

    This paper is based on the findings of a research study which traced 56 rural women learners 15 years after they had participated in an empowerment and education programme in North India. It attempts to understand, from the perspectives of women from marginalised communities, the ways in which participating in the programme had been empowering for…

  15. Travelling Child Care for New Delhi's "Nomad' Workers

    Science.gov (United States)

    Phadke, Sindu

    1974-01-01

    Highlighted is a new UNICEF all-purpose mobile facility called the "Mobile Creche" which provides a variety of social services including schooling, a health center, adult literacy and vocational training, and social and athletic activities for tens of thousands of unskilled laborers who live and work on the construction sites in New Delhi, India.…

  16. Deepak Pental, Univ. Delhi South Campus, New Delhi

    Indian Academy of Sciences (India)

    admin

    Oilseed mustard is grown in around 6-7 million hectares of land, mostly in the north- western dryland regions of India during the winter season. In 1993 our group made a major observation that hybrids between mustard lines of Indian gene pool and lines of east European gene pool are heterotic for yield. It took about 10 ...

  17. Using Spatial Multi-Criteria Analysis and Ranking Tool (SMART in earthquake risk assessment: a case study of Delhi region, India

    Directory of Open Access Journals (Sweden)

    Nishant Sinha

    2016-03-01

    Full Text Available This article is aimed at earthquake hazard, vulnerability and risk assessment as a case study to demonstrate the applicability of Spatial Multi-Criteria Analysis and Ranking Tool (SMART, which is based on Saaty's multi-criteria decision analysis (MCDA technique. The three specific study sites of Delhi were chosen for research as it corresponds to a typical patch of the urban environs, completely engrossed with residential, commercial and industrial units. The earthquake hazard affecting components are established in the form of geographic information system data-set layers including seismic zone, peak ground acceleration (PGA, soil characteristics, liquefaction potential, geological characteristics, land use, proximity to fault and epicentre. The physical vulnerability layers comprising building information, namely number of stories, year-built range, area, occupancy and construction type, derived from remote sensing imagery, were only considered for the current research. SMART was developed for earthquake risk assessment, and weights were derived both at component and its element level. Based on weighted overlay techniques, the earthquake hazard and vulnerability layers were created from which the risk maps were derived through multiplicative analysis. The developed risk maps may prove useful in decision-making process and formulating risk mitigation measures.

  18. Prevalence and predictors of hypertension among residents aged 20-59 years of a slum-resettlement colony in Delhi, India.

    Science.gov (United States)

    Panesar, Sanjeet; Chaturvedi, Sanjay; Saini, N K; Avasthi, Rajnish; Singh, Abhishek

    2013-01-01

    Slum-resettlement communities are increasingly adopting urban lifestyles. The aim of this study was to assess the prevalence and identify correlates of hypertension among residents aged 20-59 years of a slum-resettlement colony. A community-based cross-sectional study was done from 2010 to 2012 in NandNagri, a slum-resettlement area in east Delhi. 310 participants aged 20-59 years were enrolled through multistage systematic random sampling. Each study subject was interviewed and examined for raised blood pressure; data on risk factors including smoking, alcohol intake, physical activity and salt consumption were also collected. Data were analysed by use of univariate and multivariate regression. The overall prevalence of hypertension was 17.4% and 35% participants were prehypertensive. On multiple logistic regression, age 40-49 years (P = 0.020) and 50-59 years (P = 0.012), clerical/professional occupation (P = 0.004), abnormal waist circumference (≥90 cm in males and ≥ 80 cm in females; P = 0.001), positive family history of hypertension in both parents (P = 0.013) and above-average daily salt intake (P = 0.000) were significantly associated with hypertension. These findings indicate that hypertension is a significant health problem in the study population. Many study participants diagnosed with prehypertension are at risk of developing hypertension, thus immediate public-health interventions are indicated.

  19. Knowledge and perceptions on antibiotic use and resistance among high school students and teachers in New Delhi, India: A qualitative study.

    Science.gov (United States)

    Kotwani, Anita; Wattal, Chand; Joshi, P C; Holloway, Kathleen

    2016-01-01

    To explore the perceptions and knowledge of school teachers and students about antibiotic use, resistance, and suggestions for practical interventions for the rational use of antibiotics. Five focus group discussions (FGDs) with high school students (Class: 9-11) and five with teachers were conducted in two private and three public schools (one teacher and one student FGD per school) in five municipal wards of Delhi. Qualitative data on antibiotic knowledge, resistance, and behaviors with respect to antibiotics use were collected. There were 4-8 persons per teacher FGD and 15-20 persons per student FGD. FGDs were analyzed using "thematic analyses." Students had poor knowledge regarding antibiotics and antibiotic resistance, while only some teachers had a basic understanding. Four broad themes needing attention emerged: definition of antibiotic and antibiotic resistance, antibiotic use behavior, doctor-patient relationship, and interventional strategies suggested to curtail the misuse of antibiotics and to spread awareness. In order to tackle these problems, both groups suggested a multipronged approach including robust public awareness campaigns also involving schools, better doctor-patient relationships, and stronger regulations. Although students and teachers exhibited poor knowledge about antibiotic use and resistance, they were keen to learn about these issues. School education programs and public education could be used to shape correct perceptions about antibiotic use among all stakeholders including children. This may help in the containment of antibiotic resistance and thus preservation of antibiotics for future generations.

  20. Stand-alone photovoltaic (PV) integrated with earth to air heat exchanger (EAHE) for space heating/cooling of adobe house in New Delhi (India)

    International Nuclear Information System (INIS)

    Chel, Arvind; Tiwari, G.N.

    2010-01-01

    This paper deals with an experimental outdoor annual performance evaluation of 2.32 kW P photovoltaic (PV) power system located at solar energy park in New Delhi composite climatic conditions. This PV system operates the daily electrical load nearly 10 kW h/day which comprises of various applications such as electric air blower of an earth to air heat exchanger (EAHE) used for heating/cooling of adobe house, ceiling fan, fluorescent tube-light, computer, submersible water pump, etc. The outdoor efficiencies, power generated and lost in PV system components were determined using hourly experimental measured data for 1 year on typical clear day in each month. These realistic data are useful for design engineers for outdoor assessment of PV system components. The energy conservation, mitigation of CO 2 emission and carbon credit potential of the existing PV integrated EAHE system is presented in this paper. Also, the energy payback time (EPBT) and unit cost of electricity were determined for both stand-alone PV (SAPV) and building roof integrated PV (BIPV) systems.

  1. Prevalence and risk factors of gestational diabetes in Punjab, North India

    DEFF Research Database (Denmark)

    Arora, Geeti P; Thaman, Richa G; Prasad, Rashmi B

    2015-01-01

    of GDM comparing the previous WHO 1999 criteria to the WHO 2013 criteria in North India. METHODS: In a population-based screening programme, 5100 randomly selected North Indian women were studied using a cross-sectional design with a questionnaire, venous FPG and 2-h capillary plasma glucose (PG) after...... criteria, whereas only urban habitat, low adult height and increased age were independent risk factors of GDM using the 2013 criteria. CONCLUSIONS: Intervention studies are needed to justify the WHO 2013 GDM criteria increasing the prevalence four fold to include more than one third of North Indian...... pregnant women....

  2. Chemical characterization and quantitativ e assessment of source-specific health risk of trace metals in PM1.0 at a road site of Delhi, India.

    Science.gov (United States)

    Prakash, Jai; Lohia, Tarachand; Mandariya, Anil K; Habib, Gazala; Gupta, Tarun; Gupta, Sanjay K

    2018-03-01

    This study presents the concentration of submicron aerosol (PM 1.0 ) collected during November, 2009 to March, 2010 at two road sites near the Indian Institute of Technology Delhi campus. In winter, PM 1.0 composed 83% of PM 2.5 indicating the dominance of combustion activity-generated particles. Principal component analysis (PCA) proved secondary aerosol formation as a dominant process in enhancing aerosol concentration at a receptor site along with biomass burning, vehicle exhaust, road dust, engine and tire tear wear, and secondary ammonia. The non-carcinogenic and excess cancer risk for adults and children were estimated for trace element data set available for road site and at elevated site from another parallel work. The decrease in average hazard quotient (HQ) for children and adults was estimated in following order: Mn > Cr > Ni > Pb > Zn > Cu both at road and elevated site. For children, the mean HQs were observed in safe level for Cu, Ni, Zn, and Pb; however, values exceeded safe limit for Cr and Mn at road site. The average highest hazard index values for children and adults were estimated as 22 and 10, respectively, for road site and 7 and 3 for elevated site. The road site average excess cancer risk (ECR) risk of Cr and Ni was close to tolerable limit (10 -4 ) for adults and it was 13-16 times higher than the safe limit (10 -6 ) for children. The ECR of Ni for adults and children was 102 and 14 times higher at road site compared to elevated site. Overall, the observed ECR values far exceed the acceptable level.

  3. Delimiting the Boundary of Delhi for Effective Urban Political Ecology Investigations

    Directory of Open Access Journals (Sweden)

    Govind Singh

    2018-02-01

    Full Text Available Delhi, capital of the world’s largest democracy, is witnessing large-scale increase in population since the beginning of the twentieth century. Two prominent factors that have contributed to this include the shifting of capital of the British Raj from Calcutta (now Kolkata to Delhi in 1911 and the partition of India that accompanied its independence in 1947. Delhi continued to witness high rate of migration in post-independent India due to uneven implementation of development policies. Rising population led to spatial expansion and the largest connotation of Delhi today (National Capital Region is an area 36 times its size in 1947. Rising population has also had an adverse impact on Delhi’s natural resources. Consequently, clean air, water and land availability have become limited and Delhi today is undergoing a severe sustainability crisis. The latter requires urgent intervention for restoring Delhi’s urban ecosystem. Since urban areas are highly contested ecological spaces, urban ecological interventions are incomplete without political overtones. Thus, the success of urban ecological interventions lies in identifying politically correct boundaries which encompasses true ‘urban Delhi’ despite the political boundaries. This research contribution attempts to identify the geographical expanse of ‘urban Delhi’ amidst the various political terminologies that define Delhi. An understanding of various divisions and definitions of Delhi is also presented from the perspective of appreciating the challenges in urban planning. We conclude that urban ecology investigations in Delhi should be embedded within the ‘Delhi conurbation’, which represents a geographical area greater than the Delhi city-state but much smaller than Delhi NCR.

  4. Parent dietary, physical activity and sedentary behaviors associated with child behaviors and weight status among private school children in Delhi, India: A cross-sectional study

    OpenAIRE

    Blanche Greene-Cramer

    2016-01-01

    Background Family can be an important socializing agent that strongly influences child and adolescent behavior. While studies have found associations between parent modeling of healthy behaviors and these behaviors in children in the US and other western countries, there is a dearth of research examining these associations among low and middle-income countries like India. This study examines the association between parent dietary, physical activity, and sedentary behaviors and child behavi...

  5. Towards Learning for Employment: A Study of Effect of Different Variables on Employment Readiness of Students Enrolled in Professional Programmes Delhi-NCR, India.

    OpenAIRE

    Khatri, Puja; Raina, Khushboo

    2016-01-01

    [EN] Indian Higher Education system has got 70 million students enrolled in different technical and professional courses, which is highest in world. Being the fastest growing economy, India has got global attention also. Despite such strong foundation, the nation lacks a skilled workforce. The expectations of the industry don’t match with what they receive as a workforce. There has been a continuous effort in instilling technical, communication, spiritual, leadership skills ...

  6. Reasons for non-immunization of children in an urban, low income group in North India.

    Science.gov (United States)

    Mathew, Joseph L; Babbar, Harsh; Yadav, Sangita

    2002-07-01

    A study was undertaken on 500 children under the age of 5 years belonging to a low income group. All were attending the paediatrics outpatient department of a large teaching hospital in New Delhi, India. Only 25% were found to have received complete primary immunization as per the National Immunization Schedule (bacille Calmette-Guérin at birth, three doses of diphtheria, pertussis and tetanus and oral poliovirus vaccine at 6,10 and 14 weeks and measles vaccine at 9 months). The major reasons for non-immunization of the children were: migration to a native village (26.4%); domestic problems (9.6%); the immunization centre was located too far from their home (9.6%); and the child was unwell when the vaccination was due (9%). Twelve per cent of mothers could not give any reason for non-immunization. In addition to the migration of children to rural areas, the other significant finding was an indirect effect of intensive OPV administration as part of polio eradication initiative. The lack of awareness and fear of side effects constituted a small minority of reasons for non-immunization.

  7. New Delhi Birth Cohort

    Indian Academy of Sciences (India)

    First page Back Continue Last page Overview Graphics. New Delhi Birth Cohort. In childhood Less than 1% were obese (IOTF 30 kg/m2). Mean BMI SD ranged from –0.4 to –1.0 (CDC). At 26-32 years 10% were obese (BMI >30 kg/m2). ~50% overweight (BMI > 25 kg/m2);. ~65% overweight (BMI > 23 kg/m2). 10% had IGT.

  8. Genetic population structure of the malaria vector Anopheles baimaii in north-east India using mitochondrial DNA.

    Science.gov (United States)

    Sarma, Devojit K; Prakash, Anil; O'Loughlin, Samantha M; Bhattacharyya, Dibya R; Mohapatra, Pradumnya K; Bhattacharjee, Kanta; Das, Kanika; Singh, Sweta; Sarma, Nilanju P; Ahmed, Gias U; Walton, Catherine; Mahanta, Jagadish

    2012-03-20

    Anopheles baimaii is a primary vector of human malaria in the forest settings of Southeast Asia including the north-eastern region of India. Here, the genetic population structure and the basic population genetic parameters of An. baimaii in north-east India were estimated using DNA sequences of the mitochondrial cytochrome oxidase sub unit II (COII) gene. Anopheles baimaii were collected from 26 geo-referenced locations across the seven north-east Indian states and the COII gene was sequenced from 176 individuals across these sites. Fifty-seven COII sequences of An. baimaii from six locations in Bangladesh, Myanmar and Thailand from a previous study were added to this dataset. Altogether, 233 sequences were grouped into eight population groups, to facilitate analyses of genetic diversity, population structure and population history. A star-shaped median joining haplotype network, unimodal mismatch distribution and significantly negative neutrality tests indicated population expansion in An. baimaii with the start of expansion estimated to be ~0.243 million years before present (MYBP) in north-east India. The populations of An. baimaii from north-east India had the highest haplotype and nucleotide diversity with all other populations having a subset of this diversity, likely as the result of range expansion from north-east India. The north-east Indian populations were genetically distinct from those in Bangladesh, Myanmar and Thailand, indicating that mountains, such as the Arakan mountain range between north-east India and Myanmar, are a significant barrier to gene flow. Within north-east India, there was no genetic differentiation among populations with the exception of the Central 2 population in the Barail hills area that was significantly differentiated from other populations. The high genetic distinctiveness of the Central 2 population in the Barail hills area of the north-east India should be confirmed and its epidemiological significance further

  9. Genetic population structure of the malaria vector Anopheles baimaii in north-east India using mitochondrial DNA

    Directory of Open Access Journals (Sweden)

    Sarma Devojit K

    2012-03-01

    Full Text Available Abstract Background Anopheles baimaii is a primary vector of human malaria in the forest settings of Southeast Asia including the north-eastern region of India. Here, the genetic population structure and the basic population genetic parameters of An. baimaii in north-east India were estimated using DNA sequences of the mitochondrial cytochrome oxidase sub unit II (COII gene. Methods Anopheles baimaii were collected from 26 geo-referenced locations across the seven north-east Indian states and the COII gene was sequenced from 176 individuals across these sites. Fifty-seven COII sequences of An. baimaii from six locations in Bangladesh, Myanmar and Thailand from a previous study were added to this dataset. Altogether, 233 sequences were grouped into eight population groups, to facilitate analyses of genetic diversity, population structure and population history. Results A star-shaped median joining haplotype network, unimodal mismatch distribution and significantly negative neutrality tests indicated population expansion in An. baimaii with the start of expansion estimated to be ~0.243 million years before present (MYBP in north-east India. The populations of An. baimaii from north-east India had the highest haplotype and nucleotide diversity with all other populations having a subset of this diversity, likely as the result of range expansion from north-east India. The north-east Indian populations were genetically distinct from those in Bangladesh, Myanmar and Thailand, indicating that mountains, such as the Arakan mountain range between north-east India and Myanmar, are a significant barrier to gene flow. Within north-east India, there was no genetic differentiation among populations with the exception of the Central 2 population in the Barail hills area that was significantly differentiated from other populations. Conclusions The high genetic distinctiveness of the Central 2 population in the Barail hills area of the north-east India should be

  10. Resurgence of diphtheria in rural areas of North Karnataka, India

    OpenAIRE

    Mahantesh V Parande; Subarna Roy; B G Mantur; Aisha M Parande; Rupali S Shinde

    2017-01-01

    Background: A diphtheria outbreak was identified from Vijayapura (formerly Bijapur) district in the South Indian state of Karnataka in 2011. There was a surge in the number of throat swab samples received under the Integrated Disease Surveillance Programme (IDSP) in North Karnataka since then. Objectives: A microbiological study was undertaken to generate information on the status of resurgence of the disease in the region. Materials and Methods: Throat swabs from 432 suspected cases of dipht...

  11. Genetic affinities of north and northeastern populations of India: inference from HLA-based study.

    Science.gov (United States)

    Agrawal, S; Srivastava, S K; Borkar, M; Chaudhuri, T K

    2008-08-01

    India is like a microcosm of the world in terms of its diversity; religion, climate and ethnicity which leads to genetic variations in the populations. As a highly polymorphic marker, the human leukocyte antigen (HLA) system plays an important role in the genetic differentiation studies. To assess the genetic diversity of HLA class II loci, we studied a total of 1336 individuals from north India using DNA-based techniques. The study included four endogamous castes (Kayastha, Mathurs, Rastogies and Vaishyas), two inbreeding Muslim populations (Shias and Sunnis) from north India and three northeast Indian populations (Lachung, Mech and Rajbanshi). A total of 36 alleles were observed at DRB1 locus in both Hindu castes and Muslims from north, while 21 alleles were seen in northeast Indians. At the DQA1 locus, the number of alleles ranged from 11 to 17 in the studied populations. The total number of alleles at DQB1 was 19, 12 and 20 in the studied castes, Muslims and northeastern populations, respectively. The most frequent haplotypes observed in all the studied populations were DRB1*0701-DQA1*0201-DQB1*0201 and DRB1*1501-DQA1*0103-DQB1*0601. Upon comparing our results with other world populations, we observed the presence of Caucasoid element in north Indian population. However, differential admixturing among Sunnis and Shias with the other north Indians was evident. Northeastern populations showed genetic affinity with Mongoloids from southeast Asia. When genetic distances were calculated, we found the north Indians and northeastern populations to be markedly unrelated.

  12. India's Approach to Climate Negotiations. From the South to the North?

    International Nuclear Information System (INIS)

    Powell, Lydia

    2015-09-01

    India's approach to climate negotiations results from the interplay of two distinct logics, an external one and an internal one. While the external logic is derived from quantitative attributes at the aggregate level, such as the overall size of India's economy, the internal logic is derived from qualitative attributes at the individual level such as per person incomes and productivity. For three decades, from the early 1970's to the early 2000's, India's internal and external logics overlapped. India saw the global environmental issue as a struggle of the poor against the rich with itself at the forefront, and it strongly opposed any binding mitigation commitment. The endurance of this position rested on the fact that it was consistent with India's traditional bargaining positioning as leader of the developing world in north-south negotiations, which reflected a mixture of domestic pressure and a preference for a certain world order that favoured the poor. This changed as the size of India's economy grew to match that of large powerful countries. Indeed, by the early 2000's, there was widespread belief that India was on its way to become a 'rising power' and the Indian leadership sought to re-frame its climate position to suit the new label. From then on, India sought to have a more constructive approach and began a shift toward some form of mitigation commitment. In other words, the signals from India on climate policy positions tended to betray a tilt in favour of its foreign policy positions or its 'external logic'. This however led to a growing contradiction with the internal logic, and hence, to a persistent dilemma in India's negotiating posture. But of the two conflicting logics, the internal one is likely to overcome the external one. Immediate concerns such as poverty alleviation, development and the need for economic growth are seen to be more important than the contribution to global climate mitigation action. Thus, there is low probability of India

  13. Place of menstruation in the reproductive lives of women of rural North India

    Directory of Open Access Journals (Sweden)

    Singh A

    2006-01-01

    Full Text Available Objective : To ascertain the perceptions and experiences of women regarding menstruation. Methods : An integrated qualitative and quantitative study on reproductive health of Indian women was conducted in two primary health centre areas of rural north India. Present article reports on the perceptions of 1205 women regarding various aspects of menstruation. Results : Major source of information about menarche/menstruation was friends/relatives (72%. Mean age at menarche was ~ 15 years. Very few women (0.4% used sanitary napkins. Majority of women had strong beliefs about effect of diet on menstruation. Most of them considered menstruation a dirty act and indulged in various taboo behaviours. Initial reaction was of fear/apprehension at menarche in majority of girls. Conclusion: Women in rural north India still hold tranditional beliefs regarding menstruation. Provision of a balanced and healthy family health education package to all girls is recommended.

  14. Ethnomedicinal plants used by Chorei tribes of Southern Assam, North Eastern India

    Directory of Open Access Journals (Sweden)

    Shuvasish Choudhury

    2017-05-01

    Full Text Available Objective: To explore and enumerate the medicinal plants used by the Chorei tribe residing in Sourthern Assam part of North Eastern India in the treatment of various ailments. Methods: Systematic and intensive field surveys were conducted in Chorei inhabited parts of Southern Assam part of North East India to collect information on medicinal plants used by them in treatment of various ailments. Data was collected through structured questionnaires and personal observations made during the field visit. Results: A total of 53 different medicinal plants were recorded along with their vernacular names, parts used and mode of utilization by the Chorei tribes. Each of the plants was categorized according to their use in treatment of particular disease. Conclusions: The present study revealed that the Chorei tribe is primarily dependent of medicinal plant for treatment of various ailments.

  15. Reinventing Dalit Women's Identity?:Dynamics of Social Activism and Electoral Politics in Rural North India

    OpenAIRE

    Govinda, Radhika

    2008-01-01

    Dalit or ex-untouchable women's voices and perspectives have been marginalized not only in Dalit movements but also in predominantly upper-caste Hindu-led women's movements. This paper aims at exploring the unheard voices and perspectives of Dalit women in the context of Dalit assertion in the state of Uttar Pradesh, north India. Scholarly writing examines the different facets of Dalit political assertion led by the Bahujan Samaj Party in Uttar Pradesh. Few scholars, however, examine the ways...

  16. Caste Discrimination and Transaction Costs in the Labor Market: Evidence from Rural North India

    OpenAIRE

    Takahiro Ito

    2007-01-01

    This paper is an empirical attempt to quantify caste-based discrimination in thelabor market using household data taken from rural North India. In the regressionanalysis, transaction costs associated with entry into the labor market and reservationwages are estimated simultaneously along with market wages. The estimation resultsprovide evidence of the existence of transaction costs in the labor market anddiscrimination against backward classes with regard to access to regular employment. Inli...

  17. Emerging Scenario of Trade Potentialities of North-East India: Challenges and Opportunities

    OpenAIRE

    Ram Krishna Mandal

    2009-01-01

    The North-East Region (NER) of India which comprises of eight states, namely Arunachal Pradesh, Assam, Manipur, Meghalaya, Mizoram, Nagaland, Sikkim and Tripura shares most of its boundary with China, Bangladesh, Bhutan and Myanmar. The NER accounts for about eight per cent of the country's geographical area and about four per cent of population. Tribals account for more than 30 per cent of the total population of NER. Inadequate and poor infrastructure, inhospitable terrain and a com¬parativ...

  18. Genetic similarity between Taenia solium cysticerci collected from the two distant endemic areas in North and North East India.

    Science.gov (United States)

    Sharma, Monika; Devi, Kangjam Rekha; Sehgal, Rakesh; Narain, Kanwar; Mahanta, Jagadish; Malla, Nancy

    2014-01-01

    Taenia solium taeniasis/cysticercosis is a major public health problem in developing countries. This study reports genotypic analysis of T. solium cysticerci collected from two different endemic areas of North (Chandigarh) and North East India (Dibrugarh) by the sequencing of mitochondrial cytochrome c oxidase subunit 1 (cox1) gene. The variation in cox1 sequences of samples collected from these two different geographical regions located at a distance of 2585 km was minimal. Alignment of the nucleotide sequences with different species of Taenia showed the similarity with Asian genotype of T. solium. Among 50 isolates, 6 variant nucleotide positions (0.37% of total length) were detected. These results suggest that population in these geographical areas are homogenous. Copyright © 2013 Elsevier B.V. All rights reserved.

  19. A modified model for estimation of daylight factor for skylight integrated with dome roof structure of mud-house in New Delhi (India)

    Energy Technology Data Exchange (ETDEWEB)

    Chel, Arvind; Tiwari, G.N.; Singh, H.N. [Centre for Energy Studies (CES), Indian Institute of Technology Delhi, Hauz Khas, New Delhi 110 016 (India)

    2010-10-15

    The daylight factor model given by Charted Institute of Building Services Engineers (CIBSE) was modified in this paper to incorporate time variations with respect to zenith angle ({theta}{sub z}) and vertical height (h) of working surface above ground surface which was normalized with central height (H) of skylight dome. The modified model contains constant exponents which are determined using linear regression analysis based on hourly experimental data of inside and outside illuminance for each month of the year 2007-2008. The prediction of modified model is found in good agreement with experimental observed inside illuminance data on the basis of values of root mean square percentage error (e) and correlation coefficient (r). The annual average daylight factor values for big and small dome skylight rooms are determined as 2.3% and 4.4% respectively. The energy saving potential of skylight rooms for selected climatic locations in India is also presented in this paper. (author)

  20. Military Strategy Of India

    Directory of Open Access Journals (Sweden)

    M. S. Zaitsev

    2017-01-01

    Full Text Available The article analyzes the evolution of military strategy of the Republic of India and key factors that influences its development. New Delhi keeps an eye on the balance of power in South Asia to create favorable conditions for its economic and social development, yet the remaining threats and new challenges still undermine the security and stability in India. The ambitions of China aspiring to power in Asia-Pacific region, combined with its immense military build-up and territorial disputes, cause disturbance in New Delhi. The remaining tensions between India and Pakistan also cause often border skirmishes and medium-scale conflicts. Close relations between China and Pakistan, labeled as “all-weather friendship”, are a source of major concern for India. The fact that both Beijing and Islamabad wield nuclear weapons means that without effective mechanisms of nuclear deterrence any military conflict may turn into a full-scale nuclear war. Terrorist activities and insurgency in the Indian state of Jammu and Kashmir and in the North-Eastern regions of the country, along with maritime piracy and illicit drug trafficking contribute to the complicated nature of the challenges to the Indian security. Indian military strategy is considered as a combination of the army doctrine, maritime doctrine and nuclear doctrine. The Indian political and military leadership wants to meet the challenges of changing geopolitical environment and thus continuously adapts its strategy. However, there is still a gap between theory and practice: Indian armed forces lack the capacity to implement the declared goals because of bulky bureaucratic system, outdated military equipment and insufficient level of command and control. The government needs to mobilize political will and administrative resources to upgrade its defense sector to counter its security threats and challenges.

  1. An appraisal of the prevalence and attributes of traumatic dental injuries in the permanent anterior teeth among 7–14-Year-Old school children of North East Delhi

    Directory of Open Access Journals (Sweden)

    Kopal Garg

    2017-01-01

    Full Text Available Aims: The aim of this study was to assess the prevalence, associated risk factors, characteristics, and pattern of traumatic dental injuries (TDIs in the permanent anterior teeth among school children of North East Delhi area. Settings and Design: A cross-sectional study was done in 3000 school-going children aged 7–14 years. Materials and Methods: A detailed case history and clinical examination were performed on the entire sample population. TDIs were recorded according to Andreasen's epidemiological classification of TDIs including World Health Organization codes. Statistical Analysis Used: For finding the independent association of the significant variables with outcome, multivariable logistic regression analysis was used. Results: A prevalence of 10.7% was observed in the sample being studied. Dental trauma was significantly (P < 0.05 associated with male gender, and high statistical significance (P < 0.001 was noted with age, participation in sports, lip seal, and overjet. Fall of the child while playing by himself/herself was the most common cause; afternoon and schools were the most common time and place of occurrence of TDIs, respectively. Single tooth enamel fractures in the left maxillary central incisors were most commonly seen. Adhesive restorations were the most frequent form of treatment required. Conclusions: Organizing studies addressing the prevention and treatment needs of TDIs and educational programs aimed toward parents and school teachers are of paramount importance. Furthermore, recognizing the tremendous treatment negligence is extremely critical to adequately analyze indifference of the people toward dental trauma and its consequences.

  2. Electroconvulsive therapy in adolescents: a retrospective study from north India.

    Science.gov (United States)

    Grover, Sandeep; Malhotra, Savita; Varma, Sannidhya; Chakrabarti, Subho; Avasthi, Ajit; Mattoo, Surendra K

    2013-06-01

    There are minimal data on the use of electroconvulsive therapy (ECT) in adolescents from India. The present study aimed to evaluate the clinical profile and effectiveness of ECT in adolescents (aged 13-18 years). A retrospective chart review was carried out to identify adolescents (aged 13-18 years) who had received ECT during the period 1999-2011. During the study period, 39 such patients received ECT; complete records of 25 patients were available. Details regarding their sociodemographic, clinical, and treatment data were extracted from these records for the present study. During the study period, 658 patients received ECT, of which 39 were aged 18 or younger (5.9%). Schizophrenia (n = 14; 56%) was the commonest diagnosis for which ECT was used in adolescents, followed by depression (n = 3; 12%). Catatonic symptoms (n = 17; 68%) were the most common symptoms among these subjects. Electroconvulsive therapy was considered as a treatment of choice taking the clinical picture account in about three fourths of the patients (n = 19; 76%). The mean (SD) numbers of ECTs administered per patient were 10.1 (4.87) (range, 2-21). The mean (SD) response rate to ECT was 76% (23.3%) (range, 31%-100%). Response rates according to diagnosis were the following: 76.3% for schizophrenia, 87.2% for depression, 81.8% for psychosis (not otherwise specified), and 77.7% for acute and transient psychosis. Response rate in patients with catatonia was 91.6%. Prolonged seizures, nausea and vomiting, and headache were reported in 2 cases each. Electroconvulsive therapy is used less frequently in children and adolescents compared to the older patients. This study shows that ECT is effective in the treatment of severe psychiatric disorders in adolescents and is associated with the same frequency of adverse effects as the adults.

  3. Twin outbreak of cholera in rural North Karnataka, India

    Directory of Open Access Journals (Sweden)

    Shuchismita Dey

    2014-01-01

    Full Text Available Background & objectives: Successive outbreaks of acute watery diarrhoea occurred in Talikoti and Harnal, located in Bijapur District of the southern Indian s0 tate of Karnataka, in July and August 2012, respectively. These outbreaks were investigated to identify the aetiology and epidemiology. Methods: Information was collected from the local population and health centres. Stool and water samples were collected from the admitted patients and their drinking water sources. Standard microbiological and PCR techniques were employed for isolation and characterization of the pathogen. Results: While 101 people (0.38% were affected in Talikoti, 200 (20.94% were affected in Harnal which is a small remote village. All age groups were affected but no death occurred. While the outbreak was smaller, longer and apparently spread by person to person contact in Talikoti, it occurred as a single source flash outbreak at Harnal. A single clone of toxigenic Vibrio cholerae O1 Ogawa biotype El Tor was isolated from the two stool samples obtained from Talikoti and subsequently from three of five stool samples obtained from Harnal indicating village to village spread of the aetiological agent. Striking similarity in antibiotic resistance profiles of these isolates with a particular strain isolated from the city of Belgaum, 250 km away, in 2010, prompted tracking the lineage of the V. cholerae isolates by DNA fingerprinting. Random amplified polymorphic DNA (RAPD fingerprinting assay helped confirm the origin of the incriminating strain to Belgaum. Interpretation & conclusions: Our study reported the first twin outbreak of cholera in two remote areas of Bijapur district, Karnataka, south India. It also indicated the need for immediate preparedness to deal with such emergencies.

  4. Mass awareness regarding snake bite induced early morning neuroparalysis can prevent many deaths in North India.

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    Sharma, Rupinder; Dogra, Varundeep; Sharma, Gurudutt; Chauhan, Vivek

    2016-01-01

    In North India snake bite deaths are predominantly seen with neurotoxic envenomations (NEs) whereas in South India the hemotoxic envenomation (HE) is more common. Krait is responsible for most deaths in North India. It bites people sleeping on the floors, mostly at night. We describe the profile of venomous snake bites over 1 year in 2013. The study was conducted in a rural tertiary care hospital in North India. Demographics, circumstances of bite, envenomation, first aid, delay, consultation, treatment, anti-venom, and outcomes were recorded for all victims of snake bite. We included all consecutive adult (>18 years) venomous snake bite victims admitted from January to December 2013. A total of 91 patients with venomous snake bites were included in the study. Pure NEs were 41 (45.1%), pure HE in 31 (34.1%), 7 (7.7%) had mixed NE + HE, and 12 (13.2%) had only local swelling. Forty patients (44%) were bitten during sleep presenting as NE (92.5%), NE + HE (5%), and HE (2.5%). Findings in the 51 patients (56%) bitten during activity were HE (58.8%), local swelling (23.5%), NE + HE (9.8%), and NE (7.8%) ( P NE patients out of which 23 (96%) went to alternate practitioners or religious healers. Almost all (97.5%) bites during sleep resulted in NE in our study. About 96% of NE sought first aid from alternate practitioners or religious healers in hope of some magical treatment. Thus, a deadly combination of krait bite during sleep and wrong health seeking behavior is responsible for high mortality krait bites in this region. Mass public awareness regarding krait bites can prevent mortality in many such cases.

  5. Extending professional education to health workers at grass root level: An experience from All India Institute of Medical Sciences, New Delhi

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    K K Deepak

    2014-01-01

    Full Text Available Background: In India, the opportunities for professional education of the grass root level health workers are grossly inadequate. Capacity building of all categories of health workers is needed for enhancing health outcomes. Objectives: To plan and implement a professional development training program for all categories of allied health workers and to assess its outcomes in terms of knowledge and skills Materials and Method: We planned and organized a ′one week′(15 h training program for 10 categories of allied health workers (1260 working in our hospital. The program included nine generic skills/topics: the prestige of AIIMS, sterilization & infection control, universal precaution, biomedical waste management, public health, life style & healthy nutrition, fire safety, communication skills and office procedure besides subject specific skills. Trainers were drawn from 12 departments. Training methodology included interactive lectures, narratives, demonstrations, videos, PPT slides, and informal discussions with participants. The effectiveness of the program was judged on the basis of participants′ feedback, feedback from the supervisors, and our own observations post training. Results: Feedback from the participants and their supervisors after training was encouraging. The participants described training as a "life time experience". The supervisors reported improvement in confidence, communication skills, and awareness of workers. Conclusion: The success of the program was due to the use of interactive methods, involvement of multidisciplinary team, and commitment from leadership. We recommend that professional education should be linked with career advancement. Academic institutions can play a key role in taking such initiatives.

  6. Reseña de «Lo divino y lo humano: poetas místicos de India y de España en la modernidad temprana», ed. Meenakshi Sundriyal y Juan Manuel Escudero Baztán, New Delhi/Pamplona, CSPILAS-Jawaharlal Nehru University/GRISO-Universidad de Navarra (Friends Digital Color Solutions, 2017, 168 pp., ISBN 181-901849-9-7

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    Sabyasachi Mishra

    2018-06-01

    Full Text Available Reseña de Lo divino y lo humano: poe­tas místicos de India y de España en la modernidad temprana, ed. Meenakshi Sundriyal y Juan Manuel Escudero Baztán, New Delhi/Pamplona, CSPILAS-Jawaharlal Nehru University/GRISO-Universidad de Navarra (Friends Digital Color Solutions, 2017, 168 pp., ISBN 181-901849-9-7.

  7. Prevalence of psychiatric morbidity at Mobile Health Clinic in an urban community in North India.

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    Salve, Harshal; Goswami, Kiran; Nongkynrih, Baridalyne; Sagar, Rajesh; Sreenivas, V

    2012-01-01

    The objective was to estimate the prevalence of psychiatric morbidity amongst patients attending Mobile Health Clinic (MHC) in an urban community in South Delhi. Adult subjects were recruited by systematic random sampling at outpatient MHC. Primary Care Evaluation of Mental Disorder Patient Health Questionnaire (PHQ) was used for screening, and Mini International Neuropsychiatric Interview (M.I.N.I.) was used for the confirmation of diagnosis of psychiatric disorder of all PHQ-positive and 20% of PHQ-negative patients. Association of selected sociodemographic factors with psychiatric morbidity was also assessed. In total, 350 subjects were recruited, out of which 92 (26.3%) [95% confidence interval (CI) 21.7-31.0] were found to be PHQ positive. M.I.N.I. was administered to 141 subjects (92 PHQ positives and 52 PHQ negatives). Total estimated magnitude of psychiatric morbidity by M.I.N.I. was 25.4% (95% CI 20.9-29.9). Depression (15.7%) was observed to be the most common psychiatric disorder followed by generalized anxiety disorder (11.1%) and phobic disorders (10.1%). Suicidal ideation was reported by 37 (10.6%) patients. Literate status [odds ratio (OR)=0.43] and duration of migration >20 years to study area (OR=1.27) were found to be significantly associated with psychiatric morbidity. In resource-poor country like India, high psychiatric morbidity at MHC justifies the use of MHC for providing outreach mental health services in difficult areas. Copyright © 2012 Elsevier Inc. All rights reserved.

  8. Visual Impairment Registry of Patients from North Kolkata, Eastern India: A Hospital-based Study.

    Science.gov (United States)

    Bandyopadhyay, Sabyasachi; Bandyopadhyay, Samir Kumar; Biswas, Jaya; Saha Dutta Chowdhury, Mita; Dey, Asim Kumar; Chakrabarti, Asim

    2018-01-01

    To study the demographic profile, severity and causes of visual impairment among registered patients in a tertiary care hospital in north Kolkata, eastern India, and to assess the magnitude of under-registration in that population. This is a retrospective analytical study. A review of all visually impaired patients registered at our tertiary care hospital during a ten-year period from January 2005 to December 2014, which is entitled for certification of people of north Kolkata, eastern India (with a population denominator of 1.1 million), was performed. Overall, 2472 eyes of 1236 patients were analyzed in terms of demographic characteristics, cause of visual impairment, and percentage of visual disability as per the guidelines established by the government of India. Male patients (844, 68.28%; 95% confidence interval [CI], 65.69-70.87) registered more often than female patients (392; 31.72%, P = 0.0004). The registration rate for visual impairment was 11.24 per 100,000 per annum; this is not the true incidence rate, as both new patients and those visiting for renewal of certification were included in the study. Optic atrophy was the most common cause of visual impairment (384 eyes, 15.53%; 95% CI, 14.1-16.96). Commonest cause of visual impairment was optic atrophy followed by microphthalmos. Under-registration is a prevalent problem as the registration system is voluntary rather than mandatory, and female patients are more likely to be unregistered in this area.

  9. Gender inequality and the risk of HIV among married couples in North India.

    Science.gov (United States)

    Bloom, Shelah S; Agrawal, Alpna; Singh, Kaushalendra K; Suchindran, Chirayath M

    2015-01-01

    This study investigated the distribution and determinants of HIV risks among married couples in North India. Gender inequality emerged as a potential driver of HIV risks in this region. Data collection took place in 2003 in a probability survey of 3385 couples living in India's most populous state - Uttar Pradesh - and Uttaranchal. Couples' analyses utilizing generalized estimating equations showed that compared with husbands, wives were less knowledgeable about HIV (OR = 0.31, 95% CI = 0.27-0.36), more likely to consider themselves at risk for infection (OR = 6.86, 95% CI = 4.65-10.13), and less likely to feel that a wife had the right to refuse sex with her husband (OR = 0.50, 95% CI = 0.44-0.58). The proportion of husbands reporting non-marital sex in the past year was 7.1% and transactional sex in the past year, 2.2%. Among their wives, 73.4% were unaware of their husbands' non-marital sexual behaviors and only 28.9% of husbands reported condom use during their last non-marital sexual encounter. Logistic regression analyses showed that husbands' alcohol use, husbands' mobility, and urban residence were positively associated with husbands' non-marital sexual behaviors adjusting for other covariates. The data demonstrate that HIV prevention programs among couples in North India should consider both sexual risks and gender inequalities which potentially fuel HIV spread in this region.

