WorldWideScience

Sample records for north bihar india

  1. Tobacco use among students in Bihar (India).

    Science.gov (United States)

    Sinha, Dhirendra N; Gupta, Prakash C; Pednekar, Mangesh

    2004-01-01

    Determination of the prevalence and attitudes toward tobacco use was assessed among 13-15 years school students in Bihar (India). Schools having grade 8-10 in Bihar. A two stage cluster sample design was used. SUDAAN and the C-sample procedure in Epi-Info was used for statistical analysis. Of the 2636 respondents, 71.8% (76.5% boys, 57.2% girls) were ever tobacco users; of them 48.9% had used tobacco before 10 years of age. Current use was reported by 58.9% (Boys 61.4%, Girls 51.2%); smokeless tobacco by 55.6% (Boys 57.6%, Girls 49.2%); and smoking by 19.4% (23.0% boys, 7.8% girls). Nearly one third (29%) students were exposed to ETS inside their homes and nearly half (48%) outside their homes. Almost all students reported watching cigarette and gutka advertisements in almost all kinds of media and events. Tobacco use by parents and friends, knowledge on harmful effects of chewing tobacco, smoking and environmental smoke, and attitudes on tobacco use by others were strongly associated with student tobacco use. Current tobacco use was reported significantly more by students who received pocket money/or were earning than by students who did not receive any pocket money/or did not earn (p value for trend Teaching in schools regarding harmful effects of tobacco use was non-existent (3%). This urgently requires a comprehensive prevention program in schools and the community especially targeted towards girls.

  2. Measles case fatality rate in Bihar, India, 2011-12.

    Directory of Open Access Journals (Sweden)

    Manoj V Murhekar

    Full Text Available BACKGROUND: Updated estimates of measles case fatality rates (CFR are critical for monitoring progress towards measles elimination goals. India accounted for 36% of total measles deaths occurred globally in 2011. We conducted a retrospective cohort study to estimate measles CFR and identify the risk factors for measles death in Bihar-one of the north Indian states historically known for its low vaccination coverage. METHODS: We systematically selected 16 of the 31 laboratory-confirmed measles outbreaks occurring in Bihar during 1 October 2011 to 30 April 2012. All households of the villages/urban localities affected by these outbreaks were visited to identify measles cases and deaths. We calculated CFR and used multivariate analysis to identify risk factors for measles death. RESULTS: The survey found 3670 measles cases and 28 deaths (CFR: 0.78, 95% confidence interval: 0.47-1.30. CFR was higher among under-five children (1.22% and children belonging to scheduled castes/tribes (SC/ST, 1.72%. On multivariate analysis, independent risk factors associated with measles death were age <5 years, SC/ST status and non-administration of vitamin A during illness. Outbreaks with longer interval between the occurrence of first case and notification of the outbreak also had a higher rate of deaths. CONCLUSIONS: Measles CFR in Bihar was low. To further reduce case fatality, health authorities need to ensure that SC/ST are targeted by the immunization programme and that outbreak investigations target for vitamin A treatment of cases in high risk groups such as SC/ST and young children and ensure regular visits by health-workers in affected villages to administer vitamin A to new cases.

  3. Measles Case Fatality Rate in Bihar, India, 2011–12

    Science.gov (United States)

    Murhekar, Manoj V.; Ahmad, Mohammad; Shukla, Hemant; Abhishek, Kunwar; Perry, Robert T.; Bose, Anindya S.; Shimpi, Rahul; Kumar, Arun; Kaliaperumal, Kanagasabai; Sethi, Raman; Selvaraj, Vadivoo; Kamaraj, Pattabi; Routray, Satyabrata; Das, Vidya Nand; Menabde, Nata; Bahl, Sunil

    2014-01-01

    Background Updated estimates of measles case fatality rates (CFR) are critical for monitoring progress towards measles elimination goals. India accounted for 36% of total measles deaths occurred globally in 2011. We conducted a retrospective cohort study to estimate measles CFR and identify the risk factors for measles death in Bihar–one of the north Indian states historically known for its low vaccination coverage. Methods We systematically selected 16 of the 31 laboratory-confirmed measles outbreaks occurring in Bihar during 1 October 2011 to 30 April 2012. All households of the villages/urban localities affected by these outbreaks were visited to identify measles cases and deaths. We calculated CFR and used multivariate analysis to identify risk factors for measles death. Results The survey found 3670 measles cases and 28 deaths (CFR: 0.78, 95% confidence interval: 0.47–1.30). CFR was higher among under-five children (1.22%) and children belonging to scheduled castes/tribes (SC/ST, 1.72%). On multivariate analysis, independent risk factors associated with measles death were age Measles CFR in Bihar was low. To further reduce case fatality, health authorities need to ensure that SC/ST are targeted by the immunization programme and that outbreak investigations target for vitamin A treatment of cases in high risk groups such as SC/ST and young children and ensure regular visits by health-workers in affected villages to administer vitamin A to new cases. PMID:24824641

  4. Sustainable mitigation of arsenic contaminated groundwater in Bihar, India

    NARCIS (Netherlands)

    Ghosh, A.; Borges Freitas, S.C.

    2014-01-01

    The “water surplus” state of Bihar is faced with the serious problem of arsenic contaminated aquifers whose water is used both for drinking and irrigation purposes. A large number of mitigation strategies are being adopted by the authorities, without obtaining the desired results of clean water

  5. Gender inequities in curative and preventive health care use among infants in Bihar, India

    OpenAIRE

    Vilms, Rohan J; McDougal, Lotus; Atmavilas, Yamini; Hay, Katherine; Triplett, Daniel P; Silverman, Jay; Raj, Anita

    2017-01-01

    Background India has the highest rate of excess female infant deaths in the world. Studies with decade-old data suggest gender inequities in infant health care seeking, but little new large-scale research has examined this issue. We assessed differences in health care utilization by sex of the child, using 2014 data for Bihar, India. Methods This was a cross-sectional analysis of statewide representative survey data collected for a non-blinded maternal and child health evaluation study. Parti...

  6. Genetic polymorphism at 15 STR loci among three important subpopulation of Bihar, India.

    Science.gov (United States)

    Ashma, R; Kashyap, V K

    2002-11-05

    Genotype polymorphism studies at 15 highly polymorphic short tandem repeat (STR) loci were carried out in three genetically important minor caste groups (Yadav, Kurmi and Baniya) of Bihar, a eastern state of India to evaluate their significance in human identification and population genetics study. The selected communities practice endogamy. Despite of same geographical area, the physical features of Yadavs and Baniyas resemble North Indian Indo-Caucasoids whereas Kurmis resemble more to Indo-Austroloids. Among the chosen 15 loci, two are penta-nucleotide repeat: Penta-D and Penta-E, and 13 are tetra-nucleotide repeat: vWA D8S1179, TPOX, FGA, D5S818, D13S317, D7S820, D16S539, D3S1358, THO1, CSF1PO, D21S11, D18S51 and are validated for other population of India and world for forensic testing and human population study. Thirteen of these STR loci are present in the combined DNA index system (CODIS) [J. Forensic Sci. 44 (1999) 1277] and world-wide data is available.

  7. Post-kala-azar dermal leishmaniasis in visceral leishmaniasis-endemic communities in Bihar, India.

    Science.gov (United States)

    Singh, Rudra Pratap; Picado, Albert; Alam, Shahnawaz; Hasker, Epco; Singh, Shri Prakash; Ostyn, Bart; Chappuis, François; Sundar, Shyam; Boelaert, Marleen

    2012-11-01

    We assessed the prevalence of post-kala-azar dermal leishmaniasis (PKDL), a late cutaneous manifestation of visceral leishmaniasis (VL), in 16 VL-endemic communities in Bihar, India. The prevalence of confirmed PKDL cases was 4.4 per 10 000 individuals and 7.8 if probable cases were also considered. The clinical history and treatment of the post-kala-azar dermal leishmaniasis cases are discussed. © 2012 Blackwell Publishing Ltd.

  8. Low castes have poor access to visceral leishmaniasis treatment in Bihar, India.

    Science.gov (United States)

    Pascual Martínez, F; Picado, A; Roddy, P; Palma, P

    2012-05-01

    Bihar, the poorest state in India, concentrates most of the visceral leishmaniasis (VL) cases in the country. A large proportion of the poor rural communities where VL is endemic are marginalized by their socio-economic status, intrinsically related to the caste system. In this study, we evaluated whether people from low socio-economic strata had difficulties accessing VL treatment in Bihar. As a secondary outcome, we evaluated whether people delaying their VL treatment had poorer clinical indicators at admission. Data on 2187 patients with VL treated by Médecins Sans Frontières (MSF) in Vaishali district from July 2007 to December 2008 were analysed. Patients who reported having onset of symptoms ≥8 weeks before admission were defined as 'late presenters'. Logistic regression models were used to evaluate whether low castes had higher risk to be 'late presenters' compared to the rest of castes and whether 'late presenters' had poorer indicators at admission (i.e. haemoglobin level, spleen size). After adjusting for age, gender and distance to VL treatment facility, Mushars (the lowest caste in Bihar) had twice the odds to be 'late presenters' compared to the rest of castes (OR 2.05, 95% CI: 1.24-2.38). Subjects that had VL symptoms for ≥8 weeks had a larger spleen and lower haemoglobin level than those that were treated earlier. Low castes have poor access to VL treatment in Bihar, and late presenters have poorer clinical indicators at admission. These findings have implications at individual and community levels and should stimulate targeted VL control programmes to ensure that marginalized communities in Bihar are properly treated. © 2012 Blackwell Publishing Ltd.

  9. The poorest of the poor: a poverty appraisal of households affected by visceral leishmaniasis in Bihar, India.

    Science.gov (United States)

    Boelaert, M; Meheus, F; Sanchez, A; Singh, S P; Vanlerberghe, V; Picado, A; Meessen, B; Sundar, S

    2009-06-01

    To provide data about wealth distribution in visceral leishmaniasis (VL)-affected communities compared to that of the general population of Bihar State, India. After extensive disease risk mapping, 16 clusters with high VL transmission were selected in Bihar. An exhaustive census of all households in the clusters was conducted and socio-economic household characteristics were documented by questionnaire. Data on the general Bihar population taken from the National Family Health Survey of India were used for comparison. An asset index was developed based on Principal Components Analysis and the distribution of this asset index for the VL communities was compared with that of the general population of Bihar. 83% of households in communities with high VL attack rates belonged to the two lowest quintiles of the Bihar wealth distribution. All socio-economic indicators showed significantly lower wealth for those households. Visceral leishmaniasis clearly affects the poorest of the poor in India. They are most vulnerable, as this vector-born disease is linked to poor housing and unhealthy habitats. The disease leads the affected households to more destitution because of its impact on household income and wealth. Support for the present VL elimination initiative is important in the fight against poverty.

  10. Family Conflict – The Major Underlying Influence in Suicide Attempts in Northern Bihar, India.

    Directory of Open Access Journals (Sweden)

    Sangeeta Nair

    2015-01-01

    Full Text Available Suicide attempts in North India are generally underreported but have been considered to be rising. The number of admissions due to attempted suicide at Duncan Hospital, North Bihar, rose from 82 in 2007 to 419 in 2011.A structured interview and the WHO (World Health Organization Major (ICD-10 Depression Inventory were completed by 157 suicide-attempt survivors. Immediate relatives were also interviewed. Only 23% of patients came from India; 77% of patients came from Nepal. The highest incidence was in the age group 16-20 years. Females have higher rates in the 21-30 year age group (p=0.012, but after 30 years of age, the number of males becomes higher than the females (p=0.048; 81.5% of the respondents were below the age of 30 years.Pesticide poisoning was the major mode of attempted suicide (94.3%. Using the WHO Major (ICD-10 Depression Inventory, 28 of the participants suffered from depression (17.7%. Ninety people (56.9% admitted to previous thoughts of suicide, and nine (5.7% people had attempted suicide previously.Hindus made up 84.0% of the respondents. Almost 50% of respondents only carried out their religious rituals on an occasional basis or not at all. 70.2% had not completed education beyond primary school, and 49.7% earned less than Rs10,000 per month (US$200. Eighty percent of the participants stated conflicts with family members led to the attempted suicide. Relatives did not expect the attempted suicide in 97.4% of cases. Knowledge of the suicide of a neighbour, friends, or relative influenced 77.0% of the participants to attempt suicide.Efforts to prevent suicide attempts and deaths need to be multifaceted. Banning the most poisonous pesticides and improving poison storage in the community must be encouraged. Prevention, early intervention and treatment all are required in a suicide prevention plan. The lack of psychiatrists necessitates that other professionals and trained non-professionals be utilised in the mental health team

  11. High Arsenic contamination in drinking water Hand-Pumps in Khap Tola, West Champaran, Bihar, India

    Directory of Open Access Journals (Sweden)

    Siddharth eBhatia

    2014-11-01

    Full Text Available This study tests the drinking water supply of a marginalized village community of Khap Tola in the state of Bihar, a state in Northern India. Based on hand pump drinking water sample testing and analysis, we found that there was high levels of arsenic (maximum value being 397 ppb , in excess of the WHO limits of 10ppb. Analysis showed 57% of the samples from private hand-pumps in the shallow aquifer zone of 15-35m have arsenic greater than 200 ppb. Using GIS overlay analysis technique it was calculated that 25% of the residential area in the village is under high risk of arsenic contamination. Further using USEPA guidelines, it was calculated that children age group 5-10 years are under high risk of getting cancer. The Hazard Quotient calculated for 21 children taken for study, indicated that children may have adverse non-carcinogenic health impacts, in the future, with continued exposure. Since the area adds a new arsenic contaminated place in India, further geochemical analysis and health assessment needs to be done in this district of West Champaran in, Bihar.

  12. Correlates of overweight and obesity among urban adolescents in Bihar, India

    Directory of Open Access Journals (Sweden)

    Ayan Ghosh

    2015-01-01

    Full Text Available Background: For better perception of adolescent overweight and obesity as a global public health problem, systematic collection of baseline data is urgently needed in India. Objective: A community-based study was undertaken for better perception of the prevalence and correlates of obesity in an adolescent urban community in Katihar, Bihar. Materials and Methods: A cross-sectional study was conducted among urban adolescents in the eastern part of India to find out prevalence of overweight and obesity and sociodemographic correlates by interview technique followed by clinical examination with ethical consideration. Results: Out of 400 adolescent study participants, 21% were overweight or obese. The study showed that there was a significant association between less consumption of vegetable foods, fruits, meals cooked outside the home, alcohol consumption, yoga practice, socioeconomic status, and the occurrence of overweight/obesity in the adolescents. Conclusions: We attempted to find out the prevalence and risk correlates of overweight and obesity among adolescents and found it quite alarming compared to developed countries. The urban underserved population in India has difficulty to access quality healthcare and not conscious enough to seek healthcare until critically ill. Community-based studies are required to highlight the problem of obesity among urban adolescents by a comprehensive approach.

  13. A Path Analysis of Nutrition, Stimulation, and Child Development Among Young Children in Bihar, India.

    Science.gov (United States)

    Larson, Leila M; Martorell, Reynaldo; Bauer, Patricia J

    2018-03-12

    Nutrition plays an important role in the development of a child, particularly in low- and middle-income countries where malnutrition is often widespread. The relation between diet, hemoglobin, nutritional status, motor development, stimulation and mental development was examined in a cross-sectional sample of 1,079 children 12-18 months of age living in rural Bihar, India. Path analysis revealed associations between (a) length-for-age z-scores and motor development, standardized β (β) = .285, p < .001, and (b) motor and all mental development outcomes (language: β = .422; personal-social: β = .490; memory: β = .139; and executive function: β = .072, all p < .001). Additionally, stimulation was significantly associated with language scores and hemoglobin concentration with memory. These findings inform interventions aimed at improving child development in Northern India. © 2018 The Authors Child Development published by Wiley Periodicals, Inc. on behalf of Society for Research in Child Development.

  14. Gender inequities in curative and preventive health care use among infants in Bihar, India.

    Science.gov (United States)

    Vilms, Rohan J; McDougal, Lotus; Atmavilas, Yamini; Hay, Katherine; Triplett, Daniel P; Silverman, Jay; Raj, Anita

    2017-12-01

    India has the highest rate of excess female infant deaths in the world. Studies with decade-old data suggest gender inequities in infant health care seeking, but little new large-scale research has examined this issue. We assessed differences in health care utilization by sex of the child, using 2014 data for Bihar, India. This was a cross-sectional analysis of statewide representative survey data collected for a non-blinded maternal and child health evaluation study. Participants included mothers of living singleton infants (n = 11 570). Sex was the main exposure. Outcomes included neonatal illness, care seeking for neonatal illness, hospitalization, facility-based postnatal visits, immunizations, and postnatal home visits by frontline workers. Analyses were conducted via multiple logistic regression with survey weights. The estimated infant sex ratio was 863 females per 1000 males. Females had lower rates of reported neonatal illness (odds ratio (OR) = 0.7, 95% confidence interval (CI) = 0.6-0.9) and hospitalization during infancy (OR = 0.4, 95% CI = 0.3-0.6). Girl neonates had a significantly lower odds of receiving care if ill (80.6% vs 89.1%; OR = 0.5; 95% CI = 0.3-0.8) and lower odds of having a postnatal checkup visit within one month of birth (5.4% vs 7.3%; OR = 0.7, 95% CI = 0.6-0.9). The gender inequity in care seeking was more profound at lower wealth and higher numbers of siblings. Gender differences in immunization and frontline worker visits were not seen. Girls in Bihar have lower odds than boys of receiving facility-based curative and preventive care, and this inequity may partially explain the persistent sex ratio imbalance and excess female mortality. Frontline worker home visits may offer a means of helping better support care for girls.

  15. Identifying bottlenecks in the iron and folic acid supply chain in Bihar, India: a mixed-methods study.

    Science.gov (United States)

    Wendt, Amanda S; Stephenson, Rob; Young, Melissa F; Verma, Pankaj; Srikantiah, Sridhar; Webb-Girard, Amy; Hogue, Carol J; Ramakrishnan, Usha; Martorell, Reynaldo

    2018-04-12

    Maternal anaemia prevalence in Bihar, India remains high despite government mandated iron supplementation targeting pregnant women. Inadequate supply has been identified as a potential barrier to iron and folic acid (IFA) receipt. Our study objective was to examine the government health system's IFA supply and distribution system and identify bottlenecks contributing to insufficient IFA supply. Primary data collection was conducted in November 2011 and July 2012 across 8 districts in Bihar, India. A cross-sectional, observational, mixed methods approach was utilized. Auxiliary Nurse Midwives were surveyed on current IFA supply and practices. In-depth interviews (n = 59) were conducted with health workers at state, district, block, health sub-centre, and village levels. Overall, 44% of Auxiliary Nurse Midwives were out of IFA stock. Stock levels and supply chain practices varied greatly across districts. Qualitative data revealed specific bottlenecks impacting IFA forecasting, procurement, storage, disposal, lack of personnel, and few training opportunities for key players in the supply chain. Inadequate IFA supply is a major constraint to the IFA supplementation program, the extent of which varies widely across districts. Improvements at all levels of infrastructure, practices, and effective monitoring will be critical to strengthen the IFA supply chain in Bihar.

  16. 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…

  17. Effect of political decentralization and female leadership on institutional births and child mortality in rural Bihar, India.

    Science.gov (United States)

    Kumar, Santosh; Prakash, Nishith

    2017-07-01

    In this paper, we investigate the impacts of political decentralization and women reservation in local governance on institutional births and child mortality in the state of Bihar, India. Using the difference-in-differences methodology, we find a significant positive association between political decentralization and institutional births. We also find that the increased participation of women at local governance led to an increased survival rate of children belonging to richer households. We argue that our results are consistent with female leaders having policy preference for women and child well-being. Copyright © 2017 Elsevier Ltd. All rights reserved.

  18. Strategies for resource management to improve agricultural productivity in Bariarpur Tal area of Bihar (India)

    International Nuclear Information System (INIS)

    Khan, A.R.; Upadhyaya, A.; Bhatnagar, P.R.; Gautam, U.S.; Singh, S.K.; Singh, S.R.

    2002-06-01

    Water logged Tal area is termed as the stretch of land having bowl shaped depressions inundated in monsoon season due to spill/overflow from rivers or runoff from upstream end. A team of Agricultural Scientists studied and suggested a suitable plan to the Ministry of Agriculture, Government of India for improving the agricultural productivity of 40,000 hectares land lying between Ghoraghat and Bariarpur and Prasando to Khand Bihari in Munger district of Bihar, which lies in eastern India. These lands remain inundated with water from July till January. Tal lands in Bariarpur suffer due to stagnation of water during monsoon period and delay in drainage thereafter. This is a late winter mono-cropped area with very low productivity. Though the fertility status of soil is good, the quantity and quality of produce is poor. The canal network is also not efficient and other parts face drought. It is expected that the Ministry of Agriculture, Government of India will take up the action plan as per the recommendations of expert scientists' team to mitigate the sufferings and misery of the farmers and rural population of the area. The team of scientists had investigated in detail the genesis of the problem and suggested the appropriate management strategies to improve the agricultural production in this area upon the instruction of the Hon'ble Union Agricultural Minister Mr. Nitish Kumar. A reputed Journalist and dedicated Social Worker Mr. Dinesh brought the unbelievable misery of the rural population to the attention of the Agricultural Minister. The sufferings of the farmers of Bariarpur tal area thus cannot be mitigated without the implementation of recommendations suggested in the scientific report. It seems that a financial crunch is coming in the way for such implementation. Ministry of Agriculture, Ministry of Water Resources, State Government, NGOs and Social Organizations should come forward to help the rural population otherwise the ray of hope for a better living

  19. Spatial variability of groundwater quality of Sabour block, Bhagalpur district (Bihar, India)

    Science.gov (United States)

    Verma, D. K.; Bhunia, Gouri Sankar; Shit, Pravat Kumar; Kumar, S.; Mandal, Jajati; Padbhushan, Rajeev

    2017-07-01

    This paper examines the quality of groundwater of Sabour block, Bhagalpur district of Bihar state, which lies on the southern region of Indo-Gangetic plains in India. Fifty-nine samples from different sources of water in the block have been collected to determine its suitability for drinking and irrigational purposes. From the samples electrical conductivity (EC), pH and concentrations of Calcium (Ca2+), Magnesium (Mg2+), Sodium (Na+), Potassium (K+), carbonate ion (CO 3 2- ), Bicarbonate ion (HCO 3 - ), Chloride ion (Cl-), and Fluoride (F-) were determined. Surface maps of all the groundwater quality parameters have been prepared using radial basis function (RBF) method. RBF model was used to interpolate data points in a group of multi-dimensional space. Root Mean Square Error (RMSE) is employed to scrutinize the best fit of the model to compare the obtained value. The mean value of pH, EC, Ca2+, Mg2+, Na+, K+, HCO3 -, Cl-, and F- are found to be 7.26, 0.69, 38.98, 34.20, 16.92, 1.19, 0.02, and 0.28, respectively. Distribution of calcium concentration is increasing to the eastern part and K+ concentrations raise to the downstream area in the southwestern part. Low pH concentrations (less than 6.71) occur in eastern part of the block. Spatial variations of hardness in Sabour block portraying maximum concentration in the western part and maximum SAR (more than 4.23) were recorded in the southern part. These results are not exceeding for drinking and irrigation uses recommended by World Health Organization. Therefore, the majority of groundwater samples are found to be safe for drinking and irrigation management practices.

  20. Leveraging existing virtual platform for training medical officers on Non-Communicable Diseases; an experience from Bihar, India

    Directory of Open Access Journals (Sweden)

    Akanksha Gautam

    2016-12-01

    Full Text Available Background: The state of Bihar in India has high prevalence of non-communicable diseases (NCDs. A NCDs training program using virtual platform was implemented for medical officers posted at public health facilities from two districts of Bihar.   Aims & Objectives: The aim of this analysis was to evaluate the effectiveness of a pilot NCDs training program in improving the knowledge of Medical officers using virtual platform.   Material & Methods: A secondary analysis of pre-post NCDs training data was undertaken. A structured knowledge assessment tool (KAT was used to assess the knowledge of participants before and after completion of training. Also, post-training participant’s feedback was collected using a “Likert scale”. Statistical analysis: Median pre-post KAT scores were calculated and compared for statistical significance using “Wilcoxon Signed Rank test”. The proportions of participants satisfied with training were also calculated. Results: The pre-post KAT scores for diabetes, hypertension and CAD were ranked, analysed and found to be statistically significant (p < .001. Overall 94% of the participants were satisfied with the virtual training on NCDs. Conclusion: This study demonstrated that the NCDs training using virtual platform significantly improved the knowledge of medical officers and was found to be highly acceptable by them.

  1. Evaluation of a social franchising and telemedicine programme and the care provided for childhood diarrhoea and pneumonia, Bihar, India.

    Science.gov (United States)

    Mohanan, Manoj; Giardili, Soledad; Das, Veena; Rabin, Tracy L; Raj, Sunil S; Schwartz, Jeremy I; Seth, Aparna; Goldhaber-Fiebert, Jeremy D; Miller, Grant; Vera-Hernández, Marcos

    2017-05-01

    To evaluate the impact on the quality of the care provided for childhood diarrhoea and pneumonia in Bihar, India, of a large-scale, social franchising and telemedicine programme - the World Health Partners' Sky Program. We investigated changes associated with the programme in the knowledge and performance of health-care providers by carrying out 810 assessments in a representative sample of providers in areas where the programme was and was not implemented. Providers were assessed using hypothetical patient vignettes and the standardized patient method both before and after programme implementation, in 2011 and 2014, respectively. Differences in providers' performance between implementation and nonimplementation areas were assessed using multivariate difference-in-difference linear regression models. The programme did not significantly improve health-care providers' knowledge or performance with regard to childhood diarrhoea or pneumonia in Bihar. There was a persistent large gap between knowledge of appropriate care and the care actually delivered. Social franchising has received attention globally as a model for delivering high-quality care in rural areas in the developing world but supporting data are scarce. Our findings emphasize the need for sound empirical evidence before social franchising programmes are scaled up.

  2. Human, snake, and environmental factors in human-snake conflict in North Bihar — a one-year descriptive study.

    Directory of Open Access Journals (Sweden)

    Takanungsang Longkumer

    2016-01-01

    Full Text Available Background: The state of Bihar has the third largest number of snakebite deaths in India. The purpose of this study is to explore the factors related to human-snake conflicts in northwest Bihar and southern Nepal. Using these findings, various strategies were proposed to reduce the incidence of snakebites. Method: Data were collected from 609 patients at Duncan Hospital in Raxaul, Bihar, India between 1 July 2012 and 30 June 2013. Patients were included if they had a history of snakebite or unknown bites. Patients with symptoms of envenomation but no known bites were also included, as were patients who were dead on arrival due to a snakebite. Results: The 10-19 year old age group is the peak age group (28.4% for snakebite. There is a slight preponderance of males (52.7%. 51.4% of bites occurred on the foot/ankle. The envenomation rate was 12.6%. The mortality rate of those envenomed that arrived at the hospital alive was 6.3%. Fourteen people were dead on arrival at the hospital.75% of people were unable to identify what, or what type of snake, bit them. Common Wolf Snakes (Lycodon aulicus were the most common snakes brought to the hospital, followed by Spectacled Cobra (Naja naja. Patients who brought snakes to the hospital and attempted identification were all successful at identifying cobras, but all those who brought in Common Wolf Snakes incorrectly identified them as Kraits. The highest monthly frequency of snakebites occurred between June and September; while on a daily basis, the highest frequency occurred between 1700hrs-2200hrs, the time in which 39.1% of all bites occurred.59.2% of the bites occurred in and around the house. Farming, housework, sleeping, playing, and toileting in fields were the activities most commonly occurring when bitten. Sleeping on the floor increased the risk of envenomation [OR= 5.8, 95%CI 1.8-18.6], while sleeping under a mosquito net decreased the risk of envenomation [OR= 0.17, 95%CI 0.04-0.6]. Conclusion

  3. Studies on taxonomy and distribution of Acridoidea (Orthoptera of Bihar, India

    Directory of Open Access Journals (Sweden)

    M.K. Usmani

    2012-10-01

    Full Text Available Thirty seven species of locusts and grasshoppers representing 26 genera, four tribes and 12 subfamilies belonging to the families Pyrgomorphidae, Catantopidae and Acrididae are reported from different localities of Bihar. Their distinguishing characters and bio-ecological data are provided along with keys to tribes and subfamilies. This paper comprising of distribution and field observation along with taxonomy of Acridoid fauna is the first of its kind from the state.

  4. Rollout of quality assurance interventions in labor room in two districts of Bihar, India.

    Science.gov (United States)

    Sharma, Jyoti; Neogi, Sutapa B; Negandhi, Preeti; Chauhan, Monika; Reddy, Siddharth; Sethy, Ghanshyam

    2016-01-01

    Quality of care at the facilities during childbirth remains a major concern. Improved quality could have the greatest dividend in saving maternal and newborn lives. The objective of this study was to implement quality assurance measures in the labor rooms of select public health facilities in two districts of Bihar. The labor room quality assurance intervention was implemented in two districts, Gaya and Purnea in Bihar. Health facilities having >200 deliveries/month were assessed using labor room quality assurance checklist developed by the Ministry of Health and Family Welfare. The critical gaps affecting service delivery were identified, and a list of priority actions for quality improvement was developed. An intervention model was rolled out in consultation with the district authorities focusing on the building blocks of the health system. The interventions were implemented from August 2014 to March 2016 in selected facilities after which an assessment was conducted. Initial assessment of labor room was conducted in 24 facilities. After 2 years of intervention, there was a definite improvement in quality assurance scores in most facilities. The infection control scores increased by 20 points in Gaya (from 40 to 59.9) and 10 points in Purnea (from 57.6 to 67.1). The highest gain in scores was observed in quality management component in Gaya (from 6.2 to 58.2). The model attempted to incorporate all the elements of the health system to ensure scalability and sustainability. It is possible to have an implementable quality assurance mechanism within public health system with sustained efforts and commitment.

  5. Predictors of Essential Health and Nutrition Service Delivery in Bihar, India: Results From Household and Frontline Worker Surveys

    Science.gov (United States)

    Kosec, Katrina; Avula, Rasmi; Holtemeyer, Brian; Tyagi, Parul; Hausladen, Stephanie; Menon, Purnima

    2015-01-01

    Background: In Bihar, India, coverage of essential health and nutrition interventions is low. These interventions are provided by 2 national programs—the Integrated Child Development Services (ICDS) and Health/National Rural Health Mission (NRHM)—through Anganwadi workers (AWWs) and Accredited Social Health Activists (ASHAs), respectively. Little is known, however, about factors that predict effective service delivery by these frontline workers (FLWs) or receipt of services by households. This study examined the predictors of use of 4 services: (1) immunization information and services, (2) food supplements, (3) pregnancy care information, and (4) general nutrition information. Methods: Data are from a 2012 cross-sectional survey of 6,002 households in 400 randomly selected villages in 1 district of Bihar state, as well as an integrated survey of 377 AWWs and 382 ASHAs from the same villages. For each of the 4 service delivery outcomes, logistic regression models were specified using a combination of variables hypothesized to be supply- and demand-side drivers of service utilization. Results: About 35% of households reported receiving any of the 4 services. Monetary immunization incentives for AWWs (OR = 1.55, CI = 1.02–2.36) and above-median household head education (OR = 1.39, CI = 1.05–1.82) were statistically significant predictors of household receipt of immunization services. Higher household socioeconomic status was associated with significantly lower odds of receiving food supplements (OR = 0.87, CI = 0.79–0.96). ASHAs receiving incentives for institutional delivery (OR = 1.52, CI = 0.99–2.33) was marginally associated with higher odds of receiving pregnancy care information, and ASHAs who maintained records of pregnant women was significantly associated with households receiving such information (OR = 2.25, CI = 1.07–4.74). AWWs receiving immunization incentives was associated with significantly higher

  6. Climate Variability and Change in Bihar, India: Challenges and Opportunities for Sustainable Crop Production

    Directory of Open Access Journals (Sweden)

    Kindie Tesfaye

    2017-11-01

    Full Text Available Climate change and associated uncertainties have serious direct and indirect consequences for crop production and food security in agriculture-based developing regions. Long-term climate data analysis can identify climate risks and anticipate new ones for planning appropriate adaptation and mitigation options. The aim of this study was to identify near-term (2030 and mid-term (2050 climate risks and/or opportunities in the state of Bihar, one of India’s most populous and poorest states, using weather data for 30 years (1980–2009 as a baseline. Rainfall, maximum and minimum temperatures, and evapotranspiration will all increase in the near- and mid-term periods relative to the baseline period, with the magnitude of the change varying with time, season and location within the state. Bihar’s major climate risks for crop production will be heat stress due to increasing minimum temperatures in the rabi (winter season and high minimum and maximum temperatures in the spring season; and intense rainfall and longer dry spells in the kharif (monsoon season. The increase in annual and seasonal rainfall amounts, and extended crop growing period in the kharif season generally provide opportunities; but increasing temperature across the state will have considerable negative consequences on (staple crops by affecting crop phenology, physiology and plant-water relations. The study helps develop site-specific adaptation and mitigation options that minimize the negative effects of climate change while maximizing the opportunities.

  7. Quality of Life in Geriatric Population in a Community Development Block of Kishanganj, Bihar, India

    Directory of Open Access Journals (Sweden)

    Somenath Ghosh

    2017-01-01

    Full Text Available Background: Ageing universally affects individual, family, community and society with reduction in quality of life on chronologic, biological, social, and psychological dimensions. Aim and Objectives: The study was done to assess quality of life in physical, psychological, social and environmental domains among elderly population in relation to sociodemographic character. Material and Methods: A cross-sectional study was conducted among census population of 63 elderly individuals in Chanamana village, a community development block of Potia, Kishanganj, Bihar from 1st June –31st July 2014. By interview technique the quality of life was assessed using World Health Organization Quality of Life-BREF (WHOQOL-BREF questionnaire. Mean score was computed and compared by Z -test and one-way ANOVA using SPSS software, version 19.0. Results: Among the study participants with alike gender distribution, majority (68.25% were in age group of 60-69 years, general caste (69.85%, joint family (84.12% and residing with their children (82.54%. Of them 47.62 percent were illiterates and 42.86 percent were still earning. The mean score in the distinct four domains had no significant difference in genders and age groups. Yet, residing with children and belonging to joint family were noted to be significantly improving the scores in all the four domains. Mean scores were also significantly superior in physical, psychological and environmental domains among persons who were married and had their own income. Conclusion: The study showed the quality of life within diverse domains among elderly population need to be addressed with certain socio-demographic factors (joint family, marital status, own earning and children accompanying the geriatric population.

  8. Prevalence and determinants of unmet need for family planning in Kishanganj district, Bihar, India

    Directory of Open Access Journals (Sweden)

    Kanchan Lata

    2012-01-01

    Full Text Available Background: Unmet need is a valuable indicator for assessing the achievements of national family planning programs. The present study was undertaken with the objectives to determine the magnitude of unmet need for family planning among the married women of reproductive age group (15-49 years, to evaluate the various factors that influence the unmet need and to explore the common reasons for unmet need for family planning. Methods: A community based, cross-sectional study was conducted from February to April 2012 in Laucha village in Kishanganj, Bihar through multistage sampling. Married women aged 15-49 years, who were permanent residents of the village, were selected by complete enumeration (330 in total and interviewed through house to house survey with the help of a pre-designed, pre-tested and semi-structured questionnaire. Results: The total unmet need for family planning was 23.9%; 9.4% for spacing births and 14.5% for limiting births. The unmet need varied significantly with age (p < 0.05 and was highest in ≤ 19 years age group (33.7%. It was also significantly higher among illiterates, those with low monthly per capita income, among Muslims and among those having more than two living issues (p < 0.05. Husband’s disapproval (34.2%, lack of awareness (27.8% and fear of side effects (24.1% were common reasons behind the unmet need. Conclusion: the unmet need for family planning was quite high among the respondents and associated with various bio-social determinants that should be considered while planning for scaling-up the program.

  9. Prevalence and determinants of unmet need for family planning in Kishanganj district, Bihar, India

    Directory of Open Access Journals (Sweden)

    Kanchan Lata

    2012-07-01

    Full Text Available Background: Unmet need is a valuable indicator for assessing the achievements of national family planning programs. The present study was undertaken with the objectives to determine the magnitude of unmet need for family planning among the married women of reproductive age group (15-49 years, to evaluate the various factors that influence the unmet need and to explore the common reasons for unmet need for family planning. Methods: A community based, cross-sectional study was conducted from February to April 2012 in Laucha village in Kishanganj, Bihar through multistage sampling. Married women aged 15-49 years, who were permanent residents of the village, were selected by complete enumeration (330 in total and interviewed through house to house survey with the help of a pre-designed, pre-tested and semi-structured questionnaire. Results: The total unmet need for family planning was 23.9%; 9.4% for spacing births and 14.5% for limiting births. The unmet need varied significantly with age (p < 0.05 and was highest in ≤ 19 years age group (33.7%. It was also significantly higher among illiterates, those with low monthly per capita income, among Muslims and among those having more than two living issues (p < 0.05. Husband’s disapproval (34.2%, lack of awareness (27.8% and fear of side effects (24.1% were common reasons behind the unmet need. Conclusion: the unmet need for family planning was quite high among the respondents and associated with various bio-social determinants that should be considered while planning for scaling-up the program.

  10. Predictors of Essential Health and Nutrition Service Delivery in Bihar, India: Results From Household and Frontline Worker Surveys.

    Science.gov (United States)

    Kosec, Katrina; Avula, Rasmi; Holtemeyer, Brian; Tyagi, Parul; Hausladen, Stephanie; Menon, Purnima

    2015-06-17

    In Bihar, India, coverage of essential health and nutrition interventions is low. These interventions are provided by 2 national programs--the Integrated Child Development Services (ICDS) and Health/National Rural Health Mission (NRHM)--through Anganwadi workers (AWWs) and Accredited Social Health Activists (ASHAs), respectively. Little is known, however, about factors that predict effective service delivery by these frontline workers (FLWs) or receipt of services by households. This study examined the predictors of use of 4 services: (1) immunization information and services, (2) food supplements, (3) pregnancy care information, and (4) general nutrition information. Data are from a 2012 cross-sectional survey of 6,002 households in 400 randomly selected villages in 1 district of Bihar state, as well as an integrated survey of 377 AWWs and 382 ASHAs from the same villages. For each of the 4 service delivery outcomes, logistic regression models were specified using a combination of variables hypothesized to be supply- and demand-side drivers of service utilization. About 35% of households reported receiving any of the 4 services. Monetary immunization incentives for AWWs (OR = 1.55, CI = 1.02-2.36) and above-median household head education (OR = 1.39, CI = 1.05-1.82) were statistically significant predictors of household receipt of immunization services. Higher household socioeconomic status was associated with significantly lower odds of receiving food supplements (OR = 0.87, CI = 0.79-0.96). ASHAs receiving incentives for institutional delivery (OR = 1.52, CI = 0.99-2.33) was marginally associated with higher odds of receiving pregnancy care information, and ASHAs who maintained records of pregnant women was significantly associated with households receiving such information (OR = 2.25, CI = 1.07-4.74). AWWs receiving immunization incentives was associated with significantly higher odds of households receiving general

  11. Incidence of visceral leishmaniasis in the Vaishali district of Bihar, India: spatial patterns and role of inland water bodies

    Directory of Open Access Journals (Sweden)

    Gouri Sankar Bhunia

    2011-05-01

    Full Text Available The role of the distribution of inland water bodies with respect to the transmission of visceral leishmaniasis (VL and its dominant vector, Phlebotomous argentipes, has been studied at the regional scale in Bihar, eastern India. The Landsat TM sensor multispectral scanning radiometer, with a spatial resolution of 30 m in the visible, reflective-infrared and shortwave- infrared (SWIR bands, was used to identify water bodies using the normalized differential pond index (NDPI calculated as follows: (Green – SWIR I/(Green + SWIR I. Nearest neighbour and grid square statistics were used to delineate spatial patterns and distribution of the sandfly vector and the disease it transmits. The female P. argentipes sandfly was found to be associated with the distance from open water and particularly abundant near non-perennial river banks (68.4%; P <0.001, while its association with rivers was focused further away from the water source (X2 = 26.3; P <0.001. The results also reveal that the distribution of VL is clustered around non-perennial riverbanks, while the pattern is slightly random around the perennial river banks. The grid square technique illustrate that the spatial distribution of the disease has a much stronger correlation with lower density of open waters surfaces as well as with sandfly densities (X2 = 26.0; P <0.001. The results of our study suggest that inland water presence poses a risk for VL by offering suitable breeding sites for P. argentipes, a fact that should be taken into account when attempting to control disease transmission.

  12. Healthcare seeking behaviour among self-help group households in Rural Bihar and Uttar Pradesh, India

    NARCIS (Netherlands)

    W.A. Raza (Wameq); E. Van de Poel (Ellen); P. Panda (Pradeep); D.M. Dror (David); A.S. Bedi (Arjun Singh)

    2016-01-01

    textabstractBackground: In recent years, supported by non-governmental organizations (NGOs), a number of community-based health insurance (CBHI) schemes have been operating in rural India. Such schemes design their benefit packages according to local priorities. This paper examines healthcare

  13. Healthcare Seeking Behavior among Self-help Group Households in Rural Bihar and Uttar Pradesh, India

    NARCIS (Netherlands)

    W.A. Raza (Wameq); P. Panda (Pradeep); E. Van de Poel (Ellen); D.M. Dror (David); A.S. Bedi (Arjun Singh)

    2013-01-01

    textabstractIn recent years, supported by non-governmental organizations (NGOs), a number of demand-driven community-based health insurance (CBHI) schemes have been functioning in rural India. These CBHI schemes may design their benefit packages according to local priorities. In this paper we

  14. Growth and public finance in Bihar

    OpenAIRE

    Das, Gupta Chirashree

    2012-01-01

    This paper explores the causal links between the role of public finance and Bihar's growth and development in the last decade; and argues that these links are tenuous. Bihar's growth acceleration precedes the ‘policy reforms' in public finance based on the ‘good governance' agenda initiated since 2005-06. However, the constraints on sustaining efforts to close Bihar's development gap with the rest of India stems from the nature of the growth process in its regional, sectoral and social dimens...

  15. Five-year field results and long-term effectiveness of 20 mg/kg liposomal amphotericin B (Ambisome for visceral leishmaniasis in Bihar, India.

    Directory of Open Access Journals (Sweden)

    Sakib Burza

    Full Text Available BACKGROUND: Visceral Leishmaniasis (VL; also known as Kala-azar is an ultimately fatal disease endemic in Bihar. A 2007 observational cohort study in Bihar of 251 patients with VL treated with 20 mg/Kg intravenous liposomal amphotericin B (Ambisome demonstrated a 98% cure rate at 6-months. Between July 2007 and August 2012, Médecins Sans Frontières (MSF and the Rajendra Memorial Research Institute (RMRI implemented a VL treatment project in Bihar, India-an area highly endemic for Leishmania donovani-using this regimen as first-line treatment. METHODS AND PRINCIPAL FINDINGS: Intravenous Ambisome 20 mg/kg was administered in four doses of 5 mg/kg over 4-10 days, depending on the severity of disease. Initial clinical cure at discharge was defined as improved symptoms, cessation of fever, and recession of spleen enlargement. This observational retrospective cohort study describes 8749 patients with laboratory-confirmed primary VL treated over a 5-year period: 1396 at primary healthcare centers, 7189 at hospital, and 164 at treatment camps. Initial clinical cure was achieved in 99.3% of patients (8692/8749; 0.3% of patients (26/8749 defaulted from treatment and 0.4% (31/8749 died. Overall, 1.8% of patients (161/8749 were co-infected with HIV and 0.6% (51/8749 with tuberculosis. Treatment was discontinued because of severe allergic reactions in 0.1% of patients (7/8749. Overall, 27 patients (0.3% were readmitted with post Kala-azar dermal leishmaniasis (PKDL. Risk factors for late presentation included female sex, age >15 years and being from a scheduled caste. In 2012, a long-term efficacy survey in the same area of Bihar determined relapse rates of VL after 5 years' intervention with Ambisome. Of 984 immunocompetent patients discharged between September 2010 and December 2011, 827 (84.0% were traced in order to determine their long-term outcomes. Of these, 20 patients (2.4% had relapsed or received further treatment for VL. Of those completing 6

  16. A situation analysis of public health interventions, barriers, and opportunities for improving maternal nutrition in Bihar, India.

    Science.gov (United States)

    Noznesky, Elizabeth A; Ramakrishnan, Usha; Martorell, Reynaldo

    2012-06-01

    Maternal underweight and anemia are highly prevalent in Bihar, especially among adolescent girls aged 15 to 19 years. Although numerous programs and platforms exist for delivering efficacious interventions for improving maternal nutrition, the coverage and quality of these interventions are low. To examine existing interventions for reducing maternal undernutrition in Bihar and identify barriers to and opportunities for expanding their coverage and quality. The research was conducted in New Delhi and Bihar between May and August 2010. Forty-eight key informant interviews were conducted with policy makers, program managers, and service providers at multiple levels. Secondary data were collected from survey reports and program documents. All data were analyzed thematically. Barriers to the delivery and uptake of interventions to improve maternal nutrition include the shortage of essential inputs, low prioritization of maternal undernutrition, sterilization bias within the family planning program, weak management systems, poverty, gender inequality, caste discrimination, and flooding. In order to overcome barriers and improve service delivery, the current government and its partners have introduced structural reforms within the public health system, launched new programs for underserved groups, developed innovative approaches, and experimented with new technologies. Since coming to power, the Government of Bihar has achieved impressive increases in the coverage of prioritized health services, such as institutional deliveries and immunization. This success presents it with an excellent opportunity to further reduce maternal and infant mortality by turning its attention to the serious problem of maternal undernutrition and low birthweight.

  17. Effectiveness of virtual classroom training in improving the knowledge and key maternal neonatal health skills of general nurse midwifery students in Bihar, India: A pre- and post-intervention study.

    Science.gov (United States)

    Agrawal, Neeraj; Kumar, Somesh; Balasubramaniam, Sudharsanam Manni; Bhargava, Saurabh; Sinha, Pallavi; Bakshi, Bhawna; Sood, Bulbul

    2016-01-01

    In 2008-09, the National Health Systems Resource Center of India reported overall quality of nurse-midwifery education in Bihar as grossly sub-optimal. To address this, we implemented a competency-based training using virtual classrooms in two general nurse midwives (GNM) schools of Bihar. The students from remotely located nursing institutions were now able to see live demonstrations of maternal and newborn health (MNH) practices performed by a trained faculty on simulation models at instructor location. To evaluate the effectiveness of virtual classroom training in improving the MNH-related skills of the nursing-midwifery students in Bihar, India. This study used a pre- and post-intervention design without a control group. Students from two public GNM schools of Bihar. Final-year students from both the GNM schools who have completed their coursework in MNH. A total of 83 students from selected GNM schools were assessed for their competencies in six key MNH practices using objective structured clinical examination method prior to intervention. A 72hour standardized training package was then implemented in these schools through virtual classroom approach. Post-intervention, 92 students from the next batch who attended virtual training were assessed for the same competencies. The mean student score assessed before the intervention was 21.3 (95% CI, 19.9-22.6), which increased to 62.0 (95% CI, 60.3-63.7) post-intervention. This difference was statistically significant. When adjusted for clustering using linear regression analysis, the students in post-intervention scored 52.3 (95% CI, 49.4%-55.3%) percentage points higher than pre-intervention, and this was statistically significant. Virtual classroom training was found to be effective in improving knowledge and key MNH skills of GNM students in Bihar, India. Copyright © 2015. Published by Elsevier Ltd.

  18. Care of the mother-infant dyad: a novel approach to conducting and evaluating neonatal resuscitation simulation training in Bihar, India.

    Science.gov (United States)

    Vail, Brennan; Spindler, Hilary; Morgan, Melissa C; Cohen, Susanna R; Christmas, Amelia; Sah, Pramod; Shah, Malay B; Das, Aritra; Walker, Dilys M

    2017-07-28

    As the global under-five mortality rate declines, an increasing percentage is attributable to early neonatal mortality. A quarter of early neonatal deaths are due to perinatal asphyxia. However, neonatal resuscitation (NR) simulation training in low-resource settings, where the majority of neonatal deaths occur, has achieved variable success. In Bihar, India, the poorest region in South Asia, there is tremendous need for a new approach to reducing neonatal morality. This analysis aims to assess the impact of a novel in-situ simulation training program, developed by PRONTO International and implemented in collaboration with CARE India, on NR skills of nurses in Bihar. Skills were evaluated by clinical complexity of the simulated scenario, which ranged from level 1, requiring NR without a maternal complication, to level 3, requiring simultaneous management of neonatal and maternal complications. A total of 658 nurses at 80 facilities received training 1 week per month for 8 months. Simulations were video-recorded and coded for pre-defined clinical skills using Studiocode™. A total of 298 NR simulations were analyzed. As simulation complexity increased, the percentage of simulations in which nurses completed key steps of NR did not change, even with only 1-2 providers in the simulation. This suggests that with PRONTO training, nurses were able to maintain key skills despite higher clinical demands. As simulation complexity increased from level 1 to 3, time to completion of key NR steps decreased non-significantly. Median time to infant drying decreased by 7.5 s (p = 0.12), time to placing the infant on the warmer decreased by 21.7 s (p = 0.27), and time to the initiation of positive pressure ventilation decreased by 20.8 s (p = 0.12). Nevertheless, there remains a need for improvement in absolute time elapsed between delivery and completion of key NR tasks. PRONTO simulation training enabled nurses in Bihar to maintain core NR skills in simulation despite

  19. Use of antiseptic for cord care and its association with neonatal mortality in a population-based assessment in Bihar State, India.

    Science.gov (United States)

    Dandona, Rakhi; Kochar, Priyanka S; Kumar, G Anil; Dandona, Lalit

    2017-01-25

    Dry cord care is recommended for all births by the Health Ministry in India. We report prevalence of antiseptic cord care in the context of neonatal mortality in the Indian state of Bihar. Population-based cross-sectional study with multistage stratified random sampling. Households in 1017 clusters in Bihar. A representative sample of 12 015 women with a live birth in the last 12 months were interviewed from all 38 districts of Bihar (90.7% participation) in 2014. Use of antiseptic cord care at birth and its association with neonatal mortality using multiple logistic regression. Topical application of any material on cord was reported by 6534 women (54.4%; 95% CI 53.5% to 55.3%). Antiseptic cord care prevalence was 49.7% (95% CI 48.8% to 50.6%), the majority of which was gentian violet (76.4%). The odds of antiseptic use for cord care were higher in facility births (OR 1.46; 95% CI 1.27 to 1.69) and for deliveries by a qualified health provider (OR 1.44; 95% CI 1.26 to 1.66), but were lower for births that occurred before the expected delivery date (OR 0.77; 95% CI 0.61 to 0.96). A total of 256 (2.1%) newborns died during the neonatal period. The odds of neonatal death were significantly higher for live births with no reported antiseptic use (OR 1.53; 95% CI 1.18 to 1.99), and this association persisted when live births in health facilities were considered separately. Even though dry cord care is recommended by health authorities in India, half the women in this study reported use of antiseptic for cord care mainly with gentian violet; and its use had beneficial effect on neonatal mortality. These findings suggest that the application of readily available gentian violet for cord care in less developed settings should be assessed further for its potential beneficial influence on neonatal mortality. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/.

  20. Making the continuum of care work for mothers and infants: Does gender equity matter? Findings from a quasi-experimental study in Bihar, India.

    Science.gov (United States)

    McDougal, Lotus; Atmavilas, Yamini; Hay, Katherine; Silverman, Jay G; Tarigopula, Usha K; Raj, Anita

    2017-01-01

    Improvements in continuum of care (CoC) utilization are needed to address inadequate reductions in neonatal and infant mortality in India and elsewhere. This study examines the effect of Ananya, a health system training and community outreach intervention, on reproductive, maternal and newborn health continuum of care (RMNH CoC) utilization in Bihar, India, and explores whether that effect is moderated by gender equity factors (child marriage, restricted mobility and low decision-making control). A two-armed quasi-experimental design compared districts in Bihar that did/did not implement Ananya. Cross-sections of married women aged 15-49 with a 0-5 month old child were surveyed at baseline and two year follow-up (baseline n = 7191 and follow-up n = 6143; response rates 88.9% and 90.7%, respectively). Difference-in-difference analyses assessed program impact on RMNH CoC co-coverage, defined by 9 health services/behaviors for the index pregnancy (e.g., antenatal care, skin-to-skin care). Three-way interactions assessed gender equity as a moderator of Ananya's impact. Participants reported low RMNH CoC co-coverage at baseline (on average 3.2 and 3.0 of the 9 RMNH services/behaviors for Ananya and control groups, respectively). The Ananya group showed a significantly greater increase in RMNH CoC co-coverage (.41 services) compared with the control group over time (pChild marriage attenuated Ananya's impact on utilization of key health services and behaviors. Supporting the health system with training and community outreach can be beneficial to RMNH CoC utilization; additional support is needed to adequately address the unique issues faced by women married as minors.

  1. Health-seeking behaviour and community perceptions of childhood undernutrition and a community management of acute malnutrition (CMAM) programme in rural Bihar, India: a qualitative study.

    Science.gov (United States)

    Burtscher, Doris; Burza, Sakib

    2015-12-01

    Since 2009, Médecins Sans Frontières has implemented a community management of acute malnutrition (CMAM) programme in rural Biraul block, Bihar State, India that has admitted over 10 000 severely malnourished children but has struggled with poor coverage and default rates. With the aim of improving programme outcomes we undertook a qualitative study to understand community perceptions of childhood undernutrition, the CMAM programme and how these affected health-seeking behaviour. Semi-structured and narrative interviews were undertaken with families of severely malnourished children, non-undernourished children and traditional and allopathic health-care workers. Analysis of transcripts was by qualitative content analysis. Biraul, Bihar State, India, 2010. One hundred and fifty people were interviewed in individual or group discussions during fifty-eight interviews. Undernutrition was not viewed as a disease; instead, local disease concepts were identified that described the clinical spectrum of undernutrition. These concepts informed perception, so caregivers were unlikely to consult health workers if children were 'only skinny'. Hindu and Muslim priests and other traditional health practitioners were more regularly consulted and perceived as easier to access than allopathic health facilities. Senior family members and village elders had significant influence on the health-seeking behaviour of parents of severely malnourished children. The results reaffirm how health education and CMAM programmes should encompass local disease concepts, beliefs and motivations to improve awareness that undernutrition is a disease and one that can be treated. CMAM is well accepted by the community; however, programmes must do better to engage communities, including traditional healers, to enable development of a holistic approach within existing social structures.

