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  1. Clinical Spectrum, Risk Factors, and Behavioral Abnormalities among Dementia Subtypes in a North Indian Population: A Hospital-Based Study

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    Suman Kushwaha

    2017-07-01

    Full Text Available Background: As variability in the clinical profile of dementia subtypes had been reported with regional differences across the world, we conducted a retrospective hospital-based study in a North Indian population. Methods: We retrieved patient records from 2007 to 2014 for details of clinical evaluation, diagnosis, neuroimaging, biochemical investigations, and follow-up of 1,876 patients with dementia (PwD, and the data were analyzed using descriptive statistics. Results: Of the total PwD, Alzheimer disease (AD accounted for 30% followed by vascular dementia (VaD 26%, mixed dementia (MD 21%, Parkinson-related dementia 11%, frontotemporal dementia (FTD 7%, and infective dementia 5%. Of all PwD excluding the infective group (n = 1,777, 63% were men, 39% were from rural areas, 87% had behavioral abnormalities along with cognitive deficits, and 73% had impaired ADLs. Among dementia subtypes, a positive family history, cardiovascular and metabolic risk factors, and behavioral abnormalities were found to be distributed. However, there existed a predominance of specific behavioral pattern in each subtype. The mean duration of follow-up varied from 2.9 ± 2.3 (VaD to 3.6 ± 2.1 (AD and greater than 30% were found to be stable on treatment (except in dementia with Lewy body. Conclusions: This large hospital-based study provides a distribution pattern and clinical spectrum of dementia subtypes in a North Indian population.

  2. North Indian Classical Vocal Music for the Classroom

    Science.gov (United States)

    Arya, Divya D.

    2015-01-01

    This article offers information that will allow music educators to incorporate North Indian classical vocal music into a multicultural music education curriculum. Obstacles to teaching North Indian classical vocal music are acknowledged, including lack of familiarity with the cultural/structural elements and challenges in teaching ear training and…

  3. Coastal biogeochemical processes in the north Indian Ocean (14, S-W)

    Digital Repository Service at National Institute of Oceanography (India)

    Naqvi, S.W.A.; Narvekar, P.V.; Desa, E.

    of the region are also shown with the numbers denoting the annual runoff in 10" m3. Due to the proximity to landmasses, the North Indian Ocean is probably af- fected by processes originating at the land-ocean boundary more than any other region. Lndeed... IN TIiE NORTH INDIAN OCEAN tion of contributions by the Indian oceanographic community, most of this infor- mation has been generated by scientists from countries outside this region under international efforts that started with the John Murray...

  4. Arnett′s soft-tissue cephalometric analysis norms for the North Indian population: A cephalometric study

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    Tripti Tikku

    2014-01-01

    Conclusion: Statistically significant differences in certain parameters were found between North Indian population and Caucasian population and also between males and females of North Indian population.

  5. Rocky mountain spotted fever hospitalizations among American Indians.

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    Demma, Linda J; Holman, Robert C; Mikosz, Christina A; Curns, Aaron T; Swerdlow, David L; Paisano, Edna L; Cheek, James E

    2006-09-01

    To describe the epidemiology of Rocky Mountain spotted fever (RMSF) among American Indians/Alaska Natives (AI/ANs), we conducted a retrospective analysis of hospitalization records with an RMSF diagnosis using Indian Health Service (IHS) hospital discharge data for calendar years 1980-2003. A total of 261 RMSF hospitalizations were reported among AIs, for an average annual hospitalization rate of 1.21 per 100,000 persons; two deaths were reported (0.8%). Most hospitalizations (88.5%) occurred in the Southern Plains region, where the rate was 4.23 per 100,000 persons. Children 1-4 years of age had the highest age-specific hospitalization rate of 2.50 per 100,000 persons. The overall annual RMSF hospitalization rate declined during the study period. Understanding the epidemiology of RMSF among AI/ANs and educating IHS/tribal physicians on the diagnosis of tick-borne diseases remain important for the prompt treatment of RMSF and the reduction of the disease occurrence among AI/ANs, particularly in high-risk areas.

  6. Cephalometric norms for the upper airway in a healthy North Indian population

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    Dipti Shastri

    2015-01-01

    Full Text Available Objective: The aim was to obtain normative data for cephalometric measurements of the upper airway in the North Indian population. Design: Observational study. Setting: University department and teaching hospital out-patient clinic. Subjects and Methods: A total of 180 healthy patients were included out of which 90 were males (age range, 8-16 years, and 90 were females (age range, 8-16 years, with normal skeletal facial profile, no history of snoring, sleep apnea, upper airway disease, tonsillectomy or adenoidectomy, obesity, or pathology in the pharynx. Twenty cephalometric airway measurements, including size of the tongue, soft palate, nasopharynx, oropharynx, hypopharynx, and relative position of the hyoid bone and valleculae were obtained. Landmarks on cephalometric radiographs were digitized and measurements were made using a specially designed computer program. Error analysis of measurements was performed and comparison of measurements according to sex was made. Results: Significant sex dimorphism was seen for the majority of measurements, with the exception of minimal depth of the airway, oropharyngeal depth of the airway, and the soft palate angle with the hard palate. Conclusion: A minimum sagittal dimension of the upper airway was evident despite differences in measurements between sexes. Findings from this study should be a useful reference for the assessment of sleep apnea in the North Indian population.

  7. Motivations of North American Indians in Athletic Games.

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    Pesavento, Wilma J.

    This is a report on the motives of North American Indians in holding their athletic games. Data were researched from "Annual Reports of the Bureau of American Ethnology" published between 1881 and 1933. Anthropologists, artifact collectors, artist-writers, and historians provided primary evidential sources for athletic game motivation.…

  8. Healing the Empire: Indian Hospitals in Britain and France during the First World War.

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    Jarboe, Andrew Tait

    2015-01-01

    Desperate for soldiers to stem the German onrush in late 1914, the British deployed some 135,000 Indian riflemen--known as sepoys--to the trenches of France and Belgium. Between October 1914 and December 1915, these soldiers fought at the battles of Ypres, Festubert, Givenchy, Neuve Chapelle, Second Ypres, and Loos, suffering some 34,252 casualties. This article looks to the experiences of these men at segregated hospitals in France and England from 1914 to 1915. These hospitals served many of the same dual purposes facilitated by hospitals for English soldiers: namely, they sustained the war-making capacity of the Indian battalions. The Indian hospitals also functioned as sites of propaganda, reaffirming the ideologies and racial hierarchies of imperial rule for audiences at home, abroad, and within the hospital wards. But as this article demonstrates, wounded Indian sepoys were rarely, if ever, mere pawns on the imperial chessboard. Hospital authorities were committed to two policies: returning sepoys to the front and protecting White prestige. Sepoys successfully resisted both. In so doing, Indian hospitals became what British hospital administrators hoped they would not: spaces where imperial subjects contested and even reshaped some of the policies and ideologies of imperial rule.

  9. Chemical oceanography of the Indian Ocean, North of the equator

    Digital Repository Service at National Institute of Oceanography (India)

    SenGupta, R.; Naqvi, S.W.A.

    Chemical oceanographic studies in the North Indian Ocean have revealed several interesting and unique features. Dissolved oxygen northern boundary, prevents quick renewal of subsurface reducing conditions prevail at intermediate depths (ca. 150...

  10. Distribution of Bowen ratio over the north Indian Ocean

    Digital Repository Service at National Institute of Oceanography (India)

    Rao, G.R.L.; Rao, M.V.; Prasad, P.H.; Reddy, K.G.

    The monthly averages of Bowen ratio over the north Indian Ocean have been computed Three typical situations in the months of January May and September are taken for the present study Month to month differences in the Bowen ratio over the study...

  11. Lip morphometry in 600 North Indian adults: a data base study for sexual dimorphism.

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    Goel, Archana; Patnaik, Vvg; Puri, Nidhi

    2015-01-01

    The study comprised lip morphometry of 600 North Indian adults (300 males and 300 females). The aim of the study was to create base data of various linear and vertical measurements of the upper and lower lips and width of the mouth. This standard may serve as a guideline for sexual dimorphism as well as for restoration or enhancement of esthetic and plastic surgery for the lips in the north Indian population, which will enable the surgeon to offer a better cosmetic result. Prior informed written consent from all the subjects was obtained. The exclusion and inclusion criteria for the subjects were predefined. The analysis shows the sexual dimorphism in most parameters of lips being greater in males. The results were compared with the available data for north white Americans, Malays, Malaysian Indians, Italians, western Indians and Caucasians. In the population under study, the measurements differ in all dimensions with Malays, Italians and Caucasians and show resemblance to the Malaysian Indians. Knowledge of the proportion between the upper and lower lips helps in surgical correction of the region. This study highlights the applied significance of observations of the present study to forensic, namely racial and sex dimorphic, criteria of identification. © The Author(s) 2014 Reprints and permissions: sagepub.co.uk/journalsPermissions.nav.

  12. Carbon dioxide and nitrous oxide in the North Indian Ocean

    Digital Repository Service at National Institute of Oceanography (India)

    DileepKumar, M.; Naqvi, S.W.A; Jayakumar, D.A; George, M.D.; Narvekar, P.V.; DeSousa, S

    The understanding of biogeochemical cycling of carbon dioxide and nitrous oxide in the oceans is essential for predicting the fate of anthropogenically emitted components. The North Indian Ocean, with its diverse regimes, provides us with a natural...

  13. Circulation of the surface waters in the north Indian Ocean

    Digital Repository Service at National Institute of Oceanography (India)

    Varadachari, V.V.R.; Sharma, G.S.

    The circulation pattern of the surface waters in the North Indian Ocean for different months of the year is discussed. In order to arrive at a reliable and detailed picture of the circulation pattern, streamlines are drawn using the isogon technique...

  14. Aldehyde dehydrogenase polymorphism in North American, South American, and Mexican Indian populations.

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    Goedde, H W; Agarwal, D P; Harada, S; Rothhammer, F; Whittaker, J O; Lisker, R

    1986-01-01

    While about 40% of the South American Indian populations (Atacameños, Mapuche, Shuara) were found to be deficient in aldehyde dehydrogenase isozyme I (ALDH2 or E2), preliminary investigations showed very low incidence of isozyme deficiency among North American natives (Sioux, Navajo) and Mexican Indians (mestizo). Possible implications of such trait differences on cross-cultural behavioral response to alcohol drinking are discussed. PMID:3953578

  15. The Development of Indian and Eskimo Art and Crafts in the Far North.

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    Phillips, R. A. J.; And Others

    The focus of the conference, "The Development of Indian and Eskimo Art and Crafts in the Far North," was the creation of a market for reputable Indian and Eskimo art work on an economically sound basis which would benefit both the native artists and the Canadian economy. Two governmental reports, "Northern Arts and Crafts" and…

  16. Association between methylenetetrahydrofolate reductase (MTHFR C677T gene polymorphism and risk of ischemic stroke in North Indian population: A hospital based case–control study

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    Amit Kumar

    2016-10-01

    Conclusion: Findings of the present study suggest that MTHFR C677T gene polymorphism might be a risk factor of IS mainly for SVD subtypes of IS in North Indian population. Further large prospective studies are required to confirm these findings.

  17. MEASURING INDIAN PATIENTS' SATISFACTION: A CASE OF PRIVATE HOSPITALS

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    S. Samar Ali; Faizan Ahmed

    2010-01-01

    Exposure to global markets and competitors has placed increasing demands on all sectors of the Indian market. Introducing consumer choice was one of the key motivations underpinning the various healthcare utility privatization of the Indian Hospitals in 1980s, along with enhancing the quality of service provided to consumers. Customer satisfaction is becoming increasingly important for organizational survival, let alone prosperity. This paper aims to study the effect of service facilities pro...

  18. Origins of wind-driven intraseasonal sea level variations in the North Indian Ocean coastal waveguide

    Digital Repository Service at National Institute of Oceanography (India)

    Suresh, I.; Vialard, J.; Lengaigne, M.; Han, W.; Mc; Durand, F.; Muraleedharan, P.M.

    version: Geophys. Res. Lett., vol.40(21); 2013; 5740-5744 Origins of wind-driven intraseasonal sea level variations in the North Indian Ocean coastal waveguide I. Suresh1, J. Vialard2, M. Lengaigne2, W. Han3, J. McCreary4, F. Durand5, P.M. Muraleedharan1... reversing winds. These wind variations drive seasonal equatorial Kelvin and Rossby wave responses. The seasonal equatorial Kelvin waves propagate into the North Indian Ocean (hereafter NIO) as coastal Kelvin waves [McCreary et al., 1993]. As a result...

  19. North-south diversity of Scolecithricidae species (Copepoda: Calanoida) in the Indian Ocean

    Digital Repository Service at National Institute of Oceanography (India)

    Gopalakrishnan, T.C.; Balachandran, T.

    The effectiveness of north-south hydrographical barriers in restricting the distributions of Scolecithricidae species (Copepoda:Calanoida) in the euphotic zone of the Indian Ocean was studied. Twenty seven species belonging to 7 genera were...

  20. DEPRESSION AND GUILT IN INDIAN AND NORTH AMERICAN PATIENTS: A COMPARATIVE STUDY

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    Ananth, Jambur; Engelsman, Frank; Ghadirian, A.M.; Wohl, Marcy; Shamasundara, Padmini; Narayanan, H.S.

    1993-01-01

    SUMMARY One hundred and nineteen Indian and one hundred and fourteen North American depressed patients were compared to assess the differences in psychopathology. The study revealed two important findings: 1) Indian patients scored significantly higher than American patients on the HAMD items of poor appetite, hypochondriasis, diurnal variation, and psychomotor retardation; and lower on the items of anxiety and middle insomnia. 2) Guilt was expressed less often by Indian patients. Guilt was more common among those who felt that God was responsible for their depression and in those who believed in reincarnation. These differences may be related to cultural factors and not to religious beliefs. PMID:21776166

  1. North American Indian rock art and hallucinogenic drugs.

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    Wellmann, K F

    1978-04-14

    It is proposed that the aboriginal rock paintings in two areas of North America may have been produced by shamans while they were under the influence of hallucinogenic agents derived from plants. The first of these areas is the Chumash and Yokuts Indian region of California, where polychrome paintings show designs similar to those visualized during the trance induced by decoctions of jimsonweed (Datura species). The second area is the lower Pecos River region of Texas, where shamanistic figures display traits considered to be conceptual analogues of the mescal bean (Sophora secundiflora) cult as practiced during historic times by Great Plains Indians. Although the evidence is only circumstantial, the proposed connections between these rock drawings and mind-expanding pharmacologic compounds fit well into the documented relationship that encompasses hallucinogenic drugs and certain movable objects of pre-Columbian American art.

  2. Role of North Indian Ocean Air-Sea Interaction in Summer Monsoon Intraseasonal Oscillation

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    Zhang, L.; Han, W.; Li, Y.

    2017-12-01

    Air-sea coupling processes over the North Indian Ocean associated with Indian summer monsoon intraseasonal oscillation (MISO) are analyzed. Observations show that MISO convection anomalies affect underlying sea surface temperature (SST) through changes in surface shortwave radiation (via cloud cover change) and surface latent heat flux (associated with surface wind speed change). In turn, SST anomalies determine the changing rate of MISO precipitation (dP/dt): warm (cold) SST anomalies cause increasing (decreasing) precipitation rate through increasing (decreasing) surface convergence. Air-sea interaction gives rise to a quadrature relationship between MISO precipitation and SST anomalies. A local air-sea coupling model (LACM) is established based on these observed physical processes, which is a damped oscillatory system with no external forcing. The period of LACM is proportional to the square root of mean state mixed layer depth , assuming other physical parameters remain unchanged. Hence, LACM predicts a relatively short (long) MISO period over the North Indian Ocean during the May-June monsoon developing (July-August mature) phase when is shallow (deep). This result is consistent with observed MISO statistics. An oscillatory external forcing of a typical 30-day period is added to LACM, representing intraseasonal oscillations originated from the equatorial Indian Ocean and propagate into the North Indian Ocean. The period of LACM is then determined by both the inherent period associated with local air-sea coupling and the period of external forcing. It is found that resonance occurs when , amplifying the MISO in situ. This result explains the larger MISO amplitude during the monsoon developing phase compared to the mature phase, which is associated with seasonal cycle of . LACM, however, fails to predict the observed small MISO amplitude during the September-October monsoon decaying phase, when is also shallow. This deficiency might be associated with the

  3. Vertical distribution of temperature, salinity and density in the upper 500 metres of the north equatorial Indian Ocean during the north-east monsoon period

    Digital Repository Service at National Institute of Oceanography (India)

    Rao, L.V.G.; Jayaraman, R.

    In the 4th and 5th scientific cruises of INS KISTNA under the Indian Programme of IIOE, five sections were worked out in the North Equatorial Indian Ocean during Jan-Feb 1963. Using the physical oceanographic data collected in these cruises...

  4. Penile anthropometry in North Indian children

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    Amilal Bhat

    2015-01-01

    Full Text Available Introduction: Physicians frequently encounter questions by parents regarding the normal size of a child′s penis. We evaluated normal variations of penile dimensions, correlation of penile length with height, weight, and body mass index (BMI of boys and analyzed the differences in penile dimensions from those reported from other countries. Materials and Methods: A cross-sectional study was conducted at our institution during October 2012-December 2012. A total of 250 subjects (birth to 10 years were evaluated and divided into 10 groups with 1-year interval taking 25 children in each. Penile dimensions measured twice by a single observer with Vernier calipers included the length of flaccid penis fully stretched and diameters at mid-shaft and corona. Diameters were multiplied by pi (π = 3.14 to calculate circumferences. Mean, standard deviation, and range were calculated. Height, weight, and BMI were noted and statistically correlated with the penile length using the Pearson correlation coefficient. Data were compared with similar studies reported on other populations in the past and individually evaluated with every study using Student′s t-test. Results: The mean values for the penile length, mid-shaft circumference, and coronal circumference were 3.34, 3.05, 3.29 cm during infancy, 4.28, 3.86, 4.11 cm during 4-5 years, and 5.25, 4.78, 5.05 cm during 9-10 years, respectively. The penile length increased with advancing age in successive age groups, but it did not have a direct correlation with either height, weight, or BMI. Penile dimensions in North Indian children were found to be statistically smaller in comparison with most studies from other countries. Conclusion: We provide the normal range and variations of penile dimensions in North Indian children.

  5. Variations in renal morphometry: A hospital-based Indian study

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    Ranjeet S Rathore

    2016-01-01

    Conclusions: Our study revealed that there exist differences in various morphometric parameters of the kidney and ureter in different subsets of the Indian population attending our hospital as compared with the standard values quoted in the world literature.

  6. Monthly mean wind stress along the coast of the north Indian Ocean

    Digital Repository Service at National Institute of Oceanography (India)

    Shetye, S.R.; Shenoi, S.S.C.; Antony, M.K.; Krishnakumar, V.

    Monthly-mean wind stress and its longshore and offshore components have been computed using the bulk aerodynamic method for each of a string of 36 two-degree-latitude by two-degree-longitude squares along the coast of the north Indian Ocean...

  7. Coastal circulation in the North Indian Ocean: Coastal segment (14,S-W)

    Digital Repository Service at National Institute of Oceanography (India)

    Shetye, S.R.; Gouveia, A.D.

    and as a result the circulation shows a distinct seasonal character. The nature of winds, precipitation, runoff, and tides in the region are summarized. Characteristics of large-scale near surface circulation and of water masses in the North Indian Basin...

  8. SERVICE MARKETING MIX OF INDIAN HOSPITALS: A CRITICAL REVIEW

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    Dharmesh, MOTWANI

    2014-07-01

    Full Text Available Sreenivas, Srinivasarao and Srinivasa (2013 said that “The health care market has become consumer centered and expecting high quality care at a reasonable price. The mushroomed development of corporate hospitals in India, competition is also bringing massive changes in industry structure. In this context, hospital services’ marketing is slowly and surely coming of age and is being woven into the fabric of hospitals planning and public relations programmes.” The essence of any marketing activity is marketing mix, and the central theme of the present paper revolves around the contemporary service marketing mix offered by Indian hospitals. In this paper author has critically reviewed 51 papers to describe elements of hospital service marketing mix; product, price, place, promotion, people, process and physical evidence.

  9. The impact of summertime north Indian Ocean SST on tropical cyclone genesis over the western North Pacific

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    Zheng, Jiayu; Wu, Qiaoyan; Guo, Yipeng; Zhao, Sen

    2017-04-01

    In this study, we investigate the impact of interannual variability of boreal summertime (June-September) north Indian Ocean (NIO) sea surface temperature (SST) on the distribution of tropical cyclone (TC) genesis over the western North Pacific (WNP) using observational datasets. In the boreal summers with warm (cold) SST in the NIO, fewer (more) than normal TCs form over the entire WNP, with fewer (more) TCs forming north of 10°N and more (fewer) TCs forming south of 10°N. The warm (cold) SST in the NIO induces anomalous anticyclonic (cyclonic) vorticity north of 10°N and cyclonic (anticyclonic) vorticity south of 10°N, which contributes to the meridional seesaw-like distribution of WNP TC genesis. This study provides a new perspective to understand TC activities over the WNP and may help seasonal TC prediction.