  10. Gene diversity in some Muslim populations of North India.

    Science.gov (United States)

    Aarzoo, S Shabana; Afzal, Mohammad

    2005-06-01

    North Indian Muslim populations have historical, linguistic, and socioreligious significance to the Indian subcontinent. Although sociocultural and political dimensions of their demography are well documented, no detailed genetic structure of the populations is available. We have undertaken a survey of the gene frequencies of the ABO, Rh, PTC taste ability, sickling, and G6PD systems for different endogamous groups: Sheikh, Syed, Pathan, Ansari, Saifi, and Hindu Bania. All the groups at most loci showed statistically nonsignificant differences, except for ABO and PTC traits, for which interpopulational differences were seen. Heterozygosity ranged from 0.048 to 0.617 among the Sheikh, 0.149 to 0.599 among the Pathan, 0.105 to 0.585 among the Ansari, 0.25 to 0.869 among the Syed, 0.107 to 0.565 among the Saifi, and 0.100 to 0.492 among the Hindu Bania. The average D(ST) and G(ST) values for the five marker loci were 0.0625 +/- 0.098 and 0.1072 +/- 0.041, respectively. A dendrogram was constructed using the UPGMA clustering method. Our results revealed that the Pathan and the Sheikh form one cluster, the Syed and the Hindu Bania form another cluster, and the two clusters join together (the so-called higher caste); also, the Saifi and the Ansari form a separate cluster (lower caste). The results of the genetic distance analysis are useful for understanding the pattern of genetic relationships between different endogamous groups of Muslims.

  11. Solar power potential of North-east India - A case study for Silchar

    Science.gov (United States)

    Maisanam, Anil; Biswas, Agnimitra; Sharma, Kaushal Kumar

    2018-04-01

    High energy demand has necessitated search for all possible sources of energy. Conventional energy source is having negative impact on our environment, therefore our attention is focused on renewable energy sources, such as solar, wind, hydro, which are considered to be clean and sustainable energy sources. India has set an ambitious target of producing 175 GW of energy using solar energy. Therefore, it is necessary to estimate the solar potential to observe the feasibility of such project. North-east India is an underdeveloped region of India and due to its geographical location and difficult terrain, many regions are still not electrified. Such regions can be electrified by installing renewable energy based power plants, which can also generate number of jobs hence improving the quality of life and economic condition of the region. The objective of this paper is to estimate the solar power potential of Silchar (Assam, India) and perform a feasibility study for installation of solar-based power plant in the region. In this paper, solar radiation on tilted surface is estimated by using an anisotropic sky model. This radiation data has been used to estimate the PV power output. Finally, feasibility of the PV plant has been verified by mapping with a practical load demand.

  12. Prevalence of peste des petits ruminants in goats in North-East India.

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    Balamurugan, V; Das, Sutopa; Raju, D S N; Chakravarty, Indirani; Nagalingam, M; Hemadri, D; Govindaraj, G; Ibotombi Singh, N; Ltu, Keduzol; Devi, Maitryee; Sharma, K; Gajendragad, M R; Rahman, H

    2014-12-01

    The present study describes prevalence of peste des petits ruminants (PPR) virus infection in goats in various parts of North-East (NE) India by screening of suspected serum samples collected during outbreak investigation and random samples during 2013-2014 survey. A total of 391 serum samples (318 random and 73 outbreak/suspected) were collected from 28 districts in 7 states (Meghalaya, Assam, Manipur, Nagaland, Arunachal Pradesh, Tripura and Mizoram) of NE India. Serum samples were screened for PPRV-specific antibodies by using PPR monoclonal-antibody based competitive ELISA. Analysis of 391 serum samples indicates that an overall seroprevalence of 17.90 % [CI 95 % 14.40-22.00] in goats {45.2 % in suspected [CI 95 % 34.32-56.58] and 11.63 % in random [CI 95 % 8.56-15.63] samples} in NE India. As expected prevalence was high in outbreaks vis-à-vis random samples. The random survey results (11.63 %) has specific implication in epidemiological perspectives, since it highlights the exact PPR prevalence under natural situations, where the subclinical, in apparent or nonlethal or recovery of infection was suspected in goats, as samples were collected from unvaccinated animals. It also warrants appropriate control measures against PPR in NE region to prevent spread of infection besides widespread presence of the disease in rest of India.

  13. Uptake of Elements From Aerosols by Humans ~ A Case Study From Delhi & Bangalore Cities

    Science.gov (United States)

    Anand, S.; Yadav, S.; Jain, V. K.

    2006-05-01

    Aerosol research has gained tremendous importance globally due to the cumulative effects of increasing industrialization and urbanization on aerosol production which can have an alarming impact on the climate of the planet as well as the health of its inhabitants. Therefore, there is an increasing need to study aerosols for all of their physicochemical and biological aspects on both local and global scales. World over extensive research has gone into studying the physical and the chemical aspects of aerosols. However, little information is yet available on the health impacts of aerosols particularly in the Asian context. Here we report uptake of various elements that are concentrated in aerosols by the human body in Delhi and Bangalore cities and their possible health effects. In many urban areas, for example in Delhi, inhalable fractions of aerosols are known to have high concentrations of elements such as Cu, Zn, Pb, Ba, Ni and Cr (Yadav and Rajamani 2004). Also aerosols in the North West part of India seem to be particularly enriched in these elements. If so, there is a high possibility of these elements getting into the human system either directly or indirectly through water and food. To determine the concentrations of these elements that are present in significant concentrations in the inhalable fractions of aerosols, human hair and blood samples are used as proxies. Both these regions have contrasting geographic and climatic conditions. Delhi (altitude : 213-305m above MSL) located on the fringes of the Thar desert which supplies considerable amount of dust, is semi-arid with annual rainfall of 60-80 cms & temperatures varying between 1° - 45°. Bangalore (altitude of 900m above MSL) receives a high annual rainfall of 80-100 cms and being located on the fringes of tropical forests of the Sahyadri Mountains (Western Ghats) receives little crustal contribution to the aerosols. Samples from least polluted mountainous areas of Himalayas (Gangothri) and Sahyadri

  14. Gelatinomyces conus sp. nov. (Ascomycota, Leotiomycetes: a new bambusicolous fungal species from North-East India

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    Vipin Parkash

    2017-08-01

    Full Text Available This study represents a newly discovered and described macro-fungal species under family Leotiomycetes (Ascomycota named as Gelatinomyces conus sp. nov. The fungal species was collected from decayed bamboo material (leaves, culms and branches during the survey in Upper Assam, India. It looks like a pine-cone with gelatinous ascostroma. The asci are thin-walled and arise in scattered discoid apothecia which are aggregated and clustered to form round gelatinous structure on decayed bamboo material. The study also brings the first record of fungal species from north east region of India. A taxonomic description, illustrations and isolation and culture of Gelatinomyces conus sp. nov. are provided in this study.

  15. Population structure of Aggarwals of north India as revealed by molecular markers.

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    Gupta, Vipin; Khadgawat, Rajesh; Ng, Hon Keung Tony; Kumar, Satish; Rao, Vadlamudi Raghavendra; Sachdeva, Mohinder Pal

    2010-12-01

    Using molecular genetic data on Aggarwals (Vaish/Vysya), an endogamous population group of north India, we provide evidence of its homogeneous unstratified population structure. We found the mean average heterozygosity value of 0.33 for 14 single nucleotide polymorphisms belonging to four genes (TCF7L2-, HHEX-, KCNJ11-, and ADIPOQ-) in the Aggarwal population (sample of 184 individuals) and tried to evaluate the genomic efficiency of endogamy in this population with the help of clan-based stratified analysis. We concluded that the sociocultural identity of the endogamous population groups could act as a robust proxy maker for inferring their homogeneity and population structure in India, which is ideal also for population selection for future genome-wide association studies in the country.

  16. URBAN SOLID WASTE MANAGEMENT OF GUWAHATI CITY IN NORTH-EAST INDIA

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    Prasanta Kumar Pradhan

    2012-12-01

    Full Text Available In recent years municipal solid waste (MSW management has been one of the most environmental concerns for all urban areas of India. Most of the urban centers have neither adequate land nor any facility for MSW disposal. In view of scarcity of lands for making landfill sites, solid wastes can be used for energy recovery resulting in volume reduction, thus requires less area for its disposal. Guwahati is one such city of North-East India, having the potential to recover the energy from solid wastes and at the same time the waste management system of the city can be improved. This paper attempts to characterize the urban solid waste of the city as well as its energy potential for various uses. Results showed that the average generation rate of MSW was 0.7 kg/capita/day and the city has the potential to generate the power of 30 MW from the solid waste.

  17. URBAN SOLID WASTE MANAGEMENT OF GUWAHATI CITY IN NORTH-EAST INDIA

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    P. K. Pradhan

    2012-01-01

    Full Text Available In recent years municipal solid waste (MSW management has been one of the most environmental concerns for all urban areas of India. Most of the urban centers have neither adequate land nor any facility for MSW disposal. In view of scarcity of lands for making landfill sites, solid wastes can be used for energy recovery resulting in volume reduction, thus requires less area for its disposal. Guwahati is one such city of North-East India, having the potential to recover the energy from solid wastes and at the same time the waste management system of the city can be improved. This paper attempts to characterize the urban solid waste of the city as well as its energy potential for various uses. Results showed that the average generation rate of MSW was 0.7 kg/capita/day and the city has the potential to generate the power of 30 MW from the solid waste.

  18. Level of literacy and dementia: A secondary post-hoc analysis from North-West India

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    Sunil Kumar Raina

    2014-01-01

    Full Text Available Introduction: A relation between literacy and dementia has been studied in past and an association has been documented. This is in spite of some studies pointing to the contrary. The current study was aimed at investigating the influence of level of literacy on dementia in a sample stratified by geography (Migrant, Urban, Rural and Tribal areas of sub-Himalayan state of Himachal Pradesh, India. Materials and Methods: The study was based on post-hoc analysis of data obtained from a study conducted on elderly population (60 years and above from selected geographical areas (Migrant, Urban, Rural and Tribal of Himachal Pradesh state in North-west India. Results: Analysis of variance revealed an effect of education on cognitive scores [F = 2.823, P =0.01], however, post-hoc Tukey′s HSD test did not reveal any significant pairwise comparisons. Discussion: The possibility that education effects dementia needs further evaluation, more so in Indian context.

  19. Genetic analyses of ribosomal loci of Anopheles minimus species from north east India.

    Science.gov (United States)

    Dutta, P; Khan, S A; Topno, R; Chowdhury, P; Baishya, M; Prakash, A; Bhattacharyya, D R; Mahanta, J

    2013-09-01

    Anopheles minimus is one of the major vectors for transmission of malaria disease in north eastern (NE) region of India. The minimus species complex of Minimus subgroup of Myzomyia series of anophelines were studied in malaria affected states--Assam and Arunachal Pradesh (AP) of NE India. Ribosomal DNA markers--second internal transcribed spacer (ITS2) and third domain (D3) of 28S gene were used to characterize An. minimus species. Sequence homogeneity was observed in D3 sequences of An.minimus specimens throughout both the states. However, a transversion in ITS2 sequence of single specimen collected from Assam-Meghalaya border areas illustrates possibility of intra population polymorphism in ITS2 sequence within the geographical region.

  20. Pattern of Uveitis in a Referral Eye Clinic in North India

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    Singh Ramandeep

    2004-01-01

    Full Text Available Purpose: To report the pattern of uveitis in a north Indian tertiary eye center. Methods: A retrospective study was done to identify the pattern of uveitis in a uveitis clinic population of a major referral center in north India from January 1996 to June 2001. A standard clinical protocol, the "naming and meshing" approach with tailored laboratory investigations, was used for the final diagnosis. Results: 1233 patients were included in the study; 641 (51.98% were males and 592 (48.01% females ranging in age from 1.5 to 75 years. The anterior uveitis was seen in 607 patients (49.23% followed by posterior uveitis (247 patients, 20.23%, intermediate uveitis (198 patients, 16.06% and panuveitis (181 patients, 14.68%. A specific diagnosis could be established in 602 patients (48.82%. The infective aetiology was seen in 179 patients, of which tuberculosis was the commonest cause in 125 patients followed by toxoplasmosis (21 patients, 11.7%. Non-infectious aetiology was seen in 423 patients, of which ankylosing spondylitis was the commonest cause in 80 patients followed by sepigionous choroidopathy (62 patients, 14.65% . Conclusion: Tuberculosis and toxoplasmosis were the commonest form of infective uveitis, while ankylosing spondylitis and serpiginous choroidopathy were commonly seen as the non-infective causes of uveitis in North India.

  1. Quantitative estimates of dietary intake with special emphasis on snacking pattern and nutritional status of free living adults in urban slums of Delhi: impact of nutrition transition.

    Science.gov (United States)

    Singh, Archna; Gupta, Vidhu; Ghosh, Arpita; Lock, Karen; Ghosh-Jerath, Suparna

    2015-10-14

    The nutritional landscape of India is experiencing the fallout of urbanization and globalization. The changes are manifest in dietary patterns as well as health outcomes. The study aimed at assessing household dietary intake pattern with special emphasis on snacking pattern, anthropometric and lipid profiles in low socio-economic status households in an urban slum of Delhi. Community based cross-sectional study in 260 households of a purposively selected urban slum in North-East district of Delhi, India. Family dietary surveys including consumption pattern of commercial food products rich in Partially Hydrogenated Vegetable Oils (PHVOs), 24 h dietary recall and assessment of dietary diversity using Household Diet Diversity Scores (HDDS) were done. Assessment of nutritional status using anthropometric and lipid profile on a subsample ( n =130) were also conducted. Median energy and fat intake were adequate. Micronutrient intake was found to be inadequate for vitamin A, riboflavin, calcium and folate. PHVO usage was low (healthy diet and lifestyle practices with emphasis on quantity and quality of nutrient intake. This must be considered as an integral part of chronic disease prevention strategy for underprivileged communities in urban India.

  2. Litigation as TB Rights Advocacy: A New Delhi Case Study.

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    McBroom, Kerry

    2016-06-01

    One thousand people die every day in India as a result of TB, a preventable and treatable disease, even though the Constitution of India, government schemes, and international law guarantee available, accessible, acceptable, quality health care. Failure to address the spread of TB and to provide quality treatment to all affected populations constitutes a public health and human rights emergency that demands action and accountability. As part of a broader strategy, health activists in India employ Public Interest Litigation (PIL) to hold the state accountable for rights violations and to demand new legislation, standards for patient care, accountability for under-spending, improvements in services at individual facilities, and access to government entitlements in marginalized communities. Taking inspiration from right to health PIL cases (PILs), lawyers in a New Delhi-based rights organization used desk research, fact-findings, and the Right To Information Act to build a TB PIL for the Delhi High Court, Sanjai Sharma v. NCT of Delhi and Others (2015). The case argues that inadequate implementation of government TB schemes violates the Constitutional rights to life, health, food, and equality. Although PILs face substantial challenges, this paper concludes that litigation can be a crucial advocacy and accountability tool for people living with TB and their allies.

  3. Gender inequality and the risk of HIV among married couples in North India

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    Bloom, Shelah S.; Agrawal, Alpna; Singh, Kaushalendra K.; Suchindran, Chirayath M.

    2014-01-01

    This study investigated the distribution and determinants of HIV risks among married couples in North India. Gender inequality emerged as a potential driver of HIV risks in this region. Data collection took place in 2003 in a probability survey of 3,385 couples living in India’s most populous state – Uttar Pradesh – and Uttaranchal. Couples’ analyses utilizing generalized estimating equations showed that compared with husbands, wives were less knowledgeable about HIV (OR=0.31, 95% CI= 0.27–0....

  4. Dd-antigen-antibody system in five caste groups in north India.

    Science.gov (United States)

    Berry, V; Kaur, H

    1991-12-01

    Antigen Dd, a polymorphic antigen found in extracts of certain human dandruff specimens, was investigated in five caste groups of north India. The incidence of antigen Dd-positive type varied from 21.21 per cent in Brahmins to 29.08 per cent in the Jat Sikhs of Punjab. However, a high frequency (45%) was observed in the Sunni Muslims of Kashmir, which differed significantly, when compared with different caste groups of Punjab. Family studies on 44 families indicated its inherited nature, the mode of inheritance being autosomal dominant.

  5. Overview of childhood cancers at a regional cancer centre in North-East India.

    Science.gov (United States)

    Hazarika, Munlima; Krishnatreya, Manigreeva; Bhuyan, Cidananda; Saikia, Bhargab Jyoti; Kataki, Amal Chandra; Nandy, Pintu; Hazarika, Monalisha; Roy, Partha Sarathi

    2014-01-01

    Childhood cancers are relatively uncommon in comparison to adult cancers. There is no literature available to shed light on clinic-pathological types and patterns of care for childhood cancers in our population in North-East India. In this analysis we therefore tried to determine the common childhood cancers diagnosed in our institute, clinical profile of the patients, types of treatment and compliance, and median survival estimates. Leukemia was most common, followed by retinoblastoma, central nervous system tumours and lymphomas. Ascertaining the clinic-pathological profile of childhood cancers in our population is essential for allocation and management of resources for this small but important group of patients.

  6. Why women choose to give birth at home: a situational analysis from urban slums of Delhi

    Science.gov (United States)

    Devasenapathy, Niveditha; George, Mathew Sunil; Ghosh Jerath, Suparna; Singh, Archna; Negandhi, Himanshu; Alagh, Gursimran; Shankar, Anuraj H; Zodpey, Sanjay

    2014-01-01

    Objectives Increasing institutional births is an important strategy for attaining Millennium Development Goal -5. However, rapid growth of low income and migrant populations in urban settings in low-income and middle-income countries, including India, presents unique challenges for programmes to improve utilisation of institutional care. Better understanding of the factors influencing home or institutional birth among the urban poor is urgently needed to enhance programme impact. To measure the prevalence of home and institutional births in an urban slum population and identify factors influencing these events. Design Cross-sectional survey using quantitative and qualitative methods. Setting Urban poor settlements in Delhi, India. Participants A house-to-house survey was conducted of all households in three slum clusters in north-east Delhi (n=32 034 individuals). Data on birthing place and sociodemographic characteristics were collected using structured questionnaires (n=6092 households). Detailed information on pregnancy and postnatal care was obtained from women who gave birth in the past 3 months (n=160). Focus group discussions and in-depth interviews were conducted with stakeholders from the community and healthcare facilities. Results Of the 824 women who gave birth in the previous year, 53% (95% CI 49.7 to 56.6) had given birth at home. In adjusted analyses, multiparity, low literacy and migrant status were independently predictive of home births. Fear of hospitals (36%), comfort of home (20.7%) and lack of social support for child care (12.2%) emerged as the primary reasons for home births. Conclusions Home births are frequent among the urban poor. This study highlights the urgent need for improvements in the quality and hospitality of client services and need for family support as the key modifiable factors affecting over two-thirds of this population. These findings should inform the design of strategies to promote institutional births. PMID:24852297

  7. Varied presentations of moyamoya disease in a tertiary care hospital of north-east India

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    Papori Borah

    2014-01-01

    Full Text Available Introduction: Moyamoya disease is a chronic progressive cerebrovascular disorder, characterized by stenosis or occlusion of bilateral internal carotid arteries (ICAs, anterior cerebral arteries (ACAs and middle cerebral arteries (MCAs, accompanied by a collateral network of vessels formed at the base of the brain. Ischemia and intracranial hemorrhage are the common typical manifestations. However moyamoya disease has been associated with atypical presentations like headache, seizures and involuntary movements. Although frequently reported from Asian countries like Japan, China and Korea, only few studies reported on clinical manifestations of moyamoya disease from India. Objectives: To study the varied presentations of moyamoya disease in a tertiary care hospital of north-east India. Material and Methods: Relevant investigations were done to rule out other causes of moyamoya syndrome. Results: We report 6 cases of moyamoya disease with varied presentations from a tertiary care referral government hospital. Case 1, 2 and 6 presented with alternating hemiparesis. Case 3 had amaurosis fugax. Case 4 had history suggestive of ischemic stroke and presented with hemichorea. Case 4 had focal seizure as the only manifestation. Cases 4 and 5 notably had stenosis of posterior cerebral artery (PCA in addition to stenosis of bilateral ICAs, ACAs and MCAs. Conclusion: Owing to its low incidence in India, moyamoya disease is easily overlooked as a possible diagnosis. However, because of its progressive nature, it is imperative to diagnose this disease early and offer surgical treatment to the patients.

  8. Recent trends in rainfall and temperature over North West India during 1871-2016

    Science.gov (United States)

    Saxena, Rani; Mathur, Prasoon

    2018-03-01

    Rainfall and temperature are the most important environmental factors influencing crop growth, development, and yield. The northwestern (NW) part of India is one of the main regions of food grain production of the country. It comprises of six meteorological subdivisions (Haryana, Punjab, West Rajasthan, East Rajasthan, Gujarat and Saurashtra, Kutch and Diu). In this study, attempts were made to study variability and trends in rainfall and temperature during 30-year climate normal periods (CN) and 10-year decadal excess or deficit rainfall frequency during the historical period from 1871 to 2016. The Mann-Kendall and Spearman's rank correlation (Spearman's rho) tests were used to determine significance of trends. Least square linear fitting method was adopted to find out the slopes of the trend lines. The long-term mean annual rainfall over North West India is 587.7 mm (standard deviation of 153.0 mm and coefficient of variation 26.0). There was increasing trend in minimum and maximum temperatures during post monsoon season in entire study period and current climate normal period (1991-2016) due to which the sowing of rabi season crops may be delayed and there may be germination problem too. There was a non-significant decreasing trend in rainfall during monsoon season and an increasing trend in rainfall during post monsoon over North West India during entire study period. During current CN5 (1991-2016), all the subdivision (except the Saurashtra region) showed a decreasing trend in rainfall during monsoon season which is a matter of concern for kharif crops and those rabi crops which are grown as rainfed on conserved soil moisture. The decadal annual and seasonal frequencies of excess and deficit years results revealed that the annual total deficit rainfall years (24) exceeded total excess rainfall years (22) in North West India during the entire study period. While during the current decadal period (2011 to 2016), single year was the excess year and 2 years were

  9. Presentation and clinical course of Wolfram (DIDMOAD) syndrome from North India.

    Science.gov (United States)

    Ganie, M A; Laway, B A; Nisar, S; Wani, M M; Khurana, M L; Ahmad, F; Ahmed, S; Gupta, P; Ali, I; Shabir, I; Shadan, A; Ahmed, A; Tufail, S

    2011-11-01

    Wolfram syndrome, also known as DIDMOAD, is a relatively rare inherited neurodegenerative disorder, first evident in childhood as an association of juvenile-onset diabetes mellitus and optic atrophy, followed by diabetes insipidus and deafness. The aim of the study was to examine the clinical profile of patients with DIDMOAD syndrome presenting to a tertiary care hospital in north India. Clinical presentation of juvenile-onset diabetes mellitus fulfilling the diagnosis of Wolfram syndrome was studied using a prepared standardized form. Subjects with juvenile-onset non-autoimmune diabetes mellitus attending the diabetic clinic at a tertiary care centre in north India were followed for 10 years and a diagnosis of fully developed Wolfram syndrome was confirmed in seven individuals. The series consisted of five male and two female patients with a mean age of 17.5 ±7.34 years. Two subjects had consanguinity and none had any other family member affected. Optic atrophy was present in all, sensorineural hearing loss in 4/7, central diabetes insipidus in 4/7 and nephrogenic diabetes insipidus in 2/7 subjects. The new associations found were: spastic myoclonus, short stature with pancreatic malabsorption, nephrogenic diabetes insipidus, cyanotic heart disease and choledocholithiasis with cholangitis. Genetic analysis revealed mutation in exon 8 of the WFS1 gene in all the cases studied. The present clinical series of Wolfram syndrome reveals a varied clinical presentation of the syndrome and some new associations. © 2011 The Authors. Diabetic Medicine © 2011 Diabetes UK.

  10. Smart City for a Sustainable Future: Is Delhi Ready?

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    Anindita Roy Saha

    2017-02-01

    Full Text Available Cities are the geographic nodes around which people gather for their livelihood activities. Various factors like resources, technology, education, medical innovations and environmental developments have shaped modern cities. However, with rapid urbanization and population growth, many cities are facing the problems of degradation, pollution, diseases and a poor quality of life. The major challenges before the urban growth centers have necessitated the formation of smart cities. Sustainable future of a city lies in the development of transport, infrastructure, environment, energy, ICT and people with a sustainability approach. The Government of India has launched a scheme to create hundred smart cities across the country, among which the National Capital of Delhi is a frontrunner. This paper attempts to study the existing infrastructure and facilities in Delhi in order to assess its readiness to be a smart city. It also attempts to analyze the citizens’ perception about Delhi as a smart city through a primary survey. Although there are limitations in the current scenario of economic and environmental performances and people’s perceptions, Delhi makes a strong case for becoming a smart city.

  11. Gender-based power and couples' HIV risk in Uttar Pradesh and Uttarakhand, north India.

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    Agrawal, Alpna; Bloom, Shelah S; Suchindran, Chirayath; Curtis, Siân; Angeles, Gustavo

    2014-12-01

    Gender inequality is a long-recognized driver of the HIV epidemic. However, few studies have investigated the association between gender-based power and HIV risk in India, which has the world's third largest HIV epidemic. Population-based data collected in 2003 from 3,385 couples residing in Uttar Pradesh and Uttarakhand, North India, were used to examine associations between gender-based power (wife's autonomy and husband's inequitable gender attitudes) and indicators of couples' HIV risk (whether the husband had had premarital sex with someone other than his eventual spouse, extramarital sex in the past year or STI symptoms in the past year). Structural equation modeling was used to create composite variables for the gender-based power measures and test their associations with HIV risk measures. Twenty-four percent of husbands had had premarital sex, 7% had had extramarital sex in the past year and 6% had had STI symptoms in the past year. Structural equation models indicated that wives who reported higher levels of autonomy were less likely than other wives to have husbands who had had extramarital sex in the past year (direct association) or STI symptoms in the past year (indirect association). Moreover, husbands who endorsed more inequitable gender attitudes were more likely than others to report having had premarital sex with someone other than their spouse, which in turn was associated with having had extramarital sex and STI symptoms in the past year. If the associations identified in this study reflect a causal relationship between gender-based power and HIV risk behavior, then HIV prevention programs that successfully address inequitable gender roles may reduce HIV risks in North India.

  12. Morpho-physiological analysis of tolerance to aluminum toxicity in rice varieties of North East India.

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    Jay Prakash Awasthi

    Full Text Available Aluminum (Al is the third most abundant metal in earth crust, whose chemical form is mainly dependent on soil pH. The most toxic form of Al with respect to plants is Al3+, which exists in soil pH <5. Acidic soil significantly limits crop production mainly due to Al3+ toxicity worldwide, impacting approximately 50% of the world's arable land (in North-Eastern India 80% soil are acidic. Al3+ toxicity in plants ensues root growth inhibition leading to less nutrient and water uptake impacting crop productivity as a whole. Rice is one of the chief grains which constitutes the staple food of two-third of the world population including India and is not untouched by Al3+ toxicity. Al contamination is a critical constraint to plant production in agricultural soils of North East India. 24 indigenous Indica rice varieties (including Badshahbhog as tolerant check and Mashuri as sensitive check were screened for Al stress tolerance in hydroponic plant growth system. Results show marked difference in growth parameters (relative growth rate, Root tolerance index, fresh and dry weight of root of rice seedlings due to Al (100 μM toxicity. Al3+ uptake and lipid peroxidation level also increased concomitantly under Al treatment. Histochemical assay were also performed to elucidate uptake of aluminum, loss of membrane integrity and lipid peroxidation, which were found to be more in sensitive genotypes at higher Al concentration. This study revealed that aluminum toxicity is a serious harmful problem for rice crop productivity in acid soil. Based on various parameters studied it's concluded that Disang is a comparatively tolerant variety whereas Joymati a sensitive variety. Western blot hybridization further strengthened the claim, as it demonstrated more accumulation of Glutathione reductase (GR protein in Disang rice variety than Joymati under stressed condition. This study also observed that the emergence of lethal toxic symptoms occurs only after 48h

  13. MICROBIOLOGICAL PATTERN AND EPIDEMIOLOGIC TRENDS OF FUNGAL KERATITIS IN NORTH INDIA

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    Yusuf Rizvi

    2016-06-01

    Full Text Available CONTEXT Spectrum of fungal keratitis continues to change with geographical location and season. Microbiological and epidemiological data provide guidelines to the treating physician facilitating chances of successful treatment. PURPOSE To report microbiologic and epidemiologic profile of 119 culture-positive cases of fungal keratitis treated at a tertiary centre in North India. SETTINGS AND DESIGN All cases reporting directly or referred to the OPD of Eye Department of Rohilkhand Medical College and Hospital, Bareilly, India, diagnosed and treated as fungal keratitis during a 3-year period between March 2012 and Feb 2015. METHODS Retrospective analysis of clinical and microbiological data of 119 culture-positive cases of fungal keratitis. Demographic features, risk factors, clinical course and laboratory findings were reviewed. RESULTS All patients were residents of 11 adjoining districts of Northern India. Of the 119 patients, 76 (63.8% were males (male: female ratio 1.79:1. 81(68% patients were in young productive age group of 20-45 years. 87 (73% were rural based. Ocular trauma with vegetative material, especially sugarcane leaf or dust falling in eyes were the chief precipitating factors; n = 89 (74.7%. Microbiologically Fusarium was the predominant isolate, 64 cases (53.7%, followed by Aspergillus 34(28.6% and Candida 11(9.2%. 2 cases of Alternaria and Curvularia and solitary cases of Acremonium and Scedosporium were reported. 4 strains remained unidentified. Mode of injury had a causal relation with fungal aetiology. Majority of Fusarium infections were caused by vegetative injuries 39(61%. Of these, 15(23.4% were attributed to sugarcane leaves. Soil/dust fall in eye or Surma application were responsible for bulk of Aspergillus infections; 21(61.7%. Candida infections were sporadic with a higher presenting age (Mean av 51.2 years and a frequent association with topical steroid usage, (8 of 11 cases. Aspergillus infections were predominant

  14. Prevalence of household-level food insecurity and its determinants in an urban resettlement colony in north India.

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    Chinnakali, Palanivel; Upadhyay, Ravi P; Shokeen, Deepa; Singh, Kavita; Kaur, Manpreet; Singh, Arvind K; Goswami, Anil; Yadav, Kapil; Pandav, Chandrakant S

    2014-06-01

    An adequate food intake, in terms of quantity and quality, is a key to healthy life. Malnutrition is the most serious consequence of food insecurity and has a multitude of health and economic implications. India has the world's largest population living in slums, and these have largely been underserved areas. The State of Food Insecurity in the World (2012) estimates that India is home to more than 217 million undernourished people. Various studies have been conducted to assess food insecurity at the global level; however, the literature is limited as far as India is concerned. The present study was conducted with the objective of documenting the prevalence of food insecurity at the household level and the factors determining its existence in an urban slum population of northern India. This cross-sectional study was conducted in an urban resettlement colony of South Delhi, India. A pre-designed, pre-tested, semi-structured questionnaire was used for collecting socioeconomic details and information regarding dietary practices. Food insecurity was assessed using Household Food Insecurity Access Scale (HFIAS). Logistic regression analysis was performed to determine the factors associated with food insecurity. A total of 250 women were interviewed through house-to-house survey. Majority of the households were having a nuclear family (61.6%), with mean family-size being 5.5 (SD +/- 2.5) and the mean monthly household income being INR 9,784 (SD +/- 631). Nearly half (53.3%) of the mean monthly household income was spent on food. The study found that a total of 77.2% households were food-insecure, with 49.2% households being mildly food-insecure, 18.8% of the households being moderately food-insecure, and 9.2% of the households being severely food-insecure. Higher education of the women handling food (OR 0.37, 95% CI 0.15-0.92; p insecure. The study demonstrated a high prevalence of food insecurity in the marginalized section of the urban society. The Government of India

  15. Fatal occupational injuries in the South Delhi construction industry: a retrospective study.

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    Rautji, R; Lalwani, S; Dogra, T D

    2005-04-01

    One hundred and forty-five unselected autopsy cases of construction site accidents received from South Delhi were studied during the period from 1996--2002. Data for the study was gathered from autopsy reports and hospital records. The cases represented approximately 1.61% of all autopsy cases received from South Delhi at the All India Institute of Medical Sciences, New Delhi (India). Data was analysed with regard to the age and sex of the victim, the part of the body involved, the manner of accident, the cause of death and the pattern of injuries in different body regions. Death occurred at the scene of the fatal event in thirty-four cases; forty-three cases were dead on arrival at the hospital; sixty-eight cases died after being admitted to the hospital. Ethanol was detected in the blood of 16% of the cases.

  16. Cancer: scenario and relationship of different geographical areas of the globe with special reference to North East-India.

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    Sharma, Jagannath Dev; Kalit, Manoj; Nirmolia, Tulika; Saikia, Sidhartha Protim; Sharma, Arpita; Barman, Debanjana

    2014-01-01

    Cancer is becoming the most important public health burden around the globe. As per the GLOBOCAN 2008 estimates, about 12.7 million cancer cases and 7.6 million cancer deaths were estimated to have occurred in 2008. The burden of cancer cases for India in the year 2020 is calculated to be 1,148,757 (male 534,353; female 614,404) compared to 979,786 in 2010. The pattern of cancer incidence is varying among geographical regions, esophageal cancer for example being high in China, lung cancer in USA, and gallbladder cancer in Chile. The question remains why? Is it due to the diversity in genome pool, food habits, risk factor association and role of genetic susceptibility or some other factors associated with it? In India, the North East (NE)-India region is seeing a marked increase in cancer incidence and deaths, with a very different cancer incidence pattern compared to mainland India. The genome pool of the region is also quite distinct from the rest of India. Northeastern tribes are quite distinct from other groups; they are more closely related to East Asians than to other Indians. In this paper an attempt was made to see whether there is any similarity among the pattern of cancer incidence cases for different sites of NE-India region to South or East-Asia. Principal Component Analysis (PCA), Hierarchical Cluster Analysis (HCA), Pearson Correlation coefficient test was assessed to evaluate the linkage of North-East India region to other regions. A p value NE-India with South and East-Asian regions, which may lead to the conclusion that there might be a genetic linkage between these regions.

  17. Morpho-physiological analysis of tolerance to aluminum toxicity in rice varieties of North East India.

    Science.gov (United States)

    Awasthi, Jay Prakash; Saha, Bedabrata; Regon, Preetom; Sahoo, Smita; Chowra, Umakanta; Pradhan, Amit; Roy, Anupam; Panda, Sanjib Kumar

    2017-01-01

    Aluminum (Al) is the third most abundant metal in earth crust, whose chemical form is mainly dependent on soil pH. The most toxic form of Al with respect to plants is Al3+, which exists in soil pH Eastern India 80% soil are acidic). Al3+ toxicity in plants ensues root growth inhibition leading to less nutrient and water uptake impacting crop productivity as a whole. Rice is one of the chief grains which constitutes the staple food of two-third of the world population including India and is not untouched by Al3+ toxicity. Al contamination is a critical constraint to plant production in agricultural soils of North East India. 24 indigenous Indica rice varieties (including Badshahbhog as tolerant check and Mashuri as sensitive check) were screened for Al stress tolerance in hydroponic plant growth system. Results show marked difference in growth parameters (relative growth rate, Root tolerance index, fresh and dry weight of root) of rice seedlings due to Al (100 μM) toxicity. Al3+ uptake and lipid peroxidation level also increased concomitantly under Al treatment. Histochemical assay were also performed to elucidate uptake of aluminum, loss of membrane integrity and lipid peroxidation, which were found to be more in sensitive genotypes at higher Al concentration. This study revealed that aluminum toxicity is a serious harmful problem for rice crop productivity in acid soil. Based on various parameters studied it's concluded that Disang is a comparatively tolerant variety whereas Joymati a sensitive variety. Western blot hybridization further strengthened the claim, as it demonstrated more accumulation of Glutathione reductase (GR) protein in Disang rice variety than Joymati under stressed condition. This study also observed that the emergence of lethal toxic symptoms occurs only after 48h irrespective of the dose used in the study.

  18. Assessment of radiological protection systems among diagnostic radiology facilities in North East India.

    Science.gov (United States)

    Singh, Thokchom Dewan; Jayaraman, T; Arunkumar Sharma, B

    2017-03-01

    This study aims to assess the adequacy level of radiological protection systems available in the diagnostic radiology facilities located in three capital cities of North East (NE) India. It further attempts to understand, using a multi-disciplinary approach, how the safety codes/standards in diagnostic radiology framed by the Atomic Energy Regulatory Board (AERB) and the International Atomic Energy Agency (IAEA) to achieve adequate radiological protection in facilities, have been perceived, conceptualized, and applied accordingly in these facilities. About 30 diagnostic radiology facilities were randomly selected from three capitals of states in NE India; namely Imphal (Manipur), Shillong (Meghalaya) and Guwahati (Assam). A semi-structured questionnaire developed based on a multi-disciplinary approach was used for this study. It was observed that radiological practices undertaken in these facilities were not exactly in line with safety codes/standards in diagnostic radiology of the AERB and the IAEA. About 50% of the facilities had registered/licensed x-ray equipment with the AERB. More than 80% of the workers did not use radiation protective devices, although these devices were available in the facilities. About 85% of facilities had no institutional risk management system. About 70% of the facilities did not carry out periodic quality assurance testing of their x-ray equipment or surveys of radiation leakage around the x-ray room, and did not display radiation safety indicators in the x-ray rooms. Workers in these facilities exhibited low risk perception about the risks associated with these practices. The majority of diagnostic radiology facilities in NE India did not comply with the radiological safety codes/standards framed by the AERB and IAEA. The study found inadequate levels of radiological protection systems in the majority of facilities. This study suggests a need to establish firm measures that comply with the radiological safety codes/standards of the

  19. 2001 Bhuj, India, earthquake engineering seismoscope recordings and Eastern North America ground-motion attenuation relations

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    Cramer, C.H.; Kumar, A.

    2003-01-01

    Engineering seismoscope data collected at distances less than 300 km for the M 7.7 Bhuj, India, mainshock are compatible with ground-motion attenuation in eastern North America (ENA). The mainshock ground-motion data have been corrected to a common geological site condition using the factors of Joyner and Boore (2000) and a classification scheme of Quaternary or Tertiary sediments or rock. We then compare these data to ENA ground-motion attenuation relations. Despite uncertainties in recording method, geological site corrections, common tectonic setting, and the amount of regional seismic attenuation, the corrected Bhuj dataset agrees with the collective predictions by ENA ground-motion attenuation relations within a factor of 2. This level of agreement is within the dataset uncertainties and the normal variance for recorded earthquake ground motions.

  20. Adult non Hodgkin's lymphoma patients: experience from a tertiary care cancer centre in north east India.

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    Hazarika, Munlima; Iqbal, Asif; Krishnatreya, Manigreeva; Sharma, Jagannath Dev; Bhuyan, Chidananda; Saikia, Bhargab Jyoti; Roy, Partha Sarathi; Das, Rashmi; Nandy, Pintu; Kataki, Amal Chandra

    2015-01-01

    There is paucity of data on non Hodgkin's lymphoma (NHL) from our population in North-East India. In this retrospective study, patients were consecutively followed-up to see the clinic-pathological pattern of NHL, various responses, and pattern of relapses to first line treatment with chemotherapy. All patients in the present study received standard regimen of cyclophosphamde, doxorubicin, vincristine, prednisolone (CHOP) with or without rituximab (R-CHOP) as per our institutional protocol as first line therapy. Our study has shown that, in our adult population, the majority of NHL cases present with stage II and stage III disease and extra nodal involvement, B-cell lymphomas and diffuse large cell lymphomas being the most common subtypes. International prognostic index was a significant factor for varied responses to treatment. The majority of relapses after complete remission occurred in the first year.