  2. Individual and facility-level determinants of iron and folic acid receipt and adequate consumption among pregnant women in rural Bihar, India.

    Directory of Open Access Journals (Sweden)

    Amanda Wendt

    Full Text Available In Bihar, India, high maternal anemia prevalence and low iron and folic acid supplement (IFA receipt and consumption have continued over time despite universal IFA distribution and counseling during pregnancy.To examine individual and facility-level determinants of IFA receipt and consumption among pregnant women in rural Bihar, India.Using District Level Household Survey (2007-08 data, multilevel modeling was conducted to examine the determinants of two outcomes: IFA receipt (any IFA receipt vs. none and IFA consumption (≥90 days vs. <90 days. Individual-level and facility-level factors were included. Factor analysis was utilized to construct antenatal care (ANC quality and health sub-center (HSC capacity variables.Overall, 37% of women received any IFA during their last pregnancy. Of those, 24% consumed IFA for 90 or more days. Women were more likely to receive any IFA when they received additional ANC services and counseling, and attended ANC earlier and more frequently. Significant interactions were found between ANC quality factors (odds ratio (OR: 0.37, 95% confidence interval (CI: 0.25, 0.56 and between ANC services and ANC timing and frequency (OR: 0.68, 95% CI: 0.56, 0.82. No HSC factors were significantly associated with IFA receipt. Women were more likely to consume IFA for ≥90 days if they attended at least 4 ANC check-ups and received more ANC services. IFA supply at the HSC (OR: 1.37, 95% CI: 1.04, 1.82 was also significantly associated with IFA consumption.Our findings indicate that individual and ANC factors (timing, frequency, and quality play a key role in facilitating IFA receipt and consumption. Although HSC capacity factors were not found to influence our outcomes, significant variation at the facility level indicates unmeasured factors that could be important to address in future interventions.

  3. The Mighty Ganges and its Journey Through the Silk City: A Case Study of Water Quality and its Impact on Health in Bhagalpur, Bihar, India, using Machine Learning, GIS & Remote Sensing

    Science.gov (United States)

    Zaman, B.; Kumar, N.

    2016-12-01

    River Ganges with an approximate stretch of 2525 km serves about 40% of India's population across 11 states, one of which is Bihar. The district Bhagalpur is located in the eastern part of Bihar and extends between the north latitudes of 25°03'40" and 25°30'00" and east longitudes of 86°30'00" and 87°29'45" encompassing approximately 66 km stretch of the Ganges. It forms a part of the mid- Gangetic alluvium plain covering an area of 2570 km2. The total population of the district stands at 3.03 million with a population density of 743 per km2. Ganges is a life line of millions of people with utmost religious significance but its banks have become a dumping ground for untreated urban sewage, industrial waste, disposal of solid corpses etc. which has led to severe environmental issues and as reported by the Central Ground water Board, the southern part of the city is affected by arsenic contamination in ground water (> 50 mg/L as per WHO norm). The municipal corporation is trying to cope up. This study aims at a comprehensive analysis of water quality along the entire 66 km stretch of the river. The methodology would involve dividing the stretch into 1 km sub-study areas and collection of 10 water samples from each stretch. Samples will also be collected at disposal points from industries especially the silk manufacturing units, sewage disposal points, cremation grounds, pesticide disposal points. A high resolution remotely sensed imagery of the city would be used and the multi-class relevance vector machine (MCRVM) would be used to broadly classify the landuse/landcover and this synoptic view of the city would facilitate the understanding of the urban environment. In conjunction, a standard questionnaire on health along with GPS locations would be collected from sample population inhabiting the demarcated stretches. Analysis would include physical, chemical and bacteriological tests on water samples. The results would bring forth the water quality and check for

  4. Bionomics of Phlebotomus argentipes in villages in Bihar, India with insights into efficacy of IRS-based control measures.

    Directory of Open Access Journals (Sweden)

    David M Poché

    2018-01-01

    Full Text Available Visceral leishmaniasis (VL is a deadly vector-borne disease. Approximately 90% of Indian VL cases occur in Bihar, where the sand fly, Phlebotomus argentipes, is the principal vector. Sand fly control in Bihar consists of indoor residual spraying (IRS, the practice of spraying the inner walls of village dwellings with insecticides. Prior researchers have evaluated success of IRS-control by estimating vector abundance in village houses, but the number of sampling periods (n = 2-3 were minimal, and outdoor-resting P. argentipes were neglected. We describe a large-scale field study, performed in 24 villages within two Bihari districts, during which P. argentipes were collected biweekly over 47-weeks, in cattle enclosures, houses, and outdoors in peri-domestic vegetation. The objectives of this study were to provide updated P. argentipes ecological field data, and determine if program-initiated IRS-treatment had led to noticeable differences in vector abundance.P. argentipes (n = 126,901 relative abundance was greatest during the summer months (June-August when minimum temperatures were highest. P. argentipes were most frequently collected from cattle enclosures (~46% total; ~56% blood fed. Many sand flies were found to have taken blood from multiple sources, with ~81% having blood fed on humans and ~60% blood feeding on bovines. Nonparametric statistical tests were determined most appropriate for evaluating IRS-treatment. Differences in P. argentipes abundance in houses, cattle enclosures and vegetation were detected between IRS-treated and untreated villages in only ~9% of evaluation periods occurring during the peak period of human-vector exposure (June-August and in ~8% of the total observations. No significant differences were detected between the numbers of P. argentipes collected in vegetation close to the experimental villages.The results of this study provide updated data regarding P. argentipes seasonal abundance, spatial distribution, and

  5. Bionomics of Phlebotomus argentipes in villages in Bihar, India with insights into efficacy of IRS-based control measures.

    Science.gov (United States)

    Poché, David M; Garlapati, Rajesh B; Mukherjee, Shanta; Torres-Poché, Zaria; Hasker, Epco; Rahman, Tahfizur; Bharti, Aakanksha; Tripathi, Vishnu P; Prakash, Suman; Chaubey, Rahul; Poché, Richard M

    2018-01-01

    Visceral leishmaniasis (VL) is a deadly vector-borne disease. Approximately 90% of Indian VL cases occur in Bihar, where the sand fly, Phlebotomus argentipes, is the principal vector. Sand fly control in Bihar consists of indoor residual spraying (IRS), the practice of spraying the inner walls of village dwellings with insecticides. Prior researchers have evaluated success of IRS-control by estimating vector abundance in village houses, but the number of sampling periods (n = 2-3) were minimal, and outdoor-resting P. argentipes were neglected. We describe a large-scale field study, performed in 24 villages within two Bihari districts, during which P. argentipes were collected biweekly over 47-weeks, in cattle enclosures, houses, and outdoors in peri-domestic vegetation. The objectives of this study were to provide updated P. argentipes ecological field data, and determine if program-initiated IRS-treatment had led to noticeable differences in vector abundance. P. argentipes (n = 126,901) relative abundance was greatest during the summer months (June-August) when minimum temperatures were highest. P. argentipes were most frequently collected from cattle enclosures (~46% total; ~56% blood fed). Many sand flies were found to have taken blood from multiple sources, with ~81% having blood fed on humans and ~60% blood feeding on bovines. Nonparametric statistical tests were determined most appropriate for evaluating IRS-treatment. Differences in P. argentipes abundance in houses, cattle enclosures and vegetation were detected between IRS-treated and untreated villages in only ~9% of evaluation periods occurring during the peak period of human-vector exposure (June-August) and in ~8% of the total observations. No significant differences were detected between the numbers of P. argentipes collected in vegetation close to the experimental villages. The results of this study provide updated data regarding P. argentipes seasonal abundance, spatial distribution, and host

  6. Seasonal relationship between normalized difference vegetation index and abundance of the Phlebotomus kala-azar vector in an endemic focus in Bihar, India

    Directory of Open Access Journals (Sweden)

    Gouri S. Bhunia

    2012-11-01

    Full Text Available Remote sensing was applied for the collection of spatio-temporal data to increase our understanding of the potential distribution of the kala-azar vector Phlebotomus argentipes in endemic areas of the Vaishali district of Bihar, India. We produced monthly distribution maps of the normalized difference vegetation index (NDVI based on data from the thematic mapper (TM sensor onboard the Landsat-5 satellite. Minimum, maximum and mean NDVI values were computed for each month and compared with the concurrent incidence of kala-azar and the vector density. Maximum and mean NDVI values (R2 = 0.55 and R2 = 0.60, respectively, as well as the season likelihood ratio (X2 = 17.51; P <0.001, were found to be strongly associated with kala-azar, while the correlation with between minimum NDVI values and kala-azar was weak (R2 = 0.25. Additionally, a strong association was found between the mean and maximum NDVI values with seasonal vector abundance (R2 = 0.60 and R2 = 0.55, respectively but there was only a marginal association between minimum NDVI value and the spatial distribution of kala-azar vis-à-vis P. argentipes density.

  7. Physicians' and non-physicians' views about provision of medical abortion by nurses and AYUSH physicians in Maharashtra and Bihar, India.

    Science.gov (United States)

    Acharya, Rajib; Kalyanwala, Shveta

    2015-02-01

    There is only limited evidence on whether certified and uncertified health care providers in India support reforming the Medical Termination of Pregnancy (MTP) Act to expand the abortion provider base to allow trained nurses and AYUSH physicians (who are trained in Indian systems of medicine) to provide medical abortion. To explore their views, we conducted a survey of 1,200 physicians and other health care providers in Maharashtra and Bihar states and in-depth interviews with 34 of them who had used medical abortion in their practices. Findings indicate that obstetrician-gynaecologists and other allopathic physicians were less supportive than non-physicians of nurses and AYUSH physicians providing early medical abortion. The physicians did not think that these providers would be able to assess women's eligibility for medical abortion correctly. In contrast, the majority of non-physicians found task shifting of medical abortion provision to trained nurses and AYUSH physicians acceptable, and they were confident that these providers would be able to provide medical abortion as safely and effectively as trained physicians. Assuming the reforms are passed, efforts will need to be made by government and medical professional bodies to train these new providers to undertake this role, prepare the health infrastructure to include them, and create an environment, including among physicians, that is conducive to enabling non-physicians to provide medical abortion. Copyright © 2015 Reproductive Health Matters. Published by Elsevier Ltd. All rights reserved.

  8. LiST modelling with monitoring data to estimate impact on child mortality of an ORS and zinc programme with public sector providers in Bihar, India.

    Science.gov (United States)

    Ayyanat, Jayachandran A; Harbour, Catherine; Kumar, Sanjeev; Singh, Manjula

    2018-01-05

    Many interventions have attempted to increase vulnerable and remote populations' access to ORS and zinc to reduce child mortality from diarrhoea. However, the impact of these interventions is difficult to measure. From 2010 to 15, Micronutrient Initiative (MI), worked with the public sector in Bihar, India to enable community health workers to treat and report uncomplicated child diarrhoea with ORS and zinc. We describe how we estimated programme's impact on child mortality with Lives Saved Tool (LiST) modelling and data from MI's management information system (MIS). This study demonstrates that using LiST modelling and MIS data are viable options for evaluating programmes to reduce child mortality. We used MI's programme monitoring data to estimate coverage rates and LiST modelling software to estimate programme impact on child mortality. Four scenarios estimated the effects of different rates of programme scale-up and programme coverage on estimated child mortality by measuring children's lives saved. The programme saved an estimated 806-975 children under-5 who had diarrhoea during five-year project phase. Increasing ORS and zinc coverage rates to 19.8% & 18.3% respectively under public sector coverage with effective treatment would have increased the programme's impact on child mortality and could have achieved the project goal of saving 4200 children's lives during the five-year programme. Programme monitoring data can be used with LiST modelling software to estimate coverage rates and programme impact on child mortality. This modelling approach may cost less and yield estimates sooner than directly measuring programme impact with population-based surveys. However, users must be cautious about relying on modelled estimates of impact and ensure that the programme monitoring data used is complete and precise about the programme aspects that are modelled. Otherwise, LiST may mis-estimate impact on child mortality. Further, LiST software may require modifications

  9. Woman-centered research on access to safe abortion services and implications for behavioral change communication interventions: a cross-sectional study of women in Bihar and Jharkhand, India

    Directory of Open Access Journals (Sweden)

    Banerjee Sushanta K

    2012-03-01

    Full Text Available Abstract Background Unsafe abortion in India leads to significant morbidity and mortality. Abortion has been legal in India since 1971, and the availability of safe abortion services has increased. However, service availability has not led to a significant reduction in unsafe abortion. This study aimed to understand the gap between safe abortion availability and use of services in Bihar and Jharkhand, India by examining accessibility from the perspective of rural, Indian women. Methods Two-stage stratified random sampling was used to identify and enroll 1411 married women of reproductive age in four rural districts in Bihar and Jharkhand, India. Data were collected on women's socio-demographic characteristics; exposure to mass media and other information sources; and abortion-related knowledge, perceptions and practices. Multiple linear regression models were used to explore the association between knowledge and perceptions about abortion. Results Most women were poor, had never attended school, and had limited exposure to mass media. Instead, they relied on community health workers, family and friends for health information. Women who had knowledge about abortion, such as knowing an abortion method, were more likely to perceive that services are available (β = 0.079; p Conclusions Behavior change communication (BCC interventions, which address negative perceptions by improving community knowledge about abortion and support local availability of safe abortion services, are needed to increase enabling resources for women and improve potential access to services. Implementing BCC interventions is challenging in settings such as Bihar and Jharkhand where women may be difficult to reach directly, but interventions can target individuals in the community to transfer information to the women who need this information most. Interpersonal approaches that engage community leaders and influencers may also counteract negative social norms regarding

  10. Woman-centered research on access to safe abortion services and implications for behavioral change communication interventions: a cross-sectional study of women in Bihar and Jharkhand, India

    Science.gov (United States)

    2012-01-01

    Background Unsafe abortion in India leads to significant morbidity and mortality. Abortion has been legal in India since 1971, and the availability of safe abortion services has increased. However, service availability has not led to a significant reduction in unsafe abortion. This study aimed to understand the gap between safe abortion availability and use of services in Bihar and Jharkhand, India by examining accessibility from the perspective of rural, Indian women. Methods Two-stage stratified random sampling was used to identify and enroll 1411 married women of reproductive age in four rural districts in Bihar and Jharkhand, India. Data were collected on women's socio-demographic characteristics; exposure to mass media and other information sources; and abortion-related knowledge, perceptions and practices. Multiple linear regression models were used to explore the association between knowledge and perceptions about abortion. Results Most women were poor, had never attended school, and had limited exposure to mass media. Instead, they relied on community health workers, family and friends for health information. Women who had knowledge about abortion, such as knowing an abortion method, were more likely to perceive that services are available (β = 0.079; p abortion (β = 0.070; p abortion messages were more likely to have favorable attitudes toward abortion (β = 0.182; p abortion and support local availability of safe abortion services, are needed to increase enabling resources for women and improve potential access to services. Implementing BCC interventions is challenging in settings such as Bihar and Jharkhand where women may be difficult to reach directly, but interventions can target individuals in the community to transfer information to the women who need this information most. Interpersonal approaches that engage community leaders and influencers may also counteract negative social norms regarding abortion and associated stigma. Collaborative actions

  11. Association between Early Marriage and Intimate Partner Violence in India: A Focus on Youth from Bihar and Rajasthan

    Science.gov (United States)

    Speizer, Ilene S.; Pearson, Erin

    2011-01-01

    The relationship between intimate partner violence (IPV) and early marriage is explored using the 2005-2006 India National Family Health Survey (NFHS-3). The NFHS-3 collected data from a representative sample of women and men in India with a large enough sample size to have a representative sample at the state level. The focus is on youth from…

  12. A Decade of Rural Transformation : Lessons Learnt from the Bihar Rural Livelihoods Project—JEEViKA

    OpenAIRE

    World Bank Group

    2017-01-01

    The objective of this booklet is to document a decade of journey of the Bihar Rural Livelihoods Project (BRLP) from 2006 to 2016 in the one of the poorest states in India. The project was successfully completed and a follow-on project, Bihar Transformative Development Project (BTDP) commenced in 2016 to expand the BRLP model. This booklet is a joint effort of the Bihar Rural Livelihood Pr...

  13. Survey of acaricides resistance status of Rhipiciphalus (Boophilus) microplus collected from selected places of Bihar, an eastern state of India.

    Science.gov (United States)

    Ghosh, Srikant; Kumar, Rinesh; Nagar, Gaurav; Kumar, Sachin; Sharma, Anil Kumar; Srivastava, Aman; Kumar, Suman; Ajith Kumar, K G; Saravanan, B C

    2015-07-01

    Monitoring acaricide resistance in field ticks and use of suitable managemental practices are essential for controlling tick populations infesting animals. In the present study, the acaricide resistance status in Rhipicephalus (Boophilus) microplus ticks infesting cattle and buffaloes of five districts located in the eastern Indian state, Bihar were characterized using three data sets (AIT, Biochemical assays and gene sequences). Adult immersion test (AIT) was adopted using seven field isolates and their resistance factor (RF) was determined. Six isolates (DNP, MUZ, BEG, VSH, DRB and SUL) were found resistant to both deltamethrin and diazinon and except VSH all were resistant to cypermethrin. One isolate (PTN) was susceptible with a RF below 1.5. To understand the possible mode of resistance development, targeted enzymes and gene sequences of the para sodium channel and achetylcholinesterase 2 (AChE2) were analyzed. The esterase, monooxygenase and glutathione-S-transferase (GST) activity of reference susceptible IVRI-I line was determined as 2.47 ± 0.007 nmol/min/mg protein, 0.089 ± 0.0016 nmol/mg of protein and 0.0439 ± 0.0003 nmol/mg/min respectively, which increased significantly in the resistant field isolates. However, except esterases, the fold increase of monooxygenase (1.14-2.27 times) and GST (0.82-1.53 times) activities were not very high. A cytosine (C) to adenine (A) nucleotide substitution (CTC to ATC) at position 190 in domain II S4-5 linker region was detected only in one isolate (SUL) having RF of 34.9 and in the reference deltamethrin resistant line (IVRI-IV). However, the T2134A mutation was not detected in domain IIIS6 transmembrane segment of resistant isolates and also in reference IVRI-IV line despite of varying degree of resistance. The flumethrin specific G215T and the recently identified T170C mutations were also absent in domain II sequences under study. Four novel amino acid substitutions in AChE2 gene of field isolates and in

  14. Pressure and poverty in Bihar.

    Science.gov (United States)

    Datta, B

    1992-01-01

    The biomass crisis in the indian state of Bihar, and its effects on women's lives and nutrition, are delineated. Bihar is India's 2nd most populous state and has 497 people/km. Many families of 5-10 people farm less than 1 acre, and may share small houses with 3-4 other families. Women are responsible for gathering fuel. Until a few years ago they walked 1-2 km; now they walk 8-10 km to search for firewood. Women used to use only twigs and small branches for firewood, saving the trees. Now people cut trees to sell wood to purchase food and necessities, and the forests are gone. Crop residues and cow dung, other forms of biomass, are also used for fuel, but are less efficient for cooking. The poor often alter their diets to foods that require less cooking, and are less nutritious, or eat partially cooked or raw foods. This burden falls chiefly on women, because they spend all their waking hours seeking fuel, and also because men traditionally eat the best food 1st. The solution to this dilemma is not to sterilize women, but to empower women, ensuring that they have enough food, clothing, are educated, have a say in household decisions, are not beaten by their husbands, and value their health. After this they will check their fertility, and the forests will stop dwindling.

  15. Risk Zone Modelling and Early Warning System for Visceral Leishmaniasis Kala-Azar Disease in Bihar, India Using Remote Sensing and GIS

    Science.gov (United States)

    Jeyaram, A.; Kesari, S.; Bajpai, A.; Bhunia, G. S.; Krishna Murthy, Y. V. N.

    2012-07-01

    Visceral Leishmaniasis (VL) commonly known as Kala-azar is one of the most neglected tropical disease affecting approximately 200 million poorest populations 'at risk in 109 districts of three endemic countries namely Bangladesh, India and Nepal at different levels. This tropical disease is caused by the protozoan parasite Leishmania donovani and transmitted by female Phlebotomus argentipes sand flies. The analysis of disease dynamics indicate the periodicity at seasonal and inter-annual temporal scale which forms the basis for development of advanced early warning system. Study area of highly endemic Vaishali district, Bihar, India has been taken for model development. A Systematic study of geo-environmental parameters derived from satellite data in conjunction with ground intelligence enabled modelling of infectious disease and risk villages. High resolution Indian satellites data of IRS LISS IV (multi-spectral) and Cartosat-1 (Pan) have been used for studying environmentally risk parameters viz. peri-domestic vegetation, dwelling condition, wetland ecosystem, cropping pattern, Normalised Difference Vegetation Index (NDVI), detailed land use etc towards risk assessment. Univariate analysis of the relationship between vector density and various land cover categories and climatic variables suggested that all the variables are significantly correlated. Using the significantly correlated variables with vector density, a seasonal multivariate regression model has been carried out incorporating geo-environmental parameters, climate variables and seasonal time series disease parameters. Linear and non-linear models have been applied for periodicity and interannual temporal scale to predict Man-hour-density (MHD) and 'out-of-fit' data set used for validating the model with reasonable accuracy. To improve the MHD predictive approach, fuzzy model has also been incorporated in GIS environment combining spatial geo-environmental and climatic variables using fuzzy membership

  16. Food and power in Bihar and Jharkhand. The PDS and its Functioning

    NARCIS (Netherlands)

    J.E. Mooij (Jos)

    2001-01-01

    textabstractAbstract: Public distribution of foodgrains in India is a national policy, which exists in all States. In some States, however, the public distribution system (PDS) works much better than in other States. The undivided State of Bihar (now the new Bihar and Jharkhand) is one of the States

  17. Trends in spatio-temporal dynamics of visceral leishmaniasis cases in a highly-endemic focus of Bihar, India: an investigation based on GIS tools.

    Science.gov (United States)

    Mandal, Rakesh; Kesari, Shreekant; Kumar, Vijay; Das, Pradeep

    2018-04-02

    Visceral leishmaniasis (VL) in Bihar State (India) continues to be endemic, despite the existence of effective treatment and a vector control program to control disease morbidity. A clear understanding of spatio-temporal distribution of VL may improve surveillance and control implementation. This study explored the trends in spatio-temporal dynamics of VL endemicity at a meso-scale level in Vaishali District, based on geographical information systems (GIS) tools and spatial statistical analysis. A GIS database was used to integrate the VL case data from the study area between 2009 and 2014. All cases were spatially linked at a meso-scale level. Geospatial techniques, such as GIS-layer overlaying and mapping, were employed to visualize and detect the spatio-temporal patterns of a VL endemic outbreak across the district. The spatial statistic Moran's I Index (Moran's I) was used to simultaneously evaluate spatial-correlation between endemic villages and the spatial distribution patterns based on both the village location and the case incidence rate (CIR). Descriptive statistics such as mean, standard error, confidence intervals and percentages were used to summarize the VL case data. There were 624 endemic villages with 2719 (average 906 cases/year) VL cases during 2012-2014. The Moran's I revealed a cluster pattern (P < 0.05) of CIR distribution at the meso-scale level. On average, 68 villages were newly-endemic each year. Of which 93.1% of villages' endemicity were found to have occurred on the peripheries of the previous year endemic villages. The mean CIR of the endemic villages that were peripheral to the following year newly-endemic villages, compared to all endemic villages of the same year, was higher (P < 0.05). The results show that the VL endemicity of new villages tends to occur on the periphery of villages endemic in the previous year. High-CIR plays a major role in the spatial dispersion of the VL cases between non-endemic and endemic villages

  18. Woman-centered research on access to safe abortion services and implications for behavioral change communication interventions: a cross-sectional study of women in Bihar and Jharkhand, India.

    Science.gov (United States)

    Banerjee, Sushanta K; Andersen, Kathryn L; Buchanan, Rebecca M; Warvadekar, Janardan

    2012-03-09

    Unsafe abortion in India leads to significant morbidity and mortality. Abortion has been legal in India since 1971, and the availability of safe abortion services has increased. However, service availability has not led to a significant reduction in unsafe abortion. This study aimed to understand the gap between safe abortion availability and use of services in Bihar and Jharkhand, India by examining accessibility from the perspective of rural, Indian women. Two-stage stratified random sampling was used to identify and enroll 1411 married women of reproductive age in four rural districts in Bihar and Jharkhand, India. Data were collected on women's socio-demographic characteristics; exposure to mass media and other information sources; and abortion-related knowledge, perceptions and practices. Multiple linear regression models were used to explore the association between knowledge and perceptions about abortion. Most women were poor, had never attended school, and had limited exposure to mass media. Instead, they relied on community health workers, family and friends for health information. Women who had knowledge about abortion, such as knowing an abortion method, were more likely to perceive that services are available (β = 0.079; p < 0.05) and have positive attitudes toward abortion (β = 0.070; p < 0.05). In addition, women who reported exposure to abortion messages were more likely to have favorable attitudes toward abortion (β = 0.182; p < 0.05). Behavior change communication (BCC) interventions, which address negative perceptions by improving community knowledge about abortion and support local availability of safe abortion services, are needed to increase enabling resources for women and improve potential access to services. Implementing BCC interventions is challenging in settings such as Bihar and Jharkhand where women may be difficult to reach directly, but interventions can target individuals in the community to transfer information to the women who

  19. Risk Factors associated with defaulting from visceral leishmaniasis treatment: analysis under routine programme conditions in Bihar, India.

    Science.gov (United States)

    Kansal, S; Chakravarty, J; Kumar, A; Malaviya, P; Boelaert, M; Hasker, E; Ostyn, B; Sundar, S

    2017-08-01

    To assess the rate of default from treatment in the visceral leishmaniasis (VL) elimination programme and to identify risk factors and its underlying causes. Case-control study conducted between December 2009 and June 2012 in three primary health centres (PHCs) of Muzaffarpur district, India. Patients who defaulted from treatment from the PHCs were considered as 'cases' and those who completed their treatment as 'controls'. Two controls were included in the study for each case. Respondents' opinion and satisfaction with the services provided at the PHCs were also elicited. Logistic regression was performed to assess the contribution of sociodemographic variables on patient status, and a discriminant analysis was used (after decomposing the original data) to identify factors that can predict the patient status as defaulter or not, based on factor scores of the components as predictor variables. During the study period, 16.3% (89/544) of patients defaulted; 87 cases and 188 controls were interviewed through a semistructured questionnaire. Women tended to be more at risk for default (OR, 1.6, 95% CI (0.9 -2.9). Treatment received was miltefosine in 55.6% and sodium stibogluconate (SSG) in 44.4%. Most (86%) defaulters completed their treatment at other healthcare facilities; 70% of them preferred non-governmental institutions. Most cited reasons for default were seeking a second opinion for VL treatment and preferring to be treated in specialised VL centres. Discriminant analysis showed only one significant predictor: dissatisfaction with the medical care received in PHCs. Efforts are needed to enhance the quality of VL care at PHC level, which will be beneficial in increasing treatment completion rates. © 2017 John Wiley & Sons Ltd.

  20. Evaluation of the mobile nurse training (MNT) intervention - a step towards improvement in intrapartum practices in Bihar, India.

    Science.gov (United States)

    Das, Aritra; Nawal, Dipty; Singh, Manoj Kumar; Karthick, Morchan; Pahwa, Parika; Shah, Malay Bharat; Mahapatra, Tanmay; Ranjan, Kunal; Chaudhuri, Indrajit

    2017-08-23

    Evidence shows that improving the quality of intrapartum care is critical for maternal survival. However, a significant rise in the proportion of facility-based births over the last decade in India - attributable to a cash transfer program - has not resulted in a corresponding reduction in maternal mortality, thanks, in part, to low-skilled care at facilities. The current study evaluated a mobile knowledge-based intervention aimed at improving quality of care by mentoring in-service staff nurses at public obstetric facilities. An independent evaluation team conducted baseline and post-intervention assessments at every facility using a mix of methods that included training assessments and Direct Observation of Deliveries. The assessment involved passive observation of pregnant women from the time of their admission at the facility and recording the obstetric events and delivery-related practices on a pre-formatted checklist-based tool. Maternal practices were classified into positive and negative ones and scored. Linear regression analysis was used to evaluate the association of MNT intervention with summary scores for positive, negative and overall practice scores. We evaluated retention of intervention effect by comparing the summary scores at baseline, immediately following intervention and 1 year after intervention. In both unadjusted and adjusted analyses, the intervention was found to be significantly associated with improvement in positive practice score (Unadjusted: parameter estimate (β) = 16.90; 95% confidence interval (CI) = 15.20, 18.60. Adjusted: β = 13.14; 95% CI = 10.97, 15.32). The intervention was also significantly associated with changes in negative practice score, which was reverse coded to represent positive change (Unadjusted: β = 11.66; 95% CI = 10.06, 13.27. Adjusted: β = 2.99; 95% CI = 1.35, 4.63), and overall practice score (Unadjusted: β = 15.74; 95% CI = 14.39, 17.08; Adjusted: β = 10.89; 95% CI = 9.18, 12

  1. Modern Education and the Revolt of 1857 in India

    Science.gov (United States)

    Rao, Parimala V.

    2016-01-01

    In May 1857, a number of battalions in the Bengal army of the East India Company rebelled against their immediate British officers and the British administration in the North Western Provinces (NWP), Oudh and Bihar. The protracted conflict that stretched over a year was extremely violent, killed thousands of British officers and civilians and…

  2. Food and power in Bihar and Jharkhand. The Political Economy of the Functioning of the Public Distribution System

    NARCIS (Netherlands)

    J.E. Mooij (Jos)

    2003-01-01

    textabstractAbstract Public distribution of foodgrains in India is a national policy, which exists in all States. In some States, however, the public distribution system (PDS) works much better than in other States. The undivided State of Bihar (now the new Bihar and Jharkhand) is one of the States

  3. 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...

  4. A controlled, randomized nonblinded clinical trial to assess the efficacy of amphotericin B deoxycholate as compared to pentamidine for the treatment of antimony unresponsive visceral leishmaniasis cases in Bihar, India

    Directory of Open Access Journals (Sweden)

    Vidya N

    2008-12-01

    Full Text Available Vidya Nand Rabi Das1, Niyamat Ali Siddiqui2, Krishna Pandey3, Vijay Pratap Singh2, Roshan K Topno4, Dharmendra Singh5, Rakesh Bihari Verma2, Alok Ranjan2, Prabhat Kumar Sinha1, Pradeep Das61Department of Clinical Medicine, Rajendra Memorial Research Institute of Medical Sciences, Indian Council of Medical Research, Patna, Bihar, India; 2Department of Biostatistics; 3Department of Clinical Medicine; 4Department of Epidemiology; 5Department of Molecular Biology; 6Director and Institutional Head, Rajendra Memorial Research Institute of Medical Sciences, Indian Council of Medical Research, Patna, Bihar, IndiaBackground: There is significant variation in Amphotericin B (AMB efficacy and relapses in antimony unresponsive visceral leishmaniasis (VL cases over a period of time (10–15 years. Keeping in mind the above mentioned view this study was undertaken with an objective to assess the magnitude of cure and relapse rates of AMB in the treatment of antimony unresponsive VL cases.Methods: In a controlled, randomized nonblinded clinical trial, we evaluated the cure and relapse rate of Amphotericin B deoxycholate as compared to pentamidine. A total of 82 sodium stibogluconate (SSG unresponsive and parasitologically confirmed VL cases were included in this study and randomized into two groups, test (Amphotericin B and control (Pentamidine. Both the groups were treated with recommended dosages (as per World Health Organization guidelines of respective medicines. All the patients were followed up on 1st, 2nd, and 6th month after end of treatment.Results: Apparent cure rate in the Amphotericin B group was found to be 95% (39/41 compared with 83% (34/41 in the Pentamidine group, which shows significant statistical difference (p = 0.05. The ultimate cure rate was found 92% (38/41 in the Amphotericin B group compared to 73% (30/41 in the Pentamidine group, which shows a significant statistical difference (Yates corrected chi-square = 4.42, p = 0.04. Similarly

  5. Molecular Epidemiology of Extended-Spectrum β-Lactamase–Producing Pathotypes in Diarrheal Children from Low Socioeconomic Status Communities in Bihar, India: Emergence of the CTX-M Type

    Directory of Open Access Journals (Sweden)

    Abhishek Mandal

    2017-11-01

    Full Text Available Background: Childhood diarrheal diseases remain highly endemic in India, but the emergence of extended-spectrum β-lactamase (ESBL-producing Escherichia coli among children with diarrhea in Bihar remains elusive. In this study, we determine and characterize ESBL-producing E coli pathotypes among hospitalized diarrheal preschool children living in low socioeconomic level communities in Bihar, India. Materials and methods: The stool samples were collected everyday throughout the year for 2 consecutive years. In our study, we collected stool samples randomly from every fifth patient. Stool samples were collected from a total of 633 randomly selected diarrheal children (age: 0-60 months belonging to 17 communities and screened for identification of virulent diarrheagenic E coli (DEC pathotype (viz, enteropathogenic E coli [EPEC], enteroaggregative E coli [EAEC], enterotoxigenic E coli [ETEC], enteroinvasive E coli [EIEC], and enterohemorrhagic E coli [EHEC] by a multiplex polymerase chain reaction (PCR assay. Furthermore, ESBLs were screened by conventional antibiotic resistance pattern testing and later characterized for the presence of β-lactamase ( bla genes by PCR and DNA sequencing. Results: Diarrheagenic E coli was detected in 191 cases (30.2% of the total 633 diarrheic children. Maximum occurrence of DEC was found in ≤12 months age group (72.7% with prevalence of the EAEC pathotype. Most isolates were resistant to ampicillin, ciprofloxacin, piperacillin, levofloxacin, ceftazidime, cefotaxime, ceftriaxone, and gentamicin, whereas over 96% of them were sensitive to amikacin. About 37.6% of total 191 DEC isolates were ESBL producers (n = 72, being prevalent among ETEC (n = 35; 18.32%, followed by EPEC (n = 21; 10.9%, EAEC (n = 13; 6.8%, and EIEC (n = 3; 1.57%. Interestingly, the commonest β-lactamase was CTX-M type ( bla CTX-M in 86.1% (n = 62 of the ESBL isolates, followed by bla SHV (n = 49; 68%, bla TEM (n

  6. Evaluating the relative effectiveness of high-intensity and low-intensity models of behaviour change communication interventions for abortion care-seeking in Bihar and Jharkhand, India: a cross-sectional study.

    Science.gov (United States)

    Banerjee, Sushanta K; Andersen, Kathryn; Pearson, Erin; Warvadekar, Janardan; Khan, Danish U; Batra, Sangeeta

    2017-02-24

    This study aimed to compare the effectiveness of a high-intensity model (HIM) and a low-intensity model (LIM) of behaviour change communication interventions in Bihar and Jharkhand states of India designed to improve women's knowledge and usage of safe abortion services, as well as the dose effect of intervention exposure. We conducted two cross-sectional household surveys among married women aged 15-49 years in intervention and comparison districts. Difference-in-difference models were used to assess the efficacy of the intervention, adjusting for sociodemographic characteristics. Although both intervention types improved abortion knowledge, the HIM intervention was more effective in improving comprehensive knowledge about abortion. In particular, there were improvements in knowledge on legality of abortion (AOR=2.2; 95% CI 1.6 to 2.9) and nearby sources of safe abortion care (AOR=1.7; 95% CI 1.2 to 1.3). Higher level of exposure to abortion-related messages was related to more accurate knowledge about abortion within both intervention groups. Evidence was mixed on changes in abortion care-seeking behaviour. More work is needed to ensure that women seek safe abortion services in lieu of informal services that may be more likely to lead to postabortion complications. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/.

  7. The Association between Provider Practice and Knowledge of ORS and Zinc Supplementation for the Treatment of Childhood Diarrhea in Bihar, Gujarat and Uttar Pradesh, India: A Multi-Site Cross-Sectional Study.

    Directory of Open Access Journals (Sweden)

    Laura M Lamberti

    Full Text Available Programs aimed at reducing the burden of diarrhea among children under-five in low-resource settings typically allocate resources to training community-level health workers, but studies have suggested that provider knowledge does not necessarily translate into adequate practice. A diarrhea management program implemented in Bihar, Gujarat and Uttar Pradesh, India trained private sector rural medical practitioners (RMPs and public sector Accredited Social Health Activists (ASHAs and Anganwadi workers (AWWs in adequate treatment of childhood diarrhea with oral rehydration salts (ORS and zinc. We used cross-sectional program evaluation data to determine the association between observed diarrhea treatment practices and reported knowledge of ORS and zinc among each provider cadre.We conducted principal components analysis on providers' responses to diarrhea treatment questions in order to generate a novel scale assessing ORS/zinc knowledge. We subsequently regressed a binary indicator of whether ORS/zinc was prescribed during direct observation onto the resulting knowledge scores, controlling for other relevant knowledge predictors.There was a positive association between ORS/zinc knowledge score and prescribing ORS and zinc to young children with diarrhea among private sector RMPs (aOR: 2.32; 95% CI: 1.29-4.17 and public sector ASHAs and AWWs (aOR 2.48; 95% CI: 1.90-3.24. Controlling for knowledge score, receipt of training in the preceding 6 months was a good predictor of adequate prescribing in the public but not the private sector. In the public sector, direct access to ORS and zinc supplies was also highly associated with prescribing.To enhance the management of childhood diarrhea in India, programmatic activities should center on increasing knowledge of ORS and zinc among public and private sector providers through biannual trainings but should also focus on ensuring sustained access to an adequate supply chain.

  8. The Association between Provider Practice and Knowledge of ORS and Zinc Supplementation for the Treatment of Childhood Diarrhea in Bihar, Gujarat and Uttar Pradesh, India: A Multi-Site Cross-Sectional Study.

    Science.gov (United States)

    Lamberti, Laura M; Fischer Walker, Christa L; Taneja, Sunita; Mazumder, Sarmila; Black, Robert E

    2015-01-01

    Programs aimed at reducing the burden of diarrhea among children under-five in low-resource settings typically allocate resources to training community-level health workers, but studies have suggested that provider knowledge does not necessarily translate into adequate practice. A diarrhea management program implemented in Bihar, Gujarat and Uttar Pradesh, India trained private sector rural medical practitioners (RMPs) and public sector Accredited Social Health Activists (ASHAs) and Anganwadi workers (AWWs) in adequate treatment of childhood diarrhea with oral rehydration salts (ORS) and zinc. We used cross-sectional program evaluation data to determine the association between observed diarrhea treatment practices and reported knowledge of ORS and zinc among each provider cadre. We conducted principal components analysis on providers' responses to diarrhea treatment questions in order to generate a novel scale assessing ORS/zinc knowledge. We subsequently regressed a binary indicator of whether ORS/zinc was prescribed during direct observation onto the resulting knowledge scores, controlling for other relevant knowledge predictors. There was a positive association between ORS/zinc knowledge score and prescribing ORS and zinc to young children with diarrhea among private sector RMPs (aOR: 2.32; 95% CI: 1.29-4.17) and public sector ASHAs and AWWs (aOR 2.48; 95% CI: 1.90-3.24). Controlling for knowledge score, receipt of training in the preceding 6 months was a good predictor of adequate prescribing in the public but not the private sector. In the public sector, direct access to ORS and zinc supplies was also highly associated with prescribing. To enhance the management of childhood diarrhea in India, programmatic activities should center on increasing knowledge of ORS and zinc among public and private sector providers through biannual trainings but should also focus on ensuring sustained access to an adequate supply chain.

  9. Sexual Behavior, HIV Prevalence and Awareness Among Wives of Migrant Workers: Results from Cross-sectional Survey in Rural North India.

    Science.gov (United States)

    Ranjan, Alok; Bhatnagar, Tarun; Babu, Giridhara R; Detels, Roger

    2017-01-01

    Migration has been linked to the spread of HIV epidemic from the urban areas of western India to the rural areas of north India. This is the first population-based study among the wives of migrant workers of Muzaffarpur district in Bihar with objectives to describe their sexual behavior within marriage, estimate the prevalence of HIV, and to know their awareness regarding HIV/AIDS. A two-stage cluster survey was conducted by randomly selecting 25 eligible wives from each of the 34 selected villages. A total of 850 wives were interviewed and the blood samples were collected for HIV testing. To determine the factors associated with HIV/AIDS-awareness, we calculated adjusted odds ratios and 95% confidence intervals (CI) using multiple logistic regression analysis. 34 (3%) of 850 wives reported condom use with their husband. HIV prevalence was 0.59% (95% CI: 0.19-1.37%) among the wives of migrant workers. Out of 850 wives, 132 (15.5%) had heard about HIV. Condoms use (OR = 3.21, 95% CI: 1.22-7.90) and premarital sex (OR=7.44, 95% CI: 1.6-33.67) were found significantly positively associated with HIV knowledge of wives. HIV awareness of the wives was significantly associated with age-group 15-24 years, literacy status, and possession of television and husbands' literacy status. The knowledge about HIV among wives had significant positive impact on condoms use and premarital sex. HIV prevalence among the wives of migrant workers was higher than the prevalence among women in the general population. Education was found to be positively associated with awareness about HIV. Effective interventions are needed for increasing awareness of HIV among wives of migrant workers in Bihar.

  10. Surrendering a Colonial Domain: Educating North India, 1854-1890

    Science.gov (United States)

    Allender, Tim

    2007-01-01

    Postcolonial research has often assumed that colonial education fell victim to the forces of nationalism, like other areas of Raj governance in the early twentieth century. However, European-led education that aspired to reach the general population had already failed a generation earlier, at least in north India. This was after highly imaginative…

  11. Studying Tones in North East India: Tai, Singpho and Tangsa

    Science.gov (United States)

    Morey, Stephen

    2014-01-01

    Drawing on nearly 20 years of study of a variety of languages in North East India, from the Tai and Tibeto-Burman families, this paper examines the issues involved in studying those languages, building on three well established principles: (a) tones are categories within a language, and the recognition of those categories is the key step in…

  12. Genetic profile based upon 15 microsatellites of four caste groups of the eastern Indian state, Bihar.

    Science.gov (United States)

    Ashma, R; Kashyap, V K

    2003-01-01

    The formation of caste groups among the Hindu community and the practice of endogamy exert a great impact on the genetic structure and diversity of the Indian population. Allele frequency data of 15 microsatellite loci clearly portray the genetic diversity and relatedness among four socio-culturally advanced caste groups: Brahmin, Bhumihar, Rajput and Kayasth of Caucasoid ethnicity of Bihar. The study seeks to understand the impact of the man-made caste system on the genetic profile of the four major caste groups of Bihar. Computation of average heterozygosity, most frequent allele, allele diversity and coefficient of gene differentiation (Gst), along with genetic distance (DA)and principal coordinate analysis were performed to assess intra-population and inter-population diversity. The average Gst value for all the loci was 0.012 +/- 0.0033, and the level of average heterozygosity was approximately 75.5%, indicating genetic similarity and intra-population diversity. Genetic distance (DA) values and the phylogenetic tree along with other higher caste groups of India indicate the relative distance between them. The present study clearly depicts the genetic profile of these caste groups, their inherent closeness in the past, and the impact of the imposed caste system that later restricted the gene flow. The study highlights the status of Bhumihar and Kayasth in the Hindu caste system. The former was found clustering with the Brahmin group (as expected, since Bhumihar is known to be a subclass of Brahmin), whereas the distance between the Brahmin and Kayasth caste groups was found to be large. North-eastern Indian Mongoloids form a separate cluster.

  13. Effect of mine discharge on the pattern of riverine habitat use of elephants Elephas maximus and other mammals in Singhbhum forests, Bihar, India

    Energy Technology Data Exchange (ETDEWEB)

    Singh, R.K.; Chowdhury, S.

    1999-11-01

    The aim of this paper is to access the influence of water quality both on the occurrence of, and utilization by, elephants (Elephas maximus) in a riverine habitat. Mining operations and other anthropogenic changes to natural river systems have caused degradation of the ecosystem for elephants. A decline in their numbers has been seen throughout the Singhbhum Forests, India due to fragmentation and loss of habitat. The need to preserve and restore the habitat of the elephant is accepted, but until the factors that influence their distribution are known and understood, suitable management plans cannot be implemented. The study area was the catchment of the river Koina where waste discharge from an iron oremine and processing plant impact upon water quality. The study period from April 1995 to March 1996 looked at sections of the river where unregulated mine discharge was made, and where regulation through tailing ponds controlled total suspended solids (TSS) output from the mine waste water to the river system. Various physico-chemical parameters recorded at seven sampling stations were quantified. Principal Component Analysis (PCA) segregated the key parameters in determining the discharge levels of both regulated and unregulated discharge at various sites.

  14. 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...

  15. Sex selection through traditional drugs in rural north India

    Directory of Open Access Journals (Sweden)

    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.

  16. Prevalence of hypothyroidism in term pregnancies in North India

    Directory of Open Access Journals (Sweden)

    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.

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

    Directory of Open Access Journals (Sweden)

    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.

  18. Population distance between Dakshina Kannada (South India) and Gujarati (North India) population using infracranial nonmetric traits.

    Science.gov (United States)

    Nayak, S R; Kumar, Madhan; Krishnamurthy, A; Prabhu, Latha V; D'Costa, Sujatha; Ramanathan, Lakshmi A; Potu, Bhagath K; Gorantla, Vasavi R

    2007-01-01

    Infracranial nonmetric variations have been considered for determining population distance between different regions and continents, in recent times. We studied different infracranial nonmetric traits from the Dakshina Kannada (South India) region to compare with the data available from the Gujarati (North India) region. The mean measure of divergence between the two different geographic regions showed significant variation. In our study, the incidence like i) Allen's fossa of the femur, ii) plaque formation in the upper end of the femur, iii) exostosis in trochanteric fosse of femur, iv) third trochanter of femur, v) os trigonum of talus, vi) medial talar facet, vii) peroneal tubercle of calcaneus, viii) bipartite transverse foramen in the cervical vertebra, too showed significant side difference.

  19. Optimal Cost of a Solar Photovoltaic System for a Remote House in Bihar

    Directory of Open Access Journals (Sweden)

    Sujit Kumar Jha

    2015-07-01

    Full Text Available Energy plays a vital role for the growth of a country. Solar energy is the most important renewable energy resources that can play vital role in the replacement of fossil resources to generate clean energy. Due to technological developments in solar power technologies, solar energy can be used for cooling, heating, and daily electricity demand of the world and emerged as viable alternative to produce clean energy in future. The paper describes the technological development of PV model, its present status and future opportunities in the context of Bihar, India. The study was carried out in Bihar, global solar radiation data is required for the calculation and assessment of the working principles of PV system installed at remotely located house to provide adequate power backup. The case study has been based on the solar radiation data available in Bihar, India, the cost of a suitable PV model for a house has been computed based on the analysis of power requirement of a houses in a day.

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

    Directory of Open Access Journals (Sweden)

    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.

  1. Writing sex and sexuality: archives of colonial North India.

    Science.gov (United States)

    Gupta, Charu

    2011-01-01

    This article focuses on disparate sites and subjects to reflect on and problematize the relationship between sexuality and the archives in colonial north India. I dwell on how ‘recalcitrant’ and hidden histories of sexuality can be gleaned by not only expanding our arenas of archives, but also by decentering and recasting colonial archives. I do so by specifically investigating some of the “indigenous” writings in Hindi, through texts concerning homosexuality, sex manuals, the writings of a woman ayurvedic practitioner, didactic literature and its relationship to Dalit (outcaste) sexuality, and current popular Dalit literature and its representations of the past. The debate for me here is not about the flaws of archival uses but rather of playing one archive against another, of appropriating many parallel, alternative, official, and popular archives simultaneously to shape a more nuanced and layered understanding of sexuality.

  2. Folklore medicinal plants of North Andaman Islands, India.

    Science.gov (United States)

    Prasad, P Rama Chandra; Reddy, C Sudhakar; Raza, S H; Dutt, C B S

    2008-09-01

    The rural folk of North Andaman, India use the traditional medicine for their primary health care. Folklore medicinal uses of 72 interesting medicinal plant species along with botanical name, local name, family, habit, part used, disease for which the drug is administrated, mode of administration are presented. These 72 plant species which provide the crude drugs pertain to 67 genera and 43 families of Magnoliophyta from tropical rainforests. These plants used to cure 40 ailments. Most remedies were taken orally, accounting for 76% of medicinal use. Most of the remedies were reported to have been from trees (55.6%) and herb (22.2%) species. The most widely sought after plant parts in the preparation of remedies in the areas are the stem bark (33.8%) and root (23.9%).

  3. 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.

  4. 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).

  5. 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

  6. 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.

  7. 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.

  8. 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...

  9. 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...

  10. Identifying predictors of childhood anaemia in north-east India.

    Science.gov (United States)

    Dey, Sanku; Goswami, Sankar; Dey, Tanujit

    2013-12-01

    The objective of this study is to examine the factors that influence the occurrence of childhood anaemia in North-East India by exploring dataset of the Reproductive and Child Health-II Survey (RCH-II). The study population consisted of 10,137 children in the age-group of 0-6 year(s) from North-East India to explore the predictors of childhood anaemia by means of different background characteristics, such as place of residence, religion, household standard of living, literacy of mother, total children ever born to a mother, age of mother at marriage. Prevalence of anaemia among children was taken as a polytomous variable. The predicted probabilities of anaemia were established via multinomial logistic regression model. These probabilities provided the degree of assessment of the contribution of predictors in the prevalence of childhood anaemia. The mean haemoglobin concentration in children aged 0-6 year(s) was found to be 11.85 g/dL, with a standard deviation of 5.61 g/dL. The multiple logistic regression analysis showed that rural children were at greater risk of severe (OR = 2.035; p = 0.003) and moderate (OR = 1.23; p = 0.003) anaemia. All types of anaemia (severe, moderate, and mild) were more prevalent among Hindu children (OR = 2.971; p = 0.000), (OR = 1.195; p = 0.010), and (OR = 1.201; p = 0.011) than among children of other religions whereas moderate (OR = 1.406; p = 0.001) and mild (OR = 1.857; p=0.000) anaemia were more prevalent among Muslim children. The fecundity of the mother was found to have significant effect on anaemia. Women with multiple children were prone to greater risk of anaemia. The multiple logistic regression analysis also confirmed that children of literate mothers were comparatively at lesser risk of severe anaemia. Mother's age at marriage had a significant effect on anaemia of their children as well.

  11. Understanding the transmission dynamics of Leishmania donovani to provide robust evidence for interventions to eliminate visceral leishmaniasis in Bihar, India the LCNTDR Collection : Advances in scientific research for NTD control

    NARCIS (Netherlands)

    M.M. Cameron (Mary M.); A. Acosta-Serrano (Alvaro); C. Bern (Caryn); M. Boelaert (Marleen); M. Den Boer (Margriet); S. Burza (Sakib); L.A.C. Chapman (Lloyd A. C.); A. Chaskopoulou (Alexandra); M. Coleman (Michael); O. Courtenay (Orin); S. Croft (Simon); P.K. Das (P.); E. Dilger (Erin); G. Foster (Geraldine); R. Garlapati (Rajesh); L. Haines (Lee); A. Harris (Angela); J. Hemingway (Janet); T.D. Hollingsworth (T. Déirdre); S. Jervis (Sarah); G.F. Medley (Graham F.); M. Miles (Michael); M. Paine (Mark); A. Picado (Albert); R. Poché (Richard); P. Ready (Paul); M. Rogers (Matthew); M. Rowland (Mark); S. Sundar (Shyam); S.J. de Vlas (Sake); D. Weetman (David)

    2016-01-01

    textabstractVisceral Leishmaniasis (VL) is a neglected vector-borne disease. In India, it is transmitted to humans by Leishmania donovani-infected Phlebotomus argentipes sand flies. In 2005, VL was targeted for elimination by the governments of India, Nepal and Bangladesh by 2015. The elimination

  12. Status of unikersal iodisation of salt programme in the selected districts of Bihar.

    Science.gov (United States)

    Kapil, U; Singh, J; Prakash, R; Sunderesan, S; Ramachandran, S; Tandon, M

    1997-01-01

    Iodine Deficiency Disorders (IDD) are a major public health problem in India. However, salt with an iodine content of 15 ppm at the consumer level can meet the human body's iodine requirement. The government of Bihar under the National Iodine Deficiency Disorder Control Program (NIDDCP) has therefore followed a policy of universal salt iodization (USI) since 1976 under which the state's population receives edible salt with a minimum of 15 ppm iodine. Salt samples were collected from 1052 families through schools in 5 districts of western Bihar and analyzed using the standard iodometric titration method to assess the iodine content of salt being consumed. While all samples contained some degree of iodine, 28.5% contained less than the recommended 15 ppm. These results suggest that the government of Bihar has given only low priority to the NIDDCP program and to monitoring the quality of salt through the Prevention of Food Adulteration (PFA) system. However, the iodine content was satisfactory compared to other states largely because all salt was procured only via railway rakes from production centers in Gujarat and Rajasthan.

  13. 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

  14. 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...

  15. Integrating TRMM and MODIS satellite with socio-economic vulnerability for monitoring drought risk over a tropical region of India

    Science.gov (United States)

    Yaduvanshi, Aradhana; Srivastava, Prashant K.; Pandey, A. C.