  10. Alu polymorphic insertions reveal genetic structure of north Indian populations.

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    Tripathi, Manorama; Tripathi, Piyush; Chauhan, Ugam Kumari; Herrera, Rene J; Agrawal, Suraksha

    2008-10-01

    The Indian subcontinent is characterized by the ancestral and cultural diversity of its people. Genetic input from several unique source populations and from the unique social architecture provided by the caste system has shaped the current genetic landscape of India. In the present study 200 individuals each from three upper-caste and four middle-caste Hindu groups and from two Muslim populations in North India were examined for 10 polymorphic Alu insertions (PAIs). The investigated PAIs exhibit high levels of polymorphism and average heterozygosity. Limited interpopulation variance and genetic flow in the present study suggest admixture. The results of this study demonstrate that, contrary to common belief, the caste system has not provided an impermeable barrier to genetic exchange among Indian groups.

  11. SREBP-2 1784 G/C Genotype is Associated with Non-Alcoholic Fatty Liver Disease in North Indians

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    Surya Prakash Bhatt

    2011-01-01

    Full Text Available Background: Genetics of non-alcoholic fatty liver (NAFLD in Asian Indians has been inadequately investigated. This study aims to determine the association of the 1784G > C polymorphism in the SREBP-2 gene with NAFLD in Asian Indians in north India.

  12. Evaluation of radiative fluxes over the north Indian Ocean

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    Ramesh Kumar, M. R.; Pinker, Rachel T.; Mathew, Simi; Venkatesan, R.; Chen, W.

    2018-05-01

    Radiative fluxes are a key component of the surface heat budget of the oceans. Yet, observations over oceanic region are sparse due to the complexity of radiation measurements; moreover, certain oceanic regions are substantially under-sampled, such as the north Indian Ocean. The National Institute of Ocean Technology, Chennai, India, under its Ocean Observation Program has deployed an Ocean Moored Network for the Northern Indian Ocean (OMNI) both in the Arabian Sea and the Bay of Bengal. These buoys are equipped with sensors to measure radiation and rainfall, in addition to other basic meteorological parameters. They are also equipped with sensors to measure sub-surface currents, temperature, and conductivity from the surface up to a depth of 500 m. Observations from the Moderate Resolution Imaging Spectroradiometer (MODIS) sensor onboard the National Aeronautics and Space Administration (NASA) AQUA and TERRA satellites have been used to infer surface radiation over the north Indian Ocean. In this study, we focus only on the shortwave (SW↓) fluxes. The evaluations of the MODIS-based SW↓ fluxes against the RAMA observing network have shown a very good agreement between them, and therefore, we use the MODIS-derived fluxes as a reference for the evaluation of the OMNI observations. In an early deployment of the OMNI buoys, the radiation sensors were placed at 2 m above the sea surface; subsequently, the height of the sensors was raised to 3 m. In this study, we show that there was a substantial improvement in the agreement between the buoy observations and the satellite estimates, once the sensors were raised to higher levels. The correlation coefficient increased from 0.87 to 0.93, and both the bias and standard deviations decreased substantially.

  13. Fires in Indian hospitals: root cause analysis and recommendations for their prevention.

    Science.gov (United States)

    Chowdhury, Kanchan

    2014-08-01

    There is an increase in the incidence of intraoperative fire in Indian hospitals. It is hypothesized that oxygen (O2) enrichment of air, is primarily responsible for most of the fires, particularly in intensive care units. As the amount of ignition energy needed to initiate fire reduces in the presence of higher O2 concentration, any heat or spark, may be the source of ignition when the air is O2-rich. The split air conditioner is the source of many such fires in the ICU, neonatal intensive care unit (NICU), and operating room (OR), though several other types of equipment used in hospitals have similar vulnerability. Indian hospitals need to make several changes in the arrangement of equipment and practice of handling O2 gas, as well as create awareness among hospital staff, doctors, and administrators. Recommendations for changes in system practice, which are in conformity with the National Fire Protection Association USA, are likely to be applicable in preventing fires at hospitals in all developing countries of the world with warm climates. Copyright © 2014 Elsevier Inc. All rights reserved.

  14. Vaccine-preventable, hospitalizations among American Indian/Alaska Native children using the 2012 Kid's Inpatient Database.

    Science.gov (United States)

    Nickel, Amanda J; Puumala, Susan E; Kharbanda, Anupam B

    2018-02-08

    Our aim was to assess the odds of hospitalization for a vaccine-preventable, infectious disease (VP-ID) in American Indian/Alaska Native (AI/AN) children compared to other racial and ethnic groups using the 2012 Kid's Inpatient Database (KID) The KID is a nationally representative sample, which allows for evaluation of VP-ID in a non-federal, non-Indian Health Service setting. In a cross-sectional analysis, we evaluated the association of race/ethnicity and a composite outcome of hospitalization due to vaccine-preventable infection using multivariate logistic regression. AI/AN children were more likely (OR=1.81, 95% CI=1.34, 2.45) to be admitted to the hospital in 2012 for a VP-ID compared to Non-Hispanic white children after adjusting for age, sex, chronic disease status, metropolitan location, and median household income. This disparity highlights the necessity for a more comprehensive understanding of immunization and infectious disease exposure among American Indian children, especially those not covered or evaluated by Indian Health Service. Copyright © 2017 Elsevier Ltd. All rights reserved.

  15. Insomnia in the elderly—A hospital-based study from North India

    OpenAIRE

    Indrajeet Singh Gambhir, MBBS, MD; Sankha Shubhra Chakrabarti, MBBS; Amit Raj Sharma, MBBS, MD; Dharam Prakash Saran, MBBS

    2014-01-01

    Background/Purpose: Insomnia affects the elderly population significantly. The Indian elderly population is growing rapidly and the epidemiology of insomnia needs to be studied in detail in this group. Methods: An observational study was carried out using a standard questionnaire on 304 male and 200 female Indian elderly patients presenting to the geriatric clinic of the Sir Sunderlal Hospital of the Institute of Medical Sciences, Banaras Hindu University, to study the prevalence and natur...

  16. Hydrogeology and ground-water quality of glacial-drift aquifers, Leech Lake Indian Reservation, north-central Minnesota

    Science.gov (United States)

    Lindgren, R.J.

    1996-01-01

    Among the duties of the water managers of the Leech Lake Indian Reservation in north-central Minnesota are the development and protection of the water resources of the Reservation. The U.S. Geological Survey, in cooperation with the Leech Lake Indian Reservation Business Committee, conducted a three and one half-year study (1988-91) of the ground-water resources of the Leech Lake Indian Reservation. The objectives of this study were to describe the availability and quality of ground water contained in glacial-drift aquifers underlying the Reservation.

  17. Cytokine gene polymorphisms and their association with cervical cancer: A North Indian study

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    Maneesh Kumar Gupta

    2016-04-01

    Conclusion: Therefore, the promoter polymorphisms in cytokine genes can be used as biomarkers to predict cervical cancer susceptibility in a north Indian population. However, such studies need to be carried out in different ethnic populations in order to discover the specific risk alleles, genotypes and combinations for disease prediction.

  18. Surveillance of multidrug resistant suppurative infection causing bacteria in hospitalized patients in an Indian tertiary care hospital

    OpenAIRE

    Nabakishore Nayak; Rajesh K. Lenka; Rabindra N. Padhy

    2014-01-01

    Objective: To examine antibiograms of a cohort of suppurative bacteria isolated from wound-swabs from hospitalized patients of all economic groups of a typical Indian teaching hospital. Methods: In surveillance, antibiotic resistance patterns of 10 species of suppurative bacteria isolated from wound-swabs over a period of 24 months were recorded. Those were subjected to antibiotic sensitivity test, using 16 prescribed antibiotics of 5 different groups (3 aminoglycosides, 4 beta-lactams, 3 ...

  19. Twentieth century North Atlantic climate change. Part II: Understanding the effect of Indian Ocean warming

    Energy Technology Data Exchange (ETDEWEB)

    Hoerling, M.P.; Xu, T.; Bates, G.T. [Climate Diagnostics Center NOAA, Boulder, CO 80305-3328 (United States); Hurrell, J.W.; Phillips, A.S. [National Center for Atmospheric Research, Boulder, CO (United States)

    2004-09-01

    Ensembles of atmospheric general circulation model (AGCM) experiments are used in an effort to understand the boreal winter Northern Hemisphere (NH) extratropical climate response to the observed warming of tropical sea surface temperatures (SSTs) over the last half of the twentieth Century. Specifically, we inquire about the origins of unusual, if not unprecedented, changes in the wintertime North Atlantic and European climate that are well described by a linear trend in most indices of the North Atlantic Oscillation (NAO). The simulated NH atmospheric response to the linear trend component of tropic-wide SST change since 1950 projects strongly onto the positive polarity of the NAO and is a hemispheric pattern distinguished by decreased (increased) Arctic (middle latitude) sea level pressure. Progressive warming of the Indian Ocean is the principal contributor to this wintertime extratropical response, as shown through additional AGCM ensembles forced with only the SST trend in that sector. The Indian Ocean influence is further established through the reproducibility of results across three different models forced with identical, idealized patterns of the observed warming. Examination of the transient atmospheric adjustment to a sudden ''switch-on'' of an Indian Ocean SST anomaly reveals that the North Atlantic response is not consistent with linear theory and most likely involves synoptic eddy feedbacks associated with changes in the North Atlantic storm track. The tropical SST control exerted over twentieth century regional climate underlies the importance of determining the future course of tropical SST for regional climate change and its uncertainty. Better understanding of the extratropical responses to different, plausible trajectories of the tropical oceans is key to such efforts. (orig.)

  20. Impact of improved momentum transfer coefficients on the dynamics and thermodynamics of the north Indian Ocean

    Science.gov (United States)

    Parekh, Anant; Gnanaseelan, C.; Jayakumar, A.

    2011-01-01

    Long time series of in situ observations from the north Indian Ocean are used to compute the momentum transfer coefficients over the north Indian Ocean. The transfer coefficients behave nonlinearly for low winds (<4 m/s), when most of the known empirical relations assume linear relations. Impact of momentum transfer coefficients on the upper ocean parameters is studied using an ocean general circulation model. The model experiments revealed that the Arabian Sea and Equatorial Indian Ocean are more sensitive to the momentum transfer coefficients than the Bay of Bengal and south Indian Ocean. The impact of momentum transfer coefficients on sea surface temperature is up to 0.3°C-0.4°C, on mixed layer depth is up to 10 m, and on thermocline depth is up to 15 m. Furthermore, the impact on the zonal current is maximum over the equatorial Indian Ocean (i.e., about 0.12 m/s in May and 0.15 m/s in October; both May and October are the period of Wyrtki jets and the difference in current has potential impact on the seasonal mass transport). The Sverdrup transport has maximum impact in the Bay of Bengal (3 to 4 Sv in August), whereas the Ekman transport has maximum impact in the Arabian Sea (4 Sv during May to July). These highlight the potential impact of accurate momentum forcing on the results from current ocean models.

  1. Disparities in Infectious Disease Hospitalizations for American Indian/Alaska Native People

    Science.gov (United States)

    Holman, Robert C.; Folkema, Arianne M.; Singleton, Rosalyn J.; Redd, John T.; Christensen, Krista Y.; Steiner, Claudia A.; Schonberger, Lawrence B.; Hennessy, Thomas W.; Cheek, James E.

    2011-01-01

    Objectives We described disparities in infectious disease (ID) hospitalizations for American Indian/Alaska Native (AI/AN) people. Methods We analyzed hospitalizations with an ID listed as the first discharge diagnosis in 1998–2006 for AI/AN people from the Indian Health Service National Patient Information Reporting System and compared them with records for the general U.S. population from the Nationwide Inpatient Survey. Results The ID hospitalization rate for AI/AN people declined during the study period. The 2004–2006 mean annual age-adjusted ID hospitalization rate for AI/AN people (1,708 per 100,000 populiation) was slightly higher than that for the U.S. population (1,610 per 100,000 population). The rate for AI/AN people was highest in the Southwest (2,314 per 100,000 population), Alaska (2,063 per 100,000 population), and Northern Plains West (1,957 per 100,000 population) regions, and among infants (9,315 per 100,000 population). ID hospitalizations accounted for approximately 22% of all AI/AN hospitalizations. Lower-respiratory--tract infections accounted for the largest proportion of ID hospitalizations among AI/AN people (35%) followed by skin and soft tissue infections (19%), and infections of the kidney, urinary tract, and bladder (11%). Conclusions Although the ID hospitalization rate for AI/AN people has declined, it remains higher than that for the U.S. general population, and is highest in the Southwest, Northern Plains West, and Alaska regions. Lower-respiratory-tract infections; skin and soft tissue infections; and kidney, urinary tract, and bladder infections contributed most to these health disparities. Future prevention strategies should focus on high-risk regions and age groups, along with illnesses contributing to health disparities. PMID:21800745

  2. Music and Emotion-A Case for North Indian Classical Music.

    Science.gov (United States)

    Valla, Jeffrey M; Alappatt, Jacob A; Mathur, Avantika; Singh, Nandini C

    2017-01-01

    The ragas of North Indian Classical Music (NICM) have been historically known to elicit emotions. Recently, Mathur et al. (2015) provided empirical support for these historical assumptions, that distinct ragas elicit distinct emotional responses. In this review, we discuss the findings of Mathur et al. (2015) in the context of the structure of NICM. Using, Mathur et al. (2015) as a demonstrative case-in-point, we argue that ragas of NICM can be viewed as uniquely designed stimulus tools for investigating the tonal and rhythmic influences on musical emotion.

  3. Music and Emotion—A Case for North Indian Classical Music

    Directory of Open Access Journals (Sweden)

    Jeffrey M. Valla

    2017-12-01

    Full Text Available The ragas of North Indian Classical Music (NICM have been historically known to elicit emotions. Recently, Mathur et al. (2015 provided empirical support for these historical assumptions, that distinct ragas elicit distinct emotional responses. In this review, we discuss the findings of Mathur et al. (2015 in the context of the structure of NICM. Using, Mathur et al. (2015 as a demonstrative case-in-point, we argue that ragas of NICM can be viewed as uniquely designed stimulus tools for investigating the tonal and rhythmic influences on musical emotion.

  4. High Rates of All-cause and Gastroenteritis-related Hospitalization Morbidity and Mortality among HIV-exposed Indian Infants

    Directory of Open Access Journals (Sweden)

    Tripathy Srikanth

    2011-07-01

    Full Text Available Abstract Background HIV-infected and HIV-exposed, uninfected infants experience a high burden of infectious morbidity and mortality. Hospitalization is an important metric for morbidity and is associated with high mortality, yet, little is known about rates and causes of hospitalization among these infants in the first 12 months of life. Methods Using data from a prevention of mother-to-child transmission (PMTCT trial (India SWEN, where HIV-exposed breastfed infants were given extended nevirapine, we measured 12-month infant all-cause and cause-specific hospitalization rates and hospitalization risk factors. Results Among 737 HIV-exposed Indian infants, 93 (13% were HIV-infected, 15 (16% were on HAART, and 260 (35% were hospitalized 381 times by 12 months of life. Fifty-six percent of the hospitalizations were attributed to infections; gastroenteritis was most common accounting for 31% of infectious hospitalizations. Gastrointestinal-related hospitalizations steadily increased over time, peaking around 9 months. The 12-month all-cause hospitalization, gastroenteritis-related hospitalization, and in-hospital mortality rates were 906/1000 PY, 229/1000 PY, and 35/1000 PY respectively among HIV-infected infants and 497/1000 PY, 107/1000 PY, and 3/1000 PY respectively among HIV-exposed, uninfected infants. Advanced maternal age, infant HIV infection, gestational age, and male sex were associated with higher all-cause hospitalization risk while shorter duration of breastfeeding and abrupt weaning were associated with gastroenteritis-related hospitalization. Conclusions HIV-exposed Indian infants experience high rates of all-cause and infectious hospitalization (particularly gastroenteritis and in-hospital mortality. HIV-infected infants are nearly 2-fold more likely to experience hospitalization and 10-fold more likely to die compared to HIV-exposed, uninfected infants. The combination of scaling up HIV PMTCT programs and implementing proven health

  5. Assessment of health-promoting behavior and lifestyle of adolescents of a North Indian city

    Directory of Open Access Journals (Sweden)

    Sonika Raj

    2013-01-01

    Conclusions: The result of the study showed that North Indian students had reasonably good orientations toward health behaviors, with a mean score of 67.5. The topics related to diet, physical exercise, spiritual growth and philanthropy promotion should be incorporated within the curriculum of students for their all round personality development.

  6. Hospital Medicine and Fellowship Program in Rural North Dakota - A Multifaceted Success Story.

    Science.gov (United States)

    Hyder, S S; Amundson, Mary

    2017-11-01

    Recruitment of hospitalists and primary care physicians for Critical Access Hospitals and tertiary care hospitals in North Dakota is difficult. To address this challenge, 2 programs were implemented in Bismarck, North Dakota. St. Alexius Medical Center created a hospitalist fellowship training program in collaboration with the University of North Dakota School of Medicine and Health Sciences and physicians willing to work in Critical Access Hospitals were offered a joint appointment to teach hospitalist fellows and obtain a clinical academic appointment at the university. Since it was created in 2012, 84 physicians have applied for 13 fellowships. Of the 11 fellows who have completed the program, 64% (7/11) remained in North Dakota to practice. Physicians are more likely to work in a rural Critical Access Hospital if they spend time working at a tertiary care center and have clinical academic appointments. Where recruitment is challenging, hospitalist fellowship programs are helpful in meeting the health care workforce demand.

  7. Lung function in North American Indian children: reference standards for spirometry, maximal expiratory flow volume curves, and peak expiratory flow.

    Science.gov (United States)

    Wall, M A; Olson, D; Bonn, B A; Creelman, T; Buist, A S

    1982-02-01

    Reference standards of lung function was determined in 176 healthy North American Indian children (94 girls, 82 boys) 7 to 18 yr of age. Spirometry, maximal expiratory flow volume curves, and peak expiratory flow rate were measured using techniques and equipment recommended by the American Thoracic Society. Standing height was found to be an accurate predictor of lung function, and prediction equations for each lung function variable are presented using standing height as the independent variable. Lung volumes and expiratory flow rates in North American Indian children were similar to those previously reported for white and Mexican-American children but were greater than those in black children. In both boys and girls, lung function increased in a curvilinear fashion. Volume-adjusted maximal expiratory flow rates after expiring 50 or 75% of FVC tended to decrease in both sexes as age and height increased. Our maximal expiratory flow volume curve data suggest that as North American Indian children grow, lung volume increases at a slightly faster rate than airway size does.

  8. Remarks on the sea level records of the north Indian ocean

    Digital Repository Service at National Institute of Oceanography (India)

    Unnikrishnan, A.S.

    variability in the tide gauge records along the coasts of the north Indian Ocean A. S. Unnikrishnan National Institute of Oceanography, Dona Paula, Goa, India 403004 e-mail: unni@nio.org Introduction Global sea-level rise has been relatively well... studied by making use of the coastal tide gauge data that are available (Woodworth and Player, 2003) through the Permanent Service for Mean Sea Level (PSMSL). However, studies on regional sea level rise have not gathered momentum, similar to those on a...

  9. Incidental Learning of Melodic Structure of North Indian Music.

    Science.gov (United States)

    Rohrmeier, Martin; Widdess, Richard

    2017-07-01

    Musical knowledge is largely implicit. It is acquired without awareness of its complex rules, through interaction with a large number of samples during musical enculturation. Whereas several studies explored implicit learning of mostly abstract and less ecologically valid features of Western music, very little work has been done with respect to ecologically valid stimuli as well as non-Western music. The present study investigated implicit learning of modal melodic features in North Indian classical music in a realistic and ecologically valid way. It employed a cross-grammar design, using melodic materials from two modes (rāgas) that use the same scale. Findings indicated that Western participants unfamiliar with Indian music incidentally learned to identify distinctive features of each mode. Confidence ratings suggest that participants' performance was consistently correlated with confidence, indicating that they became aware of whether they were right in their responses; that is, they possessed explicit judgment knowledge. Altogether our findings show incidental learning in a realistic ecologically valid context during only a very short exposure, they provide evidence that incidental learning constitutes a powerful mechanism that plays a fundamental role in musical acquisition. Copyright © 2016 Cognitive Science Society, Inc.