  1. Spirituality and Wellbeing in the Context of a Study on Suicide Prevention in North India

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    Rekha Wagani

    2018-06-01

    Full Text Available The connection between spirituality and wellbeing, including its benefits for physical and mental health, has been recognized in the Eastern cultures for a very long time, although the sharp division between science and religion has caused, for the most part, its neglect inWestern cultures until recently. Nevertheless, limited efforts have been made to explore the impact of spirituality and religion on wellbeing, including the prevention of suicide. We begin with an overview of the literature on religiousness, spirituality, and health and wellbeing. Further, we present a novel study focused on a sample of 160 Indian students from a spiritually oriented university in North India with the aim to understand how spirituality affects their lives and wellbeing and their views about suicide. Our results show that spirituality, generally, has a positive impact on participants’ wellbeing with a potential protective effect against suicidal behavior, although more research on spiritual/religious beliefs as a source of difficulties is warranted.

  2. Source attribution and mitigation strategies for air pollution in Delhi

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    Kiesewetter, Gregor; Purohit, Pallav; Schoepp, Wolfgang; Liu, Jun; Amann, Markus; Bhanarkar, Anil

    2017-04-01

    Indian cities, and the megacity of Delhi in particular, have suffered from high air pollution for years. Recent observations show that ambient concentrations of fine particulate matter (PM2.5) in Delhi strongly exceed the Indian national ambient air quality standards as well as the World Health Organization's interim target levels. At the same time, India is experiencing strong urbanization, and both Delhi's emissions as well as the exposed population are growing. Therefore the question arises how PM2.5 concentrations will evolve in the future, and how they can be improved efficiently. In the past, typical responses of the Delhi government to high pollution episodes have been restrictions on motorized road traffic, on power plant operations and on construction activities. However, to design sustainable and efficient pollution mitigation measures, the contribution of different source sectors and spatial scales needs to be quantified. Here we combine the established emission calculation scheme of the Greenhouse Gas - Air Pollution Interactions and Synergies (GAINS) model with regional chemistry-transport model simulations (0.5° resolution) as well as local particle dispersion (2 × 2 km resolution) to arrive at a source attribution of ambient PM2.5 in Delhi. Calculated concentrations compare well to observations. We find that roughly 60% of total population-weighted PM2.5 originates from sources outside the national capital territory of Delhi itself. Consequently, mitigation strategies need to involve neighboring states and address the typical sources there. We discuss the likely evolution of ambient concentrations under different scenarios which assume either current emission control legislation, or application of a Clean Air Scenario foreseeing additional regulations in non-industrial sectors which are often overlooked, such as phase-out of solid fuel cookstoves, and road paving. Only in the case where the Clean Air Scenario is applied both in Delhi as well as in

  3. Serological Evidence of Lyssavirus Infection among Bats in Nagaland, a North-Eastern State in India.

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    Mani, R S; Dovih, D P; Ashwini, M A; Chattopadhyay, B; Harsha, P K; Garg, K M; Sudarshan, S; Puttaswamaiah, R; Ramakrishnan, U; Madhusudana, S N

    2017-06-01

    Bats are known to be reservoirs of several medically important viruses including lyssaviruses. However, no systematic surveillance for bat rabies has been carried out in India, a canine rabies endemic country with a high burden of human rabies. Surveillance for rabies virus (RABV) infection in bats was therefore carried out in Nagaland, a north-eastern state in India at sites with intense human-bat interfaces during traditional bat harvests. Brain tissues and sera from bats were tested for evidence of infection due to RABV. Brain tissues were subjected to the fluorescent antibody test for detection of viral antigen and real-time reverse transcriptase PCR for presence of viral RNA. Bat sera were tested for the presence of rabies neutralizing antibodies by the rapid fluorescent focus inhibition test. None of the bat brains tested (n = 164) were positive for viral antigen or viral RNA. However, rabies neutralizing antibodies were detected in 4/78 (5·1%) bat sera tested, suggesting prior exposure to RABV or related lyssaviruses. The serological evidence of lyssaviral infection in Indian bats may have important implications in disease transmission and rabies control measures, and warrant extensive bat surveillance to better define the prevalence of lyssaviral infection in bats.

  4. Prevalence of cigarette smoking and its predictors among school going adolescents of North India

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    Durgesh Thakur

    2014-01-01

    Full Text Available Background: Cigarettes smoking is a common mode of consuming tobacco in India. This habit usually starts in adolescence and tracks across the life course. Interventions like building decision making skills and resisting negative influences are effective in reducing the initiation and level of tobacco use. Aims and Objectives: The purpose of this study was to assess the prevalence of adolescent current cigarette smoking behavior and to investigate the individual and social factors, which influence them both to and not to smoke. Methodology: A cross-sectional study was carried out among school going adolescents in Shimla town of North India. After obtaining their written informed consent, a questionnaire was administered. Results: The overall prevalence of current cigarette smoking was 11.8%. The binary logistic regression model revealed that parents′ and peers′ smoking behavior influence adolescent smoking behavior. Individual self-harm tendency also significantly predicted cigarette smoking behavior. Parental active participation in keeping a track of their children′s free time activities predicted to protect adolescents from taking this habit. Conclusion: Our research lends support to the need for intervention on restricting adolescents from taking up this habit and becoming another tobacco industries′ addicted customer. Parents who smoke should quit this habit, which will not only restore their own health, but also protect their children. All parents should be counseled to carefully observe their children′s free time activities.

  5. Attitude about mental illness of health care providers and community leaders in rural Haryana, North India

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    Harshal Ramesh Salve

    2014-12-01

    Full Text Available Background: Attitude about mental illness determines health seeking of the people. Success of National Mental Health Programme (NMHP is dependent on attitude about mental illness of various stakeholders in the programme. Material & Methods: A community based cross-sectional study was carried out in Ballabgarh block of Faridabad district in Haryana. We aimed to study attitude about mental illness of various stakeholders of health care providers (HCP, community leaders in rural area of Haryana, north India. Study area consisting of five Primary Health Centers (PHCs serving 2,12,000 rural population. All HCP working at PHCs, Accredited Social Health Activist (ASHA and community leaders in study area were approached for participation. Hindi version of Opinion about Mental illness Scale for Chinese Community (OMICC was used to study attitude. Results: In total, 467 participants were participated in the study. Of which, HCP, ASHAs and community leaders were 81 (17.4%, 145 (31.0% and 241 (51.6% respectively. Community members reported socially restrictive, pessimistic and stereotyping attitude towards mentally ill person. ASHA and HCP reported stereotyping attitude about person with mental illness. None of the stakeholders reported stigmatizing attitude. Conclusion: Training programme focusing on spectrum of mental illness for HCP and ASHA working in rural area under NMHP programme is needed. Awareness generation of community leaders about bio-medical concept of mental illness is cornerstone of NMHP success in India.

  6. Profile of glaucoma in a major eye hospital in North India

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    Das Jayachandra

    2001-01-01

    Full Text Available Purpose: To study the clinical profile and distribution of various subtypes of glaucoma in a referral practice in North India. Method: A retrospective analysis was done of 2425 patients who attended the glaucoma clinic in a tertiary eye-care centre for five years from Januaryl995 to December 1999. A detailed history was obtained and a thorough examination was performed, including gonioscopy, disc assessment, applanation tonometry and automated perimetry. Diurnal variation of IOP and provocative tests for glaucoma were done where applicable. Result: Primary angle closure glaucoma (PACG was the most common glaucoma subtype. The primary open angle glaucoma (POAG to the PACG ratio was 37:63. Chronic angle closure glaucoma (CACG was the most common PACG subtype. The majority of CACG cases were relatively asymptomatic. Male dominance was seen for POAG, juvenile open angle glaucoma (JOAG, CACG, normal tension glaucoma (NTG and secondary glaucomas. Female dominance was seen for ocular hypertension (OHT, acute or intermittent ACG and developmental glaucomas. The mean age in years at presentation was POAG: 60.54 years (males 61.54 years, females 59.01 years and PACG: 55.13 years (males 57.25 years, females 53.60. The three common secondary glaucomas were: glaucoma secondary to adherent leucoma, aphakic and pseudophakic glaucomas and traumatic glaucomas. Advanced glaucoma was detected in 42 to 53% of patients and bilateral blindness in 8 to 14% of patients in various subtypes. Conclusion: Compared to Caucasians, glaucoma patients in North India seem to present nearly a decade earlier and the disease is more advanced at presentation. While PACG is the most commonly encountered glaucoma, NTG and exfoliative glaucoma are relatively rare.

  7. Traditional uses of herbal vapour therapy in Manipur, North East India: an ethnobotanical survey.

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    Ningthoujam, Sanjoy Singh; Das Talukdar, Anupam; Potsangbam, Kumar Singh; Choudhury, Manabendra Dutta

    2013-05-02

    Vapour-based medicines are an aspect of traditional medicine in North East India. However, no collective studies on this therapy in the region have been attempted. With the changing perception of traditional knowledge, documenting these herbal preparations and the subsequent development of baseline data for applications in further ethnopharmacological research are needed. To survey and document the plant species associated with vapour therapy in Manipur, North East India, and to evaluate these traditional practices. Semi-structured questionnaires were used to collect information from the Meitei community in the Imphal valley and the Jiribam area in Manipur. Traditional disease concepts were studied along with their corresponding medical terminologies. Plant samples collected from fields, healers' private collections and home gardens were identified. Evaluation of the ethnobotanical data was performed with a modified fidelity level index. In the study, 41 traditional disease complexes were treated by 13 different routes of administration using 48 mono-ingredient and 17 multi-ingredient compositions. Preparation methods included boiling in water (28%), burning the materials (48%), crushing the materials to release the aroma (21%) and slight heating of the materials (3%). Some of the mono-ingredient recipes reported in the study were observed to have similar uses in other parts of the world, whereas polyherbal remedies were found to be unique without any similar report. Many compositions mentioned in the paper are still used by the Meitei community. Traditional healers follow their own criteria for selecting medicinal plants. Plants recorded in this ethnobotanical study can suggest methods for selecting and identifying potentially effective plants for future drug candidates. Scientific characterisation of the herbal remedies can contribute to the endorsement of traditional vapour-based therapies in the modern health care systems. Findings from these "new usage

  8. Compliance to topical anti-glaucoma medications among patients at a tertiary hospital in North India

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    Ketaki Rajurkar

    2018-06-01

    Full Text Available Purpose: The present study aims to estimate the prevalence of non-compliance and improper drop administration technique among glaucoma patients and describe common obstacles to medication compliance. Methods: A hospital-based cross-sectional study, using standardized questionnaire and direct observation by study personnel was conducted among glaucoma patients aged 18 years and above at a tertiary care charitable eye hospital in North India. 151 consecutive glaucoma patients on medical therapy following up at the glaucoma clinics for at least 6 months were recruited. Non-compliance was defined as missing at-least one drop of medication per week and (or the inability to accurately describe the medication regimen. Study personnel also assessed drop administration technique during application of eye drops by patients treating ophthalmologist-provided information, including measures of disease stability. Factors such as socioeconomic status, presence of caregiver, and number of medications with their effect on compliance were studied using chi-square statistics. Results: Among 151 patients interviewed, around 49% of patients reported problems in using glaucoma medications, with 16% of them reporting total non-compliance. 35% of patients demonstrated improper drop administration technique. Forgetfulness was cited as the main reason for being non-compliant and had a significant association with non-compliance (P = 0.00. Paying patients were more compliant as compared to subsidized patients (P = 0.05. Disease was more stable in compliant patients compared to non-compliant patients (P = 0.05. No other factor had significant association with compliance (P > 0.05. Conclusions: Over 50% of the patients surveyed were non-compliant, and 35% demonstrated improper administration technique. Glaucoma patients should be educated on the importance of compliance and aids that minimize forgetfulness, and delivery systems facilitating the delivery of

  9. A Passion for Success: Beating the Odds in a New Delhi Slum.

    Science.gov (United States)

    Milton, Penny

    2002-01-01

    A private alternative school in the slums of New Delhi (India) is committed to ending female child labor and ensuring that its students don't grow up poor. The school was able to enroll girls in its all-female afternoon classes by getting their mothers involved in income-generating cooperatives. The students often outperform their peers in state…

  10. Connecting Activists and Journalists: Twitter communication in the aftermath of the 2012 Delhi rape

    NARCIS (Netherlands)

    Poell, T.; Rajagopalan, S.

    2015-01-01

    This article examines how feminist activists, women's organizations, and journalists in India connected with each other through Twitter following the gang rape incident in New Delhi in December 2012. First, the investigation draws on a set of +15 million tweets specifically focused on rape and gang

  11. CONCLUSIONS New Delhi Birth Cohort

    Indian Academy of Sciences (India)

    CONCLUSIONS New Delhi Birth Cohort. Crossing BMI centiles and early adiposity rebound associated with adult metabolic syndrome. BMI gain in infancy and early childhood – associated more with adult lean mass. BMI gain in later childhood / adolescence – associated more with adult fat mass and constituents of ...

  12. Genetic differentiation and population structure of five ethnic groups of Punjab (North-West India).

    Science.gov (United States)

    Singh, Gagandeep; Talwar, Indu; Sharma, Rubina; Matharoo, Kawaljit; Bhanwer, A J S

    2016-12-01

    The state of Punjab in the North-West part of India has acted as the main passage for all the major human invasions into the Indian subcontinent. It has resulted in the mixing of foreign gene pool into the local populations, which led to an extensive range of genetic diversity and has influenced the genetic structure of populations in Punjab, North-West India. The present study was conducted to examine the genetic structure, relationships, and extent of genetic differentiation in five Indo-European speaking ethnic groups of Punjab. A total of 1021 unrelated samples belonging to Banias, Brahmins, Jat Sikhs, Khatris, and Scheduled castes were analyzed for four human-specific Ins/Del polymorphic loci (ACE, APO, PLAT, and D1) and three restriction fragment length polymorphisms ESR (PvuII), LPL (PvuII), and T2 (MspI) using Polymerase chain reaction (PCR). All the loci were found to be polymorphic among the studied populations. The frequency of the Alu insertion at APO locus was observed to exhibit the highest value (82.6-96.3 %), whereas D1 exhibited the lowest (26.5-45.6 %) among all the ethnic groups. The average heterozygosity among the studied populations ranged from 0.3816 in Banias to 0.4163 in Khatris. The F ST values ranged from 0.0418 to 0.0033 for the PLAT and LPL loci, respectively, with an average value being 0.0166. Phylogenetic analysis revealed that Banias and Khatris are genetically closest to each other. The Jat Sikhs are genetically close to Brahmins and are distant from the Banias. The Jat Sikhs, Banias, Brahmins, and Khatris are genetically very distant from the Scheduled castes. Overall, Uniform allele frequency distribution patterns, high average heterozygosity values, and a small degree of genetic differentiation in this study suggest a genetic proximity among the selected populations. A low level of genetic differentiation was observed in the studied population groups indicating that genetic drift might have been small or negligible in shaping

  13. Microzonation and site-specific ground motion modelling for Delhi city

    International Nuclear Information System (INIS)

    Parvez, Imtiyaz A.; Vaccari, F.; Panza, G.F.

    2002-11-01

    Delhi - the capital of India - lies on a severe earthquake hazard threats not only from the local earthquakes but also from Himalayan events just 200-250 km apart. The seismic ground motion in a part of Delhi City is computed with a hybrid technique based (on the based) on the modal summation and the finite difference scheme for site-specific strong ground motion modelling. Complete realistic SH and P-SV wave seismograms are computed along two geological cross-sections, (1) North-South, from Inter State Bus Terminal (ISBT) to Sewanagar and (2) East- West, from Tilak Bridge to Punjabi Bagh. Two real earthquake sources of July 15, 1720 (MMI=IX, M=7.4) and August 27, 1960 (M=6.0) have been used in the modelling. The response spectra ratio (RSR), i.e. the response spectra computed from the signals synthesized along the laterally varying section normalized by the response spectra computed from the corresponding signals, synthesized for the bedrock reference regional model, have been determined. As expected, the sedimentary cover causes an increase of the signal amplitude particularly in the radial and transverse components. To further check the site-effects, we reversed the source location to the other side of the cross-section and re-computed the site amplifications. There are only a few sites where a large amplification is invariant with respect to the two source locations considered. The RSR ranges between 5 to 10 in the frequency range from 2.8 to 3.7 Hz, for the radial and transverse components of motion along the NS cross-section. Along the EW cross-section RSR varies between 3.5 to 7.5 in the frequency range from 3.5 to 4.1 Hz. The amplification of the vertical component is large at high frequency (>4 Hz) whereas it is negligible in lower frequency range. (author)

  14. Comparative cost-effectiveness of the components of a behavior change communication campaign on HIV/AIDS in North India.

    Science.gov (United States)

    Sood, Suruchi; Nambiar, Devaki

    2006-01-01

    Numerous studies show that exposure to entertainment-education-based mass media campaigns is associated with reduction in risk behaviors. Concurrently, there is a growing interest in comparing the cost-effectiveness of HIV prevention interventions taking into account infrastructural and programmatic costs. In such analyses, though few in number, mass media campaigns have fared well. Using data from a mass media communication campaign in the low HIV prevalence states of Uttar Pradesh, Rajasthan, and Delhi in Northern India, in this article we examine the following: (1) factors that mediate behavior change in different components of the campaign, comprising a TV drama, reality show for youth audiences, and TV spots; (2) the relative impact of campaign components on the behavioral outcome: condom use; and (3) the cost-effectiveness calculations arising from this analysis. Results suggest that recall of the TV spots and the TV drama influences behavior change and is strongly associated with interpersonal communication and positive gender attitudes. The TV drama, in spite of being the costliest, emerges as the most cost-effective component when considering the behavioral outcome of interest. The analysis of the comparative cost-effectiveness of individual campaign components provides insights into the planning of resources for communication interventions globally.

  15. Radiation accident at Mayapuri scrap market, Delhi, 2010

    International Nuclear Information System (INIS)

    Dey, A. B.; Mohanan, S.; Damodaran, D.; Soneja, M.; Jain, N.; Mohan, A.; Vikram, N. K.; Sood, R.

    2012-01-01

    This article reports the accidental public radiation exposure in a scrap market in Delhi (India)), on March 2010. The source, a gamma unit containing Cobalt-60 pencils, was improperly disposed of by a research institution in violation of national regulations for radiation protection and safety of radioactive sources. The unit was sold off to unsuspecting scrap dealers who dismantled the equipment. This event subsequently caused the most severe radiation accident reported in India to date, resulting in seven radiation injuries and one death. The clinical course of five of the patients treated at the All India Inst. of Medical Sciences hospital, New Delhi, is summarised in this report. All five patients suffered from the haematological form of the acute radiation syndrome and local cutaneous radiation injury as well. While four patients exposed to doses between 0.6 and 2.8 Gy survived with intensive or supportive treatment, the patient with the highest exposure of 3.1 Gy died due to acute respiratory distress syndrome and multi-organ failure on Day 16 after hospitalisation. The incident highlights the current gaps in the knowledge, infrastructure and legislation in handling radioactive materials. Medical institutions need to formulate individualised triage and management guidelines to immediately respond to future public radiological accidents. (authors)

  16. Spectrum of perforation peritonitis in delhi: 77 cases experience.

    Science.gov (United States)

    Yadav, Dinesh; Garg, Puneet K

    2013-04-01

    Perforation peritonitis is the most common surgical emergency encountered by surgeons all over the world as well in India. The spectrum of etiology of perforation peritonitis in tropical countries continues to differ from its western counterpart. This study was conducted at Hindu Rao Hospital, Municipal Corporation of Delhi, New Delhi, India, designed to highlight the spectrum of perforation peritonitis in the eastern countries and to improve its outcome. This prospective study included 77 consecutive patients of perforation peritonitis studied in terms of clinical presentations, causes, site of perforation, surgical treatment, postoperative complications, and mortality at Hindu Rao Hospital, Delhi, from March 1, 2011 to December 1, 2011, over a period of 8 months. All patients were resuscitated and underwent emergency exploratory laparotomy. On laparotomy cause of perforation peritonitis was found and controlled. The most common cause of perforation peritonitis noticed in our series was perforated duodenal ulcer (26.4 %) and ileal typhoid perforation (26.4 %), each followed by small bowel tuberculosis (10.3 %) and stomach perforation (9.2 %), perforation due to acute appendicitis (5 %). The highest number of perforations was seen in ileum (39.1 %), duodenum (26.4 %), stomach (11.5 %), appendix (3.5 %), jejunum (4.6 %), and colon (3.5 %). Overall mortality was 13 %. The spectrum of perforation peritonitis in India continuously differs from western countries. The highest number of perforations was noticed in the upper part of the gastrointestinal tract as compared to the western countries where the perforations seen mostly in the distal part. The most common cause of perforation peritonitis was perforated duodenal ulcer and small bowel typhoid perforation followed by typhoid perforation. Large bowel perforations and malignant perforations were least common in our setup.

  17. Tsutsugamushi Disease (Scrub Typhus) Meningoencephalitis in North Eastern India: A Prospective Study.

    Science.gov (United States)

    Sharma, S R; Masaraf, H; Lynrah, K G; Lyngdoh, M

    2015-01-01

    Scrub typhus is rampant in northern, eastern, and southern India. Central nervous system involvement in the form of meningitis or meningoencephalitis is common in scrub typhus. As specific laboratory methods remain inadequate or inaccessible in developing countries, prompt diagnosis is often difficult. The aim of this study was to characterize neurological complications in scrub typhus from northeastern region of India. We did a prospective study of scrub meningoencephalitis at North Eastern Indira Gandhi Regional Institute of Medical Sciences among patients admitted to hospital between October 2009 and November 2011. The diagnosis was made based on the clinical pictures, presence of an eschar, and a positive Weil-Felix test (WFT) with a titer of >1:160 and if required a positive scrub IgM enzyme-linked immunosorbent assay. Lumbar puncture was performed in patients with headache, nuchal rigidity, altered sensorium or cranial nerve deficits, and magnetic resonance imaging (MRI) brain performed if needed. Twenty-three patients of scrub typhus meningitis that were serologically confirmed were included in the study. There were 13 males and 10 females. Fever ≥1 week was the most common manifestation (39.1%). Interestingly, none had an eschar. Median cerebrospinal fluid (CSF) cell count, lymphocyte percentage, CSF protein, CSF glucose/blood glucose, CSF ADA were 17 cells/μL, 90%, 86 mg/dL, 0.6605 and 3.6 U/mL, respectively. All patients were treated with doxycycline. There was no mortality in our study. Absence of Eschar does not rule out scrub typhus. Clinical features and CSF findings can mimic tuberculous meningitis so misdiagnosis may lead to unwarranted prolonged empirical antituberculous therapy in cases of lymphocytic meningoencephalitis. Delay in treatment can be potentially fatal. WFT still serves as a useful and affordable diagnostic tool for this disease in resource-poor countries.

  18. Health care inequities in north India: role of public sector in universalizing health care.

    Science.gov (United States)

    Prinja, Shankar; Kanavos, Panos; Kumar, Rajesh

    2012-09-01

    Income inequality is associated with poor health. Inequities exist in service utilization and financing for health care. Health care costs push high number of households into poverty in India. We undertook this study to ascertain inequities in health status, service utilization and out-of-pocket (OOP) health expenditures in two States in north India namely, Haryana and Punjab, and Union Territory of Chandigarh. Data from National Sample Survey 60 th Round on Morbidity and Health Care were analyzed by mean consumption expenditure quintiles. Indicators were devised to document inequities in the dimensions of horizontal and vertical inequity; and redistribution of public subsidy. Concentration index (CI), and equity ratio in conjunction with concentration curve were computed to measure inequity. Reporting of morbidity and hospitalization rate had a pro-rich distribution in all three States indicating poor utilization of health services by low income households. Nearly 57 and 60 per cent households from poorest income quintile in Haryana and Punjab, respectively faced catastrophic OOP hospitalization expenditure at 10 per cent threshold. Lower prevalence of catastrophic expenditure was recorded in higher income groups. Public sector also incurred high costs for hospitalization in selected three States. Medicines constituted 19 to 47 per cent of hospitalization expenditure and 59 to 86 per cent OPD expenditure borne OOP by households in public sector. Public sector hospitalizations had a pro-poor distribution in Haryana, Punjab and Chandigarh. Our analysis indicates that public sector health service utilization needs to be improved. OOP health care expenditures at public sector institutions should to be curtailed to improve utilization of poorer segments of population. Greater availability of medicines in public sector and regulation of their prices provide a unique opportunity to reduce public sector OOP expenditure.

  19. Identification of different lineages of measles virus strains circulating in Uttar Pradesh, North India

    Directory of Open Access Journals (Sweden)

    Shakya Akhalesh

    2012-10-01

    Full Text Available Abstract Background Genetic analysis of measles viruses associated with recent cases and outbreaks has proven to bridge information gaps in routine outbreak investigations and has made a substantial contribution to measles control efforts by helping to identify the transmission pathways of the virus. Materials and methods The present study describes the genetic characterization of wild type measles viruses from Uttar Pradesh, India isolated between January 2008 and January 2011. In the study, 526 suspected measles cases from 15 outbreaks were investigated. Blood samples were collected from suspected measles outbreaks and tested for the presence of measles specific IgM; throat swab and urine samples were collected for virus isolation and RT-PCR. Genotyping of circulating measles viruses in Uttar Pradesh was performed by sequencing a 450-bp region encompassing the nucleoprotein hypervariable region and phylogenetic analysis. Results and conclusion Based on serological results, all the outbreaks were confirmed as measles. Thirty eight strains were obtained. Genetic analysis of circulating measles strains (n = 38 in Uttar Pradesh from 235 cases of laboratory-confirmed cases from 526 suspected measles cases between 2008 and 2011 showed that all viruses responsible for outbreaks were within clade D and all were genotype D8. Analysis of this region showed that it is highly divergent (up to 3.4% divergence in the nucleotide sequence and 4.1% divergence in the amino acid sequence between most distant strains. Considerable genetic heterogeneity was observed in the MV genotype D8 viruses in North India and underscores the need for continued surveillance and in particular increases in vaccination levels to decrease morbidity and mortality attributable to measles.

  20. Complex routes into HIV care for migrant workers: a qualitative study from north India.

    Science.gov (United States)

    Rai, Tanvi; Lambert, Helen S; Ward, Helen

    2015-01-01

    Migrant workers are designated a bridge population in the spread of HIV and therefore if infected, should be diagnosed and treated early. This study examined pathways to HIV diagnosis and access to care for rural-to-urban circular migrant workers and partners of migrants in northern India, identifying structural, social and individual level factors that shaped their journeys into care. We conducted a qualitative study using in-depth interviews with HIV-positive men (n = 20) and women (n = 13) with a history of circular migration, recruited from an antiretroviral therapy centre in one district of Uttar Pradesh, north India. Migrants and partners of migrants faced a complex series of obstacles to accessing HIV testing and care. Employment insecurity, lack of entitlement to sick pay or subsidised healthcare at destination and the household's economic reliance on their migration-based livelihood led many men to continue working until they became incapacitated by HIV-related morbidity. During periods of deteriorating health they often exhausted their savings on private treatments focused on symptom management, and sought HIV testing and treatment at a public hospital only following a medical or financial emergency. Wives of migrants had generally been diagnosed following their husbands' diagnosis or death, with access to testing and treatment mediated via family members. For some, a delay in disclosure of husband's HIV status led to delays in their own testing. Diagnosing and treating HIV infection early is important in slowing down the spread of the epidemic and targeting those at greatest risk should be a priority. However, despite targeted campaigns, circumstances associated with migration may prevent migrant workers and their partners from accessing testing and treatment until they become sick. The insecurity of migrant work, the dominance of private healthcare and gender differences in health-seeking behaviour delay early diagnosis and treatment initiation.

  1. The "Paradox" of Being Young in New Delhi

    DEFF Research Database (Denmark)

    Ørberg, Elizabeth Williams

    This thesis attempts to understand the ways in which popular film is integrated into the everyday lives of urban middle class youth in India. Approaching the study of film through an audience reception approach, I engaged in participant observation and interviews during a fieldwork period in New...... Delhi in order to better understand how a young audience might negotiate the fantasy of filmic images into the reality of their own lives. The two movies, Salaam Namaste and Kabhi Alvida Naa Kehna (KANK), provided the platform for discussing sensitive or taboo topics in the interviews as well...

  2. New directions: Air pollution challenges for developing megacities like Delhi

    Science.gov (United States)

    Kumar, Prashant; Khare, Mukesh; Harrison, Roy M.; Bloss, William J.; Lewis, Alastair C.; Coe, Hugh; Morawska, Lidia

    2015-12-01

    Most major cities around the world experience periods of elevated air pollution levels, which exceed international health-based air quality standards (Kumar et al., 2013). Although it is a global problem, some of the highest air pollution levels are found in rapidly expanding cities in India and China. The sources, emissions, transformations and broad effects of meteorology on air pollution are reasonably well accounted in air quality control strategies in many developed cities; however these key factors remain poorly constrained in the growing cities of countries with emerging economies. We focus here on Delhi, one of the largest global population centres, which faces particular air pollution challenges, now and in the future.

  3. Worldwide WANO biennial in India

    International Nuclear Information System (INIS)

    Vrubelova, A.

    2010-01-01

    At the turn of January and February 2010, there was an annual general conference of the World Association of Nuclear Operators - WANO held in Delhi, India. One of the representatives, participating on behalf of Slovenske elektrarne, was also Mr. Robert Guns, a former Director of Bohunice Nuclear Power Plant. After his return from India, he was approached by Anna Vrubelova. (author)

  4. Effect of modelling slum populations on influenza spread in Delhi

    Science.gov (United States)

    Chen, Jiangzhuo; Chu, Shuyu; Chungbaek, Youngyun; Khan, Maleq; Kuhlman, Christopher; Marathe, Achla; Mortveit, Henning; Vullikanti, Anil; Xie, Dawen

    2016-01-01

    Objectives This research studies the impact of influenza epidemic in the slum and non-slum areas of Delhi, the National Capital Territory of India, by taking proper account of slum demographics and residents’ activities, using a highly resolved social contact network of the 13.8 million residents of Delhi. Methods An SEIR model is used to simulate the spread of influenza on two different synthetic social contact networks of Delhi, one where slums and non-slums are treated the same in terms of their demographics and daily sets of activities and the other, where slum and non-slum regions have different attributes. Results Differences between the epidemic outcomes on the two networks are large. Time-to-peak infection is overestimated by several weeks, and the cumulative infection rate and peak infection rate are underestimated by 10–50%, when slum attributes are ignored. Conclusions Slum populations have a significant effect on influenza transmission in urban areas. Improper specification of slums in large urban regions results in underestimation of infections in the entire population and hence will lead to misguided interventions by policy planners. PMID:27687898

  5. Declining Groundwater Levels in North India: Understanding Sources of Irrigation Inefficiency

    Science.gov (United States)

    O'Keeffe, J.; Buytaert, W.; Mijic, A.; Brozovic, N.

    2014-12-01

    Over the last half century, the green revolution has transformed India from a famine-prone, drought-susceptible country, into the world's third largest grain producer and one of the most intensely irrigated regions on the planet. This is in no small part due to the country's vast water resources along with an increase in tubewells and more advanced abstraction methods. While agricultural intensification has had undeniable benefits, it has, and continues to have a significant impact on water resources. Unless solutions which take into consideration the ever evolving socio-economic, hydrological and climatic conditions are found, India's agricultural future looks bleak.This research examines the irrigation behaviour of farmers, using data collected during field work in the State of Uttar Pradesh within the Ganges Basin of North India. Significant differences in farmer behaviour and irrigation practices are highlighted, not only between State districts but between individual farmers. This includes the volume of irrigation water applied and the price paid, as well as differences in the yields of crops produced. Analyses of results suggest that this is due to a number of factors, particularly the source of irrigation water. Study areas which had access to cheaper, but crucially less reliable, canal water were found to invest in more efficient water saving technologies in order to reduce the overall cost of irrigation during periods where less expensive canal water is not available. As a result, overall water use and irrigation cost is lower and yields are higher despite very similar climatic conditions. While cheap canal water is not an option for all farmers, the results show that the introduction of more efficient water saving technologies, despite the significant capital expenditure is a viable option for many farmers and costs can be recovered in a relatively short space of time. In addition, the reduction of declining water levels mean that water is abstracted from

  6. Prevalence of polycystic ovary syndrome in young women from North India: A Community-based study

    Directory of Open Access Journals (Sweden)

    Harmandeep Gill

    2012-01-01

    Full Text Available Background: Polycystic ovary syndrome (PCOS is one of the most common endocrine disorders in women of reproductive age. Due to the logistics of diagnosis and lack of consensus on the diagnostic criteria, there are very few prevalence studies in the community. This study was aimed to assess the prevalence of PCOS in women 18-25 years of age, conducted in college girls from Lucknow, North India. Materials and Methods: Sample size for the study was calculated as 1052. Girls from 3 different colleges were approached (n = 2150, 1520 (70.7% agreed to participate. They were asked to fill up a questionnaire asking details of menstrual cycle and features of hyperandrogenism. Hirsutism was self-reported. Responses were verified by a trained research assistant. A probable case was defined as a girl with menstrual irregularity (MI or hirsutism (H or both. All the probable cases were invited for detailed examination, hormone estimation, and ovarian ultrasonography. Results: Of the 1520 girls, 200 (13.1% were labeled as probable cases; 175 (87.5% had MI and 25 (12.5% had both MI and H. Of the 200 cases, 75 (37.5% had hormonal evaluation while 11 agreed for ultrasonography. 27 girls had confirmed PCOS. Therefore, if all the 200 girls would have had hormonal evaluation, 56 girls were likely to be confirmed as PCOS, giving a calculated prevalence of 3.7% (95% CI, 2.6-4.4 in this population. The mean age of these PCOS cases was 18.96 ± 1.73 yrs, body mass index was 21.72 ± 5.48 Kg/m 2 , and waist hip ratio was 0.81 ± 0.08. Only 12% girls had a body mass index ≥ 27.5 Kg/m 2 , but 44% had waist hip ratio > 0.81, again highlighting that despite low BMI, Indians have more abdominal obesity. Conclusion: Calculated prevalence of PCOS in women between the ages of 18-25 years from Lucknow, north India, is 3.7%. Majority of these girls were lean but have abdominal obesity.

  7. In vitro regeneration of Drosera burmannii Vahl.: a carnivorous plant of north-east India.

    Science.gov (United States)

    Yanthan, J Sureni; Kehie, Mechuselie; Kumaria, Suman; Tandon, Pramod

    2017-06-01

    An efficient in vitro regeneration protocol has been developed from shoot tips of Drosera burmannii Vahl., a carnivorous plant of north-east India. Various plant growth regulators were used to study their efficacy in the induction of multiple shoots and roots. Of the various treatments, the maximum number of shoots (28.8 ± 1.5) and roots (9.7 ± 0.6) was observed in one-fourth strength standard medium (MS with 50 mg/l citric acid and 10 mg/l ascorbic acid) supplemented with 4 mg/l 6-benzylaminopurine (BAP) and 4 mg/l α-naphthalene acetic acid (NAA) followed by 26.8 ± 1.4 shoots in one-fourth strength SM fortified with 4 mg/l kinetin (KN) and 4 mg/l NAA. The well-developed plantlets with shoots and roots were potted in small plastic glasses filled with a mixture of sand and farmyard manure (3:1); these plantlets when transferred to a glasshouse for hardening and acclimatization showed 90% survival.

  8. Profile of Skin Disorders in Unreached Hilly Areas of North India

    Directory of Open Access Journals (Sweden)

    Deepak Dimri

    2016-01-01

    Full Text Available Background. The pattern of skin morbidity in an area depends on climate, geography, socioeconomic status, nutrition, genetics, and habits of the community. Objective. The objective of the present study was to describe the morbidity profile of patients attending dermatology outpatient department in a tertiary care centre of Garhwal hills, North India. Methodology. This is a record based study carried out using the morbidity registers. Patient details, diagnosis, and treatment provided by physicians were documented in the morbidity register. ICD coding was done to categorize the patients. Results. The total number of new episodes of illnesses treated in the skin outpatient department during 2009–2014 was 47465. Adults (>18 years constituted about 80.9%. Among adults, about 59.9% were males. Overall the infections of the skin and subcutaneous tissue were the most common (32.6% followed by the disorders of skin appendages (19.8%, and dermatitis and eczema (18.8%. Of the total patients 16.9% were affected by dermatitis and 16.7% by acne. Psoriasis, urticaria, melasma, and vitiligo were present in 3.4%, 3.4%, 3.6%, and 3.3% patients, respectively. Conclusion. This knowledge will help in planning appropriate range services to meet the patients’ needs and help in training of health staff to meet these needs.

  9. Phenotypic method for differentiation of carbapenemases in Enterobacteriaceae: Study from north India

    Directory of Open Access Journals (Sweden)

    Priya Datta

    2012-01-01

    Full Text Available Aims: Carbapenems are usually the choice of antimicrobials in infections caused by Enterobacteriaceae bacteria-producing ESBL (extended spectrum β-lactamases and Amp C. Resistance to carbapenems is mostly due to production of enzymes - Carbapenemases, which are divided into Ambler Classes A, B and D. Phenotypic detection and differentiation of types of Carbapenemases in carbapenem-resistant Enterobacteriaceae (CRE is important for proper infection control and appropriate patient management. Materials and Methods: The present study done in a tertiary care hospital from North India differentiates Class A (KPC type and B (MBL type carbapenemases among Enterobacteriaceae isolates by simple phenotypic method that uses both the inhibitors EDTA and phenylboronic acid. Results: Total of 330 strains of Enterobacteriaceae were included in the study. Out of these 330 strains, 26 strains were resistant to carbapenems. The prevalence of CRE in our Institute is 7.87% (26/330. Conclusions: The prevalence of Enterobacteriaceae strains producing MBL type carbapenemase in our health care setup is 5.75% (19/330. None of the strains among the carbapenem-resistant bacterial isolates showed production of KPC enzyme. The need of the hour is simple, rapid and cost effective tests which will be able to identify and distinguish resistant pathogens for improved patient outcome, facilitating efficient infection control and reducing the escalation of resistance.

  10. Multiple constitutional aetiological factors in bone marrow failure syndrome (BMFS) patients from north India.

    Science.gov (United States)

    Varma, Neelam; Varma, Subhash; Marwaha, Ram Kumar; Malhotra, Pankaj; Bansal, Deepak; Malik, Kiran; Kaur, Sukhdeep; Garewal, Gurjeevan

    2006-07-01

    A large number of patients diagnosed with bone marrow failure syndromes (BMFS), comprising aplastic anaemia (AA) and myelodysplastic syndromes (MDS), remain aetiologically uncharacterized worldover, especially in resource constrained set up. We carried out this study to identify a few constitutional causes in BMFS patients attending a tertiary care hospital in north India. Peripheral blood lymphocyte cultures were performed (with and without clastogens) in a cohort of 135 consecutive BMFS patients, in order to detect Fanconi anaemia (FA), Down's syndrome (+21), trisomy 8 (+8) and monosomy 7 (-7). Constitutional factors were detected in 17 (12.6%) patients. FA defect was observed in 24.07 percent (13/54), 16.66 percent (1/6) and 2.85 percent (1/35) paediatric aplastic anaemia, paediatric MDS and adult MDS patients respectively. Down's syndrome was detected in 5.00 percent (2/40) adult aplastic anaemia patients. None of the patients revealed trisomy 8 or monosomy 7. Presence of an underlying factor determines appropriate management, prognostication, family screening and genetic counselling of BMFS patients. Special tests required to confirm or exclude constitutional aetiological factors are not available to majority of the patients in our country. Diepoxybutane (DEB) test yielded better results than mitomycin C (MMC) test in our experience.

  11. The spectrum of leukodystrophies in children: Experience at a tertiary care centre from North India

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    Sheffali Gulati

    2016-01-01

    Full Text Available Objective: The objective of this study is to retrospectively collect and then describe the clinico-radiographical profile of confirmed cases of leukodystrophy who presented over a 5-year period to a tertiary care teaching hospital in North India. Materials and Methods: The case records of 80 confirmed cases of leukodystrophy were reviewed and the cases have been described in terms of their clinical presentation and neuroimaging findings. Results: The cases have been grouped into five categories: Hypomyelinating, demyelinating, disorders with vacuolization, cystic, and miscellaneous. The commonest leukodystrophies are megalencephalic leukoencephalopathy with subcortical cysts (MLC, Pelizaeus-Merzbacher disease (PMD, and metachromatic leukodystrophy (MLD. A notable proportion of hypomyelinating disorders were uncharacterized. Conclusions: Leukodystrophies at this point of time have no definite cure. They have a progressively downhill clinical course. Early diagnosis is imperative for appropriate genetic counseling. A simplified approach to diagnose common leukodystrophies has also been provided. It is important to develop a registry, which can provide valuable epidemiological data to prioritize research in this field, which has many unanswered questions.