    Drought is a recurring feature of the climate, responsible for social and economic losses in India. In the present work, attempts were made to estimate the drought hazard and risk using spatial and temporal datasets of Tropical Rainfall Measuring Mission (TRMM) and Moderate Resolution Imaging Spectroradiometer (MODIS) in integration with socio-economic vulnerability. The TRMM rainfall was taken into account for trend analysis and Standardized Precipitation Index (SPI) estimation, with aim to investigate the changes in rainfall and deducing its pattern over the area. The SPI and average rainfall data derived from TRMM were interpolated to obtain the spatial and temporal pattern over the entire South Bihar of India, while the MODIS datasets were used to derive the Normalized Difference Vegetation Index (NDVI) deviation in the area. The Geographical Information System (GIS) is taken into account to integrate the drought vulnerability and hazard, in order to estimate the drought risk over entire South Bihar. The results indicated that approximately 36.90% area is facing high to very high drought risk over north-eastern and western part of South Bihar and need conservation measurements to combat this disaster.

  16. Preparing to manage injury burden of Bihar

    Directory of Open Access Journals (Sweden)

    Vikas Verma

    2015-06-01

    Full Text Available Introduction: Trauma care in Bihar is beset by a number of problems namely lack of funds, one of the highest population densities in the country, far flung flood prone areas that remain inaccessible to healthcare for several months of an year, lack of formal pre-hospital care services and an organized system of trauma care.. EMS services are run by many different organizations such as government, police, fire, hospital or private organizations. There is lack of coordination between these organizations.  First response to the injured is very often provided by the police who tend to transfer the patient to the nearest government health care centre. There is no linkage with hospital trauma services. This paper presents the interim results of a plan developed and being implemented at AIIMS, Patna in collaboration with the government of Bihar and Adams Cowley shock trauma trauma centre, Baltimore, USA. Methods: Participants from the Bihar police and Bihar health services were nominated by the government of Bihar. One hundred fifty one participants were imparted a 3 day training that included basics for managing airway, breathing, circulation, extrication, fractures, and spine injuries. Incident managment, approach to mass casualty and safe transport were also part of the cirriculum. All participants were required to take a pre-test before the training, a post test at the end of the training and another post test after 6 months after the training. Whether participants attended to emergencies before and after the training was also soought.  Paired t tests were used to compare the means of tests. Independent t test was used to compare difference of means in the groups that attended to emergencies in the six months after the training with those that did not attend to emergencies during the 6 months after the training.  Results:One hundred fifty one participants were trained. Of the 151 participants 55 (36.4% belonged to Bihar police and 96 (73

  17. 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...

  18. 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

  19. 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.

  20. Wildlife conservation in fragmented tropical forests: A case of South Garo Hills, Meghalaya, North East India

    Science.gov (United States)

    Ashish. Kumar; Bruce G. Marcot; Rohitkumar. Patel

    2017-01-01

    This volume presents findings on, and implications for, wildlife conservation in the tropical forests in Garo Hills of Meghalaya state in the North East India. A companion volume presented the findings on forest fragmentation due to practice of slash and burn agriculture in the region. Both of the volumes summarize work completed over more than a decade on...

  1. 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…

  2. 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. ...

  3. Estimation of under-reported visceral Leishmaniasis (Vl cases in Bihar: a Bayesian approach

    Directory of Open Access Journals (Sweden)

    A Ranjan

    2013-12-01

    Full Text Available Background: Visceral leishmaniasis (VL is a major health problem in the state of Bihar and adjoining areas in India. In absence of any active surveillance mechanism for the disease, there seems to be gross under-reporting of VL cases. Objective: The objective of this study was to estimate extent of under-reporting of VL cases in Bihar using pooled analysis of published papers. Method: We calculated the pooled common ratio (RRMH based on three studies and combined it with a prior distribution of ratio using inverse-variance weighting method. Bayesian method was used to estimate the posterior distribution of the “under-reporting factor” (ratio of unreported to reported cases. Results: The posterior distribution of ratio of unreported to reported cases yielded a mean of 3.558, with 95% posterior limits of 2.81 and 4.50. Conclusion: Bayesian approach gives evidence to the fact that the total number of VL cases in the state may be nearly more than three times that of currently reported figures. 

  4. Maternal Health Situation in Bihar and Madhya Pradesh: A Comparative Analysis of State Fact Sheets of National Family Health Survey (NFHS)-3 and 4.

    Science.gov (United States)

    Dehury, Ranjit Kumar; Samal, Janmejaya

    2016-09-01

    Maternal health constitutes the health of women during pregnancy, childbirth and the postpartum period. Bihar and Madhya Pradesh (MP) constitute the Empowered Action Group (EAG) states under National Rural Health Mission (NRHM) and are consistently having poor maternal health indicators. The main objective of this study was to assess the maternal health situation of Bihar and MP based on National Family Health Survey (NFHS-3) and 4 fact sheets. The study adopted a narrative description in which the NFHS fact sheets (NFHS-3 & 4) of both these states were obtained from appropriate sources and compared for various maternal health indicators. Albeit progress has been observed from NFHS-3 to NFHS-4 however, the progress is very dismal compared with the progress of other similar Indian states. Relatively MP has shown better progress compared to Bihar. Poor performance is being observed in all the three levels of maternal health; pregnancy {Ante-Natal Care (ANC), Tetanus toxoid (TT) and Iron and Folic Acid (IFA)}, child birth (Institutional delivery by Skilled Birth Attendant (SBA), Caesarean Section (CS) and post partum care (hospital stay and Janani Suraksha Yojna (JSY). The poor performance of both these states in all these indicators requires multipronged approach strong political will, health system strengthening, community mobilization and awareness. Given the status of maternal health in India and more especially in states BIMARU (Bihar, Madhya Pradesh, Rajasthan, Uttar Pradesh) and EAG states (Empowered action group), improvement in the performance of maternal health related activities is highly necessary.

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

    OpenAIRE

    Prasanta Kumar Pradhan; C. R. Mohanty; A. K. Swar; P. Mohapatra

    2012-01-01

    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 ...

  6. A STATISTICAL AND ECONOMIC ANALYSIS OF THE HOTEL INDUSTRY FROM BIHOR AND HAJDÚ-BIHAR COUNTIES IN THE CONTEXT OF THE (EURO REGIONAL DEVELOPMENT

    Directory of Open Access Journals (Sweden)

    BORMA Afrodita

    2014-07-01

    Full Text Available This research has in sight the Bihor – Hajdú-Bihar Euroregion located at the border between Romania (in the north-western part and Hungary (in the east. The research methodology that was used consisted in the statistical data collection in order to gather representative information on the evolution of tourism for the 2008 - 2011, in Bihor – Hajdú-Bihar Euroregion. In the first part of the research is presented an analysis regarding the evolution of the number of tourists within the tourist accommodation establishments in the Bihor – Hajdú-Bihar Euroregion. The analysis is based on the following aspects: the evolution of the number of tourists within the Bihor – Hajdú-Bihar Euroregion is presented; a comparison regarding the number of national tourists registered in the two counties belonging to the Bihor – Hajdú-Bihar Euroregion and finally an analysis based on the number of foreign tourists registered within the two counties belonging to the Bihor – Hajdú-Bihar Euroregion. In the second part of the research, the study continues with the analysis of the activities of the hotel units from Bihor and Hajdú-Bihar starting from the data obtained from the Bihor County Statistics Department, for Bihor County, and from the Debrecen Central Statistics Office, for the Hajdú-Bihar data. The research covers the period from 2008 - 2011, following the indicators regarding: the number of active units, turnover, and employee related expenses, staff and gross investments in tangible assets. This statistical and economic analysis presents on one hand the centralization of the indicators used within a table, (initially, in a rough form and subsequently in a shaped form based on the annual average exchange rates of the leu and forint compared to the euro during 2008-2011 and on the other the evolution of each indicator in chart form. Due to the fact that a part of the analyzed indicators are expressed in the national currency of the two

  7. 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

  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. 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

  10. 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.

  11. 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...

  12. Globalisation, Urbanisation and Spatial Inequality in India with special reference to North East India

    Directory of Open Access Journals (Sweden)

    Benjamin L Saitluanga

    2013-11-01

    Full Text Available Globalisation, an increasing international interaction in economic, political and cultural aspects, is a highly uneven set of processes whose impact varies over space, through time, and between social groups. On one hand, as globalisation seems to be an inevitable reality, many developing countries are restructuring their economies to receive and reap the benefits of widening and deepening global economic interactions. On the other hand, there are regions, which are increasingly excluded, and ‘structurally irrelevant’ to the current process of globalisation. Moreover, cities are at the core of development strategy of globalisation. While cities in developed countries are becoming centres of globally integrated organisation of economic activity, cities in developing countries are usually at disadvantage positions due to weak financial bases, low levels of technology as well as lack of infrastructural facilities and institutional factors.The present paper, in the limelight of these contradictions, analyses the differential impacts of economic globalisation in cities and regions of India in general and Northeast India in particular. It is noted that the ushering of globalisation through structural adjustment of the economy during the 1990s has disparate impacts on various cities and regions of the country. The paper also examines the infrastructural constraints of cities of Northeast India as well as the existing institutional arrangements to ‘globalise’ the region through neoliberal reforms and investments. 

  13. Managing flood prone ecosystem for rice production in Bihar plains

    International Nuclear Information System (INIS)

    Khan, A.R.; Singh, S.S.

    2002-06-01

    A large area of the eastern region especially Bihar (0.5 million hectare) faces flood submergence and/or drought every year which creates an unfavorable environment for crop production. In this ecosystem only flood prone rice is grown whose cultivation is entirely different than normal rice crop. Managing the flood prone ecosystem for rice production needs to evaluate the reasons and a comprehensive appropriate technology through research efforts for better rice production under such harsh ecology. An attempt was made to develop a suitable agronomic package for rice cultivation during and after flooding in flood prone plains of Bihar. (author)

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

    Science.gov (United States)

    Dey, Shuchismita; Parande, Mahantesh V; Parande, Aisha M; Lakkannavar, S L; Rathore, Poonam K; Mantur, B G; Kholkute, Sanjiva D; Roy, Subarna

    2014-09-01

    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. 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. 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. 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.

  15. 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.

  16. 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.

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

    Science.gov (United States)

    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.

  18. South China connected to north India in Gondwana: sedimentary basin and detrital provenance analyses

    Science.gov (United States)

    Yao, W.; Li, Z. X.; Li, W. X.; Li, X. H.; Yang, J. H.

    2015-12-01

    The paleoposition of South China during the Ediacaran-Silurian is important for understanding the assembly of Gondwana. We report here the tectonostratigraphic evolution of the Ediacaran-Silurian Nanhua foreland basin in South China, and discuss South China's connection with Gondwana and potential tectonic triggers for both the Wuyi-Yunkai orogeny in South China and the Bhimphedian orogeny in north India. The Nanhua basin was involved in a three-stage evolution, which are: Stage 1 (the Ediacaran-Cambrian) recording the start of tectonic subsidence with turbiditic marine clastic deposition, fed by exotic orogens outboard South China; Stage 2 (the Ordovician to earliest-Silurian) featured by migrating depocentres with dominant shallow marine to deltaic clastic deposition, fed by the local Wuyi-Yunkai orogen; and Stage 3 (the Silurian) showing the arrival of depocentre in the Yangtze Block during the waning stage of the Wuyi-Yunkai orogeny with deltaic deposition in the remanent foreland basin. Detrital zircon analyses of the Ediacaran-Silurian sandstones across the Nanhua basin reveal a prominent age population of 1100-900 Ma (with a peak age at ~980 Ma) and moderate populations of Archean-Paleozoic ages, grossly matching that of crystalline and sedimentary rocks in northern India. Zircon isotopes of the Stage 1 samples suggest three Precambrian episodes of juvenile crustal growth at 3.0 Ga, 2.5 Ga and 1.0 Ga, and a major crustal reworking at 580-500 Ma for the source areas, which are constraint to be northwestern India and its surrounding orogens. Together with other evidence, we propose that South China likely collided with northwestern India during the Gondwana assembly, generated the Bhimphedian orogeny in north India and formed two foreland basins on both the north India and South China sides. Far-field stress of the collision triggered the Ordovician-Silurian Wuyi-Yunkai orogeny in South China. The Stage 2-3 samples in the Nanhua basin of South China were shed

  19. 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.

  20. 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.

  1. 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.

  2. OCULAR PROFILE OF VISUALLY IMPAIRED CHILDREN IN SCHOOLS FOR THE BLIND IN NORTH INDIA

    Directory of Open Access Journals (Sweden)

    Arun Bhatt

    2016-12-01

    Full Text Available BACKGROUND India shoulders the world’s largest burden of childhood blindness. The pattern, causes and prevalence of blindness in children are changing in response to socioeconomic development. Examination of children in schools for blind provides data on the causes of blindness in children. In order to design effective prevention of blindness programs, information on major causes of blindness in children is required. The aim of the study is to study the ocular profile of severe visual impairment and blindness in children from schools for the blind in North India. MATERIALS AND METHODS A total of 174 students in seven registered schools for the blind in Punjab, North India, were examined of which 172 were below 16 years of age and were included in the study. Visual loss was categorised according to WHO criteria for classification of blindness. The World Health Organizations program for the prevention of blindness (WHO/PBL eye examination record for children with blindness was used to record the findings. The need for optical, surgical or medical interventions was recorded and the visual prognosis was assessed. RESULTS It was found that 36.74% children had potentially avoidable causes of blindness. Preventable causes of blindness were seen in 16.26% children and treatable causes in 20.48% children. CONCLUSION A wider availability of specialist ophthalmic services is needed for the treatable causes of childhood blindness. Optical and low vision services are also important in the management of children with otherwise untreatable causes of visual loss.

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

    Science.gov (United States)

    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.

  4. 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.

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

    Science.gov (United States)

    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.

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

    Directory of Open Access Journals (Sweden)

    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.

  7. 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.

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

    Directory of Open Access Journals (Sweden)

    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.

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

    OpenAIRE

    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....

  10. 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.

  11. 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.

  12. Bandh Syndrome and its Impact on Trade and Commerce in North-East India

    OpenAIRE

    Komol Singha

    2009-01-01

    The North-East India (NEI) consists of eight states and it is a ‘mixed bag’ of several ethnic groups. The region is known for its unexploited natural and human resources which are the basic factors of economic development. So, the energetic entrepreneurs are necessary if we want to harness it properly. With the emergence of Globalization and more recently with the inception of ‘Look East Policy’, trade and commerce has become an important tool in linking this region with the Asian and South E...

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

    Directory of Open Access Journals (Sweden)

    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.

  14. 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

  15. Morphological and morphometric features of scaphoid bone in north eastern population, India.

    Science.gov (United States)

    Purushothama, C; Sarda, R K; Konuri, A; Tamang, B K; Gupta, C; Murlimanju, B V

    2011-03-01

    A study was performed to analyse the morphometry and morphological variants of adult scaphoid bone in Sikkimese population of North Eastern India. The study included 100 dry human scaphoid bones. The bones which had previous signs of fracture were excluded. The morphometric parameters were measured with vernier caliper of 0.02 mm accuracy; the circumferences were measured by placing a thread around them and measuring its length. A magnifying lens was used to observe the number of foramina. From our observations, 22 (44%) of the left scaphoid were having conical shape and 28 (56%) were pyramidal in shape. On the right side, 36 (72%) had conical shape and 14 (28%) were pyramidal. All the bones had waist, except one right sided scaphoid (2%) in which the waist was absent. The scaphoid had main dorsal sulcus in 63% of cases, 29% had two dorsal sulci and 6% had Y shaped sulci. The dorsal sulcus was absent in 3 cases (1 on left side and 2 on the right side). All the scaphoids had a minimum of one foramen in the main dorsal sulcus and 92% had more than one foramen. The present study has provided the additional information on morphology and morphometry of adult human scaphoid bones in north eastern population, India. We believe that the data obtained from the present study are important for the hand surgeons and radiologists. The details obtained will also be helpful for the morphologists and clinical anatomists.

  16. 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.

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

    Directory of Open Access Journals (Sweden)

    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

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

    Science.gov (United States)

    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.

  19. Fungal Keratitis in North India: Spectrum of Agents, Risk Factors and Treatment.

    Science.gov (United States)

    Ghosh, Anup K; Gupta, Amit; Rudramurthy, Shivaprakash M; Paul, Saikat; Hallur, Vinay Kumar; Chakrabarti, Arunaloke

    2016-12-01

    To assess the prevalence of fungal keratitis, we conducted a retrospective study over 7 years (2005 through 2011) at a tertiary care center in North India. Effort has been made to analyze the disease burden, spectrum of agents and treatment history. The findings were compared with an earlier study at the same center for any change in the epidemiology of the disease. Microbiology records were screened at the Postgraduate Institute of Medical Education and Research, Chandigarh, India, to identify fungal keratitis cases, and available clinical records of those cases were analyzed. Of 2459 clinically suspected fungal keratitis cases, 765 (31 %) cases were direct microscopy confirmed. Of these microscopy-confirmed cases, fungi were isolated in 393 (51.4 %), with Aspergillus spp. ranked top (n = 187, 47.6 %), followed by melanized fungi (n = 86, 21.9 %) and Fusarium spp. (n = 64, 16 %). A male predominance of 78.7 % was noted with a peak in the incidence of fungal keratitis during post-monsoon season (September to November). A delay in diagnosis was significantly associated (p keratitis cases due to melanized fungi. In comparison with an earlier study, higher isolation of melanized fungi was noted with a widening of the spectrum of agents identified. Thus, fungal keratitis due to Aspergillus spp. remains a serious ocular illness among the active male population in North India with relative rise of keratitis due to melanized fungi. The spectrum of agents causing fungal keratitis has broadened with many rare fungi that are implicated.

  20. Marked limb bilateral asymmetry in an agricultural endogamous population of North India.

    Science.gov (United States)

    Krishan, Kewal

    2011-01-01

    The purpose of this study is to evaluate directional asymmetry in the most commonly measured dimensions of limbs in adult male Gujjars of North India. The sample for this study is based on 967 adult male Gujjars ranging in age from 18 to 30 years settled in subHimalayan region in the foothills of Siwaliks surrounding Chandigarh city in North India. The data comprise nineteen anthropometric measurements taken on left and right side of each subject. Gujjars are one of the major caste groups of India having agriculture as the main occupation. This group is also homogeneous in terms of ethnic composition, language, and religious affiliation. Using appropriate statistical methods, the bilateral asymmetry was evaluated in the human body. The results indicate that significant bilateral asymmetry exists in some of the limb dimensions. Upper extremity dimensions are more asymmetric than that of lower extremity dimensions. Most of the arm dimensions are significantly larger on the right side except hand length and triceps skinfold in younger sample and triceps skinfold in older sample, which are significantly larger on the left side. Most of the upper extremity dimensions are larger on the right side, however; most of the lower extremity dimensions are larger on the left side. Marked directional asymmetry exists in 13 measurements out of a total 18 taken for the study. This significant right-sided asymmetry may be attributed to the fact that individuals have normal tendency to favor the right side for power activities involving upper limbs, i.e., throwing for distance, sports activities, and in this investigation, working with agricultural tools like Khurpa, Datti, Kassi (Indian agricultural tools) for long durations. More frequent use of the preferred side results in heavier or stronger muscles of that side and consequently heavier and stronger bones. Copyright © 2011 Wiley-Liss, Inc.

  1. Glimpses of women’s lives in rural Bihar: impact of male migration

    NARCIS (Netherlands)

    A. Datta (Amrita)

    2011-01-01

    textabstractBihar has a rich history of out-migration from the state which goes back to as early as the 19th Century. However, in the last few decades, migration for work has increased manifold. The sheer scale of out-migration in contemporary Bihar is astounding. At any given point of time, as many

  2. 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.

  3. 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

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

    Science.gov (United States)

    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.

  5. Oleic acid based polymeric flow improvers for Langhnaj (North Gujarat, India crude oil

    Directory of Open Access Journals (Sweden)

    Mayur R. Patel

    2017-12-01

    Full Text Available This research article investigates the effect of polymeric flow improvers (FI as pour point depressants (PPD and rheological property improvers of waxy crude oil in Langhnaj, North Gujarat (India, since application of FI is a more economically viable option for crude oil transportation. Three new comb-shaped copolymers of maleic anhydride and n-alkyl oleate were synthesized by free radical solution polymerization, which were consequently reacted with hexadecyl amine to get poly (hexyl oleate-co-hexadecyl maleimide-co-n-alkyl oleate. Synthesized polymers were characterized by Fourier Transform Infrared Spectroscopy (FTIR and Gel Permeation Chromatography (GPC. These FIs were further evaluated for their pour point depression property and rheology modifier with and without additive using Fann Viscometer. The prepared FIs act as effective pour point depressants as well as viscosity index improvers.

  6. Constraints Encountered by the Beneficiaries of Krishi Vigyan Kendra in North Eastern Region of India

    Directory of Open Access Journals (Sweden)

    Dipak Nath

    2017-04-01

    Full Text Available The study was conducted among 200 farmers of ten purposively selected Krishi Vigyan Kendras (KVKs in North Eastern region of India. The respondents were interviewed using a questionnaire for identifying the constraints and their suggestions for future improvement of KVK activities. The study revealed that unavailability of labour, unavailability of good quality seed and other inputs, unavailability of information about pest and disease management at right time,(inability to purchase modern agricultural implements and lack of capital were the major constraints. The respondents suggested that timely availability of seed and other inputs, regular and continuous monitoring, linking farmers to financial institutuions for financial support, and more long term practical oriented training programme are important for strengthening KVK activities.

  7. Prevalence And Awareness Of Hypertension In A closed Community Of North India Town

    Directory of Open Access Journals (Sweden)

    Gupta Anmol K

    1998-01-01

    Full Text Available Research question: What is the prevalence and awareness of high blood pressure in a closed community of Shimla Town? Objective : To study the prevalence & awareness of hypertension in a closed community of North India Town. Design : Cross sectional study. Setting: 36 Institutions of Shimla town. Participants: 7630 employees (20-60 years Study Variables: Age, sex, body mass index, physical activity Statistical Analysis: Standard deviation, chi square test Results: Prevalence of hypertension in closed community was founded to be 33.2%. The level of awareness in hypertensives was 12.32% in less than 35 years of age group; 22.43% in 35-49 years age group and rose to 27.09% in above 50. Only 307 were taking regular treatment.

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

    Science.gov (United States)

    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.

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

    Directory of Open Access Journals (Sweden)

    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.

  10. Quantification of the scavenging action of the north-east monsoonal rains over southern India

    Science.gov (United States)

    Rai, A.; Adhikary, S.; Chakraborty, S.; Ghosh, S.

    2009-04-01

    The Neyveli Lignite Corporation (NLC) is among the largest lignite based power plants in South East Asia. The four elevated stacks from this power plant emanate a substantial amount of sulphur dioxide into a tropical boundary layer. Sulphur dioxide being a soluble pollutant gas is absorbed by falling raindrops. This is a first study that aims to quantify the scavenging action of the North Eastern monsoonal rains. Our quantification is based on data obtained from the NLC. In this study we have analyzed observations of precipitation events over southern India and have related the observed precipitation patterns to standard distributions. Thence we calculated the relative abundances of the small and large droplets in the modeled spectra. Having obtained some optimal size distributed raindrop spectra, we then proceeded to quantify the mass transfer rates of the pollutant into the dispersed phase. Since the droplets are embedded in a turbulent boundary layer we had to account for the ventilation effects also. Our study reveals that although the North Eastern monsoonal rains have a preponderance of very large droplets, the contribution of the small droplets cannot be neglected. We expect that the estimated scavenging coefficients can be used by large eddy and climate models.

  11. 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

  12. My first time: initiation into injecting drug use in Manipur and Nagaland, north-east India

    Directory of Open Access Journals (Sweden)

    Langkham Biangtung

    2007-12-01

    Full Text Available Abstract Background The north-east Indian states of Manipur and Nagaland are two of the six high HIV prevalence states in the country, and the main route of HIV transmission is injecting drug use. Understanding the pathways to injecting drug use can facilitate early intervention with HIV prevention programs. While several studies of initiation into injecting drug use have been conducted in developed countries, little is known about the situation in developing country settings. The aim of this study was to increase understanding of the contextual factors associated with initiation into injecting drug use in north-east India, and the influence of these factors on subsequent initiation of others. Method In mid 2006 a cross-sectional survey among 200 injecting drug users (IDUs was undertaken in partnership with local NGOs that provide HIV prevention and care services and advocacy for IDUs in Imphal, Manipur and Dimapur, Nagaland. The questionnaire elicited detailed information about the circumstances of the first injection and the contexts of participants' lives. Demographic information, self-reported HIV status, and details about initiation of others were also recorded. Results Initiation into injecting drug use occurred at 20 years of age. The drugs most commonly injected were Spasmo-proxyvon (65.5% and heroin (30.5%. In 53.5% cases, a needle belonging to someone else was used. Two-thirds (66.7% had used the drug previously, and 91.0% had known other IDUs prior to initiation (mean = 7.5 others. The first injection was usually administered by another person (94.5%, mostly a friend (84.1%. Initiation is a social event; 98% had others present (mean = 2.7 others. Almost 70% of participants had initiated at least one other (mean = 5 others. Initiation of others was independently associated with being male and unemployed; having IDU friends and using alcohol around the time of initiation; and having been taught to inject and not paid for the drug at the

  13. The epidemiology of Leishmania donovani infection in high transmission foci in India

    DEFF Research Database (Denmark)

    Singh, Shri P; Picado, Albert; Boelaert, Marleen

    2010-01-01

    OBJECTIVE: Visceral Leishmaniasis (VL) is highly prevalent in Bihar, India. India and its neighbours aim at eliminating VL, but several knowledge gaps in the epidemiology of VL may hamper that effort. The prevalence of asymptomatic infections with Leishmania donovani and their role in transmission...

  14. India.

    Science.gov (United States)

    Semaan, Leslie

    This text examines India's rich and long history, then uses this perspective to focus on present day problems and aspirations. It forces students to reevaluate their stereotyped images of India by presenting a nation that has striven to recover from a past of colonial domination, is presently faced with regional ethnic discord and disparity, and…

  15. India.

    Science.gov (United States)

    Semaan, Leslie; Lightman, Kathleen

    Not only is India one of the oldest continuous civilizations in the world, it has also become one of the greatest industrial nations. This package explores India's heritage, its people, and the traumatic changes of the 20th century. Contents include: Introduction, Climate, The Land, Cities, Agriculture, Rural Life, History, Religions, Dress, Food,…

  16. Medical barriers to emergency contraception: a cross-sectional survey of doctors in North India.

    Science.gov (United States)

    Khan, M E; Dixit, Anvita; Bhatnagar, Isha; Brady, Martha

    2014-05-01

    Some medical doctors in India have publicly expressed opposition to making emergency contraceptive pills (ECPs) easily accessible, even though ECPs are included in the method mix of the Ministry of Health and Family Welfare program and as an over-the-counter (OTC) product. Such opposition affects access to ECPs by influencing policy, procurement, and distribution, besides stigmatizing the ECP user. This study was conducted to assess ECP knowledge, attitudes, and practices of doctors in North India. A cross-sectional survey of 83 doctors who provide ECPs, randomly selected from 3 cities in the state of Uttar Pradesh, was conducted in 2011. The quantitative data were complemented by 19 in-depth interviews with purposively selected senior gynecologists and other opinion leaders. All surveyed physicians cited the correct dose and regimen for ECPs. However, the large majority of those surveyed believed that ECPs work by preventing implantation. (The best evidence currently indicates that ECPs do not work by preventing implantation.) Most doctors also believed incorrectly that ECPs have several contraindications and side effects. They also had strong reservations against OTC provision of ECPs by pharmacists and community health workers (CHWs) and negative attitudes toward ECP users, which serve as serious medical barriers to mainstreaming use of ECPs. Physicians and their professional associations exert a strong influence on the operationalization of national contraceptive policies. Evidence-based advocacy and educational campaigns targeting doctors are needed to address and resolve their reservations about ECPs, particularly about its provision as an OTC product and its distribution by CHWs. Partnerships with medical associations can help reduce doctors' negative attitudes and create a conducive environment for influencing clinical practices. Such changes are needed to increase the availability and use of ECPs as part of a package of a full range of contraceptive method

  17. Spectrum of AIDS defining & non-AIDS defining malignancies in north India

    Directory of Open Access Journals (Sweden)

    Ravinder Kaur Sachdeva

    2016-01-01

    Full Text Available Background & objectives: There is scarcity of data on the frequency of malignancies in HIV infected individuals from India. The objective of this study was to determine the type and frequency of malignancies in HIV infected individuals attending a tertiary care hospital in north India. Methods: The study design included retrospective analysis of data of all HIV infected individuals registered in the Immunodeficiency clinic from December 2009 to December 2011 and a prospective analysis of HIV infected individuals registered from January 2012 to April 2013. The clinical details and treatment outcomes of all individuals diagnosed to have AIDS defining and non-AIDS defining malignancies were recorded. Results: Records of 2880 HIV infected individuals were reviewed. Thirty one (19 males, 12 females individuals were diagnosed to have malignancy. AIDS defining malignancy was found in the form of non-Hodgkin′s lymphoma in 12 individuals and cervical cancer in six women. Non-AIDS defining malignancies included Hodgkin′s lymphoma (n=2; and chronic myelogenous leukaemia, carcinoma base of tongue, carcinoma larynx, carcinoma bronchus, sinonasal carcinoma, ovarian carcinoma, anal carcinoma, carcinoma urinary bladder, pleomorphic sarcoma, parathyroid adenoma, and renal cell carcinoma in one individual each. Mean CD4+cell count prior to ART initiation was 250 ± 195.6 (median: 187; range, 22-805 cells/μl and at the time of diagnosis of malignancy was 272 ± 202 (median: 202; range, 15-959 cells/μl. The mean CD4+ count of individuals with AIDS defining malignancy was significantly lower when compared with non-AIDS defining malignancy (P<0.001. Fourteen individuals were alive and on regular follow up, 15 had died and two cases were lost to follow up. Interpretation & conclusions: The frequency of malignancies in HIV infected patients at our centre was 1 per cent, with non-Hodgkin′s lymphoma being the commonest. Further studies need to be done to document

  18. Anti-glomerular basement membrane disease: Case series from a tertiary center in North India

    Directory of Open Access Journals (Sweden)

    D Prabhakar

    2017-01-01

    Full Text Available Anti-glomerular basement (anti-GBM disease is an uncommon disorder with a bimodal age of presentation. Patients presenting with dialysis-dependent renal failure have poor renal outcomes. There is limited data regarding the clinical presentation and outcomes of anti-GBM disease from India. We conducted this prospective study to analyze the clinical presentation and outcomes of anti-GBM disease at a large tertiary care hospital in North India over 1½ years. Subjects with a biopsy proven anti-GBM disease (light microscopic examination showing crescents and immunofluorescence examination showing linear deposition of IgG with or without positive anti-GBM antibodies in serum were included in the study and followed-up for at least 12 months. All the patients were treated with steroids, cyclophosphamide, and plasma exchange. A total of 17 patients (nine males were included. The mean age at presentation was 39.11 ± 16.58 (range 11–72 years. Twelve patients (70% presented with rapidly progressive glomerulonephritis (RPGN, 4 (23.5% presented with Goodpasture syndrome, while 1 (5.8% had nephritic syndrome, 7 (41% were hypertensive, and 14 (82.3% required dialysis at the time of presentation. Four patients (23.5% had associated anti-neutrophil cytoplasmic antibody positivity (anti-myeloperoxidase antibodies in all. Fourteen (87.5% patients had crescentic glomerulonephritis, while 5 (31.25% showed necrotizing (n = 4 or granulomatous (n = 1 in the vasculitis. Of 16 patients who received treatment, four (23.25% achieved complete remission. In this single-center study, the majority of anti-GBM disease patients presented with RPGN and had crescentic glomerulonephritis on biopsy with poor treatment outcome.

  19. Maternal tetanus toxoid vaccination and neonatal mortality in rural north India.

    Science.gov (United States)

    Singh, Abhishek; Pallikadavath, Saseendran; Ogollah, Reuben; Stones, William

    2012-01-01

    Preventable neonatal mortality due to tetanus infection remains common. We aimed to examine antenatal vaccination impact in a context of continuing high neonatal mortality in rural northern India. Using the third round of the Indian National Family Health Survey (NFHS) 2005-06, mortality of most recent singleton births was analysed in discrete-time logistic model with maternal tetanus vaccination, together with antenatal care utilisation and supplementation with iron and folic acid. 59% of mothers reported receiving antenatal care, 48% reported receiving iron and folic acid supplementation and 68% reported receiving two or more doses of tetanus toxoid (TT) vaccination. The odds of all-cause neonatal death were reduced following one or more antenatal dose of TT with odds ratios (OR) of 0.46 (95% CI 0.26 to 0.78) after one dose and 0.45 (95% CI 0.31 to 0.66) after two or more doses. Reported utilisation of antenatal care and iron-folic acid supplementation did not influence neonatal mortality. In the statistical model, 16% (95% CI 5% to 27%) of neonatal deaths could be attributed to a lack of at least two doses of TT vaccination during pregnancy, representing an estimated 78,632 neonatal deaths in absolute terms. Substantial gains in newborn survival could be achieved in rural North India through increased coverage of antenatal TT vaccination. The apparent substantial protective effect of a single antenatal dose of TT requires further study. It may reflect greater population vaccination coverage and indicates that health programming should prioritise universal antenatal coverage with at least one dose.

  20. Fasciolopsiasis: Endemic focus of a neglected parasitic disease in Bihar

    Directory of Open Access Journals (Sweden)

    A Achra

    2015-01-01

    Full Text Available Purpose: To describe a newly discovered, previously unreported endemic focus of fasciolopsiasis in the Phulwaria village, under tehsil Sugauli, East Champaran, Bihar. Materials and Methods: A study was conducted at village Phulwaria, following diagnosis of fasciolopsiasis in three children from the village. A total of 120 individuals, including all the children and adults who gave history of recent passage of red fleshy masses in their stool, were included in the study. The cases of fasciolopsiasis were treated with Praziquantel 25 mg/kg, three doses a day. Risk factors for the transmission of the parasite in the village were also studied. Results: Questionnaire revealed majority of the population suffering from abdominal discomfort and passage of red fleshy masses in stool. These fleshy masses were identified as Fasciolopsis buski. One hundred and eighteen individuals were presumably considered as cases of the parasitic infection. After treatment with Praziquantel, all of them passed the parasite in their stool for the next 2-3 days. On investigating, it was observed that all the conditions required for effective continuation of the life cycle of the parasite were present in this village. Conclusion: This study draws attention to a new endemic focus of fasciolopsiasis in Bihar, with a very high prevalence due to poverty, the lack of awareness about the parasite in villagers as well as ignorance among local medical practitioners. There is an urgent need for mass campaign around the region for its effective control.

  1. Above ground standing biomass and carbon storage in village bamboos in North East India

    Energy Technology Data Exchange (ETDEWEB)

    Jyoti Nath, Arun; Das, Ashesh Kumar [Department of Ecology and Environmental Science, Assam University, Silchar 788011, Assam (India); Das, Gitasree [Department of Statistics, North Eastern Hill University, Shillong 793022, Meghalaya (India)

    2009-09-15

    Bamboo forms an important component in the traditional landscape of North East India. For biomass estimation of village bamboos of Barak Valley, North East India, allometric relationships were developed by harvest method describing leaf, branch and culm biomass with DBH as an independent variable using a log linear model. The culm density of the stand was 8950 culms ha{sup -1} during 2005 of which 67% of growing stock was represented by Bambusa cacharensis, 17.88% by Bambusa vulgaris and 15.12% by Bambusa balcooa. Above ground stand biomass was 121.51 t ha{sup -1} of which 86% was contributed by culm component followed by branch (10%) and leaf (4%). With respect to species, B. cacharensis made up to 46% of total stand biomass followed by B. vulgaris (28%) and B. balcooa (26%). Carbon storage in the above ground biomass was 61.05 t ha{sup -1}. Allocation of C was more in culm components (53.05 t ha{sup -1}) than in branch (5.81 t ha{sup -1}) and leaf (2.19 t ha{sup -1}). Carbon storage in the litter floor mass was 2.40 t ha{sup -1}, of which leaf litter made up the highest amount (1.37 t ha{sup -1}) followed by sheath (0.86 t ha{sup -1}) and branch (0.17 t ha{sup -1}). Carbon stock in the soil up to 30 cm depth was 57.3 t ha{sup -1}. Gross C stock in the plantation was estimated to be 120.75 t ha{sup -1}. Carbon storage estimated in the bamboo stand of present study offers insights into the opportunity of village bamboos in the rural landscape for carbon storage through carbon sequestration. Management and utilization of village bamboos as a potential source of carbon sink by smallholder farmers are discussed in the context of their livelihood security and the Millennium Development Goals of the United Nations. (author)

  2. Genetic diversity and structure in hill rice (Oryza sativa L.) landraces from the North-Eastern Himalayas of India

    OpenAIRE

    Roy, Somnath; Marndi, B. C.; Mawkhlieng, B.; Banerjee, A.; Yadav, R. M.; Misra, A. K.; Bansal, K. C.

    2016-01-01

    Background Hill rices (Oryza sativa L.) are direct seeded rices grown on hill slopes of different gradients. These landraces have evolved under rainfed and harsh environmental conditions and may possess genes governing adaptation traits such as tolerance to cold and moisture stress. In this study, 64 hill rice landraces were collected from the state of Arunachal Pradesh of North-Eastern region of India, and assessed by agro-morphological variability and microsatellite markers polymorphism. Ou...

  3. Medicinal plants used for liver diseases in some parts of Kamrup district of Assam, a North Eastern State of India.

    Science.gov (United States)

    Kotoky, J; Das, P N

    2008-07-01

    An ethno-botanical survey was conducted in some tribal dominated pockets of Kamrup district of ASSAM, a North Eastern State of India. This report deals with 24 plant species used as herbal remedies for the treatment of liver ailments. Each entry includes the botanical and prevalent local name(s), other medicinal use(s), part(s) used, method of preparation and mode of administration.

  4. Cognition related to Domestic Violence in India: Implications for ...

    African Journals Online (AJOL)

    In India, the nature of interdependency between wife and husband is regarded as different from what it is in the west. It is observed that in Indian state of Bihar, there is co-existence of memory of domestic violence and attitudinal justification of domestic violence on all the dimensions of domestic violence. However, In Tamil ...

  5. Spectrum of clinical disease in a series of 135 hospitalised HIV-infected patients from north India

    Directory of Open Access Journals (Sweden)

    Sharma SK

    2004-11-01

    Full Text Available Abstract Background Literature on the spectrum of opportunistic disease in human immunodeficiency virus (HIV-infected patients from developing countries is sparse. The objective of this study was to document the spectrum and determine the frequency of various opportunistic infections (OIs and non-infectious opportunistic diseases, in hospitalised HIV-infected patients from north India. Methods One hundred and thirty five consecutive, HIV-infected patients (age 34 ± 10 years, females 17% admitted to a tertiary care hospital in north India, for the evaluation and management of an OI or HIV-related disorder between January 2000 and July 2003, were studied. Results Fever (71% and weight loss (65% were the commonest presenting symptoms. Heterosexual transmission was the commonest mode of HIV-acquisition. Tuberculosis (TB was the commonest OI (71% followed by candidiasis (39.3%, Pneumocystis jiroveci pneumonia (PCP (7.4%, cryptococcal meningitis and cerebral toxoplasmosis (3.7% each. Most of the cases of TB were disseminated (64%. Apart from other well-recognised OIs, two patients had visceral leishmaniasis. Two cases of HIV-associated lymphoma were encountered. CD4+ cell counts were done in 109 patients. Majority of the patients (82.6% had CD4+ counts Conclusions A wide spectrum of disease, including both OIs and non-infectious opportunistic diseases, is seen in hospitalised HIV-infected patients from north India. Tuberculosis remains the most common OI and is the commonest cause of death in these patients.

  6. Estimating gross primary productivity of a tropical forest ecosystem over north-east India using LAI and meteorological variables

    Science.gov (United States)

    Deb Burman, Pramit Kumar; Sarma, Dipankar; Williams, Mathew; Karipot, Anandakumar; Chakraborty, Supriyo

    2017-10-01

    Tropical forests act as a major sink of atmospheric carbon dioxide, and store large amounts of carbon in biomass. India is a tropical country with regions of dense vegetation and high biodiversity. However due to the paucity of observations, the carbon sequestration potential of these forests could not be assessed in detail so far. To address this gap, several flux towers were erected over different ecosystems in India by Indian Institute of Tropical Meteorology as part of the MetFlux India project funded by MoES (Ministry of Earth Sciences, Government of India). A 50 m tall tower was set up over a semi-evergreen moist deciduous forest named Kaziranga National Park in north-eastern part of India which houses a significant stretch of local forest cover. Climatically this region is identified to be humid sub-tropical. Here we report first generation of the in situ meteorological observations and leaf area index (LAI) measurements from this site. LAI obtained from NASA's Moderate Resolution Imaging Spectroradiometer (MODIS) is compared with the in situ measured LAI. We use these in situ measurements to calculate the total gross photosynthesis (or gross primary productivity, GPP) of the forest using a calibrated model. LAI and GPP show prominent seasonal variation. LAI ranges between 0.75 in winter to 3.25 in summer. Annual GPP is estimated to be 2.11 kg C m^{-2} year^{-1}.

  7. 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.

  8. Epidemiology & antibiograms of Vibrio cholerae isolates from a tertiary care hospital in Chandigarh, north India.

    Science.gov (United States)

    Chander, Jagdish; Kaistha, Neelam; Gupta, Varsha; Mehta, Manjula; Singla, Nidhi; Deep, Antariksh; Sarkar, B L

    2009-05-01

    Cholera is endemic in Chandigarh and its surrounding areas. This retrospective study was undertaken over a period of nine years (January 1999-December 2007) from a tertiary care hospital in north India to understand the changing epidemiology aspects and antibiotic resistance patterns in Vibrio cholerae isolates. A total of 277 isolates of V. cholerae were included in the study. V. cholerae was identified by standard microbiological procedures. Antibiotic sensitivity testing was performed by disc diffusion method and isolates phage typed. All the isolates were identified as V. cholerae O1 biotype El Tor serotype Ogawa; phage 27 was the predominant type. Men were more commonly affected with maximum number in the age group 0-5 yr. Majority of the isolates were resistant to furazolidone but sensitive to gentamicin and cefotaxime. Resistance pattern to amoxycillin was variable. Three isolates were found to be resistant to ciprofloxacin. All the patients presented during June-October coinciding with the monsoon season and a majority were from suburbs. The emergence of resistance amongst V. cholerae especially towards ciprofloxacin may significantly influence the control strategies in future outbreaks. Phage 27 remained the predominant type in all the years. Continuous surveillance with regard to drug resistance, early detection and a strong regional commitment may help contain the disease.

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

    Directory of Open Access Journals (Sweden)

    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.

  10. Phytoplankton community of Lake Baskandi anua, Cachar District, Assam, North East India – An ecological study

    Directory of Open Access Journals (Sweden)

    Devi M.B.

    2016-01-01

    Full Text Available Diversity, relative abundance and dominance of phytoplankton community of the Lake Baskandi anua, an oxbow lake of Assam, North east India were studied during December 2009 to November 2010. Chlorophyll content and biomass of phytoplankton along with physico-chemical properties of water of the lake were also estimated. The lake is covered with Hydrilla and other macrophytes like Eichhornia, Trapa, Altrnenthera, Polygonum, Ludwizia sp., etc. Seasonal fluctuations of 41 genera of phytoplankton, belonging to 5 groups (Chlorophyceae, Cyanobacteria, Bacillariophyceae, Euglenophyceae and Dinophyceae were encountered in the lake. Chlorophyceae was found to be highest in winter, Cyanobacteria and Euglena in monsoon and Bacillariophyceae in pre monsoon. According to Engelmann’s scale, Spirogyra indica was found eudominant followed by 10 dominant, 24 subdominant and 20 recedent species. Chlorophyll- a content of phytoplankton varied from 14.18 to 33.89 μg·L-1, during the study period. One way analysis of variance (ANOVA revealed significant seasonal variation in physico-chemical properties of water like Water temperature, pH, Conductivity, Dissolved oxygen, Free CO2, Total alkalinity, Calcium, Chloride, Nitrate and Ammonia. Relationship between phytoplankton group assemblage and environmental variables were explored by the ordination method CCA (Canonical Correspondence Analysis.

  11. 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.

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

    Directory of Open Access Journals (Sweden)

    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.

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

    Directory of Open Access Journals (Sweden)

    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.

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

    Directory of Open Access Journals (Sweden)

    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.

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

    Directory of Open Access Journals (Sweden)

    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.

  16. 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.

  17. Socio-economic and demographic correlates of stunting among adolescents of Assam, North- east India

    Directory of Open Access Journals (Sweden)

    Seb Rengma Melody

    2016-12-01

    Full Text Available The prevalence of stunting (low height-for-age is a key indicator of long-term chronic undernutrition which reflects an anthropometric failure to reach linear growth potentials due to prolonged food deprivation and/or disease or illness during the early stage of life. The present study assesses the prevalence and socio-economic and demographic correlates of stunting among adolescents of the North-east India. This cross-sectional study was undertaken among 1,818 (830 boys; 988 girls adolescents (aged 10-18 years belonging to ethnically heterogeneous populations of Karbi Anglong district of Assam, using stratified random sampling method. Anthropometric measurements of height and weight were recorded using standard procedures. Socio-economic and demographic variables were obtained using pre-structured schedule. The age-sex specific L, M and S reference values were used to calculate height-for-age Z-score (HAZ. According to WHO, HAZ found to be 0.05. The binary logistic regression analysis showed that several socio-economic and demographic variables were significantly associated with stunting (p<0.05. The step-wise multiple logistic regression analysis showed that sex (boys, age groups (13-15 years and 16-18 years, father’s occupation (cultivator and Rupees ≤5000 household income was significantly associated with stunting (p<0.05. Appropriate nutritional intervention programmes and dissemination of knowledge at population level related to undernutrition are necessary to ameliorate their nutritional status.

  18. 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.

  19. The Nexus between Child Marriage and Women Empowerment with Physical Violence in Two Culturally Distinct States of India

    Directory of Open Access Journals (Sweden)

    Jayakant Singh

    2015-01-01

    Full Text Available Summary. We investigated the relationship between child marriage among young women and their level of empowerment with spousal physical violence in two culturally distinct states of India (Bihar and Tamil Nadu using nationally representative survey data. Empowerment index was calculated taking into account parameters such as mobility, economic independence, and decision-making power of a woman using Principal Component Analysis method. Lower level of women empowerment was significantly associated with physical violence in Tamil Nadu (OR = 2.38, p<0.01 whereas marriage before the age of 15 was associated with physical violence in Bihar (OR = 3.27, p<0.001. The mean age at marriage was low among women who reported physical violence as compared to those who did not report physical violence across Bihar and Tamil Nadu and at all India level. Although the majority of the women in Tamil Nadu justified wife beating and witnessed father beating mother as compared to the women from Bihar, however, they were less likely to report physical violence than women from Bihar. Factors contributing to physical violence are distinct in Bihar and Tamil Nadu. Culture specific intervention may be considered while planning intervention strategies to curb spousal violence against women.

  20. Impact of community-based health insurance in rural India on self-medication & financial protection of the insured

    NARCIS (Netherlands)

    D.M. Dror (David); A. Chakraborty (Arpita); M. Majumdar (Manabi); P. Panda (Pradeep); R. Koren (Ruth)

    2016-01-01

    textabstractBackground & objectives: The evidence-base of the impact of community-based health insurance (CBHI) on access to healthcare and financial protection in India is weak. We investigated the impact of CBHI in rural Uttar Pradesh and Bihar States of India on insured households’

  1. Scaling–up public sector childhood diarrhea management program: Lessons from Indian states of Gujarat, Uttar Pradesh and Bihar

    Science.gov (United States)

    Kumar, Sanjeev; Roy, Rajashree; Dutta, Sucharita

    2015-01-01

    Background Diarrhea remains a leading cause of death among children under five in India. Public health sector is an important source for diarrhea treatment with oral rehydration salts (ORS) and zinc. In 2010, Micronutrient Initiative started a project to improve service delivery for childhood diarrhea management through public health sector in Gujarat, Uttar Pradesh (UP) and Bihar. This paper aims to highlight feasible strategies, experiences and lessons learned from scaling–up zinc and ORS for childhood diarrhea management in the public sector in three Indian states. Methods The project was implemented in six districts of Gujarat, 12 districts of UP and 15 districts of Bihar, which includes 10.5 million children. Program strategies included capacity building of health care providers, expanding service delivery through community health workers (CHWs), providing supportive supervision to CHWs, ensuring supplies and conducting monitoring and evaluation. The lessons described in this paper are based on program data, government documents and studies that were used to generate evidence and inform program scale–up. Results 140 000 health personnel, including CHWs, were trained in childhood diarrhea management. During three years, CHWs had sustained knowledge and have treated and reported more than three million children aged 2–59 months having diarrhea, of which 84% were treated with both zinc and ORS. The successful strategies were scaled–up. Conclusion It is feasible and viable to introduce and scale–up zinc and ORS for childhood diarrhea treatment through public sector. Community–based service delivery, timely and adequate supplies, trained staff and pro–active engagement with government were essential for program success. PMID:26682047

  2. 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

  3. CLINICAL PROFILE OF PATIENTS WITH ALCOHOLIC LIVER DISEASE IN UPPER ASSAM OF NORTH EAST INDIA

    Directory of Open Access Journals (Sweden)

    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

  4. STUDY OF PATTERN AND OUTCOME OF ACUTE POISONING CASES AT TERTIARY CARE HOSPITAL IN NORTH INDIA

    Directory of Open Access Journals (Sweden)

    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

  5. 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

  6. Noninvasive mechanical ventilation: An 18-month experience of two tertiary care hospitals in north India

    Directory of Open Access Journals (Sweden)

    Ajay K Verma

    2013-01-01

    Full Text Available Background: Noninvasive mechanical ventilation (NIMV is the delivery of positive pressure ventilation through an interface to upper airways without using the invasive airway. Use of NIMV is becoming common with the increasing recognition of its benefits. Objectives: This study was done to evaluate the feasibility and outcome of NIMV in tertiary care centres. Materials and Methods: An observational, retrospective study conducted over a period of 18 months in two tertiary level hospitals of north India on 184 consecutive patients who were treated by NIMV, regardless of the indication. NIMV was given in accordance with the arterial blood gas (ABG parameters defining respiratory failure (Type 1/Type 2. Results: The most common indication of NIMV in our hospitals was acute exacerbation of chronic obstructive pulmonary disease (AE-COPD 80.43%, and 90.54% AE-COPD patients were improved by NIMV. Application of NIMV resulted in significant improvement of pH and blood gases in COPD patients, while non-COPD patients showed significant improvement in partial pressure of oxygen (PaO 2 alone. The mean duration of NIMV was 8.35 ± 5.98 days, and patients of interstitial lung disease (ILD were on NIMV for the maximum duration (17 ± 8.48 days. None of the patients of acute respiratory distress syndrome were cured by NIMV; 13.04% patients on NIMV required intubation and mechanical ventilation. Conclusion: This study demonstrates and encourages the use of NIMV as the first-line ventilatory treatment in AE-COPD patients with respiratory failure. It also supports NIMV usage in other causes of respiratory failure as a promising step toward prevention of mechanical ventilation.

  7. Noninvasive mechanical ventilation: An 18-month experience of two tertiary care hospitals in north India.

    Science.gov (United States)

    Verma, Ajay K; Mishra, Mayank; Kant, Surya; Kumar, Anand; Verma, Sushil K; Chaudhri, Sudhir; Prabhuram, J

    2013-10-01

    Noninvasive mechanical ventilation (NIMV) is the delivery of positive pressure ventilation through an interface to upper airways without using the invasive airway. Use of NIMV is becoming common with the increasing recognition of its benefits. This study was done to evaluate the feasibility and outcome of NIMV in tertiary care centres. An observational, retrospective study conducted over a period of 18 months in two tertiary level hospitals of north India on 184 consecutive patients who were treated by NIMV, regardless of the indication. NIMV was given in accordance with the arterial blood gas (ABG) parameters defining respiratory failure (Type 1/Type 2). The most common indication of NIMV in our hospitals was acute exacerbation of chronic obstructive pulmonary disease (AE-COPD 80.43%), and 90.54% AE-COPD patients were improved by NIMV. Application of NIMV resulted in significant improvement of pH and blood gases in COPD patients, while non-COPD patients showed significant improvement in partial pressure of oxygen (PaO2) alone. The mean duration of NIMV was 8.35 ± 5.98 days, and patients of interstitial lung disease (ILD) were on NIMV for the maximum duration (17 ± 8.48 days). None of the patients of acute respiratory distress syndrome were cured by NIMV; 13.04% patients on NIMV required intubation and mechanical ventilation. This study demonstrates and encourages the use of NIMV as the first-line ventilatory treatment in AE-COPD patients with respiratory failure. It also supports NIMV usage in other causes of respiratory failure as a promising step toward prevention of mechanical ventilation.

  8. 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.

  9. 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.

  10. 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.

  11. Wildlife Mortality on National Highway 72 and 74 Across Rajaji National Park, North India

    Directory of Open Access Journals (Sweden)

    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. Carbon allocation, sequestration and carbon dioxide mitigation under plantation forests of north western Himalaya, India

    Directory of Open Access Journals (Sweden)

    Bandana Devi

    2013-07-01

    Full Text Available The organic carbon and soils of the world comprise bulk of the terrestrial carbon and serve as amajorsink and source of atmospheric carbon. Increasing atmospheric concentrations of green house gases may be mitigated by increasing carbon sequestration in vegetation and soil. The study attempted to estimate biomass production and carbon sequestration potential of different plantation ecosystems in north western Himalaya, India. Biomass, carbon density of biomass, soil, detritus, carbon sequestration and CO2 mitigation potential were studied underdifferent plantation forest ecosystems comprising of eight different tree species viz. Quercus leucotrichophora, Pinus roxburghii, Acacia catechu, Acacia mollissima, Albizia procera, Alnus nitida, Eucalyptus tereticornis and Ulmus villosa. Above (185.57 ą 48.99 tha-1 and below ground (42.47 ą 10.38 tha-1 biomass was maximum in Ulmus villosa. The vegetation carbon density was maxium in Albizia procera (118.37 ą 1.49 tha-1 and minimum (36.50 ą 9.87 tha-1 in Acacia catechu. Soil carbon density was maximum (219.86ą 10.34 tha-1 in Alnus nitida, and minimum (170.83ą 20.60 tha-1in Pinus roxburghii. Detritus was higher in Pinus roxburghii (6.79 ą 2.0 tha-1. Carbon sequestration (7.91ą 3.4 tha-1 and CO2 mitigation potential (29.09 ą 12.78 tha-1 was maximum in Ulmus villosa. Pearson correlation matrix revealed significant positive relationship of ecosystem carbon with plantation biomass, soil carbon and CO2 mitigation potential. With the emerging threat of climate change, such assessment of forest and soil carbon inventory would allow to devise best land management and policy decisions forsustainable management of fragile hilly ecosystem. 