  10. Enactments of Discursive Empowerment in Narratives of Medium of Education by North Indian Women

    Science.gov (United States)

    Sandhu, Priti

    2010-01-01

    In this study I examine how women in a north Indian city narratively construct their identities in relation to medium of education (MoE)--English only (EME), Hindi only (HME), and a combination of both. I specifically analyze how the participants discursively articulate empowerment or disempowerment while narrating stories connected to their MoEs.…

  11. Indian Ledger Art.

    Science.gov (United States)

    Chilcoat, George W.

    1990-01-01

    Offers an innovative way to teach mid-nineteenth century North American Indian history by having students create their own Indian Ledger art. Purposes of the project are: to understand the role played by American Indians, to reveal American Indian stereotypes, and to identify relationships between cultures and environments. Background and…

  12. Hunger and Nutrition Problems among American Indians: A Case Study of North Dakota. Hearing before the Select Committee on Hunger. House of Representatives, One Hundredth Congress, First Session (New Town, North Dakota, July 10, 1987).

    Science.gov (United States)

    Congress of the U.S., Washington, DC. House Select Committee on Hunger.

    This document reports the oral and written testimony of 14 witnesses who discussed general health and nutrition problems among American Indians and focused on the high incidence of diabetes among North Dakota Indians. Diabetes was relatively rare among American Indians before 1940. Nearly one in three members of The Three Affiliated Tribes aged 40…

  13. Association of Circulating Orexin-A Level With Metabolic Risk Factors in North Indian Pre Menopausal Women.

    Science.gov (United States)

    Gupta, Vani; Mishra, Sameeksha; Kumar, Sandeep; Mishra, Supriya

    2015-01-01

    The present study was designed to investigate the association between circulating Orexin-A level with metabolic risk factors in North Indian adult women. 342 women were enrolled for the case-control study, 172 women were with metabolic syndrome (mets) and 170 healthy control women were without metabolic syndrome, (womets) according to (NCEP ATP III criteria). Circulating Orexin-A level was determined by enzyme-linked immunosorbent assay. Observations indicated low levels of orexin-A (26.06 ± 6.09 ng/ml) in women with mets and other metabolic risk factors compared to women without metabolic syndrome (36.50 ± 10.42 ng/ml). Further, in women with metabolic syndrome, circulating Orexin A was significantly associated with waist circumference, triglyceride (negative correlation) and hyperdensity lipoprotein (positive correlation). Our study shows that circulating Orexin A was found to be significantly associated with hyperlipidemia, obesity and obesity-related disorders in North Indian premenopausal women.

  14. The average Indian female nose.

    Science.gov (United States)

    Patil, Surendra B; Kale, Satish M; Jaiswal, Sumeet; Khare, Nishant; Math, Mahantesh

    2011-12-01

    This study aimed to delineate the anthropometric measurements of the noses of young women of an Indian population and to compare them with the published ideals and average measurements for white women. This anthropometric survey included a volunteer sample of 100 young Indian women ages 18 to 35 years with Indian parents and no history of previous surgery or trauma to the nose. Standardized frontal, lateral, oblique, and basal photographs of the subjects' noses were taken, and 12 standard anthropometric measurements of the nose were determined. The results were compared with published standards for North American white women. In addition, nine nasal indices were calculated and compared with the standards for North American white women. The nose of Indian women differs significantly from the white nose. All the nasal measurements for the Indian women were found to be significantly different from those for North American white women. Seven of the nine nasal indices also differed significantly. Anthropometric analysis suggests differences between the Indian female nose and the North American white nose. Thus, a single aesthetic ideal is inadequate. Noses of Indian women are smaller and wider, with a less projected and rounded tip than the noses of white women. This study established the nasal anthropometric norms for nasal parameters, which will serve as a guide for cosmetic and reconstructive surgery in Indian women.

  15. Insulin secretion and action in North Indian women during pregnancy.

    Science.gov (United States)

    Arora, G P; Almgren, P; Thaman, R G; Pal, A; Groop, L; Vaag, A; Prasad, R B; Brøns, C

    2017-10-01

    The relative roles(s) of impaired insulin secretion vs. insulin resistance in the development of gestational diabetes mellitus depend upon multiple risk factors and diagnostic criteria. Here, we explored their relative contribution to gestational diabetes as defined by the WHO 1999 (GDM1999) and adapted WHO 2013 (GDM2013) criteria, excluding the 1-h glucose value, in a high-risk Indian population from Punjab. Insulin secretion (HOMA2-B) and insulin action (HOMA2-IR) were assessed in 4665 Indian women with or without gestational diabetes defined by the GDM1999 or adapted GDM2013 criteria. Gestational diabetes defined using both criteria was associated with decreased insulin secretion compared with pregnant women with normal glucose tolerance. Women with gestational diabetes defined by the adapted GDM2013, but not GDM1999 criteria, were more insulin resistant than pregnant women with normal glucose tolerance, and furthermore displayed lower insulin secretion than GDM1999 women. Urban habitat, illiteracy, high age and low BMI were independently associated with reduced insulin secretion, whereas Sikh religion, increasing age and BMI, as well as a family history of diabetes were independently associated with increased insulin resistance. Gestational diabetes risk factors influence insulin secretion and action in North Indian women in a differential manner. Gestational diabetes classified using the adapted GDM2013 compared with GDM1999 criteria is associated with more severe impairments of insulin secretion and action. © 2017 Diabetes UK.

  16. Antimicrobial drug use in a small Indian community hospital

    DEFF Research Database (Denmark)

    Blomberg, M; Jensen, M Blomberg; Henry, A

    2010-01-01

    Antimicrobial drug use and overuse have been a topic of interest for many years, lately focusing on the growing resistance worldwide. This study was conducted in a small Indian hospital, where more than 80% of all admitted patients received antimicrobial drugs. Penicillin, gentamycin, co......-trimoxazole, ciprofloxacin and metronidazole were most commonly used and all antimicrobial drugs were given empirically with no confirmation of the infective agent. Reports of increasing resistance to antimicrobial drugs in India, and elsewhere, necessitates a focus on how antimicrobials drugs are used in relation...... to investigations of resistance patterns among the local strains of pathogens. This study may be considered a base-line study, though of relevance for other hospitals, in particular in low-income areas, where development of resistance to standard antimicrobial drugs may have severe implications for both patients...

  17. On an Ethical Use of Neural Networks: A Case Study on a North Indian Raga

    Directory of Open Access Journals (Sweden)

    SHUKLA Ripunjai Kumar

    2009-12-01

    Full Text Available The paper gives an artificial neural network (ANN approach to time series modeling, the data being instance versus notes (characterized by pitch depicting the structure of a North Indian raga, namely, Bageshree. Respecting the sentiments of the artists’ community, the paper argues why it is more ethical to model a structure than try and “manufacture” an artist by training the neural network to copy performances of artists. Indian Classical Music centers on the ragas, where emotion and devotion are both important and neither can be substituted by such “calculated artistry” which the ANN generated copies are ultimately up to.

  18. Spatial variability of the structure of the lower troposphere over north western Indian Ocean during 1983 summer monsoon

    Digital Repository Service at National Institute of Oceanography (India)

    RameshKumar, M.R.; Sadhuram, Y.; Michael, G.S.; Rao, L.V.G.

    The spatial variability of the structure of the lower troposphere over the north western Indian Ocean during the period 12th July to 2nd September, 1983 has been studied using the upper air data collected during the first scientific cruise of @i...

  19. An increase level of acylation stimulating protein is correlated with metabolic risk markers in North Indian obese women.

    Science.gov (United States)

    Mishra, Supriya; Gupta, Vani; Mishra, Sameeksha; Gupta, Vandana; Mahdi, Abbas Ali; Sachan, Rekha

    2017-12-01

    The present study was to investigate the association between serum acylation stimulating protein (ASP) level with metabolic risk factors in North Indian obese women. This is a case control study, total n=322 women aged between 20 and 45 years (n=162 with metabolic syndrome & n=160 without metabolic syndrome) were recruited for the study according to National Cholesterol Education Program Treatment Panel (NCEPATP) guidelines. Serum ASP level were determined by enzyme linked immunosorbent assay. Results indicated that circulating ASP and other metabolic risk factors (waist circumference, triglycerides, fasting plasma glucose etc) were significantly higher in women with metabolic syndrome (WmetS) than in women without syndrome (WometS) (pwomen with metabolic syndrome. Conclusively circulating ASP was found to be significantly associated with hyperlipidemia, obesity and obesity related disorders in North Indian obese women. Copyright © 2017 Diabetes India. Published by Elsevier Ltd. All rights reserved.

  20. Bringing Baby-Friendly to the Indian Health Service: A Systemwide Approach to Implementation.

    Science.gov (United States)

    Karol, Susan; Tah, Tina; Kenon, Clifton; Meyer, Jenna; Yazzie, Jeannette; Stephens, Celissa; Merewood, Anne

    2016-05-01

    The Baby-Friendly Hospital Initiative (BFHI) increases exclusive breastfeeding. Breastfeeding protects against obesity and diabetes, conditions to which American Indians and Alaska Natives are particularly prone. As part of the First Lady'sLet's Move! in Indian Countryinitiative, the US Department of Health and Human Services' Indian Health Service (IHS) began implementing the BFHI in 2011. The IHS administers 13 US birthing hospitals. There are 5 tribally administered hospitals in the lower 48 states that receive IHS funding, and the IHS encouraged them to seek Baby-Friendly designation also. In the 13 federally administered hospitals, the IHS implemented a Baby-Friendly infant feeding policy, extensive clinician training, and Baby-Friendly compatible medical records. All hospitals also became compliant with the World Health Organization's International Code of Marketing of Breast-Milk Substitutes. Strategies and solutions were shared systemwide via webinars and conference calls. Quality improvement methods, technical assistance, and site visits assisted with the implementation process. Between 2011 and December 2014, 100% (13 of 13) of IHS federally administered hospitals gained Baby-Friendly designation. The first Baby-Friendly hospitals in Arizona, New Mexico, North Dakota, Oklahoma, and South Dakota were all IHS sites; 6% of all US Baby-Friendly hospitals are currently IHS hospitals. One tribal site has also been Baby-Friendly designated and 3 of the 5 remaining tribally administered hospitals in the lower 48 states are pursuing Baby-Friendly status. Baby-Friendly Hospital Initiative implementation systemwide is possible in a US government agency serving a high-risk, underprivileged population. Other systems looking to implement the BFHI can learn from the IHS model. © International Lactation Consultant Association 2015.

  1. A multianalytical approach to evaluate the association of 55 SNPs in 28 genes with obesity risk in North Indian adults.

    Science.gov (United States)

    Srivastava, Apurva; Mittal, Balraj; Prakash, Jai; Srivastava, Pranjal; Srivastava, Nimisha; Srivastava, Neena

    2017-03-01

    The aim of the study was to investigate the association of 55 SNPs in 28 genes with obesity risk in a North Indian population using a multianalytical approach. Overall, 480 subjects from the North Indian population were studied using strict inclusion/exclusion criteria. SNP Genotyping was carried out by Sequenom Mass ARRAY platform (Sequenom, San Diego, CA) and validated Taqman ® allelic discrimination (Applied Biosystems ® ). Statistical analyses were performed using SPSS software version 19.0, SNPStats, GMDR software (version 6) and GENEMANIA. Logistic regression analysis of 55 SNPs revealed significant associations (P obesity risk whereas the remaining 6 SNPs revealed no association (P > .05). The pathway-wise G-score revealed the significant role (P = .0001) of food intake-energy expenditure pathway genes. In CART analysis, the combined genotypes of FTO rs9939609 and TCF7L2 rs7903146 revealed the highest risk for BMI linked obesity. The analysis of the FTO-IRX3 locus revealed high LD and high order gene-gene interactions for BMI linked obesity. The interaction network of all of the associated genes in the present study generated by GENEMANIA revealed direct and indirect connections. In addition, the analysis with centralized obesity revealed that none of the SNPs except for FTO rs17818902 were significantly associated (P obesity risk in the North Indian population. © 2016 Wiley Periodicals, Inc.

  2. Energy management installation at North Middlesex Hospital.

    Science.gov (United States)

    Hart, V A

    1986-05-01

    The author is the Energy Conservation Officer for the Haringey Health Authority. The North Middlesex Hospital is an acute unit with approximately 700 beds. Currently, twenty-one outstations control the maternity/radio therapy tower complex plus the outpatients' department. Plans have been approved to extend the system and Phase 2 will cover pathology, administration, medical and surgical blocks together with x-ray and casualty blocks. Transmitton Ltd, as in Phase 1, will supply the hardware and contract management.

  3. Endometrial pathology in a teaching hospital in North Central ...

    African Journals Online (AJOL)

    The study was a 5 year histopathological survey of endometrial biopsies seen at the University of Ilorin Teaching Hospital , Ilorin, North Central Nigeria from January 1st 1997 to December 31st 2001. It aimed at identifying the morphological patterns of endometrial disorders, prevalence of these disorders and the ...

  4. Observed sea-level rise in the north Indian Ocean coasts during the past century

    Digital Repository Service at National Institute of Oceanography (India)

    Unnikrishnan, A.S.

    Content-Type text/plain; charset=UTF-8 91 Observed sea-level rise in the north Indian Ocean coasts during the past century A. S. Unnikrishnan National Institute of Oceanography, Dona Paula, Goa-403004 unni@nio.org Introduction Sea-level... rise is one of the good indicators of global warming. Rise in sea level occurs mainly through melting of glaciers, thermal expansion due to ocean warming and some other processes of relatively smaller magnitudes. Sea level rise is a global...

  5. 40 CFR 147.1703 - EPA-administered program-Indian lands.

    Science.gov (United States)

    2010-07-01

    ... Carolina § 147.1703 EPA-administered program—Indian lands. (a) Contents. The UIC program for all classes of wells on Indian lands in the State of North Carolina is administered by EPA. This program consists of... these requirements. (b) Effective date. The effective date of the UIC program for Indian lands in North...

  6. Insulin secretion and action in North Indian women during pregnancy

    DEFF Research Database (Denmark)

    Arora, G P; Almgren, P; Thaman, R G

    2017-01-01

    . RESULTS: Gestational diabetes defined using both criteria was associated with decreased insulin secretion compared with pregnant women with normal glucose tolerance. Women with gestational diabetes defined by the adapted GDM2013, but not GDM1999 criteria, were more insulin resistant than pregnant women......AIM: The relative roles(s) of impaired insulin secretion vs. insulin resistance in the development of gestational diabetes mellitus depend upon multiple risk factors and diagnostic criteria. Here, we explored their relative contribution to gestational diabetes as defined by the WHO 1999 (GDM1999...... independently associated with increased insulin resistance. CONCLUSIONS: Gestational diabetes risk factors influence insulin secretion and action in North Indian women in a differential manner. Gestational diabetes classified using the adapted GDM2013 compared with GDM1999 criteria is associated with more...

  7. 78 FR 62649 - Indian Gaming

    Science.gov (United States)

    2013-10-22

    ... DEPARTMENT OF THE INTERIOR Bureau of Indian Affairs [DR.5B711.IA000813] Indian Gaming AGENCY: Bureau of Indian Affairs, Interior. ACTION: Notice of Tribal-State Class III Gaming Compact taking effect. SUMMARY: This notice publishes the Class III Gaming Compact between the North Fork Rancheria of Mono...

  8. Pattern and Management of Priapism in a Tertiary Hospital of North ...

    African Journals Online (AJOL)

    ADMIN

    COSECSA/ASEA Publication --East & Central African Journal of Surgery 2017; Vol. 22 (1) ... Hospital of North- Western Nigeria ... In Western world, ischaemic priapism is .... This difference can be accounted for by the late presentation in.

  9. Cost of delivering secondary-level health care services through public sector district hospitals in India

    Science.gov (United States)

    Prinja, Shankar; Balasubramanian, Deepak; Jeet, Gursimer; Verma, Ramesh; Kumar, Dinesh; Bahuguna, Pankaj; Kaur, Manmeet; Kumar, Rajesh

    2017-01-01

    Background & objectives: Despite an impetus for strengthening public sector district hospitals for provision of secondary health care in India, there is lack of robust evidence on cost of services provided through these district hospitals. In this study, an attempt was made to determine the unit cost of an outpatient visit consultation, inpatient bed-day of hospitalization, surgical procedure and overall per-capita cost of providing secondary care through district hospitals. Methods: Economic costing of five randomly selected district hospitals in two north Indian States - Haryana and Punjab, was undertaken. Cost analysis was done using a health system perspective and employing bottom-up costing methodology. Quantity of all resources - capital or recurrent, used for delivering services was measured and valued. Median unit costs were estimated along with their 95 per cent confidence intervals. Sensitivity analysis was undertaken to assess the effect of uncertainties in prices and other assumptions; and to generalize the findings for Indian set-up. Results: The overall annual cost of delivering secondary-level health care services through a public sector district hospital in north India was 11,44,13,282 [US Dollars (USD) 2,103,185]. Human resources accounted for 53 per cent of the overall cost. The unit cost of an inpatient bed-day, surgical procedure and outpatient consultation was 844 (USD 15.5), i; 3481 (USD 64) and 170 (USD 3.1), respectively. With the current set of resource allocation, per-capita cost of providing health care through district hospitals in north India was 139 (USD 2.5). Interpretation & conclusions: The estimates obtained in our study can be used for Fiscal planning of scaling up secondary-level health services. Further, these may be particularly useful for future research such as benefit-incidence analysis, cost-effectiveness analysis and national health accounts including disease-specific accounts in India. PMID:29355142

  10. Cost of delivering secondary-level health care services through public sector district hospitals in India.

    Science.gov (United States)

    Prinja, Shankar; Balasubramanian, Deepak; Jeet, Gursimer; Verma, Ramesh; Kumar, Dinesh; Bahuguna, Pankaj; Kaur, Manmeet; Kumar, Rajesh

    2017-09-01

    Despite an impetus for strengthening public sector district hospitals for provision of secondary health care in India, there is lack of robust evidence on cost of services provided through these district hospitals. In this study, an attempt was made to determine the unit cost of an outpatient visit consultation, inpatient bed-day of hospitalization, surgical procedure and overall per-capita cost of providing secondary care through district hospitals. Economic costing of five randomly selected district hospitals in two north Indian States - Haryana and Punjab, was undertaken. Cost analysis was done using a health system perspective and employing bottom-up costing methodology. Quantity of all resources - capital or recurrent, used for delivering services was measured and valued. Median unit costs were estimated along with their 95 per cent confidence intervals. Sensitivity analysis was undertaken to assess the effect of uncertainties in prices and other assumptions; and to generalize the findings for Indian set-up. The overall annual cost of delivering secondary-level health care services through a public sector district hospital in north India was ' 11,44,13,282 [US Dollars (USD) 2,103,185]. Human resources accounted for 53 per cent of the overall cost. The unit cost of an inpatient bed-day, surgical procedure and outpatient consultation was ' 844 (USD 15.5), ' 3481 (USD 64) and ' 170 (USD 3.1), respectively. With the current set of resource allocation, per-capita cost of providing health care through district hospitals in north India was ' 139 (USD 2.5). The estimates obtained in our study can be used for Fiscal planning of scaling up secondary-level health services. Further, these may be particularly useful for future research such as benefit-incidence analysis, cost-effectiveness analysis and national health accounts including disease-specific accounts in India.

  11. Indians of North Carolina.

    Science.gov (United States)

    Bureau of Indian Affairs (Dept. of Interior), Washington, DC.

    Published by the U.S. Department of the Interior, this brief booklet on the historical development of the Cherokee Nation emphasizes the Tribe's relationship with the Bureau of Indian Affairs and its improved economy. Citing tourism as the major tribal industry, tribal enterprises are named and described (a 61 unit motor court in existence since…

  12. Human Papillomavirus-mediated cervical cancer awareness and Gardasil vaccination: a pilot survey among North Indian women.

    Science.gov (United States)

    Pandey, Saumya; Chandravati

    2013-10-01

    Human Papillomavirus (HPV)-mediated cervical cancer is a leading cause of morbidity and mortality in women worldwide, including Indian women. Cervical cancer control and prevention strategies are being adopted in developing nations to reduce the increasing burden of HPV infection in the vaccine era. The present study, therefore, aimed to evaluate cervical cancer awareness and knowledge of Gardasil vaccination in North Indian women. A pilot survey was conducted among 103 women of North Indian ethnicity residing in Lucknow/adjoining areas in state of Uttar Pradesh, during routine screening/clinic visits from June 2012 to December 2012. The study subjects were interviewed in either Hindi or English; subsequently the awareness of HPV-mediated cervical cancer and knowledge of Gardasil vaccination was assessed in terms of "yes", "no" and "no response". The study was approved by the Institutional Review Board. Written informed consent was taken from the participants. Overall, the response of participants (n = 103) in our single-centre survey-based pilot study was well-defined. The response regarding HPV-mediated cervical cancer awareness in terms of "yes", "no" and "no response" among the study subjects was 43.7, 44.7 and 11.6 %, respectively. Furthermore, in response to knowledge of HPV vaccine Gardasil, out of 103 subjects, 28.1 % answered "yes" while 37.9 and 34.0 % stated "no" and "no response", respectively. Our pilot survey may help in assessing knowledge of HPV-mediated cervical cancer and Gardasil vaccination awareness in women, and accordingly develop cost-effective cervical cancer control and prevention/public health counseling sessions in a clinical setting.