  12. Phytoplankton community and limnology of Chatla floodplain wetland of Barak valley, Assam, North-East India

    Directory of Open Access Journals (Sweden)

    Sultana Laskar H.

    2013-09-01

    Full Text Available Phytoplankton diversity was investigated over a period of two years (2006 to 2008 in Chatla floodplain wetland in Barak valley, Assam, North-East India. Site 1 and site 2 are two inlets and site 3 is a lentic system associated with vegetation cover of Calamus tenuis and Baringtonia acutangula. The floodplain has a unique hydrology because of the presence of different types of habitats (inlets, fisheries, beels and outlets which maintains a network among the floodplains, rivers and streams. Phytoplankton community composition, density and diversity were studied in relation to environmental variables. All the variables were estimated by following standard methods. Phytoplankton was collected by plankton net and quantitative estimation was made by using Sedgwick Rafter counting cell. Phytoplankton community comprised 53 taxa represented by Chlorophyceae (31, Cyanophyceae (11, Bacillariophyceae (7, Euglenophyceae (1 and Dinophyceae (3. Phytoplankton taxa was dominated by Volvox sp., Nostoc sp., Eunotia sp., Navicula sp., Euglena spp. and density was found highest in site 3 and lowest in site 1. Shannon diversity index (H′ for phytoplankton community varied between 2.4 to 2.65 indicating fairly high species diversity. The varying magnitude of correlationship among environmental variables and phytoplankton species density as shown by Canonical correspondence analysis (CCA indicated that some of the environmental variables (water temperature, transparency, rainfall, nitrate and ammonia are the driving factors for governing the phytoplankton species assemblages in Chatla floodplain wetland. Fluctuation of phytoplankton density and community composition in different habitats indicated various niche apportionment as well as anthropogenic influences.

  13. Characterization of biomasses available in the region of North-East India for production of biofuels

    International Nuclear Information System (INIS)

    Sasmal, Soumya; Goud, Vaibhav V.; Mohanty, Kaustubha

    2012-01-01

    The lignocellulosic materials are cheap and readily available either in the form of agricultural waste or forest residues. These materials can be used as a source for energy production either in the gaseous form (CO, H 2 etc) or in liquid form (ethanol, butanol etc) to meet the rising demand of energy. The reign of lignocellulosic materials for energy production is a proven fact in this era of energy research. The present study focuses on characterization of three biomass samples namely areca nut husk (Areca catheu), moj (Albizia lucida) and bonbogori (Ziziphus rugosa), available in the region of North-East India. Physical and chemical analysis of these lignocellulosic biomass samples were performed using X-ray diffraction techniques, thermogravimetric analysis, FTIR, Raman spectroscopy and CHNSO analysis. Maximum crystalinity was observed in areca nut husk fiber (63.84%) followed by moj (46.43%) and bonbogori (42.46%). The calorific values of all the biomasses were found within the range of 17 MJ/kg to 22 MJ/kg. All these properties combined together per se shows that areca nut husk, bonbogori and moj are potential sources for biofuel production. -- Highlights: ► Non-conventional biomasses were considered in this study. ► Complete characterization of these biomasses are reported. ► Maximum crystalinity was observed in areca nut husk fiber followed by moj and bonbogori. ► Results confirmed that these biomasses can be utilized for biofuel production.

  14. Antagonistic Potential of Native Trichoderma viride Strain against Potent Tea Fungal Pathogens in North East India.

    Science.gov (United States)

    Naglot, A; Goswami, S; Rahman, I; Shrimali, D D; Yadav, Kamlesh K; Gupta, Vikas K; Rabha, Aprana Jyoti; Gogoi, H K; Veer, Vijay

    2015-09-01

    Indigenous strains of Trichoderma species isolated from rhizosphere soils of Tea gardens of Assam, north eastern state of India were assessed for in vitro antagonism against two important tea fungal pathogens namely Pestalotia theae and Fusarium solani. A potent antagonist against both tea pathogenic fungi, designated as SDRLIN1, was selected and identified as Trichoderma viride. The strain also showed substantial antifungal activity against five standard phytopathogenic fungi. Culture filtrate collected from stationary growth phase of the antagonist demonstrated a significantly higher degree of inhibitory activity against all the test fungi, demonstrating the presence of an optimal blend of extracellular antifungal metabolites. Moreover, quantitative enzyme assay of exponential and stationary culture filtrates revealed that the activity of cellulase, β-1,3-glucanase, pectinase, and amylase was highest in the exponential phase, whereas the activity of proteases and chitinase was noted highest in the stationary phase. Morphological changes such as hyphal swelling and distortion were also observed in the fungal pathogen grown on potato dextrose agar containing stationary phase culture filtrate. Moreover, the antifungal activity of the filtrate was significantly reduced but not entirely after heat or proteinase K treatment, demonstrating substantial role of certain unknown thermostable antifungal compound(s) in the inhibitory activity.

  15. Antagonistic Potential of Native Trichoderma viride Strain against Potent Tea Fungal Pathogens in North East India

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    A. Naglot

    2015-09-01

    Full Text Available Indigenous strains of Trichoderma species isolated from rhizosphere soils of Tea gardens of Assam, north eastern state of India were assessed for in vitro antagonism against two important tea fungal pathogens namely Pestalotia theae and Fusarium solani. A potent antagonist against both tea pathogenic fungi, designated as SDRLIN1, was selected and identified as Trichoderma viride. The strain also showed substantial antifungal activity against five standard phytopathogenic fungi. Culture filtrate collected from stationary growth phase of the antagonist demonstrated a significantly higher degree of inhibitory activity against all the test fungi, demonstrating the presence of an optimal blend of extracellular antifungal metabolites. Moreover, quantitative enzyme assay of exponential and stationary culture filtrates revealed that the activity of cellulase, β-1,3-glucanase, pectinase, and amylase was highest in the exponential phase, whereas the activity of proteases and chitinase was noted highest in the stationary phase. Morphological changes such as hyphal swelling and distortion were also observed in the fungal pathogen grown on potato dextrose agar containing stationary phase culture filtrate. Moreover, the antifungal activity of the filtrate was significantly reduced but not entirely after heat or proteinase K treatment, demonstrating substantial role of certain unknown thermostable antifungal compound(s in the inhibitory activity.

  16. Metabolic syndrome among substance dependent men: A study from north India

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    Surendra Kumar Mattoo

    2013-01-01

    Full Text Available Background: Substance abuse, alcohol in particular, is associated with increased risk of diabetes and metabolic syndrome (MS. The relationship between the substance abuse and MS is complex and the literature is sparse. Objectives: The present research was aimed to study the prevalence and predictors of MS among outpatients with substance dependence. Materials and Methods: Patients with substance dependence were recruited from a deaddiction center in North India, who attended outpatient clinic from 1 st January, 2010-31 st December, 2010. MS was assessed using International Diabetes Federation (IDF criteria. Results: Out of 250 subjects, 34 (13.6% of the subjects met the IDF criteria for MS and highest being in alcohol group (21.6%. The commonest abnormality was increased triglycerides (TG; 54% and increased waist circumference (36.8%. Age, body weight, body mass index, and obesity were significant predictor of MS. Conclusion: MS was highest in subjects with alcohol dependence with the commonest abnormality of TG and blood pressure. Hence, routine screening is advisable in this population to address emerging MS.

  17. A MORPHOLOGICAL STUDY OF HUMAN THYROID GLAND IN THE POPULATION OF NORTH - EASTERN REGION OF INDIA

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    Debabani

    2015-06-01

    Full Text Available BACKGROUND : Due to the high incidence of thyroid disorders in the North - Eastern population of India a study was undertaken in Guwahati Medical College to see the age related changes in the morphology of the gland in the ca davers of this region. AIM : The study was done to compare the dimensions of the thyroid gland in this population with different studies around the world to see if it can throw any light why thyroid disorders are more common in this population and help clin icians to deal better. MATERIALS AND METHOD : The specimens were divided into three groups according to their ages. Twenty (21 specimens (both male and female were taken from each age group. Statistical analysis was done by paired t - test and t was taken a s significant if the value of t was greater than 2.18. SUMMARY : A study of all together of 63 specimen were taken up to see if any morphological differences in dimension exists in various age groups viz. pediatrics , adults and elderly and co relate with fi ndings of previous workers and was statistically analyzed. CONCLUSION : The study showed that there was no morphological difference of this population with that of previous studies done in other parts of the world. Perhaps a histological study in molecular level will throw more light why this stratum of population is so vulnerable to thyroid disorders.

  18. Genotoxicity and oxidative stress in chromium-exposed tannery workers in North India.

    Science.gov (United States)

    Ambreen, Khushboo; Khan, Faizan Haider; Bhadauria, Smrati; Kumar, Sudhir

    2014-06-01

    Trivalent chromium (Cr) is an environmental contaminant, which is extensively used in tanning industries throughout the world and causes various forms of health hazards in tannery workers. Therefore, a cross-sectional study design was used to evaluate the DNA damage and oxidative stress condition in tannery workers exposed to Cr in North India. The study population comprised 100 male tanners in the exposed group and 100 healthy males (no history of Cr exposure) in the comparable control group. Baseline characteristics including age, smoking, alcohol consumption habits and duration of exposure were recorded via interviewing the subjects. Blood Cr level (measured by atomic absorption spectrophotometry), DNA damage (measured by comet assay) and oxidative stress parameters (malondialdehyde (MDA), glutathione (GSH) and superoxide dismutase (SOD)) were estimated in both the groups. As a result of statistical analysis, exposed group showed significantly higher level of Cr (p  0.05) on DNA damage and oxidative stress parameters in both the groups. In simple and multiple correlation analysis, DNA damage and oxidative stress parameters showed significant correlation with Cr level and duration of exposure in exposed group. The findings of the present study revealed that chronic occupational exposure to trivalent Cr may cause DNA damage and oxidative stress in tannery workers. © The Author(s) 2012.

  19. Brief descriptive epidemiology of primary malignant brain tumors from North-East India.

    Science.gov (United States)

    Krishnatreya, Manigreeva; Kataki, Amal Chandra; Sharma, Jagannath Dev; Bhattacharyya, Mouchumee; Nandy, Pintu; Hazarika, Munlima

    2014-01-01

    Brain tumors are a mixed group of neoplasms that originate from the intracranial tissues and the meninges with degrees of malignancy varying greatly from benign to aggressive. Not much is known about the epidemiology of primary malignant brain tumors (PMBTs) in our population in North-East India. In this analysis, an attempt was made to identify the age groups, gender distribution, topography and different histological types of PMBT with data from a hospital cancer registry. A total of 231 cases of PMBT were identified and included for the present analysis. Our analysis has shown that most of PMBT occur at 20-60 years of age, with a male to female ratio of 2.3:1. Some 70.5% of cases occurred in cerebral lobes except for the occipital lobe, and astrocytic tumors were the most common broad histological type. In our population the prevalence of PMBT is 1% of all cancers, mostly affecting young and middle aged patients. As brain tumors are rare, so case-control analytic epidemiological studies will be required to establish the risk factors prevalent in our population.

  20. Appraising the spectrum of firework trauma and the related laws during Diwali in North India.

    Science.gov (United States)

    Venkatesh, Ramesh; Gurav, Prachi; Tibrewal, Shailja; Agarwal, Manisha; Dubey, Suneeta; Mathur, Umang; Ganesh, Suma; Das, Sima

    2017-02-01

    To evaluate the epidemiological characteristics and outcomes of ocular injuries resulting from the use of firecrackers during the Diwali festival in all age groups. A single-center, retrospective, hospital-based case series presenting with ocular trauma consequent to fireworks usage in a tertiary eye care center in North India during the 5 days of Diwali festival from 2011 to 2015 was conducted. A total of 53 eyes of 45 patients were included in the study, out of which the vast majority (39/87%) were males. The mean age was 20.55 years. Almost an equal number of bystanders (25/55.5%) were affected as compared to people handling the fireworks (20/44.44%). Five (9.43%) eyes had open-globe injury, whereas 48 (90.56%) eyes had closed-globe injury. Eighteen (33.96%) eyes underwent surgical intervention. Thirty-three (62.26%) eyes had final vision >20/200 with eight (15.09%) eyes being vision Firework-related ocular trauma can lead to serious visual impairment. Mandatory legislative laws pertaining to the manufacture, sale, and use of fireworks and creating public awareness can reduce the incidence of this preventable cause of blindness in the society. Initiating new policies for retailers involved in sale of these firecrackers can also bring in decrease of such morbidities.

  1. Appraising the spectrum of firework trauma and the related laws during Diwali in North India

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    Ramesh Venkatesh

    2017-01-01

    Full Text Available Purpose: To evaluate the epidemiological characteristics and outcomes of ocular injuries resulting from the use of firecrackers during the Diwali festival in all age groups. Materials and Methods: A single-center, retrospective, hospital-based case series presenting with ocular trauma consequent to fireworks usage in a tertiary eye care center in North India during the 5 days of Diwali festival from 2011 to 2015 was conducted. Results: A total of 53 eyes of 45 patients were included in the study, out of which the vast majority (39/87% were males. The mean age was 20.55 years. Almost an equal number of bystanders (25/55.5% were affected as compared to people handling the fireworks (20/44.44%. Five (9.43% eyes had open-globe injury, whereas 48 (90.56% eyes had closed-globe injury. Eighteen (33.96% eyes underwent surgical intervention. Thirty-three (62.26% eyes had final vision >20/200 with eight (15.09% eyes being vision <3/60 in the affected eye. Conclusion: Firework-related ocular trauma can lead to serious visual impairment. Mandatory legislative laws pertaining to the manufacture, sale, and use of fireworks and creating public awareness can reduce the incidence of this preventable cause of blindness in the society. Initiating new policies for retailers involved in sale of these firecrackers can also bring in decrease of such morbidities.

  2. Beneficial role of D allele in controlling ACE levels: a study among Brahmins of north India.

    Science.gov (United States)

    Kumari, Shobha; Sharma, Nidhi; Thakur, Sunil; Mondal, Prakash R; Saraswathy, Kallur N

    2016-06-01

    India being a country with vast diversity is expected to have different dietary and life style patterns which in turn may lead to population-specific environmental risk factors. Further, the interaction of these risk factors with the genetic makeup of population makes it either susceptible or resistant to cardiovascular disease. One such candidate gene is angiotensin converting enzyme (ACE) for various cardiovascular mechanisms. ACE is the key enzyme of the renin angiotensin aldosterone system pathway which maintains homeostasis blood pressure in the body and any variation in the levels is reported to be associated with various complex diseases. The DD genotype is found to increase ACE levels, which is associated with cardiovascular diseases and decrease in ACE levels are associated with kidney diseases. The aim of this study was to understand the distribution of ACE I/D polymorphism and ACE levels among Brahmins of National Capital Region (NCR) north India, with respect to age and sex ratio distribution. In this study, 136 subjects of which 50 males and 86 females, who were unrelated up to first cousin, aged 25 to70 years were studied. ACE gene was found to be polymorphic with high frequency of heterozygote (ID) followed by II and DD genotypes. The studied population was found to be in Hardy-Weinberg equilibrium with respect to ACE I/D polymorphism (P = 0.55). I allele frequency was found to be higher (0.560) than the D allele (0.44). The median level of ACE was found to be 65.96 ng/mL (48.12-86.24) which is towards lower side of the normal range. ACE levels were found to be increased among individual having either of the homozygotes that is II or DD and higher frequency of heterozygote (ID) is indicative of advantage in the population by maintaining lower ACE levels. The limitation of the present study is low sample size, however, the merit is that the subjects belonged to a Mendalian population with a common gene pool.

  3. INVENTORY OF GREEN HOUSE GASES AND OTHER POLLUTANTS FROM THE TRANSPORT SECTOR: DELHI

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    C. SHARMA, R. PUNDIR

    2008-04-01

    Full Text Available Delhi is the most urbanized city in India. Inventory estimates for the emissions of greenhouse gases and other pollutants like CO2, CO, NOx, and volatile organic compound from transport sector in Delhi, has been developed using bottom up approach provided by Intergovernmental panel on climate change (IPCC-1996. The impacts of policy option in transport sector like introduction of Compressed Natural Gas for public transport in Delhi and introduction of Euro-1 norms for vehicles have also been estimated. The emission inventory reveals that total emission of pollutants from different categories vehicles have increased during the period 1990-2000. For example, the CO2 emission (1000, tones from gasoline driven vehicle (MC/SC in Delhi has increased from 766 in 1990-91 to 1187 in 1999-00. The diesel driven vehicles Light commercial vehicles in Delhi has contributed to 577 CO2 in 1990-91, which increased to 9779 in 1999-00. For other pollutants also, which have been estimated here, an increase in total emission from gasoline and diesel driven vehicles has been observed during this 1990-2000 periods. This study shows that the over all contribution of pollutants in the total emissions from gasoline and diesel driven vehicles have increased in Delhi during this period. The present study also shows that the implementation of Euro-1 in 2000 in Delhi has resulted in the decrease of total emission of CO, HC, NOx, and volatile organic compound for all the classes of vehicle for which the revised vehicle emissions norms were implemented. However this decrease in emission has become inefficient due to increase in vehicle population.

  4. Why women choose to give birth at home: a situational analysis from urban slums of Delhi.

    Science.gov (United States)

    Devasenapathy, Niveditha; George, Mathew Sunil; Ghosh Jerath, Suparna; Singh, Archna; Negandhi, Himanshu; Alagh, Gursimran; Shankar, Anuraj H; Zodpey, Sanjay

    2014-05-22

    Increasing institutional births is an important strategy for attaining Millennium Development Goal -5. However, rapid growth of low income and migrant populations in urban settings in low-income and middle-income countries, including India, presents unique challenges for programmes to improve utilisation of institutional care. Better understanding of the factors influencing home or institutional birth among the urban poor is urgently needed to enhance programme impact. To measure the prevalence of home and institutional births in an urban slum population and identify factors influencing these events. Cross-sectional survey using quantitative and qualitative methods. Urban poor settlements in Delhi, India. A house-to-house survey was conducted of all households in three slum clusters in north-east Delhi (n=32 034 individuals). Data on birthing place and sociodemographic characteristics were collected using structured questionnaires (n=6092 households). Detailed information on pregnancy and postnatal care was obtained from women who gave birth in the past 3 months (n=160). Focus group discussions and in-depth interviews were conducted with stakeholders from the community and healthcare facilities. Of the 824 women who gave birth in the previous year, 53% (95% CI 49.7 to 56.6) had given birth at home. In adjusted analyses, multiparity, low literacy and migrant status were independently predictive of home births. Fear of hospitals (36%), comfort of home (20.7%) and lack of social support for child care (12.2%) emerged as the primary reasons for home births. Home births are frequent among the urban poor. This study highlights the urgent need for improvements in the quality and hospitality of client services and need for family support as the key modifiable factors affecting over two-thirds of this population. These findings should inform the design of strategies to promote institutional births. Published by the BMJ Publishing Group Limited. For permission to use

  5. India

    International Nuclear Information System (INIS)

    Jones, R.W.

    1990-01-01

    Interest has grown recently in the issues of third tier or emerging nuclear suppliers. These are states that could export nuclear equipment, services, or technology but are outside the export control framework of the London Nuclear Supplier Group (NSG). The concern is that they may conduct nuclear trade without adequate safeguards, thus weakening the nonproliferation regime or even contributing to nuclear proliferation. The volume of nuclear sales by emerging suppliers is still minuscule, and it is unclear how far their export practices will diverge from the NSG framework. This case study of Indian nuclear supplier capability and practice is an effort to discern the type of path India is likely to adopt. This paper examines four aspects of India's nuclear activity for clues to India's potential role as an emerging nuclear supplier: foreign transactions; nuclear decision making; policy norms; and nuclear industrial capabilities

  6. A failure of the Red Pierrot Talicada nyseus Guérin-Méneville, 1843 (Lepidoptera: Lycaenidae butterfly to colonize Delhi area

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    Rajiv K. Singh Bais

    2015-02-01

    Full Text Available The Red Pierrot Talicada nyseus Guérin-Méneville, 1843 is a butterfly of the semi-arid plains. Its historical distribution range includes Sri Lanka, southern India, northeastern India and Myanmar. It was recently reported from a few places in northern India far away from its known range boundaries in India. Dehradun, Kumaon Himalaya, Delhi and Kalatop are the places from where it has been reported in the recent past. Talicada nyseus nyseus appeared in the Delhi area in 2008, survived and bred for more than a year and then suddenly disappeared in the summer of 2009. The appearance of T.n. nyseus in Dehradun has been linked to the introduction of Kalanchoe ornamental plants in the newly developed residential areas. This paper examines the likely reasons for its disappearance from the Delhi area.

  7. Under the banyan tree--exclusion and inclusion of people with mental disorders in rural North India.

    Science.gov (United States)

    Mathias, Kaaren; Kermode, Michelle; San Sebastian, Miguel; Koschorke, Mirja; Goicolea, Isabel

    2015-05-01

    Social exclusion is both cause and consequence of mental disorders. People with mental disorders (PWMD) are among the most socially excluded in all societies yet little is known about their experiences in North India. This qualitative study aims to describe experiences of exclusion and inclusion of PWMD in two rural communities in Uttar Pradesh, India. In-depth interviews with 20 PWMD and eight caregivers were carried out in May 2013. Interviews probed experiences of help-seeking, stigma, discrimination, exclusion, participation, agency and inclusion in their households and communities. Qualitative content analysis was used to generate codes, categories and finally 12 key themes. A continuum of exclusion was the dominant experience for participants, ranging from nuanced distancing, negative judgements and social isolation, and self-stigma to overt acts of exclusion such as ridicule, disinheritance and physical violence. Mixed in with this however, some participants described a sense of belonging, opportunity for participation and support from both family and community members. These findings underline the urgent need for initiatives that increase mental health literacy, access to services and social inclusion of PWMD in North India, and highlight the possibilities of using human rights frameworks in situations of physical and economic violence. The findings also highlight the urgent need to reduce stigma and take actions in policy and at all levels in society to increase inclusion of people with mental distress and disorders.

  8. CLINICAL PROFILE OF PATIENTS WITH ALCOHOLIC LIVER DISEASE IN UPPER ASSAM OF NORTH EAST INDIA

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    Ardhendu Kumar Sen

    2017-05-01

    Full Text Available BACKGROUND Alcohol is the most commonly abused drug worldwide causing liver injury with respect to dose, duration, type of alcohol consumption and drinking patterns and gender with diverse ethnicity and social customs. There is high prevalence of alcohol use in the society without much social taboo in the North Eastern States of India and also there is a high prevalence of different ethnic tribes with the custom of taking country made alcohol casually as a part of their tradition. The aim of this study is to study the clinical profile of patients with alcoholic liver disease in upper Assam of north east India. MATERIALS AND METHODS The study was a hospital-based observational study in which patients of 18 years and older and diagnosed to have alcoholic liver disease were included. Cases excluded were patients of NASH, viral hepatitis, drug-induced hepatitis, haemochromatosis, alcoholic liver disease with diabetes and kidney disease. Informed written consent was taken from the patients or their attendants. Ethical clearance was taken from the Institutional Ethical Committee. A total of 138 cases were selected for the study. A detailed evaluation of clinical history, examination and investigations and the results were recorded in a predesigned proforma. RESULTS Out of 138 patients, 113 were males and 25 were females with male:female ratio of 4.5:1. Majority of cases (34.78% were in the age group of (41-50 years. It was observed that 98 patients (71.01% belonged to the lower socioeconomic status group. The average duration of alcohol intake was 18.39 ± 6.24 years for males and 16.76 ± 6.59 years for females. The overall average duration of alcohol intake was 18.09 ± 6.29 years. The majority of the patients (104 cases, 75.36% took both foreign and country-made liquors. The most common clinical presentation was abdominal distension and swelling of feet (71 cases, 51.45% followed by jaundice (68 cases, 49.28% and anorexia (56 cases, 40.58%. The

  9. STUDY OF PATTERN AND OUTCOME OF ACUTE POISONING CASES AT TERTIARY CARE HOSPITAL IN NORTH INDIA

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    Irteqa Ali

    2017-01-01

    Full Text Available BACKGROUND Poisoning is a global public health problem causing significant morbidity and mortality. It is important to know the pattern and outcome of acute poisoning cases for proper planning, prevention and management of these cases. The aim of the study is to determine the mode (suicidal, accidental, homicidal and type of poisoning in North Indian population; relation to age, sex, occupation, marital status; outcome of different type of poisons and requirement of ventilatory support in different type of poisonings. MATERIALS AND METHODS This observational study was conducted in Department of Medicine of a tertiary care hospital in North India. A total of 379 patients were enrolled in the study after obtaining informed consent. RESULTS Poisoning was more common among males (59.89%. Maximum number of patients were in the age group 21-30 years (40.63% and consumption was found to be more prevalent in rural population (75.99%. Most of the patients were farmers and students. Most common types of poisoning were organophosphate (n=95, 25.07%, snake bite (n=77, 20.32% followed by aluminium phosphide (n=71, 18.73%. Out of 379 patients, 318 (83.91% improved while 61 (16.09% expired. Mortality was highest in aluminium phosphide poisoning. Requirement of ventilatory support was most commonly associated with aluminium phosphide poisoning (37.89% followed by organophosphate poisoning (28.42%. CONCLUSION Poisoning was more common in young males. Pesticides and snake bite were major causes of poisoning. Of the total, 318 improved while rest of the 61 expired. Mortality was higher with use of aluminium phosphide poisoning (57.38%, snake bite (21.31% and organophosphate consumption (9.84%. Requirement of ventilator was most commonly associated with aluminium phosphide poisoning. We suggest strict statutory measures covering import, manufacture, sale, transport, distribution and use of pesticides. Training of peripheral health center personnel to manage cases

  10. Evaluation and Selection of Potential Biomass Sources of North-East India towards Sustainable Bioethanol Production

    International Nuclear Information System (INIS)

    Nongthombam, Grihalakshmi D.; Labala, Rajendra K.; Das, Sudripta; Handique, Pratap J.; Talukdar, Narayan C.

    2017-01-01

    Vegetation biomass production in North-East India within Indo-Burma biodiversity hotspot is luxuriant and available from April to October to consider their potential for bioethanol production. Potential of six lignocellulosic biomass (LCB) sources; namely, sugarcane bagasse (BG), cassava aerial parts (CS), ficus fruits (Ficus cunia) (FF), “phumdi” (floating biomass), rice straw (RS), and sawdust were investigated for bioethanol production using standard techniques. Morphological and chemical changes were evaluated by Scanning electron microscopy and Fourier transform infrared spectroscopy and quantity of sugars and inhibitors in LCB were determined by High performance liquid chromatography. Hydrothermally treated BG, CS, and FF released 954.54, 1,354.33, and 1,347.94 mg/L glucose and 779.31, 612.27, and 1,570.11 mg/L of xylose, respectively. Inhibitors produced due to effect of hydrothermal pretreatment ranged from 42.8 to 145.78 mg/L acetic acid, below detection level (BDL) to 17.7 µg/L 5-hydroxymethylfurfural, and BDL to 56.78 µg/L furfural. The saccharification efficiency of hydrothermally treated LCB (1.35–28.64%) was significantly higher compared with their native counterparts (0.81–17.97%). Consolidated bioprocessing of the LCB using MTCC 1755 (Fusarium oxysporum) resulted in maximum ethanol concentration of 0.85 g/L and corresponded to 42 mg ethanol per gram of hydrothermally treated BG in 120 h followed by 0.83 g/L corresponding to 41.5 mg/g of untreated CS in 144 h. These ethanol concentrations corresponded to 23.43 and 21.54% of theoretical ethanol yield, respectively. LCB of CS and FF emerged as a suitable material to be subjected to test for enhanced ethanol production in future experiments through efficient fermentative microbial strains, appropriate enzyme loadings, and standardization of other fermentation parameters.

  11. Wildlife Mortality on National Highway 72 and 74 Across Rajaji National Park, North India

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    Ritesh JOSHI

    2012-06-01

    Full Text Available Evaluating the road impact on resident wildlife is one of the important aspects of future conservation planning and of management related actions. Expanding a motor road network in and around protected habitats is considered to be a major threat that can cause the extinction of endangered species. We assessed vertebrate fauna mortality on two inter–state national highways: No. 72 (Haridwar–Dehradun and 74 (Haridwar–Bijnor and an ancillary road running across the Rajaji National Park and Haridwar Conservation area, North India. Field data on wildlife mortality was collected from June 2009 to May 2011. A total of 352 individuals of 39 species (3 amphibians, 9 reptiles, 18 mammals and 9 avian species were found dead on the national highways 72 & 74 and Haridwar–Chilla–Rishikesh motor road, which is running in between Rajaji National Park. Among all the mortalities, avian species were the most affected accounting for 38%, followed by mammals (27%. During Maha–Kumbh 2010, road accidents increased. It was an event that caused tremendous disturbance in animal migratory corridors and in drinking sites. The evaluation of vehicle traffic pressure on national highways revealed that ±14100 and ±9900 vehicles had been moving across these highways every day. In addition to that, expanding the motor roads network and increasing vehicle traffic pressure is disrupting ecological connectivity and impeding the movement of wild animals. In addition, wildlife mortality rate was observed to be increasing. Further studies are needed to understand the ecological impacts of increasing vehicle traffic on various national highways and roads and on animal behavioral responses, in order to take proper conservation actions

  12. Profile of angle closure in a tertiary care center in north India

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    Ichhpujani Parul

    2010-01-01

    Full Text Available Purpose: To study the demographic and clinical profile of the types of primary angle closure patients presenting at a tertiary care center in North India. Materials and Methods: Clinic records of patients diagnosed as primary angle closure were reviewed. International Society of Geographical and Epidemiological Ophthalmology (ISGEO classification scheme was used to categorize patients. Demographic and clinical data including prior management was collected and analyzed. Main Outcome measures were age, sex, symptomatology, best corrected visual acuity (BCVA, intraocular pressure (IOP, gonioscopy, optic disc assessment and visual field defects. Logistic regression model and receiver operating curve (ROC were calculated for predictors of type of glaucoma. Results: Eight hundred and fourteen patients (1603 eyes; males: 380, females: 434 were diagnosed to have various subtypes of angle closure. Mean (±SD age at presentation was significantly higher for males (57.57 ± 11.62 years as compared to females (53.64 ± 10.67 years ( P < 0001. Primary angle closure glaucoma (PACG was most frequently diagnosed subtype (49.38% followed by Primary angle closure (PAC (39.68% and Primary angle closure suspect (PACS (10.93% respectively. The three subtypes differed significantly among their mean IOP (on ANOVA, F = 14.04; P < 0001 using Greenhouse-Geisser correction. Univariate analysis was done to find significant predictors for the outcome of PACG. Logistic regression model and ROC containing the significant predictors yielded a very high AUC of 0.93 with strong discriminatory ability for PACG. Conclusion: In our hospital-based study, the significant predictors for the outcome of PACG included male gender, diminution of vision, the presence of pain and worsening grades of BCVA. Nearly half of PACG presented with advanced disease. In spite of one-third of the patients being diagnosed as angle closure prior to referral, only 8.34% had iridotomy (laser or surgical

  13. Evaluation and Selection of Potential Biomass Sources of North-East India towards Sustainable Bioethanol Production

    Energy Technology Data Exchange (ETDEWEB)

    Nongthombam, Grihalakshmi D., E-mail: griha789@gmail.com; Labala, Rajendra K.; Das, Sudripta [Institute of Bioresources and Sustainable Development (IBSD), Imphal (India); Handique, Pratap J. [Department of Biotechnology, Gauhati University, Guwahati (India); Talukdar, Narayan C., E-mail: griha789@gmail.com [Division of Life Sciences, Institute of Advanced Study in Science and Technology, Guwahati (India)

    2017-07-11

    Vegetation biomass production in North-East India within Indo-Burma biodiversity hotspot is luxuriant and available from April to October to consider their potential for bioethanol production. Potential of six lignocellulosic biomass (LCB) sources; namely, sugarcane bagasse (BG), cassava aerial parts (CS), ficus fruits (Ficus cunia) (FF), “phumdi” (floating biomass), rice straw (RS), and sawdust were investigated for bioethanol production using standard techniques. Morphological and chemical changes were evaluated by Scanning electron microscopy and Fourier transform infrared spectroscopy and quantity of sugars and inhibitors in LCB were determined by High performance liquid chromatography. Hydrothermally treated BG, CS, and FF released 954.54, 1,354.33, and 1,347.94 mg/L glucose and 779.31, 612.27, and 1,570.11 mg/L of xylose, respectively. Inhibitors produced due to effect of hydrothermal pretreatment ranged from 42.8 to 145.78 mg/L acetic acid, below detection level (BDL) to 17.7 µg/L 5-hydroxymethylfurfural, and BDL to 56.78 µg/L furfural. The saccharification efficiency of hydrothermally treated LCB (1.35–28.64%) was significantly higher compared with their native counterparts (0.81–17.97%). Consolidated bioprocessing of the LCB using MTCC 1755 (Fusarium oxysporum) resulted in maximum ethanol concentration of 0.85 g/L and corresponded to 42 mg ethanol per gram of hydrothermally treated BG in 120 h followed by 0.83 g/L corresponding to 41.5 mg/g of untreated CS in 144 h. These ethanol concentrations corresponded to 23.43 and 21.54% of theoretical ethanol yield, respectively. LCB of CS and FF emerged as a suitable material to be subjected to test for enhanced ethanol production in future experiments through efficient fermentative microbial strains, appropriate enzyme loadings, and standardization of other fermentation parameters.

  14. Socioeconomic development and girl child survival in rural North India: solution or problem?

    Science.gov (United States)

    Krishnan, Anand; Dwivedi, Purva; Gupta, Vivek; Byass, Peter; Pandav, Chandrakant S; Ng, Nawi

    2013-05-01

    Socioeconomic development has been considered as a solution to the problem of sex differentials at birth and under-five mortality. This paper analyses longitudinal data from the Ballabgarh Health and Demographic Surveillance System (HDSS) site in north India to check its veracity. A cohort of children born between 1 January 2006 and 31 December 2011 at Ballabgarh HDSS were followed till death, emigration, 3 years of age or end of the study. Socioeconomic status (SES) was measured by caste, parental combined years of schooling and wealth index and divided into low, mid and high strata for each of them. Sex ratio at birth (SRB) was reported as the number of girls per 1000 boys. The Kaplan-Meier survival curves were drawn and a Cox Proportional HR of girls over boys was estimated. A total of 12 517 native born children (25 797 child years) were enrolled of which 710 died (death rate of 56.7/1000-live births and 27.5/1000 child-years. Socioeconomically advantaged children had significantly lower death rates. The SRB (10-16% lower) and neonatal death rate were consistently adverse for girls in the advantaged groups by all the three indicators of SES. The first month survival rates were better for girls in the lower SES categories (significant only in caste (HR 0.58; 0.37 to 0.91). High SES categories consistently showed adverse survival rates for girls (HR of 1.22 to 1.59). Better socioeconomic situation worsened the sex differentials, especially at birth. Therefore, specific interventions targeting gender issues are required, at least as a short-term measure.

  15. Sexual practices, myths and misconceptions among long distance truck drivers in North India.

    Science.gov (United States)

    Sawal, N; Hans, G D R; Verma, G

    2016-07-01

    Long distance truck drivers and helpers constitute a high risk group for human immunodeficiency virus /acquired immune deficiency syndrome (HIV/AIDS). Despite increasing awareness of HIV/AIDS and safe sex practices, they still have a high incidence of new cases of HIV. This study carried out at an ART (anti-retroviral treatment) centre in North India aimed to evaluate the sexual myths and misconceptions prevalent among long distance drivers and helpers. This was a retrospective study carried out at apex ART centre. Data were collected retrospectively from ART records of 129 long distance Truck drivers and 68 helpers. Details of socio-demographic characteristics, contact with commercial sex workers (CSW'S), pattern of condom usage with CSW'S and factors influencing it were studied. We found that a significant number of drivers and helpers had sexual contact with CSW's and out of these, 30% of drivers and 50% of helpers reported not using condoms and instead resorting to methods like washing genitalia after sex with battery water/urine to avoid getting HIV. There was no significant relationship between pattern of condom usage and educational status, marital status and age. We also found that certain myths like sex with young CSW's was less likely to cause sexually transmitted diseases (STD's) and HIV were also widespread. Owing to continuing prevalence of such sexual myths, long distance truck drivers and helpers do not use condoms while having sex with CSW's as they feel that they can enjoy sex with CSW's and still stay protected against STD's/HIV. It is imperative that this battery water/urine antiseptic myth be specifically targeted for better HIV control in this high risk group. © The Author 2015. Published by Oxford University Press on behalf of the Association of Physicians. All rights reserved. For Permissions, please email: journals.permissions@oup.com.

  16. Thrombotic Primary Antiphospholipid Syndrome: the profile of antibody positivity in patients from North India.

    Science.gov (United States)

    Ahluwalia, Jasmina; Sreedharanunni, Sreejesh; Kumar, Narender; Masih, Joseph; Bose, Sunil Kumar; Varma, Neelam; Varma, Subhash; Singh, Surjit

    2016-09-01

    We evaluated the frequency of antiphospholipid antibody syndrome (APS) in patients presenting with thrombosis of various vascular beds from North India and report the antibody profiles encountered. A retrospective analysis was performed on the laboratory results of aCL (anticardiolipin), aβ2 Gp1 (anti-βeta-2 glycoprotein 1) antibody and LAC (lupus anticoagulant) of 1222 consecutive patients referred to the coagulation laboratory work-up for a hypercoagulable/thrombophilic state over a period of 4 years between 2009 and 2013. LAC was screened with dRVVT (diluted Russel Viper Venom Test) and KCT (Kaolin clotting time), and aCL and aβ2 Gp1 antibodies with commercial enzyme-linked immunosorbent assy kits. The current APS criteria was satisfied in 3.85% of all patients and 4.2% of pediatric patients with thrombosis. The venous circulation was more frequently affected (59.6%). Cerebral arterial and intra-abdominal vein involvement was common. Transient antibody positivity was seen in 44 (3.6%) cases. aβ2 Gp1, aCL and LAC were positive in 95%, 54.5% and 23% of patients with APS, respectively, during the initial visit and 93.6%, 23% and 17%, respectively, during the follow-up visit. Persistent triple positivity was seen in only three cases. At initial testing, positivity for both aCL and aβ2 Gp1 was the most frequent pattern (38% of cases). aβ2 Gp1 antibody was the commonest antibody that was persistently positive in patients with thrombosis. Triple positivity for all antibodies had the highest specificity and positive predictive value to diagnose APS in the first visit, whereas aβ2 Gp1 antibody had the highest sensitivity and negative predictive value. © 2014 Asia Pacific League of Associations for Rheumatology and Wiley Publishing Asia Pty Ltd.

  17. Prevalence of oral soft tissue lesions and medical assessment of geriatric outpatients in North India

    Directory of Open Access Journals (Sweden)

    Sameer Rastogi

    2015-01-01

    Full Text Available Introduction: Oral health reflects overall well-being for the elderly population. Compromised oral health may be a risk factor for systemic diseases commonly occurring in old age. Oral health evaluation should be an integral part of the physical examination, and dentistry is essential to qualify geriatric patient care. Aim: To determine the prevalence of oral soft tissue lesions and systemic diseases in institutionalized geriatric population in North India. Materials and Methods: Geriatric patients were clinically evaluated using a standard questionnaire and assessed for known medical illnesses and prevalence of oral soft tissue lesions. Four hundred patients (71% males and 29% females with age ranging from 60 to 100 years were considered in the study group. Twenty-two (33.8% patients were edentulous and seven patients (10.8% were denture wearers. Forty-four (67.69% patients reported with tobacco habits. Results: Most prevalent medical illness reported was diminished vision (15.5%, followed by hypertension (10% and diabetes mellitus (6.25%. Several oral soft tissue lesions were reported among the study population. The most prevalent lesions were leukoplakia (12%, smoker′s melanosis (10%, smoker′s palate (9%, pigmentation on tongue (6%, frictional keratosis (5%, lichen planus (3%, denture stomatitis (2.5%, aphthous ulcers (2%, angular chelitis (1.5%, oral submucous fibrosis (1.5%, melanotic macule (1.5%, candidiasis (1.5%, irritation fibroma (1%, geographic tongue (1%, median rhomboid glossitis (1%, and traumatic ulcer (1%. Conclusion: The findings observed in this population are important and can have a determinant effect on the overall quality of life in this population. This information is a crucial prerequisite for health awareness programs involving the community health workers, oral physicians, and medical professionals.