  13. Carbon allocation, sequestration and carbon dioxide mitigation under plantation forests of north western Himalaya, India

    Directory of Open Access Journals (Sweden)

    Bandana Devi

    2013-05-01

    Full Text Available The organic carbon and soils of the world comprise bulk of the terrestrial carbon and serve as a major sink and source of atmospheric carbon. Increasing atmospheric concentrations of green house gases may be mitigated by increasing carbon sequestration in vegetation and soil. The study attempted to estimate biomass production and carbon sequestration potential of different plantation ecosystems in north western Himalaya, India. Biomass, carbon density of biomass, soil, detritus, carbon sequestration and CO2 mitigation potential were studied under different plantation forest ecosystems comprising of eight different tree species: Quercus leucotrichophora, Pinus roxburghii, Acacia catechu, Acacia mollissima, Albizia procera, Alnusnitida, Eucalyptus tereticornis and Ulmus villosa. Above (185.57±48.99tha-1 and below ground (42.47±10.38 tha-1 biomass was maximum in Ulmus villosa. The vegetation carbon density was maxium in Albizia procera(118.37±1.49 tha-1 and minimum (36.50±9.87 tha-1 in Acacia catechu. Soil carbon density was maximum (219.86±10.34 tha-1 in Alnus nitida, and minimum (170.83±20.60 tha-1 in Pinus roxburghii. Detritus was higher in Pinus roxburghii (6.79±2.0 tha-1. Carbon sequestration (7.91±3.4 tha-1 and CO2 mitigation potential (29.09±12.78 tha-1 was maximum in Ulmus villosa. Pearson correlation matrix revealed significant positive relationship of ecosystem carbon with plantation biomass, soil carbon and CO2 mitigation potential. With the emerging threat of climate change, such assessment of forest and soil carbon inventory would allow to devise best land management and policy decisions for sustainable management of fragile hilly ecosystem.

  14. 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.

  15. 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.

  16. Species distribution and antifungal susceptibility of candidemia at a multispecialty center in North India

    Directory of Open Access Journals (Sweden)

    Maria Thomas

    2016-01-01

    Full Text Available Introduction: Fungi have emerged as major opportunistic pathogens. Candida species account for nearly 96% of all opportunistic mycoses and is an important cause of bloodstream infections. There has been a progressive shift from the predominance of Candida albicans to nonalbicans Candida species as the major cause of candidemia all over the world. Resistance to antifungal drugs is more in nonalbicans Candida species. Hence, speciation and antifungal susceptibility testing is the need of the hour. Materials and Methods: This retrospective study was conducted in a multispecialty center in North India from January 1, 2014 to March 31, 2015. The blood culture samples that were positive for Candida species were processed further. Species identification was done by standard microbiological techniques. Antifungal drug susceptibility was done by disk diffusion method (Clinical and Laboratory Standards Institute M44-A2. Results: A total of 10893 samples were processed, 1440 (13.2% blood cultures were positive. Candida species was isolated from 105 (7.3% samples, of which 15 (14.3% were C. albicans and 90 (85.7% were nonalbicans Candida. Nonalbicans Candida included Candida tropicalis (50.5%, Candida glabrata (19.0%, Candida parapsilosis (14.3% and one isolate each of Candida guillermondi and Candida krusei. Majority of the Candida spp. isolates were resistant to clotrimazole (55.5% fluconazole (42% and itraconazole (69% and and ketoconazole (38%. All isolates were uniformly sensitive to amphotericin B. Conclusion: There is predominance of nonalbicans Candida species in hospital setting. A high index of suspicion, early diagnosis, and a prompt and appropriate therapy remains the cornerstone of treatment.

  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. Profile of angle closure in a tertiary care center in north India

    Directory of Open Access Journals (Sweden)

    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

  19. 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.

  20. Pulmonary function of adolescents from Tripura, a North-eastern state of India

    Directory of Open Access Journals (Sweden)

    Dipayan Choudhuri

    2015-01-01

    Full Text Available Objective: Spirometric evaluation of pulmonary function has been evolved as clinical tool in diagnosis, management, and follow-up of respiratory disorders. There are very few studies on normative reference values of pulmonary function parameters for adolescents from Tripura, a North-eastern state of India. The present study was aimed to evaluate pulmonary function and their predictors in male and female adolescents of Tripura. Materials and Methods: A total of 640 (320 from tribal and 320 non-tribal healthy, non-smoking male and female school children (age 10-14 years from four different districts of Tripura were randomly sampled for the study. The pulmonary function parameters analysed included forced vital capacity (FVC, forced expiratory volume in 1 second (FEV 1 , peak expiratory flow rate (PEFR, forced expiratory flow between 25% and 75% expired volume (FEF 25-75% , ratio of FEV 1 /FVC and maximum voluntary ventilation (MVV. Results: The results revealed that body weight, body mass index (BMI, PEFR, FEF 25-75% and MVV are significantly high among male tribal children in comparison to non-tribal children. Height, weight, waist-to-hip ratio (WHR, waist-to-height ratio (WHtR, PEFR and MVV were found to be significantly more in tribal girls. In case of adolescents from Tripura, most of the pulmonary function parameters correlated with anthropometric parameters of the subject like height, weight, BMI, WHR, and WHtR. Conclusion: From the present study, it can be concluded that both anthropometric and pulmonary function status of tribal and non-tribal adolescents from Tripura are comparable. The computed regression norms may be used to predict pulmonary function of adolescents from Tripura by using anthropometric indices.

  1. Four years of experience of telemedicine for paediatric care in three Punjab hospitals, North India: achievements and lessons.

    Science.gov (United States)

    Singh, Meenu; Das, Rashmi Ranjan

    2010-12-01

    Children in India constitute a very high risk group from mortality and morbidity due to lack of specialised healthcare. Remote care of paediatric patients by offsite specialists using telemedicine technology is a highly potential solution for coping up with the shortage of specialists in Indian subcontinent. We at a tertiary care teaching hospital in North India assessed the application of telemedicine services for diagnosis and management of paediatric illnesses, through prospective analyses of electronic databases over 4 years. The age groups covered were from newborn up to children of 15 years of age. The outcomes assessed were: feasibility, diagnostic possibilities, management, outcomes, referral and mean costs per patient. The results were as follows: major consultations involved children system-related problems were: gastrointestinal, respiratory, neurological, infectious and haematological. Referral was advised in 14.3% of cases. Ten percent of children were critically ill and could not have been in a position to be transported safely. Videoconferencing was done in 21.4% patients. There was a paucity of feedback and follow up of these consultations (12% of the total). The total savings for all the consultations per child was ≈1000 Indian rupees (approximately US$22) leaving behind the telemedicine consultation charges. To conclude, telepaediatrics in India is still in its fetal stage. The hurdles and medico-legal issues need to be addressed before the telepaediatrics service is widely accepted in India.

  2. 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.

  3. 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.

  4. 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.

  5. Religion of the Tangkhul Naga in North-East India: Continuity and ...

    African Journals Online (AJOL)

    Dr. Rimai Joy is Assistant Professor in Amity University, India. He completed his Ph.D in Social. Anthropology from University of Delhi, India. He has various teaching and research experiences including four years teaching in University of Delhi, visiting faculty to premier. University and conducted research in different parts of ...

  6. Seamless hydrological predictions for a monsoon driven catchment in North-East India

    Science.gov (United States)

    Köhn, Lisei; Bürger, Gerd; Bronstert, Axel

    2016-04-01

    Improving hydrological forecasting systems on different time scales is interesting and challenging with regards to humanitarian as well as scientific aspects. In meteorological research, short-, medium-, and long-term forecasts are now being merged to form a system of seamless weather and climate predictions. Coupling of these meteorological forecasts with a hydrological model leads to seamless predictions of streamflow, ranging from one day to a season. While there are big efforts made to analyse the uncertainties of probabilistic streamflow forecasts, knowledge of the single uncertainty contributions from meteorological and hydrological modeling is still limited. The overarching goal of this project is to gain knowledge in this subject by decomposing and quantifying the overall predictive uncertainty into its single factors for the entire seamless forecast horizon. Our study area is the Mahanadi River Basin in North-East India, which is prone to severe floods and droughts. Improved streamflow forecasts on different time scales would contribute to early flood warning as well as better water management operations in the agricultural sector. Because of strong inter-annual monsoon variations in this region, which are, unlike the mid-latitudes, partly predictable from long-term atmospheric-oceanic oscillations, the Mahanadi catchment represents an ideal study site. Regionalized precipitation forecasts are obtained by applying the method of expanded downscaling to the ensemble prediction systems of ECMWF and NCEP. The semi-distributed hydrological model HYPSO-RR, which was developed in the Eco-Hydrological Simulation Environment ECHSE, is set up for several sub-catchments of the Mahanadi River Basin. The model is calibrated automatically using the Dynamically Dimensioned Search algorithm, with a modified Nash-Sutcliff efficiency as objective function. Meteorological uncertainty is estimated from the existing ensemble simulations, while the hydrological uncertainty is

  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. Evaluation and Selection of Potential Biomass Sources of North-East India towards Sustainable Bioethanol Production

    Directory of Open Access Journals (Sweden)

    Grihalakshmi D. Nongthombam

    2017-07-01

    Full Text Available 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.

  12. Longshore transport based on directional waves along north Tamilnadu Coast, India

    Digital Repository Service at National Institute of Oceanography (India)

    Jena, B; Chandramohan, P.; SanilKumar, V.

    The accurate assessment of longshore sediment transport pattern along Nagapattinam-Poompuhar, Tamil Nadu, India coastline bears significance due to the historical erosion and its geographical location adjoining the sheltered Palk Bay. Directional...

  13. 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.

  14. Rural Palliative Care in North India: Rapid Evaluation of a Program Using a Realist Mixed Method Approach.

    Science.gov (United States)

    Munday, Daniel F; Haraldsdottir, Erna; Manak, Manju; Thyle, Ann; Ratcliff, Cathy M

    2018-01-01

    Palliative care has not developed widely in rural North India. Since 2010, the Emmanuel Hospitals Association (EHA) has been developing a model of palliative care appropriate for this setting, based on teams undertaking home visits with the backup of outpatient and inpatient services. A project to further develop the model operated from 2012 to 2015 supported by funding from the UK. This study aims to evaluate the EHA palliative care project. Rapid evaluation method using a mixed method realist approach at the five project hospital sites. An overview of the project was obtained by analyzing project documents and key informant interviews. Questionnaire data from each hospital were collected, followed by interviews with staff, patients, and relatives and observations of home visits and other activities at each site. Descriptive analysis of quantitative and thematic analysis of qualitative data was undertaken. Each site was measured against the Indian Minimum Standards Tool for Palliative Care (IMSTPC). Each team followed the EHA model, with local modifications. Services were nurse led with medical support. Eighty percent of patients had cancer. Staff demonstrated good palliative care skills and patients and families appreciated the care. Most essential IMSTPC markers were achieved but morphine licenses were available to only two teams. Remarkable synergy was emerging between palliative care and community health. Hospitals planned to fund palliative care through income from surgical services. Excellent palliative care appropriate for rural north India is delivered through the EHA model. It could be extended to other similar sites.

  15. Molecular characterization of hepatitis A virus strains in a tertiary care health set up in north western India.

    Science.gov (United States)

    Singh, Mini Pritam; Majumdar, Manasi; Thapa, Babu Ram; Gupta, Puneet Kumar; Khurana, Jasmine; Budhathoki, Bimal; Ratho, Radha Kanta

    2015-02-01

    Hepatitis A virus usually causes acute viral hepatitis (AVH) in the paediatric age group with a recent shift in age distribution and disease manifestations like acute liver failure (ALF). This has been attributed to mutations in 5'non-translated region (5'NTR) which affects the viral multiplication. The present study was aimed to carry out the molecular detection and phylogenetic analysis of hepatitis A virus strains circulating in north western India. Serum samples from in patients and those attending out patient department of Pediatric Gastroenterology in a tertiary care hospital in north India during 2007-2011 with clinically suspected AVH were tested for anti-hepatitis A virus (HAV) IgM antibodies. Acute phase serum samples were subjected to nested PCR targeting the 5'NTR region followed by sequencing of the representative strains. A total of 1334 samples were tested, 290 (21.7%) were positive for anti-HAV IgM antibody. Of these, 78 serum samples (hepatitis A still a disease of children with III A as a circulating genotype in this region. The mutations at 5'NTR region warrant further analysis as these affect the structure of internal ribosomal entry site which is important for viral replication.

  16. Uraninite in the uranium deposits of Singhbhum Shear Zone, Bihar

    International Nuclear Information System (INIS)

    Krishna Rao, N.; Rao, G.V.U.

    1980-01-01

    Uraninite is the main uranium mineral in the uranium deposits of Singhbhum Shear Zone, Bihar. The uraninite from different deposits have compositions varying between UOsub(2.30) to UOsub(2.44) which is typical of vein uraninites. They contain 2 , but have appreciable rare earths (approximately equal to 5%). They also contain 12-15% PbO, which is all radiogenic. Among the rare earths the heavy lanthanides predominate. In addition uraninite from Narwapahar shows an enrichment in Eu. The unit cell edge of uraninite from different deposits varies between 5.420 A and 5.453 A. The uraninite from the copper deposits of Rakha and Surda, and Narwapahar have decidedly higher cell edge (5.45 A) than those from Bhatin and Jaduguda (5.42 A). On annealing at 1000deg C in an inert atmosphere the cell edge decreased to a near constant value of 5.428 A, the contraction varying between 0.01 A to 0.03 A. D.T.A. and T.G.A. curves of Narwapahar and Bhatin uraninite indicate that these differ considerably from those of pure UO 2 . There are also significant differences between the two. These differences are attributed to crystallinity and degree of disorder in the uraninite lattice. The variations in the composition, cell edge, annealing and oxidation characteristics of uraninite from different uranium deposits reflect different temperature conditions during their formation. (author)

  17. 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.

  18. Genetic Diversity and Population Structure in Aromatic and Quality Rice (Oryza sativa L. Landraces from North-Eastern India.

    Directory of Open Access Journals (Sweden)

    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. Literature based species occurrence data of birds of northeast India

    Directory of Open Access Journals (Sweden)

    Sujit Narwade

    2011-11-01

    Full Text Available The northeast region of India is one of the world’s most significant biodiversity hotspots. One of the richest bird areas in India, it is an important route for migratory birds and home to many endemic bird species. This paper describes a literature-based dataset of species occurrences of birds of northeast India. The occurrence records documented in the dataset are distributed across eleven provinces of India, viz.: Arunachal Pradesh, Assam, Bihar, Manipur, Meghalaya, Mizoram, Nagaland, Sikkim, Tripura, Uttar Pradesh and West Bengal. The geospatial scope of the dataset represents 24 to 29 degree North latitude and 78 to 94 degree East longitude, and it comprises over 2400 occurrence records. These records have been collated from scholarly literature published between1915 and 2008, especially from the Journal of the Bombay Natural History Society (JBNHS. The temporal scale of the dataset represents bird observations recorded between 1909 and 2007. The dataset has been developed by employing MS Excel. The key elements in the database are scientific name, taxonomic classification, temporal and geospatial details including geo-coordinate precision, data collector, basis of record and primary source of the data record. The temporal and geospatial quality of more than 50% of the data records has been enhanced retrospectively. Where possible, data records are annotated with geospatial coordinate precision to the nearest minute. This dataset is being constantly updated with the addition of new data records, and quality enhancement of documented occurrences. The dataset can be used in species distribution and niche modeling studies. It is planned to expand the scope of the dataset to collate bird species occurrences across the Indian peninsula.

  1. 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

  2. Cost of providing inpatient burn care in a tertiary, teaching, hospital of North India.

    Science.gov (United States)

    Ahuja, Rajeev B; Goswami, Prasenjit

    2013-06-01

    There is an extreme paucity of studies examining cost of burn care in the developing world when over 85% of burns take place in low and middle income countries. Modern burn care is perceived as an expensive, resource intensive endeavour, requiring specialized equipment, personnel and facilities to provide optimum care. If 'burn burden' of low and middle income countries (LMICs) is to be tackled deftly then besides prevention and education we need to have burn centres where 'reasonable' burn care can be delivered in face of resource constraints. This manuscript calculates the cost of providing inpatient burn management at a large, high volume, tertiary burn care facility of North India by estimating all cost drivers. In this one year study (1st February to 31st January 2012), in a 50 bedded burn unit, demographic parameters like age, gender, burn aetiology, % TBSA burns, duration of hospital stay and mortality were recorded for all patients. Cost drivers included in estimation were all medications and consumables, dressing material, investigations, blood products, dietary costs, and salaries of all personnel. Capital costs, utility costs and maintenance expenditure were excluded. The burn unit is constrained to provide conservative management, by and large, and is serviced by a large team of doctors and nurses. Entire treatment cost is borne by the hospital for all patients. 797 patients (208 burn were admitted with a mean age of 23.04 years (range 18 days to 83 years). The mean BSA burn was 42.26% (ranging from 2% to 100%). 378/797 patients (47.43%) sustained up to 30% BSA burns, 216 patients (27.1%) had between 31 and 60% BSA and 203 patients (25.47%) had >60% BSA burns. 258/797 patients died (32.37%). Of these deaths 16, 68 and 174 patients were from 0 to 30%, 31 to 60% and >60% BSA groups, respectively. The mean length of hospitalization for all admissions was 7.86 days (ranging from 1 to 62 days) and for survivors it was 8.9 days. There were 299 operations

  3. People and development: With special reference to the tribal peoples of north-east India

    Directory of Open Access Journals (Sweden)

    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

  4. The impact of road traffic injury in North India: a mixed-methods study protocol.

    Science.gov (United States)

    Jagnoor, Jagnoor; Prinja, Shankar; Lakshmi, P V M; Aggarwal, Sameer; Gabbe, Belinda; Ivers, Rebecca Q

    2015-08-19

    Road traffic injuries are a large and growing public health burden, especially in low and middle income countries where 90% of the world's deaths due to road traffic injuries are estimated to occur. India is one of the fastest growing economies, with rapid motorisation and increasing road traffic burden. However, there are limited data addressing the problem of non-fatal road traffic injuries, with existing data being of poor quality, non-representative and difficult to access, and encompassing a limited number of relevant variables. This study aims to determine the outcomes of road traffic injuries on function and health-related quality of life, to assess their social impact and to weigh the economic cost of road traffic crashes in an urban setting in India. This prospective observational study will recruit approximately 1500 participants injured in road traffic crashes, who are admitted to hospital for >24 h at any of three participating hospitals in Chandigarh, India. Face-to-face baseline interviews will be conducted by telephone at 1, 2, 4 and 12 months postinjury. Standardised tools will be used to collect data on health and social outcomes, and on the economic impact of road traffic crashes. Descriptive analysis and multivariate models will be used to report outcome data and associations. The qualitative in-depth interviews will be analysed thematically using content analysis. This study will provide the first comprehensive estimates on outcomes of serious road traffic injury in India, including economic and social costs, and the impact on individuals and families. Primary ethics approval was received from the Postgraduate Institute for Medical Education and Research, institute's ethics committee, Chandigarh, India. Results will be disseminated via the usual scientific forums including peer-reviewed publications and presentations at international conferences. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted

  5. 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.

  6. Case Report of Diffuse Large B Cell Lymphoma of Uterine Cervix Treated at a Semiurban Cancer Centre in North India

    Directory of Open Access Journals (Sweden)

    Vibhor Sharma

    2016-01-01

    Full Text Available Lymphoma of the uterine cervix is very rare. We report a case of diffuse large B cell lymphoma (DLBCL involving the uterine cervix treated at a newly commissioned semiurban cancer centre in north India in 2015. Data for this study was obtained from the hospital electronic medical records and the patient’s case file. We also reviewed published case reports of uterine and cervical lymphoma involving forty-one patients. We treated a case of stage IV DLBCL cervix with six cycles of R-CHOP (rituximab, cyclophosphamide, doxorubicin, vincristine, and prednisolone and intrathecal methotrexate followed by consolidation with radiotherapy. The patient showed complete response to chemotherapy. We conclude that, in advanced stage lymphoma involving uterus and cervix, combination of chemotherapy and radiotherapy is effective in short term.

  7. ‘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.

  8. 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.

  9. Mother and child nutrition among the Chakhesang tribe in the state of Nagaland, North-East India.

    Science.gov (United States)

    Longvah, Thingnganing; Khutsoh, Bewe; Meshram, Indrapal Ishwarji; Krishna, Sreerama; Kodali, Venkaiah; Roy, Phrang; Kuhnlein, Harriet V

    2017-11-01

    Despite the importance of the nutritional status and food systems of Indigenous Peoples, the subject has received very little attention, especially in North-East India. Therefore, a community-based cross-sectional descriptive study was carried out among Chakhesang mothers with children under 5 years of age to evaluate their nutritional status and prevalence of chronic diseases in the context of their dietary habits. From 558 households (HHs), 661 children and 540 mothers were covered using standard anthropometric measurements as well as blood collection for haemoglobin and vitamin A. Data were collected from mothers on HH socio-demographic particulars and infant and young child feeding practices. The results showed that the prevalence of underweight, stunting, and wasting among children security among the Chakhesangs. © 2018 John Wiley & Sons Ltd.

  10. 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.

  11. 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.

  12. 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.

  13. 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.

  14. Rural palliative care in North India: Rapid evaluation of a program using a realist mixed method approach

    Directory of Open Access Journals (Sweden)

    Daniel F Munday

    2018-01-01

    Full Text Available Context: Palliative care has not developed widely in rural North India. Since 2010, the Emmanuel Hospitals Association (EHA has been developing a model of palliative care appropriate for this setting, based on teams undertaking home visits with the backup of outpatient and inpatient services. A project to further develop the model operated from 2012 to 2015 supported by funding from the UK. Aims: This study aims to evaluate the EHA palliative care project. Settings and Design: Rapid evaluation method using a mixed method realist approach at the five project hospital sites. Methods: An overview of the project was obtained by analyzing project documents and key informant interviews. Questionnaire data from each hospital were collected, followed by interviews with staff, patients, and relatives and observations of home visits and other activities at each site. Analysis: Descriptive analysis of quantitative and thematic analysis of qualitative data was undertaken. Each site was measured against the Indian Minimum Standards Tool for Palliative Care (IMSTPC. Results: Each team followed the EHA model, with local modifications. Services were nurse led with medical support. Eighty percent of patients had cancer. Staff demonstrated good palliative care skills and patients and families appreciated the care. Most essential IMSTPC markers were achieved but morphine licenses were available to only two teams. Remarkable synergy was emerging between palliative care and community health. Hospitals planned to fund palliative care through income from surgical services. Conclusions: Excellent palliative care appropriate for rural north India is delivered through the EHA model. It could be extended to other similar sites.

  15. Molecular and genetic characterization of natural HIV-1 Tat Exon-1 variants from North India and their functional implications.

    Directory of Open Access Journals (Sweden)

    Larance Ronsard

    Full Text Available BACKGROUND: Designing an ideal vaccine against HIV-1 has been difficult due to enormous genetic variability as a result of high replication rate and lack of proofreading activity of reverse transcriptase leading to emergence of genetic variants and recombinants. Tat transactivates HIV-1 LTR, resulting in a remarkable increase in viral gene expression, and plays a vital role in pathogenesis. The aim of this study was to characterize the genetic variations of Tat exon-1 from HIV-1 infected patients from North India. METHODS: Genomic DNA was isolated from PBMCs and Tat exon-1 was PCR amplified with specific primers followed by cloning, sequencing and sequence analyses using bioinformatic tools for predicting HIV-1 subtypes, recombination events, conservation of domains and phosphorylation sites, and LTR transactivation by luciferase assay. RESULTS: Phylogenetic analysis of Tat exon-1 variants (n = 120 revealed sequence similarity with South African Tat C sequences and distinct geographical relationships were observed for B/C recombinants. Bootscan analysis of our variants showed 90% homology to Tat C and 10% to B/C recombinants with a precise breakpoint. Natural substitutions were observed with high allelic frequencies which may be beneficial for virus. High amino acid conservation was observed in Tat among Anti Retroviral Therapy (ART recipients. Barring few changes, most of the functional domains, predicted motifs and phosphorylation sites were well conserved in most of Tat variants. dN/dS analysis revealed purifying selection, implying the importance of functional conservation of Tat exon-1. Our Indian Tat C variants and B/C recombinants showed differential LTR transactivation. CONCLUSIONS: The possible role of Tat exon-1 variants in shaping the current HIV-1 epidemic in North India was highlighted. Natural substitutions across conserved functional domains were observed and provided evidence for the emergence of B/C recombinants within the

  16. Molecular and genetic characterization of natural HIV-1 Tat Exon-1 variants from North India and their functional implications.

    Science.gov (United States)

    Ronsard, Larance; Lata, Sneh; Singh, Jyotsna; Ramachandran, Vishnampettai G; Das, Shukla; Banerjea, Akhil C

    2014-01-01

    Designing an ideal vaccine against HIV-1 has been difficult due to enormous genetic variability as a result of high replication rate and lack of proofreading activity of reverse transcriptase leading to emergence of genetic variants and recombinants. Tat transactivates HIV-1 LTR, resulting in a remarkable increase in viral gene expression, and plays a vital role in pathogenesis. The aim of this study was to characterize the genetic variations of Tat exon-1 from HIV-1 infected patients from North India. Genomic DNA was isolated from PBMCs and Tat exon-1 was PCR amplified with specific primers followed by cloning, sequencing and sequence analyses using bioinformatic tools for predicting HIV-1 subtypes, recombination events, conservation of domains and phosphorylation sites, and LTR transactivation by luciferase assay. Phylogenetic analysis of Tat exon-1 variants (n = 120) revealed sequence similarity with South African Tat C sequences and distinct geographical relationships were observed for B/C recombinants. Bootscan analysis of our variants showed 90% homology to Tat C and 10% to B/C recombinants with a precise breakpoint. Natural substitutions were observed with high allelic frequencies which may be beneficial for virus. High amino acid conservation was observed in Tat among Anti Retroviral Therapy (ART) recipients. Barring few changes, most of the functional domains, predicted motifs and phosphorylation sites were well conserved in most of Tat variants. dN/dS analysis revealed purifying selection, implying the importance of functional conservation of Tat exon-1. Our Indian Tat C variants and B/C recombinants showed differential LTR transactivation. The possible role of Tat exon-1 variants in shaping the current HIV-1 epidemic in North India was highlighted. Natural substitutions across conserved functional domains were observed and provided evidence for the emergence of B/C recombinants within the ORF of Tat exon-1. These events are likely to have

  17. Bacteriological profile and antibiotic sensitivity pattern of neonatal septicaemia in a rural tertiary care hospital in North India

    Directory of Open Access Journals (Sweden)

    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. Bardet-Biedl syndrome: A rare case report from North India

    Directory of Open Access Journals (Sweden)

    Sumir Kumar

    2012-01-01

    Full Text Available The Bardet-Biedl syndrome (BBS is a rare ciliopathic human autosomal-recessive disorder, affecting multiple organ systems. Less than 15 cases have been reported from India. The authors present a classical case of BBS presenting to dermatology outpatient with hypogonadism and features such as marked central obesity, retinal dystrophy, polydactyly, structural renal abnormalities and mental retardation, along with a brief review of the literature. This case exemplifies the need for multidisciplinary management in such cases.

  19. Numerical Modeling of Oil Spill Movement along North-West Coast of India Using GNOME

    Directory of Open Access Journals (Sweden)

    R Remyalekshmi

    2013-03-01

    Full Text Available India is located at a very strategic point with respect to the international commercial sea routes with a large amount of crude oil traffic. Hence, the risk of oil spill occurring in the Indian waters is considerably high. In the present paper, forecasting the movement of a possible crude oil spill of 10,000 barrels at a location of latitude 21° 41′ 48.53′ N and longitude 66° 46′ 41.45″ E, intersection point of two ship routes from Kandla port and Bombay port (Kandla port of India to Yanbu port of Saudi Arabia and Bombay port of India to Ras Tanura port of Saudi Arabia has been carried out using GNOME (General NOAA Operational Modeling Environment model developed by Hazardous Materials Response Division (HAZMAT of the National Oceanic and Atmospheric Administration Office of Response and Restoration (NOAA OR&R of United States government. The governing equations for horizontal diffusion, evaporation, dissolution, dispersion etc, adopted by GNOME have been presented in the paper. The simulation is carried out for month of September 2011. It is found that the spill possibly takes 10 hours to reach Gujarat coast and 15 hours to reach Maharashtra coast. With this available knowledge, appropriate mitigation measures may be adopted before spill reaches the shores.

  20. Dental morphology of early Holocene foragers of North India: non-metric trait frequencies and biological affinities.

    Science.gov (United States)

    Lukacs, John R; Pal, J N

    2013-12-01

    The biological affinities of semi-nomadic, early to mid-Holocene foragers of the mid-Ganga Plain, North India are undetermined, yet understanding their place in the population history of South Asia is important. Non-metric tooth trait frequencies are reported for three broadly contemporary, bio-culturally similar, and geographically proximate samples, collectively known as Mesolithic Lake Culture (MLC). The Arizona State University - Dental Anthropology System was used to score 43 tooth-trait combinations (23 maxillary; 21 mandibular). Non-metric trait frequencies are used to determine biological affinities of MLC to a global sample of living populations and to prehistoric and living groups of South Asia. The MLC dental pattern includes lightly sculpted upper incisors in which labial curvature, lingual shoveling, and tuberculum dentale exhibit low grades of expression and low-moderate frequencies. First molars have full-sized hypocones with slight reduction in M2 and M3. Accessory cusps are infrequent and small. Mandibular teeth are morphologically simple and retain conservative attributes. Incisors and canines exhibit weak shoveling. Molar accessory cusps are infrequent, though C-6 attains moderate grades in M3. The molar series (M1:M2:M3) has an Y:X:X groove pattern and 5:4:4 cusp number. Upper M3 agenesis (5%) is less common than lower M3 agenesis (10.0%). Smith's Mean Measure of Divergence (MMD) and Ward's minimum variance cluster methods are used to assess inter-group bio-distance in global and regional South Asian settings. In the global comparison, multi-dimensionally scaled MMD values reveal three groups: African, Asian, and a third group composed of MLC, prehistoric South Asians, and European samples. Within South Asia, MMD and cluster analysis find MLC's closest affinities to the Chenchu, a living tribal group of Andhra Pradesh. This result contradicts earlier assertions based on osteological assessment that descendants of Mesolithic foragers of North

  1. 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.

  2. 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

  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. Conflict and healing in family experience of second-generation emigrants from India living in North America.

    Science.gov (United States)

    Dugsin, R

    2001-01-01

    In this article, I describe a study that generates a substantive theory of healing from the conflict experienced by second-generation emigrants from India living in North America. Qualitative methodology, specifically, the Grounded Theory method of data analysis and theory building, was used. Literature elucidating the differences between North American and Indian cultural values was used as a basis for exploration. Results suggest that cultural conflict stems from areas such as education and success, pressure from parents to maintain traditional cultural values, family bonds and lack of boundaries, parental control and abuse, and dating and marriage. The results of the conflict are discussed by participants in terms of loneliness and pain, lying, rebellion, or acceptance of cultural values. The factors that mediate the conflict and that determine the degree to which participants rebel or accept the cultural values seem to be linked to the approval and acceptance individuals received from their family or community and their level of self-esteem. Finally, I discuss how individuals can heal from the conflict. Methods of healing include communication with and education for parents, therapy in the areas of anger, resentment, and self-esteem, and developing an alternative support system, which may include other second-generation individuals.

  5. Promoter methylation of MGMT gene in serum of patients with esophageal squamous cell carcinoma in North East India.

    Science.gov (United States)

    Das, Mandakini; Sharma, Santanu Kumar; Sekhon, Gaganpreet Singh; Saikia, Bhaskar Jyoti; Mahanta, Jagadish; Phukan, Rup Kumar

    2014-01-01

    Promoter hypermethylation is a common event in human cancer. O6-methylguanine-DNA methyltransferase (MGMT) is a gene involved in DNA repair, which is methylated in a variety of cancers. We aimed to explore the methylation status of MGMT gene among the North Eastern population where esophageal cancer incidence and exposure to carcinogens like nitrosamines is high. A total of 100 newly diagnosed esophageal cancer cases along with equal number of age, sex and ethnicity matched controls were included in this study. Methylation specific PCR was used to determine the MGMT methylation status in serum samples. Aberrant promoter methylation of the MGMT gene was detected in 70% of esophageal cancer cases. Hypermethylation of MGMT gene was found to be influenced by environmental factors like betel quid and tobacco which contain potent carcinogens like nitrosamines. Tobacco chewing and tobacco smoking habit synergistically with MGMT methylation elevated the risk for esophageal cancer development [adjusted OR=5.02, 95% CI=1.35-18.74; p=0.010 for tobacco chewing and Adjusted OR=3.00, 95% CI=1.22-7.36; p=0.014 for tobacco smoking]. Results suggest that the DNA hypermethylation of MGMT is an important mechanism for MGMT gene silencing resulting in esophageal cancer development and is influenced by the environmental factors. Thus MGMT hypermethylation can be used as a biomarker for esophageal cancer in high incidence region of North East India.

  6. Overprint of neotectonism along the course of River Chel, North Bengal, India

    OpenAIRE

    Sunipa Mandal; Subir Sarkar

    2016-01-01

    This paper aims to unveil neotectonic imprints in topography, drainage and sediments in the 46.25 km long course of the River Chel from its source down to its alluvial fan at the base of the Himalayan Mountain Front in the Darjeeling–Jalpaiguri districts of India. A semi-circular ridge delimits its primary catchment. Within confinement of this watershed basin the drainage pattern is composite being convergent along the periphery and divergent on a butte inside. All these geomorphic neotectoni...

  7. Additional records of Cantor’s Leaf-Nosed Bat Hipposideros galeritus Cantor, 1846 (Mammalia: Chiroptera: Hipposideridae in eastern India: Odisha

    Directory of Open Access Journals (Sweden)

    Subrat Debata

    2015-06-01

    Full Text Available Cantor’s leaf-nosed bat is distributed in the South Asian and Southeast Asian region and recorded from few localities of India including one locality record from Bihar in Eastern India. Here we report its range extension in Eastern India and first record from Odisha. We recommend that the chiropteran diversity of Odisha need to be assessed for further inventories, particularly in the Eastern Ghats range. 

  8. Identification of suitable housing system for dairy cattle in North East Zone of Tamil Nadu, India, with respect to microclimate

    Directory of Open Access Journals (Sweden)

    T. Sivakumar

    2017-01-01

    Full Text Available Aim: To identify the suitable roofing pattern for dairy cattle in North East Zone of Tamil Nadu, India, based on micro climatic conditions. Materials and Methods: Initially, survey was conducted to identify and categorize the major housing patterns existing in the region for further detailed investigation. In total, 30 farmers/farms consisting of five housing types with six replicates were selected. Temperature and temperature humidity index (THI were recorded using the maximum-minimum thermometer and digital thermo-hygrometers. The study was conducted for 1 year covering four seasons namely South West monsoon (June-August, North East monsoon (September-November, cold season (December-February, and summer season (April-May. The data were statistically analyzed using statistical package SPSS 17. Results: Animal shelters with cement sheets recorded the highest temperature (26.71±1.13°C and THI (77.23±1.76 at 8.00 am, whereas the lowest temperature (24.83±1.17°C and THI (74.54±1.72 were recorded in the thatched shed. There was significant difference (p<0.01 in temperature and THI at 8.00 am during South West monsoon and North East monsoon seasons between the housing types. During cold and summer seasons, there was no significant difference (p≥0.05 in the environmental variables among various shelter systems. Conclusion: Thatched housing is found to be the suitable one with respect to the climatic variables, followed by tile roof and metal roof. The cement sheet roofed housing is found to be the most unsuitable one in the region for dairy cattle.

  9. Risk factors and prevalence of dental fluorosis and dental caries in school children of North India.

    Science.gov (United States)

    Plaka, Kavita; Ravindra, Khaiwal; Mor, Suman; Gauba, Krishan

    2017-01-01

    The aim of the study was to assess the prevalence of dental fluorosis, dental caries, and associated risk factors in the school children of district Fatehgarh Sahib, Punjab, India, using a cross-sectional study design. Oral health status of children aged between 8 and 15 years was assessed using World Health Organization (WHO) 2013 criteria. Dental fluorosis was assessed using Dean's index, and dental caries were recorded using decayed, missing, filled/decayed, extracted, filled (DMF/def) indices. Four hundred school children were examined, of which 207 were in the 8-11-year-old group and 193 were in the 12-15-year-old group. The overall prevalence of dental fluorosis was 4.1%, which might be linked to a high concentration of fluoride in drinking water at certain locations of rural Punjab. The prevalence of dental caries was 36.5% with a mean DMF score of 0.3 and def score of 0.6. Risk factors for dental caries include oral hygiene behavior and sugar consumption patterns. The study highlights the need to increase awareness about the oral health and hygiene among the school children in India.

  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. Molecular characterization of Vibrio cholerae isolates from cholera outbreaks in North India.

    Science.gov (United States)

    Kingston, Joseph J; Zachariah, Kuruvilla; Tuteja, Urmil; Kumar, Sanjay; Batra, Harsh Vardhan

    2009-02-01

    Vibrio cholerae isolates recovered from cholera outbreaks in Bhind district of Madhya Pradesh and Delhi, Northern India were characterized. The O1 serogroup isolates from Bhind outbreak were of Inaba serotype whereas both Ogawa and Inaba serotypes were recovered from Delhi. PCR analysis revealed that only O1 serogroup V. cholerae isolates carried the virulence-associated genes like ctxA, tcpA, ace, and zot. Molecular typing by repetitive sequence based ERIC, VCR1, and VC1 PCR's revealed similar DNA profile for both Inaba and Ogawa serotypes. A discrete VC1-PCR band identified among the El Tor strains had greater similarity (>97%) to the V. cholerae genome sequence and therefore has the potential to be used as a marker for the identification of the V. cholerae strains. Non-O1 strains recovered from Bhind region differed among themselves as well as from that of the O1 isolates. All the O1 serogroup isolates possessed SXT element and were uniformly resistant to the antibiotics nalidixic acid, polymyxin-B, furazolidone, cloxacilin, trimethoprim-sulfamethaxazole, and vibriostatic agent 0129. Inaba strains from both Delhi and Bhind differed from Ogawa strains by their resistance to streptomycin despite sharing similar DNA patterns in all the three rep-PCRs. Though Delhi and Bhind are separate geographical regions in Northern India, Inaba strains from both these places appear to be closely related owing to their similarity in antibiogram and genetic profile.

  12. Obesity, physical inactivity, and cardiorespiratory fitness of high school students in Urban Ludhiana, North West India: A survey

    Directory of Open Access Journals (Sweden)

    Daisy A David

    2015-01-01

    Full Text Available Context: The level of cardiorespiratory fitness (CRF among the early adolescent would provide a measure of future burden of cardiovascular disease in Ludhiana, North West India. Aims: The aim was to estimate the level of CRF with the help of multi-stage-fitness (Bleep test in high school students. Settings and Design: Cross sectional study in urban Ludhiana. Subjects and Methods: Totally, 200 school children were selected by simple random sampling from four schools. After the consent, a pretested questionnaire was administered, and the Bleep test performed. Statistical Analysis Used: Frequencies and proportions were calculated, Chi-square and t-test were the tests of significance. Results: The prevalence of obesity was 2.5%, overweight, severe thinness, and thin was15.5%, 1.5%, and 5%, respectively. There were more extreme weights among boys compared to girls (Chi-square = 7.59 and P = 0.022. The mean hours of weekly vigorous sports activity was 2.14 ± 0.63. The mean maximum aerobic capacity was 26.80 ± 4.37. CRF scores of very poor in 72.0% with only 7.05% scoring as Fair. More boys (93.8% had very poor CRF scores compared to girls (43.7%. Score of Fair CRF in 16.0% girls and 0.9% boy. Conclusions: The high school children in urban Ludhiana, Northwest India exhibit high levels of physical inactivity, worsening obesity, and low levels of CRF, boys are more affected compared to girls. The bleep test is a low-cost and feasible quantitative tool to measure cardio respiratory fitness in limited resource setting.

  13. Spectrum of haemoglobinopathies diagnosed by cation exchange-HPLC & modulating effects of nutritional deficiency anaemias from north India.

    Science.gov (United States)

    Rao, Seema; Kar, Rakhee; Gupta, Sanjeev Kumar; Chopra, Anita; Saxena, Renu

    2010-11-01

    The usefulness of cation exchange high performance liquid chromatography (CE-HPLC) as a tool for detection of thalassaemia/haemoglobin variants was evaluated in a prospective study in a tertiary care centre in north India. We also tried to evaluate the effect of concurrent nutritional deficiency on the HPLC pattern in the local ethnic population. A total of 800 blood samples were analyzed on the Bio-Rad Variant HPLC system by β-thal short program. The retention times, proportion of the haemoglobin (%), and the peak characteristics for all haemoglobin fractions were recorded. Alkaline and acid haemoglobin electrophoresis was performed to document the identities of the haemoglobin variants, wherever necessary. Many cases were subjected to family studies for a definitive diagnosis. Among 800 samples tested, 553 (69.1%) were found to have normal HPLC pattern. Apart from β- thalassaemia, nine additional variants were encountered; HbS (2.8%), HbE (2.5%) and HbD (1.1%) being the most common variants present. Other variants included Hb Q-India, Hb-Lepore, δβ-thalassemia/ HPFH, HbD-Iran, HbJ-Meerut and HbH disease. There was a significant decrease in the level of HbA2 associated with iron deficiency anaemia (IDA) (P=0.004) and increase in megaloblastic anaemia (P<0.001) among subjects with normal HPLC pattern. HPLC was found to be a simple, rapid and reliable method for the detection of hemoglobin variants. An accurate diagnosis can be provided in majority of cases by use of retention time, proportion of total haemoglobin, and peak characteristics of HPLC. Haemoglobin electrophoresis and family studies play a valuable role in difficult cases. Concurrent nutritional deficiency also has an effect on HbA 2 levels.

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

    Science.gov (United States)

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

    2017-12-01

    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 . Copyright © 2017 Elsevier Ltd. All rights reserved.

  15. 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.

  16. A comparison of palmar dermatoglyphics in two ethnic Indian populations of north Bengal, India.

    Science.gov (United States)

    Sen, Jaydip; Kanchan, Tanuj; Mondal, Nitish

    2011-01-01

    Dermatoglyphic print comparisons can be utilized to establish personal identification in forensic cases. The northern part of the state of West Bengal, India, is the home to many ethnic populations. Two such populations are the Rajbanshi and the Mech. Palm prints were collected from 192 adult Rajbanshi (105 men and 87 women) and 100 adult Mech (50 men and 50 women) individuals for print comparison using the standard ink and roll print method. The dermatoglyphic variables studied were mainline formulae, termination of mainline, positional variation of axial triradii, and true pattern of hypothenar and thenar configuration area. There were differences between the Rajbanshi and Mech individuals with respect to these dermatoglyphic variables. The uses of these variables appear to be limited only to ethnic identification, not personal identification. The present investigation further highlights the racial affinity, sex, and bilateral differences among Rajbanshi individuals using dermatoglyphic palmar variables. © 2010 American Academy of Forensic Sciences.

  17. Partnerships for organizing blood donation camp: An experience from rural North India.

    Science.gov (United States)

    Kant, Shashi; Malhotra, Sumit; Ahamed, Farhad; Archana, S; Pandav, Chandrakant S

    2016-01-01

    Rural areas pose challenges for motivating villagers to donate blood. We organized a blood donation camp in a rural setting by engaging multiple stakeholders. We examined the factors that influenced blood donation. Local level stakeholders were involved in planning of the camp. Mobilization of donors was attempted through intensive awareness generation activities utilizing multiple channels. A list of willing blood donors was prepared. Out of 152 willing donors, 88 reported to donation camp, and after screening, 67 donated the blood. Most of the willing donors were males (89.8%), and the mean standard deviation age was 31.9 (9.4) years. Deferral rate was 23.8%. Involvement of local stakeholders can result in creating a pool of donors in rural area which can mitigate the existing gap between demand and supply of blood in India.

  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. Uncertainties in observations and climate projections for the North East India

    Science.gov (United States)

    Soraisam, Bidyabati; Karumuri, Ashok; D. S., Pai

    2018-01-01

    The Northeast-India has undergone many changes in climatic-vegetation related issues in the last few decades due to increased human activities. However, lack of observations makes it difficult to ascertain the climate change. The study involves the mean, seasonal cycle, trend and extreme-month analysis for summer-monsoon and winter seasons of observed climate data from Indian Meteorological Department (1° × 1°) and Aphrodite & CRU-reanalysis (both 0.5° × 0.5°), and five regional-climate-model simulations (LMDZ, MPI, GFDL, CNRM and ACCESS) data from AR5/CORDEX-South-Asia (0.5° × 0.5°). Long-term (1970-2005) observed, minimum and maximum monthly temperature and precipitation, and the corresponding CORDEX-South-Asia data for historical (1970-2005) and future-projections of RCP4.5 (2011-2060) have been analyzed for long-term trends. A large spread is found across the models in spatial distributions of various mean maximum/minimum climate statistics, though models capture a similar trend in the corresponding area-averaged seasonal cycles qualitatively. Our observational analysis broadly suggests that there is no significant trend in rainfall. Significant trends are observed in the area-averaged minimum temperature during winter. All the CORDEX-South-Asia simulations for the future project either a decreasing insignificant trend in seasonal precipitation, but increasing trend for both seasonal maximum and minimum temperature over the northeast India. The frequency of extreme monthly maximum and minimum temperature are projected to increase. It is not clear from future projections how the extreme rainfall months during JJAS may change. The results show the uncertainty exists in the CORDEX-South-Asia model projections over the region in spite of the relatively high resolution.

  20. 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.

  1. Tourism-Impact on Environment-Observations from North Coastal Districts of A.P, India

    OpenAIRE

    K. Mythili

    2013-01-01

    This paper deals with the status of solid waste pollution in touristic spots of North coastal Andhra Pradesh. Case studies of Eco tourism, cultural tourism and pilgrim tourism are elaborately discussed and the study is based on both primary and secondary data. Data collection includes field collection of solid waste, semi structured interviews and observation of tourists. Results indicate generation of 72% Non biodegradable material in Eco touristic places like RK beach Visakhapatnam, Araku V...

  2. Treatment-seeking for febrile illness in north-east India: an epidemiological study in the malaria endemic zone

    Directory of Open Access Journals (Sweden)

    Mahanta Jagadish

    2009-12-01

    Full Text Available Abstract Background This paper studies the determinants of utilization of health care services, especially for treatment of febrile illness in the malaria endemic area of north-east India. Methods An area served by two districts of Upper Assam representing people living in malaria endemic area was selected for household survey. A sample of 1,989 households, in which at least one member of household suffered from febrile illness during last three months and received treatment from health service providers, were selected randomly and interviewed by using the structured questionnaire. The individual characteristics of patients including social indicators, area of residence and distance of health service centers has been used to discriminate or group the patients with respect to their initial and final choice of service providers. Results Of 1,989 surveyed households, initial choice of treatment-seeking for febrile illness was self-medication (17.8%, traditional healer (Vaidya(39.2%, government (29.3% and private (13.7% health services. Multinomial logistic regression (MLR analysis exhibits the influence of occupation, area of residence and ethnicity on choice of health service providers. The traditional system of medicine was commonly used by the people living in remote areas compared with towns. As all the febrile cases finally received treatment either from government or private health service providers, the odds (Multivariate Rate Ratio was almost three-times higher in favour of government services for lower households income people compared to private. Conclusion The study indicates the popular use of self-medication and traditional system especially in remote areas, which may be the main cause of delay in diagnosis of malaria. The malaria training given to the paramedical staff to assist the health care delivery needs to be intensified and expanded in north-east India. The people who are economically poor and living in remote areas mainly

  3. Genetic diversity and structure in hill rice (Oryza sativa L.) landraces from the North-Eastern Himalayas of India.

    Science.gov (United States)

    Roy, Somnath; Marndi, B C; Mawkhlieng, B; Banerjee, A; Yadav, R M; Misra, A K; Bansal, K C

    2016-07-13

    Hill rices (Oryza sativa L.) are direct seeded rices grown on hill slopes of different gradients. These landraces have evolved under rainfed and harsh environmental conditions and may possess genes governing adaptation traits such as tolerance to cold and moisture stress. In this study, 64 hill rice landraces were collected from the state of Arunachal Pradesh of North-Eastern region of India, and assessed by agro-morphological variability and microsatellite markers polymorphism. Our aim was to use phenotypic and genetic diversity data to understand the basis of farmers' classification of hill rice landraces into two groups: umte and tening. Another goal was to understand the genetic differentiation of hill rices into Indica or japonica subspecies. According to farmers' classification, hill rices were categorized into two groups: umte (large-grained, late maturing) and tening (small-grained, early maturing). We did not find significant difference in days to 50 % flowering between the groups. Principal component analysis revealed that two groups can be distinguished on the basis of kernel length-to-width ration (KLW), kernel length (KL), grain length (GrL), grain length-to-width ration (GrLW) and plant height (Ht). Stepwise canonical discriminant analysis identified KL and Ht as the main discriminatory characters between the cultivar groups. Genetic diversity analysis with 35 SSR markers revealed considerable genetic diversity in the hill rice germplasm (gene diversity: 0.66; polymorphism information content: 0.62). Pair-wise allelic difference between umte and tening groups was not statistically significant. The model-based population structure analysis showed that the hill rices were clustered into two broad groups corresponding to Indica and Japonica. The geographic distribution and cultivars grouping of hill rices were not congruent in genetic clusters. Both distance- and model-based approaches indicated that the hill rices were predominantly japonica or

  4. Molecular characterization of hepatitis A virus strains in a tertiary care health set up in north western India

    Directory of Open Access Journals (Sweden)

    Mini Pritam Singh

    2015-01-01

    Full Text Available Background & objectives: Hepatitis A virus usually causes acute viral hepatitis (AVH in the paediatric age group with a recent shift in age distribution and disease manifestations like acute liver failure (ALF. This has been attributed to mutations in 5′non-translated region (5′NTR which affects the viral multiplication. The present study was aimed to carry out the molecular detection and phylogenetic analysis of hepatitis A virus strains circulating in north western India. Methods: Serum samples from in patients and those attending out patient department of Pediatric Gastroenterology in a tertiary care hospital in north India during 2007-2011 with clinically suspected AVH were tested for anti-hepatitis A virus (HAV IgM antibodies. Acute phase serum samples were subjected to nested PCR targeting the 5′NTR region followed by sequencing of the representative strains. Results: A total of 1334 samples were tested, 290 (21.7% were positive for anti-HAV IgM antibody. Of these, 78 serum samples (< 7 days old were subjected to PCR and 47.4% (37/78 samples showed the presence of HAV RNA. Children < 15 yr of age accounted for majority (94% of cases with highest seropositivity during rainy season. Sequencing of 15 representative strains was carried out and the circulating genotype was found to be III A. The nucleotide sequences showed high homology among the strains with a variation ranging from 0.1-1 per cent over the years. An important substitution of G to A at 324 position was shown by both AVH and ALF strains. The cumulative substitution in AVH strains Vs ALF strains as compared to GBM, Indian and prototype strain in the 200-500 region of 5′ NTR was comparable. Interpretation & conclusion: Our results showed hepatitis A still a disease of children with III A as a circulating genotype in this region. The mutations at 5′NTR region warrant further analysis as these affect the structure of internal ribosomal entry site which is important for

  5. Tracking Seed Fates of Tropical Tree Species: Evidence for Seed Caching in a Tropical Forest in North-East India

    Science.gov (United States)

    Sidhu, Swati; Datta, Aparajita

    2015-01-01

    Rodents affect the post-dispersal fate of seeds by acting either as on-site seed predators or as secondary dispersers when they scatter-hoard seeds. The tropical forests of north-east India harbour a high diversity of little-studied terrestrial murid and hystricid rodents. We examined the role played by these rodents in determining the seed fates of tropical evergreen tree species in a forest site in north-east India. We selected ten tree species (3 mammal-dispersed and 7 bird-dispersed) that varied in seed size and followed the fates of 10,777 tagged seeds. We used camera traps to determine the identity of rodent visitors, visitation rates and their seed-handling behavior. Seeds of all tree species were handled by at least one rodent taxon. Overall rates of seed removal (44.5%) were much higher than direct on-site seed predation (9.9%), but seed-handling behavior differed between the terrestrial rodent groups: two species of murid rodents removed and cached seeds, and two species of porcupines were on-site seed predators. In addition, a true cricket, Brachytrupes sp., cached seeds of three species underground. We found 309 caches formed by the rodents and the cricket; most were single-seeded (79%) and seeds were moved up to 19 m. Over 40% of seeds were re-cached from primary cache locations, while about 12% germinated in the primary caches. Seed removal rates varied widely amongst tree species, from 3% in Beilschmiedia assamica to 97% in Actinodaphne obovata. Seed predation was observed in nine species. Chisocheton cumingianus (57%) and Prunus ceylanica (25%) had moderate levels of seed predation while the remaining species had less than 10% seed predation. We hypothesized that seed traits that provide information on resource quantity would influence rodent choice of a seed, while traits that determine resource accessibility would influence whether seeds are removed or eaten. Removal rates significantly decreased (p seed size. Removal rates were significantly

  6. 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.

  7. 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)

  8. 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.