  13. A hospital based study of biochemical markers of bone turnovers & bone mineral density in north Indian women

    Science.gov (United States)

    Kumar, Ashok; Devi, Salam Gyaneshwori; Mittal, Soniya; Shukla, Deepak Kumar; Sharma, Shashi

    2013-01-01

    Background & objectives: The osteoporotic risk for women increases soon after menopause. Bone turnover markers are known to be associated with bone loss and fracture risk. This study was aimed to assess bone turnover using bone markers and their correlation with bone mineral density (BMD) in pre- and post-menopausal women. Methods: A total of 255 healthy women (160 pre- and 95 post-menopausal) were enrolled. Serum bone alkaline phosphatase (sBAP) and serum N-terminal telopeptide of type I collagen (NTX) were measured to evaluate the bone formation and resorption, respectively. Bone mineral density was determined at lumbar spine (L2-L4) anteroposteriorly, femoral neck and Ward's triangle using Prodigy dual-energy X-ray absorptiometry (DXA) system. The comparison of years since menopause with respect to BMD and bone markers was also evaluated. Results: NTX and sBAP showed significant negative correlation with BMD of femur neck and Ward's triangle in postmenopausal women. BMD of all three sides were significant variables for NTX and BMD of femur neck and Ward's triangle for sBAP in postmenopausal women. BMD lumbar spine was a significant variable for sBAP in premenopausal women. The mean values of NTX increased significantly with increase in the duration of years since menopause. The BMD of all three sides decreased significantly with increase in the duration of years since menopause. Interpretation & conclusions: Serum NTX and sBAP were inversely correlated to BMD of femur neck and Ward's triangle in post-menopausal women. Simultaneous measurements of NTX and BMD in the north Indian women, suggest that bone resorption in women with low BMD remains high after menopause. PMID:23481051

  14. Gorlin-Goltz syndrome: A case series of 5 patients in North Indian population with comparative analysis of literature.

    Science.gov (United States)

    Lata, Jeevan; Verma, Nitin; Kaur, Amandeep

    2015-09-01

    In Indian scenario, Gorlin-Goltz syndrome (nevoid basal cell carcinoma syndrome [NBCCS]) has been rarely reported. The clinical, radiological, and histopathological findings and major and minor criteria in five cases of NBCCS in North Indian population have been presented along with a discussion of the role of gene mutation analysis in early diagnosis of syndrome. The diagnostic findings of Gorlin-Goltz syndrome in 5 patients were compared with other reports in Indian population and with reports of this syndrome in other parts of the world. The most common features seen were keratocystic odontogenic tumors (100%), calcifications of falx cerebri (60%), palmar-plantar pits (80%), rib anomalies (80%), macroencephaly (60%), ocular hypertelorism (80%), and frontal bossing (60%) in our series. Retained deciduous teeth seen in 80% patients whose association has not been previously reported has been presented. None of our patients had basal cell carcinoma, syndactyly or polydactyly, pectus deformity, bridging of sella turcica, pigmented nevi, or family history of this syndrome in contrast to such findings in other Indian patients. Medulloblastoma has not been reported in any Indian patient so far compared to this finding in other studies conducted worldwide. Combining the features of 48 patients in 38 cases of NBCCS being published in Indian literature with five cases of our series and on comparison with other studies in the world, a wide disparity in different ethnic groups and a wide variation in presentation of syndrome within the same population is suggested.

  15. Strategy, leadership and change: the North York General Hospital transformation journey.

    Science.gov (United States)

    Adamson, Bonnie; Kwolek, Susan

    2008-01-01

    Improvements in the emergency department and general internal medicine will serve as a case study to examine how North York General Hospital cultural transformation efforts led to improvements in these departments, and why we believe this approach will enable the organization to sustain these improvements over time.

  16. Analysis of Tropical Cyclone Tracks in the North Indian Ocean

    Science.gov (United States)

    Patwardhan, A.; Paliwal, M.; Mohapatra, M.

    2011-12-01

    Cyclones are regarded as one of the most dangerous meteorological phenomena of the tropical region. The probability of landfall of a tropical cyclone depends on its movement (trajectory). Analysis of trajectories of tropical cyclones could be useful for identifying potentially predictable characteristics. There is long history of analysis of tropical cyclones tracks. A common approach is using different clustering techniques to group the cyclone tracks on the basis of certain characteristics. Various clustering method have been used to study the tropical cyclones in different ocean basins like western North Pacific ocean (Elsner and Liu, 2003; Camargo et al., 2007), North Atlantic Ocean (Elsner, 2003; Gaffney et al. 2007; Nakamura et al., 2009). In this study, tropical cyclone tracks in the North Indian Ocean basin, for the period 1961-2010 have been analyzed and grouped into clusters based on their spatial characteristics. A tropical cyclone trajectory is approximated as an open curve and described by its first two moments. The resulting clusters have different centroid locations and also differently shaped variance ellipses. These track characteristics are then used in the standard clustering algorithms which allow the whole track shape, length, and location to be incorporated into the clustering methodology. The resulting clusters have different genesis locations and trajectory shapes. We have also examined characteristics such as life span, maximum sustained wind speed, landfall, seasonality, many of which are significantly different across the identified clusters. The clustering approach groups cyclones with higher maximum wind speed and longest life span in to one cluster. Another cluster includes short duration cyclonic events that are mostly deep depressions and significant for rainfall over Eastern and Central India. The clustering approach is likely to prove useful for analysis of events of significance with regard to impacts.

  17. The Sky Clears; Poetry of the American Indians.

    Science.gov (United States)

    Day, A. Grove

    More than 200 authentic poems and lyrics of North American Indians are compiled in this anthology. The poetry was translated from tribal languages into English over the past 100 years by students of Indian language, lore, and life. The poems, taken from about 40 North American tribes, include songs of Eskimos of the Arctic coasts, totem-pole…

  18. Association of systemic risk factors with the severity of retinal hard exudates in a north Indian population with type 2 diabetes

    Directory of Open Access Journals (Sweden)

    Sachdev N

    2010-01-01

    Full Text Available Background: The various risk factors for diabetic retinopathy and its spectrum are still poorly understood in the Indian population. Aims: To study the association of various systemic risk factors with retinal hard exudates in type 2 diabetic north Indian patients and to measure the incidence of dyslipidemia in them. Settings and Design: A tertiary-hospital-based cross-sectional study. Materials and Methods: An observational case-study which included 180 type 2 diabetic patients (180 eyes of nonproliferative diabetic retinopathy (NPDR with clinically significant macular edema (CSME. In these patients the retinal hard exudates were graded on a central 500 fundus picture using modified Airlie House classification and divided into three groups of absent or minimal hard exudates (Group 1, hard exudates present (Group 2 and prominent hard exudates (Group 3. Their association with various risk factors, namely the age of onset of diabetes and its duration, gender, insulin therapy, and various systemic parameters like hypertension, blood hemoglobin, glycosylated hemoglobin, serum (s. creatinine levels, 24-h proteinuria and complete lipid profile including total s. cholesterol, low-density lipoprotein cholesterol (LDL, high-density lipoprotein cholesterol (HDL, very low-density lipoprotein cholesterol (VLDL and s. triglyceride (TG was studied. The incidence of dyslipidemia was also calculated among these groups of patients. Statistical Analysis: ANOVA test, linear regression analysis and Spearman′s correlation test. Results: On univariate analysis, the retinal hard exudates were significantly associated with s. creatinine (P=0.016, systolic blood pressure (P=0.014, s. cholesterol (P < 0.001, s. LDL (P=0.008 and s. TG (P=0.013 levels. While on linear regression analysis, s. cholesterol (P < 0.001 and s. LDL cholesterol (P=0.028 were found to be independent risk factors affecting the density of retinal hard exudates. On Spearman′s correlation test, the

  19. Gorlin–Goltz syndrome: A case series of 5 patients in North Indian population with comparative analysis of literature

    Science.gov (United States)

    Lata, Jeevan; Verma, Nitin; Kaur, Amandeep

    2015-01-01

    Objective: In Indian scenario, Gorlin–Goltz syndrome (nevoid basal cell carcinoma syndrome [NBCCS]) has been rarely reported. The clinical, radiological, and histopathological findings and major and minor criteria in five cases of NBCCS in North Indian population have been presented along with a discussion of the role of gene mutation analysis in early diagnosis of syndrome. Materials and Methods: The diagnostic findings of Gorlin–Goltz syndrome in 5 patients were compared with other reports in Indian population and with reports of this syndrome in other parts of the world. Results: The most common features seen were keratocystic odontogenic tumors (100%), calcifications of falx cerebri (60%), palmar-plantar pits (80%), rib anomalies (80%), macroencephaly (60%), ocular hypertelorism (80%), and frontal bossing (60%) in our series. Retained deciduous teeth seen in 80% patients whose association has not been previously reported has been presented. None of our patients had basal cell carcinoma, syndactyly or polydactyly, pectus deformity, bridging of sella turcica, pigmented nevi, or family history of this syndrome in contrast to such findings in other Indian patients. Medulloblastoma has not been reported in any Indian patient so far compared to this finding in other studies conducted worldwide. Conclusions: Combining the features of 48 patients in 38 cases of NBCCS being published in Indian literature with five cases of our series and on comparison with other studies in the world, a wide disparity in different ethnic groups and a wide variation in presentation of syndrome within the same population is suggested. PMID:26604574

  20. Gorlin–Goltz syndrome: A case series of 5 patients in North Indian population with comparative analysis of literature

    Directory of Open Access Journals (Sweden)

    Jeevan Lata

    2015-01-01

    Full Text Available Objective: In Indian scenario, Gorlin–Goltz syndrome (nevoid basal cell carcinoma syndrome [NBCCS] has been rarely reported. The clinical, radiological, and histopathological findings and major and minor criteria in five cases of NBCCS in North Indian population have been presented along with a discussion of the role of gene mutation analysis in early diagnosis of syndrome. Materials and Methods: The diagnostic findings of Gorlin–Goltz syndrome in 5 patients were compared with other reports in Indian population and with reports of this syndrome in other parts of the world. Results: The most common features seen were keratocystic odontogenic tumors (100%, calcifications of falx cerebri (60%, palmar-plantar pits (80%, rib anomalies (80%, macroencephaly (60%, ocular hypertelorism (80%, and frontal bossing (60% in our series. Retained deciduous teeth seen in 80% patients whose association has not been previously reported has been presented. None of our patients had basal cell carcinoma, syndactyly or polydactyly, pectus deformity, bridging of sella turcica, pigmented nevi, or family history of this syndrome in contrast to such findings in other Indian patients. Medulloblastoma has not been reported in any Indian patient so far compared to this finding in other studies conducted worldwide. Conclusions: Combining the features of 48 patients in 38 cases of NBCCS being published in Indian literature with five cases of our series and on comparison with other studies in the world, a wide disparity in different ethnic groups and a wide variation in presentation of syndrome within the same population is suggested.

  1. Geosat altimeter derived sea surface wind speeds and significant wave heights for the north Indian Ocean and their comparison with in situ data

    Digital Repository Service at National Institute of Oceanography (India)

    Vethamony, P.; Vaithiyanathan, R.; Almeida, A.M.; Santanam, K.; Rao, L.V.G.; Sarkar, A.; Kumar, R.; Gairola, R.M.; Gohil, B.S.

    Geosat altimeter data for the period November 1986-October 1987 over the north Indian Ocean have been processed to retrieve wind speeds and significant wave heights. Smoothed Brown algorithm is used to retrieve wind speeds from back...

  2. History and Acculturation of the Dakota Indians.

    Science.gov (United States)

    Satterlee, James L.; Malan, Vernon D.

    Relating the history of the Dakota Indians from their origins to the present time, this document also examines the effects of acculturation on these Sioux people. Beginning with the Paleo-Indians of North America, it details the structure of the Dakota culture and attempts to acculturate the Indians into white society. Historical and current…

  3. Lower respiratory tract infection hospitalizations among American Indian/Alaska Native children and the general United States child population

    Directory of Open Access Journals (Sweden)

    Eric M. Foote

    2015-11-01

    Full Text Available Background: The lower respiratory tract infection (LRTI-associated hospitalization rate in American Indian and Alaska Native (AI/AN children aged <5 years declined during 1998–2008, yet remained 1.6 times higher than the general US child population in 2006–2008. Purpose: Describe the change in LRTI-associated hospitalization rates for AI/AN children and for the general US child population aged <5 years. Methods: A retrospective analysis of hospitalizations with discharge ICD-9-CM codes for LRTI for AI/AN children and for the general US child population <5 years during 2009–2011 was conducted using Indian Health Service direct and contract care inpatient data and the Nationwide Inpatient Sample, respectively. We calculated hospitalization rates and made comparisons to previously published 1998–1999 rates prior to pneumococcal conjugate vaccine introduction. Results: The average annual LRTI-associated hospitalization rate declined from 1998–1999 to 2009–2011 in AI/AN (35%, p<0.01 and the general US child population (19%, SE: 4.5%, p<0.01. The 2009–2011 AI/AN child average annual LRTI-associated hospitalization rate was 20.7 per 1,000, 1.5 times higher than the US child rate (13.7 95% CI: 12.6–14.8. The Alaska (38.9 and Southwest regions (27.3 had the highest rates. The disparity was greatest for infant (<1 year pneumonia-associated and 2009–2010 H1N1 influenza-associated hospitalizations. Conclusions: Although the LRTI-associated hospitalization rate declined, the 2009–2011 AI/AN child rate remained higher than the US child rate, especially in the Alaska and Southwest regions. The residual disparity is likely multi-factorial and partly related to household crowding, indoor smoke exposure, lack of piped water and poverty. Implementation of interventions proven to reduce LRTI is needed among AI/AN children.

  4. Sex determination from hand and foot dimensions in a North Indian population.

    Science.gov (United States)

    Krishan, Kewal; Kanchan, Tanuj; Sharma, Abhilasha

    2011-03-01

    Hands and feet are often recovered from the site of natural as well as man-made disasters because of bomb blasts, train accidents, plane crashes, or mass homicides. This study is intended to establish standards for determination of sex from the dimensions of hands and feet in a North Indian population. The data for this study comprise 123 men and 123 women aged between 17 and 20 years from the "Rajput" population of Himachal Pradesh in North India. Four anthropometric measurements viz. hand length, hand breadth, foot length, and foot breadth have been taken on both sides of each subject following international anthropometric standards. The hand index (hand breadth/hand length × 100) and the foot index (foot breadth/foot length × 100) were calculated. Sectioning points and regression models are derived for the hand and foot dimensions and the derived indices. The hand and foot dimensions show a higher accuracy in sex determination by sectioning point analysis when compared to hand and foot index. Of the hand and the foot dimensions, hand breadth and foot breadth showed better accuracy in sex determination. Hand index and foot index remain poor sex discriminators in the study. © 2011 American Academy of Forensic Sciences.

  5. Fat embolism syndrome in long bone trauma following vehicular accidents: Experience from a tertiary care hospital in north India

    Directory of Open Access Journals (Sweden)

    Parvaiz A Koul

    2013-01-01

    Full Text Available Background: Fat embolism syndrome (FES is a clinical problem arising mainly due to fractures particularly of long bones and pelvis. Not much literature is available about FES from the Indian subcontinent. Materials and Methods: Thirty-five patients referred/admitted prospectively over a 3-year period for suspected FES to a north Indian tertiary care center and satisfying the clinical criteria proposed by Gurd and Wilson, and Schonfeld were included in the study. Clinical features, risk factors, complications, response to treatment and any sequelae were recorded. Results: The patients (all male presented with acute onset breathlessness, 36-120 hours following major bone trauma due to vehicular accidents. Associated features included features of cerebral dysfunction ( n = 24, 69%, petechial rash (14%, tachycardia (94% and fever (46%. Hypoxemia was demonstrable in 80% cases, thrombocytopenia in 91%, anemia in 94% and hypoalbuminemia in 59%. Bilateral alveolar infiltrates were seen on chest radiography in 28 patients and there was evidence of bilateral ground glass appearance in 5 patients on CT. Eleven patients required ventilatory assistance whereas others were treated with supportive management. Three patients expired due to associated sepsis and respiratory failure, whereas others recovered with a mean hospital stay of 9 days. No long term sequelae were observed. Conclusion: FES remains a clinical challenge and is a diagnosis of exclusion based only on clinical grounds because of the absence of any specific laboratory test. A high index of suspicion is required for diagnosis and initiating supportive management in patients with traumatic fractures, especially in those having undergone an invasive orthopedic procedure.

  6. Indian Education in the American Colonies, 1607-1783.

    Science.gov (United States)

    Szasz, Margaret Connell

    Indian schooling in colonial America was continuously immersed in the exchange between cultures that involved religion, land ownership, disease, alcohol, and warfare, and was molded by trade in furs and hides, and Indian slaves. In the past two decades American scholars have begun to reinterpret colonial North American Indian history and the…

  7. Oxygen isotope records of Globigerina bulloides across a north-south transect in the south-western Indian Ocean

    Digital Repository Service at National Institute of Oceanography (India)

    Khare, N.; Chaturvedi, S.K.; Saraswat, R

    , Washington, D.C). Lutjeharms, J.R.E., N.M. Walters and B.R. Allanson. 1985. Oceanic frontal systems and biologicalenhancement. p.11-21. In: Antarctic Nutrient Cycles and Food Webs. ed. by W.R. Siegfried et al., Springer-Verlag, NewYork. Matsumoto, K., J...: Ocean Sci. J.: 44(2); 2009; 117-123 OXYGEN ISOTOPE RECORDS OF GLOBIGERINA BULLOIDES ACROSS A NORTH-SOUTH TRANSECT IN THE SOUTH-WESTERN INDIAN OCEAN N. Khare 1* , S. K. Chaturvedi 2 and R. Saraswat 3 1. Ministry of Earth Sciences, Block...

  8. American Indian Studies. Library Research Guide.

    Science.gov (United States)

    White, Phillip M.

    This guide to sources for students at San Diego State University doing library research in topics related to American Indian Studies begins by noting that information on North American Indians can be found in a variety of subject disciplines including history, anthropology, education, sociology, health care, law, business, and politics. The…

  9. Predisposing factors and histopathological variants of cutaneous squamous cell carcinoma: Experience from a North Indian teaching hospital

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    Geeti Khullar

    2016-01-01

    Full Text Available Background: Squamous and basal cell carcinomas together constitute the majority of non-melanoma skin cancers. These malignancies are infrequent in Indians as compared to the white skinned population. Literature on squamous cell carcinoma in dark skin is limited. Aim: To analyze the risk factors and to characterize the histopathological subtypes of cutaneous squamous cell carcinoma in Indian patients in an area, non-endemic for arsenicosis. Methods: A retrospective analysis of data from January 2003 to August 2013 was performed to evaluate the predisposing factors and histopathological types of cutaneous squamous cell carcinoma at the Postgraduate Institute of Medical Education and Research (PGIMER, Chandigarh. Demographic and disease characteristics such as age, gender and predisposing factors, particularly premalignant dermatoses were recorded and histopathology slides were reviewed. Results: Of the 13,426 skin biopsy specimens received during the 10-year period, there were 82 (0.6% cases of squamous cell carcinoma and 170 (1.7% of basal cell carcinoma. The mean age at diagnosis of cutaneous squamous cell carcinoma was 53.7 years and the male to female ratio was 2:1. The most common site of involvement was the lower limbs in 34 (41.5% patients. Marjolin's ulcer was present in 36 (43.9% cases. No predisposing factor was identified in 35 (42.7% patients. Histopathologically, the tumors were classified most commonly as squamous cell carcinoma not otherwise specified in 33 (40.2% cases. Limitations: This was a retrospective study and details of occupation and interval between the precursor lesions and development of tumor were not recorded. Immunohistochemistry for human papilloma virus and p53 tumor suppressor protein were not performed as these tests were not available. Conclusion: Cutaneous squamous cell carcinoma is uncommon in Indian patients and a high index of suspicion is necessary when a rapidly enlarging nodule, verrucous fungating plaque

  10. Facial soft tissue thickness in North Indian adult population

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    Tanushri Saxena

    2012-01-01

    Full Text Available Objectives: Forensic facial reconstruction is an attempt to reproduce a likeness of facial features of an individual, based on characteristics of the skull, for the purpose of individual identification - The aim of this study was to determine the soft tissue thickness values of individuals of Bareilly population, Uttar Pradesh, India and to evaluate whether these values can help in forensic identification. Study design: A total of 40 individuals (19 males, 21 females were evaluated using spiral computed tomographic (CT scan with 2 mm slice thickness in axial sections and soft tissue thicknesses were measured at seven midfacial anthropological facial landmarks. Results: It was found that facial soft tissue thickness values decreased with age. Soft tissue thickness values were less in females than in males, except at ramus region. Comparing the left and right values in individuals it was found to be not significant. Conclusion: Soft tissue thickness values are an important factor in facial reconstruction and also help in forensic identification of an individual. CT scan gives a good representation of these values and hence is considered an important tool in facial reconstruction- This study has been conducted in North Indian population and further studies with larger sample size can surely add to the data regarding soft tissue thicknesses.