  18. Antioxidant Potential of Vespa affinis L., a Traditional Edible Insect Species of North East India.

    Science.gov (United States)

    Dutta, Prachurjya; Dey, Tapan; Manna, Prasenjit; Kalita, Jatin

    2016-01-01

    Elevated oxidative stress plays an important role in the pathogenesis of health disorders, like arthritis. Traditionally, Vespa affinis L., a common edible insect among many tribes in North-East India, is believed to have a beneficial role in extenuating health disorders, such as arthritis. The present study investigated the molecular mechanism underlying medicinal benefit of the Aqueous Extract of Vespa affinis L. (AEVA) against oxidative stress pathophysiology. The free radical scavenging activities of AEVA were examined against DPPH, hydroxyl, and superoxide radicals and the effect on the activities of antioxidant enzyme (GST and CAT) was determined using both recombinant proteins and human plasma. The antioxidant potential of AEVA was again investigated using THP-1 monocytes. AEVA possesses a significant free radical scavenging activity as evident from the DPPH, superoxide, and hydroxyl radical scavenging assay. Incubation of AEVA (2.5, 5, 7.5, and 10 μg/μL) with the recombinant antioxidant enzymes, rGST and rCAT significantly increased the enzyme activities compared to those observed in corresponding enzyme alone or AEVA itself. AEVA supplementation (5, 7.5, and 10 μg/μL) also stimulates the activities of GST and CAT when incubated with human plasma. A cell culture study also confirmed the beneficial role of AEVA (0.8 and 1.2 μg/μL) which enhances the activities of GST and CAT, and also reduces the intercellular ROS production in monocytes treated with or without H2O2 and the effects are at par with what is observed in N-acetyl cysteine-treated cells. The antioxidant potential of the aqueous extract of Vespa affinis L. may mediate its therapeutic activities in oxidative stress-associated health disorders.

  19. Antioxidant Potential of Vespa affinis L., a Traditional Edible Insect Species of North East India.

    Directory of Open Access Journals (Sweden)

    Prachurjya Dutta

    Full Text Available Elevated oxidative stress plays an important role in the pathogenesis of health disorders, like arthritis. Traditionally, Vespa affinis L., a common edible insect among many tribes in North-East India, is believed to have a beneficial role in extenuating health disorders, such as arthritis. The present study investigated the molecular mechanism underlying medicinal benefit of the Aqueous Extract of Vespa affinis L. (AEVA against oxidative stress pathophysiology.The free radical scavenging activities of AEVA were examined against DPPH, hydroxyl, and superoxide radicals and the effect on the activities of antioxidant enzyme (GST and CAT was determined using both recombinant proteins and human plasma. The antioxidant potential of AEVA was again investigated using THP-1 monocytes.AEVA possesses a significant free radical scavenging activity as evident from the DPPH, superoxide, and hydroxyl radical scavenging assay. Incubation of AEVA (2.5, 5, 7.5, and 10 μg/μL with the recombinant antioxidant enzymes, rGST and rCAT significantly increased the enzyme activities compared to those observed in corresponding enzyme alone or AEVA itself. AEVA supplementation (5, 7.5, and 10 μg/μL also stimulates the activities of GST and CAT when incubated with human plasma. A cell culture study also confirmed the beneficial role of AEVA (0.8 and 1.2 μg/μL which enhances the activities of GST and CAT, and also reduces the intercellular ROS production in monocytes treated with or without H2O2 and the effects are at par with what is observed in N-acetyl cysteine-treated cells.The antioxidant potential of the aqueous extract of Vespa affinis L. may mediate its therapeutic activities in oxidative stress-associated health disorders.

  20. Market potential and opportunities for commercialization of traditional meat products in North East Hill Region of India.

    Science.gov (United States)

    Kadirvel, G; Banerjee, Bandita B; Meitei, Surajit; Doley, S; Sen, Arnab; Muthukumar, M

    2018-02-01

    The North Eastern (NE) India is renowned for its preference for animal-based food. This region is known for its traditional meat products. However, the popularity of these products remains confined to the specific community/location. The knowledge on the traditional preparation methods is generally passed across generations through practice and word of mouth. The traditional style of preparation and the specific ingredients added to each product makes them unique. In this review, an attempt has been made to identify the initiatives, opportunities, and market potential for commercialization of the traditional meat products. These unique features and properties of the traditional meat products have been highlighted. The commercialization of these products will enhance entrepreneurship development and ensure quality ethnic products to the consumer in the NE hill region of India.

  1. Modeling and forecasting rainfall patterns of southwest monsoons in North-East India as a SARIMA process

    Science.gov (United States)

    Narasimha Murthy, K. V.; Saravana, R.; Vijaya Kumar, K.

    2018-02-01

    Weather forecasting is an important issue in the field of meteorology all over the world. The pattern and amount of rainfall are the essential factors that affect agricultural systems. India experiences the precious Southwest monsoon season for four months from June to September. The present paper describes an empirical study for modeling and forecasting the time series of Southwest monsoon rainfall patterns in the North-East India. The Box-Jenkins Seasonal Autoregressive Integrated Moving Average (SARIMA) methodology has been adopted for model identification, diagnostic checking and forecasting for this region. The study has shown that the SARIMA (0, 1, 1) (1, 0, 1)4 model is appropriate for analyzing and forecasting the future rainfall patterns. The Analysis of Means (ANOM) is a useful alternative to the analysis of variance (ANOVA) for comparing the group of treatments to study the variations and critical comparisons of rainfall patterns in different months of the season.

  2. Market potential and opportunities for commercialization of traditional meat products in North East Hill Region of India

    Science.gov (United States)

    Kadirvel, G.; Banerjee, Bandita B.; Meitei, Surajit; Doley, S.; Sen, Arnab; Muthukumar, M.

    2018-01-01

    The North Eastern (NE) India is renowned for its preference for animal-based food. This region is known for its traditional meat products. However, the popularity of these products remains confined to the specific community/location. The knowledge on the traditional preparation methods is generally passed across generations through practice and word of mouth. The traditional style of preparation and the specific ingredients added to each product makes them unique. In this review, an attempt has been made to identify the initiatives, opportunities, and market potential for commercialization of the traditional meat products. These unique features and properties of the traditional meat products have been highlighted. The commercialization of these products will enhance entrepreneurship development and ensure quality ethnic products to the consumer in the NE hill region of India. PMID:29657390

  3. Atypical bulimia nervosa in a male patient of rural north-east India

    Directory of Open Access Journals (Sweden)

    Manabendra Makhal

    2014-01-01

    Full Text Available Eating disorders such as bulimia nervosa rarely seem to manifest in males from non-Western cultures like India, but occur infrequently in milder forms with fewer symptoms as atypical bulimia nervosa. This report describes a male case of bulimia nervosa from rural area of India presenting with atypical features. He was treated successfully with fluoxetine and cognitive behavioural therapy.

  4. Service Evaluation in a Special Library: Supporting Development Research at the Institute of Social Sciences Library, New Delhi.

    Science.gov (United States)

    Ghosh, Sharmila

    2003-01-01

    Discusses the development of special libraries to meet demands of interdisciplinary information and describes the library at The Institute of Social Sciences, New Delhi (India) which establishes a synergy between research and information derived from research through a computerized information management system. Considers evaluation of special…

  5. Restoration of mangroves along the central west coast of India

    Digital Repository Service at National Institute of Oceanography (India)

    Untawale, A.G.

    of various measures taken by the Ministry of Environment and Forests, Government of India. New Delhi, conservation and management policies were initiated between 1985-1995. During this period it was observed, with remote sensing techniques, that vast...

  6. Dalit Women's Rights and Citizenship in India - Phase I | IDRC ...

    International Development Research Centre (IDRC) Digital Library (Canada)

    Dalit Women's Rights and Citizenship in India - Phase I ... little occupational diversification, and little voice in the domestic or public sphere. ... Delhi; organised by Indian Institute of Dalit Studies and International Development Research Centre.

  7. Tattoo Practices in North-East India: A Hospital-based Cross-sectional Study.

    Science.gov (United States)

    Thakur, Binod Kumar; Verma, Shikha

    2016-01-01

    Tattooing has become increasingly popular, particularly among young people. However, little is known about the tattoo practices in North-East India. The primary objective of this study was to know the reasons and motivations of tattoo application and tattoo removal in individuals asking for tattoo removal. The secondary objective was to identify the demography, methods and safety of tattoo practices in these tattooed individuals. A hospital-based cross-sectional study was carried out in 212 consecutive individuals seeking tattoo removal. Chi-square and Fisher's exact tests were performed for intergroup comparisons. There were 178 (84%) males and 34 (16%) females. The mean ± standard deviation (SD) age of individuals seeking tattoo removal was 21.8 ± 4 years. The mean ± SD age of doing tattoo was 15.8 ± 3 years. Most individuals possessed an amateur tattoo (94.3%), 4.2% a professional one and 1.4% had a combination. Sewing needle was the most common instrument used for making tattoos in 51.4%. The individuals made their tattoos in an unsterile manner in 49.1%. The most common reason for doing tattoo was for fashion in 87.7%. The participants wanted tattoo removal to qualify for jobs, especially in armed forces in 49.5% and due to regret in 21.7%. Black was the most preferred colour in 37.3% followed by green in 28.3%. The fabric ink was the choice of ink in maximum number of individuals, i.e. 93.9%. It was a hospital-based study done only on individuals seeking tattoo removal. It needs caution to generalise the findings in population. In addition, there may be recall bias in the participants. The tattoo was done mostly below 18 years of age in a crude unsterile way. The individuals had poor risk perceptions about various infections and complications of tattooing. There is an urgent need to caution and educate the youngsters and school-going children about safe tattooing and consequences of tattooing.

  8. A STUDY ON CARDIAC MYXOMA OF POPULATION IN NORTH EAST INDIA

    Directory of Open Access Journals (Sweden)

    Jyoti Prasad Kalita

    2016-06-01

    Full Text Available BACKGROUND Cardiac myxomas are the most common primary cardiac tumors. A high degree of suspicion is required for diagnosing myxomas clinically and often leads to grave consequence if missed. Though surgical resection is the definitive treatment, but if not treated with the right surgical technique recurrence occurs. OBJECTIVES To describe clinical presentations, age and sex distribution, anatomical location and morbidity, mortality and recurrence rate following surgery of patients of North Eastern part of India who have presented in our Cardiothoracic Unit with cardiac myxomas. METHOD All consecutive patients over a period of 5 years who underwent surgical excision of cardiac myxoma at our Cardiothoracic Unit and histologically proven as cardiac myxoma were included in this study. Data were collected from the operation data base and the patient records. Echocardiography was the the diagnostic tool in all cases. The historical longitudinal study was performed. All patients underwent operation soon after the diagnosis of a myxoma was made. Complete tumour excision were done in all cases. All cases were followed up for a mean period of 32 months. RESULTS Of total 28 patients who underwent surgery for cardiac tumor over that period, 25(89.25% patients had histologically proven cardiac myxomas. Their age ranged from 15 to 55 years with a mean of 35 years. Majority patients were female (n-16, 64%. Most of the patients had clinical presentations similar to obstructive mitral valve. A small group of patients presented with embolic and constitutional symptoms. All patients underwent operation via right atrial approach. Left atrium (n-20, 80% is the commonest location followed by the right atrium (n-3, 12%. One patient had myxoma originating from tricuspid valve annulus, one from right ventricle and another one patient had mitral valve annulus origin. There was no death after surgery or recurrence was noted after mean 32 moths of follow-up. DISCUSSION

  9. Tattoo practices in north-east India: A hospital-based cross-sectional study

    Directory of Open Access Journals (Sweden)

    Binod Kumar Thakur

    2016-01-01

    Full Text Available Background: Tattooing has become increasingly popular, particularly among young people. However, little is known about the tattoo practices in North-East India. Objectives: The primary objective of this study was to know the reasons and motivations of tattoo application and tattoo removal in individuals asking for tattoo removal. The secondary objective was to identify the demography, methods and safety of tattoo practices in these tattooed individuals. Materials and Methods: A hospital-based cross-sectional study was carried out in 212 consecutive individuals seeking tattoo removal. Chi-square and Fisher's exact tests were performed for intergroup comparisons. Results: There were 178 (84% males and 34 (16% females. The mean ± standard deviation (SD age of individuals seeking tattoo removal was 21.8 ± 4 years. The mean ± SD age of doing tattoo was 15.8 ± 3 years. Most individuals possessed an amateur tattoo (94.3%, 4.2% a professional one and 1.4% had a combination. Sewing needle was the most common instrument used for making tattoos in 51.4%. The individuals made their tattoos in an unsterile manner in 49.1%. The most common reason for doing tattoo was for fashion in 87.7%. The participants wanted tattoo removal to qualify for jobs, especially in armed forces in 49.5% and due to regret in 21.7%. Black was the most preferred colour in 37.3% followed by green in 28.3%. The fabric ink was the choice of ink in maximum number of individuals, i.e. 93.9%. Limitations: It was a hospital-based study done only on individuals seeking tattoo removal. It needs caution to generalise the findings in population. In addition, there may be recall bias in the participants. Conclusion: The tattoo was done mostly below 18 years of age in a crude unsterile way. The individuals had poor risk perceptions about various infections and complications of tattooing. There is an urgent need to caution and educate the youngsters and school-going children about safe

  10. Tattoo Practices in North-East India: A Hospital-based Cross-sectional Study

    Science.gov (United States)

    Thakur, Binod Kumar; Verma, Shikha

    2016-01-01

    Background: Tattooing has become increasingly popular, particularly among young people. However, little is known about the tattoo practices in North-East India. Objectives: The primary objective of this study was to know the reasons and motivations of tattoo application and tattoo removal in individuals asking for tattoo removal. The secondary objective was to identify the demography, methods and safety of tattoo practices in these tattooed individuals. Materials and Methods: A hospital-based cross-sectional study was carried out in 212 consecutive individuals seeking tattoo removal. Chi-square and Fisher's exact tests were performed for intergroup comparisons. Results: There were 178 (84%) males and 34 (16%) females. The mean ± standard deviation (SD) age of individuals seeking tattoo removal was 21.8 ± 4 years. The mean ± SD age of doing tattoo was 15.8 ± 3 years. Most individuals possessed an amateur tattoo (94.3%), 4.2% a professional one and 1.4% had a combination. Sewing needle was the most common instrument used for making tattoos in 51.4%. The individuals made their tattoos in an unsterile manner in 49.1%. The most common reason for doing tattoo was for fashion in 87.7%. The participants wanted tattoo removal to qualify for jobs, especially in armed forces in 49.5% and due to regret in 21.7%. Black was the most preferred colour in 37.3% followed by green in 28.3%. The fabric ink was the choice of ink in maximum number of individuals, i.e. 93.9%. Limitations: It was a hospital-based study done only on individuals seeking tattoo removal. It needs caution to generalise the findings in population. In addition, there may be recall bias in the participants. Conclusion: The tattoo was done mostly below 18 years of age in a crude unsterile way. The individuals had poor risk perceptions about various infections and complications of tattooing. There is an urgent need to caution and educate the youngsters and school-going children about safe tattooing and

  11. Net ecosystem productivity and carbon dynamics of the traditionally managed Imperata grasslands of North East India.

    Science.gov (United States)

    Pathak, Karabi; Malhi, Yadvinder; Sileshi, G W; Das, Ashesh Kumar; Nath, Arun Jyoti

    2018-09-01

    There have been few comprehensive descriptions of how fire management and harvesting affect the carbon dynamics of grasslands. Grasslands dominated by the invasive weed Imperata cylindrica are considered as environmental threats causing low land productivity throughout the moist tropical regions in Asia. Imperata grasslands in North East India are unique in that they are traditionally managed and culturally important in the rural landscapes. Given the importance of fire in the management of Imperata grassland, we aimed to assess (i) the seasonal pattern of biomass production, (ii) the eventual pathways for the produced biomass, partitioned between in situ decomposition, harvesting and combustion, and (iii) the effect of customary fire management on the ecosystem carbon cycle. Comparatively high biomass production was recorded during pre-monsoon (154 g m -2  month -1 ) and monsoon (214 g m -2  month -1 ) compared to the post-monsoon (91 g m -2  month -1 ) season, and this is attributed to nutrient return into the soil immediately after fire in February. Post fire effects might have killed roots and rhizomes leading to high belowground litter production 30-35 g m -2 during March to August. High autotrophic respiration was recorded during March-July, which was related to high belowground biomass production (35-70 g m -2 ) during that time. Burning removed all the surface litter in March and this appeared to hinder surface decomposition and result in low heterotrophic respiration. Annual total biomass carbon production was estimated at 886 g C m -2 . Annual harvest of biomass (estimated at 577 g C m -2 ) was the major pathway for carbon fluxes from the system. Net ecosystem production (NEP) of Imperata grassland was estimated at 91 g C m -2  yr -1 indicating that these grasslands are a net sink of CO 2 , although this is greatly influenced by weather and fire management. Crown Copyright © 2018. Published by Elsevier B

  12. Desirable factors for maintaining normal BMI of urban affluent women of Delhi

    OpenAIRE

    Anu Taneja Gupta; Anupa Siddhu

    2015-01-01

    The study aimed to identify desirable social, familial, reproductive, dietary, and lifestyle factors for maintaining normal body mass index (BMI) of urban affluent women (25-45 years) in Delhi, India. A total of 387 urban affluent women with at least one living child participated in this cross-sectional study conducted from March 2008 to April 2010. Women were classified into four BMI categories on the basis of World Health Organization (WHO; 2004) classification for Asians. Significant facto...

  13. Deformation behavior of migmatites: insights from microstructural analysis of a garnet-sillimanite-mullite-quartz-feldspar-bearing anatectic migmatite at Rampura-Agucha, Aravalli-Delhi Fold Belt, NW India

    Science.gov (United States)

    Prakash, Abhishek; Piazolo, Sandra; Saha, Lopamudra; Bhattacharya, Abhijit; Pal, Durgesh Kumar; Sarkar, Saheli

    2018-03-01

    In the present study we investigate the microstructural development in mullite, quartz and garnet in an anatectic migmatite hosted within a Grenvillian-age shear zone in the Aravalli-Delhi Fold Belt. The migmatite exhibits three main deformation structures and fabrics (S1, S2, S3). Elongated garnet porphyroblasts are aligned parallel to the metatexite S2 layers and contain crenulation hinges defined by biotite-sillimanite-mullite-quartz (with S1 axial planar foliation). Microstructural evidence and phase equilibrium relations establish the garnet as a peritectic phase of incongruent melting by breakdown of biotite, sillimanite ± mullite and quartz at peak P-T of 8 kbar, 730 °C along a tight-loop, clockwise P-T path. Monazite dating establishes that the partial melting occurred between 1000 and 870 Ma. The absence of subgrains and systematic crystal lattice distortions in these garnets despite their elongation suggests growth pseudomorphing pre-existing 3-D networks of S1 biotite aggregates rather than high-temperature crystal plastic deformation which is noted in the S1 quartz grains that exhibit strong crystallographic preferred orientation (CPO), undulatory extinction and subgrains. Mode-I fractures in these garnet porphyroblasts induced by high melt pressure during late stage of partial melt crystallization are filled by retrograde biotite-sillimanite. Weak CPO and non-systematic crystal lattice distortions in the coarse quartz grains within the S2 leucosome domains indicate these crystallized during melt solidification without later crystal plastic deformation overprint. In the later stages of deformation (D3), strain was mostly accommodated in the mullite-biotite-sillimanite-rich restite domains forming S3 which warps around garnet and leucosome domains; consequently, fine-grained S3 quartz does not exhibit strong CPOs.

  14. A Review of the Little Known Ethnic Religious Art and Culture of Arunachal Pradesh, North-East India

    Directory of Open Access Journals (Sweden)

    Bina Gandhi Deori

    2016-01-01

    Full Text Available Arunachal Pradesh, the north-easternmost state of India is a mountainous terrain inhabited by a number of ethnic communities. Due to its geographical isolation, it is still cut off from mainstream India and has limited interaction with the rest of India. There are as many as 26 major tribes and several hundred sub-tribes. They have their own distinct culture, tradition and religious belief system. Some of the ethnic communities namely, Apatani, Nyishi, Galo, Tagin, Tangsa, Wancho, Mishmi etc. have their indigenous religious practices with well-defined belief system but due to limited research there is a paucity of data which fails to present a clear picture of the culture and tradition of the ethnic communities of the region. In many ways, their indigenous religion plays an important role in influencing the peoples’ arts and culture. This paper is an attempt to review the ethnic religious art and culture of the people of Arunachal Pradesh in an effort to highlight and preserve their ethnic cultural identity.

  15. Comparison of stress and burnout among anesthesia and surgical residents in a tertiary care teaching hospital in North India.

    Science.gov (United States)

    Gandhi, K; Sahni, N; Padhy, S K; Mathew, P J

    2017-10-23

    The residents undergoing training at hospitals in our country face challenges in terms of infrastructure and high workload with undefined working hours. The aim of the study was to compare the stress and burnout levels in trainee doctors doing residency in surgical fields and anesthesia at a tertiary care academic center in North India. A comparative, observational study was conducted in a tertiary care teaching hospital in North India. After Ethics Committee approval, 200 residents (100 each from surgical branches and anesthesia) were required to fill a questionnaire with information about age, sex, year of residency, marital status, and the Perceived Stress Scale-10, and Burnout Clinical Subtype Questionnaire-12. Burnout and perceived stress were compared between residents of anesthesia and surgical specialties. Residents of both surgical and anesthesia branches scored high in perceived stress, namely 21 and 18, respectively. The score was significantly higher in surgical residents (P = 0.03) and increased progressively with the year of residency. The majority of residents (90% surgical, 80% anesthesia) felt that they were being overloaded with work. However, only 20%-30% of respondents felt that there was lack of development of individual skills and still fewer (<10%) reported giving up in view of difficulties. There is high level of stress and overload dimension of burnout among the residents of anesthesia and surgical branches at our tertiary care academic institution and the surgical residents score marginally higher than anesthesia residents.

  16. A study on sexually transmitted diseases in patients in a STD clinic in a district hospital in North India

    Directory of Open Access Journals (Sweden)

    Neerja Puri

    2014-07-01

    Full Text Available Introduction: The Sexually transmitted diseases (STDs are a global health problem of great magnitude. The pattern of STDs differs from country to country and from region to region. The increased risk of the transmission of HIV is known to be associated with the presence of sexually transmitted diseases (STDs and despite the presence of the National STD Control Program in India the number of people with STDs remains high. Aim: The aim of our study was to study the profile of patients in a STD clinic in North India and to study various sexually transmitted infections in both male and female patients. Material and Methods: A prospective study of the patients attending STD clinic in a district hospital in North India from December 2009 to December 2012 was done. A total of 2700 patients attending the STDclinic in three years from December 2009 to December 2012 were taken up for the study. Results: The commonest sexually transmitted infection in males was herpes genitalis (30% followed by 20% cases of genital warts. 10% patients had gonorrhoea, genital molluscum contagiosum, syphilis and genital scabies each and 5% patients had nongonococcal urethritis. Only 5% of the total patients had chancroid, donovanosis and LGV. The commonest sexually transmitted infection in females was vaginal discharge seen in 40% patients, lower abdominal pain in 20% patients, herpes genitalis in 15% patients followed by 20% cases of genital warts and syphilis each. Genital molluscum contagiosum was seen in 5% patients only. Conclusions: The treatment of STD’s is important as both non-ulcerative and ulcerative STDs increase the susceptibility to or transmissibility of HIV infection and as such, an increase in STD prevalence as revealed by clinic attendance in this study was bound to facilitate the spread of HIV/AIDS. Perhaps it is high time health planners adopted a more aggressive and result oriented HIV/AIDS/STD awareness campaign strategy.

  17. Evolution of on-road vehicle exhaust emissions in Delhi

    Science.gov (United States)

    Goel, Rahul; Guttikunda, Sarath K.

    2015-03-01

    For a 40-year horizon (1990-2030), on-road vehicle exhaust emissions were evaluated, retrospectively and prospectively, for the largest urban agglomeration in India - the Greater Delhi region with a combined population of 22 million in 2011 (Delhi along with Ghaziabad, Noida, Greater Noida, Faridabad and Gurgaon). Emissions of particulate matter, sulfur dioxide, carbon monoxide and volatile organic compounds (VOCs) reached their peak during late 1990s through early 2000s after which they reduced significantly through year 2012. On the other hand, nitrogen oxides (NOx) and carbon dioxide show an increasing trend. The most reduction in emissions between 1998 and 2012 occurred as a result of implementation of four sets of vehicular emission standards, removal of lead, reduction of sulfur content, mandatory retirement of older commercial vehicles, and conversion of diesel and petrol run public transport vehicles to compressed natural gas. In addition, changes in the vehicular technology have also contributed to controlling emissions especially in case of auto-rickshaws and motorized two-wheelers, which changed from two-stroke to four-stroke. The rising trend of NOx along with the presence of VOCs indicates increasing tendency to form ground-level ozone and as a result, smog in the region. We predict that the current regime of vehicle technology, fuel standards, and high growth rate of private vehicles, is likely to nullify all the past emission reductions by the end of 2020s.

  18. Genetic Diversity and Population Structure in Aromatic and Quality Rice (Oryza sativa L. Landraces from North-Eastern India.

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    Somnath Roy

    Full Text Available The North-eastern (NE India, comprising of Arunachal Pradesh, Assam, Manipur, Meghalaya, Mizoram, Nagaland, Sikkim and Tripura, possess diverse array of locally adapted non-Basmati aromatic germplasm. The germplasm collections from this region could serve as valuable resources in breeding for abiotic stress tolerance, grain yield and cooking/eating quality. To utilize such collections, however, breeders need information about the extent and distribution of genetic diversity present within collections. In this study, we report the result of population genetic analysis of 107 aromatic and quality rice accessions collected from different parts of NE India, as well as classified these accessions in the context of a set of structured global rice cultivars. A total of 322 alleles were amplified by 40 simple sequence repeat (SSR markers with an average of 8.03 alleles per locus. Average gene diversity was 0.67. Population structure analysis revealed that NE Indian aromatic rice can be subdivided into three genetically distinct population clusters: P1, joha rice accessions from Assam, tai rices from Mizoram and those from Sikkim; P2, aromatic rice accessions from Nagaland; and P3, chakhao rice germplasm from Manipur [corrected]. Pair-wise FST between three groups varied from 0.223 (P1 vs P2 to 0.453 (P2 vs P3. With reference to the global classification of rice cultivars, two major groups (Indica and Japonica were identified in NE Indian germplasm. The aromatic accessions from Assam, Manipur and Sikkim were assigned to the Indica group, while the accessions from Nagaland exhibited close association with Japonica. The tai accessions of Mizoram along with few chakhao accessions collected from the hill districts of Manipur were identified as admixed. The results highlight the importance of regional genetic studies for understanding diversification of aromatic rice in India. The data also suggest that there is scope for exploiting the genetic diversity of

  19. Genetic Diversity and Population Structure in Aromatic and Quality Rice (Oryza sativa L.) Landraces from North-Eastern India.

    Science.gov (United States)

    Roy, Somnath; Banerjee, Amrita; Mawkhlieng, Bandapkuper; Misra, A K; Pattanayak, A; Harish, G D; Singh, S K; Ngachan, S V; Bansal, K C

    2015-01-01

    The North-eastern (NE) India, comprising of Arunachal Pradesh, Assam, Manipur, Meghalaya, Mizoram, Nagaland, Sikkim and Tripura, possess diverse array of locally adapted non-Basmati aromatic germplasm. The germplasm collections from this region could serve as valuable resources in breeding for abiotic stress tolerance, grain yield and cooking/eating quality. To utilize such collections, however, breeders need information about the extent and distribution of genetic diversity present within collections. In this study, we report the result of population genetic analysis of 107 aromatic and quality rice accessions collected from different parts of NE India, as well as classified these accessions in the context of a set of structured global rice cultivars. A total of 322 alleles were amplified by 40 simple sequence repeat (SSR) markers with an average of 8.03 alleles per locus. Average gene diversity was 0.67. Population structure analysis revealed that NE Indian aromatic rice can be subdivided into three genetically distinct population clusters: P1, joha rice accessions from Assam, tai rices from Mizoram and those from Sikkim; P2, aromatic rice accessions from Nagaland; and P3, chakhao rice germplasm from Manipur [corrected]. Pair-wise FST between three groups varied from 0.223 (P1 vs P2) to 0.453 (P2 vs P3). With reference to the global classification of rice cultivars, two major groups (Indica and Japonica) were identified in NE Indian germplasm. The aromatic accessions from Assam, Manipur and Sikkim were assigned to the Indica group, while the accessions from Nagaland exhibited close association with Japonica. The tai accessions of Mizoram along with few chakhao accessions collected from the hill districts of Manipur were identified as admixed. The results highlight the importance of regional genetic studies for understanding diversification of aromatic rice in India. The data also suggest that there is scope for exploiting the genetic diversity of aromatic and

  20. Effect of Almond Supplementation on Glycemia and Cardiovascular Risk Factors in Asian Indians in North India with Type 2 Diabetes Mellitus: A 24-Week Study.

    Science.gov (United States)

    Gulati, Seema; Misra, Anoop; Pandey, Ravindra M

    2017-03-01

    Type 2 diabetes (T2D) statistics have reached menacing proportions in India. Appropriate dietary intervention, as part of healthy lifestyle, is imperative to curb further spread of this disease. This pre-post intervention study was conducted in New Delhi, India, to investigate the effects of daily consumption of almonds for 24 weeks in T2D subjects, specifically on measures of glycemia and cardiovascular disease (CVD) risk factors. In this study, the 24-week intervention period was preceded by a control diet and exercise run-in period of 3 weeks. Raw almonds (20% of energy intake) were provided to the patients for consumption along with diet and physical activity counseling. Patients were assessed for anthropometry, blood pressure, measures of glycemia (fasting blood glucose, glycosylated hemoglobin), lipids [total cholesterol (TC), triglycerides, high-density lipoprotein-cholesterol, low-density lipoprotein-cholesterol, lipoprotein(a)], surrogate marker of atherosclerosis (Pulse wave velocity), and marker of inflammation (high sensitivity C-reactive protein [hs-CRP]) at baseline and after the intervention period. Statistically significant improvement in mean values for various parameters post intervention was as follows: waist circumference (P healthy diet leads to multiple beneficial effects on glycemic and CVDs risk factors in Asian Indian patients with T2D.

  1. Sewage-Borne Ammonium at a River Bank Filtration Site in Central Delhi, India: Simplified Flow and Reactive Transport Modeling to Support Decision-Making about Water Management Strategies

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    Maike Groeschke

    2017-06-01

    Full Text Available In the Indian metropolis of Delhi, the Yamuna River is highly influenced by sewage water, which has led to elevated ammonium (NH4+ concentrations up to 20 mg/L in the river water during 2012–2013. Large drinking water production wells located in the alluvial aquifer draw high shares of bank filtrate. Due to the infiltrating river water, the raw water NH4+ concentrations in some wells exceed the threshold value of 0.5 mg/L ammonia-N of the Indian drinking water specifications, making the water unfit for human consumption without prior treatment. However, to meet the city’s growing water demand, it might be advantageous to consider the long-term use of the well field. This requires the development of an adapted post-treatment unit in concert with an adjusted well field management. To better understand the groundwater dynamics and contamination and decontamination times at the well field, a theoretical modeling study has been conducted. The results of 2D numerical modeling reveal that the groundwater flux beneath the river is negligible because of the aquifer and river geometry, indicating that infiltrating river water is not diluted by the ambient groundwater. Increasing the water abstraction in the wells closest to the river would result in a larger share of bank filtrate and a decreasing groundwater table decline. Simplified 1D reactive transport models set up for a distance of 500 m (transect from the riverbank to the first production well showed that the NH4+ contamination will prevail for the coming decades. Different lithological units of the aquifer (sand and kankar—a sediment containing calcareous nodules have a strong influence on the respective contamination and decontamination periods, as the retardation of NH4+ is higher in the kankar than in the sand layer. Although this simplified approach does not allow for a quantification of processes, it can support decision-making about a possible future use of the well field and point to

  2. India.

    Science.gov (United States)

    1982-10-01

    This discussion of India focuses on the following: the history of the country's demographic situation; the government's overall approach to population problems; population data systems and development planning; institutional arrangements for the integration of population with development planning; the government's view of the importance of population policy in achieving development objectives; population size, growth and natural increase; morbidity and mortality; fertility; international migration; and spatial distribution. India's government views the population problem in the country as extremely serious particularly in relation to the alleviation of poverty. It was the 1st country to introduce a family planning program at the national level. Development plans have consistently treated the population situation as a priority issue. A relatively comprehensive system of data collection for demographic purposes has existed in India for a long time. The 1st census was conducted in 1872. The government has continually worked to maintain the integration of population concerns within overall development planning. The government regards population growth as an impediment to development and views the slow growth in per capita income as being due largely to the rapid population increase which continues to outpace the increases in the gross national product. The government perceives the current rate of population growth as unsatisfactory because it is too high. Mortality levels have dropped considerably, but the government still considers the situation with regard to mortality as unacceptable. In 1980 the UN estimated the infant mortality rate was 128.9 infant deaths/1000 live births for the 1975-80 period. The total fertility rate, as estimated by the UN, is reported to have dropped from 6.3 births per woman in 1960 to 6.0 in 1970 and 5.0 in 1980. The government has continuously indicated concern with fertility levels, perceiving the situation as unsatisfactory because its

  3. Transport and land-use policies in Delhi.

    Science.gov (United States)

    Tiwari, Geetam

    2003-01-01

    Current transportation policies in mega-cities worldwide lead to major threats to health through traffic injuries, air pollution, noise, reduction in physical activities, and adverse impact on urban quality of life. In addition, a large section of the population in cities in low-income countries has to live in informal-sector, substandard housing. Many transportation policies fail to take enough account of their impacts on poverty and social exclusion, and they neglect the access and transportation demands of the more economically disadvantaged groups of society, who rely mostly on public transportation, walking, and cycling. Delhi, the capital city of India, is an interesting case because failure to consider the broad spectrum of health effects that may result from transport and land-use policies and investments has resulted in decisions that penalize the least affluent groups of the population and make it more difficult for them to get to jobs, education, health care, amenities, and services.

  4. Prevalence and risk factors of gestational diabetes in Punjab, North India: results from a population screening program.

    Science.gov (United States)

    Arora, Geeti P; Thaman, Richa G; Prasad, Rashmi B; Almgren, Peter; Brøns, Charlotte; Groop, Leif C; Vaag, Allan A

    2015-08-01

    The World Health Organization (WHO) has in 2013 changed the diagnostic criteria for gestational diabetes mellitus (GDM) to acknowledge the putative effect of mildly elevated fasting plasma glucose (FPG) levels on pregnancy outcomes. We aimed to determine the prevalence and risk factors of GDM comparing the previous WHO 1999 criteria to the WHO 2013 criteria in North India. In a population-based screening programme, 5100 randomly selected North Indian women were studied using a cross-sectional design with a questionnaire, venous FPG and 2-h capillary plasma glucose (PG) after a 75 g oral glucose tolerance test performed between 24 and 28 weeks of pregnancy. The prevalence of GDM was 35% using WHO 2013 criteria vs 9% using WHO 1999 criteria. FPG measurements identified 94% of WHO 2013 GDM cases as opposed to 11% of WHO 1999 GDM cases. In contrast, 2-h PG measurements identified only 13% of WHO 2013 GDM cases compared with 96% of the WHO 1999 GDM cases. Using logistic regression with backward elimination, urban habitat, illiteracy, non-vegetarianism, increased BMI, Hindu religion and low adult height were all independent risk factors of GDM using the 1999 criteria, whereas only urban habitat, low adult height and increased age were independent risk factors of GDM using the 2013 criteria. Intervention studies are needed to justify the WHO 2013 GDM criteria increasing the prevalence four fold to include more than one third of North Indian pregnant women. © 2015 European Society of Endocrinology.

  5. People and development: With special reference to the tribal peoples of north-east India

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    Varte, I.Z.

    2012-03-01

    Full Text Available Northeast India is comprised of seven states peopled by tribes and communities majority of which are culturally and ethnically different from the rest of India. After India’s independence from the British in 1947, the Government- both at the state and central level has been implementing several development programmes in the region on poverty alleviation, employment, infrastructure, education, agriculture etc apparently to positively transform peoples’ lives in the region. However, inspite of these initiatives, several decades of intensive development programmes and strategies has somehow seen more failures than success. While development should have brought a positive change in peoples’ lives, it has instead become more and more conflict sensitive resulting in intense and often fatal socioeconomic, socio-political and socio-environmental disasters between and among communities in Northeast India. Why is this happening, how did it happen and how can this problem be solved are the questions being asked. The main aim of this paper is therefore to briefly try and see the essence and ethics underlying development along with the need for it as perceived by many, its impact on the societal cohesion of the people of Northeast India and the urgent need for a shift in the current development paradigm

  6. Studies on essential oils. Part 15: GC/MS analysis of chemical constituents of leaf oil of Lippia alba (Mill.) from North India

    NARCIS (Netherlands)

    Singh, G.; Pandey, S.K.; Leclercq, P.A.; Sperkova, J.

    1999-01-01

    The oil isolated by hydrodistillation from the leaves of Lippia alba growing in plain regions of North India, was analyzed by GC and GC/MS. Fifty-nine components were identified accounting for approximately 98% of the total oil. Myrcene (26.4%) was found as a major component followed by geranial

  7. Estimating population salt intake in India using spot urine samples.

    Science.gov (United States)

    Petersen, Kristina S; Johnson, Claire; Mohan, Sailesh; Rogers, Kris; Shivashankar, Roopa; Thout, Sudhir Raj; Gupta, Priti; He, Feng J; MacGregor, Graham A; Webster, Jacqui; Santos, Joseph Alvin; Krishnan, Anand; Maulik, Pallab K; Reddy, K Srinath; Gupta, Ruby; Prabhakaran, Dorairaj; Neal, Bruce

    2017-11-01

    To compare estimates of mean population salt intake in North and South India derived from spot urine samples versus 24-h urine collections. In a cross-sectional survey, participants were sampled from slum, urban and rural communities in North and in South India. Participants provided 24-h urine collections, and random morning spot urine samples. Salt intake was estimated from the spot urine samples using a series of established estimating equations. Salt intake data from the 24-h urine collections and spot urine equations were weighted to provide estimates of salt intake for Delhi and Haryana, and Andhra Pradesh. A total of 957 individuals provided a complete 24-h urine collection and a spot urine sample. Weighted mean salt intake based on the 24-h urine collection, was 8.59 (95% confidence interval 7.73-9.45) and 9.46 g/day (8.95-9.96) in Delhi and Haryana, and Andhra Pradesh, respectively. Corresponding estimates based on the Tanaka equation [9.04 (8.63-9.45) and 9.79 g/day (9.62-9.96) for Delhi and Haryana, and Andhra Pradesh, respectively], the Mage equation [8.80 (7.67-9.94) and 10.19 g/day (95% CI 9.59-10.79)], the INTERSALT equation [7.99 (7.61-8.37) and 8.64 g/day (8.04-9.23)] and the INTERSALT equation with potassium [8.13 (7.74-8.52) and 8.81 g/day (8.16-9.46)] were all within 1 g/day of the estimate based upon 24-h collections. For the Toft equation, estimates were 1-2 g/day higher [9.94 (9.24-10.64) and 10.69 g/day (9.44-11.93)] and for the Kawasaki equation they were 3-4 g/day higher [12.14 (11.30-12.97) and 13.64 g/day (13.15-14.12)]. In urban and rural areas in North and South India, most spot urine-based equations provided reasonable estimates of mean population salt intake. Equations that did not provide good estimates may have failed because specimen collection was not aligned with the original method.