  9. Cognition related to domestic violence in India: implications for reproductive health programme.

    Science.gov (United States)

    Anand, Sandip; Sinha, R K; Singh, Lakhan

    2010-03-01

    In India, the nature of interdependency between wife and husband is regarded as different from what it is in the west. It is observed that in Indian state of Bihar, there is co-existence of memory of domestic violence and attitudinal justification of domestic violence on all the dimensions of domestic violence. However, In Tamil Nadu, demographic transition is likely to create the differentiation and therefore significant co-existence of certain forms of attitude (attitudinal justification of beating for household chores, contraceptives, and sex refusal) and 'memories related to domestic violence' are not present there. Attitudinal assertion against domestic violence in the name of 'unfaithfulness' seems to be helping women both in Bihar & Tamil Nadu. However, in Tamil Nadu, if women raise her voice against beating by husband for sex refusal; her chance of facing domestic violence gets increased here. These kind of connect between violence and attitude is not present in Bihar. In Bihar, attitudinally if women assert their voice against violence for contraceptive decision making; it makes them to feel lesser amount of constant strain. The study shows the implications for reproductive health programme in India.

  10. Homeless and unclaimed persons' deaths in north India (Jan 2008-Nov 2012): a retrospective study.

    Science.gov (United States)

    Kumar, Sachil; Verma, Anoop K; Ali, Wahid; Singh, Uma Shankar

    2015-01-01

    Homeless and unclaimed dead bodies are a social as well as legal stigma on a country's development index. In addition, homeless people are exposed to increased incidence of diseases, accidents and mortality. Lucknow city, a city situated in the heart of the great Gangetic plain in the northern region of India, is surrounded by rural towns and villages and has seen tremendous growth in the past few years; with this the problem of migrants and homelessness has also increased. This has resulted in a spectrum of problems relating to law and order, including frequent incidences of unclaimed dead bodies, both due to natural and unnatural causes. Few studies on this subject have been published in India. Observational retrospective study. Data was collected from the files of the Department of Forensic Medicine & Toxicology between 2008 and 2012. A total of 20877 autopsy cases were registered, out of which 3169 (15.17%) were unclaimed bodies. The majority of cases belonged to males (2218, 69.99%) as compared to females (951, 30.01%). Most unclaimed bodies were in the age group of 41-60 years (47.24%) and the least affected age group was 1-20 years (265, 8.36%). The most common manner of death was accident (1098, 34.64%), followed by suicide (1062, 33.51%), natural (927, 29.25%) and homicides (82, 2.59%). The most common cause of natural death in both males and females was chronic lung disease. Railway and road traffic accidents accounted for 516 (68.25%) accidental deaths in males, whereas in females they accounted for 301(88.01%). The most common mode of suicide among males was by poisoning (391, 48.81%), while poisoning (149, 57.08), hanging (78, 29.88%) and drowning (23, 8.81%) were the main modes of suicide in females reported in our study. Majority of the cases of deaths were reported during rainy season (2209, 69.70%). This autopsy-based study tries to highlight the picture of homeless deaths in Lucknow and the problems faced by the law enforcing authorities. More

  11. CHRONIC KIDNEY DISEASE PREVALENT IN SMALL VILLAGES OF NORTH COASTAL , ANDHRA PRADESH , INDIA , UDDANAM NEPHROPATHY

    Directory of Open Access Journals (Sweden)

    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.

  12. Determinants of nutritional status of pre-school children in India.

    Science.gov (United States)

    Bharati, Susmita; Pal, Manoranjan; Bharati, Premananda

    2008-11-01

    The aim of this paper is to assess the spatial distribution of nutritional status of children of less than three years through Z-scores of weight-for-age, height-for-age and weight-for-height using data collected by the National Family Health Survey (NFHS-2, 1998-99), India. The nutritional status of pre-school children was regressed on different socio-demographic factors after eliminating the effect of age. The data show that there are gender differences and spatial variations in the nutritional status of children in India. Gender difference is not very pronounced and almost disappears when the effects of age and socio-demographic variables are removed. The spatial difference, especially the rural-urban difference, was found to be very large and decreased substantially when the effects of age and socioeconomic variables were removed. However, the differences were not close to zero. All the variables were found to affect significantly the nutritional status of children. However, the literacy of mothers did not affect height-for-age significantly. The weight-for-age and height-for-age scores showed a dismal picture of the health condition of children in almost all states in India. The worst affected states are Bihar, Madhya Pradesh, Orissa and Uttar Pradesh. Assam and Rajasthans are also lagging behind. Weight-for-height scores do not give a clear picture of state-wise variation. Goa, Kerala and Punjab are the three most developed states in India and also have the lowest percentages of underweight children according to the Z-scores. Along with these three states come the north-eastern states where women are well educated. Thus overall development, enhancement of level of education and low gender inequality are the key factors for improvement in the health status of Indian children.

  13. 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.

  14. Domestic violence and symptoms of gynecologic morbidity among women in North India.

    Science.gov (United States)

    Stephenson, Rob; Koenig, Michael A; Ahmed, Saifuddin

    2006-12-01

    Although there is increasing recognition of the global scope of domestic violence and the potential reproductive health consequences of violence, little is known about the relationship between physical and sexual domestic violence and gynecologic morbidity in developing country settings. A sample of 3,642 couples from northern India was created by matching husbands and wives who responded to the men's and women's surveys of the 1995-1996 PERFORM System of Indicators Survey. The association between men's reports of physical and sexual violence they had perpetrated against their wives and wives' reports of gynecologic symptoms was analyzed in bivariate and multivariate analyses. Overall, 37% of men said they had committed one or more acts of physical or sexual violence against their wives in the past 12 months, with 12% reporting physical violence only, 17% sexual violence only and 9% both physical and sexual violence. Thirty-four percent of women reported at least one symptom of gynecologic morbidity. Compared with women whose husbands reported no violence, those who had experienced both physical and sexual violence and those who had experienced sexual violence only had elevated odds of reporting gynecologic symptoms (odds ratios, 1.7 and 1.4, respectively). Plausible mechanisms through which domestic violence may influence gynecologic morbidity include physical trauma, psychological stress or transmission of STIs. Reproductive health care that incorporates domestic violence support services is needed to meet the special needs of abused women.

  15. Effects of domestic violence on perinatal and early-childhood mortality: evidence from north India.

    Science.gov (United States)

    Ahmed, Saifuddin; Koenig, Michael A; Stephenson, Rob

    2006-08-01

    We examined the effect of physical violence during pregnancy on perinatal and early-childhood mortality. We estimated the prevalence of domestic violence during pregnancy among a population-based sample of 2199 women in Uttar Pradesh, India. We used a survival regression model to examine the risks for perinatal, neonatal, postneonatal, and early-childhood (aged 1-3 years) mortality by mother's exposure to domestic violence, after we controlled for other sociodemographic and maternal health behavior risk factors. Eighteen percent of the women in our study experienced domestic violence during their last pregnancy. After we adjusted for other risk factors, births among mothers who had experienced domestic violence had risks for perinatal and neonatal mortality that were 2.59 (95% confidence interval [CI]=1.35, 4.95) and 2.37 (95% CI=1.21, 4.62) times higher, respectively, than births among mothers who had not experienced violence. We found no significant associations between domestic violence and either postneonatal or early-childhood mortality. Domestic violence is a significant risk factor for perinatal and neonatal mortality.

  16. 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 <0.05 was considered statistically significant. The prevalence of 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.

  17. 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.

  18. Diabetic foot wound care practices among patients visiting a tertiary care hospital in north India

    Directory of Open Access Journals (Sweden)

    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. 

  19. Cutaneous manifestations of chikungunya during a recent epidemic in Calicut, north Kerala, south India

    Directory of Open Access Journals (Sweden)

    Riyaz Najeeba

    2010-01-01

    Full Text Available Background: There was a recent epidemic of chikungunya (CKG in Calicut and other northern districts of Kerala, South India, affecting thousands of people. Aims: To study the cutaneous manifestations of CKG and to have a serological and histopathological correlation. Methods: A total of 162 patients (63 males and 99 females with cutaneous manifestations of CKG were enrolled in the study and serological confirmation was done with capture IgM ELISA for CKG. Skin biopsy was done in all representative cases. Results: Cutaneous manifestations were found more in females. There were 23 children, the youngest being 39 days old. Generalized erythematous macular rash was the most common finding. Vesicles and bullae were also common especially in infants. Localized erythema of the nose and pinnae, erythema and swelling of the pre existing scars and striae and toxic epidermal necrolysis-like lesions sparing mucosae were the other interesting findings. Different types of pigmentation were observed with a striking nose pigmentation in a large number of patients, by looking at which even a retrospective diagnosis of CKG could be made. Hence we suggest this peculiar pigmentation may be called "chik sign". There was flare up of existing dermatoses like psoriasis, lichen planus and unmasking of Hansen′s disease with type 1 reaction. Serological tests were positive in 97%. Some hitherto unreported histopathologic findings like melanophages in the erythematous rashes were observed. Conclusion: A spectrum of cutaneous manifestations of CKG with a wide variety of unusual presentations with confirmed serological and histopathological evidence was encountered.

  20. Status of 25(OHD levels in pregnancy: A study from the North Eastern part of India

    Directory of Open Access Journals (Sweden)

    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.

  1. PREVALENCE OF ALPHA THALASSEMIA IN MICROCYTIC ANEMIA: A TERTIARY CARE EXPERIENCE FROM NORTH INDIA

    Directory of Open Access Journals (Sweden)

    Monica Sharma

    2015-01-01

    Methods Fifty four patients selected (22 females and 32 males had microcytic anemia (MCV 5M/mm3 but normal HbHPLC. They had either low or normal Transferrin Saturation (TS. Gap-PCR for four common a-gene deletions (-a3.7, -a4.2, - -aSA and --aSEA was done. Results Out of the total fifty four microcytic anemia cases nineteen (35.2% were found to have  a gene mutations; Three homozygous and sixteen heterozygous  cases of chiefly -a3.7 deletions, a single case of -- a SA  were noted  ; but no -a4.2 and –SEA  mutations  were found. Conclusion In India a gene mutations may be much more than what has been documented and its presence should be considered as a causes of relentless microcytic anemia not responding to iron. It can confound iron deficiency anemia hence its coexistence should be sought  even in the face of low iron stores in subjects who respond incompletely to iron supplementation. Since no RBC indices or a discriminant function can identify its presence only molecular studies commonly using  Gap PCR for common α thalassemia deletions mutation including – α SA need to be done for their detection.

  2. Key factors to understanding the conflictive situation in North-East India

    Directory of Open Access Journals (Sweden)

    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.

  3. Designing in the Social Context: Using the Social Contextual Model of Health Behavior Change to Develop a Tobacco Control Intervention for Teachers in India

    Science.gov (United States)

    Nagler, Eve M.; Pednekar, Mangesh S.; Viswanath, Kasisomayajula; Sinha, Dhirendra N.; Aghi, Mira B.; Pischke, Claudia R.; Ebbeling, Cara B.; Lando, Harry A.; Gupta, Prakash C.; Sorensen, Glorian C.

    2013-01-01

    This article provides a theory-based, step-by-step approach to intervention development and illustrates its application in India to design an intervention to promote tobacco-use cessation among school personnel in Bihar. We employed a five-step approach to develop the intervention using the Social Contextual Model of Health Behavior Change (SCM)…

  4. 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.

  5. Terpenoid compositions and antioxidant activities of two Indian valerian oils from the Khasi Hills of north-east India.

    Science.gov (United States)

    Das, Jayashankar; Mao, Ashiho A; Handique, Pratap J

    2011-01-01

    The volatile constituents of Valeriana jatamansi Jones and V. hardwickii Wall. (Valerianaceae) collected from the Khasi Hills of north-east India were analyzed by GC and GC/MS. Twenty-seven and twenty-one compounds were characterized and identified from V. jatamansi and V. hardwickii samples, representing 90.6% and 82.7% of the total oil, respectively. Sesquiterpenes were shown to be the main constituents in both the oil samples. Maaliol (26.1%), patchouli alcohol (9.3%) and a-gurjunene (8.7%) were the major components of V. jatamansi oil, whereas valeracetate (21.3%), methyl linoleate (14.1%), bornyl acetate (13.8%) and cuparene (7.1%) were the main constituents of V. hardwickii oil. Both Indian valerian essential oils were studied for their antioxidant activities using the free radical-scavanging activity (DPPH) and ferric reducing antioxidant power (FRAP) assays. V. hardwickii oil exhibited a higher antioxidant capacity than V. jatamansi in both assays. For both the valerian oil samples, there was a concentration-dependent increase in free radical scavenging activity and ferric reducing capacity. Both valerian oils and their ingredients are potential sources of natural antioxidants.

  6. Seasonal prevalence of some zoonotic trematode infections in cattle and pigs in the north-east montane zone in India.

    Science.gov (United States)

    Roy, B; Tandon, V

    1992-02-01

    Seasonal variations in the prevalence of Fasciola gigantica and Eurytrema pancreaticum in cattle, and Opisthorchis noverca, Artyfechinostomum malayanum, Fasciolopsis buski and Gastrodiscoides hominis in pigs, were studied post-necropsy over a 1 year period in a humid, subtropical north-east hilly region in India. The overall prevalence rate was 53.02% in cattle (n = 960) and 12.92% in pigs (n = 960). Fasciola gigantica and E. pancreaticum occurred throughout the year with peaks during cold winter months. Both species showed a high intensity of infection in winter and a low intensity during summer and autumn. The rate of infection due to A. malayanum, Fasciolopsis buski and G. hominis rose to a peak during June-September and thereafter declined to a low level (November-March). Except for the month of February, O. noverca occurred throughout the year, with the highest rate of infection in late autumn and winter. The abundance of infection due to A. malayanum, Fasciolopsis buski and G. hominis was high during late summer and early autumn. Opisthorchis noverca showed a higher density during late autumn and winter.

  7. 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.

  8. Acute leukemia / myelodysplastic syndrome as a sequelae of carcinoma breast: A report of five cases from north India

    Directory of Open Access Journals (Sweden)

    Bhatia Prateek

    2009-04-01

    Full Text Available A second malignant neoplasm has been found to be more frequent than might be expected from the general population rates. Therapy-related myelodysplastic syndrome and acute leukemia are dreaded long-term complications of five cases of hematological malignancies following treatment for successful breast cancer therapy (therapeutic drugs or radiotherapy. We encountered carcinoma from north India over a 7-year period from 1999 to 2005. The patients presented 2-5 years after treatment of breast carcinoma. Three patients underwent surgery and received chemoradiotherapy. One patient received chemotherapy after surgery. One patient underwent only surgery and after 3 years presented with acute myeloid leukemia and bone marrow metastasis of carcinoma of the breast. At the time of presentation, all the patients had either bicytopenia or pancytopenia. A close follow-up with complete blood cell counts of the patients who previously had carcinoma of the breast is suggested for early detection of hematological abnormalities. However, the poor prognosis, limited financial resources and poor health insurance coverage results in few patients and their family members opting for treatment.

  9. 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.

  10. 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.

  11. Emergency contraception: Knowledge and attitude toward its use among medical students of a medical college in North-West India

    Directory of Open Access Journals (Sweden)

    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.

  12. 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.

  13. 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

  14. Nutritional Assessment And The Dietary Intake Among Adolescents In Tribal Area Of Bihar

    Directory of Open Access Journals (Sweden)

    Yadav R.J

    1998-01-01

    Full Text Available Research question: What id the nutritional status and dietary intake of adolescents in tribal area of Bihar? Objective : To study the dietary intake and nutritional status of the adolescent boys and girls of the tribal districts of Bihar. Study design: Two stage design was adopted with probability proportional to size (PPS sampling. Setting: Study covered 396 villages from 17 tribal districts of Bihar. Subjects: 2321 adolescents (1342 boys & 979 girls of the age groups 7 â€" 17 years were studied. Methods: 24 hours recall method was used to assess the dietary intake and anthropometric measurements included height and weight. Dietary intake was compared with Indian Council of Medical Research recommended dietary allowances(RDA and nutritional status assessed using distance chart. Results: Thee intake of protein was broadly in line with the recommended dietary allowances(RDA in all age groups. The calorie deficiency was 29 percent and the magnituse of protein deficiency was about 21 percent. More than half of the adolescents were taking diets deficient in calories in Godda and Singhbhum(east & west. Conclusion: General development and intervention strategies are needed to improve the dietary intake of adolescents specially girls so that their requirement of energy, protein, vitamins and minerals are met.

  15. Meeting Contraceptive Needs: Long-Term Associations of the PRACHAR Project with Married Women's Awareness and Behavior in Bihar.

    Science.gov (United States)

    Jejeebhoy, Shireen J; Prakash, Ravi; Acharya, Rajib; Singh, Santosh K; Daniel, Elkan

    2015-09-01

    Although interventions such as the PRACHAR project in Bihar, India, have been associated with increased contraceptive knowledge and use in the short term, less is known about whether such gains are sustained years later. Survey data, collected in 2013 from 2,846 married women aged 15-34, were used to compare contraceptive awareness and use between those who lived in areas where the PRACHAR project had been implemented in 2002-2009 and those who lived in matched comparison areas. Multivariate analyses assessed whether, after adjustment for covariates, outcomes differed between women in comparison and intervention areas, as well as between women directly exposed to the program and those who lived in intervention areas but had been only indirectly exposed. Compared with women in comparison areas, those in intervention areas were more likely to have method-specific knowledge of oral contraceptives, IUDs, condoms and the Standard Days Method (odds ratios, 1.4-1.7); to know that oral contraceptives and condoms are appropriate for delaying first pregnancy (2.3 for each) and IUDs and injectables are appropriate for spacing births (1.4 for each); to have ever used contraceptives (2.1) or be using a modern method (1.5); and to have initiated contraception within three months of their first birth (1.8). Levels of awareness and use were elevated not only among women directly exposed to the intervention but also, for many measures, among indirectly exposed women. The association of multipronged reproductive health programs like PRACHAR with contraceptive awareness and practices may last for years beyond the project's conclusion.

  16. Fluctuations in butyrate-producing bacteria in ulcerative colitis patients of North India.

    Science.gov (United States)

    Kumari, Reena; Ahuja, Vineet; Paul, Jaishree

    2013-06-14

    To study the interplay between butyrate concentration and butyrate-producing bacteria in fecal samples of ulcerative colitis (UC) patients vs control individuals. Fecal samples were collected from 14 control individuals (hemorrhoid patients only) and 26 UC patients (severe: n = 12, moderate: n = 6, remission: n = 8), recruited by the gastroenterologist at the Department of Gastroenterology, All India Institute of Medical Sciences, New Delhi, India. Disease activity in UC patients was determined by clinical colitis activity index. We employed fluorescent in situ hybridization in combination with flow cytometry to enumerate the clostridium cluster population targeted by 16S rRNA gene probe. Major butyrate-producing species within this cluster were quantified to see if any change existed in control vs UC patients with different disease activity. This observed change was further validated by quantitative polymerase chain reaction. In addition to this, we carried out gas chromatography to evaluate the changes in concentration of major short chain fatty acids (SCFAs), namely acetate, n-butyrate, iso-butyrate, in the above samples. Student t test and Graph pad prism-6 were used to compare the data statistically. There was a significant decrease of Clostridium coccoides (control, 25.69% ± 1.62% vs severe, 9.8% ± 2.4%, P = 0.0001) and Clostridium leptum clusters (control, 13.74% ± 1.05% vs severe, 6.2% ± 1.8%, P = 0.0001) in fecal samples of UC patients. Furthermore, we demonstrated that some butyrate-producing members of the clostridial cluster, like Fecalibacterium prausnitzii (control, 11.66% ± 1.55% vs severe, 6.01% ± 1.6%, P = 0.0001) and Roseburia intestinalis (control, 14.48% ± 1.52% vs severe, 9% ± 1.83%, P = 0.02) were differentially present in patients with different disease activity. In addition, we also demonstrated decreased concentrations of fecal SCFAs, especially of n-butyrate (control, 24.32 ± 1.86 mmol/μL vs severe, 12.74 ± 2.75 mmol/μL, P = 0

  17. 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.

  18. Climber Diversity across Vegetational Landscape of North-Eastern Uttar Pradesh, India

    Directory of Open Access Journals (Sweden)

    Ashish DVIVEDI

    2016-12-01

    Full Text Available The composition and diversity of climbers among grassland, wasteland and forest vegetations was examined with respect to their woodiness, climbing mode and circumnutation pattern across the vegetational landscape of north-eastern Uttar Pradesh during 2011-2015. A total of 111 climbers, constituting 63 lianas and 48 vine species, under 35 families, were recorded. The forest and wasteland vegetation were quite similar in regard with climber diversity. Family Convolvulaceae included a maximum of 19 climbers. Majority of twining climbers showed right-handed twining.  The wasteland vegetation was most suitable and quite similar to forest habitat for vines as well as for lianas. The right handed circumnutation was the dominant pattern among the twiners of the region. Local climbing flora provides considerable natural resource to the region. They often create special micro-habitats and increase the complexity of the ecosystem.

  19. 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.

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

    Directory of Open Access Journals (Sweden)

    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.

  1. Molecular typing and phylogeny of Wolbachia: A study from Assam, North-Eastern part of India.

    Science.gov (United States)

    Soni, Monika; Bhattacharya, Chandrakanta; Sharma, Jitendra; Khan, Siraj Ahmed; Dutta, Prafulla

    2017-12-01

    Wolbachia are maternally inherited endosymbiotic alphaproteobacteria, infecting 40-75% of arthropod species. Knowledge on distribution of native strains infecting mosquito vectors from endemic regions is essential for successful implementation of vector control interventions utilizing potential strains of Wolbachia. Study identified various native strains of Wolbachia inhabiting different mosquito species from field and colonised conditions of Assam. The fly Drosophila melanogaster was also included in our study. Different mosquito species collected from field viz; Aedes albopictus, Aedes aegypti, Anopheles hyrcanus, Anopheles annularis, Culex vishnui, Toxorhynchites splendens, Armegeries obturbans and fly Drosophila melanogaster were included in the study. Anopheles stephensi and Culex quinquefasciatus were obtained from RMRC, Dibrugarh mosquito colony y for Wolbachia screening. DNA was extracted from these species, amplified using group specific wsp primers followed by sequencing and phylogenetic analysis. Aedes albopictus from Dibrugarh, Tinsukia and Sivasagar district showed superinfection with A and B group of Wolbachia but, Aedes albopictus from Tezpur district presented infection with A group only. Our study reports for the first time natural infection of Wolbachia A and B group from colonised Anopheles stephensi mosquito but reported no infection from field collected Anopheles hyrcanus or Anopheles annularis. Similarly Armigeres obturbans and Culex vishnui presented infection with only B group of Wolbachia. Drosophila melanogaster showed superinfection with A and B group. Toxorhynchites splendens, Aedes aegypti and Culex quinquefasciatus reported no infection with Wolbachia. To the best of our knowledge this is the first study on Wolbachia screening from Northeast part of India and also first report of natural Wolbachia infection from colonised Anopheles stephensi species. The current understanding on distribution of Wolbachia strains naturally present

  2. Surface ozone scenario and air quality in the north-central part of India.

    Science.gov (United States)

    Saini, Renuka; Taneja, Ajay; Singh, Pradyumn

    2017-09-01

    Tropospheric pollutants including surface ozone (O 3 ), nitrogen dioxide (NO 2 ), carbon monoxide (CO) and meteorological parameters were measured at a traffic junction (78°2' E and 27°11' N) in Agra, India from January 2012 to December 2012. Temporal analysis of pollutants suggests that annual average mixing ratios of tropospheric pollutants were: O 3 - 22.97±23.36ppbV, NO 2 - 19.84±16.71ppbV and CO - 0.91±0.86ppmV, with seasonal variations of O 3 having maximum mixing ratio during summer season (32.41±19.31ppbV), whereas lowest was found in post-monsoon season (8.74±3.8ppbV). O 3 precursors: NO 2 and CO, showed inverse relationship with O 3 . Seasonal variation and high O 3 episodes during summer are associated with meteorological parameters such as high solar radiation, atmospheric temperature and transboundary transport. The interdependence of these variables showed a link between the daytime mixing ratios of O 3 with the nighttime level of NO 2 . The mixing ratios of CO and NO 2 showed tight correlations, which confirms the influence of vehicular emissions combined with other anthropogenic activities due to office/working hours, shallowing, and widening of boundary layer. FLEXTRA backward trajectories for the O 3 episode days clearly indicate the transport from the NW and W to S/SE and SW direction at Agra in different seasons. Copyright © 2017. Published by Elsevier B.V.

  3. Public opinion about smoking and smoke free legislation in a district of North India.

    Science.gov (United States)

    Goel, S; Singh, R J; D, Sharma; A, Singh

    2014-01-01

    Context: A growing number of cities, districts, counties and states across the globe are going smoke-free. While an Indian national law namely Cigarettes and Other Tobacco Products Act (COTPA) exists since 2003 and aims at protecting all the people in our country; people still smoke in public places. Aim: This study assessed knowledge and perceptions about smoking, SHS and their support for Smoke-free laws among people residing in Mohali district, Punjab. Materials and Methods: This cross-sectional study was conducted in Mohali district of Punjab, India. A sample size of 1600 people was obtained. Probability Proportional to Size technique was used for selecting the number of individuals to be interviewed from each block and also from urban and rural population. Statistical Analysis Used: We estimated proportions and tested for significant differences by residence, smoking status, literacy level and employment level by means of the chi-square statistics. Statistical software SPSS for Windows version 20 was used for analysing data . Results: The overall prevalence of current smoking among study participants was 25%. Around 96% were aware of the fact that smoking is harmful to health, 45% viewed second-hand smoke to be equally harmful as active smoking, 84.2% knew that smoking is prohibited in public places and 88.3% wanted the government to take strict actions to control the menace of public smoking. Multivariate logistic regression analysis showed that people aged 20 years and above, unemployed, urban, literate and non-smokers had significantly better perception towards harms of smoking. The knowledge about smoke free provisions of COTPA was significantly better among males, employed individuals, urban residents, and literate people. Conclusions: There was high knowledge about deleterious multi-dimensional effects of smoking among residents and a high support for implementation of COTPA. Efforts should be taken to make Mohali a "smoke-free district".

  4. Fatality rates of the M w ~8.2, 1934, Bihar-Nepal earthquake and comparison with the April 2015 Gorkha earthquake

    Science.gov (United States)

    Sapkota, Soma Nath; Bollinger, Laurent; Perrier, Frédéric

    2016-03-01

    Large Himalayan earthquakes expose rapidly growing populations of millions of people to high levels of seismic hazards, in particular in northeast India and Nepal. Calibrating vulnerability models specific to this region of the world is therefore crucial to the development of reliable mitigation measures. Here, we reevaluate the >15,700 casualties (8500 in Nepal and 7200 in India) from the M w ~8.2, 1934, Bihar-Nepal earthquake and calculate the fatality rates for this earthquake using an estimation of the population derived from two census held in 1921 and 1942. Values reach 0.7-1 % in the epicentral region, located in eastern Nepal, and 2-5 % in the urban areas of the Kathmandu valley. Assuming a constant vulnerability, we obtain, if the same earthquake would have repeated in 2011, fatalities of 33,000 in Nepal and 50,000 in India. Fast-growing population in India indeed must unavoidably lead to increased levels of casualty compared with Nepal, where the population growth is smaller. Aside from that probably robust fact, extrapolations have to be taken with great caution. Among other effects, building and life vulnerability could depend on population concentration and evolution of construction methods. Indeed, fatalities of the April 25, 2015, M w 7.8 Gorkha earthquake indicated on average a reduction in building vulnerability in urban areas, while rural areas remained highly vulnerable. While effective scaling laws, function of the building stock, seem to describe these differences adequately, vulnerability in the case of an M w >8.2 earthquake remains largely unknown. Further research should be carried out urgently so that better prevention strategies can be implemented and building codes reevaluated on, adequately combining detailed ancient and modern data.

  5. 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.

  6. 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.

  7. 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

  8. 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

  9. Spatial heterogeneity of aerosol optical and radiative properties obtained from multiple satellite retrievals over the Sub-Himalayan region of North-East India

    Science.gov (United States)

    Pathak, Binita; Bhuyan, Pradip; Biswas, Jhuma; Dahutia, Papori

    North East India, nestled between the southeastern Tibetan Plateau on the north, the Indo Myanmar range of hills to the east, plains of Bangladesh to the south and the Indo-Gangetic plains (IGP) to the west has a unique topography and population inhabitation pattern. In recent decades, along with other parts of south Asia NE India has undergone rapid industrial and economic development. Lifestyle changes have increasingly added to the anthropogenic burden on the atmosphere in the plains while biomass burning due to shifting cultivation in the hills is a major source of particulate and gaseous pollution. Studies have suggested that during the Asian summer monsoon, boundary layer pollution from India, Southeast Asia and south China are lifted to the upper tropospheric region by convection followed by westward transport over the Middle East and the Mediterranean. The spatio-temporal variation of aerosol optical (viz. AOD, AAI, AAOD, AE, FMF, columnar mass concentration (CMC)) and radiative properties are studied using data from multiple satellite sensors: MODIS, OMI, TOMS, CERES at various locations within the NE India (22-30°N, 86-98°E) for the period 2000-2012. Significant spatio-temporal variation of aerosol optical and radiative properties is observed within the region. For example, Guwahati, the metropolitan city, shows maximum value of AOD, followed by Dhubri the location situated at the western corridor of north-east India. Minimum AOD is observed at the high altitude locations Thimphu and Tawang. Temporally AOD is overriding in March, April, May (MAM) at almost all the observation locations. The minimum AOD over the region in October-November (ON) is associated with the topography and local meteorology. AAI >0.5 at all the locations indicates presence of significant amount of absorbing aerosols. The peak AAI and AAOD in MAM at all the location is associated with the peak biomass burning activity and long range transportation from other locations of India and

  10. The prevalence of natural tooth colors in the people of North India

    Directory of Open Access Journals (Sweden)

    Harinder Kuckreja

    2017-01-01

    Full Text Available Aims and Objectives: Tooth color is a major factor with regard to dental esthetics. Restorative dentistry has evolved from its previous dentist driven to patient driven service and patient opinion plays an important role in selecting the treatment plan. Whitening teeth and smile designing for esthetic purpose is currently fashionable. Selection of appropriate tooth shade for edentulous patients is an important part of teeth replacement. Most patients prefer having lighter shades. However ultimate objective of esthetic dentistry is to create a beautiful smile, with teeth of pleasing inherent proportions to one another and color in harmony with gingiva, lips and face of the patient. Proper shade selection has a positive impact on the patient's acceptance of the treatment. The present study was designed to measure the tooth colors in a particular age group of North Indian population. There is enough data to support the use of objective methods of measuring shade and dentists are shifting to these newer technologies but subjective methods of shade selection are still popular as the digital devices are expensive. Materials and Methods: In the present study, shade of cervical, middle and incisal third of the facial surface of natural maxillary central incisor was measured with digital colorimeter, VITA Easyshade® Advance 4.0. It is an optical reading device that can assess the wavelengths reflected back to its sensors. Lighting in operatory does not affect the shade measurement. It is extremely accurate. The limitation of study was its small sample size. Conclusion: It was concluded that the most prevalent shade in cervical third was 1M2, middle third was 1M1 and incisal third was 2M1.

  11. Association of (C677T Gene Polymorphism with Breast Cancer in North India

    Directory of Open Access Journals (Sweden)

    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.

  12. Human-Sun Bears Conflict in Mizoram, North East India: Impact and Conservation Management

    Directory of Open Access Journals (Sweden)

    2013-09-01

    Full Text Available Interactions between Malayan sun bears (Helarctos malayanus and humans in Mizoram state. We carried out informal interview in 40 villages out of 60 villages covered, locating in and around the protected areas of Mizoram, North-eastern state, during 2008 to 2010. In total, there were 33 human casualties by sun bear during 2000-2010. Males were attacked (n=26, 78.8% and female were attacked (n=7, 21.2%. Injuries were caused to face, nose, eyes, neck, hand and legs. Mark yearly variation of human sun bear casualties, the highest casualties (24.1% during the year of 2002 and less casualties (3.0% during the 2006. Bear attacks were recorded in all the seasons, but maximum cases occurred during autumn and winter months. During December, November, September, April, October and August 27.3 %, 21.2 %, 12.1 %, 9.1% and 6.1 % casualties respectively occurred. Out of 33 cases, victims were mainly in the age group of 31-40 years (45.5 %, followed by 21-30 years (33.3 %, and 41-50 years (12.1 %. Bear accounted for only 6.1 % and 3.0 % cases in the age group of 11-20 years and 51> years respectively. Information on sun bear attacks on human beings and circumstances are presented and discussed. Maximum cases i.e. 21 (63.6 % occurred in forests, followed by 9 (27. 3 % cases in crop fields and 3 (9.1% cases in the vicinity of villages. These victims were involved in cattle grazing, farming or crop protection or moving in forests or vicinity of villages or non-timber forest produce collection. Most of these incidents occurred during morning, evening and night time when bears remained most active. Recommendations have been made for reducing conflict and conservation of sun bear.

  13. 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

  14. Do clinical trials conducted in India match its healthcare needs? An audit of the Clinical Trials Registry of India

    Directory of Open Access Journals (Sweden)

    Mansi Chaturvedi

    2017-01-01

    Full Text Available Background: India continues to contribute disproportionately to the global burden of disease and public health research output from India is also known to be not commensurate with her healthcare needs. We carried out the present study to assess if clinical trials were in line with the health care needs of the country by auditing the clinical trials registry of India. Materials and Methods: All the clinical studies registered in CTRI between July 20, 2007 and December 31, 2015 were searched in the “Trial Search” section. The total number of studies, their phases of development, and therapeutic areas were assessed. Trials in each therapeutic area was compared with the disease burden (DALYs in that area taken from Global Health Estimates [2014] Summary Tables of the WHO. The number of trials conducted per state in India was also compared with the population of that state [Census 2011]. Results: A total of 6474 studies were registered of which 3325 (51.4% were clinical trials. The state of Maharashtra had the highest number trials [16.4%] followed by Karnataka ( 11.6% and Tamil Nadu (10%. Populous states like Uttar Pradesh (5.3% and Bihar (1.4% had far fewer trials. The largest number of trials was in the area of cancer (16.4%, followed by diabetes (12.1% and cardiovascular diseases (10.1%. Infectious and parasitic diseases had the highest DALYs (82,681 and ranked first in disease burden but accounted for only 5% of the total trials and ranked 7th according to number of trials. Cancer ranked first in the number of trials (16.4%, but ranked 6th based on DALYs. Conclusion: Clinical trials conducted in India are not in consonance with her health care needs. Strengthening the capacity for conducting trials in the populous states and the north-eastern part of the country is necessary to allow a more equitable selection of participants. The government should introduce policies to encourage new drug development in areas where needed the most.

  15. 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

  16. Comparative study of histopathological Marsh grading with clinical and serological parameters in celiac iceberg of north India

    Directory of Open Access Journals (Sweden)

    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.

  17. Infection control knowledge and practice: A cross-sectional survey on dental laboratories in dental institutes of North India.

    Science.gov (United States)

    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.

  18. Rainforests north of the Tropic of Cancer: Physiognomy, floristics and diversity in ‘lowland rainforests’ of Meghalaya, India

    Directory of Open Access Journals (Sweden)

    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.

  19. Genetic characterization of chayote [Sechium edule (Jacq.) Swartz.] landraces of North Eastern Hills of India and conservation measure.

    Science.gov (United States)

    Verma, Veerendra Kumar; Pandey, Avinash; Jha, Anjani Kumar; Ngachan, S V

    2017-10-01

    Chayote or chow-chow is an underutilized cucurbit vegetable crop, widely cultivated by farmers in the backyards and Jhum lands for its tender leaves, fruits and tuberous root. In order to initiate crop improvement program in this crop, the present study was undertaken to assess the genetic variations in the 74 chow-chow landraces collected from the North Eastern Hill region of India. Wide variations for fruit colors, fruit length (6.5-21.5 cm), fruit width (4.2-10.7 cm), fruit weight (60-560 g), vitamin-C (2.6-13.8 mg/100 g), reducing sugar (0.18-2.77%), total sugar (1.09-2.94%) and phenol content (0.17-3.85 mg/100 g FW) were recorded among the landraces. All the landraces were also characterized using random amplified polymorphic DNA (RAPD) and inter simple sequence repeat (ISSR) markers. In RAPD analyses, out of 28 primers a total of 198 reproducible amplicons were formed at an average of 7.01 per primer and an overall polymorphism of 88.38%. Eight fragments were specific to landraces with light green fruits. Four fragments were observed to be specific to RCSC-22 (dark green fruits) and another four specific to a RCSC-30 (pale yellow fruits). Out of 30 ISSR, only 5 primers generated a total of 32 reproducible amplicons with an average of 6.4 per primer and overall polymorphism of 62.5%. The pair wise similarity coefficient values ranged from 0.55 to 0.96. The grouping of landraces in cluster analysis was found to be independent of their respective geographic locations. The cuttings of suckers and shoot top (2 months old) treated with indole-3-butyric acid (200 mg l -1 ) provide an alternative for the conservation of the diverse genetic materials to the researchers.

  20. Perceptions, practices and health seeking behaviour constrain JE/AES interventions in high endemic district of North India

    Directory of Open Access Journals (Sweden)

    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.

  1. Scale-up of a comprehensive harm reduction programme for people injecting opioids: lessons from north-eastern India

    Science.gov (United States)

    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

  2. Intra-seasonal and Inter-annual variability of Bowen Ratio over rain-shadow region of North peninsular India

    Science.gov (United States)

    Morwal, S. B.; Narkhedkar, S. G.; Padmakumari, B.; Maheskumar, R. S.; Deshpande, C. G.; Kulkarni, J. R.

    2017-05-01

    Intra-seasonal and inter-annual variability of Bowen Ratio (BR) have been studied over the rain-shadow region of north peninsular India during summer monsoon season. Daily grid point data of latent heat flux (LHF), sensible heat flux (SHF) from NCEP/NCAR Reanalysis for the period 1970-2014 have been used to compute daily area-mean BR. Daily grid point rainfall data at a resolution of 0.25° × 0.25° from APHRODITE's Water Resources for the available period 1970-2007 have been used to study the association between rainfall and BR. The study revealed that BR rapidly decreases from 4.1 to 0.29 in the month of June and then remains nearly constant at the same value (≤0.1) in the rest of the season. High values of BR in the first half of June are indicative of intense thermals and convective clouds with higher bases. Low values of BR from July to September period are indicative of weak thermals and convective clouds with lower bases. Intra-seasonal and inter-annual variability of BR is found to be inversely related to precipitation over the region. BR analysis indicates that the land surface characteristics of the study region during July-September are similar to that over oceanic regions as far as intensity of thermals and associated cloud microphysical properties are concerned. Similar variation of BR is found in El Nino and La Nina years. During June, an increasing trend is observed in SHF and BR and decreasing trend in LHF from 1976 to 2014. Increasing trend in the SHF is statistically significant.

  3. Scale-up of a comprehensive harm reduction programme for people injecting opioids: lessons from north-eastern India.

    Science.gov (United States)

    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.

  4. Perceptions, practices and health seeking behaviour constrain JE/AES interventions in high endemic district of North India.

    Science.gov (United States)

    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 north Indian district-Kushinagar. 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. 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.

  5. Awareness of Biomedical Waste Management among Dentists associated with Institutions and Private Practitioners of North India: A Comparative Study.

    Science.gov (United States)

    Raghuvanshi, Malvika; Sinha, Shruti; Mohiddin, Gouse; Panda, Abikshyeet; Dash, Kailash C; Bhuyan, Lipsa

    2018-03-01

    The present study aimed to obtain information about knowledge, execution, and attitude toward biomedical waste (BMW) and its management. In the present study, a self-administered closed-ended questionnaire was designed to conduct a cross-sectional survey. It was distributed among 614 dentists (institution associated or private practitioners) in the cities of North India. The questionnaire comprised 36 questions regarding knowledge, execution, and attitude toward BMW and its management. Frequency distribution and chi-square test along with paired t-test were used to compare the data obtained between the private practitioners and institution-associated dentists. The study showed that 80% private practitioners were aware of the categories of BMW as compared with 100% of institution-associated dentists. However, 41% dentists associated with institution were disposing the chemical waste directly into sewer and a surprising high number of private practitioners were discarding directly without any treatment. Furthermore, regarding the mandatory maintenance of BMW records, 100% institution-associated respondents were aware, whereas only 6.5% private practitioners knew about it. Regarding BMW management not frequently being followed, 78% of private practitioners believed extra burden as the reason. Most of the dentists had adequate knowledge regarding BMW policies and its management. Although it was being practiced in mostly all the institutes on a regular basis, the majority of private practitioners were not practicing it due to various reasons, such as financial burden, lack of availability of service, and poor attitude toward its management. There is a need to make it compulsory and organize training sessions to educate the dental personnel and to establish the importance of proper management.

  6. Does being under treatment improve knowledge attitude practice for hypertension: A hospital-based study from North India

    Directory of Open Access Journals (Sweden)

    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. Associations of MHC class II alleles with insulin-dependent diabetes mellitus (IDDM) in patients from North India.

    Science.gov (United States)

    Rani, R; Sood, A; Lazaro, A M; Stastny, P

    1999-06-01

    Thirty-four insulin-dependent diabetes mellitus (IDDM) patients from North India were studied with respect to their HLA class II alleles including those of the DRB1, DQA1, DQB1 and DPB1 loci, using the polymerase chain reaction (PCR) and hybridization with sequence-specific oligonucleotide probes (SSOP). They were compared with the class II alleles of 94 normal adult controls from the same ethnic background. The results show a statistically significant increase of DRB1*03011 (p < 0.00001), DQB1*0201 (p < 0.007), DQA1*0501 (0.0027) and DPB1*2601 (p < 0.0042) in patients compared to controls. DR*04 was not significantly increased. However, homozygosity for DRB1*03011 was increased more than expected. DRB1*1501 and *1502 did not show a significant decrease in the patients. However, DRB1*0701 was decreased significantly, but this difference did not remain significant when the p value was corrected for the number of alleles tested. Similarly, DPB1*2601 was increased significantly in the patients but did not remain significant after p was corrected for the number of alleles tested. However, DPB1*2601 was increased, and remained significant after correction, in patients not having HLA-DR3. We also studied the possible role of aspartic acid at codon 57 of the DQ beta chain in protection against development of diabetes, and arginine at codon 52 of the DQ alpha chain in susceptibility. We observed an increase in non-Asp57 alleles in DQ beta and Arg52 in DQ alpha in the patients, however, this effect seems to be due to the fact that the most prevalent haplotype in diabetic patients: DRB1*03011-DQA1*0501-DQB1*0201, has DQB1 and DQA1 alleles which carry non-Asp57 and Arg52, respectively.

  8. Risk factors associated with fluoroquinolone-resistant enterococcal urinary tract infections in a tertiary care university hospital in north India.

    Science.gov (United States)

    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.

  9. Seroprevalence of infectious markers & their trends in blood donors in a hospital based blood bank in north india

    Science.gov (United States)

    Makroo, R.N.; Hegde, Vikas; Chowdhry, Mohit; Bhatia, Aakanksha; Rosamma, N.L.

    2015-01-01

    Background & objectives: Hepatitis B virus (HBV), human immunodeficiency virus (HIV), hepatitis C virus (HCV) and syphilis infections pose a great threat to blood safety. This study was undertaken to investigate the seroprevalence of serologic markers for transfusion transmitted infections (TTIs) among blood donors at a hospital based blood centre in north India over a period of nine years. Methods: The results of serologic markers for TTIs (HBsAg, anti-HCV, anti-HIV and syphilis) of all blood donations (both voluntary and replacement) at our hospital from January 2005 to December 2013 were screened. Additional analysis was conducted to examine the prevalence trends associated with each of the positive marker. Results: The data of 180,477 donors [173,019 (95.86%) males and 7,458 (4.13%) females] were analyzed. Replacement donations [174,939 (96.93%)] represented the majority whereas, only 5,538 (3.06%) donations were from the voluntary donors. The risk of blood being reactive was three times higher in male donors when compared with the female donors. The risk of blood being reactive for one or more infectious markers was 2.1 times higher in replacement donors when compared with the voluntary donors. Seropositivity of HIV, HBsAg, HBcAb, syphilis showed a significant decreasing trend (P<0.05) while there was an increasing trend in HCV infection which was insignificant. Interpretation & conclusions: This study reflects that the risk of TTIs has been decreased over time with respect to HIV, HBV and syphilis, but the trends for HCV remains almost the same in blood donors. Blood transfusion remains a risk factor for the spread of blood-borne infections. Therefore, improvements are needed to strengthen both safety and availability of blood. PMID:26458348

  10. Seroprevalence of infectious markers & their trends in blood donors in a hospital based blood bank in north India

    Directory of Open Access Journals (Sweden)

    R N Makroo

    2015-01-01

    Full Text Available Background & objectives: Hepatitis B virus (HBV, human immunodeficiency virus (HIV, hepatitis C virus (HCV and syphilis infections pose a great threat to blood safety. This study was undertaken to investigate the seroprevalence of serologic markers for transfusion transmitted infections (TTIs among blood donors at a hospital based blood centre in north India over a period of nine years. Methods: The results of serologic markers for TTIs (HBsAg, anti-HCV, anti-HIV and syphilis of all blood donations (both voluntary and replacement at our hospital from January 2005 to December 2013 were screened. Additional analysis was conducted to examine the prevalence trends associated with each of the positive marker. Results: The data of 180,477 donors [173,019 (95.86% males and 7,458 (4.13% females] were analyzed. Replacement donations [174,939 (96.93%] represented the majority whereas, only 5,538 (3.06% donations were from the voluntary donors. The risk of blood being reactive was three times higher in male donors when compared with the female donors. The risk of blood being reactive for one or more infectious markers was 2.1 times higher in replacement donors when compared with the voluntary donors. Seropositivity of HIV, HBsAg, HBcAb, syphilis showed a significant decreasing trend (P<0.05 while there was an increasing trend in HCV infection which was insignificant. Interpretation & conclusions: This study reflects that the risk of TTIs has been decreased over time with respect to HIV, HBV and syphilis, but the trends for HCV remains almost the same in blood donors. Blood transfusion remains a risk factor for the spread of blood-borne infections. Therefore, improvements are needed to strengthen both safety and availability of blood.

  11. Scrub typhus meningoencephalitis, a diagnostic challenge for clinicians: A hospital based study from North-East India

    Directory of Open Access Journals (Sweden)

    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.

  12. A cross-sectional study of cognitive functions and disability in schizophrenia from a tertiary care hospital in North India

    Directory of Open Access Journals (Sweden)

    Meha Jain

    2016-01-01

    Full Text Available Background: Cognitive functions are important predictors of day to day functioning. Cognitive functions are significantly affected in schizophrenia and various other psychiatric disorders. There are very few Indian studies studying the relationship between cognitive functions and disability. Aims and Objectives: The purpose of the present study was to assess the cognitive functions in stable patients of schizophrenia and compare them with normal controls and also to study the relationship between cognition and disability in these patients. Materials and Methods: Thirty stable patients of schizophrenia attending psychiatry outpatient clinic of a Tertiary Care Hospital of North India were included in the study. Thirty healthy volunteers with no psychiatric illness matched for age, gender, and education were also included cognitive functions were assessed using Brief Assessment of Cognition in Schizophrenia and disability was assessed using WHO Disability Assessment Schedule 2.0 (WHODAS 2.0. Results: Highly significant difference (P < 0.0001 was found between the cognitive functions of the schizophrenia group and healthy control group. The patients of schizophrenia had a maximum disability in the area of life activities followed by participation and cognition. There existed a significant negative correlation between cognition and mobility (r = −0.45, P < 0.05, getting along with people (r = −0.44, P < 0.05, life activities (r = −0.42, P < 0.05, participation (r = −0.39, P ≤ 0.05, and total scores on WHODAS 2.0 (r = −0.48, P ≤ 0.05. Conclusion: Cognitive functions are an important predictor of disability. Cognitive deficits exist even in the stable patients of schizophrenia which is significantly higher than the healthy group.

  13. Prevalence of endothelial nitric oxide synthase (eNOS) gene exon 7 Glu298Asp variant in North Eastern India

    Science.gov (United States)

    Shankarishan, Priyanka; Borah, Prasanta Kumar; Ahmed, Giasuddin; Mahanta, Jagadish

    2011-01-01

    Background & objectives Endothelial nitric oxide is a potent vasodilator and impairment of its generation brought about by gene polymorphism is considered a major predictor for several diseases. A single nucleotide polymorphism G894T within exon 7 of endothelial nitric oxide synthase (eNOS-7) gene, resulting in a replacement of glutamic acid by aspartic acid, has been studied as a putative candidate gene for cardiovascular diseases. The pattern of eNOS-7 Glu298Asp variant in the Indian population is poorly known. The present study was planned to determine the prevalence of the variant of this gene among tea garden community in Assam, North-East India with high prevalence of hypertension. Methods Study participants of both sex aged ≥18 yr were recruited randomly from temporary field clinics established in tea gardens of Dibrugarh, Assam. Genomic DNA was extracted from 409 subjects by the conventional phenol-chloroform method. The prevalence of the eNOS exon 7 Glu298Asp variant was determined by polymerase chain reaction and restriction fragment length polymorphism analysis. Results The study population was in Hardy-Weinberg Equilibrium. The frequency of the eNOS GG, GT and TT genotypes was found to be 75, 22 and 3 per cent respectively and did not show any significant difference in gender wise analysis. Interpretation & conclusions Our results showed that the prevalence of the homozygous GG genotype was high (75%) and the rare mutant genotype (homozygous, TT) was 3 per cent in a population at risk with cardiovascular disease. Such population-based data on various polymorphisms can ultimately be exploited in pharmacogenomics. PMID:21623032

  14. Opioid substitution therapy in manipur and nagaland, north-east india: operational research in action

    Directory of Open Access Journals (Sweden)

    Langkham Biangtung

    2010-12-01

    Full Text Available Abstract Background There is good evidence for the effectiveness of opioid substitution therapy (OST for injecting drug users (IDUs in middle and high-income countries but little evidence regarding the provision of OST by non-government organisations (NGOs in resource-poor settings. This paper reports on outcomes of an NGO-based OST program providing sub-lingual buprenorphine to opiate dependent IDUs in two north-east Indian states (Manipur and Nagaland, a region where conflict, under-development and injecting of heroin and Spasmoproxyvon (SP are ongoing problems. The objectives of the study were: 1 to calculate OST treatment retention, 2 to assess the impact on HIV risk behaviours and quality of life, and 3 to identify client characteristics associated with cessation of treatment due to relapse. Methods This study involves analysis of data that were routinely and prospectively collected from all clients enrolled in an OST program in Manipur and Nagaland between May 2006 and December 2007 (n = 2569, 1853 in Manipur and 716 in Nagaland using standardised questionnaires, and is best classified as operational research. The data were recorded at intake into the program, after three months, and at cessation. Outcome measures included HIV risk behaviours and quality of life indicators. Predictors of relapse were modelled using binary logistic regression. Results Of all clients enrolled in OST during the month of May 2006 (n = 713, 72.8% remained on treatment after three months, and 63.3% after six months. Statistically significant (p = 0.05 improvements were observed in relation to needle sharing, unsafe sex, incidents of detention, and a range of quality of life measures. Greater spending on drugs at intake (OR 1.20, frequently missing doses (OR 8.82, and having heroin rather than SP as the most problematic drug (OR 1.95 were factors that increased the likelihood of relapse, and longer duration in treatment (OR 0.76 and regular family involvement in

  15. Predominance of genotype 1.1 and emergence of genotype 2.2 classical swine fever viruses in north-eastern region of India.

    Science.gov (United States)

    Roychoudhury, P; Sarma, D K; Rajkhowa, S; Munir, M; Kuchipudi, S V

    2014-08-01

    Classical swine fever (CSF) is a highly contagious and the most important disease of pigs worldwide.CSF is enzootic in pig herds in India and continues to cause huge economic losses to pig farmers. Nearly 40% of the total pig population of India is present in the north-eastern (NE) states where pig husbandry plays an important role in the socio-economic development. Pigs reared in the backyards are the only source of livelihood for a majority of poor tribal population in the region. Hardly any CSF vaccination is currently being undertaken in the unorganized pig farming in the NE region due to economic reasons and vaccine unavailability. A thorough understanding of the current epidemiological status of CSF is essential for the effective control of the disease in the NE region. Hence, we carried out molecular characterization of CSFV isolates from field outbreaks during 2011-2012 in the entire north-eastern region of India to establish the genetic groups of prevalent CSF viruses in the region. A total of 17 CSFV isolates obtained from different parts of the NE region were characterized by comparing the sequences of three partial genomic regions of the virus, that is 150 nt of 5' UTR, 190 nt of E2 and 409 nt of NS5B. Of the 17 CSFV isolates, 15 isolates belonged to 1.1 (88.2%) and two isolates (11.8%) belonged to 2.2 subgenogroup. The genogroup 2.2 CSFV were associated with outbreaks in Arunachal Pradesh that shares international borders with Bhutan, Myanmar and China. Genogroup 2.2 CSFV isolated in the present study shared high level of sequence similarity with 2.2 viruses form China, raising the possibility of virus incursion from this region. In summary, we found a continued predominance of 1.1 subgroup and an emergence of 2.2 subgroup CSFV in NE region of India. © 2014 Blackwell Verlag GmbH.

  16. Prevalence of 22q11.2 microdeletion in 146 patients with cardiac malformation in a referral hospital of North India

    OpenAIRE

    Halder, Ashutosh; Jain, Manish; Chaudhary, Isha; Kabra, Madhulika

    2010-01-01

    Abstract Background The 22q11.2 microdeletion syndrome is a common condition that is associated with cardiac as well as extra-cardiac manifestations. Its prevalence and manifestations from north India has not been reported. This study was designed to determine the prevalence and ability of clinical criteria to predict 22q11.2 microdeletion. Methods A total of 146 cases of cardiac malformation requiring tertiary care at a teaching hospital were prospectively screened for 22q11.2 microdeletion ...

  17. North-East monsoon rainfall extremes over the southern peninsular India and their association with El Niño

    Science.gov (United States)

    Singh, Prem; Gnanaseelan, C.; Chowdary, J. S.