  11. Indian monsoon variability on millennial-orbital timescales.

    Science.gov (United States)

    Kathayat, Gayatri; Cheng, Hai; Sinha, Ashish; Spötl, Christoph; Edwards, R Lawrence; Zhang, Haiwei; Li, Xianglei; Yi, Liang; Ning, Youfeng; Cai, Yanjun; Lui, Weiguo Lui; Breitenbach, Sebastian F M

    2016-04-13

    The Indian summer monsoon (ISM) monsoon is critical to billions of people living in the region. Yet, significant debates remain on primary ISM drivers on millennial-orbital timescales. Here, we use speleothem oxygen isotope (δ(18)O) data from Bittoo cave, Northern India to reconstruct ISM variability over the past 280,000 years. We find strong coherence between North Indian and Chinese speleothem δ(18)O records from the East Asian monsoon domain, suggesting that both Asian monsoon subsystems exhibit a coupled response to changes in Northern Hemisphere summer insolation (NHSI) without significant temporal lags, supporting the view that the tropical-subtropical monsoon variability is driven directly by precession-induced changes in NHSI. Comparisons of the North Indian record with both Antarctic ice core and sea-surface temperature records from the southern Indian Ocean over the last glacial period do not suggest a dominant role of Southern Hemisphere climate processes in regulating the ISM variability on millennial-orbital timescales.

  12. The Variations in Calcaneal Articular Facets In North Indian Population and its Clinical Implication

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    Seema

    2012-01-01

    Full Text Available Aims and Objectives- To know the most common type of calcanei in North Indian population and itsclinical importance. There are three articular facets on superior surface of calcaneus- anterior, middle andposterior. Three types of calcanei are noted according to number and arrangement of the articular facets-type A, B and C. Methodology - The present studywas done on 300 dry adult human calcanei of unknownsex taken from Department of Anatomy Sri Guru Ram Das Institute of Medical Sciences and ResearchVallah (Amritsar. Results- In our study Type B was found as the most common type. Type A is the nextmost common. Interpretation- The talocalcaneal joint is important in arthritis and coalition, flat foot, valgus deformity, congenital anomalies and intra articular fractures.

  13. [Clinical research outside of teaching hospitals: Current situation in north-eastern France].

    Science.gov (United States)

    Goetz, C; Dupoux, A; Déloy, L; Hertz, C; Jeanmaire, T; Parneix, N

    2015-04-01

    Most clinical research in France takes place in teaching hospitals. There are, however, many advantages to developing it in other hospitals: access to innovative treatments, improvement in healthcare quality, attractiveness of hospitals, increased trial inclusion rates and reduced selection bias. The objectives of our study were to report on the current situation of clinical research outside teaching hospitals. A three-stage survey was conducted between January 2012 and May 2013 in non-teaching hospitals of north-eastern France. First, questionnaires were sent to administrative and medical boards of all hospitals with more than 100 beds, then to head doctors of every department in hospitals with more than 300 beds and finally meetings were organized with members of 20 selected hospitals. The administrative and medical boards of 85 hospitals participated in the first stage of the survey; half of these hospitals were engaged in clinical research activities and for 10 the internal structuring was cross-disciplinary. Answers from 178 departments were obtained during the second stage; 47% reported a clinical research activity. Meetings with research teams in 20 hospitals allowed us to identify difficulties concerning research funding, transversal organization and sponsoring. Clinical research existed in more than half of the respondent non-teaching hospitals. Obstacles to its development can be grouped in three categories: 1) internal structuring of clinical research, 2) access to information and knowledge of how clinical research functions and to interlocutors outside the hospital and 3) access to skills necessary to sponsor clinical research. Copyright © 2015 Elsevier Masson SAS. All rights reserved.

  14. Burden of diarrhea, hospitalization and mortality due to cryptosporidial infections in Indian children.

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    Rajiv Sarkar

    2014-07-01

    Full Text Available Cryptosporidium spp. is a common, but under-reported cause of childhood diarrhea throughout the world, especially in developing countries. A comprehensive estimate of the burden of cryptosporidiosis in resource-poor settings is not available.We used published and unpublished studies to estimate the burden of diarrhea, hospitalization and mortality due to cryptosporidial infections in Indian children. Our estimates suggest that annually, one in every 6-11 children <2 years of age will have an episode of cryptosporidial diarrhea, 1 in every 169-633 children will be hospitalized and 1 in every 2890-7247 children will die due to cryptosporidiosis. Since there are approximately 42 million children <2 years of age in India, it is estimated that Cryptosporidium results in 3.9-7.1 million diarrheal episodes, 66.4-249.0 thousand hospitalizations, and 5.8-14.6 thousand deaths each year.The findings of this study suggest a high burden of cryptosporidiosis among children <2 years of age in India and makes a compelling case for further research on transmission and prevention modalities of Cryptosporidium spp. in India and other developing countries.

  15. Correlations between the North China Craton and the Indian Shield: Constraints from regional metallogeny

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    Caifeng Li

    2015-11-01

    Full Text Available The correlation between the North China Craton (NCC and the Indian Shield (IND has been a hot topic in recent years. On the basis of ore deposit databases, the NCC and IND have shown broad similarity in metallogenesis from the middle Archaean to the Mesoproterozoic. The two blocks both have three major metallogenic systems: (1 the Archaean BIF metallogenic system; (2 the Paleoproterozoic Cu-Pb-Zn metallogenic system; and (3 the Mesoproterozoic Fe-Pb-Zn system. In the north margin of the NCC and the west margin of the IND, the Archaean BIF-Au-Cu-Pb-Zn deposits had the same petrogenesis and host rocks, the Paleoproterozoic Cu-Pb-Zn deposits were controlled by active belts, and the Mesoproterozoic Fe-Pb-Zn deposits were mainly related to multi-stage rifting. Matching regional mineralization patterns and geological features has established the continental assembly referred to as “NCWI”, an acronym for the north margin of the NCC (NC and the west margin of the IND (WI during the middle Archaean to the Mesoproterozoic. In this assembly, the available geological and metallogenic data from the Eastern Block and active belts of NC fit those from the Dharwar craton and the Aravalli–Delhi–Vindhyan belt of WI, respectively. Moreover, the depositional model and environment of Paleoproterozoic metasedimentary manganese deposits in NCWI implied that the assembly may be located at low latitudes, where the conditions were favorable for dissolving ice and precipitating manganese deposits.

  16. Correlation of chronological, skeletal, and dental age in North Indian population

    Directory of Open Access Journals (Sweden)

    Madhurima Nanda

    2017-01-01

    Full Text Available Aim and Objectives: The aim of the study was to find out the correlation between chronological, dental, and skeletal age. Materials and Methods: Lateral cephalograms and orthopantomograms of 100 subjects of age ranging 9–14 years were obtained for the estimation of skeletal and dental age. Dental age was assessed using Demirjian's method; skeletal age was assessed using the new improved version of the cervical vertebral maturation method given by Baccetti, Franchi, and McNamara. Statistical analysis was carried out. Student's t-test and Spearman's coefficient correlation were used to assess the relation between chronological, skeletal, and dental age. Results: The Spearman's correlation coefficient was 0.777 (P < 0.001 between chronological and dental age, 0.516 (P < 0.001 between chronological and skeletal age, and 0.563 (P < 0.001 between dental and skeletal age. Conclusion: There is a good correlation between chronological and dental age in North Indian population which was higher for males as compared to females. A moderate correlation was found between chronological and skeletal age as well as between dental and skeletal age.

  17. Diarrhea, stimulation and growth predict neurodevelopment in young North Indian children.

    Science.gov (United States)

    Kvestad, Ingrid; Taneja, Sunita; Hysing, Mari; Kumar, Tivendra; Bhandari, Nita; Strand, Tor A

    2015-01-01

    Infants and young children in low to middle-income countries are at risk for adverse neurodevelopment due to multiple risk factors. In this study, we sought to identify stimulation and learning opportunities, growth, and burden of respiratory infections and diarrhea as predictors for neurodevelopment. We visited 422 North Indian children 6 to 30 months old weekly for six months. Childhood illnesses were assessed biweekly. At end study, we assessed neurodevelopment using the Ages and Stages Questionnaire 3rd ed. (ASQ-3) and gathered information on stimulation and learning opportunities. We identified predictors for ASQ-3 scores in multiple linear and logistic regression models. We were able to explain 30.5% of the variation in the total ASQ-3 score by the identified predictors. When adjusting for child characteristics and annual family income, stimulation and learning opportunities explained most of the variation by 25.1%. Height for age (standardized beta: 0.12, pimportance of early child stimulation and general nutrition for child development. Our study also suggests that diarrhea is an additional risk factor for adverse neurodevelopment in vulnerable children.

  18. Intergenerational relations and elder care preferences of Asian Indians in North Carolina.

    Science.gov (United States)

    Sudha, S

    2014-03-01

    The US older population is growing in ethnic diversity. Persistent ethnic disparities in service use among seniors are linked to structural barriers to access, and also to family processes such as cultural preferences and intergenerational relations. There is sparse information on the latter issue for immigrant ethnic minority seniors. Information on the Asian group (the fastest growing senior sub-population) is extremely scarce, due to this group's diversity in national, linguistic, and cultural origins. We conducted a qualitative study among community-dwelling Asian Indian families (including at least one member aged 60 years and older) in North Carolina to examine preferences of seniors and the midlife generation regarding elder care, and the role of intergenerational relations in desired care for elders, exploring the theoretical perspective of intergenerational relationship ambivalence. Our results suggest that cultural preferences, ambivalence in intergenerational relations, and regulations on health service eligibility among immigrant/transnational seniors and midlife adults influence preferences for elder care.

  19. 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.

  20. Giving Voice: A Course on American Indian Women.

    Science.gov (United States)

    Krouse, Susan Applegate

    1997-01-01

    Presents the story of the creation of an undergraduate course on the traditional and contemporary roles of women in North American Indian cultures. Notes that the course was designed around experiential learning precepts and the idea of "giving voice" to American Indian women. Lists texts used and evaluates course strengths. (DSK)

  1. Motorcycle crash-related emergency department visits and hospitalizations for traumatic brain injury in North Carolina.

    Science.gov (United States)

    Harmon, Katherine J; Marshall, Stephen W; Proescholdbell, Scott K; Naumann, Rebecca B; Waller, Anna E

    2015-01-01

    To examine statewide emergency department (ED) visit data for motorcycle crash morbidity and healthcare utilization due to traumatic brain injuries (TBIs) and non-TBIs. North Carolina ED data (2010-2012) and hospital discharge data (2009-2011). Statewide ED visits and hospitalizations due to injuries from traffic-related motorcycle crashes stratified by TBI status. Descriptive study. Descriptive statistics include age, sex, mode of transport, disposition, expected source of payment, hospital length of stay, and hospital charges. Over the study period, there were 18 780 ED visits and 3737 hospitalizations due to motorcycle crashes. Twelve percent of ED visits for motorcycle crashes and 26% of hospitalizations for motorcycle crashes had a diagnosis of TBI. Motorcycle crash-related hospitalizations with a TBI diagnosis had median hospital charges that were nearly $9000 greater than hospitalizations without a TBI diagnosis. Emergency department visits and hospitalizations due to motorcycle crashes with a TBI diagnosis consumed more healthcare resources than motorcycle crash-related ED visits and hospitalizations without a TBI diagnosis. Increased awareness of motorcyclists by other road users and increased use of motorcycle helmets are 2 strategies to mitigate the incidence and severity of motorcycle crash injuries, including TBIs.

  2. Towards understanding the low prevalence of Helicobacter pylori in Malays: genetic variants among Helicobacter pylori-negative ethnic Malays in the north-eastern region of Peninsular Malaysia and Han Chinese and South Indians.

    Science.gov (United States)

    Maran, Sathiya; Lee, Yeong Yeh; Xu, Shu Hua; Raj, Mahendra Sundramoorthy; Abdul Majid, Noorizan; Choo, Keng Ee; Zilfalil, Bin Alwi; Graham, David Y

    2013-04-01

    To identify gene polymorphisms that differ between Malays, Han Chinese and South Indians, and to identify candidate genes for the investigation of their role in protecting Malays from Helicobacter pylori (H. pylori) infection. Malay participants born and residing in Kelantan with a documented absence of H. pylori infection were studied. Venous blood was used for genotyping using the Affymetrix 50K Xba I kit. CEL files from 141 Han Chinese and 76 South Indians were analyzed to compare their allele frequency with that of the Malays using fixation index (FST ) calculation. The single nucleotide polymorphisms (SNPs) with the highest allele frequency (outliers) were then examined for their functional characteristics using F-SNP software and the Entrez Gene database. In all, 37 Malays were enrolled in the study; of whom 7 were excluded for low genotyping call rates. The average FST estimated from the genome-wide data were 0.038 (Malays in Kelantan vs the South Indians), 0.015 (Malays in Kelantan vs Han Chinese) and 0.066 (Han Chinese vs South Indians), respectively. The outlier gene variants present in Malays with functional characteristics were C7orf10 (FST  0.29988), TSTD2 (FST  0.43278), SMG7 (FST  0.29877) and XPA (FST  0.43393 and 0.43644). Genetic variants possibly related to protection against H. pylori infection in ethnic Malays from the north-eastern region of Peninsular Malaysia were identified for testing in subsequent trials among infected and uninfected Malays. © 2012 The Authors. Journal of Digestive Diseases © 2012 Chinese Medical Association Shanghai Branch, Chinese Society of Gastroenterology, Renji Hospital Affiliated to Shanghai Jiaotong University School of Medicine and Wiley Publishing Asia Pty Ltd.

  3. One hundred years of instrumental phonetic fieldwork on North America Indian languages

    Science.gov (United States)

    McDonough, Joyce

    2005-04-01

    A resurgence of interest in phonetic fieldwork on generally morphologically complex North American Indian languages over the last 15 years is a continuation of a tradition started a century ago with the Earle Pliny Goddard, who collected kymographic and palatographic field-data between 1906-1927 on several Athabaskan languages: Coastal Athabaskan (Hupa and Kato), Apachean (Mescalero, Jicarilla, White Mountain, San Juan Carlos Apache), and several Athabaskan languages in Northern Canada (Cold Lake and Beaver); data that remains important for its record of segmental timing profiles and rare articulatory documentation in then largely monolingual communities. This data in combination with new work has resulted in the emergence of a body of knowledge of these typologically distinct families that often challenge notions of phonetic universality and typology. Using the Athabaskan languages as benchmark example and starting with Goddard's work, two types of emergent typological patterns will be discussed; the persistence of fine-grained timing and duration details across the widely dispersed family, and the broad variation in prosodic types that exists, both of which are unaccounted for by phonetic or phonological theories.

  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. Journal of Earth System Science | Indian Academy of Sciences

    Indian Academy of Sciences (India)

    Home; Journals; Journal of Earth System Science; Volume 118; Issue 5 ... Impact of vegetation on the simulation of seasonal monsoon rainfall over the Indian .... On the diurnal ranges of Sea Surface Temperature (SST) in the north Indian Ocean ... Groundwater flow modelling of Yamuna–Krishni interstream, a part of central ...

  6. American Indian Studies. Library Research Guide. 2nd Edition.

    Science.gov (United States)

    White, Phillip M.

    This guide to sources for San Diego (California) State University students doing library research on topics related to American Indian Studies begins by noting that information on North American Indians can be found in a variety of subject disciplines including history, anthropology, education, sociology, health care, law, business, and politics.…

  7. Asthma Burden in the Hospitalized Patients in North of Iran

    Directory of Open Access Journals (Sweden)

    Javad Ghaffari

    2014-10-01

    Full Text Available Introduction: Asthma is a chronic inflammatory airway disease. Genetic and environmental factors have been important role in the induction of asthma. It's estimated that asthma affect 2.7 to 35.4% of child (in average 13.4% in Iran. The aims of this study to assess the costs of asthma patients admitted in Boali hospital in Sari in the north of Iran. Patients and Methods: This descriptive study was carried out in asthma patients 1 to 20 years old that admitted in the Boali hospital in Sari from 2008 to2012. Out of 455 folders, 22 folders excluded because incomplete registrations.Results: Out of 432 patients, 280 patients (64.81% were male. 349 patients were 1-5 years old (80.78%. Average annual cost in our asthmatic patients was 1219064 Rials(Iran currency ($ 121.9 per patient, 1183655 ($ 118.3 and 1284789($ 128.5 Rials per male and per female patient respectively. Conclusions: Our study showed asthma disease has been significantly cost for patient, family

  8. Population and genomic lessons from genetic analysis of two Indian populations.

    Science.gov (United States)

    Juyal, Garima; Mondal, Mayukh; Luisi, Pierre; Laayouni, Hafid; Sood, Ajit; Midha, Vandana; Heutink, Peter; Bertranpetit, Jaume; Thelma, B K; Casals, Ferran

    2014-10-01

    Indian demographic history includes special features such as founder effects, interpopulation segregation, complex social structure with a caste system and elevated frequency of consanguineous marriages. It also presents a higher frequency for some rare mendelian disorders and in the last two decades increased prevalence of some complex disorders. Despite the fact that India represents about one-sixth of the human population, deep genetic studies from this terrain have been scarce. In this study, we analyzed high-density genotyping and whole-exome sequencing data of a North and a South Indian population. Indian populations show higher differentiation levels than those reported between populations of other continents. In this work, we have analyzed its consequences, by specifically assessing the transferability of genetic markers from or to Indian populations. We show that there is limited genetic marker portability from available genetic resources such as HapMap or the 1,000 Genomes Project to Indian populations, which also present an excess of private rare variants. Conversely, tagSNPs show a high level of portability between the two Indian populations, in contrast to the common belief that North and South Indian populations are genetically very different. By estimating kinship from mates and consanguinity in our data from trios, we also describe different patterns of assortative mating and inbreeding in the two populations, in agreement with distinct mating preferences and social structures. In addition, this analysis has allowed us to describe genomic regions under recent adaptive selection, indicating differential adaptive histories for North and South Indian populations. Our findings highlight the importance of considering demography for design and analysis of genetic studies, as well as the need for extending human genetic variation catalogs to new populations and particularly to those with particular demographic histories.

  9. High risk association of IL-4 VNTR polymorphism with asthma in a North Indian population.

    Science.gov (United States)

    Birbian, Niti; Singh, Jagtar; Jindal, Surinder Kumar; Sobti, Ranbir Chander

    2014-03-01

    A case-control study was conducted to evaluate the role of IL-4 VNTR polymorphism in asthma that has been associated with various inflammatory diseases worldwide. This is the first case-control study conducted in India, investigating the role of IL-4 VNTR polymorphism in asthma pathogenesis. A case-control study was performed with a total of 824 adult subjects, inducting 410 asthma patients and 414 healthy controls from North India. The genotypes were identified by polymerase chain reaction. Statistical analysis for the IL-4 VNTR polymorphism revealed that the Rp1 allele was significantly associated with asthma with OR=1.47, 95% CI (1.11-1.94) and p=0.005. The Rp1/Rp1 homozygous mutant genotype posed a high risk towards asthma with OR=2.39, 95% CI (0.96-6.14) and p=0.040. The Rp2/Rp1 heterozygous genotype also posed a risk towards asthma with OR=1.39, 95% CI (1.00-1.94) and p=0.040. Most of the phenotypic traits were significantly associated with the disease. IL-4 VNTR polymorphism is a high risk factor for asthma in the studied North Indian population. Copyright © 2014 Elsevier Ltd. All rights reserved.

  10. [Heart surgery in Brazilian Indians].