  8. Frequency of β-thalassemia trait and other hemoglobinopathies in northern and western India

    Science.gov (United States)

    Madan, Nishi; Sharma, Satendra; Sood, S. K.; Colah, Roshan; Bhatia, (Late) H. M.

    2010-01-01

    INTRODUCTION: India is an ethnically diverse country with an approximate population of 1.2 billion. The frequency of beta-thalassemia trait (βTT) has variously been reported from hemoglobinopathies in different regions and population groups in the country. A high frequency of Hb D has been reported from the North in the Punjabi population, Hb E in the eastern region of India and Hb S is mainly reported from populations of tribal origin from different parts of the country. OBJECTIVES: To study the gene frequency of βTT and other hemoglobinopathies in three regions East (Kolkata), West (Mumbai) and North (Delhi) in larghe population group (schoolchildren) for a more accurate assessment of gene frequency for planning of control programmes for haemoglobinopathies. MATERIALS AND METHODS: This study included 5408 children from 11 schools in Delhi, 5682 from 75 schools in Mumbai and 957 schoolchildren from Kolkata who were screened for βTT and haemoglobinopathies. These included 5684 children from 75 schools in Mumbai and 5408 children from 11 schools in Delhi. Children were 11-18 years of age of both sexes. The final report is, however, only on 11090 schoolchildren from Mumbai and Delhi as data from Kolkata was restricted both in numbers and objectives and could not be included for comparison. RESULTS: The overall gene frequency of βTT in Mumbai and Delhi was 4.05% being 2.68% and 5.47% in children of the two cities respectively. In Mumbai, the gene frequency was evenly distributed. Majority of the children with βTT from Mumbai were from Marathi (38.9%) and Gujarati (25%) speaking groups. Gene frequency was >5% in Bhatias, Khatris, Lohanas and Schedule Castes. In Delhi, a higher incidence was observed in schoolchildren of North and West Delhi (5.8-9.2%). The schoolchildren of North and West Delhi comprised predominantly of Punjabi origin compared to children in the South of the city (2.2%, 2.3%). When analyzed state-wise, the highest incidence was observed in

  9. Diverse Rice Landraces of North-East India Enables the Identification of Novel Genetic Resources for Magnaporthe Resistance.

    Science.gov (United States)

    Umakanth, Bangale; Vishalakshi, Balija; Sathish Kumar, P; Rama Devi, S J S; Bhadana, Vijay Pal; Senguttuvel, P; Kumar, Sudhir; Sharma, Susheel Kumar; Sharma, Pawan Kumar; Prasad, M S; Madhav, Maganti S

    2017-01-01

    North-East (NE) India, the probable origin of rice has diverse genetic resources. Many rice landraces of NE India were not yet characterized for blast resistance. A set of 232 landraces of NE India, were screened for field resistance at two different hotspots of rice blast, viz., IIRR-UBN, Hyderabad and ICAR-NEH, Manipur in two consecutive seasons. The phenotypic evaluation as well as gene profiling for 12 major blast resistance genes ( Pitp , Pi33 , Pi54 , Pib , Pi20 , Pi38 , Pita2 , Pi1 , Piz , Pi9 , Pizt , and Pi40 ) with linked as well as gene-specific markers, identified 84 resistant landraces possessing different gene(s) either in singly or in combinations and also identified seven resistant landraces which do not have the tested genes, indicating the valuable genetic resources for blast resistance. To understand the molecular diversity existing in the population, distance and model based analysis were performed using 120 SSR markers. Results of both analyses are highly correlated by forming two distinct subgroups and the existence of high diversity (24.9% among the subgroups; 75.1% among individuals of each subgroup) was observed. To practically utilize the diversity in the breeding program, a robust core set having an efficiency index of 0.82 which consists of 33 landraces were identified through data of molecular, blast phenotyping, and important agro-morphological traits. The association of eight novel SSR markers for important agronomic traits which includes leaf and neck blast resistance was determined using genome-wide association analysis. The current study focuses on identifying novel resources having field resistance to blast as well as markers which can be explored in rice improvement programs. It also entails the development of a core set which can aid in representing the entire diversity for efficiently harnessing its properties to broaden the gene pool of rice.

  10. Environmental magnetic and petroleum hydrocarbons records in sediment cores from the north east coast of Tamilnadu, Bay of Bengal, India.

    Science.gov (United States)

    Venkatachalapathy, R; Veerasingam, S; Basavaiah, N; Ramkumar, T; Deenadayalan, K

    2011-04-01

    In this study, mineral magnetic properties and petroleum hydrocarbons were statistically analysed in four sediment cores (C1, A1, T1 and K1) from the north east coast of Tamilnadu, India to examine the feasibility of PHC concentrations assessment using magnetic susceptibility. The C1 and A1 cores reveal a clear horizon of increase in PHC above 35 and 50 cm respectively suggesting the excess anthropogenic loading occurred in the recent past. Magnetic properties which were enhanced in the upper part of the sediment cores were the result of ferrimagnetic minerals from anthropogenic sources. Factor analysis confirmed that the input of magnetic minerals and petroleum hydrocarbons in Chennai coastal sediments are derived from the same sources. The present study shows that instead of expensive and destructive PHC chemical methods, magnetic susceptibility is found to be a suitable, cheap and rapid method for detailed study of petroleum hydrocarbon contamination in marine sediments. Copyright © 2011 Elsevier Ltd. All rights reserved.

  11. ‘Hearts of Darkness’ in Shining India. Maps of Ecological Un-Sustainability in the North-East

    Directory of Open Access Journals (Sweden)

    Rossella Ciocca

    2017-11-01

    Full Text Available A number of recent novels have chosen to variously address the existing conditions of the multi-ethnic mosaic of the Indian North-East. These works of fiction shed light upon a dramatic contemporary condition and propound an alternative historical archive able to perturb the current image of India as a neo-liberal, globalized super power. Indeed, in India’s complex, uneven and contradictory patterns of economic and technological progress, perspectives of development prove highly controversial. In Surface, a novella written in 2005 by Siddhartha Deb, set in the Northeastern region and seemingly modeled upon Conrad’s colonial archetype Heart of Darkness, a post-millennial social community of investors, executives, administrators, traders, politicians, journalists, social workers and rebels, inhabit a very complex, and ‘dark’, territorial reality.

  12. Genomic diversity and affinities in population groups of North West India: an analysis of Alu insertion and a single nucleotide polymorphism.

    Science.gov (United States)

    Saini, J S; Kumar, A; Matharoo, K; Sokhi, J; Badaruddoza; Bhanwer, A J S

    2012-12-15

    The North West region of India is extremely important to understand the peopling of India, as it acted as a corridor to the foreign invaders from Eurasia and Central Asia. A series of these invasions along with multiple migrations led to intermixture of variable populations, strongly contributing to genetic variations. The present investigation was designed to explore the genetic diversities and affinities among the five major ethnic groups from North West India; Brahmin, Jat Sikh, Bania, Rajput and Gujjar. A total of 327 individuals of the abovementioned ethnic groups were analyzed for 4 Alu insertion marker loci (ACE, PV92, APO and D1) and a Single Nucleotide Polymorphism (SNP) rs2234693 in the intronic region of the ESR1 gene. Statistical analysis was performed to interpret the genetic structure and diversity of the population groups. Genotypes for ACE, APO, ESR1 and PV92 loci were found to be in Hardy-Weinberg equilibrium in all the ethnic groups, while significant departures were observed at the D1 locus in every investigated population after Bonferroni's correction. The average heterozygosity for all the loci in these ethnic groups was fairly substantial ranging from 0.3927 ± 0.1877 to 0.4333 ± 0.1416. Inbreeding coefficient indicated an overall 10% decrease in heterozygosity in these North West Indian populations. The gene differentiation among the populations was observed to be of the order of 0.013. Genetic distance estimates revealed that Gujjars were close to Banias and Jat Sikhs were close to Rajputs. Overall the study favored the recent division of the populations of North West India into largely endogamous groups. It was observed that the populations of North West India represent a more or less homogenous genetic entity, owing to their common ancestral history as well as geographical proximity. Copyright © 2012 Elsevier B.V. All rights reserved.

  13. Demographic and clinical profile of substance abusing women seeking treatment at a de-addiction center in north India

    Directory of Open Access Journals (Sweden)

    Naresh Nebhinani

    2013-01-01

    Full Text Available Background: In the recent decades increasing number of women have been seeking deaddiction services. Despite that the report data is very limited from India. Objectives: The present research aimed to study the demographic and clinical profile of women seeking deaddiction treatment at a tertiary care center in North India. Materials and Methods: Retrospective structured chart review of 100 women substance abusers seeking treatment at a deaddiction center between September 1978 and December 2011. Results: A typical case was of 36.3 years age, married (65%, urban (61%, nuclear family (59% based housewife (56%, with good to fair social support (69%. The commonest substance of abuse was tobacco (60%, followed by opioids (27%, alcohol (15%, and benzodiazepines (13%. The common reasons for initiation of substance use were to alleviate frustration or stress (49% and curiosity (37%. Family history of drug dependence (43%, comorbidity (25%, and impairments in health (74%, family (57%, and social domains (56% were common. Only a third of the sample paid one or more follow visit, and of those 58% were abstinent at the last follow-up. Significant predictors identified were being non-Hindu and higher educational years for abstinent status at follow-up. Conclusion: The common substances of abuse were tobacco, opioids, and alcohol and benzodiazepines; and family history of drug abuse and comorbidity were common. The follow-up and outcome were generally poor. This profile gives us some clues to address a hidden health problem of the community.

  14. Estimation of stature from the foot and its segments in a sub-adult female population of North India

    Directory of Open Access Journals (Sweden)

    Krishan Kewal

    2011-11-01

    Full Text Available Abstract Background Establishing personal identity is one of the main concerns in forensic investigations. Estimation of stature forms a basic domain of the investigation process in unknown and co-mingled human remains in forensic anthropology case work. The objective of the present study was to set up standards for estimation of stature from the foot and its segments in a sub-adult female population. Methods The sample for the study constituted 149 young females from the Northern part of India. The participants were aged between 13 and 18 years. Besides stature, seven anthropometric measurements that included length of the foot from each toe (T1, T2, T3, T4, and T5 respectively, foot breadth at ball (BBAL and foot breadth at heel (BHEL were measured on both feet in each participant using standard methods and techniques. Results The results indicated that statistically significant differences (p p-value Conclusions The present study concluded that foot measurements have a strong relationship with stature in the sub-adult female population of North India. Hence, the stature of an individual can be successfully estimated from the foot and its segments using different regression models derived in the study. The regression models derived in the study may be applied successfully for the estimation of stature in sub-adult females, whenever foot remains are brought for forensic examination. Stepwise multiple regression models tend to estimate stature more accurately than linear regression models in female sub-adults.

  15. Crustal seismic anisotropy beneath Shillong plateau - Assam valley in North East India: Shear-wave splitting analysis using local earthquakes

    Science.gov (United States)

    Sharma, Antara; Baruah, Santanu; Piccinini, Davide; Saikia, Sowrav; Phukan, Manoj K.; Chetia, Monisha; Kayal, J. R.

    2017-10-01

    We present crustal anisotropy estimates constrained by shear wave splitting (SWS) analysis using local earthquakes in the Shillong plateau and Assam valley area, North East India (NE India) region. Splitting parameters are determined using an automated cross-correlation (CC) method. We located 330 earthquakes recorded by 17 broadband seismic stations during 2001-2014 in the study area. Out of these 330 events, seismograms of 163 events are selected for the SWS analysis. Relatively small average delay times (0.039-0.084 s) indicate existence of moderate crack density in the crust below the study area. It is found that fast polarization directions vary from station to station depending on the regional stress system as well as geological conditions. The spatial pattern of crustal anisotropy in the area is controlled mostly by tectonic movement of the Indian plate towards NE. Presence of several E-W and N-S trending active faults in the area also play an important role on the observed pattern of crustal anisotropy.

  16. Self-medication practices in patients attending a Tertiary Care Teaching Hospital in Urban North-West India

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    Shilpa Patrick

    2018-01-01

    Full Text Available Background: This study was designed to determine the frequency, reasons, and the association of self-medication with demographic and other factors reported by participants. Materials and Methods: This study was conducted in 500 patients visiting a tertiary hospital in Ludhiana, North Western India. Participants were interviewed with a preset questionnaire. Data were entered into Microsoft Excel and analysis was performed using SPSS software version 16. Frequencies and proportions were calculated. Results: Of 500 study participants, 93.8% reported self-medication with no gender difference. The participants who took self-medication were of the opinion that self-medication resulted in quick cure of illness 50.75%, saved their time 17.46%, and gave them a sense of independence in 17.06%, respectively. The common reasons self-medication 45.84% for fever, 18.34% for pain, and 10.87% for headache with nonsteroidal anti-inflammatory drugs 49.4% followed by antibiotics (11.6% be the common medication. The most common source of information is local chemists/pharmacy 39%. Conclusions: Self-medication is described as a double-edged sword in India, and regulation of over-the-counter sale of antibiotics prescription medication is necessary to safeguard the populace.

  17. Bacteriological profile and antibiotic sensitivity pattern of neonatal septicaemia in a rural tertiary care hospital in North India

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    S Thakur

    2016-01-01

    Full Text Available Background: There is not much published literature on neonatal septicemia available for the Sub-Himalayan region of North India. Hence, we undertook this study to find out the bacteriological profile and antibiotic sensitivity pattern of neonatal septicemia in the neonatal Intensive Care Unit. Material and Methods: Blood cultures were performed for all clinically suspected neonatal septicemia cases for 1-year. Identification of all pathogenic isolates was followed by antibiotic sensitivity testing. Results: We did blood cultures for 450 neonates and 42% were culture positive. Early onset sepsis were 92 (49% and 96 (51% were late onset sepsis. Gram-positive isolates were 60% and 40% were Gram-negative. Staphylococcus aureus (40%, coagulase negative Staphylococcus species (16%, non-fermenter group of organisms (NFGOs (15%, and Klebsiella pneumoniae (10% were the main isolates. Nasal cannula 101 (54%, birth asphyxia 91 (48%, and prematurity 73 (38% were the prominent risk factors associated with septicemia. Gram-positive organisms were highly resistant to penicillin (87% whereas Gram-negative isolates showed high resistance to third generation cephalosporins (53–89% and aminoglycosides (50–67%. The S. aureus isolates were methicillin-resistant in 41% whereas extended spectrum beta lactamase production was seen in 48% Gram-negative isolates.Conclusion: Our study highlights the recent emergence of Gram-positive organisms as predominant cause of neonatal septicemia in this part of Sub-Himalayan region, along with the review of literature which shows similar results from North India and rest of the world too. Though Gram-negative bacteria still remain the main cause of mortality in neonatal septicemia, we want to dispel the common notion among practitioners that they are the predominant isolates in neonatal septicemia.

  18. Sediment transport along the Goa-north Karnataka Coast, western India

    Digital Repository Service at National Institute of Oceanography (India)

    Kunte, P.D.

    Landsat images, aerial photographs, and topographic maps of the coast of Goa and of north Karnataka were interpreted to delineate sediment-transpoet sectors. Thirty six sediment-transpoet sectors were identified from landform indicators and patterns...

  19. Bio-social Predictors of Low Birth Weight- A Prospective study at a Tertiary care Hospital of North Karnataka, India

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    D P Paneru

    2013-12-01

    Full Text Available BACKGROUND: Low Birth Weight is a multi-factorial problem of health and social concern Worldwide. India accounts for 40 percent of Low birth weight (LBW babies of the developing World and more than half of those in Asia. Despite the multitude of services rendered to improve maternal health care, LBW remains a public health problem in India. Objective: To determine bio-social predictors of low birth weight amongst the institutional births in North Karnataka, India. METHODS: A prospective hospital based study was conducted in Belgaum district of north Karnataka during July 2012-March 2013. A total of 426 pregnant women registered within 20 weeks of gestation during July–September 2013; eventually delivered in the same hospital were included in the study. Birth weight was measured by a digital weighing scale of 100 gram accuracy. Data were collected through individual interviews using pretested questionnaire. Data were analyzed by SPSS (16.0 Version. Descriptive statistics and multivariate regression were applied. P value < 0.05 considered significant. RESULTS: Mean age of subjects was 23.2254±3.09 years. About 96.7% were literates. Mean age at first pregnancy was 21.37±2.70 years. Low birth weight was observed amongst 22.5% new born (Mean weight: 2089.58±268.31gm. Almost 10.0% were preterm births. Paternal education and occupation, socio-economic status, religion, maternal blood group and gestation age at delivery were found to be the independent and significant bio-social factors predicting the low birth weight. About 68.0% variations in the birth weight were explained by these predictors. CONCLUSIONS: Low paternal education and occupation (farmers/laborers, low socio-economic status, maternal blood group (A is protective and prematurity were found to be independent bio-social predicators of LBW. Programme targeting paternal education may be useful and study of biological plausibility associated with the maternal blood group is

  20. Bio-social Predictors of Low Birth Weight- A Prospective study at a Tertiary care Hospital of North Karnataka, India

    Directory of Open Access Journals (Sweden)

    DP Paneru

    2013-12-01

    Full Text Available BACKGROUND: Low Birth Weight is a multi-factorial problem of health and social concern Worldwide. India accounts for 40 percent of Low birth weight (LBW babies of the developing World and more than half of those in Asia. Despite the multitude of services rendered to improve maternal health care, LBW remains a public health problem in India. Objective: To determine bio-social predictors of low birth weight amongst the institutional births in North Karnataka, India. METHODS: A prospective hospital based study was conducted in Belgaum district of north Karnataka during July 2012-March 2013. A total of 426 pregnant women registered within 20 weeks of gestation during July–September 2013; eventually delivered in the same hospital were included in the study. Birth weight was measured by a digital weighing scale of 100 gram accuracy. Data were collected through individual interviews using pretested questionnaire. Data were analyzed by SPSS (16.0 Version. Descriptive statistics and multivariate regression were applied. P value < 0.05 considered significant. RESULTS: Mean age of subjects was 23.2254±3.09 years. About 96.7% were literates. Mean age at first pregnancy was 21.37±2.70 years. Low birth weight was observed amongst 22.5% new born (Mean weight: 2089.58±268.31gm. Almost 10.0% were preterm births. Paternal education and occupation, socio-economic status, religion, maternal blood group and gestation age at delivery were found to be the independent and significant bio-social factors predicting the low birth weight. About 68.0% variations in the birth weight were explained by these predictors. CONCLUSIONS: Low paternal education and occupation (farmers/laborers, low socio-economic status, maternal blood group (A is protective and prematurity were found to be independent bio-social predicators of LBW. Programme targeting paternal education may be useful and study of biological plausibility associated with the maternal blood group is recommended.

  1. Cost of Delivering Health Care Services in Public Sector Primary and Community Health Centres in North India.

    Science.gov (United States)

    Prinja, Shankar; Gupta, Aditi; Verma, Ramesh; Bahuguna, Pankaj; Kumar, Dinesh; Kaur, Manmeet; Kumar, Rajesh

    2016-01-01

    With the commitment of the national government to provide universal healthcare at cheap and affordable prices in India, public healthcare services are being strengthened in India. However, there is dearth of cost data for provision of health services through public system like primary & community health centres. In this study, we aim to bridge this gap in evidence by assessing the total annual and per capita cost of delivering the package of health services at PHC and CHC level. Secondly, we determined the per capita cost of delivering specific health services like cost per antenatal care visit, per institutional delivery, per outpatient consultation, per bed-day hospitalization etc. We undertook economic costing of fourteen public health facilities (seven PHCs and CHCs each) in three North-Indian states viz., Haryana, Himachal Pradesh and Punjab. Bottom-up costing method was adopted for collection of data on all resources spent on delivery of health services in selected health facilities. Analysis was undertaken using a health system perspective. The joint costs like human resource, capital, and equipment were apportioned as per the time value spent on a particular service. Capital costs were discounted and annualized over the estimated life of the item. Mean annual costs and unit costs were estimated along with their 95% confidence intervals using bootstrap methodology. The overall annual cost of delivering services through public sector primary and community health facilities in three states of north India were INR 8.8 million (95% CI: 7,365,630-10,294,065) and INR 26.9 million (95% CI: 22,225,159.3-32,290,099.6), respectively. Human resources accounted for more than 50% of the overall costs at both the level of PHCs and CHCs. Per capita per year costs for provision of complete package of preventive, curative and promotive services at PHC and CHC were INR 170.8 (95% CI: 131.6-208.3) and INR162.1 (95% CI: 112-219.1), respectively. The study estimates can be used

  2. Air quality assessment in Delhi: before and after CNG as fuel.

    Science.gov (United States)

    Chelani, Asha B; Devotta, Sukumar

    2007-02-01

    A number of policy measures have been activated in India in order to control the levels of air pollutants such as particulate matter, sulphur dioxide (SO(2)) and nitrogen dioxide (NO(2)). Delhi, which is one of the most polluted cities in the world, is also going through the implementation phase of the control policies. Ambient air quality data monitored during 2000 to 2003, at 10 sites in Delhi, were analyzed to assess the impact of implementation of these measures, specifically fuel change in vehicles. This paper presents the impact of policy measures on ambient air quality levels and also the source apportionment. CO and NO(2) concentration levels in ambient air are found to be associated with the mobile sources. The temporal variation of air quality data shows the significant effect of shift to CNG (Compressed Natural Gas) in vehicles.

  3. Delineation of Gold Mineralization Zone using Resistivity and Very Low Frequency Electromagnetic Methods around, North Singhbhum Mobile Belt, India.

    Science.gov (United States)

    Upadhyay, A.; Panda, K. P.; Singh, A.; Sharma, S. P.

    2017-12-01

    The results of electrical resistivity and VLF electromagnetic surveys are presented in this study to delineate the suitable geological structure associated with gold mineralization near Lawa Village (Seraikela-Kharsawan, Jharkhand), India. The area under observation lies in North Singhbhum Mobile Belt (NSMB) which is bounded by Chotanagpur Gneiss Complex in north and Archean Singhbhum Craton in the south. Shear zone of the study area, trending E-W, is mainly associated with Cu-U mineralization which is also associated with gold. Previous geological studies have revealed that this region can be a potential site for gold prospects within NSMB. A comprehensive electrical resistivity imaging and very low frequency surveys have been performed around Lawa village to outline appropriate conducting zones, with their lateral extension and depth extent, which may be associated with gold mineralization. Resistivity survey done using Dipole-Dipole multi-electrode array reveals multiple zones of mineralization separated by variable distances. The VLF data in the current study was tainted by non-stationary and non-linear noises which cannot be eliminated by standard filtering techniques. Therefore to restore signals with significant geologic information empirical mode decomposition (EMD) technique was used. The noise free data obtained was then processed using Fast Imaging technique to obtain apparent current density pseudo-sections for interpretation. Interpretation and analysis of results from each investigating survey demonstrate a steeply dipping conductor with E-W strike direction along the shear zone. These conductive zones are characterized by low resistivity and high current density values.

  4. Quality medicines for the poor: experience of the Delhi programme on rational use of drugs.

    Science.gov (United States)

    Chaudhury, R Roy; Parameswar, R; Gupta, U; Sharma, S; Tekur, U; Bapna, J S

    2005-03-01

    Prior to 1994, most Delhi hospitals and dispensaries experienced constant shortages of essential medicines. There was erratic prescribing of expensive branded products, frequent complaints about poor drug quality and low patient satisfaction. Delhi took the lead in developing a comprehensive Drug Policy in 1994 and was the only Indian state to have such a comprehensive policy. The policy's main objective is to improve the availability and accessibility of quality essential drugs for all those in need. The Delhi Society for the Promotion of Rational Use of Drugs (DSPRUD), a non-governmental organization, worked in close collaboration with the Delhi Government and with universities to implement various components of the policy. The first Essential Drugs List (EDL) was developed, a centralized pooled procurement system was set up and activities promoting rational use of drugs were initiated. In 1997, the Delhi Programme was designated the INDIA-WHO Essential Drugs Programme by the World Health Organization. The EDL was developed by a committee consisting of a multidisciplinary group of experts using balanced criteria of efficacy, safety, suitability and cost. The first list contained 250 drugs for hospitals and 100 drugs for dispensaries; the list is revised every 2 years. The pooled procurement system, including the rigorous selection of suppliers with a minimum annual threshold turnover and the introduction of Good Manufacturing Practice inspections, resulted in the supply of good quality drugs and in holding down the procurement costs of many drugs. Bulk purchasing of carefully selected essential drugs was estimated to save nearly 30% of the annual drugs bill for the Government of Delhi, savings which were mobilized for procuring more drugs, which in turn improved availability of drugs (more than 80%) at health facilities. Further, training programmes for prescribers led to a positive change in prescribing behaviour, with more than 80% of prescriptions being from

  5. Identification by Molecular Methods and Matrix-Assisted Laser Desorption Ionization-Time of Flight Mass Spectrometry and Antifungal Susceptibility Profiles of Clinically Significant Rare Aspergillus Species in a Referral Chest Hospital in Delhi, India.

    Science.gov (United States)

    Masih, Aradhana; Singh, Pradeep K; Kathuria, Shallu; Agarwal, Kshitij; Meis, Jacques F; Chowdhary, Anuradha

    2016-09-01

    Aspergillus species cause a wide spectrum of clinical infections. Although Aspergillus fumigatus and Aspergillus flavus remain the most commonly isolated species in aspergillosis, in the last decade, rare and cryptic Aspergillus species have emerged in diverse clinical settings. The present study analyzed the distribution and in vitro antifungal susceptibility profiles of rare Aspergillus species in clinical samples from patients with suspected aspergillosis in 8 medical centers in India. Further, a matrix-assisted laser desorption ionization-time of flight mass spectrometry in-house database was developed to identify these clinically relevant Aspergillus species. β-Tubulin and calmodulin gene sequencing identified 45 rare Aspergillus isolates to the species level, except for a solitary isolate. They included 23 less common Aspergillus species belonging to 12 sections, mainly in Circumdati, Nidulantes, Flavi, Terrei, Versicolores, Aspergillus, and Nigri Matrix-assisted laser desorption ionization-time of flight mass spectrometry (MALDI-TOF MS) identified only 8 (38%) of the 23 rare Aspergillus isolates to the species level. Following the creation of an in-house database with the remaining 14 species not available in the Bruker database, the MALDI-TOF MS identification rate increased to 95%. Overall, high MICs of ≥2 μg/ml were noted for amphotericin B in 29% of the rare Aspergillus species, followed by voriconazole in 20% and isavuconazole in 7%, whereas MICs of >0.5 μg/ml for posaconazole were observed in 15% of the isolates. Regarding the clinical diagnoses in 45 patients with positive rare Aspergillus species cultures, 19 (42%) were regarded to represent colonization. In the remaining 26 patients, rare Aspergillus species were the etiologic agent of invasive, chronic, and allergic bronchopulmonary aspergillosis, allergic fungal rhinosinusitis, keratitis, and mycetoma. Copyright © 2016, American Society for Microbiology. All Rights Reserved.

  6. Identification by Molecular Methods and Matrix-Assisted Laser Desorption Ionization–Time of Flight Mass Spectrometry and Antifungal Susceptibility Profiles of Clinically Significant Rare Aspergillus Species in a Referral Chest Hospital in Delhi, India

    Science.gov (United States)

    Masih, Aradhana; Singh, Pradeep K.; Kathuria, Shallu; Agarwal, Kshitij

    2016-01-01

    Aspergillus species cause a wide spectrum of clinical infections. Although Aspergillus fumigatus and Aspergillus flavus remain the most commonly isolated species in aspergillosis, in the last decade, rare and cryptic Aspergillus species have emerged in diverse clinical settings. The present study analyzed the distribution and in vitro antifungal susceptibility profiles of rare Aspergillus species in clinical samples from patients with suspected aspergillosis in 8 medical centers in India. Further, a matrix-assisted laser desorption ionization–time of flight mass spectrometry in-house database was developed to identify these clinically relevant Aspergillus species. β-Tubulin and calmodulin gene sequencing identified 45 rare Aspergillus isolates to the species level, except for a solitary isolate. They included 23 less common Aspergillus species belonging to 12 sections, mainly in Circumdati, Nidulantes, Flavi, Terrei, Versicolores, Aspergillus, and Nigri. Matrix-assisted laser desorption ionization–time of flight mass spectrometry (MALDI-TOF MS) identified only 8 (38%) of the 23 rare Aspergillus isolates to the species level. Following the creation of an in-house database with the remaining 14 species not available in the Bruker database, the MALDI-TOF MS identification rate increased to 95%. Overall, high MICs of ≥2 μg/ml were noted for amphotericin B in 29% of the rare Aspergillus species, followed by voriconazole in 20% and isavuconazole in 7%, whereas MICs of >0.5 μg/ml for posaconazole were observed in 15% of the isolates. Regarding the clinical diagnoses in 45 patients with positive rare Aspergillus species cultures, 19 (42%) were regarded to represent colonization. In the remaining 26 patients, rare Aspergillus species were the etiologic agent of invasive, chronic, and allergic bronchopulmonary aspergillosis, allergic fungal rhinosinusitis, keratitis, and mycetoma. PMID:27413188

  7. Associations of −308G/A Polymorphism of Tumor Necrosis Factor(TNF)–α Gene and Serum TNF-α Levels with Measures of Obesity, Intra-Abdominal and Subcutaneous Abdominal Fat, Subclinical Inflammation and Insulin Resistance in Asian Indians in North India

    Science.gov (United States)

    Vikram, Naval K.; Bhatt, Surya Prakash; Bhushan, Bharat; Luthra, Kalpana; Misra, Anoop; Poddar, Pawan K.; Pandey, Ravindra M.; Guleria, Randeep

    2011-01-01

    Objectives: Obesity is associated with high levels proinflammatory cytokines like tumour necrosis factor alpha (TNF-α), which may play an important role in the genesis of insulin resistance. We evaluated the relationship of −308G/A polymorphism of TNF-α gene with obesity and insulin resistance in Asian Indians in north India. Methods: This cross-sectional study included 151 apparently healthy individuals (79 males, 72 females) 18–50 yrs of age from New Delhi, India. Body composition by dual-energy x-ray absorptiometry (DEXA) and abdominal fat by magnetic resonance imaging (MRI) were measured. Biochemical measurements included OGTT, lipids, fasting insulin, hs-CRP and TNF-α levels. We analysed −308G/A polymorphism of TNF-α gene and studied its association with obesity and biochemical parameters. Results: At comparable BMI, abdominal obesity was more prevalent in females (50%) as compared to males (20%). The wild genotype (GG) was present in 78.8%, GA in 17.9%, and AA in 3.3% subjects. Measures of body composition, abdominal fat distribution, lipids, insulin, hs-CRP and TNF-α levels were not influenced by the presence of −308G/A polymorphism. Serum TNF-α levels correlated significantly with fasting insulin in both genders. Conclusion: TNF-α levels correlate with fasting insulin but not with indicators of body composition in Asian Indians. The −308G/A polymorphism of TNF-α gene is not associated with differences in the serum levels of TNF-α in Asian Indians. PMID:21846948

  8. Audit of emergency obstetric referrals from a secondary level hospital in Haryana, North India

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    Shashi Kant

    2018-01-01

    Full Text Available Background: The maternal mortality ratio in India is high. An effective emergency obstetric care (EmOC strategy has been identified as a priority to reduce maternal deaths. Since the capacity of different levels of public health facilities to provide EmOC is varied, an effective referral system is crucial. However, few studies have evaluated the functioning and quality of referral systems in India. A systematic monitoring of referrals helps to identify current gaps in the provision of essential obstetric care. Objective: This study was conducted to identify the medical and logistic reasons for emergency obstetric referrals from a subdistrict hospital (SDH. Methods: An audit of emergency referrals during the period January 2015–December 2015 was carried out. Records of all obstetric patients referred from the maternity ward during the study period were reviewed. Results: The referral rate was found to be 31.7%. Preterm labor (30.6%, pregnancy-induced hypertension (17%, and fetal distress (10.6% were the main reasons for referral. Deficiencies were found in critical determinants of functionality, that is, nonavailability of emergency cesarean, neonatal care unit, and blood bank. Conclusions: The referral rate at the SDH was high. Lack of workforce and infrastructural facilities led to referrals of women who ought to have been managed at this level of the hospital.

  9. Profile of Home-based Caregivers of Bedridden Patients in North India.

    Science.gov (United States)

    Bains, Puneet; Minhas, Amarjeet Singh

    2011-04-01

    Caregiving to bedridden patients in India is set to become a major problem in future. To ascertain the profile of caregivers for the adult bedridden patients in Chandigarh, India. This cross-sectional study was conducted on 100 purposively selected bedridden people. The Katz Index of the activities of daily living was used to ascertain their degree of disability. Patients and families were interviewed about the patterns of care provision. The mean age of subjects was 69 years. A majority (68%) of them lived in joint families. All of them required assistance in bathing, dressing, toileting, and transfer. In 54% of the cases someone was hired to look after the subjects. A majority of the caregivers (82%) were family members. All caregivers were untrained. In 35% of the cases unqualified practitioners were consulted, while in 59% of the cases government hospitals were consulted. Most patients (78) were given medicines on time. Complications like urinary tract infection (39%) and pressure ulcers (54%) were reported; 57% of the patients reported satisfaction with the care provided. The main source of caregivers for the bedridden was the family. Bedridden people had high rates of medical complications. There is a need for formal training for the caregivers.

  10. Profile of home-based caregivers of bedridden patients in North India

    Directory of Open Access Journals (Sweden)

    Puneet Bains

    2011-01-01

    Full Text Available Background: Caregiving to bedridden patients in India is set to become a major problem in future. Objective: To ascertain the profile of caregivers for the adult bedridden patients in Chandigarh, India. Materials and Methods: This cross-sectional study was conducted on 100 purposively selected bedridden people. The Katz Index of the activities of daily living was used to ascertain their degree of disability. Patients and families were interviewed about the patterns of care provision. Results: The mean age of subjects was 69 years. A majority (68% of them lived in joint families. All of them required assistance in bathing, dressing, toileting, and transfer. In 54% of the cases someone was hired to look after the subjects. A majority of the caregivers (82% were family members. All caregivers were untrained. In 35% of the cases unqualified practitioners were consulted, while in 59% of the cases government hospitals were consulted. Most patients (78 were given medicines on time. Complications like urinary tract infection (39% and pressure ulcers (54% were reported; 57% of the patients reported satisfaction with the care provided. Conclusion: The main source of caregivers for the bedridden was the family. Bedridden people had high rates of medical complications. There is a need for formal training for the caregivers.

  11. Co-Infections and Sero-Prevalence of HIV, Syphilis, Hepatitis B and C Infections in Sexually Transmitted Infections Clinic Attendees of Tertiary Care Hospital in North India.

    Science.gov (United States)

    Bhattar, Sonali; Aggarwal, Prabhav; Sahani, Satyendra Kumar; Bhalla, Preena

    2016-01-01

    HIV, syphilis, hepatitis B and C (HBV & HCV) infections modify the epidemiology and presentation of each other. This study aimed to estimate the seroprevalence of these infections and their co-infections in sexually transmitted infections (STI) clinic attendees in New Delhi, India. A retrospective study including 220 patients was conducted during May 2014 through December 2014. Serodiagnosis of HIV was performed as per Strategy III of NACO guidelines; syphilis by VDRL followed by TPHA; HBV and HCV by rapid immuno-chromatographic test followed by ELISA. Male subjects were slightly more in number as compared to females (56.36% vs. 43.63%). Twelve (5.45%), 14 (6.36%), three (1.36 %) and one (0.45%) were reactive for HIV, VDRL, HBV and HCV, respectively. Three were both HIV and syphilis positive and one was both HIV and HBV positive; no co-infections of HBV/HCV, HIV/HBV/HCV and HIV/HBV/HCV/syphilis coexisted. High prevalence of HIV, HBV, HCV and syphilis in STI clinic attendees mandate routine screening to detect co-infections and follow prompt therapy in order to minimize their sequelae.

  12. Epidemiology of pediatric burns and future prevention strategies-a study of 475 patients from a high-volume burn center in North India.

    Science.gov (United States)

    Dhopte, Amol; Tiwari, V K; Patel, Pankaj; Bamal, Rahul

    2017-01-01

    Pediatric burns have a long-term social impact. This is more apparent in a developing country such as India, where their incidence and morbidity are high. The aim of this study was to provide recent prospective epidemiological data on pediatric burns in India and to suggest future preventive strategies. Children up to 18 years old admitted to the Department of Burns, Plastic & Maxillofacial Surgery, VMMC & Safdarjung Hospital, New Delhi, between January and December 2014 were included in the study. Data regarding age, sex, etiology, total body surface area (TBSA), circumstances of injury, and clinical assessment were collected. The Mann-Whitney test or Kruskal-Wallis test or ANOVA was used to compare involved TBSA among various cohort groups accordingly. Univariate and multivariate linear regression analyses were used to determine the predictors of TBSA. There were a total of 475 patients involved in the study, including seven suicidal burns, all of whom were females with a mean age greater than the cohort average. Age, type of burns, mode of injury, presence or absence of inhalation injury, gender, and time of year (quarter) for admission were found to independently affect the TBSA involved. Electrical burns also formed an important number of presenting burn patients, mainly involving teenagers. Several societal issues have come forth, e.g., child marriage, child labor, and likely psychological problems among female children as suggested by a high incidence of suicidal burns. This study also highlights several issues such as overcrowding, lack of awareness, dangerous cooking practices, and improper use of kerosene oil. There is an emergent need to recognize the problems, formulate strategies, spread awareness, and ban or replace hazardous substances responsible for most burn accidents.

  13. How can power discourses be changed? : Contrasting the ‘daughter deficit’ policy of the Delhi government with Gandhi and King’s transformational reframing

    NARCIS (Netherlands)

    M. Sinha (Manisha); D.R. Gasper (Des)

    2010-01-01

    textabstractSocial policy impact is partly determined by how policy is articulated and advocated, including which values are highlighted and how. We examine the influence of policy framing and reframing on outcomes, with particular reference to policies of the Delhi state government in India that

  14. A new genus and species Mangalaus krishianusandhanus (Acari: Eriophyidae) from India

    Science.gov (United States)

    Mangalaus ikrishianusandhanus n. gen., n. sp., (Acari: Prostigmata: Eriophyoidea), collected from erineum on the underside of leaves of Cordia dichotoma (Boraginaceae) is described and illustrated from specimens collected at the Indian Agricultural Research Institute (IARI) in New Delhi, India....

  15. Local and regional interactions between air quality and climate in New Delhi- A sector based analysis

    Science.gov (United States)

    Marrapu, Pallavi

    Deteriorating air quality is one of the major problems faced worldwide and in particular in Asia. The world's most polluted megacities are located in Asia highlighting the urgent need for efforts to improve the air quality. New Delhi (India), one of the world's most polluted cities, was the host of the Common Wealth Games during the period of 4-14 October 2010. This high profile event provided a good opportunity to accelerate efforts to improve air quality. Computational advances now allow air quality forecast models to fully couple the meteorology with chemical constituents within a unified modeling system that allows two-way interactions. The WRF-Chem model is used to simulate air quality in New Delhi. The thesis focuses on evaluating air quality and meteorology feedbacks. Four nested domains ranging from South Asia, Northern India, NCR Delhi and Delhi city at 45km, 15km, 5km and 1.67km resolution for a period of 20 day (26th Sep--15th Oct, 2010) are used in the study. The predicted mean surface concentrations of various pollutants show similar spatial distributions with peak values in the middle of the domain reflecting the traffic and population patterns in the city. Along with these activities, construction dust and industrial emissions contribute to high levels of criteria pollutants. The study evaluates the WRF-Chem capabilities using a new emission inventory developed over Delhi at a fine resolution of 1.67km and evaluating the results with observational data from 11 monitoring sties placed at various Game venues. The contribution of emission sectors including transportation, power, industry, and domestic to pollutant concentrations at targeted regions are studied and the results show that transportation and domestic sector are the major contributors to the pollution levels in Delhi, followed by industry. Apart from these sectors, emissions outside of Delhi contribute 20-50% to surface concentrations depending on the species. This indicates that pollution

  16. Distribution of blood pressure & correlates of hypertension in school children aged 5-14 years from North East India.