    2017-12-01

    The present study investigates the relationship between extreme north-east (NE) monsoon rainfall (NEMR) over the Indian peninsula region and El Niño forcing. This turns out to be a critical science issue especially after the 2015 Chennai flood. The puzzle being while most El Niños favour good NE monsoon, some don't. In fact some El Niño years witnessed deficit NE monsoon. Therefore two different cases (or classes) of El Niños are considered for analysis based on standardized NEMR index and Niño 3.4 index with case-1 being both Niño-3.4 and NEMR indices greater than +1 and case-2 being Niño-3.4 index greater than +1 and NEMR index less than -1. Composite analysis suggests that SST anomalies in the central and eastern Pacific are strong in both cases but large differences are noted in the spatial distribution of SST over the Indo-western Pacific region. This questions our understanding of NEMR as mirror image of El Niño conditions in the Pacific. It is noted that the favourable excess NEMR in case-1 is due to anomalous moisture transport from Bay of Bengal and equatorial Indian Ocean to southern peninsular India. Strong SST gradient between warm western Indian Ocean (and Bay of Bengal) and cool western Pacific induced strong easterly wind anomalies during NE monsoon season favour moisture transport towards the core NE monsoon region. Further anomalous moisture convergence and convection over the core NE monsoon region supported positive rainfall anomalies in case-1. While in case-2, weak SST gradients over the Indo-western Pacific and absence of local low level convergence over NE monsoon region are mainly responsible for deficit rainfall. The ocean dynamics in the Indian Ocean displayed large differences during case-1 and case-2, suggesting the key role of Rossby wave dynamics in the Indian Ocean on NE monsoon extremes. Apart from the large scale circulation differences the number of cyclonic systems land fall for case-1 and case-2 have also contributed for

  18. Summer monsoon rainfall variability over North East regions of India and its association with Eurasian snow, Atlantic Sea Surface temperature and Arctic Oscillation

    Science.gov (United States)

    Prabhu, Amita; Oh, Jaiho; Kim, In-won; Kripalani, R. H.; Mitra, A. K.; Pandithurai, G.

    2017-10-01

    This observational study during the 29-year period from 1979 to 2007 evaluates the potential role of Eurasian snow in modulating the North East-Indian Summer Monsoon Rainfall with a lead time of almost 6 months. This link is manifested by the changes in high-latitude atmospheric winter snow variability over Eurasia associated with Arctic Oscillation (AO). Excessive wintertime Eurasian snow leads to an anomalous cooling of the overlying atmosphere and is associated with the negative mode of AO, inducing a meridional wave-train descending over the tropical north Atlantic and is associated with cooling of this region. Once the cold anomalies are established over the tropical Atlantic, it persists up to the following summer leading to an anomalous zonal wave-train further inducing a descending branch over NE-India resulting in weak summer monsoon rainfall.

  19. Causes of and contributors to infant mortality in a rural community of North India: evidence from verbal and social autopsy.

    Science.gov (United States)

    Rai, Sanjay Kumar; Kant, Shashi; Srivastava, Rahul; Gupta, Priti; Misra, Puneet; Pandav, Chandrakant Sambhaji; Singh, Arvind Kumar

    2017-08-11

    To identify the medical causes of death and contribution of non-biological factors towards infant mortality by a retrospective analysis of routinely collected data using verbal and social autopsy tools. The study site was Health and Demographic Surveillance System (HDSS), Ballabgarh, North India PARTICIPANTS: All infant deaths during the years 2008-2012 were included for verbal autopsy and infant deaths from July 2012 to December 2012 were included for social autopsy. Cause of death ascertained by a validated verbal autopsy tool and level of delay based on a three-delay model using the INDEPTH social autopsy tool were the main outcome measures. The level of delay was defined as follows: level 1, delay in identification of danger signs and decision making to seek care; level 2, delay in reaching a health facility from home; level 3, delay in getting healthcare at the health facility. The infant mortality rate during the study period was 46.5/1000 live births. Neonatal deaths contributed to 54.3% of infant deaths and 39% occurred on the first day of life. Birth asphyxia (31.5%) followed by low birth weight (LBW)/prematurity (26.5%) were the most common causes of neonatal death, while infection (57.8%) was the most common cause of post-neonatal death. Care-seeking was delayed among 50% of neonatal deaths and 41.2% of post-neonatal deaths. Delay at level 1 was most common and occurred in 32.4% of neonatal deaths and 29.4% of post-neonatal deaths. Deaths due to LBW/prematurity were mostly followed by delay at level 1. A high proportion of preventable infant mortality still exists in an area which is under continuous health and demographic surveillance. There is a need to enhance home-based preventive care to enable the mother to identify and respond to danger signs. Verbal autopsy and social autopsy could be routinely done to guide policy interventions aimed at reduction of infant mortality. © Article author(s) (or their employer(s) unless otherwise stated in the text

  20. Refractive errors among patients attending the ophthalmology department of a medical college in North-East India

    Directory of Open Access Journals (Sweden)

    Tanie Natung

    2017-01-01

    Full Text Available Purpose: To determine the magnitude and pattern of refractive errors among patients attending the ophthalmology department of a new medical college in North-East India. Materials and Methods: A prospective study of the new patients (age ≥5 years, who were phakic and whose unaided visual acuities were worse than 20/20 but improved with pinhole, was done. Complete ophthalmic examination and refraction with appropriate cycloplegia for age were done for the 4582 eligible patients. Spherical equivalents (SE of refractive errors of the right eyes were used for analysis. Results: Of the 4582 eligible patients, 2546 patients had refractive errors (55.56%. The proportion of emmetropia (SE − 0.50–+0.50 diopter sphere [DS], myopia (SE −0.50 DS, high myopia (SE >−5.0 DS, and hypermetropia (+0.50 DS for adults and >+2.0 DS for children were 53.1%, 27.4%, 2.6%, and 16.9%, respectively. The proportion of hyperopia increased till 59 years and then decreased with age (P = 0.000. The proportion of myopia and high myopia decreased significantly with age after 39 years (P = 0.000 and P = 0.004, respectively. Of the 1510 patients with astigmatism, 17% had with-the-rule (WTR, 23.4% had against-the-rule (ATR, and 19% had oblique astigmatisms. The proportion of WTR and ATR astigmatisms significantly decreased (P = 0.000 and increased (P = 0.000 with age, respectively. Conclusions: This study has provided the magnitude and pattern of refractive errors in the study population. It will serve as the initial step for conducting community-based studies on the prevalence of refractive errors in this part of the country since such data are lacking from this region. Moreover, this study will help the primary care physicians to have an overview of the magnitude and pattern of refractive errors presenting to a health-care center as refractive error is an established and significant public health problem worldwide.

  1. Diagnostic efficacy of a real time-PCR assay for Chlamydia trachomatis infection in infertile women in north India

    Directory of Open Access Journals (Sweden)

    Benu Dhawan

    2014-01-01

    Full Text Available Background & objectives: Little is known about the prevalence of Chlamydia trachomatis infection in Indian women with infertility. To improve the diagnosis of C. trachomatis infection in developing countries, there is an urgent need to establish cost-effective molecular test with high sensitivity and specificity. This study was conducted to determine the diagnostic utility of a real time-PCR assay for detention of C. trachomatis infection in infertile women attending an infertility clinic in north India. The in house real time-PCR assay was also compared with a commercial real-time PCR based detection system. Methods: Endocervical swabs, collected from 200 infertile women were tested for C. trachomatis by three different PCR assays viz. in-house real time-PCR targeting the cryptic plasmid using published primers, along with omp1 gene and cryptic plasmid based conventional PCR assays. Specimens were also subjected to direct fluorescence assay (DFA and enzyme immunoassay (EIA Performance of in-house real time-PCR was compared with that of COBAS Taqman C. trachomatis Test, version 2.0 on all in-house real time-PCR positive sample and 30 consecutive negative samples. Results: C. trachomatis infection was found in 13.5 per cent (27/200 infertile women by in-house real time-PCR, 11.5 per cent (23/200 by cryptic plasmid and/or omp1 gene based conventional PCR, 9 per cent (18/200 by DFA and 6.5 per cent (7/200 by EIA. The in-house real time-PCR exhibited a sensitivity and specificity of 100 per cent, considering COBAS Taqman CT Test as the gold standard. The negative and positive predictive values of the in-house real time-PCR were 100 per cent. The in-house real time-PCR could detect as low as 10 copies of C. trachomatis DNA per reaction. Interpretation & conclusions: In-house real time-PCR targeting the cryptic plasmid of C. trachomatis exhibited an excellent sensitivity and specificity similar to that of COBAS Taqman CT Test, v2.0 for detection of C

  2. Evaluation and comparison of polyphenols and bioactivities of wild edible fruits of North-West Himalaya, India

    Directory of Open Access Journals (Sweden)

    Himani Singh

    2015-11-01

    Full Text Available Objective: To evaluate and compare the polyphenol contents, antioxidant, anti-elastase, anti-collagenase, anti-tyrosinase and anti-inflammatory activities of 13 wild edible fruits [Pyracantha crenulata, Berberis asiatica (B. asiatica, Ficus subincisa (F. subincisa, Morus serrata, Ziziphus nummularia, Leea asiatica (L. asiatica, Dendrobenthamia capitata, Ziziphus mauritiana, Prunus cerasoides, Ampelocissus latifolia (A. latifolia, Vitis jacquemontii, Morus alba and Grewia optiva] of North-West Himalayan Region of India. Methods: Fruits extracts were prepared with 80% aqueous acetone and evaluated for total phenolic contents (TPC and total flavonoid contents (TFC. Free radical scavenging activities [against 1,1-diphenyl-2-picryl-hydrazyl, 2,2′-azino-bis(3-ethylbenzothiazoline-6-sulfonic acid, linoleate hydroperoxyl and superoxide radicals], ferric reducing ability, ferrous metal chelating capacity, anti-elastase, anti-collagenase, anti-tyrosinase and anti-inflammatory activities were determined by using various in vitro assays. Results: TPC varied from 58.83 to 4 496.39 mg gallic acid equivalents/100 g fruit weight (FW, being highest in A. latifolia and lowest in F. subincisa. TFC ranged from 108.00 to 1 963.75 mg catechin equivalents/100 g FW, standing highest in L. asiatica and lowest in Prunus cerasoides. A. latifolia and L. asiatica possessed the highest antioxidant activities while B. asiatica and L. asiatica owned uppermost anti-elastase and anti-collagenase activities, respectively. B. asiatica revealed the highest anti-tyrosinase activity and F. subincisa demonstrated the highest antiinflammatory activity. The present study revealed differential contribution of TPC and TFC in various antioxidant activities. However, no obvious relationship was visible between antielastase/anti-collagenase/anti-tyrosinase/anti-inflammatory activities and TPC/TFC, suggesting the role of individual or combination of specific phenolics and flavonoids

  3. Identification of factors associated with stillbirth in the Indian state of Bihar using verbal autopsy: A population-based study.

    Directory of Open Access Journals (Sweden)

    Rakhi Dandona

    2017-08-01

    Full Text Available India was estimated to have the largest numbers of stillbirths globally in 2015, and the Indian government has adopted a target of <10 stillbirths per 1,000 births by 2030 through the India Newborn Action Plan (INAP. The objective of this study was to use verbal autopsy interviews to examine factors associated with stillbirth in the Indian state of Bihar and make recommendations for the INAP to better inform the setting of priorities and actions to reduce stillbirths.Verbal autopsy interviews were conducted for deaths including stillbirths that occurred from January 2011 to March 2014 in a sample of 109,689 households (87.1% participation in 1,017 clusters representative of the state of Bihar. The Population Health Metrics Research Consortium shortened verbal autopsy questionnaire was used for each interview, and cause of death was assigned using the SmartVA automated algorithm. A stillbirth was defined as a foetal death with a gestation period of ≥28 weeks wherein the foetus did not show any sign of life. We report on the stillbirth epidemiology and present case studies from the qualitative data on the health provider interface that can be used to improve success of improved, skilled care at birth and delivery interventions. The annualised stillbirth incidence was 21.2 (95% CI 19.7 to 22.6 per 1,000 births, with it being higher in the rural areas. A total of 1,132 stillbirths were identified; 686 (62.2% were boys, 327 (29.7% were firstborn, and 760 (68.9% were delivered at a health facility. Of all the stillbirths, 54.5% were estimated to be antepartum. Only 6,161 (55.9% of the women reported at least 1 antenatal care visit, and 33% of the women reported not consuming the iron folic acid tablets during pregnancy. Significant differences were seen in delivery-related variables and associated maternal conditions based on the place of delivery and type of stillbirth. Only 6.1% of the women reported having undergone a test to rule out syphilis

  4. Comparison of spoligotyping, mycobacterial interspersed repetitive units typing and IS6110-RFLP in a study of genotypic diversity of Mycobacterium tuberculosis in Delhi, North India

    Directory of Open Access Journals (Sweden)

    Mandira Varma-Basil

    2011-08-01

    Full Text Available The aim of the present study was to compare polymerase chain reaction (PCR-based methods - spoligotyping and mycobacterial interspersed repetitive units (MIRU typing - with the gold-standard IS6110 restriction fragment length polymorphism (RFLP analysis in 101 isolates of Mycobacterium tuberculosis to determine the genetic diversity of M. tuberculosis clinical isolates from Delhi, North India. Spoligotyping resulted in 49 patterns (14 clusters; the largest cluster was composed of Spoligotype International Types (SITs26 [Central-Asian (CAS1-Delhi lineage], followed by SIT11 [East-African-Indian (EAI 3-Indian lineage]. A large number of isolates (75% belonged to genotypic lineages, such as CAS, EAI and Manu, with a high specificity for the Indian subcontinent, emphasising the complex diversity of the phylogenetically coherent M. tuberculosis in North India. MIRU typing, using 11 discriminatory loci, was able to distinguish between all but two strains based on individual patterns. IS6110-RFLP analysis (n = 80 strains resulted in 67 unique isolates and four clusters containing 13 strains. MIRUs discriminated all 13 strains, whereas spoligotyping discriminated 11 strains. Our results validate the use of PCR-based molecular typing of M. tuberculosis using repetitive elements in Indian isolates and demonstrate the usefulness of MIRUs for discriminating low-IS6110-copy isolates, which accounted for more than one-fifth of the strains in the present study.

  5. Contribution of efflux pumps in fluroquinolone resistance in multi-drug resistant nosocomial isolates of Pseudomanas aeruginosa from a tertiary referral hospital in north east India

    Directory of Open Access Journals (Sweden)

    D Choudhury

    2015-01-01

    Full Text Available Background: Pseudomonas aeruginosa is one of the leading opportunistic pathogen and its ability to acquire resistance against series of antimicrobial agents confine treatment option for nosocomial infections. Increasing resistance to fluroquinolone (FQ agents has further worsened the scenario. The major mechanism of resistance to FQs includes mutation in FQs target genes in bacteria (DNA gyrase and/or topoisomerases and overexpression of antibiotic efflux pumps. Objective: We have investigated the role of efflux pump mediated FQ resistance in nosocomial isolates of P. aeruginosa from a tertiary referral hospital in north eastern part of India. Materials and Methods: A total of 234 non-duplicate, consecutive clinical isolates of P. aeruginosa were obtained from a tertiary referral hospital of north-east India. An efflux pump inhibitor (EPI, carbonyl cyanide m-chlorophenylhydrazone (CCCP based method was used for determination of efflux pump activity and multiplex polymerase chain reaction (PCR was performed for molecular characterisation of efflux pump. Minimum inhibitory concentration (MIC reduction assay was also performed for all the isolates. Results and Conclusion: A total number of 56 (23% have shown efflux mediated FQ resistance. MexAB-OprM efflux system was predominant type. This is the first report of efflux pump mediated FQ resistance from this part of the world and the continued emergence of these mutants with such high MIC range from this part of the world demands serious awareness, diagnostic intervention, and proper therapeutic option.

  6. Contribution of efflux pumps in fluroquinolone resistance in multi-drug resistant nosocomial isolates of Pseudomanas aeruginosa from a tertiary referral hospital in north east India.

    Science.gov (United States)

    Choudhury, D; Talukdar, A Das; Maurya, A P; Choudhury, M Dutta; Dhar Chanda, D; Chakravarty, A; Bhattacharjee, A

    2015-01-01

    Pseudomonas aeruginosa is one of the leading opportunistic pathogen and its ability to acquire resistance against series of antimicrobial agents confine treatment option for nosocomial infections. Increasing resistance to fluroquinolone (FQ) agents has further worsened the scenario. The major mechanism of resistance to FQs includes mutation in FQs target genes in bacteria (DNA gyrase and/or topoisomerases) and overexpression of antibiotic efflux pumps. We have investigated the role of efflux pump mediated FQ resistance in nosocomial isolates of P. aeruginosa from a tertiary referral hospital in north eastern part of India. A total of 234 non-duplicate, consecutive clinical isolates of P. aeruginosa were obtained from a tertiary referral hospital of north-east India. An efflux pump inhibitor (EPI), carbonyl cyanide m-chlorophenylhydrazone (CCCP) based method was used for determination of efflux pump activity and multiplex polymerase chain reaction (PCR) was performed for molecular characterisation of efflux pump. Minimum inhibitory concentration (MIC) reduction assay was also performed for all the isolates. A total number of 56 (23%) have shown efflux mediated FQ resistance. MexAB-OprM efflux system was predominant type. This is the first report of efflux pump mediated FQ resistance from this part of the world and the continued emergence of these mutants with such high MIC range from this part of the world demands serious awareness, diagnostic intervention, and proper therapeutic option.

  7. Analysis of Epstein Barr Virus Encoded RNA Expression in Nasopharyngeal Carcinoma in North-Eastern India: A Chromogenic in Situ Hybridization Based Study

    Directory of Open Access Journals (Sweden)

    Anjan Saikia

    2016-05-01

    Full Text Available Introduction: Nasopharyngeal carcinoma (NPC is a common cancer in the North-East region of India. Though the role of environmental contributors of NPC in the North-Eastern part of India is firmly established, EBV as an etiological agent in the region remains unexplored. Material and Methods: Fifty-one patients, who presented at the department of ENT, NEIGRIHMS and were confirmed as NPC upon histopathological examination, were included in the study. Chromogenic in-situ hybridization (CISH was used for the evaluation of EBER (Epstein Barr Virus Encoded RNA. Presence of nuclear signals was taken as positive for EBER expression. EBER status was correlated with various clinicopathological parameters like age, sex, dietary habits, histological types of NPC, and ethnicity of the patients. Results: The age range of the study group was 25 to 70 years with a mean age of 44.64 years and a male:female ratio of 3:2. Non-keratinizing undifferentiated type of NPC was the most common histological type. EBV was positive in 59% (30/51 of our cases. It showed a statistically significant correlation with the Naga community (P=0.01, with consumption of smoked food (P=0.02, and cigarette smoking (P=0.02. There was no correlation of EBV with age, sex, lymph node metastasis, stage, and histology. Conclusion: Our result indicates that EBV may be an additional risk factor in the pathogenesis of NPC in this region of India. So apart from lifestyle modification, a future study for a screening test for EBV viral load even in asymptomatic patients may be considered, for determination of disease susceptibility, early diagnosis, and proper management.

  8. Effective smoke-free policies in achieving a high level of compliance with smoke-free law: experiences from a district of North India.

    Science.gov (United States)

    Goel, Sonu; Ravindra, Khaiwal; Singh, Rana J; Sharma, Deepak

    2014-07-01

    Compliance survey of smoke-free law is an effective means of measuring progress towards a smoke-free society. They also help policy makers to take action where strengthening measures are required. India has a comprehensive tobacco control law known as Cigarettes and Other Tobacco Products Act (COTPA 2003) which prohibits smoking in public places and requires display of 'No smoking' signages with proper specifications at conspicuous points. However, its implementation and enforcement are still a matter of concern. To ascertain the level of compliance with smoke-free law in public places of a district of North India. A cross sectional study was conducted in the months of November-December 2011 in district SAS Nagar Mohali of North India. The public places including hotels/restaurants/bars/shopping malls, government offices, educational institutions, healthcare facilities and transit stations were surveyed. The study tool was adapted from the guide on 'Assessing compliance with smoke-free law' developed jointly by the Campaign for Tobacco Free Kids, Johns Hopkins Bloomberg School of Public Health and International Union against Tuberculosis and Lung Disease. The overall compliance rate towards section 4 of COTPA was 92.3%. No active smoking was observed in 94.2% of the public places. In 90% of the public places 'No Smoking' signage were displayed as per COTPA. Health and educational institutions had maximum compliance with the smoke-free law while transit sites showed the least compliance. Compliance to the smoke-free law was high in the study. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.

  9. Identification of factors associated with stillbirth in the Indian state of Bihar using verbal autopsy: A population-based study.

    Science.gov (United States)

    Dandona, Rakhi; Kumar, G Anil; Kumar, Amit; Singh, Priyanka; George, Sibin; Akbar, Mohammad; Dandona, Lalit

    2017-08-01

    India was estimated to have the largest numbers of stillbirths globally in 2015, and the Indian government has adopted a target of autopsy interviews to examine factors associated with stillbirth in the Indian state of Bihar and make recommendations for the INAP to better inform the setting of priorities and actions to reduce stillbirths. Verbal autopsy interviews were conducted for deaths including stillbirths that occurred from January 2011 to March 2014 in a sample of 109,689 households (87.1% participation) in 1,017 clusters representative of the state of Bihar. The Population Health Metrics Research Consortium shortened verbal autopsy questionnaire was used for each interview, and cause of death was assigned using the SmartVA automated algorithm. A stillbirth was defined as a foetal death with a gestation period of ≥28 weeks wherein the foetus did not show any sign of life. We report on the stillbirth epidemiology and present case studies from the qualitative data on the health provider interface that can be used to improve success of improved, skilled care at birth and delivery interventions. The annualised stillbirth incidence was 21.2 (95% CI 19.7 to 22.6) per 1,000 births, with it being higher in the rural areas. A total of 1,132 stillbirths were identified; 686 (62.2%) were boys, 327 (29.7%) were firstborn, and 760 (68.9%) were delivered at a health facility. Of all the stillbirths, 54.5% were estimated to be antepartum. Only 6,161 (55.9%) of the women reported at least 1 antenatal care visit, and 33% of the women reported not consuming the iron folic acid tablets during pregnancy. Significant differences were seen in delivery-related variables and associated maternal conditions based on the place of delivery and type of stillbirth. Only 6.1% of the women reported having undergone a test to rule out syphilis. For 34.2% of the stillbirths, the possible risk factor for stillbirth was unexplained. For the remaining 65.8% of the women who reported at least

  10. Silhouette of substance abuse amongst an adolescent sample group from urban slums of Guwahati metro, North East India

    OpenAIRE

    Kaushik Katoki; Srabana Misra Bhagabaty; Manoj Kalita

    2016-01-01

    Globally 320 million young people between ages 15-29 years are dying from alcohol related causes. Child line foundation survey report showed that 13.1% of the people involved in drug and substance abuse in India, are adolescents. India’s 1.2 billion populations contain the largest number of street children of the world who are at risk of substance abuse. But there is a gap in reliable data of adolescent substance abuse patterns in Assam as well as in India. Substance abuse pattern...

  11. Fusarium sacchari, a cause of mycotic keratitis among sugarcane farmers - a series of four cases from North India

    NARCIS (Netherlands)

    Bansal, Yashik; Chander, Jagdish; Kaistha, Neelam; Singla, Nidhi; Sood, Sunandan; van Diepeningen, Anne D

    2016-01-01

    The two most common filamentous fungi causing mycotic keratitis are Aspergillus and Fusarium spp. Around 70 Fusarium spp. are involved in causing human infections. In this study, four cases of keratitis in sugarcane farmers in India are being reported, caused by the sugar cane pathogen Fusarium

  12. Bioenergy and carbon sequestration potential from energy tree plantation in rural wasteland of North-Eastern India

    NARCIS (Netherlands)

    Hiloidhari, Moonmoon; Medhi, Hemantajeet; Das, Karabee; Thakur, Indu Shekhar; Baruah, Debendra Chandra

    2016-01-01

    In this study, carbon sequestration potential via energy tree plantation in the rural wasteland of Assam, India was estimated under two different plantation species scenarios,viz., (i) Acacia nilotica, and (ii) Bambusa tulda. Furthermore, CO2 emission reduction potential in local tea industries by

  13. A rare HBV subgenotype D4 with unique genomic signatures identified in north-eastern India--an emerging clinical challenge?

    Directory of Open Access Journals (Sweden)

    Priyanka Banerjee

    Full Text Available BACKGROUND/AIMS: HBV has been classified into ten genotypes (A-J and multiple subgenotypes, some of which strongly influence disease outcome and their distribution also correlate with human migration. HBV infection is highly prevalent in India and its diverse population provides an excellent opportunity to study the distinctiveness of HBV, its evolution and disease biology in variegated ethnic groups. The North-East India, having international frontiers on three sides, is one of the most ethnically and linguistically diverse region of the country. Given the paucity of information on molecular epidemiology of HBV in this region, the study aimed to carry out an in-depth genetic characterization of HBV prevailing in North-East state of Tripura. METHODS: From sera of chronically HBV infected patients biochemical/serological tests, HBV DNA quantification, PCR-amplification, sequencing of PreS/S or full-length HBV genomes were done. HBV genotype/subgenotype determination and sequence variability were assessed by MEGA5-software. The evolutionary divergence times of different HBV subgenotypes were estimated by DNAMLK/PHYLIP program while jpHMM method was used to detect any recombination event in HBV genomes. RESULTS: HBV genotypes D (89.5%, C (6.6% and A (3.9% were detected among chronic carriers. While all HBV/A and HBV/C isolates belonged to subgenotype-A1 and C1 respectively, five subgenotypes of HBV/D (D1-D5 were identified including the first detection of rare D4. These non-recombinant Indian D4 (IndD4 formed a distinct phylogenetic clade, had 2.7% nucleotide divergence and recent evolutionary radiation than other global D4. Ten unique amino acids and 9 novel nucleotide substitutions were identified as IndD4 signatures. All IndD4 carried T120 and R129 in ORF-S that may cause immune/vaccine/diagnostic escape and N128 in ORF-P, implicated as compensatory Lamivudine resistance mutation. CONCLUSIONS: IndD4 has potential to undermine vaccination

  14. The Nexus between Child Marriage and Women Empowerment with Physical Violence in Two Culturally Distinct States of India

    OpenAIRE

    Singh, Jayakant; Anand, Enu

    2015-01-01

    Summary. We investigated the relationship between child marriage among young women and their level of empowerment with spousal physical violence in two culturally distinct states of India (Bihar and Tamil Nadu) using nationally representative survey data. Empowerment index was calculated taking into account parameters such as mobility, economic independence, and decision-making power of a woman using Principal Component Analysis method. Lower level of women empowerment was significantly assoc...

  15. The Trend in Distribution of Q223R Mutation of Leptin Receptor Gene in Amoebic Liver Abscess Patients from North India: A Prospective Study

    Directory of Open Access Journals (Sweden)

    Anil Kumar Verma

    2014-01-01

    Full Text Available Host genetic susceptibility is an important risk factor in infectious diseases. We explored the distribution of Q223R mutation in leptin receptor gene of amoebic liver abscess (ALA patients of North India. A total of 55 ALA samples along with 102 controls were subjected to PCR-RFLP analysis. The frequency of allele “G” (coding for arginine was in general high in Indian population irrespective of the disease. Our results of Fisher exact test shows that heterozygous mutant (QQ versus QR, P=0.049 and homozygous mutant (QQ versus RR, P=0.004 were significantly associated with amoebic liver abscess when compared with homozygous wild (QQ.

  16. Crude petroleum-oil biodegradation efficiency of Bacillus subtilis and Pseudomonas aeruginosa strains isolated from a petroleum-oil contaminated soil from North-East India.

    Science.gov (United States)

    Das, Kishore; Mukherjee, Ashis K

    2007-05-01

    The efficiency of Bacillus subtilis DM-04 and Pseudomonas aeruginosa M and NM strains isolated from a petroleum contaminated soil sample from North-East India was compared for the biodegradation of crude petroleum-oil hydrocarbons in soil and shake flask study. These bacterial strains could utilize crude petroleum-oil hydrocarbons as sole source of carbon and energy. Bioaugmentation of TPH contaminated microcosm with P. aeruginosa M and NM consortia and B. subtilis strain showed a significant reduction of TPH levels in treated soil as compared to control soil at the end of experiment (120 d). P. aeruginosa strains were more efficient than B. subtilis strain in reducing the TPH content from the medium. The plate count technique indicated expressive growth and biosurfactant production by exogenously seeded bacteria in crude petroleum-oil rich soil. The results showed that B. subtilis DM-04 and P. aeruginosa M and NM strains could be effective for in situ bioremediation.

  17. NeMedPlant: a database of therapeutic applications and chemical constituents of medicinal plants from north-east region of India.

    Science.gov (United States)

    Meetei, Potshangbam Angamba; Singh, Pankaj; Nongdam, Potshangbam; Prabhu, N Prakash; Rathore, Rs; Vindal, Vaibhav

    2012-01-01

    The North-East region of India is one of the twelve mega biodiversity region, containing many rare and endangered species. A curated database of medicinal and aromatic plants from the regions called NeMedPlant is developed. The database contains traditional, scientific and medicinal information about plants and their active constituents, obtained from scholarly literature and local sources. The database is cross-linked with major biochemical databases and analytical tools. The integrated database provides resource for investigations into hitherto unexplored medicinal plants and serves to speed up the discovery of natural productsbased drugs. The database is available for free at http://bif.uohyd.ac.in/nemedplant/orhttp://202.41.85.11/nemedplant/

  18. Effectiveness of a school based intervention for prevention of non-communicable diseases in middle school children of rural North India: a randomized controlled trial.

    Science.gov (United States)

    Saraf, Deepika Singh; Gupta, Sanjeev Kumar; Pandav, Chandrakant S; Nongkinrih, Baridalyne; Kapoor, Suresh Kumar; Pradhan, Shishir Kumar; Krishnan, Anand

    2015-04-01

    To assess the effectiveness of a multi-component school based intervention in improving knowledge and behavioral practices regarding diet, physical activity and tobacco use in middle schoolchildren of rural-Ballabgarh, North-India. A total of 40 middle schools were grouped into two, based on geographic proximity and randomly assigned to the intervention or control group in a cluster randomized controlled trial. The target population consisted of 2,348 children studying in 6th and 7th grades in these schools. The intervention consisted of a school component (policies), a classroom component (activities) and a family component [Information Education & Communication (IEC) material]. The main outcome measures were knowledge and behavioral changes in physical activity, diet and tobacco which were self- reported. Post-intervention, a significant number of intervention schools adopted the tobacco policy (16/19), physical activity policy (6/19) and healthy food policy (14/19) as compared to the control schools (n = 21). Knowledge about physical activity, diet and tobacco improved significantly in the intervention group as compared to the control group. Proportion of students attending Physical Training (PT) classes for five or more days in a week in the intervention group compared to the control group increased significantly (17.8%; p schools is feasible and effective in improving knowledge and behavioral practices of non-communicable diseases (NCD) risk factors in adolescents in rural India.

  19. Morbidity pattern and health-seeking behavior of aged population residing in Shimla hills of north India: A cross-sectional study

    Directory of Open Access Journals (Sweden)

    Deepak Sharma

    2013-01-01

    Full Text Available Background: Population aging is a global phenomenon. In India, the size of the elderly population is growing fast. Many older adults have multiple medical conditions. Understanding elderly health problems and health-seeking behavior is prerequisite for proving comprehensive geriatric care to them. Objectives: To assess the morbidity pattern and study the health-seeking behavior of the elderly people of Shimla district in Himachal Pradesh. Materials and Methods: A total of 400 elderly people aged 60 years and above were selected from urban and rural areas of Shimla hills in North India by simple random sampling. Statistical software Epi info software version 3.2 was used for analyzing data. Descriptive statistics were used to describe sociodemographic and morbidity variables. Results: The most common morbidity identified among them were musculoskeletal problems (55.0% followed by hypertension (40.5%. Two third were seeking treatment for their health problems. Among older persons not seeking treatment for their medical condition, most considered these morbidities as an age-related phenomenon. Many perceived that the health services were too far. Conclusion: The high morbidity load among elderly in the present study stresses for efforts to provide better health care to them and thus ensure that they remain active members of our society. Residence emerged out to be most significant determinant of healthcare-seeking behavior. Policy makers must focus on rural elderly and their beliefs which prevent them from seeking healthcare.

  20. Arrival time pattern and waiting time distribution of patients in the emergency outpatient department of a tertiary level health care institution of North India

    Directory of Open Access Journals (Sweden)

    Yogesh Tiwari

    2014-01-01

    Full Text Available Background: Emergency Department (ED of tertiary health care institute in India is mostly overcrowded, over utilized and inappropriately staffed. The challenges of overcrowded EDs and ill-managed patient flow and admission processes result in excessively long waits for patients. Aim: The objective of the present study was to analyze the patient flow system by assessing the arrival and waiting time distribution of patients in an Emergency out Patient Department (EOPD. Materials and Methods: This short cross-sectional descriptive study was conducted in the EOPD of a Tertiary level health care Institution in North India in the month of May, 2011. The data was obtained from 591 patients, who were present in the EOPD during the month of May, 2011. The waiting time, inter arrival time between two consecutive patients were calculated in addition to the daily census data (discharge rate, admission rate and transfer out rates etc. of the emergency. Results: Arrival time pattern of patients in the EOPD was highly stochastic with the peak arrival hours to be "9.00-12.00 h" in which around 26.3% patients arrived in the EOPD. The primary waiting areas of patients included patients "under observation" (29.6%; "waiting for routine diagnostic tests" (16.4% and "waiting for discharge" (14.6%. Around 71% patients were waiting due to reasons within emergency complex. Conclusion: The patient flow of the ED could only be addressed by multifaceted, multidisciplinary and hospital wide approach.

  1. Prevalence of HIV/AIDS and prediction of future trends in north-west region of India: A six-year ICTC-based study

    Directory of Open Access Journals (Sweden)

    Vyas Nitya

    2009-01-01

    Full Text Available Background: The study was conducted to analyze previous six-year prevalence data of HIV infection in the Northwest region of India and predict future trends for a couple of years. Objectives: The study was conducted to aid SACS and NACO to plan and arrange resources for the future scenario. Materials and Methods: All the attendees of ICTC, Jaipur, from January 2002 to December 2007 were included and variables like age, sex, marital status, occupation, place of residence, pattern of risk behavior and HIV serostatus were studied. As per the strategy and policy prescribed by NACO, tests (E/R/S were performed on the serum samples. Data was collected; compiled and analyzed using standard statistical methods. Future trends of HIV-prevalence in north-west India were anticipated. Results: The overall positivity rates among attendees of ICTC, were found to be 12.2% (386/3161, 11.8% (519/4381, 11.1% (649/5867, 13% (908/6983, 14% (1385/9911 and 17.34% (1756/10133 in the years 2002, 2003, 2004, 2005, 2006 and 2007 respectively. Future trends for the next couple of years depict further increase in prevalence without any plateau. Conclusion: Epidemiological studies should be carried out in various settings to understand the role and complex relations of innumerable behavioral, social and demographic factors, which will help, interrupt and control the transmission of HIV/ AIDS.

  2. Prevalence of HIV/AIDS and Prediction of Future Trends in North-west Region of India: A six-year ICTC-based Study.

    Science.gov (United States)

    Vyas, Nitya; Hooja, Saroj; Sinha, Parul; Mathur, Anuj; Singhal, Anita; Vyas, Leela

    2009-07-01

    The study was conducted to analyze previous six-year prevalence data of HIV infection in the Northwest region of India and predict future trends for a couple of years. The study was conducted to aid SACS and NACO to plan and arrange resources for the future scenario. All the attendees of ICTC, Jaipur, from January 2002 to December 2007 were included and variables like age, sex, marital status, occupation, place of residence, pattern of risk behavior and HIV serostatus were studied. As per the strategy and policy prescribed by NACO, tests (E/R/S) were performed on the serum samples. Data was collected; compiled and analyzed using standard statistical methods. Future trends of HIV-prevalence in north-west India were anticipated. The overall positivity rates among attendees of ICTC, were found to be 12.2% (386/3161), 11.8% (519/4381), 11.1% (649/5867), 13% (908/6983), 14% (1385/9911) and 17.34% (1756/10133) in the years 2002, 2003, 2004, 2005, 2006 and 2007 respectively. Future trends for the next couple of years depict further increase in prevalence without any plateau. Epidemiological studies should be carried out in various settings to understand the role and complex relations of innumerable behavioral, social and demographic factors, which will help, interrupt and control the transmission of HIV/ AIDS.

  3. Active detection of tuberculosis and paragonimiasis in the remote areas in North-Eastern India using cough as a simple indicator.

    Science.gov (United States)

    Rekha Devi, Kangjam; Narain, Kanwar; Mahanta, Jagadish; Deori, Rumi; Lego, Kabang; Goswami, Dibyajyoti; Kumar Rajguru, Sanjib; Agatsuma, Takeshi

    2013-04-01

    One of the essential steps in targeting tuberculosis (TB) intervention is early diagnosis and treatment of patients by reducing the reservoir of infection in the community. In the North-Eastern (NE) region of India pulmonary TB and paragonimiasis are overlapping public health issues. We performed a cross-sectional study in 63 remote villages from the two states Arunachal Pradesh (AP) and Assam to determine the prevalence of undiagnosed TB and paragonimiasis cases using cough as a simple indicator. In AP, 2961 individuals aged five years and above were examined and 1108 (37·4%) were found to have cough for one week or more. Of the 417 individuals who provided sputum, 11 (2·64%) were smear positive for acid-fast bacilli (AFB). All these cases were yet undiagnosed, thus the prevalence of new smear positive TB in AP was 0·37%. In Assam on the other hand 331 (23·5%) subjects out of 1410 individuals who were examined had a cough for one week or more and of the 112 individuals who provided sputum, 13 (11·6%) were smear positive for AFB. The prevalence of new smear positive TB cases was 0·78% in Assam. Sero-positivity of paragonimiasis in coughers of AP was 7·6% (n = 1091), which was significantly higher (p NE region of India especially in the remote places and there is need to strengthen early case detection of TB.

  4. Impact of stress, coping, social support, and resilience of families having children with autism: A North East India-based study.

    Science.gov (United States)

    Das, Shyamanta; Das, Bornali; Nath, Kakoli; Dutta, Arunima; Bora, Priyanka; Hazarika, Mythili

    2017-08-01

    Children with autism (CWA) is a segment of population in North East India who are marginalized due to lack of resources like skilled manpower and perceived stress. In comparison to other states and countries whether these children are unique in terms of care and rehabilitation from adult caregivers was the focus of our study. The study assessed level of parental stress, social support, coping mechanisms used by family and resilience in meeting the challenges as caregivers. Parents were selected by simple random sampling from a multi-specialty center dedicated to CWA. They were assessed with the help of structured tools like the Parental Stress Scale, the social support appraisals scale, the coping self-efficacy scale, and the Family Resilience Assessment Scale. Results were analyzed with descriptive statistics and findings suggest definite stress among the parents of CWA. Personal time constraint was noticed in majority of parents, which had adversely affected their professional lives. Despite wide array of stress factors, family members had satisfactory coping skills to work in harmony in adverse circumstances. Regarding secondary social support in terms of family, friends, and neighbors, responses were mixed; religious and spirituality were often resorted avenues. Social desirability, fatigue and the sample being restricted to only one center were though the limitations but, this study throws light on pertinent issues related to families with CWA from a region where specialty centers are a rarity. The future implication could focus on CWA's future, rehabilitation, care and parental concerns which are grossly neglected in North East India. Copyright © 2017 Elsevier B.V. All rights reserved.

  5. Muscodor albus MOW12 an Endophyte of Piper nigrum L. (Piperaceae) Collected from North East India Produces Volatile Antimicrobials.

    Science.gov (United States)

    Banerjee, Debdulal; Pandey, Akhil; Jana, Maloy; Strobel, Gary

    2014-03-01

    Muscodor albus MOW12, an endophytic fungus isolated from Piper nigrum in Mawlong, Meghalaya, India, resembles some cultural and hyphal characteristics of previous isolates of Muscodor sp. In addition, it possesses about 99 % similarity in its ITS rDNA with other M. albus isolates and thus is nicely centered within the genetic tree to other Muscodor spp. This xylariaceae fungus effectively inhibits and kills certain plant pathogenic fungi by virtue of a mixture of volatile compounds that it produces. The majority of these compounds were identified by gas chromatography/mass spectrometry as small molecular weight esters, alcohols, and acids. The main ester components of this isolate of M. albus in its volatile mixture are acetic acid, ethyl ester; propanoic acid, 2-methyl-, methyl ester and acetic acid, 2-methylpropyl ester. This appears to be the first report of any M. albus strain from India.

  6. Palynostratigraphy, palynofacies and depositional environment of a lignite-bearing succession at Surkha Mine, Cambay Basin, north-western India

    OpenAIRE

    Monga Priyanka; Kumar Madhav; Prasad Vandana; Joshi Yogesh

    2015-01-01

    The paper reports palynology and palynofacies studies of lignite-bearing sediments exposed in an opencast mine succession at Surkha, Bhavnagar District, in the coastal region of Gujarat, India. The study examined the relationships between the palynoflora, sedimentary organic matter and environment at the time of deposition of lignite and associated sediments. Based on dinoflagellate cyst biostratigraphy, the sedimentary succession is dated as early Eocene (Ypresian). Palynofacies studies help...

  7. Oceanic and atmospheric conditions associated with the pentad rainfall over the southeastern peninsular India during the North-East Indian Monsoon season

    Science.gov (United States)

    Shanmugasundaram, Jothiganesh; Lee, Eungul

    2018-03-01

    The association of North-East Indian Monsoon rainfall (NEIMR) over the southeastern peninsular India with the oceanic and atmospheric conditions over the adjacent ocean regions at pentad time step (five days period) was investigated during the months of October to December for the period 1985-2014. The non-parametric correlation and composite analyses were carried out for the simultaneous and lagged time steps (up to four lags) of oceanic and atmospheric variables with pentad NEIMR. The results indicated that NEIMR was significantly correlated: 1) positively with both sea surface temperature (SST) led by 1-4 pentads (lag 1-4 time steps) and latent heat flux (LHF) during the simultaneous, lag 1 and 2 time steps over the equatorial western Indian Ocean, 2) positively with SST but negatively with LHF (less heat flux from ocean to atmosphere) during the same and all the lagged time steps over the Bay of Bengal. Consistently, during the wet NEIMR pentads over the southeastern peninsular India, SST significantly increased over the Bay of Bengal during all the time steps and the equatorial western Indian Ocean during the lag 2-4 time steps, while the LHF decreased over the Bay of Bengal (all time steps) and increased over the Indian Ocean (same, lag 1 and 2). The investigation on ocean-atmospheric interaction revealed that the enhanced LHF over the equatorial western Indian Ocean was related to increased atmospheric moisture demand and increased wind speed, whereas the reduced LHF over the Bay of Bengal was associated with decreased atmospheric moisture demand and decreased wind speed. The vertically integrated moisture flux and moisture transport vectors from 1000 to 850 hPa exhibited that the moisture was carried away from the equatorial western Indian Ocean to the strong moisture convergence regions of the Bay of Bengal during the same and lag 1 time steps of wet NEIMR pentads. Further, the moisture over the Bay of Bengal was transported to the southeastern peninsular

  8. Gender Differences in Factors Related to HIV Risk Behaviors among People Who Inject Drugs in North-East India.

    Directory of Open Access Journals (Sweden)

    Bushra Sabri

    Full Text Available People who inject drugs (PWID in India are at high risk for HIV, with women being at elevated risk. Using a socio-ecological framework, this study assessed whether factors associated with HIV transmission risk behaviors differed across men and women PWID. Data for this cross-sectional study were collected from 6449 PWID in 7 cities in Northeast India. Men (n = 5653 and women (n = 796 PWID were recruited using respondent-driven sampling (RDS. We assessed sex differences in two recent HIV transmission risk behaviors: multiple sex partners and needle/syringe sharing. We used multi-level logistic regression models, which incorporated sampling weights and random intercepts for city, to assess factors associated with these HIV risks, separately among men and women. The prevalence of HIV was significantly higher among women than men (53% vs 18.4%, p<0.01. Nearly 13% of men and 8% of women (p = .30 had multiple partners. Employment in men and relationship status and stigma in women were significantly associated with multiple partners. Approximately 25% of men and 19% of women engaged in needle sharing (p = .16. Younger age in women and depression symptoms in men were significantly associated with increased risk for sharing needles. We found that sexual and drug related risk behaviors were common among PWID in Northeast India, and there were differences between men and women in the socio-ecologic correlates of these behaviors. Contextually-integrated and gender-specific HIV prevention and intervention efforts are needed that consider factors at individual, interpersonal- and community-levels that uniquely impact HIV risks among PWID.

  9. Geo-spatial analysis of the temporal trends of kharif crop phenology metrics over India and its relationships with rainfall parameters.

    Science.gov (United States)

    Chakraborty, Abhishek; Seshasai, M V R; Dadhwal, V K

    2014-07-01

    The Global Inventory Modeling and Mapping Studies bimonthly Normalized Difference Vegetation Index (NDVI) data of 8 × 8 km spatial resolution for the period of 1982-2006 were analyzed to detect the trends of crop phenology metrics (start of the growing season (SGS), seasonal NDVI amplitude (AMP), seasonally integrated NDVI (SiNDVI)) during kharif season (June to October) and their relationships with the amount of rainfall and the number of rainy days over Indian subcontinent. Direction and magnitude of trends were analyzed at pixel level using the Mann-Kendall test and further assessed at meteorological subdivision level using field significance test (α = 0.1). Significant pre-occurrence of the SGS was observed over northern (Punjab, Haryana) and central (Marathwada, Vidarbha and Madhya Maharashtra) parts, whereas delay was found over southern (Rayalaseema, Coastal Andhra Pradesh) and eastern (Bihar, Gangetic West Bengal and Sub-Himalayan West Bengal) parts of India. North, west, and central India showed significant increasing trends of SiNDVI, corroborating the kharif food grain production performance during the time frame. Significant temporal correlation (α = 0.1) between the rainfall/number of rainy days and crop phenology metrics was observed over the rainfed region of India. About 35-40 % of the study area showed significant correlation between the SGS and the rainfall/number of rainy days during June to August. June month rainfall/number of rainy days was found to be the most sensitive to the SGS. The amount of rainfall and the number of rainy days during monsoon were found to have significant influence over the SiNDVI in 24-30 % of the study area. The crop phenology metrics had significant correlation with the number of rainy days over the larger areas than that of the rainfall amount.

  10. Fusarium sacchari, a cause of mycotic keratitis among sugarcane farmers - a series of four cases from North India.

    Science.gov (United States)

    Bansal, Yashik; Chander, Jagdish; Kaistha, Neelam; Singla, Nidhi; Sood, Sunandan; van Diepeningen, Anne D

    2016-11-01

    The two most common filamentous fungi causing mycotic keratitis are Aspergillus and Fusarium spp. Around 70 Fusarium spp. are involved in causing human infections. In this study, four cases of keratitis in sugarcane farmers in India are being reported, caused by the sugar cane pathogen Fusarium sacchari, a species of the Fusarium fujikuroi species complex. Fusarial keratitis was established by potassium hydroxide/Calcofluor white wet mounts and fungal culture of corneal scrapings on conventional media. Final identification was done by genetic sequencing at CBS-KNAW, Utrecht, The Netherlands. The antifungal susceptibility testing was done using broth microdilution method as per CLSI document M38-A2. Four cases of F. sacchari keratitis were identified. Three of them had trauma with sugarcane leaves, whereas one sugarcane farmer reported trauma by vegetative matter. The morphological similarities among various Fusarium species warrant use of molecular methods for identification of cryptic species. A wide distribution of sugarcane farming could be the possible explanation for emergence of F. sacchari keratitis in India. © 2016 Blackwell Verlag GmbH.

  11. Validation of strong-motion stochastic model using observed ground motion records in north-east India

    Directory of Open Access Journals (Sweden)

    Dipok K. Bora

    2016-03-01

    Full Text Available We focused on validation of applicability of semi-empirical technique (spectral models and stochastic simulation for the estimation of ground-motion characteristics in the northeastern region (NER of India. In the present study, it is assumed that the point source approximation in far field is valid. The one-dimensional stochastic point source seismological model of Boore (1983 (Boore, DM. 1983. Stochastic simulation of high frequency ground motions based on seismological models of the radiated spectra. Bulletin of Seismological Society of America, 73, 1865–1894. is used for modelling the acceleration time histories. Total ground-motion records of 30 earthquakes of magnitudes lying between MW 4.2 and 6.2 in NER India from March 2008 to April 2013 are used for this study. We considered peak ground acceleration (PGA and pseudospectral acceleration (response spectrum amplitudes with 5% damping ratio at three fundamental natural periods, namely: 0.3, 1.0, and 3.0 s. The spectral models, which work well for PGA, overestimate the pseudospectral acceleration. It seems that there is a strong influence of local site amplification and crustal attenuation (kappa, which control spectral amplitudes at different frequencies. The results would allow analysing regional peculiarities of ground-motion excitation and propagation and updating seismic hazard assessment, both the probabilistic and deterministic approaches.

  12. Profile of pregnant women using delivery hut services of the Ballabgarh Health and Demographic Surveillance System in rural north India.

    Science.gov (United States)

    Kant, Shashi; Haldar, Partha; Singh, Arvind K; Archana, S; Misra, Puneet; Rai, Sanjay

    2016-08-01

    To describe women who attended two delivery huts in rural Haryana, India. The present observational study assessed routinely collected service provision data from two delivery huts located at primary health centers in the district of Faridabad. Data on sociodemographic characteristics, prenatal care, use of free transport services, and maternal and neonatal indicators at delivery were assessed for all pregnant women who used the delivery hut services from January 2012 to June 2014. During the study period, 1796 deliveries occurred at the delivery huts. The mean age of the mothers was 23.3 ± 3.3 years (95% confidence interval 23.1-23.5). Of 1648 mothers for whom data were available, 1039 (63.0%) had travelled less than 5 km to the delivery hut. The proportion of mothers who belonged to a lower caste increased from 31.0% (193/622) in 2012 to 41.1% (162/394) in 2014. The proportion of mothers who were illiterate also increased, from 8.1% (53/651) in 2012 to 26.4% (104/394) in 2014. Belonging to a disadvantaged social group (in terms of caste or education) was not an obstacle to use of delivery hut services. The delivery huts might have satisfied some unmet needs of community members in rural India. Copyright © 2016 International Federation of Gynecology and Obstetrics. Published by Elsevier Ireland Ltd. All rights reserved.

  13. Enteric pathogens, immune status and therapeutic response in diarrhea in HIV/AIDS adult subjects from north India.

    Science.gov (United States)

    Jha, Arun Kumar; Uppal, Beena; Chadha, Sanjim; Aggarwal, Prabhav; Ghosh, Roumi; Dewan, Richa

    2013-06-01

    Intestinal infection causing diarrheal disease is a dominant contributor to high morbidity and mortality in developing countries. This intervention study aimed to assess the response of specific anti-microbial and anti-retroviral therapy (ART) on enteropathogens identified in HIV/AIDS adult subjects from northern India. Seventy five ART naive (group 1) and seventy five ART adherent (group 2) HIV/AIDS adult subjects with diarrhea were enrolled. Stool samples from all subjects were examined for enteropathogens by wet mount, staining methods, culture and ELISA. Subjects with enteropathogens were started on specific therapy as per National AIDS Control Organisation, Government of India's guidelines. Follow-up stool samples were examined after 2-4 weeks of completion of therapy for persistence/clearing of enteropathogens. CD4+ T lymphocyte count was done for all subjects. At enrollment, group 1 had 26.13% bacterial, 57.66% parasitic & 16.22% fungal pathogens while group 2 had 11.9%, 69.05% & 19.05% pathogens, respectively. Parasitic diarrhea was more common than bacterial diarrhea. The coccidian parasites (Cryptosporidium spp. & Isospora belli) were the common parasites identified. Clearance of enteric pathogens was significant after specific anti-microbial therapy (p = 0.0001). Persistence of enteropathogens was seen primarily for coccidian parasites. Clearance of enteropathogens after specific therapy and the diagnostic yield of stool specimens were influenced by the CD4+ counts. Immune competence coupled with specific anti-microbial therapy displays the best response against enteric pathogens.

  14. Effectiveness of a multiple-strategy community intervention to reduce maternal and child health inequalities in Haryana, North India: a mixed-methods study protocol

    Directory of Open Access Journals (Sweden)

    Madhu Gupta

    2015-02-01

    Full Text Available Background: A multiple-strategy community intervention, known as National Rural Health Mission (NRHM, launched in India to improve the availability of and access to better-quality healthcare, especially for rural, poor mothers and children. The final goal of the intervention is to reduce maternal and child health inequalities across geographical areas, socioeconomic status groups, and sex of the child. Extensive, in-depth research is necessary to assess the effectiveness of NRHM, on multiple outcome dimensions. This paper presents the design of a new study, able to overcome the shortcomings of previous research. Objective: To propose a comprehensive, methodologically sound protocol to assess the extent of implementation and the effectiveness of NRHM measures to improve maternal and child health outcomes and reduce maternal and child health inequalities. Design: A mixed-methods approach (quantitative and qualitative is proposed for this study in Haryana, a state in North India. NRHM's health sector plans included health system strengthening, specific maternal and child healthcare strategies, and communitization. Mission documents and reports on progress, financial monitoring, and common and joint review will be reviewed in-depth to assess the extent of the implementation of plans. Data on maternal and child health indicators will be obtained from demographic health surveys held before, during, and after the implementation of the first phase of the NRHM (2005–2012 and compared over time. Differences in maternal and child health indicators will be used to measure maternal and child health inequalities; these will be compared pre- and post-NRHM. Focus group discussions (FGDs with service providers and in-depth interviews with program managers, community representatives, and mothers will be conducted until data saturation is achieved, in two districts of Haryana. Using Nvivo software, an inductive qualitative content analysis will be performed to

  15. A STUDY OF CLINICAL PROFILE OF ADULT PATIENTS WITH ACUTE ENCEPHALITIS SYNDROME COMING TO A TERTIARY CARE HOSPITAL OF NORTH EAST INDIA

    Directory of Open Access Journals (Sweden)

    Anupam Dutta

    2016-06-01

    Full Text Available CONTEXT Acute encephalitis syndrome (AES is a public health problem in north east India with Japanese encephalitis being a major aetiology. Government of India initiated an adult JE vaccination in Assam in 2011. AIMS We aim to study the clinical profile and outcome in adult AES and JE patients after Government’s JE vaccination. SETTINGS AND DESIGN Adult AES patients from 1st May 2014 to 31 st October 2014 were included in this open label, observational, prospective study. METHODS AND MATERIALS Data was collected regarding clinical history and outcome. JE confirmation was done by CSF and sera samples screened to detect JEV- specific immunoglobulin M (IgM. STATISTICAL ANALYSIS USED Data analysis was done using GraphPad Prism software version 6.0. RESULTS 141 (96 males, 45 females patients of AES, were studied. With average hospital stay of 5.87 days, 100% had fever, 99.3% headache, 56.7% vomiting, 93.6% altered sensorium, 87.2% dizziness and 51.1% had seizure. 44% AES improved, 29.07% suffered residual neurological deficit and 26.65% expired. Out of 38 patients who died, 29(76.31% patients had a GCS ≤ 7. JE was detected in 26 patients, equivocal in 2 patients and negative in 113 patients. 14(53.84% JE patients improved, 9(34.61% suffered residual neurological deficit and 3(11.53% expired. JE vaccination was present in 7(4.96% patients. CONCLUSIONS JE positive cases have reduced in adults AES patients after Government vaccination program but vaccination coverage among the AES patients was low. Clinical presentation of adult AES patients differs from most reported paediatric AES cases. However, the mortality and morbidity of AES and JE still remains high, GCS < 7 being a bad prognostic marker.