    Science.gov (United States)

    Gomes, W J; Carvalho, A C; Vieira Filho, J P; Souza, R B; Palma, J H; Maluf, M A; Branco, J N; Buffolo, E

    1997-01-01

    Our experience with surgical treatment of heart diseases in Indians living in the Amazon rain forest in primitive stages was reviewed. From 1988 to 1995, 18 patients underwent cardiovascular surgical procedures at the São Paulo Hospital of the Escola Paulista de Medicina. Seven patients had valvar disease, nine congenital heart defects, one submitral aneurysm and one arrhythmia. Thirteen Indians came from tribes of the Amazon rain forest area: three from the Xavante, two from Waiapi, two from Tucano, two from Macuxi, two from Mayoruna, and one of each tribe of Xikrin, Guajajara, Terena, Surui, Galibi, Cinta-Larga and Pataxó. We performed 22 operations, with two hospital deaths. Follow-up was possible in 87.5% of cases, with one late death. The majority of cases were due to congenital heart defects and in this series it was noted the absence of operations to treat coronary artery disease. The incidence of valve disease was higher in accultured or semi-accultured Indians. The surgical treatment of cardiovascular disease has made possible to the surviving indians to return to and be accepted by their fellow tribesmen.

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

    DEFF Research Database (Denmark)

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

    2015-01-01

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

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

    Science.gov (United States)

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

    2008-08-01

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

  13. 75 FR 55824 - Land Acquisitions; Nisqually Indian Tribe

    Science.gov (United States)

    2010-09-14

    ... INFORMATION CONTACT: Ben Burshia, Bureau of Indian Affairs, Chief, Division of Real Estate Services, MS-4639... 18 North, Range 1 East, Willamette Meridian, lying northerly of the north right-of-way line of Yelm Highway SE and southwesterly of the southwest right-of-way line of Olympia-Yelm Road being State Highway...

  14. Trend of human brucellosis over a decade at tertiary care centre in North Karnataka.

    Science.gov (United States)

    Patil, D P; Ajantha, G S; Shubhada, C; Jain, P A; Kalabhavi, A; Shetty, P C; Hosamani, M; Appannanavar, S; Kulkarni, R D

    2016-01-01

    Brucellosis is an important zoonotic disease. India having a major agrarian population is expected to have a higher prevalence. However, due to lack of laboratory facility or awareness among clinicians, the disease is largely underreported. The aim of this study was to know the prevalence and trend of human brucellosis over a decade, in patients attending a teaching hospital in North Karnataka, and to understand their geographical distribution. The study was conducted from January 2006 to December 2015 at a tertiary care teaching hospital in North Karnataka. A total of 3610 serum samples were evaluated from suspected cases of brucellosis. All serum samples were initially screened by Rose Bengal plate test, and positive samples were further analysed by Serum agglutination test (SAT) using standard Brucella abortus antigen from Indian Veterinary Research Institute, Izatnagar, Uttar Pradesh, India. A titre above or equal to 1:80 IU/ml was considered as positive. Demographic data such as age, sex and native place of these patients were also analysed. We observed that human brucellosis is present in North Karnataka. The overall seropositivity of brucellosis in suspected cases was 5.1%. The positive titres ranged from 1:80 to 163,840 IU/ml. The majority of the patients were from Gadag, Koppal and Haveri districts of North Karnataka. Our study confirms the presence of human brucellosis in the northern part of Karnataka. Further studies to understand the prevalence of animal brucellosis in these areas will help in implementing prevention measures.

  15. Validation of a modified Hindi version of the Epworth Sleepiness Scale among a North Indian population

    Directory of Open Access Journals (Sweden)

    Geetika Bajpai

    2016-01-01

    Full Text Available Background: Since a majority of population in India does not drive automobiles, one item on the Epworth Sleepiness Scale (ESS requires modification and validation. In addition, data collected by us indicated that a majority of rural and urban Indians regularly spend time in prayer/spiritual activity. The main purpose of this study was to develop a cross-cultural adaptation of the ESS for a North Indian population, in Hindi language (ESS-I. The study also provides evidence of reliability and validity of the modified version. Methodology: The subjects included were normal volunteers aged 18-75 years (Group 1 (n = 70, compared with patients with complaints of excessive daytime sleepiness, who had undergone polysomnography (Group 2 (n = 22 and patients who had undergone multiple sleep latency test (Group 3 (n = 10. The study was carried out in four phases: Translation and retranslation of the original scale with modification of item 8 (mainly addition of option of question on "while offering prayers or in spiritual activity"; reliability (test-retest (n = 30; internal consistency (using Cronbach′s alpha index (n = 102; and sensitivity to change (n = 8. Results: Group 1 showed spiritual activity as a significantly more commonly practiced activity than driving. The Cronbach′s alpha for the modified version was 0.892 (excellent, and this was not improved by removing the modified item. The alpha value for Group 1 versus Groups 2 and 3 was 0.667 and 0.892, respectively. The scale was reliable over time (test-retest, and it was sensitive to sleepiness change in patients with obstructive sleep apnea during treatment. Conclusion: The ESS-I, is comparable to the original scale. It is reliable, valid, and change-sensitive. It is proposed that the modified version can be very useful for detecting sleepiness among Indian population, especially those who do not drive their own vehicles.

  16. Time Series Observations in the North Indian Ocean

    Digital Repository Service at National Institute of Oceanography (India)

    Shenoy, D.M.; Naik, H.; Kurian, S.; Naqvi, S.W.A.; Khare, N.

    Ocean and the ongoing time series study (Candolim Time Series; CaTS) off Goa. In addition, this article also focuses on the new time series initiative in the Arabian Sea and the Bay of Bengal under Sustained Indian Ocean Biogeochemistry and Ecosystem...

  17. Knife River Indian Villages National Historic Site: Teacher's Guide.

    Science.gov (United States)

    National Park Service (Dept. of Interior), Washington, DC. National Register of Historic Places.

    This guide provides history and social studies teachers, at all grade levels, with information and activities about the American Indians of the Northern Plains who lived in the area of the Knife River where it enters the Missouri River. Located in what is now North Dakota, this area is the Knife River Indian Villages National Historic Site. The…

  18. Posterior circulation ischemic stroke-clinical characteristics, risk factors, and subtypes in a north Indian population: a prospective study.

    Science.gov (United States)

    Mehndiratta, Manmohan; Pandey, Sanjay; Nayak, Rajeev; Alam, Anwar

    2012-04-01

    Posterior circulation stroke accounts for approximately 20% of all strokes with varied clinical presentation, which differ from strokes in anterior circulation, with reference to etiology, clinical features, and prognosis. Short penetrating and circumferential branches in the posterior circulation supply the brain stem, thalamus, cerebellum, occipital, and medial temporal lobes. We prospectively analyzed 80 participants of posterior circulation ischemic stroke from a registry of 944 participants attending a tertiary care referral university hospital. Patients were analyzed for demographics, stroke risk factors, clinical characteristics, neuroimaging, and stroke subtypes. Posterior circulation ischemic stroke accounted for 80 (8.5%) of 944 of all strokes and 80 (10.45%) of 765 of ischemic stroke. Sixty-three were males with mean age 51.7 ± 14.4 years. Twenty-one participants were young (defined as age less than 45 years). Hypertension was found to be the most common risk factor (63.75%). Vertigo was the most common clinical symptom reported in 45 (56.25%) cases. Sixty-eight (85%) patients had large artery disease, 8 (10%) had documented cardioembolic source, 3 (3.75%) small artery disease, and 2 (2.5%) vasculitis. Posterior cerebral artery was most commonly involved. Topographically distal intracranial involvement was most frequent (66.25%) followed by proximal (30%) and middle intracranial territory (3.75%). Our study demonatrated the occurrence of posterior circulation stroke in relatively younger age group compared to the Western world. We also found higher percentage of large artery disease, while cardioembolism as a less frequent cause of posterior circulation ischemic stroke in North Indian population. Distal territory involvement was most common in our study.

  19. "The Bewitching Tyranny of Custom": The Social Costs of Indian Drinking in Colonial America.

    Science.gov (United States)

    Mancall, Peter C.

    1993-01-01

    Colonial accounts depict how the alcohol trade destabilized Indian communities in colonial British America during the seventeenth and eighteenth centuries. Despite the social costs of alcohol use within Indian communities, liquor remained a staple of Indian-colonist trade, perhaps because it facilitated the conquest of eastern North America. (LP)

  20. Influenza Illness in Pregnant Indian Women: A Cross-Sectional Study

    Directory of Open Access Journals (Sweden)

    Parvaiz A. Koul

    2016-01-01

    Full Text Available Data about burden of influenza in pregnancy in India are scant. In order to assess the contribution of influenza to acute respiratory illness (ARI in pregnancy, 266 north Indian pregnant females with febrile ARI were studied from December 2014 to May 2015. Twin nasopharyngeal/oropharyngeal swabs were obtained and tested for influenza viruses by RT-PCR. Fifty (18.8% patients tested positive for influenza (A/H1N1pdm09 in 41, A/H3N2 in 8, and influenza B Yamagata in 1. Rigors, headache, and a family history of ARI were significantly more frequent in influenza positive patients. Oseltamivir and supportive therapy were administered to all confirmed cases. Nine influenza positive cases needed hospitalization for their respiratory illness, and 5 developed respiratory failure. Of these, 4 (3 in third trimester succumbed to their illness. We conclude that influenza viruses are a cause of significant morbidity and mortality among pregnant females with ARI in north India. As such, appropriate preventive strategies of influenza vaccination and early initiation of antiviral therapy during illness are stressed.

  1. Post partum lymphocytic thyroiditis in North Indian population: a spectrum of thyroid dysfunction

    International Nuclear Information System (INIS)

    Sharma, Rajnish; Mondal, Anupam; Taneja, Vijay; Bansal, J.K.; Khanna, C.M.; Sharma, Manisha

    1999-01-01

    Two hundred and sixty one Indian women from Delhi and surrounding territory were prospectively evaluated to determine the frequency of post-partum thyroiditis upto 12 weeks of postpartum. Thirty one (11.8%) of the 261 cases included in our study developed thyroid disease. Twenty four (77%) of the patients who developed thyroiditis were found to have high titres of thyroid antibodies. Of these 24 patients, 21 (67.7%) tested positive for antimicrosomal antibodies and 17 (54.8%) tested positive for antithyroglobulin antibodies. Patients were found to have a spectrum of thyroid dysfunction. Transient hypothyroidism developed in 17 patients, I patient developed persistent hypothyroidism, 7 had transient thyrotoxicosis and 6 developed euthyroid goiters. Twenty two patients had goiters ranging from grade OB to grade II. Fine needle aspiration cytology showed chronic lymphocytic thyroiditis in 20 patients, while 2 had colloid goiter. It is concluded from our study that there is a significant incidence of post partum thyroid disease in the female population representative of North India, and most of the patients (93.5%) develop transient thyroid disorder. (author)

  2. Genetic association of pro-inflammatory cytokine gene polymorphisms with coronary artery disease (CAD) in a North Indian population.

    Science.gov (United States)

    Mastana, Sarabjit; Prakash, Swayam; Akam, Elizabeth C; Kirby, Melissa; Lindley, Martin R; Sinha, Nakul; Agrawal, Suraksha

    2017-09-10

    Cytokines regulate the expression of inflammatory molecules which destabilize the atheromatic plaques. This study focuses on studying the association of inflammatory cytokine polymorphisms like TNF-α -308 (G/A), TNF-β +252 (A/G), IL-6 -174 (G/C) and IL-6 -597 (G/A), and IFN-ɣ +874 (T/A) with coronary artery disease (CAD) among north Indian patients. 143 CAD and 137 normal healthy controls were recruited in this study. DNA extraction was carried out by high salting out method. TNF-α -308 (G/A) (rs1800797), TNF-β +252 (A/G) (rs909253), IL-6 -174 (G/C) (rs1800795), IL6 -597 (G/A) (rs1800797), and IFN-ɣ +874 (T/A) (rs2430561) SNPs were genotyped by TaqMan®SNP genotyping assays. Different statistical analyses were performed using SPSS v 22.0 and SNPStats. p≤0.05 was considered significant. Significant risk association with CAD was found for TNF-α -308 (G/A) "A" allele (OR=5.6, CI 1.8-17.4, p=0.001) and TNF-β +252 (A/G) "G" allele (OR=3.4, CI=1.9-6.0, pCAD. TNF-α -308 (G/A), and TNF-β +252 (A/G) haplotype "GG" "AG" increased CAD risk significantly (GG haplotype, adjusted OR=2.6, CI 1.4-5.0, p=0.003 and AG haplotype OR=8.5, CI 2.2-33.35, p=0.002) after adjustments for age, sex, TC, TG, HDL, APOB, smoking and diet. The present study found significant risk association for TNF-α -308 (G/A), and TNF-β +252 (A/G) genotypes, alleles and haplotypes, with CAD in a North Indian population. Copyright © 2017 Elsevier B.V. All rights reserved.

  3. Sea-level-rise trends off the Indian coasts during the last two decades

    Digital Repository Service at National Institute of Oceanography (India)

    Unnikrishnan, A.S.; Nidheesh, A.G.; Lengaigne, M.

    The present communication discusses sea-level-rise trends in the north Indian Ocean, particularly off the Indian coasts, based on estimates derived from satellite altimeter and tide-gauge data. Altimeter data analysis over the 1993–2012 period...

  4. Hydrological and chlorofluoromethane measurements of the Indonesian throughflow entering the Indian Ocean

    Science.gov (United States)

    Fieux, M.; Andrié, C.; Charriaud, E.; Ilahude, A. G.; Metzl, N.; Molcard, R.; Swallow, J. C.

    1996-05-01

    The Java Australia Dynamic Experiment high-resolution February-March 1992 conductivity-temperature-depth and chlorofluoromethane section obtained between Australia and Bali and on the sills between Flores, Sumba, Sawu, Roti, and the Australian continental shelf allows detailed examination of the water masses distribution and their inferred circulation. A sharp hydrological front between the Indonesian waters and the southern Indian Ocean waters is found between 13°S and 14°S in both seasons (February-March 1992 and August 1989). It separates the high-salinity surface waters to the south from the lower-salinity surface waters derived from the Indonesian Seas to the north. It reaches the surface in February 1992, whereas it was capped by a particularly low salinity surface layer in August 1989. Near Bali, the NW monsoon of February-March produces large intrusions of low-salinity water from the Java Sea, through Lombok Strait in the upper 100 m. At depth, the North Indian Intermediate Water, flowing along the Indonesian coast, brings salty, low-oxygen and low-chlorofluorocarbon water. It enters the Sawu Sea through Sumba Strait toward the east, while it undergoes strong mixing with the Indonesian Seas water. The primary pathway of the Indonesian waters is found north of the front and south of the North Indian Intermediate Water, between 13°S and 9°30'S, and the associated salinity minimum can be followed all across the Indian Ocean.

  5. Hospitalizations for Endocarditis and Associated Health Care Costs Among Persons with Diagnosed Drug Dependence - North Carolina, 2010-2015.

    Science.gov (United States)

    Fleischauer, Aaron T; Ruhl, Laura; Rhea, Sarah; Barnes, Erin

    2017-06-09

    Opioid dependence and overdose have increased to epidemic levels in the United States. The 2014 National Survey on Drug Use and Health estimated that 4.3 million persons were nonmedical users of prescription pain relievers (1). These users are 40 times more likely than the general population to use heroin or other injection drugs (2). Furthermore, CDC estimated a near quadrupling of heroin-related overdose deaths during 2002-2014 (3). Although overdose contributes most to drug-associated mortality, infectious complications of intravenous drug use constitute a major cause of morbidity leading to hospitalization (4). In addition to infections from hepatitis C virus (HCV) and human immunodeficiency virus (HIV), injecting drug users are at increased risk for acquiring invasive bacterial infections, including endocarditis (5,6). Evidence that hospitalizations for endocarditis are increasing in association with the current opioid epidemic exists (7-9). To examine trends in hospitalizations for endocarditis among persons in North Carolina with drug dependence during 2010-2015, data from the North Carolina Hospital Discharge database were analyzed. The incidence of hospital discharge diagnoses for drug dependence combined with endocarditis increased more than twelvefold from 0.2 to 2.7 per 100,000 persons per year over this 6-year period. Correspondingly, hospital costs for these patients increased eighteenfold, from $1.1 million in 2010 to $22.2 million in 2015. To reduce the risk for morbidity and mortality related to opioid-associated endocarditis, public health programs and health care systems should consider collaborating to implement syringe service programs, harm reduction strategies, and opioid treatment programs.

  6. Prevalence and treatment gap in childhood epilepsy in a north Indian city: a community-based study.

    Science.gov (United States)

    Pandey, Swati; Singhi, Pratibha; Bharti, Bhavneet

    2014-04-01

    Epilepsy is one of the most common neurological disorders prevalent in childhood period. There is scarcity of epidemiological data, required to plan services in resource constrained developing nations. To study the prevalence and treatment gap in childhood epilepsy in north Indian city, in the age group of 1-18 years. A two stage stratified cluster sampling; probability proportionate to size (PPS) was employed. A ten question screening questionnaire was employed to identify the presence of epilepsy. Definitions provided by International League against Epilepsy (ILAE) were used to classify screen positive subjects as epilepsy and to calculate the treatment gap. The prevalence rate for epilepsy was 6.24/1000 population. Febrile seizures and neurocysticercosis were most common causes of symptomatic seizures in childhood. This study of epidemiology of epilepsy provides valuable aid in optimizing effective community approach, thereby improving outcomes of childhood epilepsy.

  7. Diarrhea, stimulation and growth predict neurodevelopment in young North Indian children.

    Directory of Open Access Journals (Sweden)

    Ingrid Kvestad

    Full Text Available Infants and young children in low to middle-income countries are at risk for adverse neurodevelopment due to multiple risk factors. In this study, we sought to identify stimulation and learning opportunities, growth, and burden of respiratory infections and diarrhea as predictors for neurodevelopment.We visited 422 North Indian children 6 to 30 months old weekly for six months. Childhood illnesses were assessed biweekly. At end study, we assessed neurodevelopment using the Ages and Stages Questionnaire 3rd ed. (ASQ-3 and gathered information on stimulation and learning opportunities. We identified predictors for ASQ-3 scores in multiple linear and logistic regression models.We were able to explain 30.5% of the variation in the total ASQ-3 score by the identified predictors. When adjusting for child characteristics and annual family income, stimulation and learning opportunities explained most of the variation by 25.1%. Height for age (standardized beta: 0.12, p<.05 and weight for height z-scores (std. beta: 0.09, p<.05 were positively associated with the total ASQ-3 score, while number of days with diarrhea was negatively associated with these scores (std. beta: -0.13, p<0.01.Our results support the importance of early child stimulation and general nutrition for child development. Our study also suggests that diarrhea is an additional risk factor for adverse neurodevelopment in vulnerable children.

  8. Indian Ocean and Indian summer monsoon: relationships without ENSO in ocean-atmosphere coupled simulations

    Science.gov (United States)

    Crétat, Julien; Terray, Pascal; Masson, Sébastien; Sooraj, K. P.; Roxy, Mathew Koll

    2017-08-01

    The relationship between the Indian Ocean and the Indian summer monsoon (ISM) and their respective influence over the Indo-Western North Pacific (WNP) region are examined in the absence of El Niño Southern Oscillation (ENSO) in two partially decoupled global experiments. ENSO is removed by nudging the tropical Pacific simulated sea surface temperature (SST) toward SST climatology from either observations or a fully coupled control run. The control reasonably captures the observed relationships between ENSO, ISM and the Indian Ocean Dipole (IOD). Despite weaker amplitude, IODs do exist in the absence of ENSO and are triggered by a boreal spring ocean-atmosphere coupled mode over the South-East Indian Ocean similar to that found in the presence of ENSO. These pure IODs significantly affect the tropical Indian Ocean throughout boreal summer, inducing a significant modulation of both the local Walker and Hadley cells. This meridional circulation is masked in the presence of ENSO. However, these pure IODs do not significantly influence the Indian subcontinent rainfall despite overestimated SST variability in the eastern equatorial Indian Ocean compared to observations. On the other hand, they promote a late summer cross-equatorial quadrupole rainfall pattern linking the tropical Indian Ocean with the WNP, inducing important zonal shifts of the Walker circulation despite the absence of ENSO. Surprisingly, the interannual ISM rainfall variability is barely modified and the Indian Ocean does not force the monsoon circulation when ENSO is removed. On the contrary, the monsoon circulation significantly forces the Arabian Sea and Bay of Bengal SSTs, while its connection with the western tropical Indian Ocean is clearly driven by ENSO in our numerical framework. Convection and diabatic heating associated with above-normal ISM induce a strong response over the WNP, even in the absence of ENSO, favoring moisture convergence over India.