    Science.gov (United States)

    Borah, Prasanta Kr; Devi, Utpala; Biswas, Dipankar; Kalita, Hem Ch; Sharma, Meenakshi; Mahanta, Jagadish

    2015-09-01

    Elevated blood pressure (BP) in the young predicts serious cardiovascular events in the adults. High prevalence of adult hypertension reported from Assam, North East (NE) India may be linked with elevated blood pressure in the childhood. The present study was an attempt to describe the distribution of BP and correlates of hypertension in children aged 5-14 yr. A total of 10,003 school children from 99 schools of Dibrugarh district, Assam, NE India, were surveyed by stratified random cluster method. Blood pressure, demographic and anthropometric information were recorded. Blood pressure was categorized in to normal, prehypertension, stage I and stage II hypertension. Girls had significantly higher (104.2 ± 12.0 vs. 103.2 ± 11.6 mm Hg, p0 <0.001) mean systolic blood pressure (SBP) than boys. Both SBP and diastolic blood pressure (DBP) revealed significant correlation with age, height, weight and BMI in overall and in gender specific analysis. Hypertension was found in 7.6 per cent school children (Boys: 7.3%, Girls: 7.8%). In multivariable analysis older age (OR 3.3, 95% CI: 2.82-3.91), children from tea garden community (OR 1.3, 95% CI: 1.08-1.55) and other community (OR 1.4, 95% CI: 1.18-1.73) and overweight (OR 1.5, 95% CI: 1.1-2.1) were independently associated with hypertension. Mean blood pressure in the young school children of 5-14 yr was high. A programme comprising screening, early detection and health promotion through school health programmes may help prevent future complications of hypertension.

  17. Sterilisation: characteristics of vasectomy acceptors in Delhi.

    Science.gov (United States)

    Sarkar, N N

    1993-01-01

    The place of vasectomy within the sterilisation programme in Delhi over the period 1983-88 is reviewed and data on vasectomy acceptance and characteristics of acceptors are analysed. Findings suggest a need to improve the strategy for the promotion of vasectomy within the metropolis.

  18. Subclinical hypothyroidism in the first trimester of pregnancy in North India

    Directory of Open Access Journals (Sweden)

    Jubbin Jagan Jacob

    2013-01-01

    Full Text Available Subclinical hypothyroidism based on population and trimester specific cut-offs is reported to complicate 1-2% of all pregnancies. Using the recent Endocrine Society guidelines of 2.5 mIU/L of Thyroid Stimulating Hormone as the upper level of normal in the first trimester the reported prevalence of subclinical hypothyroidism is much higher. Recent publications have also emphasized that there is considerable racial variation in the prevalence of thyroid disorders in pregnancy. Among published literature North Indian women appear to have the highest rates of subclinical hypothyroidism in the first trimester of pregnancy. More widespread use of universal screening and trimester specific ranges in pregnancy for thyroid hormonal assays will lead to a large number of North Indian women requiring treatment for thyroid disorders in pregnancy.

  19. Toxocara canis, Trichinella spiralis and Taenia solium helminthozoonoses: seroprevalence among selected populations in north India.

    Science.gov (United States)

    Singh, B B; Sharma, R; Gill, J P S

    2015-09-01

    Helminthozoonoses are being considered as a research priority in India and many other tropical and subtropical countries. Taenia solium and Trichinella spiralis are emerging public health and food safety issues in the country and the developing world. The asymptomatic Ta. solium carriers act as important risk for neurocysticercosis, leading to adult onset epilepsy in the country. Human toxocariasis is another common zoonosis which occurs due to larvae of Toxocara canis or T. cati. The current study was planned to obtain baseline seropositivity data for Ta. solium, To. canis and Tr. spiralis antibodies among selected populations in Punjab province of northern India. In the present study, 122 human subjects belonging to selected occupations viz. farmers and veterinary practitioners were screened using the RIDASCREEN(®) Ta. solium IgG, RIDASCREEN(®) Toxocara IgG and RIDASCREEN(®) Trichinella IgG enzyme immunoassays for the qualitative determination of IgG antibodies against Ta. solium, Tr. spiralis and To. canis, respectively in human serum. The seropositivity of To. canis, Tr. spiralis and Ta. solium infections were found to be 22.13, 5.73 and 11.47 %, respectively in human serum samples. The relative risk of being infected for To. canis, Tr. spiralis and Ta. solium infections was found to be 1.91 (95 % CI 0.786-4.669), 2.61 (95 % CI 0.3258-20.94) and 1.596 (95 % CI 0.427-5.3893) times high respectively in farmers when compared to veterinary practitioners. The present study indicates that exposure to To. canis and Ta. solium is not uncommon among farmers and veterinary practitioners in this part of the country. These results provided evidence of Tr. spiralis among selected human populations in the country and demand more research related to trichinellosis in their respective animal and human hosts.

  20. Which is the best solar thermal collection technology for electricity generation in north-west India? Evaluation of options using the analytical hierarchy process

    Energy Technology Data Exchange (ETDEWEB)

    Nixon, J.D.; Davies, P.A. [Sustainable Environment Research Group, School of Engineering and Applied Science, Aston University, Aston Triangle, Birmingham, B4 7ET (United Kingdom); Dey, P.K. [Aston Business School, Aston University, Aston Triangle, Birmingham, B4 7ET (United Kingdom)

    2010-12-15

    This study of concentrating solar thermal power generation sets out to evaluate the main existing collection technologies using the framework of the Analytical Hierarchy Process (AHP). It encompasses parabolic troughs, heliostat fields, linear Fresnel reflectors, parabolic dishes, compound parabolic concentrators and linear Fresnel lenses. These technologies are compared based on technical, economic and environmental criteria. Within these three categories, numerous sub-criteria are identified; similarly sub-alternatives are considered for each technology. A literature review, thermodynamic calculations and an expert workshop have been used to arrive at quantitative and qualitative assessments. The methodology is applied principally to a case study in Gujarat in north-west India, though case studies based on the Sahara Desert, Southern Spain and California are included for comparison. A sensitivity analysis is carried out for Gujarat. The study concludes that the linear Fresnel lens with a secondary compound parabolic collector, or the parabolic dish reflector, is the preferred technology for north-west India. (author)

  1. Which is the best solar thermal collection technology for electricity generation in north-west India? Evaluation of options using the analytical hierarchy process

    International Nuclear Information System (INIS)

    Nixon, J.D.; Dey, P.K.; Davies, P.A.

    2010-01-01

    This study of concentrating solar thermal power generation sets out to evaluate the main existing collection technologies using the framework of the Analytical Hierarchy Process (AHP). It encompasses parabolic troughs, heliostat fields, linear Fresnel reflectors, parabolic dishes, compound parabolic concentrators and linear Fresnel lenses. These technologies are compared based on technical, economic and environmental criteria. Within these three categories, numerous sub-criteria are identified; similarly sub-alternatives are considered for each technology. A literature review, thermodynamic calculations and an expert workshop have been used to arrive at quantitative and qualitative assessments. The methodology is applied principally to a case study in Gujarat in north-west India, though case studies based on the Sahara Desert, Southern Spain and California are included for comparison. A sensitivity analysis is carried out for Gujarat. The study concludes that the linear Fresnel lens with a secondary compound parabolic collector, or the parabolic dish reflector, is the preferred technology for north-west India.

  2. The "paradox" of being young in New Delhi : urban middle class youth negotiations with popular Indian film

    OpenAIRE

    Williams-Ørberg, Elizabeth

    2008-01-01

    This thesis attempts to understand the ways in which popular film is integrated into the everyday lives of urban middle class youth in India. Approaching the study of film through an audience reception approach, I engaged in participant observation and interviews during a fieldwork period in New Delhi in order to better understand how a young audience might negotiate the fantasy of filmic images into the reality of their own lives. The two movies, Salaam Namaste and Kabhi Alvida Naa Kehna (KA...

  3. Prevalence and risk factors for vitamin C deficiency in north and south India: a two centre population based study in people aged 60 years and over.

    Directory of Open Access Journals (Sweden)

    Ravilla D Ravindran

    Full Text Available Studies from the UK and North America have reported vitamin C deficiency in around 1 in 5 men and 1 in 9 women in low income groups. There are few data on vitamin C deficiency in resource poor countries.To investigate the prevalence of vitamin C deficiency in India.We carried out a population-based cross-sectional survey in two areas of north and south India. Randomly sampled clusters were enumerated to identify people aged 60 and over. Participants (75% response rate were interviewed for tobacco, alcohol, cooking fuel use, 24 hour diet recall and underwent anthropometry and blood collection. Vitamin C was measured using an enzyme-based assay in plasma stabilized with metaphosphoric acid. We categorised vitamin C status as deficient (28 µmol/L. We investigated factors associated with vitamin C deficiency using multivariable Poisson regression.The age, sex and season standardized prevalence of vitamin C deficiency was 73.9% (95% confidence Interval, CI 70.4,77.5 in 2668 people in north India and 45.7% (95% CI 42.5,48.9 in 2970 from south India. Only 10.8% in the north and 25.9% in the south met the criteria for adequate levels. Vitamin C deficiency varied by season, and was more prevalent in men, with increasing age, users of tobacco and biomass fuels, in those with anthropometric indicators of poor nutrition and with lower intakes of dietary vitamin C.In poor communities, such as in our study, consideration needs to be given to measures to improve the consumption of vitamin C rich foods and to discourage the use of tobacco.

  4. CHRONIC KIDNEY DISEASE PREVALENT IN SMALL VILLAGES OF NORTH COASTAL , ANDHRA PRADESH , INDIA , UDDANAM NEPHROPATHY

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    Valluri Satya

    2015-05-01

    Full Text Available There are hamlets in and around Uddanam , Gunupalli , Kaviti of Srikakulam District , a North Coastal Andhra P radesh region with high prevalence of CKD presenting clinically or sub clinically ultimately leading to high mortality and morbidity with RRT and other types of conservative management , we were detected some facts during our survey in these villages. The many of them who are living in that belt eat Dry salted fish , less water intake , hardworking people , these peo ple approach quacks , using illicit drugs etc.

  5. Diabetic foot wound care practices among patients visiting a tertiary care hospital in north India

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    Samreen Khan

    2016-09-01

    Full Text Available Background: Diabetic foot syndrome is one of the most common and devastating preventable complications of diabetes resulting in major economic consequences for the patients, their families, and the society. Aims & Objectives: The present study was carried out to assess knowledge, attitude and practices of Diabetic Foot Wound Care among the patients suffering from Diabetic Foot and to correlate them with the socio-demographic parameters. Material & Methods: It was a Hospital based cross-sectional study involving clinically diagnosed adult (>18 years patients of Diabetic Foot visiting the Surgery and Medicine OPDs at Teerthankar Mahaveer Medical College & Research Centre, Moradabad, India. Results: Significant association KAP (Knowledge, Attitude and Practices score was seen with age of the patient, education, addiction, family history of Diabetes Mellitus, prior receipt of information regarding Diabetic foot-care practices, compliance towards the treatment and the type of foot wear used. Conclusions: The results highlight areas especially Health education, use of safe footwear and life style adjustments, where efforts to improve knowledge and practice may contribute to the prevention of development of Foot ulcers and amputation. 

  6. Mobile phone consultation for community health care in rural north India.

    Science.gov (United States)

    Bali, Surya; Singh, Amar Jeet

    2007-01-01

    We conducted a study to ascertain the acceptability and feasibility of consultation by mobile phone in a rural area of northern India. The mobile phone number of a community physician was advertised to the general public and people were invited to telephone at any time for a medical consultation. Details of the calls received were recorded. During a seven-month study, 660 calls were received. The mean call duration was 2.7 min. Eighty percent of calls were made by men. Forty-eight percent of calls were made during office hours. A total of 417 (63%) calls were for seeking advice, 146 (22%) were for outpatient follow-up, 23 (4%) were for seeking appointments and the remaining 74 (11%) for other reasons. The most common problems were skin, respiratory, mental health and sexual problems. Of the 387 callers who were interviewed at follow-up, 302 (78%) stated that they had followed the advice provided. Of these, 91% found the advice very helpful in managing their health problems. About 96% of users wished to continue to use the service in future. The majority of calls made were of a primary care nature which could easily be dealt with by phone. The concept of using mobile phones for medical consultation seemed to be acceptable to people in rural Haryana.

  7. Locomotor problems among rural elderly population in a District of Aligarh, North India.

    Science.gov (United States)

    Maroof, Mohd; Ahmad, Anees; Khalique, Najam; Ansari, M Athar

    2017-01-01

    Locomotor functions decline with the age along with other physiological changes. This results in deterioration of the quality of life with decreased social and economic role in the society, as well as increased dependency, for the health care and other basic services. The demographic transition resulting in increased proportion of elderly may pose a burden to the health system. To find the prevalence of locomotor problems among the elderly population, and related sociodemographic factors. The study was a community-based cross-sectional study done at field practice area of Rural Health Training Centre, JN Medical College, AMU, Aligarh, Uttar Pradesh, India. A sample of 225 was drawn from 1018 elderly population aged 60 years and above using systematic random sampling with probability proportionate to size. Sociodemographic characteristics were obtained using pretested and predesigned questionnaire. Locomotor problems were assessed using the criteria used by National Sample Survey Organization. Data were analyzed using SPSS version 20. Chi-square test was used to test relationship of locomotor problems with sociodemographic factors. P locomotor problems among the elderly population was 25.8%. Locomotor problems were significantly associated with age, gender, and working status whereas no significant association with literacy status and marital status was observed. The study concluded that approximately one-fourth of the elderly population suffered from locomotor problems. The sociodemographic factors related to locomotor problems needs to be addressed properly to help them lead an independent and economically productive life.

  8. Estimation of stature from different anthropometric measurements in Kori population of North India

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    Renu Kamal

    2016-12-01

    Full Text Available In medico-legal cases, most often the personal identity of the deceased is a mystery. The stature, sex and other parameters in such scenarios are ascertained using the physical evidence present at the crime scene. One of the key methods of ascertaining the sex and stature is by using the human bones. The method of achieving accuracy in estimation of stature from bones has been well established in past. There are several regression formulae for conducting such estimation. However, it must be kept in mind that these regression equations can vary depending upon the population and region. Thus, it is very necessary to study a particular population thoroughly before formulating regression equations for that specific population patch. In this paper, we have penned down the study of KORI POPULATION, who are native to Kanpur region of Uttar Pradesh state, in India. In this study, we have observed the statistics of 202 individuals (106 females and 96 males. In totality, eight bone dimensions including stature, total arm length, length of the middle finger, knee length, foot length, foot breadth, maximum head length and maximum head breadth have been recorded in this research paper. The regression formulae for females and males have been derived separately. Further, there are various parameters that have been compared to find which parameter provides the best results in terms of accuracy in stature estimation.

  9. Status of 25(OHD levels in pregnancy: A study from the North Eastern part of India

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    A Dasgupta

    2012-01-01

    Full Text Available Introduction: An increased prevalence of vitamin D deficiency has been reported from across the globe including India. Various studies have shown an intrinsic relation between various parameters of maternal and fetal wellbeing with maternal vitamin D status during pregnancy. Aims: To look for any association of vitamin D status during pregnancy with the modifiable factors - extent of sun exposure, sunscreen use, vegetarian diet, dietary calcium intake, and multivitamin supplementation. Materials and Methods: A total of 50 pregnant females, aged 20-40 years were studied during the first trimester of pregnancy. Fifty age and body mass index (BMI matched females were taken as controls. Serum 25(OHD was measured by radioimmunoassay (Diasorin. Result: Forty-two percent of the cases were found to have vitamin D deficiency and 14% were found to have vitamin D insufficiency, whereas 20% of the controls had vitamin D deficiency and 24% had vitamin D insufficiency (P =0.0375. There was a significant association of 25(OHD levels with extent of sun exposure, sunscreen use, and vegetarian diet. There was no association of 25(OHD levels with multivitamin supplementation or dietary calcium intake. Conclusion: Vitamin D deficiency was less in our study group as compared with that reported in other Indian studies. Sun exposure, sunscreen use, and vegetarian diet are important modifiable variables significantly associated with vitamin D status in pregnancy.

  10. Lactic acid bacteria in Hamei and Marcha of North East India.

    Science.gov (United States)

    Tamang, J P; Dewan, S; Tamang, B; Rai, A; Schillinger, U; Holzapfel, W H

    2007-06-01

    Hamei and Marcha are mixed dough inocula used as starters for preparation of various indigenous alcoholic beverages in Manipur and Sikkim in India, respectively. These starters are traditionally prepared from rice with wild herbs and spices. Samples of Hamei and Marcha, collected from Manipur and Sikkim, respectively, were analysed for lactic acid bacterial composition. The population of lactic acid bacteria (LAB) was 6.9 and 7.1 Log cfu/g in Hamei and Marcha, respectively. On the basis of phenotypic and genotypic characters, LAB strains isolated from Hamei and Marcha were identified as Pediococcus pentosaceus, Lactobacillus plantarum and Lactobacillus brevis. Technological properties of LAB such as antimicrobial properties, effect on acidification, ability to produce biogenic amines and ethanol, degree of hydrophobicity and enzymatic activities were also performed. Pediococcus pentosaceus HS: B1, isolated from Hamei, was found to produce bacteriocin. None of the strains produced biogenic amines. LAB strains showed a strong acidifying ability and they also produced a wide spectrum of enzymes.

  11. Climate change impact on soil erosion in the Mandakini River Basin, North India

    Science.gov (United States)

    Khare, Deepak; Mondal, Arun; Kundu, Sananda; Mishra, Prabhash Kumar

    2017-09-01

    Correct estimation of soil loss at catchment level helps the land and water resources planners to identify priority areas for soil conservation measures. Soil erosion is one of the major hazards affected by the climate change, particularly the increasing intensity of rainfall resulted in increasing erosion, apart from other factors like landuse change. Changes in climate have an adverse effect with increasing rainfall. It has caused increasing concern for modeling the future rainfall and projecting future soil erosion. In the present study, future rainfall has been generated with the downscaling of GCM (Global Circulation Model) data of Mandakini river basin, a hilly catchment in the state of Uttarakhand, India, to obtain future impact on soil erosion within the basin. The USLE is an erosion prediction model designed to predict the long-term average annual soil loss from specific field slopes in specified landuse and management systems (i.e., crops, rangeland, and recreational areas) using remote sensing and GIS technologies. Future soil erosion has shown increasing trend due to increasing rainfall which has been generated from the statistical-based downscaling method.

  12. Key factors to understanding the conflictive situation in North-East India

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    Jordi Urgell García

    2010-04-01

    Full Text Available This article aims to help expand our understanding of the armed conflicts and social tensions that exist in the Northeast of India, by examining the different levels at which conflict takes place, as well as by analysing some of the causes and factors involved in these contexts. To this end, the article is structured into three parts. In the first, the authors describe briefly the antecedents of the different conflicts and tensions, in order to establish a map of same and to contextualise them historically and socially. In the second part, five issues are analysed: armed conflicts as multifactorial realities that require examination in both regional and individual terms; the issue of demography as the constitutive factor of many discourses and accounts of the causes of disputes in the region; the Indian government’s responses to the conflicts; the role played by international regional actors and, finally, the dimension of gender in the conflicts. The third and final part includes some closing reflections, by way of a conclusion.

  13. Differences in Influenza Seasonality by Latitude, Northern India

    Science.gov (United States)

    Broor, Shobha; Saha, Siddhartha; Barnes, John; Smith, Catherine; Shaw, Michael; Chadha, Mandeep; Lal, Renu B.

    2014-01-01

    The seasonality of influenza in the tropics complicates vaccination timing. We investigated influenza seasonality in northern India and found influenza positivity peaked in Srinagar (34.09°N) in January–March but peaked in New Delhi (28.66°N) in July–September. Srinagar should consider influenza vaccination in October–November, but New Delhi should vaccinate in May–June. PMID:25279651

  14. Whole genome DNA methylation profiling of oral cancer in ethnic population of Meghalaya, North East India reveals novel genes.

    Science.gov (United States)

    Khongsti, Shngainlang; Lamare, Frederick A; Shunyu, Neizekhotuo Brian; Ghosh, Sahana; Maitra, Arindam; Ghosh, Srimoyee

    2018-03-01

    Oral Squamous Cell Carcinoma (OSCC) is a serious and one of the most common and highly aggressive malignancies. Epigenetic factors such as DNA methylation have been known to be implicated in a number of cancer etiologies. The main objective of this study was to investigate physiognomies of Promoter DNA methylation patterns associated with oral cancer epigenome with special reference to the ethnic population of Meghalaya, North East India. The present study identifies 27,205 CpG sites and 3811 regions that are differentially methylated in oral cancer when compared to matched normal. 45 genes were found to be differentially methylated within the promoter region, of which 38 were hypermethylated and 7 hypomethylated. 14 of the hypermethylated genes were found to be similar to that of the TCGA-HNSCC study some of which are TSGs and few novel genes which may serve as candidate methylation biomarkers for OSCC in this poorly characterized ethnic group. Copyright © 2017 Elsevier Inc. All rights reserved.

  15. Emergency contraception: Knowledge and attitude toward its use among medical students of a medical college in North-West India

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    Rajiv Kumar Gupta

    2016-01-01

    Full Text Available Context: Emergency contraception (EC is use of drug or device to prevent pregnancy after unprotected sexual intercourse. Unlike other regular methods of contraception which are taken prior to the sexual act, EC is used after the unprotected sex. Aim: To assess the knowledge and attitude toward use of emergency contraceptives among medical students. Setting and Design: A cross-sectional questionnaire based study was conducted among all the medical students in the Government Medical College in North-West India. Subjects and Methods: A questionnaire seeking information on knowledge and attitude of undergraduate medical students was administered over a period of 4 weeks in the month of February and March 2014. Statistical Analysis: The data were entered in MS excel and expressed using percentages. Chi-square test was used as a test of statistical significance. Results: About 61.6% (247/401 of the participants were aware about the timing of use of EC. Audio visual media (76.6%; 307/401 was the most common source of information for of these medical students. Conclusions: The lack of appropriate in-depth knowledge of EC among future health care professional should alarm the medical teaching system as EC is the only method that can be used to prevent pregnancy after unprotected sex or contraceptive accident.

  16. Identification of Calotropis procera L. as a potential phytoaccumulator of heavy metals from contaminated soils in Urban North Central India

    International Nuclear Information System (INIS)

    D'Souza, Rohan J.; Varun, Mayank; Masih, Jamson; Paul, Manoj S.

    2010-01-01

    Lead and cadmium levels were monitored in soil at fifteen urban (riverbank, roadside, industrial and residential) sites in the north central part of India. Calotropis procera, a hardy xerophytic plant was identified and selected for remedial potential as it was seen growing well at all sites. Root and leaf samples were collected simultaneously with soil samples to assess the characteristics of accumulation and tolerance of Pb and Cd in C. procera. Chlorophyll and phenological studies were undertaken to investigate the health of plants. The overall trend of Pb and Cd content in soil and plant samples was in the order Industrial > Roadside > Riverbank > Residential. The highest uptake of both the metals was observed in plants from industrial sites. Sites with more anthropogenic disturbance like vehicular and machinery exhausts exhibited reduced chlorophyll levels, stunted growth as well as a delayed, shortened reproductive phase. The ratios of Pb in leaves to Pb in soil were in the range of 0.60-1.37; while similar ratios of Cd were in the range of 1.25-1.83. Highly significant correlation coefficients were determined between concentrations of Pb and Cd in the samples with R 2 values 0.839 for soil, 0.802 for leaf and 0.819 for root samples. The strong correlation between the degree of contamination and concentrations of Pb and Cd in plant samples identifies C. procera as an effective heavy metal remediator of contaminated lands coupled with environmental stress.

  17. Correlates of school dropout and absenteeism among adolescent girls from marginalized community in north Karnataka, south India.

    Science.gov (United States)

    Prakash, Ravi; Beattie, Tara; Javalkar, Prakash; Bhattacharjee, Parinita; Ramanaik, Satyanarayana; Thalinja, Raghavendra; Murthy, Srikanta; Davey, Calum; Blanchard, James; Watts, Charlotte; Collumbien, Martine; Moses, Stephen; Heise, Lori; Isac, Shajy

    2017-12-01

    Secondary education among lower caste adolescent girls living in rural Karnataka, South India, is characterized by high rates of school drop-out and absenteeism. A cross-sectional baseline survey (N=2275) was conducted in 2014 as part of a cluster-randomized control trial among adolescent girls (13-14 year) and their families from marginalized communities in two districts of north Karnataka. Bivariate and multivariate logistic regression models were used. Overall, 8.7% girls reported secondary school dropout and 8.1% reported frequent absenteeism (past month). In adjusted analyses, economic factors (household poverty; girls' work-related migration), social norms and practices (child marriage; value of girls' education), and school-related factors (poor learning environment and bullying/harassment at school) were associated with an increased odds of school dropout and absenteeism. Interventions aiming to increase secondary school retention among marginalized girls may require a multi-level approach, with synergistic components that address social, structural and economic determinants of school absenteeism and dropout. Copyright © 2017 The Authors. Published by Elsevier Ltd.. All rights reserved.

  18. Trends of drug-resistance-associated mutations in the reverse transcriptase gene of HIV type 1 isolates from North India.

    Science.gov (United States)

    Azam, Mohd; Malik, Abida; Rizvi, Meher; Rai, Arvind

    2014-04-01

    A major cause of failure of antiretroviral therapy (ART) is the presence of drug-resistance-associated mutations in the polymerase gene of HIV-1. The paucity of data regarding potential drug resistance to reverse transcriptase inhibitors (RTIs) prompted us to carry out this study. This information will shed light on the extent of drug resistance already present in HIV strains and will give future directions in patient treatment and in drug design. Drug resistance genotyping of a partial reverse transcriptase gene was done in 103 HIV-1-infected patients, including the ART-naive and ART-experienced population. The drug resistance pattern was analyzed using the Stanford HIV-DR database, the IAS-USA mutation list and the REGA algorithm-v8.0. Subtyping was done using the REGA HIV-1 subtyping tool-v2.01. The majority of our sequences (96 %) were found to be subtype C, and four (3.8 %) were subtype A1. Significant prevalence of DR mutations (28 %) was observed in the RT gene. Major amino acid substitutions were seen at positions 41, 90, 98, 103, 106, 108, 138, 181, 184, 190, 215, and 219, which confer high/intermediate levels of resistance to most RTIs, independently or together. Our results show that there is an urgent need to tailor ART drug regimens to the individual to achieve optimum therapeutic outcome in North India.

  19. Sociodemographic Correlates of Unipolar and Bipolar Depression in North-East India: A Cross-sectional Study

    Science.gov (United States)

    Kalita, Kamal Narayan; Hazarika, Jyoti; Sharma, Mohan; Saikia, Shilpi; Patangia, Priyanka; Hazarika, Pranabjyoti; Sarmah, Anil Chandra

    2017-01-01

    Introduction: Early diagnosis and management of depression is important for better therapeutic outcome. Strategies for distinguishing between unipolar and bipolar depression are yet to be defined, resulting improper management. This study aims at comparing the socio-demographic and other variables between patients with unipolar and bipolar depression, along with assessment of severity of depression. Materials and Methods: This cross sectional study was conducted in a tertiary care psychiatry hospital in North-East India. The study included total of 330 subjects selected through purposive sampling technique from outpatient department after obtaining due informed consent. Mini-International Neuropsychiatric Interview (M.I.N.I.) version 6.0 and Beck Depression Inventory (BDI) were applied. Statistical Package for Social Sciences (SPSS) version 16.0 was applied for analysis. Results: Bipolar group had onset of illness at significantly younger age with more chronicity (32.85 ± 11.084). Mean BDI score was significantly higher in the unipolar depressive group. Conclusion: Careful approach in eliciting symptom severity and associated socio demographic profiles in depressed patients may be helpful in early diagnosis of bipolar depression. PMID:28250558

  20. Sero-Surveillance of Mycobacterium avium subspecies paratuberculosis Infection in Domestic Livestock in North India Using Indigenous Absorbed Elisa Test

    Directory of Open Access Journals (Sweden)

    S. V. Singh

    2018-06-01

    Full Text Available A total of 829 serum samples belonging to domestic livestock (Cattle, buffaloes, goat and sheep and driven from different parts of North India between 2005 to 2008, were screened to estimate the seroprevalence of Mycobacterium avium subspecies paratuberculosis (MAP infection using 'indigenous absorbed ELISA kit'. Seroprevalence of MAP in the domestic livestock was 23.1%. Prevalence was higher in large ruminants (24.1% as compared to small ruminants (22.5%. Highest seropositivity was in cattle (26.9%, followed by goats (23.9%, buffaloes (20.2%, and sheep (19.0%. In cattle region-wise, 25.8, 29.1 and 30.7% animals were positive from Mathura (UP, Rohtak (Haryana, and Bareilly (UP regions, respectively. In buffaloes, the highest prevalence was found at Bareilly (26.6% followed by Rohtak (20.0% and Bhaghpat (18.4% regions. In goats, 19.6, 37.5, 40.0 and 21.9% animals were positive from Mathura (farm herd, Etawah, Agra and Ajmer (farmers herd regions, respectively. In sheep, prevalence of MAP was 25.5 and 16.3% in Mathura and Mannavanur regions, respectively. In sheep, prevalence was higher in Northern region as compared to the Southern region of the country. The present study showed that the prevalence of MAP in domestic livestock was moderately higher; therefore there is an urgent need to control the disease at National level in order to improve per animal productivity in the country.

  1. Studies on the epidemiology and histopathology of Euclinostomum heterostomum (Trematoda; Digenea infection in Channa punctata from North India

    Directory of Open Access Journals (Sweden)

    Shareef P. A. Ahammed

    2015-09-01

    Full Text Available A survey on the occurrence and epidemiology of the encysted progenetic metacercariae of Euclinostomum heterostomum infection in Channa punctata in the Aligarh region of North India revealed a mean prevalence, intensity, and abundance of 18.61, 1.52, and 0.38%, respectively, during the period from April 2011 to March 2012. Liver, kidney, peritoneum, muscle, and ovary were found to be infected with this parasite, and the later three are reported for the first time in this fish species. The histopathology of the infected tissues indicated the following at the host-parasite interface: tissue damage, infiltration of immune cells into the cyst wall, chronic inflammatory responses, and granulomatous lesions. The infected liver showed degeneration of hepatocytes, cytoplasmic vacuolation, nuclear alterations, mallory body formation, fibrosis, and necrosis. The pathology of the infected kidney included distortion and dilation of renal tubules, vacuolar degeneration, hypertrophy and hyperplasia of tubular epithelial cells, occlusion of tubules, fibrosis, hemorrhage, and congestion of glomeruli. The infected muscle demonstrated comparatively fewer pathological changes confined only to the circumference of the cyst wall. The ovary displayed the least changes. The conclusions drawn from the study are that the large metacercarial cysts formed by E. heterostomum in the vital organs of the economically important fish C. punctata could result in the impairment of fish physiology and health, thereby affecting their productivity and quality for human consumption.

  2. Prevalence and associated risk factors of Taenia solium taeniasis in a rural pig farming community of north India.

    Science.gov (United States)

    Prasad, Kashi N; Prasad, Amit; Gupta, Rakesh K; Pandey, Chandra M; Singh, Uttam

    2007-12-01

    There is a lack of information on the disease burden due to Taenia solium taeniasis and its associated risk factors in pig farming communities throughout the world. The present study was conducted in a rural pig farming community of north India to estimate the prevalence of T. solium taeniasis and associated factors. Demographic, clinical and epidemiological data were collected from 1181 subjects in 210 households in 30 villages. Stool specimens from 924 subjects were examined for eggs of Taenia and other parasites. Identification of T. solium was confirmed by morphological features of segments and species-specific DNA detection from segments and stool. The prevalence of T. solium taeniasis was 18.6% (172/924); factors associated with taeniasis on multivariate analysis were age above 15 years, history of passage of Taenia segments in stool, undercooked pork consumption and poor hand hygiene (hand-washing with clay/water after defecation). Seventy-eight subjects (6.6%) with epilepsy were identified. The study showed alarmingly high rates of epilepsy and T. solium taeniasis in the study community; it highlights the need for large-scale imaging-based surveys to identify the factors associated with epilepsy including neurocysticercosis. Health education, mass anthelminthic therapy and other preventive measures are required to control the menace of the disease.

  3. An Overview of Uranium Exploration Strategy in India

    Energy Technology Data Exchange (ETDEWEB)

    Chaki, A., E-mail: director.amd@gov.in [Atomic Minerals Directorate for Exploration and Research, Hyderabad (India)

    2014-05-15

    Uranium exploration in India dates back from 1949 and the first mineralized area was located in the early 1950s in Singhbhum Shear Zone (SSZ), eastern India. Since then, a number of potential and promising uranium provinces have been established in India. The potential uranium provinces include SSZ, Dongargarh, Aravalli, Siwalik belt, Mahadek basin, south-western and northern parts of Cuddapah basin, North Delhi Fold Belt, Bhima and Kaladgi basins. The promising uranium provinces are Proterozoic Chhattisgarh, Indravati, Gwalior, Vindhyan, Shillong basins, Gondwana basins of Central India and semi-arid regions of western Rajasthan. With the establishment of large tonnage-high grade Lower-middle Proterozoic unconformity deposits in Canada and Australia, there was a paradigm shift in the exploration strategy towards the Proterozoic basins of India. The discovery of unconformity related uranium mineralisation in the northern part of Proterozoic Cuddapah basin in southern India in 1991 and discovery of few deposits in the province has opened the avenues for finding of similar deposits in Cuddapah and other 13 Proterozoic basins in India. As a sequel, Proterozoic Bhima basin in southern India has been recognized as a potential target for uranium mineralization, where a low tonnage medium grade deposit has been established and mine development works are in progress. Sustained exploration efforts in other Proterozoic basins have yielded success in a few basins such as Deshnur area in Kaladgi Basin of southern India. Considerable uranium resources have been established in Proterozoic Cuddapah and Bhima basins. Apart from northern parts of Cuddapah and Bhima basins, areas in the southwestern part of Cuddapah basin for stratabound type, where a mine is under construction; Proterozoic Kaladgi basin for vein type; Cretaceous Mahadek basin for sandstone type and the North Delhi Fold belt for vein type of mineralization have been prioritized as potential areas for exploration

  4. An Experiment with Air Purifiers in Delhi during Winter 2015-2016

    OpenAIRE

    Vyas, Sangita; Srivastav, Nikhil; Spears, Dean

    2016-01-01

    Particulate pollution has important consequences for human health, and is an issue of global concern. Outdoor air pollution has become a cause for alarm in India in particular because recent data suggest that ambient pollution levels in Indian cities are some of the highest in the world. We study the number of particles between 0.5μm and 2.5μm indoors while using affordable air purifiers in the highly polluted city of Delhi. Though substantial reductions in indoor number concentrations are ob...

  5. Opportunity for natural selection among five population groups of Manipur, North East India.

    Science.gov (United States)

    Asghar, M; Meitei, S Y; Luxmi, Y; Achoubi, N; Meitei, K S; Murry, B; Sachdeva, M P; Saraswathy, K N

    2014-01-01

    Opportunity for natural selection among five population groups of Manipur in comparison with other North East Indian population has been studied. Crow's index as well as Johnston and Kensinger's index for natural selection were calculated based on differential fertility and mortality. The mortality component was found to be lower compared to fertility component in all the populations which may attribute to comparatively improved and easily accessible health care facilities. However, different selection pressures, artificial and natural, seem to be influencing the selection intensity through induced abortion and spontaneous abortion among the two non-tribal migrant groups: Bamon and Muslims, respectively. This study highlights the probable interaction of artificial and natural selection in determining the evolutionary fate of any population group.

  6. Potentilla fulgens (Family Rosaceae), a medicinal plant of north-east India: a natural anthelmintic?

    Science.gov (United States)

    Roy, Bishnupada; Swargiary, Ananta; Syiem, D; Tandon, V

    2010-10-01

    The cestode parasite, Raillietina echinobothrida and the trematode, Gastrothylax crumenifer were exposed to the ethanolic root peel extract of Potentilla fulgens, an antiparasitic local medicinal plant of Meghalaya, India, to evaluate the anthelmintic efficacy of the plant. The parasites were incubated in 1, 5, 10, 20, 50 and 100 mg crude alcoholic extract per ml of phosphate buffered saline (PBS) at a temperature of 37 ± 1°C. Paralysis and death were observed at 2.00 ± 0.05 and 2.80 ± 0.06 h for the cestode and 1.21 ± 0.06 and 2.18 ± 0.04 h for the trematode parasites at the highest test concentration of the plant extract. The commercial anthelmintic, Praziquantel (PZQ) showed higher activity at the tested concentration (0.02 mg/ml). To further investigate the efficacy of the plant extract, vital tegumental enzymes of the parasite viz. Acid phosphatase (AcPase), Alkaline phosphatase (AlkPase) and Adenosine triphosphatase (ATPase) were studied. Quantitatively, the total enzyme activity of AcPase, AlkPase and ATPase was found to be reduced significantly by 69.20, 66.43 and 29.63% for R. echinobothrida and 47.96, 51.79 and 42.63% for G. crumenifer, respectively compared to the respective controls; histochemical study also showed reduction in the visible staining of the enzymes. The reference drug, PZQ also showed more or less similar effect like that of the plant extract. The result suggests that phytochemicals of P. fulgens have anthelmintic potential.

  7. Pseudotachylitic breccia from the Dhala impact structure, north-central India: Texture, mineralogy and geochemical characterization

    Science.gov (United States)

    Pati, J. K.; Reimold, W. U.; Greshake, A.; Schmitt, R. T.; Koeberl, C.; Pati, P.; Prakash, K.

    2015-05-01

    Pseudotachylitic breccia (PTB) occurs in a drill core from the crater floor of the 11 km diameter, Proterozoic Dhala impact structure, India. PTBs were intersected in late Archean granitoids between 348.15 m and 502.55 m depth in the MCB-10 drill core from the center of the Dhala structure. The breccias comprise both cataclastic-matrix as well as melt breccias. The presence of microlites and vesicles in the groundmass and a widely observed flow fabric in the PTB support the presence of melt in the groundmass of some samples. Clasts in PTB are derived from the Archean granitoid basement. PTB matrix, the matrix of impact melt breccia also occurring between 256.50 m and 502.55 m depth, and the target granitoids vary in terms of silica, total alkali, magnesium and iron oxide contents. Chondrite-normalized REE patterns of PTB and target granitoids are similar, but the elemental abundances in the PTB are lower. The restricted size of PTB as veins and pods of up to 2.5 cm width, their occurrence at varied depths over a core length of 150 m, the clast population, and the chemical relationships between PTB and their host rocks all suggest the derivation of these breccias locally from the fractured basement granitoids involving in-situ melting. We favor that this took place due to rapid decompression during the collapse and modification stage of impact cratering, with, locally, additional energy input from frictional heating. Locally, amphibolite and dioritic mylonite occur in the host granitoids and their admixture could have contributed to the comparatively more mafic composition of PTB. Alteration of these crater floor rocks could have involved preferential reduction of silica and alkali element abundances, possibly due to impact-induced hydrothermal activity at crater floor level. This process, too, could have resulted in more mafic compositions.

  8. Neurological complications of dengue fever: Experience from a tertiary center of north India

    Directory of Open Access Journals (Sweden)

    Rajesh Verma

    2011-01-01

    Full Text Available Introduction: Dengue, an acute viral disease transmitted by Aedes mosquitoes, is highly endemic in many tropical and subtropical areas of the world. Neurological complications of dengue infection have been observed more frequently in the recent past and some studies highlighted varied neurological complications arising in the course of dengue illness. In this retrospective study, we report various neurological complications observed during the last 2 years in patients of dengue fever. Materials and Methods: The patients presenting with neurological complications with positive serology (IgM antibody for dengue infection were consecutively recruited from the Department of Neurology/Medicine from a tertiary center of Lucknow, India. These patients were subjected to a detailed clinical evaluation, laboratory assessment including blood count, hematocrit, coagulation parameters, biochemical assays, serology for dengue fever, enzyme-linked immunosorbent assay for human immunodeficiency virus and other relevant investigations. Results: Twenty-six patients with neurological complications associated with confirmed dengue infection were observed during the last 2 years. Eighteen of these patients were male. Of the 26 patients, 10 patients were suffering from brachial neuritis, four patients had encephalopathy, three patients were consistent with the diagnosis of Guillain Barre syndrome, three patients had hypokalemic paralysis associated with dengue fever and two patients had acute viral myositis. Opsoclonus-myoclonus syndrome was diagnosed in two patients, myelitis in one patient and acute disseminated encephalo-myelitis also in one patient. Conclusion: Dengue fever was associated with widespread neurological complications. Brachial neuritis and opsoclonus-myoclonus syndrome were observed for the first time in this study.