  16. Knowledge, attitude and practice of the pap smear as a screening procedure among nurses in a tertiary hospital in north eastern India.

    Science.gov (United States)

    Thippeveeranna, Chamaraja; Mohan, Surekha Sadhana; Singh, Laiphrakpam Ranjit; Singh, Naorem Nabakishore

    2013-01-01

    Cancer of the uterine cervix is one of the most common cancers among women worldwide. Industrialized countries have dramatically reduced the incidence of mortality from cervical carcinoma in the last 50 years through aggressive screening programs utilizing pelvic examinations and Papanicolaou (Pap) smears but it still remains a major problem in the developing world. This study was performed to determine knowledge, attitude and practice of Pap smear as a screening procedure among nurses in a tertiary hospital in north eastern India. This cross sectional study was carried out with a questionnaire survey covering the socio demographic factors, knowledge, attitude and practices about Pap smear screening among 224 nurses in Regional Institute of Medical Sciences, Imphal, Manipur, India during December 2011. Two hundred and twenty one participants (98.6%) had heard about cervical carcinoma but 18.3% lacked adequate knowledge regarding risk factors. Knowledge about the Pap smear was adequate in 88.8% of the respondents. Out of these, only 11.6% had Pap smear at least once previously. The most common reasons for non-participation in screening were lack of any symptoms (58.4%), lack of counselling (42.8%), physician does not request (29.9%) and fear of vaginal examination (20.5%). Although knowledge of Pap smear as a screening procedure for cervical cancer is high, practice is still low. The nurses who should be responsible for opportunistic screening of women they care for are not keen on getting screened themselves. If we can improve the practice of Pap smear screening in such experts, they should be able to readily provide appropriate and accurate information and motivate the general population to join screening programs.

  17. Occurrence of Giardia, Cryptosporidium, and Entamoeba in wild rhesus macaques (Macaca mulatta living in urban and semi-rural North-West India

    Directory of Open Access Journals (Sweden)

    John J. Debenham

    2017-04-01

    Full Text Available Giardia duodenalis, Cryptosporidium spp., and Entamoeba spp. are intestinal protozoa capable of infecting a range of host species, and are important causes of human morbidity and mortality. Understanding their epidemiology is important, both for public health and for the health of the animals they infect. This study investigated the occurrence of these protozoans in rhesus macaques (Macaca mulatta in India, with the aim of providing preliminary information on the potential for transmission of these pathogens between macaques and humans. Faecal samples (n = 170 were collected from rhesus macaques from four districts of North-West India. Samples were analysed for Giardia/Cryptosporidium using a commercially available direct immunofluorescent antibody test after purification via immunomagnetic separation. Positive samples were characterised by sequencing of PCR products. Occurrence of Entamoeba was investigated first by using a genus-specific PCR, and positive samples further investigated via species-specific PCRs for Entamoeba coli, Entamoeba histolytica, Entamoeba dispar and Entamoeba moshkovskii. Giardia cysts were found in 31% of macaque samples, with all isolates belonging to Assemblage B. Cryptosporidium oocysts were found in 1 sample, however this sample did not result in amplification by PCR. Entamoeba spp. were found in 79% of samples, 49% of which were positive for E. coli. Multiplex PCR for E. histolytica, E. dispar and E. moshkovskii, did not result in amplification in any of the samples. Thus in 51% of the samples positive at the genus specific PCR, the Entamoeba species was not identified. This study provides baseline information on the potential for transmission of these zoonotic parasites at the wildlife-human interface.

  18. Current analgesic use predicts low emotional quality of life in youth: a cross-sectional survey among university students in Sikkim, North East India.

    Science.gov (United States)

    Ahongshangbam, Shurmala; Chakrabarti, Amit

    2013-06-01

    Occurrence of chronic physical pain is increasingly identified among youth, and medically unsupervised analgesic use is a possible risk factor for opioid dependence and other mental diseases in later life. Therefore, the present study was carried out in young student population in Sikkim, India, to explore predictors (including current chronic pain and current analgesic use) of low QoL in youth to identify a subset of population vulnerable to substance use and mental diseases in later life. The study was conducted in a health university setting in Sikkim, North East India. In this cross-sectional study, 156 participants were enrolled with almost equal number of males and females. Generic instruments for demographics and current analgesic use and SF - 36, for assessment of quality of life (QoL), were used. QoL was measured in general, physical and emotional domains. Presence of chronic physical pain during past four weeks was captured using SF - 36. Almost two-third participants reported presence of current physical pain (69%, n=108); and (14%, n=22) reported current analgesic use for pain. In logistic regression model controlled for age, ethnicity, gender and residence, higher body mass index (BMI) (β=-0.16, P=0.02) and current analgesic use (β=1.6, P=0.006) predicted low QoL in emotional domain (less accomplishment due to emotional problem). Current analgesic use also predicted low QoL in another measure of emotional domain (depressed β=2.0, P=0.001). This study identified a subset of participants in their youth with low QoL in emotional domain predicted by current analgesic use and possible overweight problem. Low QoL in more than one emotional domain also identifies possibility of later psychiatric impairment. However, chronic pain did not emerge as a significant predictor of low QoL in emotional domain.

  19. Rural recruitment and retention of health workers across cadres and types of contract in north-east India: A qualitative study.

    Science.gov (United States)

    Rajbangshi, Preety R; Nambiar, Devaki; Choudhury, Nandini; Rao, Krishna D

    2017-09-01

    Background Like many other low- and middle-income countries, India faces challenges of recruiting and retaining health workers in rural areas. Efforts have been made to address this through contractual appointment of health workers in rural areas. While this has helped to temporarily bridge the gaps in human resources, the overall impact on the experience of rural services across cadres has yet to be understood. This study sought to identify motivations for, and the challenges of, rural recruitment and retention of nurses, doctors and specialists across types of contract in rural and remote areas in India's largely rural north-eastern states of Meghalaya and Nagaland. Methods A qualitative study was undertaken, in which 71 semi-structured interviews were carried out with doctors (n = 32), nurses (n = 28) and specialists (n = 11). In addition, unstructured key informant interviews (n = 11) were undertaken, along with observations at health facilities and review of state policies. Data were analysed using Ritchie and Spencer's framework method and the World Health Organization's 2010 framework of factors affecting decisions to relocate to, stay in or leave rural areas. Results It was found that rural background and community attachment were strongly associated with health workers' decision to join rural service, regardless of cadre or contract. However, this aspiration was challenged by health-systems factors of poor working and living conditions; low salary and incentives; and lack of professional growth and recognition. Contractual health workers faced unique challenges (lack of pay parity, job insecurity), as did those with permanent positions (irrational postings and political interference). Conclusion This study establishes that the crisis in recruiting and retaining health workers in rural areas will persist until and unless health systems address the core basic requirements of health workers in rural areas, which are related to health-sector policies

  20. Influence of alcohol on condom use pattern during non-spousal sexual encounter in male migrant workers in north India.

    Science.gov (United States)

    Rizwan, S A; Kant, S; Goswami, K; Rai, S K; Misra, P

    2014-01-01

    Migrant workers constitute an important risk group for Human Immunodeficiency Virus/Acquired Immuno-Deficiency Syndrome transmission in India. Alcohol consumption before sexual intercourse has been postulated to influence condom use practices. This study aimed to assess this association with regard to non-spousal sexual encounters among male migrant workers in northern India. A cross-sectional facility-based survey was conducted in 2011. Male migrant workers aged ≥18 years, who were born outside Haryana, who had moved to the current location after 15 years of age,had worked in the current factory for at least 1 year, who were willing to participate and were able to give written, informed consent were included in the study. A consecutive sampling was performed. Descriptive, bivariate and multiple logistic regression analyses were carried out. A total of 162 participants reported having experienced non-spousal sexual encounters in the last 1 year. The proportion of men who reported not having used a condom at their last non-spousal sexual encounter was 59.3%, and 78.4% of the men reported having consumed alcohol in the last 1 year. About 48.1% of men reported having consumed alcohol before their last non-spousal sexual encounter. Men who consumed alcohol were three times more likely to not use a condom at their last non-spousal sexual encounter (OR = 3.1, 95% CI: 1.5-6.4). This association persisted even after adjusting for relevant confounders. Alcohol consumption had a negative influence on condom use during non-spousal sexual encounter among male migrant workers. An integrated approach to promote condom use and reduce alcohol consumption among migrant men needs to be undertaken through targeted intervention strategies.

  1. m-Health: A Critical Analysis of Awareness, Perception, and Attitude of Healthcare Among Providers in Himachal Pradesh, North India.

    Science.gov (United States)

    Ganapathy, Krishnan; Kanwar, Vikrant; Bhatnagar, Tarun; Uthayakumaran, N

    2016-08-01

    Providing healthcare in remote mountainous areas is challenging. The increasing availability of mobile connectivity needs to be exploited by offering healthcare through a mobile medium, popularly known as mobile health (m-health). It is essential to understand the awareness, perception, and attitude of healthcare providers (HCPs) in deploying m-health. Their outlook on new technologies influences patient adoption. Reports on attitudes regarding healthcare through mobile phones are now confined to views from the recipient. This study from August 1 to September 30, 2014 analyzed the views of 592 HCPs (12.3% of all HCPs) in Himachal Pradesh, India. They included faculty and students of the two medical colleges, as well as HCPs from all of the 12 districts. Although Himachal Pradesh has the highest teledensity of all states in India (117.6%), only 58.8% of HCPs (of those surveyed, 72% lived in suburban areas and 24.8% in Shimla, the state capital) would easily recommend m-health. Self-perceived ability to use mobile services was 85%. Fifty-nine percent used mobile devices for social networking, and 52.4% used Wi-Fi. Sixty-one percent of those interviewed were females, and 39% were males. The transformative potential of m-health hinges on its acceptance and use by all stakeholders. The study suggests that as HCPs in Himachal Pradesh are already using mobile value added services and are highly information technology literate, addressing their specific concerns could lead to use of m-health in Himachal Pradesh. Healthcare delivery in Himachal Pradesh is still suboptimal. With increasing connectivity, awareness, and commencement of telemedicine services in Himachal Pradesh, m-health has the potential to be a reality.

  2. Environmental challenges to the mangrove wetlands of North Malabar (Kerala, India: Their sustainable development and influence on local people

    Directory of Open Access Journals (Sweden)

    Khaleel K. M.

    2009-05-01

    Full Text Available Wetlands, including mangroves, perform several functions such as inundation control, and protection from erosion, storm, floods and tidal damage, and generate goods and products such as fish and forest resources. These functions are of fundamental importance for society. The present study aims to identify the challenges of the mangrove wetlands of north Malabar, their uses and socio-economic influence on local people, and the value of ecosystem services, and to suggest the way forward for sustainable development.

  3. Molecular Evidence of Increased Resistance to Anti-Folate Drugs in Plasmodium falciparum in North-East India: A Signal for Potential Failure of Artemisinin Plus Sulphadoxine-Pyrimethamine Combination Therapy

    Science.gov (United States)

    Mohapatra, Pradyumna Kishore; Sarma, Devojit Kumar; Prakash, Anil; Bora, Khukumoni; Ahmed, Md. Atique; Sarma, Bibhas; Goswami, Basanta Kumar; Bhattacharyya, Dibya Ranjan; Mahanta, Jagadish

    2014-01-01

    North-east India, being a corridor to South-east Asia, is believed to play an important role in transmitting drug resistant Plasmodium falciparum malaria to India and South Asia. North-east India was the first place in India to record the emergence of drug resistance to chloroquine as well as sulphadoxine/pyrimethamine. Presently chloroquine resistance is widespread all over the North-east India and resistance to other anti-malarials is increasing. In this study both in vivo therapeutic efficacy and molecular assays were used to screen the spectrum of drug resistance to chloroquine and sulphadoxine/pyrimethamine in the circulating P. falciparum strains. A total of 220 P. falciparum positives subjects were enrolled in the study for therapeutic assessment of chloroquine and sulphadoxine/pyrimethamine and assessment of point mutations conferring resistances to these drugs were carried out by genotyping the isolates following standard methods. Overall clinical failures in sulphadoxine/pyrimethamine and chloroquine were found 12.6 and 69.5% respectively, while overall treatment failures recorded were 13.7 and 81.5% in the two arms. Nearly all (99.0%) the isolates had mutant pfcrt genotype (76T), while 68% had mutant pfmdr-1 genotype (86Y). Mutation in dhps 437 codon was the most prevalent one while dhfr codon 108 showed 100% mutation. A total of 23 unique haplotypes at the dhps locus and 7 at dhfr locus were found while dhps-dhfr combined loci revealed 49 unique haplotypes. Prevalence of double, triple and quadruple mutations were common while 1 haplotype was found with all five mutated codons (F/AGEGS/T) at dhps locus. Detection of quadruple mutants (51I/59R/108N/164L) in the present study, earlier recorded from Car Nicobar Island, India only, indicates the presence of high levels of resistance to sulphadoxine/pyrimethamine in north-east India. Associations between resistant haplotypes and the clinical outcomes and emerging resistance in sulphadoxine/pyrimethamine in

  4. OPERATIONAL REMOTE SENSING SERVICES IN NORTH EASTERN REGION OF INDIA FOR NATURAL RESOURCES MANAGEMENT, EARLY WARNING FOR DISASTER RISK REDUCTION AND DISSEMINATION OF INFORMATION AND SERVICES

    Directory of Open Access Journals (Sweden)

    P. L. N. Raju

    2016-06-01

    Full Text Available North Eastern Region (NER of India comprising of eight states considered to be most unique and one of the most challenging regions to govern due to its unique physiographic condition, rich biodiversity, disaster prone and diverse socio-economic characteristics. Operational Remote Sensing services increased manifolds in the region with the establishment of North Eastern Space Applications Centre (NESAC in the year 2000. Since inception, NESAC has been providing remote sensing services in generating inventory, planning and developmental activities, and management of natural resources, disasters and dissemination of information and services through geo-web services for NER. The operational remote sensing services provided by NESAC can be broadly divided into three categories viz. natural resource planning and developmental services, disaster risk reduction and early warning services and information dissemination through geo-portal services. As a apart of natural resources planning and developmental services NESAC supports the state forest departments in preparing the forest working plans by providing geospatial inputs covering entire NER, identifying the suitable culturable wastelands for cultivation of silkworm food plants, mapping of natural resources such as land use/land cover, wastelands, land degradation etc. on temporal basis. In the area of disaster risk reduction, NESAC has initiated operational services for early warning and post disaster assessment inputs for flood early warning system (FLEWS using satellite remote sensing, numerical weather prediction, hydrological modeling etc.; forest fire alert system with actionable attribute information; Japanese Encephalitis Early Warning System (JEWS based on mosquito vector abundance, pig population and historical disease intensity and agriculture drought monitoring for the region. The large volumes of geo-spatial databases generated as part of operational services are made available to the

  5. Operational Remote Sensing Services in North Eastern Region of India for Natural Resources Management, Early Warning for Disaster Risk Reduction and Dissemination of Information and Services

    Science.gov (United States)

    Raju, P. L. N.; Sarma, K. K.; Barman, D.; Handique, B. K.; Chutia, D.; Kundu, S. S.; Das, R. Kr.; Chakraborty, K.; Das, R.; Goswami, J.; Das, P.; Devi, H. S.; Nongkynrih, J. M.; Bhusan, K.; Singh, M. S.; Singh, P. S.; Saikhom, V.; Goswami, C.; Pebam, R.; Borgohain, A.; Gogoi, R. B.; Singh, N. R.; Bharali, A.; Sarma, D.; Lyngdoh, R. B.; Mandal, P. P.; Chabukdhara, M.

    2016-06-01

    North Eastern Region (NER) of India comprising of eight states considered to be most unique and one of the most challenging regions to govern due to its unique physiographic condition, rich biodiversity, disaster prone and diverse socio-economic characteristics. Operational Remote Sensing services increased manifolds in the region with the establishment of North Eastern Space Applications Centre (NESAC) in the year 2000. Since inception, NESAC has been providing remote sensing services in generating inventory, planning and developmental activities, and management of natural resources, disasters and dissemination of information and services through geo-web services for NER. The operational remote sensing services provided by NESAC can be broadly divided into three categories viz. natural resource planning and developmental services, disaster risk reduction and early warning services and information dissemination through geo-portal services. As a apart of natural resources planning and developmental services NESAC supports the state forest departments in preparing the forest working plans by providing geospatial inputs covering entire NER, identifying the suitable culturable wastelands for cultivation of silkworm food plants, mapping of natural resources such as land use/land cover, wastelands, land degradation etc. on temporal basis. In the area of disaster risk reduction, NESAC has initiated operational services for early warning and post disaster assessment inputs for flood early warning system (FLEWS) using satellite remote sensing, numerical weather prediction, hydrological modeling etc.; forest fire alert system with actionable attribute information; Japanese Encephalitis Early Warning System (JEWS) based on mosquito vector abundance, pig population and historical disease intensity and agriculture drought monitoring for the region. The large volumes of geo-spatial databases generated as part of operational services are made available to the administrators and

  6. Association of the Myostatin gene with obesity, abdominal obesity and low lean body mass and in non-diabetic Asian Indians in north India.

    Directory of Open Access Journals (Sweden)

    Surya Prakash Bhatt

    Full Text Available BACKGROUND: To determine the association of the A55T and K153R polymorphisms of the Myostatin gene with obesity, abdominal obesity and lean body mass (LBM in Asian Indians in north India. MATERIALS AND METHODS: A total of 335 subjects (238 men and 97 women were assessed for anthropometry, % body fat (BF, LBM and biochemical parameters. Associations of Myostatin gene polymorphisms were evaluated with anthropometric, body composition and biochemical parameters. In A55T polymorphism, BMI (p=0.04, suprailiac skinfold (p=0.05, total skinfold (p=0.008, %BF (p=0.002 and total fat mass (p=0.003 were highest and % LBM (p=0.03 and total LBM (Kg were lowest (p=0.04 in subjects with Thr/Thr genotype as compared to other genotypes. Association analysis of K153R polymorphism showed that subjects with R/R genotype had significantly higher BMI (p=0.05, waist circumference (p=0.04, %BF (p=0.04 and total fat mass (p=0.03, and lower %LBM (p=0.02 and total LBM [(Kg, (p=0.04] as compared to other genotypes. Using a multivariate logistic regression model after adjusting for age and sex, subjects with Thr/Thr genotype of A55T showed high risk for high %BF (OR, 3.92, 95% Cl: 2.61-12.41, truncal subcutaneous adiposity (OR, 2.9, 95% Cl: 1.57-6.60] and low LBM (OR, 0.64, 95% CI: 0.33-0.89 whereas R/R genotype of K153R showed high risk of obesity (BMI; OR, 3.2, 95% CI: 1.2-12.9; %BF, OR, 3.6, 95% CI: 1.04-12.4, abdominal obesity (OR, 2.12, 95% CI: 2.71-14.23 and low LBM (OR, 0.61, 95% CI: 0.29-0.79. CONCLUSIONS/SIGNIFICANCE: We report that variants of Myostatin gene predispose to obesity, abdominal obesity and low lean body mass in Asian Indians in north India.

  7. Analysis of genetic diversity and population structure of rice germplasm from north-eastern region of India and development of a core germplasm set.

    Directory of Open Access Journals (Sweden)

    Debjani Roy Choudhury

    Full Text Available The North-Eastern region (NER of India, comprising of Arunachal Pradesh, Assam, Manipur, Meghalaya, Mizoram, Nagaland and Tripura, is a hot spot for genetic diversity and the most probable origin of rice. North-east rice collections are known to possess various agronomically important traits like biotic and abiotic stress tolerance, unique grain and cooking quality. The genetic diversity and associated population structure of 6,984 rice accessions, originating from NER, were assessed using 36 genome wide unlinked single nucleotide polymorphism (SNP markers distributed across the 12 rice chromosomes. All of the 36 SNP loci were polymorphic and bi-allelic, contained five types of base substitutions and together produced nine types of alleles. The polymorphic information content (PIC ranged from 0.004 for Tripura to 0.375 for Manipur and major allele frequency ranged from 0.50 for Assam to 0.99 for Tripura. Heterozygosity ranged from 0.002 in Nagaland to 0.42 in Mizoram and gene diversity ranged from 0.006 in Arunachal Pradesh to 0.50 in Manipur. The genetic relatedness among the rice accessions was evaluated using an unrooted phylogenetic tree analysis, which grouped all accessions into three major clusters. For determining population structure, populations K = 1 to K = 20 were tested and population K = 3 was present in all the states, with the exception of Meghalaya and Manipur where, K = 5 and K = 4 populations were present, respectively. Principal Coordinate Analysis (PCoA showed that accessions were distributed according to their population structure. AMOVA analysis showed that, maximum diversity was partitioned at the individual accession level (73% for Nagaland, 58% for Arunachal Pradesh and 57% for Tripura. Using POWERCORE software, a core set of 701 accessions was obtained, which accounted for approximately 10% of the total NE India collections, representing 99.9% of the allelic diversity. The rice core set developed

  8. Analysis of genetic diversity and population structure of rice germplasm from north-eastern region of India and development of a core germplasm set.

    Science.gov (United States)

    Roy Choudhury, Debjani; Singh, Nivedita; Singh, Amit Kumar; Kumar, Sundeep; Srinivasan, Kalyani; Tyagi, R K; Ahmad, Altaf; Singh, N K; Singh, Rakesh

    2014-01-01

    The North-Eastern region (NER) of India, comprising of Arunachal Pradesh, Assam, Manipur, Meghalaya, Mizoram, Nagaland and Tripura, is a hot spot for genetic diversity and the most probable origin of rice. North-east rice collections are known to possess various agronomically important traits like biotic and abiotic stress tolerance, unique grain and cooking quality. The genetic diversity and associated population structure of 6,984 rice accessions, originating from NER, were assessed using 36 genome wide unlinked single nucleotide polymorphism (SNP) markers distributed across the 12 rice chromosomes. All of the 36 SNP loci were polymorphic and bi-allelic, contained five types of base substitutions and together produced nine types of alleles. The polymorphic information content (PIC) ranged from 0.004 for Tripura to 0.375 for Manipur and major allele frequency ranged from 0.50 for Assam to 0.99 for Tripura. Heterozygosity ranged from 0.002 in Nagaland to 0.42 in Mizoram and gene diversity ranged from 0.006 in Arunachal Pradesh to 0.50 in Manipur. The genetic relatedness among the rice accessions was evaluated using an unrooted phylogenetic tree analysis, which grouped all accessions into three major clusters. For determining population structure, populations K = 1 to K = 20 were tested and population K = 3 was present in all the states, with the exception of Meghalaya and Manipur where, K = 5 and K = 4 populations were present, respectively. Principal Coordinate Analysis (PCoA) showed that accessions were distributed according to their population structure. AMOVA analysis showed that, maximum diversity was partitioned at the individual accession level (73% for Nagaland, 58% for Arunachal Pradesh and 57% for Tripura). Using POWERCORE software, a core set of 701 accessions was obtained, which accounted for approximately 10% of the total NE India collections, representing 99.9% of the allelic diversity. The rice core set developed will be a

  9. Silhouette of substance abuse amongst an adolescent sample group from urban slums of Guwahati metro, North East India

    Directory of Open Access Journals (Sweden)

    Kaushik Katoki

    2016-03-01

    Full Text Available Globally 320 million young people between ages 15-29 years are dying from alcohol related causes. Child line foundation survey report showed that 13.1% of the people involved in drug and substance abuse in India, are adolescents. India’s 1.2 billion populations contain the largest number of street children of the world who are at risk of substance abuse. But there is a gap in reliable data of adolescent substance abuse patterns in Assam as well as in India. Substance abuse pattern in the slums need more research. It was a community based cross sectional study. Study period was three months, from 15th July to 15th October 2012. Six slums of Guwahati city were selected purposively. Both male and female adolescents between the ages of 10-19 years with past or present history of any substance abuse, permanent residents of these slums, with guardian and self-consents given to take part in this study were included in the study. Each study subject was interviewed by personal interview method using a predesigned pretested Performa. Total 60 respondents, 20 from each of the selected slums were interviewed in detail. Male: Female ratio was 4:1, 93.3% were current abusers, maximum (46.7% in the age group of 14-16 years. 58% were students and living with families (93% though 30% of the respondents had single parenting. 25% of the respondents were illiterate and 93.3% were from lower socioeconomic status. 78.3% had history of drug abuse in their families and more than 2/3rd got information about the different substances from their peers and friends. Influence of friends/ peers (80% and enjoyment or curiosity(73.4% were prime reasons of starting the abuse. Majority (95% adolescents obtained abusive substance from their peers /friends. Biddi (85%, gutkha( 88.3%, khaini (51.7% and cheap branded alcohol(50% were predominantly used. Chewing (90% and smoking and inhalation (85% were found to be the dominant routes of abuse. Substance abuse was rampant amongst

  10. Assessment of Universal Healthcare Coverage in a District of North India: A Rapid Cross-Sectional Survey Using Tablet Computers.

    Directory of Open Access Journals (Sweden)

    Tarundeep Singh

    Full Text Available A rapid survey was carried out in Shaheed Bhagat Singh Nagar District of Punjab state in India to ascertain health seeking behavior and out-of-pocket health expenditures.Using multistage cluster sampling design, 1,008 households (28 clusters x 36 households in each cluster were selected proportionately from urban and rural areas. Households were selected through a house-to-house survey during April and May 2014 whose members had (a experienced illness in the past 30 days, (b had illness lasting longer than 30 days, (c were hospitalized in the past 365 days, or (d had women who were currently pregnant or experienced childbirth in the past two years. In these selected households, trained investigators, using a tablet computer-based structured questionnaire, enquired about the socio-demographics, nature of illness, source of healthcare, and healthcare and household expenditure. The data was transmitted daily to a central server using wireless communication network. Mean healthcare expenditures were computed for various health conditions. Catastrophic healthcare expenditure was defined as more than 10% of the total annual household expenditure on healthcare. Chi square test for trend was used to compare catastrophic expenditures on hospitalization between households classified into expenditure quartiles.The mean monthly household expenditure was 15,029 Indian Rupees (USD 188.2. Nearly 14.2% of the household expenditure was on healthcare. Fever, respiratory tract diseases, gastrointestinal diseases were the common acute illnesses, while heart disease, diabetes mellitus, and respiratory diseases were the more common chronic diseases. Hospitalizations were mainly due to cardiovascular diseases, gastrointestinal problems, and accidents. Only 17%, 18%, 20% and 31% of the healthcare for acute illnesses, chronic illnesses, hospitalizations and childbirth was sought in the government health facilities. Average expenditure in government health facilities was

  11. Assessment of Universal Healthcare Coverage in a District of North India: A Rapid Cross-Sectional Survey Using Tablet Computers.

    Science.gov (United States)

    Singh, Tarundeep; Roy, Pritam; Jamir, Limalemla; Gupta, Saurav; Kaur, Navpreet; Jain, D K; Kumar, Rajesh

    2016-01-01

    A rapid survey was carried out in Shaheed Bhagat Singh Nagar District of Punjab state in India to ascertain health seeking behavior and out-of-pocket health expenditures. Using multistage cluster sampling design, 1,008 households (28 clusters x 36 households in each cluster) were selected proportionately from urban and rural areas. Households were selected through a house-to-house survey during April and May 2014 whose members had (a) experienced illness in the past 30 days, (b) had illness lasting longer than 30 days, (c) were hospitalized in the past 365 days, or (d) had women who were currently pregnant or experienced childbirth in the past two years. In these selected households, trained investigators, using a tablet computer-based structured questionnaire, enquired about the socio-demographics, nature of illness, source of healthcare, and healthcare and household expenditure. The data was transmitted daily to a central server using wireless communication network. Mean healthcare expenditures were computed for various health conditions. Catastrophic healthcare expenditure was defined as more than 10% of the total annual household expenditure on healthcare. Chi square test for trend was used to compare catastrophic expenditures on hospitalization between households classified into expenditure quartiles. The mean monthly household expenditure was 15,029 Indian Rupees (USD 188.2). Nearly 14.2% of the household expenditure was on healthcare. Fever, respiratory tract diseases, gastrointestinal diseases were the common acute illnesses, while heart disease, diabetes mellitus, and respiratory diseases were the more common chronic diseases. Hospitalizations were mainly due to cardiovascular diseases, gastrointestinal problems, and accidents. Only 17%, 18%, 20% and 31% of the healthcare for acute illnesses, chronic illnesses, hospitalizations and childbirth was sought in the government health facilities. Average expenditure in government health facilities was 16.6% less

  12. African catfish Clarias gariepinus farming practices in North and South 24 Parganas districts of West Bengal, India

    OpenAIRE

    Thangapalam Jawahar Abraham; Prakash Kumar Mallick; Pradipta Paul

    2018-01-01

    Clarias gariepinus is widely cultured due to its tolerance to environmental extremes, high production and good feed conversion rate. This communication describes the farming practices of C. gariepinus in North and South 24 Parganas districts of West Bengal. Clarias gariepinus is cultured in ponds of 0.1–0.75 ha, where fingerlings were stocked at a density of 860–1150 cubic meter–1. The current practices of seed transportation were stressful to fish as the majority of the farmers noticed 5–10%...

  13. Iron profile in children with behavioural disorders: a prospective study in a tertiary care hospital in north India.

    Science.gov (United States)

    Mahajan, Garima; Sikka, Meera; Rusia, Usha; Bhatia, M S

    2011-06-01

    Iron deficiency anemia is the most frequent micronutrient deficiency in the developing countries like India especially affecting pregnant women and young children. Iron is an essential element involved in myelin formation, neurotransmitter synthesis and neuro-metabolism. Several behavioural disturbances have been reported in iron deficient children. In the present study, we determined the prevalence of iron deficiency anemia in children with behavioural disorders and assessed the improvement in terms of symptoms (by child behaviour check list), haematological parameters and iron status after treatment with oral iron. In this prospective study, 44 children in the age group of 3-12 years who were diagnosed with behavioural disorders were evaluated. Complete blood counts using automated hematology analyzer and iron parameters (serum iron, total iron binding capacity, % transferrin saturation and serum ferritin) were measured in all the patients to assess the prevalence of iron deficiency in these children. Thirty age matched controls were also studied. Iron deficiency was found in 32 (73%) children, as assessed by transferrin saturation <16% and/or serum ferritin <16 μg/l. Following treatment with iron for 100 ± 10 days, there was a statistically (P ≤ 0.05) significant improvement in the clinical features, haematological profile and iron status. The presence of iron deficiency in children with behavioural disorders and subsequent improvement in clinical features, haematological profile and iron status suggests a possible causal relationship between iron deficiency and behavioural disorders.

  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. Outcome of lupus nephritis in childhood onset SLE in North and Central India: single-centre experience over 25 years.

    Science.gov (United States)

    Srivastava, P; Abujam, B; Misra, R; Lawrence, A; Agarwal, V; Aggarwal, A

    2016-04-01

    Childhood SLE (cSLE) has a higher prevalence of lupus nephritis (LN), and there are ethnic variations in response to treatment as well as outcome of LN. There are limited data on long-term outcome of LN in cSLE from the Indian subcontinent. Retrospective analysis of case records of patients with cSLE (satisfying revised American College of Rheumatology (ACR) 1997 criteria for diagnosis) and age of onset Collaborating Clinics (SLICC)/ACR damage score was 0.79 ± 1.13. Actuarial ESRD-free survival at five, 10 and 15 years was 91.1%, 79% and 76.2%, and five-, 10- and 15-year renal survival was 93.8%, 87.1% and 84%, respectively. Although multiple factors individually predicted poor outcome (death/ESRD), only raised serum creatinine at onset (R square = 0.65, p ≤ 0.0001) and damage accrual (R square = 0.62, p ≤ 0.0001) remained significant on multivariate analysis. Eleven (8.2%) children died during the follow-up period, and infections were the leading cause of mortality. Long-term outcome of LN in cSLE in our cohort was better than previous reports from India. However, a high rate of major infection still remains the leading cause of mortality. © The Author(s) 2015.

  16. Geospatial Modeling To Assess Geomorphological Risk For Relentless Shifting Cultivation In Garo Hills Of Meghalaya, North East India

    Directory of Open Access Journals (Sweden)

    Pramod Kumar Yadav

    2013-12-01

    Full Text Available Due to shifting cultivation, the overall structure and composition of ecological condition is affected, hence landscape study becomes important for maintaining ecological diversity and appropriate scientific planning of any area. Garo hills region of northeast India is suffering from Geomorphological risk like sheet erosion, landslide etc. due to the age old tradition of shifting cultivation in the fragile hill slopes aided by other anthropogenic activities. The present study was conducted to examine the role of shifting cultivation for deforestation and degradation with variant of slope and elevation to relate vegetation cover with slope and elevation in the Garo Hills landscape of Meghalaya using temporal remote sensing data of 1991, 2001 and 2010. It revealed that there is decrease in dense forest and open forest during the 1st decade while areas under dense forest and non-forest increased in 2nd decade. This increased forest area is confined in the high slopes, which are inaccessible. The study shows increase in shifting cultivation near-about double fold in high slope and more than a double fold in the high altitudinal area in last decade, which is negative sign in terms of Geomorphological protection. International Journal of Environment, Volume-2, Issue-1, Sep-Nov 2013, Pages 91-104 DOI: http://dx.doi.org/10.3126/ije.v2i1.9212

  17. Estimation of stature from the foot and its segments in a sub-adult female population of North India

    Science.gov (United States)

    2011-01-01

    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 forensic examination. Stepwise multiple regression models tend to estimate stature more accurately than linear regression models in female sub-adults. PMID:22104433

  18. Persistence of thiacloprid and deltamethrin residues in tea grown at different locations of North-East India.

    Science.gov (United States)

    Sharma, Nitesh; Banerjee, Hemanta; Pal, Srikumar; Sharma, K K

    2018-07-01

    In order to examine the residues of thiacloprid (90 and 180 g a.i./ha) and deltamethrin (10 and 20 g a.i./ha) in fresh tea leaves, made tea and tea infusion, field experiments were conducted at three different locations viz. Kamalpur tea estate, Darjeeling; West Bengal, Teok tea Estate and AAU, Jorhat; Assam in India. Regardless of location and doses, residues of both the insecticides dissipated following first order kinetics. The half-life of Thiacloprid (4.93-5.38 days) was longer than that of deltamethrin (1.78-1.94 days). Processing of green tea leaves reduced the residue level of thiacloprid and deltamethrin in made tea. No residues of both these insecticides could be detected in tea infusion. With respect to the phenolic distribution in tea, a marked increase in total catechin monomers with thiacloprid and greater accumulation of EGCG and ECG (indices of phenol quality) with deltamethrin were observed. Copyright © 2018 Elsevier Ltd. All rights reserved.

  19. Traditional use of medicinal plants by the Jaintia tribes in North Cachar Hills district of Assam, northeast India

    Directory of Open Access Journals (Sweden)

    Gosai Kuldip

    2006-08-01

    Full Text Available Abstract The study of ethnobotany relating to any tribe is in itself a very intricate or convoluted process. This paper documents the traditional knowledge of medicinal plants that are in use by the indigenous Jaintia tribes residing in few isolated pockets of northeast India. The present study was done through structured questionnaires in consultations with the tribal practitioners and has resulted in the documentation of 39 medicinal plant species belonging to 27 families and 35 genera. For curing diverse form of ailments, the use of aboveground plant parts was higher (76.59% than the underground plant parts (23.41%. Of the aboveground plant parts, leaf was used in the majority of cases (23 species, followed by fruit (4. Different underground plant forms such as root, tuber, rhizome, bulb and pseudo-bulb were also found to be in use by the Jaintia tribe as a medicine. Altogether, 30 types of ailments have been reported to be cured by using these 39 medicinal plant species. The study thus underlines the potentials of the ethnobotanical research and the need for the documentation of traditional ecological knowledge pertaining to the medicinal plant utilization for the greater benefit of mankind.

  20. A retrospective autopsy study of histopathologic spectrum and etiologic trend of fulminant hepatic failure from north India

    Directory of Open Access Journals (Sweden)

    Jain Deepali

    2007-07-01

    Full Text Available Abstract Background Fulminant hepatic failure (FHF is rapidly fatal and liver transplant is the treatment of choice. The condition is known for its heterogeneity of defining criteria, clinical presentation, histologic spectrum and etiologic factors. The etiology of FHF varies widely, some of which includes viral hepatitis, drug overdose and idiosyncratic drug reactions. The identification of the etiology of FHF is critically important, because it influences the management. A histopathological classification of FHF has not been reported earlier in the literature. Methods The current study was conducted retrospectively on 224 autopsies at a tertiary care hospital in India. In all of these cases the liver was examined grossly and microscopically. Clinical findings, serological data and immunohistochemical findings were correlated with the morphological subtypes and a consensus morphological classification was formulated. Results Young females, especially those in the reproductive age group were most susceptible to the disease. Hepatotropic viruses and drugs were the likely causes in most of the patients. Clinical presentation is important, as delayed onset of encephalopathy or the subacute FHFs lead to maximum mortality. After careful gross and microscopic examination the morphological findings of FHF were divided into four distinct categories. Histologic typing can sometimes be misleading if solely made on H & E slides without application of special stains. Conclusion Fulminant hepatic failure is a medical emergency, proper histological categorization can help in deciding the treatment modalities.

  1. A retrospective autopsy study of histopathologic spectrum and etiologic trend of fulminant hepatic failure from north India.

    Science.gov (United States)

    Das, Prasenjit; Jain, Deepali; Das, Ashim

    2007-07-27

    Fulminant hepatic failure (FHF) is rapidly fatal and liver transplant is the treatment of choice. The condition is known for its heterogeneity of defining criteria, clinical presentation, histologic spectrum and etiologic factors. The etiology of FHF varies widely, some of which includes viral hepatitis, drug overdose and idiosyncratic drug reactions. The identification of the etiology of FHF is critically important, because it influences the management. A histopathological classification of FHF has not been reported earlier in the literature. The current study was conducted retrospectively on 224 autopsies at a tertiary care hospital in India. In all of these cases the liver was examined grossly and microscopically. Clinical findings, serological data and immunohistochemical findings were correlated with the morphological subtypes and a consensus morphological classification was formulated. Young females, especially those in the reproductive age group were most susceptible to the disease. Hepatotropic viruses and drugs were the likely causes in most of the patients. Clinical presentation is important, as delayed onset of encephalopathy or the subacute FHFs lead to maximum mortality. After careful gross and microscopic examination the morphological findings of FHF were divided into four distinct categories. Histologic typing can sometimes be misleading if solely made on H & E slides without application of special stains. Fulminant hepatic failure is a medical emergency, proper histological categorization can help in deciding the treatment modalities.

  2. Purification and Characterization of an Extracellular Dextransucrase from Pediococcus pentosaceus Isolated from the Soil of North East India

    Directory of Open Access Journals (Sweden)

    Damini Kothari

    2011-01-01

    Full Text Available The extracellular dextransucrase produced from Pediococcus pentosaceus, a new isolate from the soil in Assam, India, was purified and characterized. The enzyme activity of cell-free supernatant was 3.4 U/mL and specific activity was 0.6 U/mg. The crude enzyme was purified by a single-step fractionation using polyethylene glycols of different molecular mass. The specific activity achieved was 18 U/mg with 31-fold purification by PEG 400 and 26 U/mg with 45-fold purification by PEG 1500. The molecular mass of dextransucrase determined by non-denaturing SDS-PAGE was approx. 180 kDa. The dextran formation activity of the enzyme was confirmed by activity staining. Optimum conditions for dextransucrase activity were: pH=5.4, reaction temperature 30 °C, 5 % sucrose and 20 mM sodium acetate buffer. A concentration of 1 mM MgCl2 and 6 mM CaCl2 enhanced dextransucrase activity by 5 and 150 %, respectively. The chaotropic agent urea (7 M and chelating agent EDTA (1 mM resulted in the residual enzyme activity of 98 and 80 %, respectively. The organic solvents such as ethanol (50 %, DMSO (90 %, acetone (50 % and acetonitrile (20 % decreased the dextransucrase activity by 80, 91, 94 and 80 %, respectively.

  3. Speed Distribution on Two-Lane Rural Highways with Mixed Traffic: A Case Study in North East India

    Science.gov (United States)

    Saha, Pritam; Roy, Nabanita; Sarkar, Ashoke Kumar; Pal, Manish

    2017-06-01

    This work focuses on minimising inaccuracies in distributional assumptions of speed data on two-lane roads with heterogeneous traffic to improve accuracy in capacity and level of service analysis. Accordingly, field study was conducted on a two-lane highway in India that exhibits heterogeneity in its traffic composition. Two distribution functions, namely, normal and logistic were examined for the observed speed data. The appropriate function was chosen using a methodology based on K-S test and field validation. Logistic distribution function was found to exhibit its aptness in describing speed under such traffic and was, thereby, considered in estimating the limiting speed of slower vehicles that tends to obstruct the flow of traffic. Vehicles that move at or below this speed cause delay to the faster ones resulting in formation of platoons at moderate and heavy flow when passing is restricted. Since the percent time-spent-following, a performance measure to assess level-of-service of two-lane highways, considers proportion of vehicles that are trapped inside platoons, it is imperative to estimate the limiting speed of slower vehicles correctly to approximate the delayed vehicles.

  4. ISSR Marker Based Population Genetic Study of Melocanna baccifera (Roxb. Kurz: A Commercially Important Bamboo of Manipur, North-East India

    Directory of Open Access Journals (Sweden)

    Heikrujam Nilkanta

    2017-01-01

    Full Text Available Melocanna baccifera (Roxb. Kurz is an economically important bamboo of North-East India experiencing population depletion in its natural habitats. Genetic variation studies were conducted in 7 populations sampled from 5 districts of Manipur using ISSR molecular markers. The investigation was carried out as a primary step towards developing effective conservation strategies for the protection of bamboo germplasm. ISSR marker analysis showed significant level of genetic variation within the populations as revealed by moderately high average values of Nei’s genetic diversity (H 0.1639, Shannon’s diversity index (I 0.2563, percentage of polymorphic bands (PPB 59.18, total genetic variation (Ht 0.1961, and genetic diversity within population (Hs 0.1639. The study also divulged a high genetic variation at species level with Shannon’s diversity index (I, Nei’s genetic diversity (H, and percentage of polymorphic band (PPB% recorded at 0.3218, 0.1939, and 88.37, respectively. Genetic differentiation among the populations (Gst was merely 19.42% leaving 80.58% of genetic variation exhibited within the populations. The low genetic diversity between populations was consistent with AMOVA. The low genetic differentiation among populations coupled with existence of significantly high genetic diversity at species level indicated the urgent necessity of preserving and protecting all the existing natural bamboo populations in the region.

  5. ISSR Marker Based Population Genetic Study of Melocanna baccifera (Roxb.) Kurz: A Commercially Important Bamboo of Manipur, North-East India

    Science.gov (United States)

    Nilkanta, Heikrujam; Amom, Thoungamba; Rahaman, Hamidur

    2017-01-01

    Melocanna baccifera (Roxb.) Kurz is an economically important bamboo of North-East India experiencing population depletion in its natural habitats. Genetic variation studies were conducted in 7 populations sampled from 5 districts of Manipur using ISSR molecular markers. The investigation was carried out as a primary step towards developing effective conservation strategies for the protection of bamboo germplasm. ISSR marker analysis showed significant level of genetic variation within the populations as revealed by moderately high average values of Nei's genetic diversity (H 0.1639), Shannon's diversity index (I 0.2563), percentage of polymorphic bands (PPB 59.18), total genetic variation (Ht 0.1961), and genetic diversity within population (Hs 0.1639). The study also divulged a high genetic variation at species level with Shannon's diversity index (I), Nei's genetic diversity (H), and percentage of polymorphic band (PPB%) recorded at 0.3218, 0.1939, and 88.37, respectively. Genetic differentiation among the populations (Gst) was merely 19.42% leaving 80.58% of genetic variation exhibited within the populations. The low genetic diversity between populations was consistent with AMOVA. The low genetic differentiation among populations coupled with existence of significantly high genetic diversity at species level indicated the urgent necessity of preserving and protecting all the existing natural bamboo populations in the region. PMID:28168084

  6. Assessing the functional disability of rural elderly population from North-West India using activity of daily living scale: A cross-sectional survey

    Directory of Open Access Journals (Sweden)

    Parveen Singh

    2017-01-01

    Full Text Available Background: Aging is associated with both physical impairment and functional disability. One of the areas of concerns is a derangement in the activities of daily living (ADL where the elderly people are unable to perform their basic personal care tasks. The present study was planned with the aim to evaluate functional impairment among rural elderly using ADL scale. Materials and Methods: The study was conducted as a cross-sectional population-based survey using multistage randomized sampling technique from August 2015 to October 2015 in Miran Sahib Health Zone of R S Pura health block in Jammu District in North-West India. The study involved 418 elderly individuals above 60 years of age. Results: A higher proportion of elderly (378/418; 90.43% were classified as functionally independent. Among the study participants 9.54% (40/418 were found to have some had some impairment. Among the elderly impaired individuals, 5.26% (22/418 were moderately impaired while 2.64% (11/418 were severely impaired. However, importantly only a small proportion (7/418; 1.67% of elderly individuals was completely dependent on others. Conclusion: The total impairment prevalence reported among the geriatrics in the current study was 9.5%. With the increase in the geriatric population expected in near future, this number will be significant. Policies with a clear focus on geriatric health-care need to be developed to reduce the dependency among elderly.

  7. Measurements of natural gamma radiation in beach sediments of north east coast of Tamilnadu, India by gamma ray spectrometry with multivariate statistical approach

    Directory of Open Access Journals (Sweden)

    M. SureshGandhi

    2014-01-01

    Full Text Available The distribution of natural gamma ray emitting 238U, 232Th and 40K radionuclides in beach sediments along north east coast of Tamilnadu, India has been carried out using a NaI(Tl gamma ray spectrometric technique. The total average concentrations of radionuclides 238U, 232Th, and 40K were 35.12, 713.16, and 349.60 Bq kg−1, respectively. Correlations made among these radionuclides prove the existence of secular equilibrium in the investigated sediments. The total average absorbed dose rate in the study areas is found to be 504.75 nGyh−1, whereas the annual effective dose rate has an average value of 0.62 mSvy−1. The mean activity concentrations of measured radionuclides were compared with other literature values. The ratios between the detected radioisotopes have been calculated for spatial distribution of natural radionuclides in studied area. Also the radiological hazard of the natural radionuclides content, radium equivalent activity, external hazard index of the sediment samples in the area under consideration were calculated. Multivariate Statistical analyses (Pearson Correlation, Cluster and Factor analysis were carried out between the parameters obtained from radioactivity to know the existing relations.

  8. Do the medical, dental and nursing students of first year know about hepatits B? A study from a university of North India.

    Science.gov (United States)

    Maroof, Khan Amir; Bansal, Rahul; Parashar, Pawan; Sartaj, Ahmad

    2012-01-01

    To assess the knowledge about hepatitis B among the medical, dental and nursing students of first year in Subharti University, a private medical university of North India. A cross sectional institutional study was conducted among the first year students of medical, dental and nursing colleges of Subharti University. The total subjects studied were 250. Data was collected when the student came up for hepatitis B vaccination in the Department of Community Medicine. Data was entered in MS Excel and analyzed using Epi Info for Windows. Bivariate analysis using Chi-square test was applied. Overall, 83.32% of the study subjects had heard of hepatitis B. Only 42% knew that virus is a cause of hepatitis B. Awareness of mother to child transmission of hepatitis B was present in only 12% of the study subjects. Unsafe blood transfusion as a risk factor of hepatitis B was known by 35.2%, whereas, prevalence of knowledge regarding reused needles and unsafe sex as risk factors was lesser. Forty-four percent of the study subjects were not aware of vaccination against hepatitis B. There was a significant difference in the proportion of students of the different faculties about the correct knowledge about hepatitis B. The knowledge about hepatitis B was very low among the students entering in the medical, dental and nursing profession. This highlights the importance of informed and evidence based education programmes among the students of these healthcare professions.

  9. In Vitro Detection of Acaricidal Resistance Status of Rhipicephalus (Boophilus microplus against Commercial Preparation of Deltamethrin, Flumethrin, and Fipronil from North Gujarat, India

    Directory of Open Access Journals (Sweden)

    K. P. Shyma

    2015-01-01

    Full Text Available Rhipicephalus (Boophilus microplus is the most common tick species in India infesting cattle and buffaloes and causing significant economic losses to dairy and leather industries by adversely affecting the milk production and quality of hides. A study to evaluate the acaricide resistance status of Rhipicephalus (Boophilus microplus to deltamethrin, flumethrin, and fipronil was conducted on the samples collected from organized and unorganized farms of North Gujarat state, where treatment failures were reported frequently. Adult Immersion Test (AIT and Larval Packet Test (LPT were conducted using field strain for determination of 50 and 95% lethal concentration of deltamethrin, flumethrin, and fipronil. Results obtained by the Adult Immersion Test showed low grade resistance (level I, RF > 5 has been developed against both deltamethrin and fipronil. However, deltamethrin by performing Larval Packet Test showed moderate grade resistance (level II, RF > 25. Larval packet performed by flumethrin also revealed low grade resistance, level I. The data on field status of acaricide resistance from the area with diversified animal genetic resources will be helpful to adopt suitable strategy to overcome the process of development of resistance in ticks.

  10. Prevalence of 22q11.2 microdeletion in 146 patients with cardiac malformation in a referral hospital of North India

    Directory of Open Access Journals (Sweden)

    Chaudhary Isha

    2010-06-01

    Full Text Available Abstract Background The 22q11.2 microdeletion syndrome is a common condition that is associated with cardiac as well as extra-cardiac manifestations. Its prevalence and manifestations from north India has not been reported. This study was designed to determine the prevalence and ability of clinical criteria to predict 22q11.2 microdeletion. Methods A total of 146 cases of cardiac malformation requiring tertiary care at a teaching hospital were prospectively screened for 22q11.2 microdeletion using fluorescence in situ hybridization test. Detailed clinical information was obtained as per guidelines of Tobias, et al (1999. Results Nine out of 146 patients (6.16% was found to have 22q11.2 microdeletion. All the positive patients showed the presence of extra-cardiac features of 22q11.2 microdeletion syndrome. None of the cases with isolated cardiac defect were positive for microdeletion. Conclusions It seems that 22q11.2 microdeletion syndrome is over-suspected in children with isolated congenital heart defects. Screening for 22q11.2 microdeletion should be considered in those cardiac malformation cases which have extra-cardiac manifestations in the form of facial dysmorphism and hypocalcaemia.

  11. Prevalence of 22q11.2 microdeletion in 146 patients with cardiac malformation in a referral hospital of North India.

    Science.gov (United States)

    Halder, Ashutosh; Jain, Manish; Chaudhary, Isha; Kabra, Madhulika

    2010-06-23

    The 22q11.2 microdeletion syndrome is a common condition that is associated with cardiac as well as extra-cardiac manifestations. Its prevalence and manifestations from north India has not been reported. This study was designed to determine the prevalence and ability of clinical criteria to predict 22q11.2 microdeletion. A total of 146 cases of cardiac malformation requiring tertiary care at a teaching hospital were prospectively screened for 22q11.2 microdeletion using fluorescence in situ hybridization test. Detailed clinical information was obtained as per guidelines of Tobias, et al (1999). Nine out of 146 patients (6.16%) was found to have 22q11.2 microdeletion. All the positive patients showed the presence of extra-cardiac features of 22q11.2 microdeletion syndrome. None of the cases with isolated cardiac defect were positive for microdeletion. It seems that 22q11.2 microdeletion syndrome is over-suspected in children with isolated congenital heart defects. Screening for 22q11.2 microdeletion should be considered in those cardiac malformation cases which have extra-cardiac manifestations in the form of facial dysmorphism and hypocalcaemia.

  12. Review on transovarial transmission potentiality of dengue vectors: An international perspective with special reference to North-Eastern region of India

    Directory of Open Access Journals (Sweden)

    Monika Soni

    2017-01-01

    Full Text Available Despite extensive research in vaccine development, there is at present no known method of controlling dengue except by the mosquito vectors. Virologic surveillance which involves the detection of dengue virus (DENV in human serum and followed by isolation of virus using cell culture or mosquito inoculation is used as an early warning symptom to predict the outbreak. The technique is not much effective as the virus is in the human population. However, if the virus is detected in mosquito before it can infect humans could be more effective approach. One of the great mysteries about the epidemiology of dengue is how the virus persists in the interepidemic period. So far, no such studies on dengue vectors have been conducted in the north-eastern region of India, especially in Assam and the dengue cases are increasing every year. There are no reports on the identification of active and potential role of dengue vector responsible for the transmission of dengue in this state. Such type of study will give an overall picture of potential dengue vector responsible for human DENV infection and the viral load carried by the mosquito species in different generations. Such study will be useful in helping the public health personnel.