  9. Trend of human brucellosis over a decade at tertiary care centre in North Karnataka

    Directory of Open Access Journals (Sweden)

    D P Patil

    2016-01-01

    Full Text Available Background: Brucellosis is an important zoonotic disease. India having a major agrarian population is expected to have a higher prevalence. However, due to lack of laboratory facility or awareness among clinicians, the disease is largely underreported. The aim of this study was to know the prevalence and trend of human brucellosis over a decade, in patients attending a teaching hospital in North Karnataka, and to understand their geographical distribution. Materials and Methods: The study was conducted from January 2006 to December 2015 at a tertiary care teaching hospital in North Karnataka. A total of 3610 serum samples were evaluated from suspected cases of brucellosis. All serum samples were initially screened by Rose Bengal plate test, and positive samples were further analysed by Serum agglutination test (SAT using standard Brucella abortus antigen from Indian Veterinary Research Institute, Izatnagar, Uttar Pradesh, India. A titre above or equal to 1:80 IU/ml was considered as positive. Demographic data such as age, sex and native place of these patients were also analysed. Results: We observed that human brucellosis is present in North Karnataka. The overall seropositivity of brucellosis in suspected cases was 5.1%. The positive titres ranged from 1:80 to 163,840 IU/ml. The majority of the patients were from Gadag, Koppal and Haveri districts of North Karnataka. Conclusion: Our study confirms the presence of human brucellosis in the northern part of Karnataka. Further studies to understand the prevalence of animal brucellosis in these areas will help in implementing prevention measures.

  10. Specialized consultant in radiological safety to the north central hospital of high speciality, PEMEX. III. - September of 2001

    International Nuclear Information System (INIS)

    Angeles C, A.; Vizuet G, J.; Benitez S, J. A.; Rodriguez A, F.; Garcia A, J.

    2001-12-01

    The north central hospital of high speciality, dependent of PEMEX, It request consultant of the ININ to be able to maintain their sanitary license for the use of X-ray equipment for the radiologic diagnostic.The proposal of the ININ was to be a program of technical attendance, schedule monthly to be able to solve the observations that are presented in the use of those equipment, and that the hospital can conserve its respective sanitary license.(Author)

  11. Specialized consultant in radiological safety to the north central hospital of high speciality, PEMEX. II. - August of 2001

    International Nuclear Information System (INIS)

    Angeles C, A.; Vizuet G, J.; Benitez S, J. A.; Rodriguez A, F.; Garcia A, J.

    2001-10-01

    The north central hospital of high speciality, dependent of PEMEX, It request consultant of the ININ to be able to maintain their sanitary license for the use of X-ray equipment for the radiologic diagnostic.The proposal of the ININ was to be a program of technical attendance, schedule monthly to be able to solve the observations that are presented in the use of those equipment, and that the hospital can conserve its respective sanitary license.(Author)

  12. Specialized consultant in radiological safety to the north central hospital of high speciality, PEMEX. I. - July of 2001

    International Nuclear Information System (INIS)

    Angeles C, A.; Vizuet G, J.; Benitez S, J. A.

    2001-09-01

    The north central hospital of high speciality, dependent of PEMEX, It request consultant of the ININ to be able to maintain their sanitary license for the use of X-ray equipment for the radiologic diagnostic.The proposal of the ININ was to be a program of technical attendance, schedule monthly to be able to solve the observations that are presented in the use of those equipment, and that the hospital can conserve its respective sanitary license.(Author)

  13. Influences of two types of El Niño event on the Northwest Pacific and tropical Indian Ocean SST anomalies

    Science.gov (United States)

    Hu, Haibo; Wu, Qigang; Wu, Zepeng

    2018-01-01

    Based on the HadISST1 and NCEP datasets, we investigated the influences of the central Pacific El Niño event (CP-EL) and eastern Pacific El Niño event (EP-EL) on the Sea Surface Temperature (SST) anomalies of the Tropical Indian Ocean. Considering the remote effect of Indian Ocean warming, we also discussed the anticyclone anomalies over the Northwest Pacific, which is very important for the South China precipitation and East Asian climate. Results show that during the El Niño developing year of EP-EL, cold SST anomalies appear and intensify in the east of tropical Indian Ocean. At the end of that autumn, all the cold SST anomaly events lead to the Indian Ocean Dipole (IOD) events. Basin uniform warm SST anomalies exist in the Indian Ocean in the whole summer of EL decaying year for both CP-and EP-ELs. However, considering the statistical significance, more significant warm SST anomalies only appear in the North Indian Ocean among the June and August of EP-EL decaying year. For further research, EP-EL accompany with Indian Ocean Basin Warming (EPI-EL) and CP El Niño accompany with Indian Ocean Basin Warming (CPI-EL) events are classified. With the remote effects of Indian Ocean SST anomalies, the EPI-and CPI-ELs contribute quite differently to the Northwest Pacific. For the EPI-EL developing year, large-scale warm SST anomalies arise in the North Indian Ocean in May, and persist to the autumn of the El Niño decaying year. However, for the CPI-EL, weak warm SST anomalies in the North Indian Ocean maintain to the El Niño decaying spring. Because of these different SST anomalies in the North Indian Ocean, distinct zonal SST gradient, atmospheric anticyclone and precipitation anomalies emerge over the Northwest Pacific in the El Niño decaying years. Specifically, the large-scale North Indian Ocean warm SST anomalies during the EPI-EL decaying years, can persist to summer and force anomalous updrafts and rainfall over the North Indian Ocean. The atmospheric

  14. Nucleolar localization of cirhin, the protein mutated in North American Indian childhood cirrhosis

    International Nuclear Information System (INIS)

    Yu, Bin; Mitchell, Grant A.; Richter, Andrea

    2005-01-01

    Cirhin (NP 1 16219), the product of the CIRH1A gene is mutated in North American Indian childhood cirrhosis (NAIC/CIRH1A, OMIM 604901), a severe autosomal recessive intrahepatic cholestasis. It is a 686-amino-acid WD40-repeat containing protein of unknown function that is predicted to contain multiple targeting signals, including an N-terminal mitochondrial targeting signal, a C-terminal monopartite nuclear localization signal (NLS) and a bipartite nuclear localization signal (BNLS). We performed the direct determination of subcellular localization of cirhin as a crucial first step in unraveling its biological function. Using EGFP and His-tagged cirhin fusion proteins expressed in HeLa and HepG2, cells we show that cirhin is a nucleolar protein and that the R565W mutation, for which all NAIC patients are homozygous, has no effect on subcellular localization. Cirhin has an active C-terminal monopartite nuclear localization signal (NLS) and a unique nucleolar localization signal (NrLS) between residues 315 and 432. The nucleolus is not known to be important specifically for intrahepatic cholestasis. These observations provide a new dimension in the study of hereditary cholestasis

  15. The system of wind-driven seasonal coastal currents around the Indian subcontinent

    Digital Repository Service at National Institute of Oceanography (India)

    Shetye, S.R.

    characteristic of the entire North Indian Ocean. It is a consequence of the occurrence of the monsoons. As the Sun moves towards the north during January-June as a part of its annual cycle, the Inter- Tropical Convergence Zone (ITCZ) follows it. When...

  16. A Canadian Indian Health Status Index.

    Science.gov (United States)

    Connop, P J

    1983-01-01

    Health care services for registered "band" Indians in Ontario are provided primarily by the Canadian Federal Government. Complex management methods preclude the direct involvement of Indian people in the decisions for their health resource allocation. Health indicators, need, and health status indexes are reviewed. The biostatistics of mortality and demography of the Indian and reference populations are aggregated with hospitalization/morbidity experience as the Chen G'1 Index, as an indicator of normative and comparative need. This is weighted by linear measurements of perceived need for preventive medicine programs, as ranked and scaled values of priorities, Zj. These were determined by community survey on 11 Indian reserves using a non-probabilistic psychometric method of "pair comparisons," based upon "Thurstone's Law of Comparative Judgement.," The calculation of the aggregate single unit Indian Health Status Index [Log.G'1].Zj and its potential application in a "zero-base" budget is described.

  17. INDIAN CHILDHOOD AND OTHER CHILDHOODS

    Directory of Open Access Journals (Sweden)

    Alceu Zoia

    2010-12-01

    Full Text Available This article aims to show how children of the Indian community Terena, from North Mato Grosso, live, how they are educated, and what are the conceptions of childhood among the members of this community. Taking childhood in various contexts, we seek to analyze how this education process has been carried out.

  18. Vitamin B12 and Folic Acid Improve Gross Motor and Problem-Solving Skills in Young North Indian Children: A Randomized Placebo-Controlled Trial.

    Science.gov (United States)

    Kvestad, Ingrid; Taneja, Sunita; Kumar, Tivendra; Hysing, Mari; Refsum, Helga; Yajnik, Chittaranjan S; Bhandari, Nita; Strand, Tor A

    2015-01-01

    Deficiencies of vitamin B12 and folate are associated with delayed development and neurological manifestations. The objective of this study was to measure the effect of daily supplementation of vitamin B12 and/or folic acid on development in young North Indian children. In a randomized, double blind trial, children aged six to 30 months, received supplement with placebo or vitamin B12 and/or folic acid for six months. Children were allocated in a 1:1:1:1 ratio in a factorial design and in blocks of 16. We measured development in 422 children by the Ages and Stages Questionnaire 3rd ed. at the end of the intervention. Compared to placebo, children who received both vitamin B12 and folic acid had 0.45 (95% CI 0.19, 0.73) and 0.28 (95% CI 0.02, 0.54) higher SD-units in the domains of gross motor and problem solving functioning, respectively. The effect was highest in susceptible subgroups consisting of stunted children, those with high plasma homocysteine (> 10 μmol/L) or in those who were younger than 24 at end study. With the exception of a significant improvement on gross motor scores by vitamin B12 alone, supplementation of either vitamin alone had no effect on any of the outcomes. Our findings suggest that supplementation of vitamin B12 and folic acid benefit development in North Indian Children. ClinicalTrials.gov NCT00717730.

  19. Cost-effectiveness of noninvasive ventilation for chronic obstructive pulmonary disease-related respiratory failure in Indian hospitals without ICU facilities

    Directory of Open Access Journals (Sweden)

    Shraddha P Patel

    2015-01-01

    Full Text Available Introduction: The majority of Indian hospitals do not provide intensive care unit (ICU care or ward-based noninvasive positive pressure ventilation (NIV. Because no mechanical ventilation or NIV is available in these hospitals, the majority of patients suffering from respiratory failure die. Objective: To perform a cost-effective analysis of two strategies (ward-based NIV with concurrent standard treatment vs standard treatment alone in chronic obstructive pulmonary disease (COPD respiratory failure patients treated in Indian hospitals without ICU care. Materials and Methods: A decision-analytical model was created to compare the cost-effectiveness for the two strategies. Estimates from the literature were used for parameters in the model. Future costs were discounted at 3%. All costs were reported in USD (2012. One-way, two-way, and probabilistic sensitivity analysis were performed. The time horizon was lifetime and perspective was societal. Results: The NIV strategy resulted in 17.7% more survival and was slightly more costly (increased cost of $101 (USD 2012 but resulted in increased quality-adjusted life-years (QALYs (1.67 QALY. The cost-effectiveness (2012 USD/QALY in the standard and NIV groups was $78/QALY ($535.02/6.82 and $75/QALY ($636.33/8.49, respectively. Incremental cost-effectiveness ratio (ICER was only $61 USD/QALY. This was substantially lower than the gross domestic product (GDP per capita for India (1489 USD, suggesting the NIV strategy was very cost effective. Using a 5% discount rate resulted in only minimally different results. Probabilistic analysis suggests that NIV strategy was preferred 100% of the time when willingness to pay was >$250 2012 USD. Conclusion: Ward-based NIV treatment is cost-effective in India, and may increase survival of patients with COPD respiratory failure when ICU is not available.

  20. Stratification of zooplankton in the northwestern Indian Ocean

    Digital Repository Service at National Institute of Oceanography (India)

    Paulinose, V.T.; Gopalakrishnan, T.C.; Nair, K.K.C.; Aravindakshan, P.N.

    Study on stratification of zooplankton in the north western Indian Ocean was carried out with special reference to its relative abundance and distribution. Samples were collected using multiple plankton net, during first cruise of ORV Sagar Kanya...

  1. Anatomic variations in intrahepatic bile ducts in a north Indian population.

    Science.gov (United States)

    Sharma, Vijay; Saraswat, Vivek Anand; Baijal, Sanjay Saran; Choudhuri, Gourdas

    2008-07-01

    In the present study, we described the anatomical variations in the branching patterns of intrahepatic bile ducts (IHD) and determined the frequency of each variation in north Indian patients. There are no data from India. The study group consisted of 253 consecutive patients (131 women) undergoing endoscopic retrograde cholangiograms for different indications. Anatomical variations in IHD were classified according to the branching pattern of the right anterior segmental duct (RASD) and the right posterior segmental duct (RPSD), presence or absence of first-order branch of left hepatic duct (LHD) and of an accessory hepatic duct. Anatomy of the IHD was typical in 52.9% of cases (n = 134), showing triple confluence in 11.46% (n = 29), anomalous drainage of the RPSD into the LHD in 18.2% (n = 46), anomalous drainage of the RPSD into the common hepatic duct (CHD) in 7.1% (n = 18), drainage of the right hepatic duct (RHD) into the cystic duct 0.4% (n = 1), presence of an accessory duct leading to the CHD or RHD in 4.7% (n = 12), individual drainage of the LHD into the RHD or CHD in 2.4% (n = 6), and unclassified or complex variations in 2.7% (n = 7). None had anomalous drainage of RPSD into the cystic duct. The branching pattern of IHD was atypical in 47% patients. The two most common variations were drainage of the RPSD into the LHD (18.2%) and triple confluence of the RASD, RPSD, and LHD (11.5%).

  2. /sup 226/Ra in the western Indian Ocean

    Energy Technology Data Exchange (ETDEWEB)

    Chung, Y.

    1987-09-01

    /sup 226/Ra profiles have been measured in the western Indian Ocean as part of the 1977-78 Indian Ocean GEOSECS program. These profiles show a general increase in deep and bottom water Ra concentration from the Circumpolar region to the Arabian Sea. A deep Ra maximum which originates in the Arabian Sea and in the Somali basin at about 3000 m depth spreads southward into the Mascarene basin and remains discernible in the Madagascar and Crozet basins. In the western Indian Ocean, the cold Antarctic Bottom Water spreads northward under the possibly southward-flowing deep water, forming a clear benthic front along the Crozet basin across the Southwest Indian Ridge into the Madagascar and Mascarene basins. The Antarctic Bottom Water continues to spread farther north to the Somali basin through the Amirante Passage at 10/sup 0/S as a western boundary current. The benthic front and other characteristic features in the western Indian Ocean are quite similar to those observed in the western Pacific where the benthic front as a distinctive feature was first described by Craig et al. Across the Mid-Indian Ridge toward the Ceylon abyssal plain near the triple junction, Ra profiles display a layered structure, reflecting the topographic effect of the mid-ocean ridge system on the mixing and circulation of the deep and bottom waters. Both Ra and Si show a deep maximum north of the Madagascar Basin. Linear relationships between these two elements are observed in the deep and bottom water with slopes increasing northward. This suggests a preferential input of Ra over Si from the bottom sediments of the Arabian Sea and also from the flank sediments of the Somali basin.

  3. A Report on: The National Seminar of American Indian Women [and] the North American Indian Women's Association Established by Delegates of this Seminar.

    Science.gov (United States)

    Extension Service (USDA), Washington, DC.

    A report on the National Seminar of American Indian Women is presented. This meeting was planned to provide an opportunity for American Indian women to discuss the needs of Indian communities and expand their understanding of what constitutes an adequate community. The delegates were lay people selected from their home communities. Sixty-eight of…

  4. Specialized consultant in radiological safety to the north central hospital of high speciality, PEMEX. I. - May-June of 2003

    International Nuclear Information System (INIS)

    Angeles C, A.; Camacho V, B.; Rodriguez A, F.

    2003-09-01

    The north central hospital of high speciality, dependent of PEMEX, It request consultant of the ININ to be able to maintain their sanitary license for the use of X-ray equipment for the radiologic diagnostic.The proposal of the ININ was to be a program of technical attendance, schedule monthly to be able to solve the observations that are presented in the use of those equipment, and that the hospital can conserve its respective sanitary license.(Author)

  5. Specialized consultant in radiological safety to the clinical north central hospital of high speciality, PEMEX. IV. - December of 2001

    International Nuclear Information System (INIS)

    Angeles C, A.; Vizuet G, J.; Benitez S, J. A.; Garcia A, J.; Rodriguez A, F.

    2002-01-01

    The clinical north central hospital of high speciality, dependent of PEMEX, It request consultant of the ININ to be able to maintain their sanitary license for the use of X-ray equipment for the radiologic diagnostic.The proposal of the ININ was to be a program of technical attendance, schedule monthly to be able to solve the observations that are presented in the use of those equipment, and that the hospital can conserve its respective sanitary license.(Author)

  6. Association of vitamin D receptor gene polymorphism (TaqI and Apa1) with bone mineral density in North Indian postmenopausal women.

    Science.gov (United States)

    Ahmad, Israr; Jafar, Tabrez; Mahdi, Farzana; Ameta, Keerti; Arshad, Md; Das, Siddharth Kumar; Waliullah, Shah; Rizvi, Imran; Mahdi, Abbas Ali

    2018-06-15

    Vitamin D receptor (VDR) gene has an important role as a candidate gene for the regulation of bone mass in osteoporosis. However, its association with bone mineral density (BMD) is controversial and has not been established in different ethnic populations. To enhance the understanding of VDR gene polymorphism in the context of BMD, we investigated the plausible genetic association of TaqI and ApaI polymorphism with BMD in North Indian postmenopausal women with osteoporosis.254 osteoporotic women (Age 55.82 ± 6.91) and 254 postmenopausal non osteoporotic women (Age 54.76 ± 6.26) were included in the study. VDR TaqI and ApaI polymorphism were determined by PCR (polymerase chain reaction) and RFLP (restriction fragment length polymorphism). BMD was assessed by dual energy X-ray absorptiometry (DXA) at the lumbar spine (L 1 -L 4 ), hip, forearm and femoral neck. The average BMD with TT genotype was significantly lower at lumbar spine, hip and forearm. The Frequency of TT genotype and t allele was significantly high in osteoporotic women when compared with controls. The average BMD with Aa genotype was higher in ApaI. Furthermore, comparison of frequency distribution of genotype and allele for VDR ApaI between osteoporotic patients and controls did not show any significant difference. Our findings revealed that TaqI gene TT genotype was associated with low BMD in North Indian osteoporotic women. Moreover, TT genotype and t allele associated significantly with osteoporosis in postmenopausal women. Therefore, VDR TaqI gene is an important determinant of risk factor for osteoporosis. Copyright © 2018 Elsevier B.V. All rights reserved.

  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. Tall Tales of North America.

    Science.gov (United States)

    Fresno City Unified School District, CA.

    Designed for use in junior high school language arts classes, this learning activity packet introduces students to North American folklore. Selected readings cover Indian tales, real folk heroes (Davy Crockett and John Henry), imaginary folk heroes (Paul Bunyan and Pecos Bill), Black folk stories (Brer Rabbit), and tales of Washington Irving. Each…

  9. 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.

  10. Journal of Genetics | Indian Academy of Sciences

    Indian Academy of Sciences (India)

    This screening approach may be a rapid preliminary method to test known loci for possible cosegregation with disease. pp 65-71 Perspectives. Candidate gene polymorphisms among North Indians and their association with schizophrenia in a case–control study · Prachi Semwal Suman Prasad Panchami G. Varma A. M. ...

  11. Journal of Genetics | Indian Academy of Sciences

    Indian Academy of Sciences (India)

    Home; Journals; Journal of Genetics. RANA GOPAL SINGH. Articles written in Journal of Genetics. Volume 96 Issue 6 December 2017 pp 885-893 RESEARCH ARTICLE. Mutational screening of PKD2 gene in the north Indian polycystic kidney disease patients revealed 28 genetic variations · SONAM RAJ RANA GOPAL ...

  12. Occurrence of @iNeogloboquadrina pachyderma@@ new subspecies in the shelf-slope sediments of northern Indian Ocean

    Digital Repository Service at National Institute of Oceanography (India)

    Setty, M.G.A.P.

    ~'N in the Bay of Bengal. Studies of hydrological conditions in the Indian Ocean reveal that the Subtropical Subsurface Water Mass is traceable as far north as the Gulf of Aden, and the Indian Ocean Deep Bottom Water Mass originating in the deepest...