  9. Ocular morbidity prevalence among school children in Shimla, Himachal, North India.

    Science.gov (United States)

    Gupta, Madhu; Gupta, Bhupinder P; Chauhan, Anil; Bhardwaj, Ashok

    2009-01-01

    Data on eye diseases among school children is not readily available. Considering the fact that one-third of India's blind lose their eyesight before the age of 20 years and many of them are under five when they become blind, early detection and treatment of ocular morbidity among children is important. To estimate the prevalence of ocular morbidity among school children of age 6-16 years. Government and private coeducational schools in urban area of Shimla. Cross-sectional. Government and private coeducational schools selected by stratified random sampling. About 1561 school children, studying in elementary through secondary class in these schools were examined from August 2001 to January 2002 in Shimla. A doctor did visual acuity and detailed ophthalmic examination. The Chi-square test was used to test differences in proportions. Differences were considered to be statistically significant at the 5% level. Prevalence of ocular morbidity was 31.6% (CI=29.9-32.1%), refractive errors 22% (CI=21.1-22.8%), squint 2.5% (CI=2.4-2.6%), color blindness 2.3% (CI=2.2-2.4%), vitamin A deficiency 1.8 % (CI=1.7-1.9%), conjunctivitis 0.8% (CI=0.79-0.81%). Overall prevalence of ocular morbidity in government and private schools did not show any statistical significant difference. Prevalence of conjunctivitis was significantly (P< 0.5) more in government schools. A high prevalence of ocular morbidity among high-school children was observed. Refractive errors were the most common ocular disorders.

  10. Traditional Practicing with Arsenic Rich Water in Fish Industries Leads to Health Hazards in West Bengal and North-Eastern States of India

    Science.gov (United States)

    Kashyap, C. A.

    2014-12-01

    The supply of good quality food is main necessity for economic and social health of urban and rural population throughout the globe. This study comes to know the severity of As in the west Bengal and north-eastern states of the India. Over the 75% large population of India lives in villages and associated with farming and its related work. West Bengal is the densest populated area of India, fish and rice is the staple food as well as in north-eastern states. For the fulfil demand of fish large population the area are used fisheries as the business. Arsenic contamination in ground water is major growing threat to worldwide drinking water resources. High As contamination in water have been reported in many parts of the world Chandrasekharam et al., 2001; Smedley and Kinniburgh, 2002; Farooq et al., 2010). In context to West Bengal and north-east states of India arsenic is main problem in the food chain. These areas are very rich in arsenic many fold higher concentrations of Arsenic than their respective WHO permissible limits have been reported in the water. Over the 36 million people in Bengal delta are at risk due to drinking of As contaminated water (Nordstrom, 2002). The highest concentration of arsenic (535 μg/L Chandrashekhar et al. 2012) was registered from Ngangkha Lawai Mamang Leikai area of Bishnupur district which is fifty fold of the WHO limit for arsenic and tenfold of Indian permissible limit. With the continuous traditional practicing (As rich water pond) and untreated arsenic rich water in fish industries leads to health hazards. A sustainable development in aquaculture should comprise of various fields including environmental, social, cultural and economic aspects. A scientific study has to be needed for the overcome on this problem and rain harvested water may be used for reduce the arsenic problems in fisheries.

  11. Caffeine intake among adolescents in Delhi

    Directory of Open Access Journals (Sweden)

    Mridul Gera

    2016-01-01

    Full Text Available Background: Availability and advertising of caffeinated drinks is on the rise in Indian market. Excess caffeine intake may have deleterious effects on health. Objective: To estimate the daily consumption of caffeine among urban school-going adolescents from Delhi. Materials and Methods: A school-based survey was conducted to determine the amount and pattern of caffeine consumption among students of classes 9-12, using a self-administered questionnaire. Results: Of 300 participants (median age 15 year, 174 boys, 291 (97% were consuming caffeine [mean (SD: 121.0 (98.2 mg/day]. Nineteen (6% students were consuming more than 300 mg of caffeine per day. Tea/coffee contributed to more than 50% of the caffeine intake. The rest was derived from cola beverages, chocolates, and energy drinks. Conclusion: Average caffeine consumption among school-going adolescents from Delhi is high. The findings of this preliminary survey need to be confirmed in larger data sets.

  12. Methane emissions from a landfill in north-east India: Performance of various landfill gas emission models.

    Science.gov (United States)

    Gollapalli, Muralidhar; Kota, Sri Harsha

    2018-03-01

    Rapid urbanization and economic growth has led to significant increase in municipal solid waste generation in India during the last few decades and its management has become a major issue because of poor waste management practices. Solid waste generated is deposited into open dumping sites with hardly any segregation and processing. Carbon dioxide (CO 2 ), methane (CH 4 ) and nitrous oxide (N 2 O) are the major greenhouse gases that are released from the landfill sites due to the biodegradation of organic matter. In this present study, CH 4 and CO 2 emissions from a landfill in north-east India are estimated using a flux chamber during September, 2015 to August, 2016. The average emission rates of CH 4 and CO 2 are 68 and 92 mg/min/m 2 , respectively. The emissions are highest in the summer whilst being lowest in winter. The diurnal variation of emissions indicated that the emissions follow a trend similar to temperature in all the seasons. Correlation coefficients of CH 4 and temperature in summer, monsoon and winter are 0.99, 0.87 and 0.97, respectively. The measured CH 4 in this study is in the range of other studies around the world. Modified Triangular Method (MTM), IPCC model and the USEPA Landfill gas emissions model (LandGEM) were used to predict the CH 4 emissions during the study year. The consequent simulation results indicate that the MTM, LandGEM-Clean Air Act, LandGEM-Inventory and IPCC models predict 1.9, 3.3, 1.6 and 1.4 times of the measured CH 4 emission flux in this study. Assuming that this higher prediction of CH 4 levels observed in this study holds well for other landfills in this region, a new CH 4 emission inventory (Units: Tonnes/year), with a resolution of 0.1 0  × 0.1 0 has been developed. This study stresses the importance of biodegradable composition of waste and meteorology, and also points out the drawbacks of the widely used landfill emission models. Copyright © 2017 Elsevier Ltd. All rights reserved.

  13. Regional variability of farmer decision making and irrigation water use: insights from a data-scarce region of North India

    Science.gov (United States)

    O'Keeffe, Jimmy; Buytaert, Wouter; Brozović, Nick; Mijic, Ana

    2014-05-01

    Over the last fifty years, changes in agriculture brought about by the Green Revolution have transformed India from a famine-prone, drought-susceptible country into the worlds' third largest grain producer and one of the most intensively irrigated parts of the globe. Regionally, cheap energy, subsidised seeds and fertilisers, and in some areas Government purchase guarantees for grain promote the intensification of farming. While this allows farmers to survive, it also aggravates the drain agriculture is having on resources, particularly energy and water. Analysis at a regional scale, however, masks the considerable spatial variability that exists on a more localised level and must be taken into consideration to understand correctly aggregate system response to policy, hydrologic, and climatic change. In this study we present and analyse the results from over 100 farmer interviews conducted in the data-scarce districts of Jalaun and Sitapur on the Gangetic Plains of Uttar Pradesh during the post monsoon period of 2013. Variables such as the volumes and timing of irrigation water applied, sources of water, methods of abstraction and irrigation, and costs incurred are mapped, using qualitative data analysis and GIS. Large differences between the districts emerge, for instance in the region of Jalaun where cheaper canal water is available in addition to groundwater. This has enabled farmers to afford more water efficient technologies such as sprinklers, a practice not found in Sitapur which depends almost exclusively on more expensive diesel pumps. Results are used to delineate the spatial variability in water use practices, along with farmer behaviour and decision making. The primary data are compared with socio-economic information taken from regionally produced statistical abstracts. The combined data are used to identify the main drivers that influence farmer decision-making, which is in turn leading to groundwater overdraught in many parts of North India. Finally

  14. Dietary beliefs among informal caregivers regarding common childhood diseases in rural north-west India

    Directory of Open Access Journals (Sweden)

    Rajiv Kumar Gupta

    2017-09-01

    Full Text Available Background: Dietary practices among infants and children are predictor of their growth and development. India being a huge of diverse cultures, diversity in beliefs and practices regarding diet during childhood illnesses is expected. Harmful beliefs and practices can contribute to malnutrition among children. These beliefs can have adverse consequences in already sick children. Aims and Objectives: To assess the dietary knowledge, beliefs and practices of rural care givers during childhood illnesses. Material & Methods: This cross-sectional descriptive study was conducted among 271 rural informal (parent / family member caregivers in one of the sub-health centres which was selected using simple random sampling technique. In the context of this study, the word informal care-giver was used for parent/family member of the child, preferably a mother with a child / children aged less than five years. The survey tool was an open ended and pretested questionnaire which was developed by public health expert’s familiar with the culture of the study setting and was pilot tested before administration. For the purpose of recruiting the study participants a house to house survey was conducted and the data thus collected was analyzed in percentages. Results: Informal Caregivers had low knowledge of common childhood illnesses as well as the reasons of their causation. Majority of them consulted a doctor in the event of child’s illness. 53.81% reduced feeding and 31.93% diluted diet during child’ illness but significantly 77.85% didn’t change breastfeeding practice during illness. As far as the beliefs regarding dietary practices were concerned, it found that egg, meat, chicken and jaggery were labelled hot foods while curd, butter milk and vegetables were labelled as cold foods. Rice water and khichadi were preferred in diarrhoea but spicy food and milk were restricted. Ginger and Tulsi tea were preferred in respiratory infections while ice-cream and

  15. Profile of presentation of Human Immunodeficiency Virus infection in North India, 2003-2007

    Directory of Open Access Journals (Sweden)

    S Kumar

    2012-01-01

    Full Text Available Background: Clinico-epidemiological profile of the Human immunodeficiency virus (HIV epidemic in India is varied and depends on multitude of factors including geographic location. We analyzed the characteristics of HIV-infected patients attending our Immunodeficiency Clinic to determine any changes in their profile over five years. Settings and Design: A retrospective observational study. Materials and Methods: The study sample included all patients with HIV infection from January 1, 2003 to December 31, 2007. Diagnosis of HIV was made according to National AIDS Control Organization guidelines. Results: Of 3 067 HIV-infected patients, 1 887 (61.5% were male and 1 180 (38.5% were female patients. Mean age of patients was 35.1 ± 9.0 years. Majority (91.8% of patients were in the age group of 15 to 49 years. Progressively increasing proportion of female patients was noted from year 2004 onward. Median CD4 count at presentation in year 2003 was 197/μl (Interquartile range [IQR] = 82.5-373 while in year 2007 it was 186.5/μl (IQR = 86.3-336.8. Mean CD4 count of male patients was 203.7 ± 169.4/μl, significantly lower as compared with female patients, which was 284.8 ± 223.3/μl (P value ≤0.05. Every year, substantial proportions of patients presenting to clinic had CD4 count<200/μl indicating advanced disease. Predominant route of transmission was heterosexual in 2 507 (81.7% patients. Tuberculosis and oropharyngeal candidiasis were the most common opportunistic infections (OIs. Cryptococcal meningitis was the most common central nervous infection. Our patients had comparatively lower median CD4 counts at the time of presentation with various OIs. Conclusions: Patients had advanced stage of HIV infection at the time of presentation throughout five years. Females presented earlier during the course of HIV infection. There is need for early screening and increasing awareness in healthcare providers to make a diagnosis of HIV much sooner.

  16. Dietary beliefs among informal caregivers regarding common childhood diseases in rural north-west India

    Directory of Open Access Journals (Sweden)

    Rajiv Kumar Gupta

    2017-09-01

    Full Text Available Background: Dietary practices among infants and children are predictor of their growth and development. India being a huge of diverse cultures, diversity in beliefs and practices regarding diet during childhood illnesses is expected. Harmful beliefs and practices can contribute to malnutrition among children. These beliefs can have adverse consequences in already sick children. Aims and Objectives: To assess the dietary knowledge, beliefs and practices of rural care givers during childhood illnesses. Material & Methods: This cross-sectional descriptive study was conducted among 271 rural informal (parent / family member caregivers in one of the sub-health centres which was selected using simple random sampling technique. In the context of this study, the word informal care-giver was used for parent/family member of the child, preferably a mother with a child / children aged less than five years. The survey tool was an open ended and pretested questionnaire which was developed by public health expert’s familiar with the culture of the study setting and was pilot tested before administration. For the purpose of recruiting the study participants a house to house survey was conducted and the data thus collected was analyzed in percentages. Results: Informal Caregivers had low knowledge of common childhood illnesses as well as the reasons of their causation. Majority of them consulted a doctor in the event of child’s illness. 53.81% reduced feeding and 31.93% diluted diet during child’ illness but significantly 77.85% didn’t change breastfeeding practice during illness. As far as the beliefs regarding dietary practices were concerned, it found that egg, meat, chicken and jaggery were labelled hot foods while curd, butter milk and vegetables were labelled as cold foods. Rice water and khichadi were preferred in diarrhoea but spicy food and milk were restricted. Ginger and Tulsi tea were preferred in respiratory infections while ice

  17. Differences in conventional cardiovascular risk factors in two ethnic groups in India.

    Science.gov (United States)

    Garg, Priyanka Rani; Kabita, Salam; Singh, Huidrom Suraj; Saraswathy, Kallur Nava; Sinha, Ekata; Kalla, Aloke Kumar; Chongtham, Dhanaraj Singh

    2012-01-01

    Studies have been carried out at national and international levels to assess ethnic variations in the prevalence of cardiovascular diseases and their risk factors. However, ethnic variations in the contribution of various risk factors to complex diseases have been scarcely studied. Our study examined such variations in two ethnic groups in India, namely, Meiteis of Manipur (northeast India) and Aggarwals of Delhi (north India). Through random sampling, we selected 635 participants from the Meitei community and 181 Aggarwals from the Aggarwal Dharmarth Hospital, Delhi. Patients with coronary artery disease (CAD) and hypertension were identified based on their recent medical diagnostic history. Anthropometric parameters such as height, weight, waist and hip circumferences along with physiological parameters (blood pressures, both systolic and diastolic) and biochemical parameter (lipid profile) were measured for all study participants. Patient parameters were available from the medical reports recorded when patients were first diagnosed. Among CAD individuals, the Aggarwals showed higher mean values of weight, body mass index (BMI), systolic blood pressure (SBP), diastolic blood pressure (DBP), total cholesterol (TC), triglyceride (TC), low density lipoprotein (LDL), and very low density lipoprotein (VLDL) but had lower high density lipoprotein (HDL) levels than the Meiteis. The same trend for weight, BMI and lipid parameters could be seen among hypertensive individuals. In step-wise regression analysis, SBP, LDL and TG were found to significantly contribute to the risk for CAD in the Aggarwals; whereas in the Meiteis, SBP, VLDL, HDL, TC and LDL were found to significantly contribute to the risk for CAD. In hypertensive Aggarwal participants, SBP, DBP and waist-to-hip ratio were significant contributors for hypertension; whereas SBP, DBP, and height contributed significantly to risk for hypertension among the Meiteis. We found marked differences in conventional risk

  18. Interleukin 1β (+3954, -511 and -31) polymorphism in chronic periodontitis patients from North India.

    Science.gov (United States)

    Amirisetty, Ramesh; Patel, Ritu Prabha; Das, Satrupa; Saraf, Jitendra; Jyothy, Akka; Munshi, Anjana

    2015-07-01

    Several studies have implicated the role of interleukin-1 in various chronic diseases including periodontitis. The present study was carried out with an aim to evaluate the role of interleukin 1β polymorphisms, namely +3954C/T, -511C/T and -31T/C, in the development of chronic periodontitis. Twenty-nine chronic periodontitis patients and 31 healthy controls of North Indian origin from Chhattisgarh were recruited for the study. The genotypes for the three variants were determined using the PCR-RFLP technique and the strength of association between genotypes and periodontitis was determined by odds ratio with 95% confidence interval (CI) and chi-square analysis. Analysis for the +3954 allelic and genotypic frequencies of the polymorphism revealed a significant difference in the CT genotype between periodontitits patients and controls (p = 0.03). A significant difference was also observed in the allelic frequencies between the two groups (p = 0.02). For the -511 site, TT genotype revealed a significant association with the disease (p = 0.01). A significant association was also found following the co-dominant model (p = 0.007). However, the -31 polymorphism revealed no significant difference between patients and controls. In conclusion, the present study suggests a strong association of the TT genotype of -511 and CT genotype of +3954 variant of interleukin 1β with chronic periodontitis. However, the -31 variant did not show a significant association with the disease.

  19. Dynamic soil properties for microzonation of Delhi, India

    Indian Academy of Sciences (India)

    present study, shear wave velocity profiles measured in the field at more than ... methods is the best method for measuring the low ..... The authors greatly acknowledge the financial sup- .... of liquefaction potential using field performance data;.

  20. Association of (C677T Gene Polymorphism with Breast Cancer in North India

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    Mohammad Waseem

    2016-01-01

    Full Text Available Background Breast cancer is one of the most common malignancies in women and is associated with a variety of risk factors. The functional single-nucleotide polymorphism (SNP C677T in the gene encoding 5,10-methylenetetrahydrofolate reductase (MTHFR may lead to decreased enzyme activity and affect the chemosensitivity of tumor cells. This study was designed to investigate the association of MTHFR gene polymorphism (SNP in the pathogenesis of breast cancer among the North Indian women population. Materials and Methods Genotyping was performed by polymerase chain reaction (PCR using genomic DNA, extracted from the peripheral blood of subjects with (275 cases or without (275 controls breast cancer. Restriction fragment length polymorphism was used to study C677T polymorphism in the study groups. Results The distribution of MTHFR (C677T genotype frequencies, ie, CC, TT, and CT, among the patients was 64.7%, 2.18%, and 33.09%, respectively. In the healthy control group, the CC, TT, and CT frequencies were 78.91%, 1.09%, and 20.1%, respectively. The frequencies of C and T alleles were 81.2% and 18.7%, respectively, in the patient subjects, while they were 88.9% and 11.09%, respectively, among the healthy control group. Frequencies of the CT genotype and the T allele were significantly different ( P = 0.007 and P = 0.005, respectively between the control and the case subjects. Conclusion This study shows an association of the CT genotype and the T allele of the MTHFR (C667T gene with increased genetic risk for breast cancer among Indian women.

  1. Vascular endothelial growth factor (VEGF) gene polymorphisms and breast cancer risk in Punjabi population from North West India.

    Science.gov (United States)

    Kapahi, Ruhi; Guleria, Kamlesh; Sambyal, Vasudha; Manjari, Mridu; Sudan, Meena; Uppal, Manjit Singh; Singh, Neeti Rajan

    2014-11-01

    The purpose of this study was to evaluate the association of seven VEGF promoter polymorphisms with breast cancer risk in Punjabi population from North West India. We screened DNA samples of 102 sporadic breast cancer patients and 102 unrelated healthy, gender, and age-matched individuals for seven VEGF promoter polymorphisms [-417 C/T (rs833062), -172 C/A (rs59260042), -165 C/T (rs79469752), -160 C/T, -152 G/A (rs13207351), -141 A/C (rs28357093) and -116 G/A (rs1570360)] by direct sequencing. The frequency of GG, GA, and AA genotype of -152 G/A polymorphism was 26.47 vs 38.34%, 46.08 vs 51.96%, and 27.45 vs 9.80%, in patients and controls, respectively. VEGF -152 AA genotype was significantly associated with increased risk for breast cancer (OR = 4.04, 95%CI, 1.69-9.68, p = 0.001; recessive model OR = 3.48, 95%CI, 1.59-7.63, p = 0.001). For VEGF -116 G/A polymorphism, G and A allele frequencies were 65.2 vs 76.47% and 34.8 vs 23.53% in patients and controls, respectively. Individuals having -116 AA genotype (OR = 3.40; 95%CI, 1.24-9.37; p = 0.014) and A allele (OR = 1.73; 95%CI, 1.12-2.67; p = 0.012) were associated with increased risk for breast cancer. VEGF -165 C/T and -141 A/C polymorphisms were associated with reduced risk for breast cancer. There was significantly decreased frequency of CT genotype (4.90 vs 18.63%; p = 0.002) and T allele (2.45 vs 9.31%; p = 0.003) of -165 C/T polymorphism among breast cancer patients as compared to controls. VEGF -141 A and C allele frequency were 96.57 vs 91.18% and 3.43 vs 8.82% in patients and controls, respectively. Significant reduced risk for breast cancer was observed with AC genotype (OR = 0.34, 95%CI, 0.14-0.86; p = 0.019) and C allele (OR = 0.37; 95%CI, 0.15-0.89; p = 0.023) of -141 A/C polymorphism. We did not observe association of VEGF -417 T/C, -172 C/A, -160 C/T polymorphisms with breast cancer risk in the studied subjects (p > 0.05). The VEGF -152 G/A and -116 G/A polymorphisms were found to be significantly

  2. Metabolic distress in lipid & one carbon metabolic pathway through low vitamin B-12: a population based study from North India.

    Science.gov (United States)

    Saraswathy, Kallur Nava; Joshi, Shipra; Yadav, Suniti; Garg, Priyanka Rani

    2018-04-25

    Dyslipidemia and hyper-homocysteinemia are the major independent risk factors of cardio vascular disease. Deficiency of folate and vitamin B-12 are associated with both hyper-homocysteinemia and dyslipidemia. The aim of the study is to evaluate the relationship of homocysteine and its associated dietary determinant levels (Folate and Vitamin B-12) with lipids and obesity parameters (WC, BMI, WHR) in North Indian population. The participants were recruited under a major government funded project through household survey covering 15 villages of Haryana, India. Participants were both males and females, between age group 30-65 years, from a north Indian community. Initially 1634 individuals were recruited, of which 1374 were considered for analysis as they were not found to be on any kind of medication for high blood pressure, CAD, diabetes or any other disorder, and had no missing data. 5 mL of intravenous blood sample was collected after obtaining written informed consent from the participants. Homocysteine, folate and vitamin B12 levels were estimated through Immulite 1000 by chemi-luminescence technique. Triglyceride, total cholesterol and HDL-C were estimated by spectrophotometry technique using commercial kits. The values for LDL and VLDL were calculated using Friedwald's equation. Height, weight, waist circumference (WC), hip circumference (HC) was measured over light clothing. Statistical analysis for data was performed using SPSS 16.0 version. All the lipid indices, except HDL, showed a trend of negative correlation with homocysteine after controlling for confounders, though not significant. No association was found between obesity (WC, BMI, WHR) and homocysteine in the present study. Vitamin B-12 deficiency was significantly associated with both hyper-homocysteinemia and low HDL. Folate was found to have significantly reduced risk for high TC & LDL. The "hcy-lipid" hypothesis does not seem to be complementing in the present studied population. The

  3. Scrub typhus meningoencephalitis, a diagnostic challenge for clinicians: A hospital based study from North-East India

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    M D Jamil

    2015-01-01

    Full Text Available Central nervous system (CNS involvement is a known complication of scrub typhus which range from mild meningitis to frank meninigoencephalitis.Aims and objectives: To study the clinical feature, laboratory parameters and response to treatment of scrub typhus meningitis/meningoencephalitis.Methods and Materials: This is a hospital based prospective observational study from North Eastern India. Diagnosis was based on clinical features and positive serological test (Weil's Felix test and IgM antibody card test.Results: 13 patients of scrub typhus with features of meningitis/meningoencephalitis were included. The mean duration of fever before presentation was 5.61±3.08 days and 4 (30.76 % patients had eschar. Altered sensorium, headache, seizure and meningeal sign were present in 13 (100%, 13 (100%, 6 (46.15% and 10 (76.92% patients respectively. Mean CSF protein, glucose and Adenosine deaminase was 152.16±16.88mg/dl, 55.23±21.7mg/dl, and 16.98±7.37U/L respectively. Mean total count of CSF leukocyte and lymphocyte percentage was 46.07±131 cell/cumm and 98.66±3.09% respectively. Tablet doxycycline with or without injection azithromycin was used and that shows good response 15.38% of patients died and all of them had multi organ dysfunction. Conclusion: Meningoencephalitis is a common manifestation of scrub typhus and diagnosis requires high degree of clinical suspicion which if diagnosed early and specific treatment started, patients usually recover completely with few complications.

  4. Scale-up of a comprehensive harm reduction programme for people injecting opioids: lessons from north-eastern India.

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    Lalmuanpuii, Melody; Biangtung, Langkham; Mishra, Ritu Kumar; Reeve, Matthew J; Tzudier, Sentimoa; Singh, Angom L; Sinate, Rebecca; Sgaier, Sema K

    2013-04-01

    Harm reduction packages for people who inject illicit drugs, including those infected with human immunodeficiency virus (HIV), are cost-effective but have not been scaled up globally. In the north-eastern Indian states of Manipur and Nagaland, the epidemic of HIV infection is driven by the injection of illicit drugs, especially opioids. These states needed to scale up harm reduction programmes but faced difficulty doing so. In 2004, the Bill & Melinda Gates Foundation funded Project ORCHID to scale up a harm reduction programme in Manipur and Nagaland. In 2003, an estimated 10 000 and 16 000 people were injecting drugs in Manipur and Nagaland, respectively. The prevalence of HIV infection among people injecting drugs was 24.5% in Manipur and 8.4% in Nagaland. By 2012, the harm reduction programme had been scaled up to an average of 9011 monthly contacts outside clinics (80% of target); an average of 1709 monthly clinic visits (15% of target, well above the 5% monthly goal) and an average monthly distribution of needles and syringes of 16 each per programme participant. Opioid agonist maintenance treatment coverage was 13.7% and retention 6 months after enrolment was 63%. Antiretroviral treatment coverage for HIV-positive participants was 81%. A harm reduction model consisting of community-owned, locally relevant innovations and business approaches can result in good harm reduction programme scale-up and influence harm reduction policy. Project ORCHID has influenced national harm reduction policy in India and contributed to the development of harm reduction guidelines.

  5. Rainforests north of the Tropic of Cancer: Physiognomy, floristics and diversity in ‘lowland rainforests’ of Meghalaya, India

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    Uma Shankar

    2017-02-01

    Full Text Available The lowland rainforests of Meghalaya, India represent the westernmost limit of the rainforests north of the Tropic of Cancer. These forests, on the Shillong plateau, are akin to Whitmore's ‘tropical lowland evergreen rainforest’ formation and exhibit striking similarities and conspicuous differences with the equatorial rainforests in Asia-Pacific as well as tropical seasonal rainforests in southwestern China near the Tropic of Cancer. We found these common attributes of the rainforests in Meghalaya: familial composition with predominance of Euphorbiaceae, Lauraceae, Meliaceae, Moraceae, Myrsiticaceae, Myrtaceae and Rubiaceae; deciduousness in evergreen physiognomy; dominance of mega- and mesophanerophytic life-forms; abundance of species with low frequency of occurrence (rare and aggregated species; low proportional abundance of the abundant species; and truncated lognormal abundance distribution. The levels of stand density and stand basal area were comparable with seasonal rainforests in southwestern China, but were lower than equatorial rainforests. Tropical Asian species predominated flora, commanding 95% of the abundance. The differences include overall low stature (height of the forest, inconspicuous stratification in canopy, fewer species and individuals of liana, thicker understory, higher proportion of rare species, absence of locally endemic species and relatively greater dominance of Fagaceae and Theaceae. The richness of species per hectare (S was considerably lower at higher latitudes in Meghalaya than in equatorial rainforests, but was comparable with seasonal rainforests. Shannon's diversity index (H′ = 4.40 nats for ≥10 cm gbh and 4.25 nats for ≥30 cm gbh was lower on higher latitudes in Meghalaya in comparison to species-rich equatorial rainforests, but it was the highest among all lowland rainforests near the Tropic of Cancer.

  6. Does being under treatment improve knowledge attitude practice for hypertension: A hospital-based study from North India

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    Rajiv Kumar Gupta

    2017-01-01

    Full Text Available Background: Studies suggest that approximately half of patients with raised blood pressure (BP are undetected, that half of those detected are not treated, and that half of those treated are not controlled, famously described as the “rule of halves.” Importantly, the cornerstone of the primary prevention of cardiovascular diseases is early detection and drug treatment (antihypertensive of patients with high BP. Studies across populations in developed world have shown that awareness and management of high BP levels are far from optimal. The present study was planned with the aim to assess the knowledge, attitude, and practices (KAP regarding hypertension in hypertensive patients visiting Tertiary Care Hospital in North-West India. Materials and Methods: Already diagnosed hypertensive patients seeking care at the tertiary care center were selected for this study. The participants were recruited using consecutive sampling technique. All participants were interviewed with the help of a semi-structured questionnaire after obtaining a written informed consent. The components of the KAP were recorded using a score sheet. Results: In all, 394 hypertensive patients of whom majority (239/394; 61% were males, were included in the study. The KAP score among the study subjects was 88.4%, 90.83%, and 95.83%, respectively. Males had higher knowledge about normal BP levels which was statistically significant (P < 0.01. Among the attitude, regular intake of anti-hypertensive drugs, regular investigations, lifestyle changes, avoidance of salt and allopathic medicines being the best for the treatment of hypertension were found to be significant statistically (P < 0.01. Conclusion: The high score among the study population can be attributed to the fact that all study participants were diagnosed patients of hypertension seeking care in a tertiary care hospital.

  7. Infection control knowledge and practice: A cross-sectional survey on dental laboratories in dental institutes of North India.

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    Gupta, Sakshi; Rani, Sapna; Garg, Sandeep

    2017-01-01

    The aim of the study was to assess the knowledge of dental laboratory technicians regarding infection control and modes of infection control employed by them. A self-assessment questionnaire-based survey was carried out among dental technicians to assess the knowledge and practice of infection control in dental laboratories. Survey instrument containing 16 questions were randomly distributed to 70 dental colleges of North India regarding knowledge of infection control methods and infection control practised in laboratories. Data were collected and analyzed. The response showed that 30.76% of dental technicians receive 30-50 or more than 50 impressions in a week. About 96.15% of the technicians used a plastic bag to carry impressions. Twenty-five percent of the dental technicians were aware of infection control protocol. Fifty-five percent of the technicians received impressions while wearing gloves and 61.53% of the institutes had a separate receiving area. Nearly 71.15% of the technicians communicate with the doctor regarding the disinfection of impression received in the laboratory. Almost 30.76% of the dental technicians disinfect all the impressions and 67.30% technicians use immersion for disinfection of impressions. Only 38.46% responded that they immerse impressions for 10 min for disinfection. About 73.07% use gloves, 90.38% use mouth masks, 57.69% wear eye shields, and 88.46% wear aprons while working. Nearly 78.84% of the technicians received vaccination against hepatitis B virus. Almost 69.23% of the technicians change pumice slurry after regular intervals, and 75% do not add any disinfectant. Nearly 59.61% of technicians disinfect the prostheses before sending it to the clinic, and 42.30% disinfect them by immersion technique. About disposal of waste, 80.76% said that they dispose the waste properly. To summarize, most of the technicians were not aware of basic infection control protocols.

  8. Comparative study of histopathological Marsh grading with clinical and serological parameters in celiac iceberg of north India

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    Shivani Kalhan

    2011-01-01

    Full Text Available Background: Celiac disease is an autoimmune disorder caused by the ingestion of wheat gluten and related proteins in genetically susceptible individuals. It is characterized by anti-tissue transglutaminase (anti-tTG antibodies. Duodenal biopsy is the gold standard for diagnosis. Correlation of clinical, serologic, and histological features is essential for a definitive diagnosis. The ratio of diagnosed versus undiagnosed cases is quite high. Aims: This study aimed to correlate the degree of mucosal damage with anti-tTG levels, mean baseline hemoglobin and endoscopic findings. Setting and Design: Two hundred twenty six adults suspected to have celiac disease were studied. Marsh grades were compared with anti-tTG levels, hemoglobin, endoscopy, and clinical presentations. Materials and Methods: Esophagogastroduodenoscopy, serum levels of anti-tTG, complete hematologic work-up, and duodenal biopsy were performed in all 226 cases (including three siblings of confirmed patients with well-defined symptom groups. Histopathological grading was done as per modified Marsh system. Correlation of all the parameters was performed with Marsh grades. Statistical Analysis : Performed on SPSS version 15.0. Tests applied include one way ANOVA, Chi-square test, repeated measure analysis, and Bonferroni′s method for comparison. Results were considered significant when P<0.05. Results and Conclusions: Anti-tTG levels, mean baseline hemoglobin, and endoscopic findings were found to correlate with increasing severity of mucosal damage with P<0.001 for all. Anti-tTG levels of grades 1+2 and those of grade 3a were significantly different from levels of grades 3b and 3c+4 with P<0.001 for each. Varied clinical presentations of celiac disease were seen in the adult wheat eaters of North India.

  9. Scale-up of a comprehensive harm reduction programme for people injecting opioids: lessons from north-eastern India

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    Lalmuanpuii, Melody; Biangtung, Langkham; Mishra, Ritu Kumar; Reeve, Matthew J; Tzudier, Sentimoa; Singh, Angom L; Sinate, Rebecca

    2013-01-01

    Abstract Problem Harm reduction packages for people who inject illicit drugs, including those infected with human immunodeficiency virus (HIV), are cost-effective but have not been scaled up globally. In the north-eastern Indian states of Manipur and Nagaland, the epidemic of HIV infection is driven by the injection of illicit drugs, especially opioids. These states needed to scale up harm reduction programmes but faced difficulty doing so. Approach In 2004, the Bill & Melinda Gates Foundation funded Project ORCHID to scale up a harm reduction programme in Manipur and Nagaland. Local setting In 2003, an estimated 10 000 and 16 000 people were injecting drugs in Manipur and Nagaland, respectively. The prevalence of HIV infection among people injecting drugs was 24.5% in Manipur and 8.4% in Nagaland. Relevant changes By 2012, the harm reduction programme had been scaled up to an average of 9011 monthly contacts outside clinics (80% of target); an average of 1709 monthly clinic visits (15% of target, well above the 5% monthly goal) and an average monthly distribution of needles and syringes of 16 each per programme participant. Opioid agonist maintenance treatment coverage was 13.7% and retention 6 months after enrolment was 63%. Antiretroviral treatment coverage for HIV-positive participants was 81%. Lessons learnt A harm reduction model consisting of community-owned, locally relevant innovations and business approaches can result in good harm reduction programme scale-up and influence harm reduction policy. Project ORCHID has influenced national harm reduction policy in India and contributed to the development of harm reduction guidelines. PMID:23599555

  10. Risk factors associated with fluoroquinolone-resistant enterococcal urinary tract infections in a tertiary care university hospital in north India.

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    Banerjee, Tuhina; Anupurba, Shampa

    2016-10-01

    Fluoroquinolone resistance in both Gram-positive and Gram-negative bacteria has increased with the widespread use of fluoroquinolones. Fluoroquinolone resistance in Gram-negative bacilli has been widely studied, though staphylococci and enterococci are also notably resistant. Enterococci being the second most common cause of healthcare-associated urinary tract infections (UTIs) fluoroquinolones are often the drug of choice. This study was undertaken to assess the risk factors associated with fluoroquinolone-resistant enterococcal UTI in a tertiary level health facility in north India. A total of 365 patients with UTI caused by enterococci were studied over a period of two years. Patients with ciprofloxacin-resistant and susceptible UTI were considered as cases and controls, respectively. Resistance profile of the isolates against common antibiotics was studied by minimum inhibitory concentration (MIC) determination. Mechanisms for fluoroquinolone resistance was studied by efflux pump inhibitor activity and multiplex PCR targeting the qnr genes. A total of 204 (55.89%) cases and 161 (44.1%) controls were identified. The fluoroquinolone-resistant isolates were significantly resistant to ampicillin, high strength aminoglycosides and vancomycin. The majority (78%) of the resistant isolates showed efflux pump activity. Treatment in indoor locations, presence of urinary catheters and pregnancy along with recent exposure to antibiotics especially fluoroquinolones, third generation cephalosporins and piperacillin-tazobactam were identified as independent risk factors. Our results showed that fluoroquinolone resistance in enterococcal UTI was largely associated with indoor usage of antibiotics and use of indwelling devices. Knowledge of risk factors is important to curb this emergence of resistance.

  11. Multiple barriers to participation for people with psychosocial disability in Dehradun district, North India: a cross-sectional study.

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    Mathias, Kaaren; Pant, Hira; Marella, Manjula; Singh, Lawrence; Murthy, Gvs; Grills, Nathan

    2018-02-27

    This study used a population-based cross-sectional survey to describe the prevalence of psychosocial disability and unmet need for access to services in North India. This study was conducted in Dehradun district, Uttarakhand, in 2014. A population-based sample of 2441 people over the age of 18 years. The Rapid Assessment of Disability survey tool identified people with disability and used an adapted version of the Kessler scale to identify those with psychosocial disability. It additionally collected information on socioeconomic variables, access to community services and barriers to participation. Prevalence of psychosocial disability and unmet needs and descriptions of barriers to services were calculated, and multivariable logistic regression was used to assess associations between risk factors and psychosocial disability. Prevalence of psychosocial disability was 4.8% and 75% of participants with psychological distress also reported comorbid functional impairments. Adjusted ORs for depression of more than two were found for people who were unschooled, unemployed and of moderate or poor socioeconomic status. The unmet need for access to services was significantly higher in every domain for people with psychosocial disability and was more than 25% in the areas of employment, health service access and community consultation. People with psychosocial disability encountered greater barriers in each domain compared with controls. People who are poor, uneducated and unemployed are two to four times more likely to have psychosocial disability in Dehradun district. They face unmet needs in accessing community services and perceive negative social attitudes, lack of physical accessibility and lack of information as barriers limiting their participation. Social policy must increase access to education and reduce poverty but additionally ensure action is taken in all community services to increase information, physical accessibility and social inclusion of people with

  12. Perceptions, practices and health seeking behaviour constrain JE/AES interventions in high endemic district of North India

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    Sanjay Chaturvedi

    2017-08-01

    Full Text Available Abstract Background Acute Encephalitis Syndrome (AES and Japanese Encephalitis (JE stay as poorly understood phenomena in India. Multiple linkages to determinants such as poverty, socio-economic status, gender, environment, and population distribution, make it a greater developmental issue than just a zoonotic disease. Methods A qualitative study was conducted to map knowledge, perceptions and practices of community and health systems level stakeholders. Seventeen interviews with utilizers of AES care, care givers from human and veterinary sectors, Non-governmental Organizations (NGOs, and pig owners and 4 Focused Group Discussions (FGDs with farmers, community leaders, and students were conducted in an endemic north Indian district-Kushinagar. Results Core themes that emerged were: JE/AES been perceived as a deadly disease, but not a major health problem; filthy conditions, filthy water and mosquitoes seen to be associated with JE/AES; pigs not seen as a source of infection; minimal role of government health workers in the first-contact care of acute Illness; no social or cultural resistance to JE vaccination or mosquito control; no gender-based discrimination in the care of acute Illness; and non-utilization of funds available with local self govt. Serious challenges and systematic failures in delivery of care during acute illness, which can critically inform the health systems, were also identified. Conclusion There is an urgent need for promotive interventions to address lack of awareness about the drivers of JE/AES. Delivery of care during acute illness suffers with formidable challenges and systematic failures. A large portion of mortality can be prevented by early institution of rational management at primary and secondary level, and by avoiding wastage of time and resources for investigations and medications that are not actually required.

  13. Perceptions, practices and health seeking behaviour constrain JE/AES interventions in high endemic district of North India.

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    Chaturvedi, Sanjay; Sharma, Neha; Kakkar, Manish

    2017-08-08

    Acute Encephalitis Syndrome (AES) and Japanese Encephalitis (JE) stay as poorly understood phenomena in India. Multiple linkages to determinants such as poverty, socio-economic status, gender, environment, and population distribution, make it a greater developmental issue than just a zoonotic disease. A qualitative study was conducted to map knowledge, perceptions and practices of community and health systems level stakeholders. Seventeen interviews with utilizers of AES care, care givers from human and veterinary sectors, Non-governmental Organizations (NGOs), and pig owners and 4 Focused Group Discussions (FGDs) with farmers, community leaders, and students were conducted in an endemic