  13. Quantification of human polyomavirus JC virus load in urine and blood samples of healthy tribal populations of North-Eastern part of West Bengal, India.

    Science.gov (United States)

    Chattaraj, S; Bera, N K; Dutta, C; Bhattacharjee, S

    2015-01-01

    Human polyomavirus JC (JCV) is a widespread human virus with profound pathogenic potential. A study was undertaken to quantify JCV load in urine and peripheral blood samples of immunocompetent, apparently healthy tribal individuals of North-Eastern part of West Bengal, India for the first time. One hundred and thirteen samples of urine or blood were collected from different tribal groups of this region. For the quantitative estimation of the viral load in each sample, real-time polymerase chain reaction method using the SYBR Green dye was employed. The viral load estimated was found in the range between 3.5 × 102 and 2.12 × 106 copies/ml of samples having a mean and median viral copy numbers of 8.67 × 105 and 9.19 × 105 copies/ml of sample respectively. The mean viral DNA load in urine samples of the studied immunocompetent population was found to be higher than that found in a study conducted in the USA, but lower than similar groups of Italy and healthy adult women in the USA. However when compared with median values of viral DNA loads in urine samples of immunocompetent human subjects of Kuwait, Portugal, and Switzerland the observed viral DNA load was found to be substantially higher.

  14. Susceptibility mapping and estimation of rainfall threshold using space based input for assessment of landslide hazard in Guwahati city in North East India

    Science.gov (United States)

    Bhusan, K.; Kundu, S. S.; Goswami, K.; Sudhakar, S.

    2014-11-01

    Slopes are the most common landforms in North Eastern Region (NER) of India and because of its relatively immature topography, active tectonics, and intense rainfall activities; the region is susceptible to landslide incidences. The scenario is further aggravated due to unscientific human activities leading to destabilization of slopes. Guwahati, the capital city of Assam also experiences similar hazardous situation especially during monsoon season thus demanding a systematic study towards landslide risk reduction. A systematic assessment of landslide hazard requires understanding of two components, "where" and "when" that landslides may occur. Presently no such system exists for Guwahati city due to lack of landslide inventory data, high resolution thematic maps, DEM, sparse rain gauge network, etc. The present study elucidates the potential of space-based inputs in addressing the problem in absence of field-based observing networks. First, Landslide susceptibility map in 1 : 10,000 scale was derived by integrating geospatial datasets interpreted from high resolution satellite data. Secondly, the rainfall threshold for dynamic triggering of landslide was estimated using rainfall estimates from Tropical Rainfall Measuring Mission Multi-satellite Precipitation Analysis. The 3B41RT data for 1 hourly rainfall estimates were used to make Intensity-Duration plot. Critical rainfall was estimated for every incidence by analysing cumulative rainfall leading to a landslide for total of 19 incidences and an empirical rainfall intensity-duration threshold for triggering shallow debris slides was developed (Intensity = 5.9 Duration-0.479).

  15. Evaluation of the utility of the Fournier′s gangrene severity index in the management of Fournier′s gangrene in North India: A multicentre retrospective study

    Directory of Open Access Journals (Sweden)

    Satyajeet Verma

    2012-01-01

    Full Text Available Objective: To study the utility of Fournier′s Gangrene Severity Index (FGSI with mortality predictive value in our tertiary institutes in North India. Materials and Methods: A retrospective study of 95 cases of Fournier′s Gangrene (FG, admitted from 2009 to 2011, was carried out. We analysed clinical and laboratory findings, various prognostic factors, surgical treatments and their outcomes in FG patients. FGSI was used as individual variable to estimate the severity of FG; the effects of these factors on mortality were also evaluated. Results: The overall mean age was 46.5 ± 15.6 (range 24-82 years. Anorectal and urological regions were the main sites of the infection. The most common site of infection origin was scrotum in 81.3% in group A and 41.2% in group B. One or more predisposing factors such as diabetes mellitus (DM; 55% malignancies (4.6%, chronic renal failure (4.5% and previous surgery (9.2% were detected. We observed mortality in 26.5% cases (17/65. The FGSI calculated averaged 5.95 ± 365 in group A and 9.44 ± 2.56 in group B, at the time of admission ( P > 0.05. Conclusion: In FG, an early diagnosis and early surgical debridement are essential. The FGSI seems to be an excellent tool for the outcome prediction.

  16. Isolation, identification and retrospective study of foot-and-mouth disease virus from affected Mithun (Bos frontalis) in north-eastern India.

    Science.gov (United States)

    Borah, B; Deka, P; Sharma, K; Baro, S; Hazarika, A K; Das, C; Garam, G B; Boro, P; Ltu, K

    2018-02-01

    Foot-and-mouth disease (FMD) is a contagious disease of cloven-hoofed animals that causes substantial and perpetual economic loss. Apart from the contagious nature of the disease, the FMD virus can establish in a "carrier state" among all cloven-hoofed animals. The Mithun (Bos frontalis), popularly called the "Cattle of Mountain," is found in the geographically isolated, hilly region of north-east India: Arunachal Pradesh, Nagaland, Manipur and Mizoram. Despite the geographical inaccessibility, infection by FMD virus has emerged as the single most devastating disease among Mithun after the eradication of rinderpest from this region. Samples from outbreaks of FMD in Mithun were analysed by sandwich ELISA, multiplex RT-PCR (MRT-PCR) and liquid-phase blocking enzyme-linked immunosorbent assay and isolated in the BHK-21 cell line. The results indicate the presence of FMDV serotype "O." The sequencing and molecular phylogenies have revealed close relationships in the lineage of type "O" isolates from Bangladesh. The findings will provide useful information for further research and development of a sustainable programme for the progressive control of FMD in the Mithun population. © 2017 Blackwell Verlag GmbH.

  17. Uranium (U)-Tolerant Bacterial Diversity from U Ore Deposit of Domiasiat in North-East India and Its Prospective Utilisation in Bioremediation

    Science.gov (United States)

    Kumar, Rakshak; Nongkhlaw, Macmillan; Acharya, Celin; Joshi, Santa Ram

    2013-01-01

    Uranium (U)-tolerant aerobic chemo-heterotrophic bacteria were isolated from the sub-surface soils of U-rich deposits in Domiasiat, North East India. The bacterial community explored at molecular level by amplified ribosomal DNA restriction analysis (ARDRA) resulted in 51 distinct phylotypes. Bacterial community assemblages at the U mining site with the concentration of U ranging from 20 to 100 ppm, were found to be most diverse. Representative bacteria analysed by 16S rRNA gene sequencing were affiliated to Firmicutes (51%), Gammaproteobacteria (26%), Actinobacteria (11%), Bacteroidetes (10%) and Betaproteobacteria (2%). Representative strains removed more than 90% and 53% of U from 100 μM and 2 mM uranyl nitrate solutions, respectively, at pH 3.5 within 10 min of exposure and the activity was retained until 24 h. Overall, 76% of characterized isolates possessed phosphatase enzyme and 53% had PIB-type ATPase genes. This study generated baseline information on the diverse indigenous U-tolerant bacteria which could serve as an indicator to estimate the environmental impact expected to be caused by mining in the future. Also, these natural isolates efficient in uranium binding and harbouring phosphatase enzyme and metal-transporting genes could possibly play a vital role in the bioremediation of metal-/radionuclide-contaminated environments. PMID:23080407

  18. Healthcare planning in north-east India: a survey on diabetes awareness, risk factors and health attitudes in a rural community.

    Science.gov (United States)

    Lau, Sue L; Debarm, Rati; Thomas, N; Asha, H S; Vasan, K S; Alex, R G; Gnanaraj, J

    2009-04-01

    for diabetes in North-East India. This population had a low baseline knowledge and awareness about diabetes, despite significant diabetes prevalence. A greater emphasis on health education and risk factor modification for diabetes is warranted in the North-East part of the country.

  19. Study of knowledge and attitude among college-going students toward voluntary blood donation from north India

    Directory of Open Access Journals (Sweden)

    Mishra SK

    2016-03-01

    Full Text Available Shailesh Kumar Mishra,1 Suchet Sachdev,1 Neelam Marwaha,1 Ajit Avasthi21Department of Transfusion Medicine, 2Department of Psychiatry, Postgraduate Institute of Medical Education and Research, Chandigarh, IndiaIntroduction: The study was conducted to assess the knowledge and attitude of college-going students toward voluntary blood donation and to bring out and compare the reasons for donating or not donating blood.Materials and methods: This cross-sectional study was conducted on 1,000 college-going students after taking their consent for participation using a prevalidated, self-administered, structured questionnaire after its content and construct validation.Results: The difference in the means of the level of knowledge among the donor (mean: 14.71±2.48 and nondonor students (mean: 11.55±2.82 was statistically significant. There was significant impact of previous blood donation on the level of knowledge in donor students. The attitude toward blood donation was more positive among blood donor as compared to nondonor students, and the difference in their means was statistically significant. About one in two (45.8% college-going students fear that either they are not fit enough to donate blood (26.8% or that they will become weak (19% after blood donation. Almost one in four (27.4% have fear of needle pain; therefore, they do not come forward for blood donation.Interpretation and conclusion: The most significant reason hindering blood donation comes out to be related to health of the individual donor. The findings of this study conclude that the national targets of voluntary blood donation could be better met with specific blood donor information, education, motivation, and recruitment strategies focusing on the myths and misconceptions prevalent in the donor demographic area of that particular region, specifically targeting high-school children in countries developing a volunteer donor base.Keywords: knowledge, attitude, voluntary blood

  20. Clinical, Biochemical Characteristics and Hospital Outcome of Acute Intermittent Porphyria Patients: A Descriptive Study from North India.

    Science.gov (United States)

    Kumar, Susheel; Bhalla, Ashish; Sharma, Navneet; Dhibar, Deba Prasad; Kumari, Savita; Varma, Subhash

    2017-01-01

    Acute intermittent porphyria (AIP) is an inherited metabolic disease characterized by disordered heme biosynthesis. There is no recent study reported from India. It was a retrospective, observational study. Clinical records of patients of AIP with acute porphyric attacks admitted from April 2008 to December 2016 were analyzed. Fifteen AIP patients constituted of eight females and seven males were analyzed. Mean age at presentation was 34.33 ± 15.86 years. Thirteen patients (86.67%) had acute flaccid paralysis (AFP). All of them had peripheral neuropathy. These patients concomitantly had abdominal pain, seizure, encephalopathy, autonomic hyperactivity, history of passage of dark urine, and electrolyte abnormality (hyponatremia) in various combinations. Abdominal pain was the presenting symptom in 11 (73.33%) patients. Seven (46.67%) patients had seizure episodes. Five patients (33.33%) had hyponatremia at presentation. Significantly higher percentage of them had seizure at presentation or during hospital stay ( P = 0.007). These patients also had evidence of autonomic hyperactivity in the form of higher pulse rate, systolic and diastolic blood pressure at presentation. They had prolonged duration of hospital stay as well ( P = 0.016). Eleven patients had partial recovery and rest four patients (26.67%) had in-hospital mortality. Patients had severe neurological involvement manifesting mainly as AFP and seizure episodes. We recommend screening for AIP in patients presenting with features of AFP along with any combination of clinical/laboratory manifestations such as abdominal pain, seizure, encephalopathy, autonomic hyperactivity, passage of dark urine, and hyponatremia. Electrolyte abnormality in the form of hyponatremia was an important severity marker.

  1. Vertebrates used for medicinal purposes by members of the Nyishi and Galo tribes in Arunachal Pradesh (North-East India

    Directory of Open Access Journals (Sweden)

    Meyer-Rochow V

    2011-03-01

    Full Text Available Abstract Arunachal Pradesh, the easternmost part of India, is endowed with diverse natural resources and inhabited by a variety of ethnic groups that have developed skills to exploit the biotic resources of the region for food and medicines. Information on animals and animal parts as components of folk remedies used by local healers and village headmen of the Nyishi and Galo tribes in their respective West Siang and Subansiri districts were obtained through interviews and structured questionnaires. Of a total of 36 vertebrate species used in treatments of ailments and diseases, mammals comprised 50%; they were followed by birds (22%, fishes (17%, reptiles (8% and amphibians (3%. Approximately 20 common complaints of humans as well as foot and mouth disease of cattle were targets of zootherapies. Most commonly treated were fevers, body aches and pains, tuberculosis, malaria, wounds and burns, typhoid, smallpox, dysentery and diarrhoea, jaundice, and early pregnancy pains. Very few domestic animal species (e.g., goat and cattle were used zootherapeutically. More frequently it was wild animals, including endangered or protective species like hornbill, pangolin, clouded leopard, tiger, bear, and wolf, whose various parts were either used in folk remedies or as food. Some of the animal-based traditional medicines or animal parts were sold at local markets, where they had to compete with modern, western pharmaceuticals. To record, document, analyze and test the animal-derived local medicines before they become replaced by western products is one challenge; to protect the already dwindling populations of certain wild animal species used as a resource for the traditional animal-derived remedies, is another.

  2. Optical and Radiative Properties of Aerosols over Two Locations in the North-West Part of India during Premonsoon Season

    Directory of Open Access Journals (Sweden)

    Yogesh Kant

    2015-01-01

    Full Text Available The present study examines the aerosol characteristics over two locations in the northwest region of India (Dehradun and Patiala during premonsoon season of 2013. The average mass concentrations of particulates (PM10; PM2.5; PM1 were found to be 118±36, 34±11, and 19±10 µgm−3 and 140±48, 30±13, and 14±06 µgm−3 over Dehradun and Patiala, respectively. The average aerosol optical depth (AOD500 nm is observed to be 0.62±0.11 over Dehradun and 0.56±0.21 over Patiala. Ångström exponent and fine mode fraction show higher values over Dehradun as compared to Patiala. The average mass concentration of black carbon was found to be 3343±546 ngm−3 and 6335±760 ngm−3 over Dehradun and Patiala, respectively. The diurnal pattern of BC is mainly controlled by boundary layer dynamics and local anthropogenic activities over both the stations. The average single scattering albedo (SSA500 nm exhibited low value over Patiala (0.83±0.01 in comparison to Dehradun (0.90±0.01, suggesting the abundance of absorbing type aerosols over Patiala. The average atmospheric aerosol radiative forcing is +37.34 Wm−2 and +54.81 Wm−2 over Dehradun and Patiala, respectively, leading to atmospheric heating rate of 1.0 K day−1 over Dehradun and 1.5 K day−1 over Patiala.

  3. Palynostratigraphy, palynofacies and depositional environment of a lignite-bearing succession at Surkha Mine, Cambay Basin, north-western India

    Directory of Open Access Journals (Sweden)

    Monga Priyanka

    2015-12-01

    Full Text Available The paper reports palynology and palynofacies studies of lignite-bearing sediments exposed in an opencast mine succession at Surkha, Bhavnagar District, in the coastal region of Gujarat, India. The study examined the relationships between the palynoflora, sedimentary organic matter and environment at the time of deposition of lignite and associated sediments. Based on dinoflagellate cyst biostratigraphy, the sedimentary succession is dated as early Eocene (Ypresian. Palynofacies studies helped reveal the palaeoenvironmental fluctuations. The dominance of angiosperm pollen grains, freshwater algae, microthyraceous fungi and a large share of land debris in the lower part of the succession suggests a freshwater swamp environment of deposition for the basal lignite facies. Two cenozones - Matanomadiasulcites maximus and Lakiapollis ovatus - were identified in the lower lignite facies, determined from the dominance of these pollen grains in the palynological assemblages. The presence of angiosperm pollen grains and pteridophyte spores in the carbonaceous shale horizon above the lignite facies indicates a change in the depositional regime from freshwater swamp to lagoonal. This was identified as the Arecipites wodehousei cenozone due to its numerical abundance in the assemblage. Dinoflagellate cyst abundance and diversity, and microforaminiferal test linings along with well-sorted terrestrial debris in the mudstone in the upper part of the succession suggest a more open marine estuarine type of depositional environment. The Homotryblium complex along with Cordospheridium fibrospinosum, Kenleyia sp., and Thalassiphora pelagica dinoflagellate cysts are the main representatives of this zone, determined as the Homotryblium tenuispinosum cenozone. The changing depositional settings (freshwater swamp-lagoonal-estuarine along the vertical succession indicate a marine transgression in this region. Results from palynological studies of early Palaeogene

  4. Therapy Related AML/MDS Following Treatment for Childhood Cancer: Experience from a Tertiary Care Centre in North India.

    Science.gov (United States)

    Vyas, Chintan; Jain, Sandeep; Kapoor, Gauri

    2018-01-01

    Therapy-related acute myeloid leukemia/myelodysplastic syndrome (t-AML/MDS) is a devastating late effect of cancer treatment. There is limited data on incidence of t-AML/MDS from India. We retrospectively studied pediatric t AML/MDS at our institute between January 1996 and December 2015. Among 1285 children, 8 patients developed t-AML with a median age of 15.5 years. Overall incidence of t-AML/MDS was 0.62% [0.99% (4/402) in solid tumours and 0.45% (4/883) in leukemia/lymphoma, P  = 0.26] with 6390 patient years of follow up. Primary malignancy included sarcoma [bone (2), soft tissue (2)], B-non-Hodgkin lymphoma (2) and acute lymphoblastic leukemia (2). The median cumulative equivalent doses of cyclophosphamide, doxorubicin and etoposide were 6.8, 270 and 2.5 gm/m 2 respectively. Two patients received radiotherapy [rhabdomyosarcoma (50 Gy), synovial sarcoma (45 Gy)]. The median latency period to develop t-AML/MDS was 24 months (range 16.5-62 months). Most common FAB morphology was M4/M5 (7/8) and cytogenetic abnormality was MLL rearrangement (4/8). Five patients opted for treatment, 4 achieved remission out of which 2 patients are alive and disease free. Short latency periods, absence of pre-leukemic phase and 11q23 translocations were characteristic in the patients with t-AML/MDS. In view of poor outcome with conventional therapy, novel strategies and prevention need to be considered.

  5. Molecular diagnosis of benzimidazole resistance in Haemonchus contortus in sheep from different geographic regions of North India

    Directory of Open Access Journals (Sweden)

    S. Chandra

    2014-05-01

    Full Text Available Aim: To monitor the benzimidazole resistance in Haemonchus contortus in sheep from different agro climatic zones of India reared in extensive or intensive managemental conditions. Materials and Methods: Faecal materials were collected from sheep from organized as well as private farms located in Rohilkhand region, Bundelkhand region, and eastern Utter Pradesh. Larvae were obtained by coproculture and identified as L3 of Haemonchus contortus. Exsheathment of larvae was done by incubating them in 180 µl of sodium hypochlorite for 5-20 minutes. Genomic DNA was isolated from single larvae and amplification of -tubulin of Haemonchus contortus was done by primary and nested PCR. PCR-RFLP was done with RsaI enzyme for species identification. Genotyping was done by Allele specific PCR using Nested PCR product as template and resulting fragments were separated by gel electrophoresis in a 1.5% agarose gel in TAE buffer. Results: Primary PCR size of -tubulin gene of H. contortus was 840 bp, whereas nested PCR amplified 774 bp size product. Species was confirmed as H. contortus by PCR-RFLP which shows three fragments at 440 bp, 190 bp, and 150 bp. From Rohilkhand region out of 30 larvae, 19 (63% were homozygous resistant (RR, 6 (20% were homozygous susceptible (SS, and 5 (17% were heterozygous (RS. From Bundelkhand 34 (85% were RR, 4 (10% were SS, and 2 (5% were RS out of 40 larvae screened. From Eastern UP (Jaunpur and Varanasi 30 larvae each from Jaunpur and Varanasi were genotyped;larvae from Jaunpur revealed 53% RR, 27% SS, and 20% RS whereas larvae from Varanasi genotyped showed 57% RR, 17% SS, and 26% RS. Conclusion: Due to indiscriminate use of Benzimidazole group of drugs in organized and private farms, resistance to this group of drugs is increasing at the field level.

  6. KIR-like activating natural killer cell receptors and their association with complicated malaria in north India.

    Science.gov (United States)

    Prakash, Swayam; Ranjan, Prabhat; Ghoshal, Ujjala; Agrawal, Suraksha

    2018-02-01

    Killer immunoglobulin-like receptors (KIRs) genomic regions have been suggested to influence malaria pathogenesis and infection susceptibility. KIRs are known as activating natural killer (NK) cell receptors, which upon binding to their corresponding human leukocyte antigen (HLA) ligands cause lysis of any infected cell. We have examined the potential association of KIR genes with complicated malaria (CM) among north Indians in this study and further evaluated the KIR receptor-HLA ligand association on the severity of the disease considering the uncomplicated malaria (UCM) subjects as control. Molecular profiling of KIR and HLA was carried out using the PCR-SSP method. Susceptible association was found for individuals possessing KIR2DS2 (OR=1.76, p-value=0.0390), KIR2DL1 (OR=2.87, p-value=0.0005) and KIR2DL3 (OR=2.74, p-value=0.0011) genes with CM. This was supported by the strong linkage disequilibrium observed for 2DS2-2DL2 (D́=0.87, r 2 =0.54) with CM. Whereas the receptor-ligand association has revealed risk association against KIR2DS2-HLAC1 (OR=2.08, p-value=0.0229), KIR2DL3-HLAC1 (OR=1.79, p-value=0.0301), and KIR2DL1-HLAC2 (OR=2.10, p-value=0.0175) combinations for complicated malaria. The frequency of different KIR genes are more or less similar to that observed in African population showing not much genetic diversity at KIR level in context to malarial infection. In conclusion, our data indicates KIR gene loci differentially influenced the malarial outcome in north Indians and in particular the KIR2DS2 gene appeared to be associated with disease severity. Copyright © 2017. Published by Elsevier B.V.

  7. Characterizing measles transmission in India: a dynamic modeling study using verbal autopsy data.

    Science.gov (United States)

    Verguet, Stéphane; Jones, Edward O; Johri, Mira; Morris, Shaun K; Suraweera, Wilson; Gauvreau, Cindy L; Jha, Prabhat; Jit, Mark

    2017-08-10

    Decreasing trends in measles mortality have been reported in recent years. However, such estimates of measles mortality have depended heavily on assumed regional measles case fatality risks (CFRs) and made little use of mortality data from low- and middle-income countries in general and India, the country with the highest measles burden globally, in particular. We constructed a dynamic model of measles transmission in India with parameters that were empirically inferred using spectral analysis from a time series of measles mortality extracted from the Million Death Study, an ongoing longitudinal study recording deaths across 2.4 million Indian households and attributing causes of death using verbal autopsy. The model was then used to estimate the measles CFR, the number of measles deaths, and the impact of vaccination in 2000-2015 among under-five children in India and in the states of Bihar and Uttar Pradesh (UP), two states with large populations and the highest numbers of measles deaths in India. We obtained the following estimated CFRs among under-five children for the year 2005: 0.63% (95% confidence interval (CI): 0.40-1.00%) for India as a whole, 0.62% (0.38-1.00%) for Bihar, and 1.19% (0.80-1.75%) for UP. During 2000-2015, we estimated that 607,000 (95% CI: 383,000-958,000) under-five deaths attributed to measles occurred in India as a whole. If no routine vaccination or supplemental immunization activities had occurred from 2000 to 2015, an additional 1.6 (1.0-2.6) million deaths for under-five children would have occurred across India. We developed a data- and model-driven estimation of the historical measles dynamics, CFR, and vaccination impact in India, extracting the periodicity of epidemics using spectral and coherence analysis, which allowed us to infer key parameters driving measles transmission dynamics and mortality.

  8. FINANCIAL PERFORMANCE ANALYSIS BASED ON THE FINANCIAL STATEMENTS FOR THE COMPANIES LOCATED IN THE BIHOR - HAJDU BIHAR EUROREGION

    Directory of Open Access Journals (Sweden)

    Droj Laurentiu

    2012-12-01

    Full Text Available This paper will be later used within the Doctoral thesis: “The Mechanism of Financing Investment Projects by Usage of European Structural Funds”, which is currently under development at the University Babeș Bolyai Cluj Napoca, Faculty of Economics and Business Management, under the coordination of the prof. univ. dr. Ioan Trenca. This paper comes also as a result of the European Funded project PERINPRO “Cross-Border Research Programme - Performance Indicators of the Economic Entities from Bihor-Hajdu Bihar Euroregion”. The goal of the project was to identify of a set of common indicators that characterizes companies in the Bihor-Hajdu Bihar Euroregion and which will be used to analyze the financial health of the economic entities in the Euroregion of Hajdu-Bihar- Bihor. The first chapter of the paper will introduce the research and also will present the literature review and the methodological framework: by establishing a common set of indicators for the financial analysis of the companies located in the Bihor-Hajdu Bihar Euroregion. Seven of these indicators considered to be highly important will also briefly described and defined. Some of these indicators are used for the first time in a trans-national analysis over companies located in the Romanian-Hungarian cross border area. In the second chapter the research will be focused over establishing a common ground for usage of the financial reporting documents as basis for the analysis. Several characteristics which differentiate the financial reporting documents from Romania and Hungary will be identified and measures for correction of the values of the indicators will be proposed. This comparative study can be considered an innovation, as well, in the cross-border area since in the past no other studies of this types were performed between Romania and Hungary. The third chapter will be focused over the application of seven identified common indicators to companies based

  9. Prevalence of irregular red cell antibody in healthy blood donors attending a tertiary care hospital in North India.

    Science.gov (United States)

    Makroo, Raj Nath; Rajput, Saroj; Agarwal, Soma; Chowdhry, Mohit; Prakash, Bindu; Karna, Prashant

    2018-01-01

    Alloantibodies may be detected in blood donors who have either been transfused previously or female donors with previous obstetric events. These antibodies can occasionally cause severe transfusion reaction, if a large amount of plasma or whole blood is transfused, as in massive transfusions and pediatric patients. The present study aims to assess the prevalence of red cell antibodies in healthy blood donors at a tertiary care hospital-based blood bank in India. A total of 82,153 donor samples were screened for irregular red cell antibodies between January 2012 and December 2015 at the Department of Transfusion Medicine, Indraprastha Apollo Hospitals, New Delhi. Antibody screening was performed by solid phase method using Immucor Capture-R ready screen (pooled cells) on fully automated immunohematology analyzer Galileo Neo (Immucor Inc., Norcross, GA, USA). Positive tests were further confirmed using Capture-R ready screen (4 cell panel). Advanced investigations to identify the antibody/ies were performed on confirmed positive samples. Antibody identification was conducted using various cell panels (Immucor Capture-R Ready-ID, Panocell-10, Ficin Treated). An advanced technique such as adsorption and elution was performed as per requirement. Screening with pooled cells and 4 cell panel was positive in 227 donors (0.27%), 150 of these donors had autoantibodies, 1 had autoantibodies with underlying alloantibody anti-Jk a (0.001%), and 76 had alloantibodies (0.09%) alone in their plasma. Anti-M was the most common antibody (43 donors) identified, followed by anti-D (21 donors). Anti-N was detected in 4; anti-Jk a , anti-C, and anti-E in two donors each followed by anti-P1 and anti-Le b in 1 donor. Antibodies against red cells can be present in healthy donors detection of which is important in providing safe blood to the patient. The prevalence of red blood cell antibody in healthy donors in this study was found to be 0.27%, while the prevalence of alloantibodies was 0

  10. Spatial and seasonal variations of atmospheric particulate carbon fractions and identification of secondary sources at urban sites in North India.

    Science.gov (United States)

    Behera, Sailesh N; Sharma, Mukesh

    2015-09-01

    An intensive measurement campaign was undertaken to characterize eight fractions of organic carbon (OC) and elemental carbon (EC) in particulate matter (PM) at four urban sites with different pollution characteristics during summer, post-monsoon, and winter at Kanpur, India. Speciation samplers were used to collect particulate samples on quartz filters followed by analysis of OC and EC using Interagency Monitoring of Protected Visual Environments (IMPROVE)-based thermal/optical reflectance (TOR) method. Based on 24-h average results at each site, the highest levels of OC and EC were observed during winter as 96.7 ± 26.9 and 31.8 ± 9.8 μg/m(3) at residential site and traffic site, respectively. The levels of OC at residential sites during winter appeared to be more than twice of that during summer. The site close to the road traffic had the least value of OC/EC, as 1.77 ± 0.28 during post-monsoon, and the site influenced by emissions of domestic cooking and heating had the highest value of OC/EC, as 4.05 ± 0.79 during winter. The average abundances of OC1, OC2, OC3, OC4, OP, EC1, EC2, and EC3 in total carbon (TC) at all sites for three seasons were 10.03, 19.04, 20.03, 12.32, 10.53, 33.39, 3.21, and 1.99 %, respectively. A sharp increase in levels of OC1 and EC1-OP during winter at two residential sites revealed that biomass burning could be a significant contributor to carbonaceous aerosols. From the application of EC-tracer method, it was observed that contribution of secondary organic carbon (SOC) to PM mass increased from 5 % during post-monsoon to 16 % during winter at residential sites and from 2 % during post-monsoon to 7 % during winter at traffic sites. Therefore, it could be inferred that increase in primary emissions coupled with unfavorable meteorological conditions could cause particle agglomeration and hygroscopic growth, leading to unpleasant pollution episode during winter.

  11. Study of single nucleotide polymorphisms of tumour necrosis factors and HSP genes in nasopharyngeal carcinoma in North East India.

    Science.gov (United States)

    Lakhanpal, Meena; Singh, Laishram Chandreshwor; Rahman, Tashnin; Sharma, Jagnnath; Singh, M Madhumangal; Kataki, Amal Chandra; Verma, Saurabh; Pandrangi, Santhi Latha; Singh, Y Mohan; Wajid, Saima; Kapur, Sujala; Saxena, Sunita

    2016-01-01

    Nasopharyngeal carcinoma (NPC) is an epithelial tumour with a distinctive racial and geographical distribution. High incidence of NPC has been reported from China, Southeast Asia, and northeast (NE) region of India. The immune mechanism plays incredibly role in pathogenesis of NPC. Tumour necrosis factors (TNFs) and heat shock protein 70 (HSP 70) constitute significant components of innate as well as adaptive host immunity. Multi-analytical approaches including logistic regression (LR), classification and regression tree (CART) and multifactor dimensionality reduction (MDR) were applied in 120 NPC cases and 100 controls to explore high order interactions among TNF-α (-308 G>A), TNF β (+252 A>G), HSP 70-1 (+190 G>C), HSP 70-hom (+2437 T>C) genes and environmental risk factors. TNF β was identified as the primary etiological factor by all three analytical approaches. Individual analysis of results showed protective effect of TNF β GG genotype (adjusted odds ratio (OR2) = 0.27, 95 % CI = 0.125-0.611, P = 0.001), HSP 70 (+2437) CC genotype (OR2 = 0.17, 95 % CI = 0.0430.69, P = 0.013), while AG genotype of TNF β was found significantly associated with risk of NPC (OR2 = 1.97, 95 % CI = 1.019-3.83, P = 0.04). Analysis of environmental factors demonstrated association of alcohol consumption, living in mud houses and use of firewood for cooking as major risk factors for NPC. Individual haplotype association analysis showed significant risk associated with GTGA haplotype (OR = 68.61, 95 % CI = 2.47-190.37, P = 0.013) while a protective effect with CCAA and GCGA haplotypes (OR = 0.19, 95 % CI = 0.05-0.75, P = 0.019; OR = 0.01 95 % CI = 0.05-0.30, P = 0.007). The multi-analytical approaches applied in this study helped in identification of distinct gene-gene and gene-environment interactions significant in risk assessment of NPC.

  12. Landforms along transverse faults parallel to axial zone of folded mountain front, north-eastern Kumaun Sub-Himalaya, India

    Science.gov (United States)

    Luirei, Khayingshing; Bhakuni, S. S.; Negi, Sanjay S.

    2017-02-01

    The shape of the frontal part of the Himalaya around the north-eastern corner of the Kumaun Sub-Himalaya, along the Kali River valley, is defined by folded hanging wall rocks of the Himalayan Frontal Thrust (HFT). Two parallel faults (Kalaunia and Tanakpur faults) trace along the axial zone of the folded HFT. Between these faults, the hinge zone of this transverse fold is relatively straight and along these faults, the beds abruptly change their attitudes and their widths are tectonically attenuated across two hinge lines of fold. The area is constituted of various surfaces of coalescing fans and terraces. Fans comprise predominantly of sandstone clasts laid down by the steep-gradient streams originating from the Siwalik range. The alluvial fans are characterised by compound and superimposed fans with high relief, which are generated by the tectonic activities associated with the thrusting along the HFT. The truncated fan along the HFT has formed a 100 m high-escarpment running E-W for ˜5 km. Quaternary terrace deposits suggest two phases of tectonic uplift in the basal part of the hanging wall block of the HFT dipping towards the north. The first phase is represented by tilting of the terrace sediments by ˜30 ∘ towards the NW; while the second phase is evident from deformed structures in the terrace deposit comprising mainly of reverse faults, fault propagation folds, convolute laminations, flower structures and back thrust faults. The second phase produced ˜1.0 m offset of stratification of the terrace along a thrust fault. Tectonic escarpments are recognised across the splay thrust near south of the HFT trace. The south facing hill slopes exhibit numerous landslides along active channels incising the hanging wall rocks of the HFT. The study area shows weak seismicity. The major Moradabad Fault crosses near the study area. This transverse fault may have suppressed the seismicity in the Tanakpur area, and the movement along the Moradabad and Kasganj

  13. African catfish Clarias gariepinus farming practices in North and South 24 Parganas districts of West Bengal, India

    Directory of Open Access Journals (Sweden)

    Thangapalam Jawahar Abraham

    2018-04-01

    Full Text Available Clarias gariepinus is widely cultured due to its tolerance to environmental extremes, high production and good feed conversion rate. This communication describes the farming practices of C. gariepinus in North and South 24 Parganas districts of West Bengal. Clarias gariepinus is cultured in ponds of 0.1–0.75 ha, where fingerlings were stocked at a density of 860–1150 cubic meter–1. The current practices of seed transportation were stressful to fish as the majority of the farmers noticed 5–10% mortalities, despite the use of antibiotics. Acclimatization of seeds was practiced by the majority of farmers before stocking. Different feeds including slaughter-house wastes and dead poultry were supplied. Multiple stocking and harvesting were a common practice. Major problems identified were insufficient feed, disease, transport, poor seed quality and lack of financial support. The survival percentage was poor, as 88% of the farmers recorded <40–50% survival at harvest. Dropsy was the most common disease and had a significant impact on economy. Antibiotics or other aquadrugs were frequently used for treatment, although the success varied. In general, the C. gariepinus farming has helped to recycle the wastes generated in and around metropolitan Kolkata and adjacent municipalities into wealth, but it suffers from management issues and huge economic losses. This calls for immediate attention from researchers, administrators and extension personals.

  14. Food-safety hazards in the pork chain in Nagaland, North East India: implications for human health.

    Science.gov (United States)

    Fahrion, Anna Sophie; Jamir, Lanu; Richa, Kenivole; Begum, Sonuwara; Rutsa, Vilatuo; Ao, Simon; Padmakumar, Varijaksha P; Deka, Ram Pratim; Grace, Delia

    2013-12-24

    Pork occupies an important place in the diet of the population of Nagaland, one of the North East Indian states. We carried out a pilot study along the pork meat production chain, from live animal to end consumer. The goal was to obtain information about the presence of selected food borne hazards in pork in order to assess the risk deriving from these hazards to the health of the local consumers and make recommendations for improving food safety. A secondary objective was to evaluate the utility of risk-based approaches to food safety in an informal food system. We investigated samples from pigs and pork sourced at slaughter in urban and rural environments, and at retail, to assess a selection of food-borne hazards. In addition, consumer exposure was characterized using information about hygiene and practices related to handling and preparing pork. A qualitative hazard characterization, exposure assessment and hazard characterization for three representative hazards or hazard proxies, namely Enterobacteriaceae, T. solium cysticercosis and antibiotic residues, is presented. Several important potential food-borne pathogens are reported for the first time including Listeria spp. and Brucella suis. This descriptive pilot study is the first risk-based assessment of food safety in Nagaland. We also characterise possible interventions to be addressed by policy makers, and supply data to inform future risk assessments.

  15. Nutritional Assessment of Patients with Head and Neck Cancer in North-East India and Dietary Intervention.

    Science.gov (United States)

    Bhattacharjee, Abhinandan; Bahar, Iqbal; Saikia, Abijit

    2015-01-01

    Head and neck cancer (HNCA) patients have poor nutritional status which clearly bears a negative prognosis in cancer. There is no study and consensus on nutritional assessment tools and diet structure for such patients. This study intends to determine the prevalence of malnutrition and formulate a diet chart keeping in view the general food habit and economic condition of HNCA patients of North East (NE) region. To find out an affordable dietary intervention for HNCA patients based on dietary principles. To assess the role of nutritional assessment tools in these group of patients. This is a 1-year prospective interventional study on HNCA patients attending the Dept of ENT of a teaching hospital. The outcome of the nutritional intervention using a specific diet were assessed using clinical, laboratory and anthropomorphic assessment tools and indices like Prognostic Nutritional Index (PNI) and Nutritional Assessment Index (NAI). The study diet provided appropriate amounts of nutrients to HNCA patients as evident from improvements in anthropomorphic parameters and nutritional indices. Clinically, Hemoglobin percentage (Hb%), Body Mass Index (BMI), Mid Arm Circumference (MAC) and triceps skin fold thickness (TST) were found to be reliable malnutrition markers. Nutritional Assessment Index has been found to be the best index to evaluate malnutrition. The daily requirement of nutrients for HNCA patients can be satisfactorily met by adopting specific diet chart presented in our study. As no structured diet plan are available in literature, our diet chart can act as a template diet appropriate for HNCA patients of this region.

  16. Food-Safety Hazards in the Pork Chain in Nagaland, North East India: Implications for Human Health

    Directory of Open Access Journals (Sweden)

    Anna Sophie Fahrion

    2013-12-01

    Full Text Available Pork occupies an important place in the diet of the population of Nagaland, one of the North East Indian states. We carried out a pilot study along the pork meat production chain, from live animal to end consumer. The goal was to obtain information about the presence of selected food borne hazards in pork in order to assess the risk deriving from these hazards to the health of the local consumers and make recommendations for improving food safety. A secondary objective was to evaluate the utility of risk-based approaches to food safety in an informal food system. We investigated samples from pigs and pork sourced at slaughter in urban and rural environments, and at retail, to assess a selection of food-borne hazards. In addition, consumer exposure was characterized using information about hygiene and practices related to handling and preparing pork. A qualitative hazard characterization, exposure assessment and hazard characterization for three representative hazards or hazard proxies, namely Enterobacteriaceae, T. solium cysticercosis and antibiotic residues, is presented. Several important potential food-borne pathogens are reported for the first time including Listeria spp. and Brucella suis. This descriptive pilot study is the first risk-based assessment of food safety in Nagaland. We also characterise possible interventions to be addressed by policy makers, and supply data to inform future risk assessments.

  17. Presentation of missed childhood Kawasaki disease in adults: Experience from a tertiary care center in north India.

    Science.gov (United States)

    Vijayvergiya, Rajesh; Bhattad, Sagar; Varma, Subhash; Singhal, Manphool; Gordon, John; Singh, Surjit

    2017-08-01

    Kawasaki disease (KD) is the most common cause of acquired heart disease in children in Japan, North America and Europe. Undiagnosed and untreated KD can have clinically significant consequences later in life. The clinical spectrum of missed childhood KD is frequently being recognized during adulthood. We report four adult cases of acute coronary events, in which coronary angiography was suggestive of sequelae of KD. Four adults who presented with acute coronary events, had coronary angiography for evaluation. Indoor-admission files were analyzed for the clinical details of individual cases. Two cases were below 40 years of age. None of the patients had any known conventional risk factors for atherosclerosis. Case 4 had a clinical history of childhood KD. Coronary angiography revealed ectasia of multiple coronary arteries and stenosis in distal segments in the first three cases and large thrombosed aneurysm with calcified walls in the fourth case. We hereby report four adult cases with acute coronary events, who had markedly dilated coronary artery segments suggestive of possible sequelae of childhood KD. © 2017 Asia Pacific League of Associations for Rheumatology and John Wiley & Sons Australia, Ltd.

  18. Observation on dengue cases from a virus diagnostic laboratory of a tertiary care hospital in North India.

    Science.gov (United States)

    Prakash, Om; Singh, Desh Deepak; Mishra, Geetika; Prakash, Shantanu; Singh, Arvind; Gupta, Shikha; Singh, Jasmeet; Khan, Danish Nasar; Jain, Parul; Vishal, Anamika; Pandey, Manoj Kumar; Jain, Amita

    2015-12-01

    The epidemiology of dengue fever (DF) is complex in the Indian subcontinent as all the four serotypes are circulating. This study reports observations on dengue cases from a virus diagnostic laboratory of a north Indian tertiary care hospital catering to areas in and around Lucknow, Uttar Pradesh. Serum samples were obtained from suspected cases of dengue referred to the virus diagnostic laboratory during 2011 to 2013, and detailed history was taken on a pre-structured datasheet. All samples were tested for anti-dengue virus (DV) IgM antibodies and DV-non structural protein 1 antigen (NS1Ag) by ELISA. NS1Ag positive samples were tested further by conventional RT-PCR for DV-RNA detection and serotyping. Of the 4019 suspected patients of dengue, 886 (22%) showed laboratory evidence of dengue virus infection. Of these, 19, 17 and 27 per cent were positive in 2011, 2012 and 2013, respectively. Children and adults were similarly affected by dengue in all the three years. Males were more commonly affected than females. The predominant DV serotype detected was DV-2, DV-1 and DV-3 in 2011, 2012 and 2013, respectively. DV-4 serotype was not detected. About half the cases positive for DV infection, showed symptoms of dengue with warning signs/ severe dengue. A distinct seasonality with increase in number of dengue cases in the post monsoon period was seen. Change in circulating serotype of dengue virus; a distinct adult dengue involvement; and a remarkable number of cases presenting with severe dengue manifestations are the main findings of this study.

  19. A study on genetic variants of Fibroblast growth factor receptor 2 (FGFR2 and the risk of breast cancer from North India.

    Directory of Open Access Journals (Sweden)

    Sarah Siddiqui

    associated with a significantly increased risk compared to the common (ACA haplotype (OR = 1.365, 95% CI = 1.086-1.717, P = 0.008. Our results suggest that intron 2 SNPs of FGFR2 may contribute to genetic susceptibility of breast cancer in North India population.

  20. Chemical composition and antimicrobial activity of the essential oil of Ocimum basilicum L. (sweet basil) from Western Ghats of North West Karnataka, India.

    Science.gov (United States)

    Joshi, Rajesh K

    2014-01-01

    Ocimum basilicum L. (Lamiaceae) commonly known as sweet basil, has been used as a traditional medicinal plant for the treatment of headaches, coughs, diarrhea, constipation, warts, worms, and kidney malfunctions. The essential oil of the flowering aerial parts of O. basilicum growing in the Western Ghats region of North West Karnataka, India, was obtained by hydro-distillation and analyzed by gas chromatography equipped with flame ionization detector and gas chromatography coupled to mass spectrometry (GC-MS). The oil was tested against six Gram-positive, eight Gram-negative bacteria, and three fungi by the tube-dilution method at a concentration range of 5.00-0.009 mg/mL. Twenty-five constituents were identified in the essential oil of O. basilicum. The major constituents were identified as methyl eugenol (39.3%) and methyl chavicol (38.3%), accounting for 98.6% of the total oil. The oil was found to be active against Gram-positive, Gram-negative bacteria, and fungi with minimal bactericidal concentration values in the range of 0.143 ± 0.031 to 0.572 ± 0.127 mg/mL, 0.781 ± 0.382 to 1.875 ± 0.684 mg/mL, and 0.312 ± 0.171 to 0.442 ± 0.207 mg/mL, respectively. The essential oil of O. basilicum of this region contains methyl eugenol/methyl chavicol chemotype and has bactericidal properties.

  1. Using clinical audit to improve the quality of obstetric care at the Tibetan Delek Hospital in North India: a longitudinal study

    Directory of Open Access Journals (Sweden)

    Sevar Katherine

    2006-06-01

    Full Text Available Abstract Background The Tibetan Delek Hospital is a small general hospital providing primary and secondary care for the Tibetan refugee community and the local Indian population in Dharamsala, Himachal Pradesh, North India. In a baseline clinical audit of intrapartum care at the Tibetan Delek Hospital in 1996, high levels of postpartum haemorrhage associated with poor medical management of the third stage of labour, plus inappropriate transfer of women in labour were observed. These audit findings prompted the implementation of changes in the delivery of intrapartum care and follow-up audit cycles to monitor the ongoing effect of these changes. Methods The delivery of intrapartum care was modified in two ways. Firstly, nurses, midwives, and doctors were re-trained in the active management of the third stage of labour, which involved the administration of intramuscular syntocinon plus ergometrine with delivery of the anterior shoulder. Secondly partograms were introduced to help rationalise the management of labour, and in particular decisions about when to transfer women in labour. Follow up audits were conducted in 1997, 1998, and 2003 to quantify the effects of these changes. The key measures for improvement included the documented incidence of postpartum haemorrhage and the number of women transferred inappropriately for failure to progress in labour. Results A sustained reduction of approximately 50% in the incidence of postpartum haemorrhage was observed after the introduction of active management of the third stage of labour. The introduction of the routine use of partograms was associated with a more rational decision-making process regarding transfer during labour. Conclusion Introducing and maintaining a clinical audit cycle can lead to improvements in the quality of obstetric care in a refugee population.

  2. Adverse respiratory health and hematological alterations among agricultural workers occupationally exposed to organophosphate pesticides: a cross-sectional study in North India.

    Directory of Open Access Journals (Sweden)

    Mohd Fareed

    Full Text Available BACKGROUND: Non-protective work practices followed by farm workers during spraying of pesticides lead to occupational exposure among them. OBJECTIVE: This study is designed to explore the respiratory health and hematological profile of agricultural workers occupationally exposed to OP pesticides. MATERIALS AND METHODS: A cross sectional study was undertaken among 166 pesticide sprayers working in mango orchards of Lucknow district in North India compared with 77 controls to assess the respiratory illness, lung functions, cholinesterase levels and hematological profile. A questionnaire based survey and clinical examination for respiratory health were conducted among study subjects. Lung function test was conducted among study subjects by using spirometer. Cholinesterase level as biomarker of OP pesticides and hematological profile of study subjects were investigated in the laboratory by following the standard protocols. RESULTS: Overall respiratory morbidity observed among exposed subjects was 36.75%. Symptoms for respiratory illness like dry cough, productive cough, wheezing, irritation of throat and blood stained sputum were found to be significantly more (p<0.05 among pesticide sprayers than controls. Lung function parameters viz. PEFR, FEV1, %PEFR predicted, %FEV1 predicted and FEV1/FVC were found to be significantly decreased (p<0.05 among pesticide sprayers as compared to controls. Exposure wise distribution of respiratory illness and lung functions among pesticide sprayers show that the exposure duration significantly elevates (p<0.05 the respiratory problems and significantly decreases (p<0.001 lung functions among pesticide sprayers. Activities of acetylcholinesterase and butyrylcholinesterase were found to be significantly depleted (p<0.001 among pesticide sprayers as compared to controls which show the exposure of OP pesticides among them. The hematological profile viz. RBC, WBC, monocytes, neutrophils, MCV, MCH, MCHC and platelet

  3. The Association of Knowledge and Behaviours Related to Salt with 24-h Urinary Salt Excretion in a Population from North and South India

    Science.gov (United States)

    Johnson, Claire; Mohan, Sailesh; Rogers, Kris; Shivashankar, Roopa; Thout, Sudhir Raj; Gupta, Priti; He, Feng J.; MacGregor, Graham A.; Webster, Jacqui; Krishnan, Anand; Maulik, Pallab K.; Reddy, K. Srinath; Prabhakaran, Dorairaj; Neal, Bruce

    2017-01-01

    Consumer knowledge is understood to play a role in managing risk factors associated with cardiovascular disease and may be influenced by level of education. The association between population knowledge, behaviours and actual salt consumption was explored overall, and for more-educated compared to less-educated individuals. A cross-sectional survey was done in an age-and sex-stratified random sample of 1395 participants from urban and rural areas of North and South India. A single 24-h urine sample, participants’ physical measurements and questionnaire data were collected. The mean age of participants was 40 years, 47% were women and mean 24-h urinary salt excretion was 9.27 (8.87–9.69) g/day. Many participants reported favourable knowledge and behaviours to minimise risks related to salt. Several of these behaviours were associated with reduced salt intake—less use of salt while cooking, avoidance of snacks, namkeens, and avoidance of pickles (all p salt intake was comparable in more-educated (9.21, 8.55–9.87 g/day) versus less-educated (9.34, 8.57–10.12 g/day) individuals (p = 0.82). There was no substantively different pattern of knowledge and behaviours between more-versus less-educated groups and no clear evidence that level of education influenced salt intake. Several consumer behaviours related to use of salt during food preparation and consumption of salty products were related to actual salt consumption and therefore appear to offer an opportunity for intervention. These would be a reasonable focus for a government-led education campaign targeting salt. PMID:28212309

  4. The Association of Knowledge and Behaviours Related to Salt with 24-h Urinary Salt Excretion in a Population from North and South India.

    Science.gov (United States)

    Johnson, Claire; Mohan, Sailesh; Rogers, Kris; Shivashankar, Roopa; Thout, Sudhir Raj; Gupta, Priti; He, Feng J; MacGregor, Graham A; Webster, Jacqui; Krishnan, Anand; Maulik, Pallab K; Reddy, K Srinath; Prabhakaran, Dorairaj; Neal, Bruce

    2017-02-16

    Consumer knowledge is understood to play a role in managing risk factors associated with cardiovascular disease and may be influenced by level of education. The association between population knowledge, behaviours and actual salt consumption was explored overall, and for more-educated compared to less-educated individuals. A cross-sectional survey was done in an age-and sex-stratified random sample of 1395 participants from urban and rural areas of North and South India. A single 24-h urine sample, participants' physical measurements and questionnaire data were collected. The mean age of participants was 40 years, 47% were women and mean 24-h urinary salt excretion was 9.27 (8.87-9.69) g/day. Many participants reported favourable knowledge and behaviours to minimise risks related to salt. Several of these behaviours were associated with reduced salt intake-less use of salt while cooking, avoidance of snacks, namkeens, and avoidance of pickles (all p < 0.003). Mean salt intake was comparable in more-educated (9.21, 8.55-9.87 g/day) versus less-educated (9.34, 8.57-10.12 g/day) individuals ( p = 0.82). There was no substantively different pattern of knowledge and behaviours between more-versus less-educated groups and no clear evidence that level of education influenced salt intake. Several consumer behaviours related to use of salt during food preparation and consumption of salty products were related to actual salt consumption and therefore appear to offer an opportunity for intervention. These would be a reasonable focus for a government-led education campaign targeting salt.

  5. Prospective study estimating healthcare associated infections in a paediatric hemato-oncology unit of a tertiary care hospital in North India.

    Science.gov (United States)

    Gupta, Ayush; Kapil, Arti; Kabra, S K; Lodha, Rakesh; Sood, Seema; Dhawan, Benu; Das, Bimal K; Sreenivas, V

    2013-12-01

    Healthcare associated infections (HAIs) are responsible for morbidity and mortality among immunocompromised and critically ill patients. We undertook this study to estimate the burden of HAIs in the paediatric cancer patients in a tertiary care hospital in north India. This prospective, observational study, based on active surveillance for a period of 11 months was undertaken in a 4-bedded isolated, cubicle for paediatric cancer patients. Patients who stayed in the cubicle for ≥48 h, were followed prospectively for the development of HAIs. Of the 138 patients, 13 developed 14 episodes of HAIs during the study period. Patient-days calculated were 1273 days. Crude infection rate (CIR) and incidence density (ID) of all HAIs were 9.4/100 patients and 11/1000 patient-days, respectively. Of the 14 episodes of HAIs, seven (50%) were of blood stream infections (HA-BSI), five (36%) of pneumonia (HAP) and two (14%) urinary tract infections (HA-UTI). The CIRs of HA-BSI, HAP and HA-UTI were 5.1, 3.6 and 1.4/100 patients, respectively. The corresponding IDs were 5.5, 3.9 and 1.6/1000 patient-days, respectively. Mean length of stay was significantly higher in patients who developed an HAI [13.8 (range 7-30), median (Interquartile range) 12 (11-14)] vs 7.5 days [range 2-28, median (interquartile range) 7 (5-9); Pcancer patients in the study was 11/1000 patient days, of which HA-BSIs were the commonest. HAIs were associated with an increase in morbidity and mortality amongst this high risk patient population.

  6. Alarmingly high prevalence of hypertension and pre-hypertension in North India-results from a large cross-sectional STEPS survey.

    Directory of Open Access Journals (Sweden)

    Jaya Prasad Tripathy

    Full Text Available The study was primarily aimed at estimating the prevalence of hypertension and pre-hypertension and the risk factors of hypertension in the North Indian state of Punjab. It also aimed at assessing the magnitude of undiagnosed cases of hypertension in the community and ascertaining the blood pressure control status of those on treatment.A non-communicable disease risk factor survey (based on WHO-STEPS approach was done in the state of Punjab, India in a multistage stratified sample of 5127 individuals. The study subjects were administered the WHO STEPS-questionnaire and also underwent anthropometric and blood pressure measurements.Overall prevalence of HTN among the study participants was found out to be 40.1% (95% CI: 38.8-41.5% whereas prevalence of pre-hypertension, isolated diastolic and isolated systolic hypertension were 40.8% (39.5-42.2%, 9.2% (8.4-10.0% and 6.5% (5.9-7.2% respectively. Age group (45-69 years, male gender, social group, marital status, alcohol use, obesity and salt intake (> = 5 gms/day were the risk factors significantly associated with HTN. Among all persons with HTN, only 30.1% were known case of HTN or on treatment, among whom nearly 61% had controlled blood pressure. Patients with uncontrolled BP were more frequently male, obese patients, with sedentary life