  13. Spiritual and religious aspects of torture and scalping among the Indian cultures in Eastern North America, from ancient to colonial times

    Directory of Open Access Journals (Sweden)

    Juha Hiltunen

    2011-01-01

    Full Text Available Only a few decades ago a common perception prevailed that the historic­al Native Americans were very prone to violence and warfare. Scalping and torture were seen as a specific custom attached into their ideology and sociocultural ethos. However in the 1960s a completely reversed picture started to emerge, following the course of other worldwide movements, such as ethnic rights, pan-Indianism, ecological conscience, revisionist historiography and so on. Immediately the Native American people came to be seen as the victims of the European colonialism and the Whites were the bad guys who massacred innocent women and children, either at Sand Creek or in Vietnam. Books were written in which the historians pointed out that the practice of scalping was actually not present in the Americas before the whites came. This theory drew sustenance from some early colonial accounts, especially from the Dutch and New England colonies, where it was documented that a special bounty was offered for Indian scalps. According to this idea, the practice of scalping among the Indians escalated only after this. On the other hand, the blame fell on the Iroquois tribesmen, whose cruel fighting spread terror throughout the seventeenth century, when they expanded an empire in the north eastern wilderness. This accords with those theorists who wanted to maintain a more balanced view of the diffusion of scalping and torture, agreeing that these traits were indeed present in Pre-Columbian America, but limited only to the Iroquoians of the east. Colonial American history has been rewritten every now and then. In the 1980s, and in the field of archaeology especially, a completely new set of insights have arisen. There has been a secondary burial of the myth of Noble Savage and a return of the old Wild Indian idea, but this time stripped of its cartoon stereo­typical attachments. The Indians are now seen as being like any other human beings, with their usual mixture of vices

  14. 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).

  15. Review of Excavating Occaneechi Town: Archaeology of an Eighteenth-Century Indian Village in North Carolina. 1998, edited by R.P. Stephen Davis Jr., Patrick C. Livingood, Trawick Ward, and Vincas P. Steponaitis. University of North Carolina Press. ISBN 0-8078-6503-6 [CD-ROM

    Directory of Open Access Journals (Sweden)

    Jonathan Bateman

    1999-05-01

    Full Text Available The CD-ROM Excavating Occaneechi Town: Archaeology of an Eighteenth-Century Indian Village in North Carolina has become a familiar site on my desk in the last few months. Not, I admit, because I have been avidly scouring its content on a regular basis, but because I have been putting off writing this review. A wealth of information can be an intimidating thing.

  16. Pb-Sr-Nd isotopic data of Indian Ocean ridges: New evidence of large-scale mapping of mantle heterogeneities

    International Nuclear Information System (INIS)

    Hamelin, B.; Dupre, B.; Allegre, C.J.

    1986-01-01

    A Pb-Sr-Nd isotope study of South West and East Indian Ridges confirms that the Indian Ocean belongs to a specific regional isotopic domain, as previously suggested by the results from islands of this ocean. The isotopic domain defined by the Indian MORB is indeed different from that of the North Atlantic and East Pacific Oceans. This demonstrates that the convective circulation of the upper mantle does not allow a rapid homogenization from one region to the other. The isotopic data of the Indian ridges can be interpreted by a contamination model, in which the depleted upper mantle (identical to that under the North Atlantic) is contaminated by two different types of contaminant, one corresponding to the source of the ''central Indian Ocean'' islands (Amsterdam, St. Paul, Marion, Prince Edward, Reunion, Rodriguez, Mauritius), and the other to a source similar to that of Walvis or Ninety East aseismic ridges. These two contaminants would have contributed to the ridge volcanism in different proportion over time. (orig.)

  17. On the role of convective systems over the northwest Pacific and monsoon activity over the Indian subcontinent

    Digital Repository Service at National Institute of Oceanography (India)

    RameshKumar, M.R.; Babu, A; Reason, C.

    been examined in relation to breaks in monsoon conditions over the Indian sub-continent during contrasting monsoon years. A see-saw nature of convection between the NWP and north Indian Ocean was found during the years with excess monsoon rainfall...

  18. Journal of Chemical Sciences | Indian Academy of Sciences

    Indian Academy of Sciences (India)

    DD should be arranged in favour of "Indian Academy of Sciences" payable at Bengaluru. For details, contact: Springer Distribution Centre GmbH. Customer Service Journals Haberstrasse 7, D-69126 Heidelberg Germany. Email: subscriptions@springer.com. For the Americas (North, South, Central and the Caribbean):

  19. Prevalence of metabolic syndrome in a north Indian hospital-based population with obstructive sleep apnoea

    Science.gov (United States)

    Agrawal, Swastik; Sharma, Surendra K.; Sreenivas, Vishnubhatla; Lakshmy, Ramakrishnan

    2011-01-01

    Background & objectives: Obstructive sleep apnoea (OSA) is known to be associated with cardiovascular risk factors and metabolic syndrome (MS). The burden of MS in patients with OSA in India is unknown. We investigated the prevalence of MS and its components in a cross-sectional study in patients with and without OSA in a hospital-based population of a tertiary health care centre in New Delhi, India. Methods: Consecutive patients undergoing overnight polysomnography in the Sleep Laboratory of the Department of Internal Medicine of All India Institute of Medical Sciences (AIIMS) hospital, New Delhi, were studied. Anthropometry and body composition analysis, blood pressure (BP), fasting blood glucose, insulin resistance by homeostasis model assessment (HOMA-IR) and fasting blood lipid profile were measured. MS was defined using the National Cholesterol Education Program Adult treatment panel III criteria, with Asian cut-off values for abdominal obesity. Results: Of the 272 subjects recruited, 187 (82%) had OSA [apnoea-hypopnoea index (AHI)>5 events/h] while 40 (18%) had a normal sleep study. Prevalence of MS in OSA patients was 79 per cent compared to 48 per cent in non-OSA individuals [OR 4.15, (2.05-8.56), P<0.001]. Prevalence of OSA in mild, moderate and severe OSA was 66, 72 and 86 per cent, respectively (P<0.001). Patients with OSA were more likely to have higher BP [OR: 1.06 (1.02-1.11)], fasting insulin [OR: 1.18 (1.05-1.32)], HOMA-IR [OR: 1.61 (1.11-2.33)] and waist circumference [OR: 1.20 (1.13-1.27)]. Interpretation & conclusions: Our findings suggest that OSA is associated with a 4-fold higher occurrence of MS than patients without OSA. The prevalence of MS increases with increasing severity of OSA, therefore, early detection will be beneficial. PMID:22199102

  20. Evaluation of skeletal maturity in North Indian subjects using an objective method based on cervical vertebral bone age and assessment of its reliability as compared to hand wrist radiographic method

    Directory of Open Access Journals (Sweden)

    Sandeep Kumar

    2016-01-01

    Full Text Available Aim: To evaluate the skeletal maturity objectively and assess the reliability and validity of this method in North Indian subjects. Materials and Methods: Sixty subjects (8-16 years were taken and divided into two groups of 30 males and 30 females. For each subject, cervical vertebral bone age (VA was evaluated by the objective method described by Mito et al., and bone age (BA was estimated by Grave and Brown method of hand wrist radiograph. Correlations and average differences between various ages were determined. An analysis of variance and Tukey′s post-hoc tests were used to compare various ages at 5% significance level. Results: The correlations between cervical VAs and BAs were higher than other ages and also more in females than males. The analysis of female data showed no statistically significant difference (P > 0.05 whereas analysis of male data showed statistically significant difference (P < 0.05 between various ages. Conclusion: The findings of the present study suggest that this method of objectively evaluating skeletal maturation is reliable and can be applied to North Indian females only. The development of a new method to objectively evaluate cervical VA in males is needed.

  1. Concentrations and isotopic compositions of neodymium in the eastern Indian Ocean and Indonesian straits

    Science.gov (United States)

    Jeandel, Catherine; Thouron, Danièle; Fieux, Michèle

    1998-08-01

    Four profiles of Nd concentration and isotopic composition were determined at two stations in the eastern Indian Ocean along a north/south section between Bali and Port-Hedland and at two others in the Timor and Sumba straits. Neodymium concentrations increase with depth, between 7.2 pmol/L at the surface to 41.7 pmol/L close to the bottom. The ɛ Nd of the different water masses along the section are -7.2 ± 0.2 for the Indian Bottom Waters and -6.1 ± 0.2 for the Indian Deep Waters. The intermediate and thermocline waters are less radiogenic at st-10 than at st-20 (-5.3 ± 0.3 and -3.6 ± 0.2, respectively). In the Timor Passage and Sumba Strait, ɛ Nd of the Indonesian waters is -4.1 ± 0.2 and that of the North Indian Intermediate Waters is -2.6 ± 0.3. These distinct isotopic signals constrain the origins of the different water masses sampled in the eastern Indian Ocean. They fix the limit of the nonradiogenic Antarctic and Indian contributions to the southern part of the section whereas the northern part is influenced by radiogenic Indonesian flows. In addition, the neodymium isotopic composition suggests that in the north, deep waters are influenced by a radiogenic component originating from the Sunda Arch Slope flowing deeper than 1200 m, which was not documented previously. Mixing calculations assess the conservativity of ɛ Nd on the scale of an oceanic basin. The origin of the surprising radiogenic signal of the NIIW is discussed and could result from a remobilization of Nd sediment-hosted on the Java shelf, requiring important dissolved/particulate exchange processes. Such processes, occurring in specific areas, could play an important role in the world ocean Nd budget.

  2. Work, worksites, and wellbeing among North American Indian women: a qualitative study.

    Science.gov (United States)

    Christiansen, Karina; Gadhoke, Preety; Pardilla, Marla; Gittelsohn, Joel

    2017-04-10

    The purpose of this study was to understand what factors influenced work-family balance and related health behaviors among a sample of rural North American Indian women. We interviewed 89 women through both in-depth interviews and focus groups across four tribal communities in the American Southwest and Upper Midwest between July 2010 and August 2011. Interviews were transcribed, coded, and analyzed for emerging themes related to work- family demands placed on women and resources available to cope with those demands. Three prominent themes emerged: structural characteristics (the context of rural reservation life), role stressors (women's multiple and conflicting roles) and the influence of social support (communal nature of care in the family and institutional support in the workplace). We found that women in participating rural reservation communities often acted as primary caregivers for both immediate and extended family, and often placed the needs of others before themselves. The context of rural reservations, with high rates of unemployment, poverty, and chronic illnesses associated with the collective trauma of colonization, placed high demands on female caregivers. Social support from within the workplace, family, and cultural traditions helped some female caregivers balance the demands of home and work. Tribal worksites could be a resource for promoting health and work-life balance by being responsive to the particular demands placed on women that often interfere with engaging in positive health behaviors in general and tribal wellness programs in particular.

  3. Historical Perspectives of Federal Educational Promises and Performance Among the Fort Berthold Indians.

    Science.gov (United States)

    Stockman, Wallace Henry

    The study concerns Federal Indian Law--its social origins, its historical growth and direction, and its effectiveness among the 3 affiliated tribes (Mandan, Hidatsa, and Arikara) of the Ft. Berthold American Indian Reservation (population total 2,750, with a birth rate of 40 per 1,000 and a death rate of 9 per 1,000) located in North Dakota. It is…

  4. Comparison of the prevalence of respiratory viruses in patients with acute respiratory infections at different hospital settings in North China, 2012-2015.

    Science.gov (United States)

    Yu, Jianxing; Xie, Zhengde; Zhang, Tiegang; Lu, Yanqin; Fan, Hongwei; Yang, Donghong; Bénet, Thomas; Vanhems, Philippe; Shen, Kunling; Huang, Fang; Han, Jinxiang; Li, Taisheng; Gao, Zhancheng; Ren, Lili; Wang, Jianwei

    2018-02-08

    Acute respiratory infections (ARIs) are a great public health challenge globally. The prevalence of respiratory viruses in patients with ARIs attending at different hospital settings is fully undetermined. Laboratory-based surveillance for ARIs was conducted at inpatient and outpatient settings of 11 hospitals in North China. The first 2-5 patients with ARIs were recruited in each hospital weekly from 2012 through 2015. The presence of respiratory viruses was screened by PCR assays. The prevalence of respiratory viruses was determined and compared between patients at different hospital settings. A total of 3487 hospitalized cases and 6437 outpatients/Emergency Department (ED) patients were enrolled. The most commonly detected viruses in the hospitalized cases were respiratory syncytial virus (RSV, 33.3%) in children less than two years old, adenoviruses (13.0%) in patients 15-34 years old, and influenza viruses (IFVs, 9.6%) in patients ≥65 years. IFVs were the most common virus in outpatient/ED patients across all age groups (22.7%). After controlling for the confounders caused by other viruses and covariates, adenoviruses (adjusted odds ratio [aOR]: 3.97, 99% confidence interval [99% CI]: 2.19-7.20) and RSV (aOR: 2.04, 99% CI: 1.34-3.11) were independently associated with increased hospitalization in children, as well as adenoviruses in adults (aOR: 2.14, 99% CI: 1.19-3.85). Additionally, co-infection of RSV with IFVs was associated with increased hospitalization in children (aOR: 12.20, 99% CI: 2.65-56.18). A substantial proportion of ARIs was associated with respiratory viruses in North China. RSV, adenoviruses, and co-infection of RSV and IFVs were more frequent in hospitalized children (or adenoviruses in adults), which might predict the severity of ARIs. Attending clinicians should be more vigilant of these infections.

  5. Seasonal variations of thermocline circulation and ventilation in the Indian Ocean

    Science.gov (United States)

    You, Yuzhu

    1997-05-01

    Two seasonal hydrographic data sets, including temperature, salinity, dissolved oxygen, and nutrients, are used in a mixing model which combines cluster analysis with optimum multiparameter analysis to determine the spreading and mixing of the thermocline waters in the Indian Ocean. The mixing model comprises a system of four major source water masses, which were identified in the thermocline through cluster analysis. They are Indian Central Water (ICW), North Indian Central Water (NICW) interpreted as aged ICW, Australasian Mediterranean Water (AAMW), and Red Sea Water (RSW)/Persian Gulf Water (PGW). The mixing ratios of these water masses are quantified and mapped on four isopycnal surfaces which span the thermocline from 150 to 600 m in the northern Indian Ocean, on two meridional sections along 60°E and 90°E, and on two zonal sections along 10°S and 6°N. The mixing ratios and pathways of the thermocline water masses show large seasonal variations, particularly in the upper 400-500 m of the thermocline. The most prominent signal of seasonal variation occurs in the Somali Current, the western boundary current, which appears only during the SW (summer) monsoon. The northward spreading of ICW into the equatorial and northern Indian Ocean is by way of the Somali Current centered at 300-400 m on the σθ=26.7 isopycnal surface during the summer monsoon and of the Equatorial Countercurrent during the NE (winter) monsoon. More ICW carried into the northern Indian Ocean during the summer monsoon is seen clearly in the zonal section along 6°N. NICW spreads southward through the western Indian Ocean and is stronger during the winter monsoon. AAMW appears in both seasons but is slightly stronger during the summer in the upper thermocline. The westward flow of AAMW is by way of the South Equatorial Current and slightly bends to the north on the σθ=26.7 isopycnal surface during the summer monsoon, indicative of its contribution to the western boundary current. Outflow

  6. Journal of Genetics | Indian Academy of Sciences

    Indian Academy of Sciences (India)

    Home; Journals; Journal of Genetics. AMIT KUMAR MADESHIYA. Articles written in Journal of Genetics. Volume 96 Issue 1 March 2017 pp 53-64 RESEARCH ARTICLE. Association of IL-10 gene (−1082A>G, −819C>T and −592C>A) polymorphism and its serum level with metabolic syndrome of north Indian subjects.

  7. Prevalence of Clostridium difficile infection and colonization in a tertiary hospital and elderly community of North-Eastern Peninsular Malaysia.

    Science.gov (United States)

    Zainul, N H; Ma, Z F; Besari, A; Siti Asma, H; Rahman, R A; Collins, D A; Hamid, N; Riley, T V; Lee, Y Y

    2017-10-01

    Little is known about Clostridium difficile infection (CDI) in Asia. The aims of our study were to explore (i) the prevalence, risk factors and molecular epidemiology of CDI and colonization in a tertiary academic hospital in North-Eastern Peninsular Malaysia; (ii) the rate of carriage of C. difficile among the elderly in the region; (iii) the awareness level of this infection among the hospital staffs and students. For stool samples collected from hospital inpatients with diarrhea (n = 76) and healthy community members (n = 138), C. difficile antigen and toxins were tested by enzyme immunoassay. Stool samples were subsequently analyzed by culture and molecular detection of toxin genes, and PCR ribotyping of isolates. To examine awareness among hospital staff and students, participants were asked to complete a self-administered questionnaire. For the hospital and community studies, the prevalence of non-toxigenic C. difficile colonization was 16% and 2%, respectively. The prevalence of CDI among hospital inpatients with diarrhea was 13%. Out of 22 C. difficile strains from hospital inpatients, the toxigenic ribotypes 043 and 017 were most common (both 14%). In univariate analysis, C. difficile colonization in hospital inpatients was significantly associated with greater duration of hospitalization and use of penicillin (both P difficile colonization is prevalent in a Malaysian hospital setting but not in the elderly community with little or no contact with hospitals. Awareness of CDI is alarmingly poor.

  8. Synthetic review on the genetic relatedness between North Africa ...

    African Journals Online (AJOL)

    Soumaya

    the Horn of Africa and the Indian Ocean in the southeast. ... threatened until the Islamic Arabs expanded their religion and culture to the Maghreb, ... decline from the Middle East toward Central Asia, Caucasus, North Africa and Europe.

  9. Evaluation of antioxidants and argpyrimidine in normal and cataractous lenses in north Indian population

    Directory of Open Access Journals (Sweden)

    Bharani K Mynampati

    2017-07-01

    Full Text Available AIM: To assess the level of glutathione, thioltransferase, and argpyrimidine in nuclear and cortical cataractous lenses as well as in the clear lenses in the north Indian population. METHODS: Human cataractous lenses were collected from the patients who underwent extracapsular cataract extraction surgery; clear lenses were collected from the freshly donated eye bank eyes. Antioxidant molecules such as glutathione and thioltransferase enzyme activity were measured; simultaneously in these lenses a blue fluorophore argpyrimidine, an advanced glycation end (AGE product level was assessed using high performance liquid chromatography (HPLC. RESULTS: The protein concentration was found to be present at higher levels in the control lenses compared to cataract lenses. A significant decrease in the glutathione level was observed in the nuclear cataractous lenses compared to cortical cataractous (P=0.004 and clear lenses (P≤0.005, but no significant change in the level of antioxidant enzyme thioltransferase was observed. Further, argpyrimidine a blue fluorophore (AGE was found to be significantly higher in the nuclear cataract (P=0.013 compared to cortical cataract lenses. CONCLUSION: Antioxidants such as glutathione significantly decrease in age-related nuclear and cortical cataract and an AGE, argpyrimidine are present at significantly higher levels in nuclear cataract.

  10. Age related changes in size of thyroid follicle in north Indian population: A histologic study

    Directory of Open Access Journals (Sweden)

    Preeti Malik

    2016-05-01

    Full Text Available Due to increasing number of cases of thyroid gland disorders nowadays, there are rising trends of thyroid gland surgeries and interventions which requires comprehensive data regarding the gland. This study was done to find out the changes in the size of the thyroid follicle in different age groups. The age groups were Group A - upto 20 years, Group B – 21-50 years and Group C – above 50 years. The study was conducted on 60 human thyroid glands in the Department of Anatomy in collaboration with Department of Pathology, Pt. B. D. Sharma Post Graduate Institute of Medical Sciences, Rohtak in North Indian population. The diameter of the thyroid follicle was measured by Image Analyzer. The study revealed that the mean size of the thyroid follicle was found to be in Group A - 56.38±14.12 µm, Group B - 130.08±30.67 µm and Group C - 96.05±12.86 µm. The study concluded that the mean size of the thyroid follicle was found to be higher in Group B (21-50 years followed by Group C (above 50 years followed by Group A (below 20 years.

  11. Cultural macroevolution on neighbor graphs : vertical and horizontal transmission among Western North American Indian societies.

    Science.gov (United States)

    Towner, Mary C; Grote, Mark N; Venti, Jay; Borgerhoff Mulder, Monique

    2012-09-01

    What are the driving forces of cultural macroevolution, the evolution of cultural traits that characterize societies or populations? This question has engaged anthropologists for more than a century, with little consensus regarding the answer. We develop and fit autologistic models, built upon both spatial and linguistic neighbor graphs, for 44 cultural traits of 172 societies in the Western North American Indian (WNAI) database. For each trait, we compare models including or excluding one or both neighbor graphs, and for the majority of traits we find strong evidence in favor of a model which uses both spatial and linguistic neighbors to predict a trait's distribution. Our results run counter to the assertion that cultural trait distributions can be explained largely by the transmission of traits from parent to daughter populations and are thus best analyzed with phylogenies. In contrast, we show that vertical and horizontal transmission pathways can be incorporated in a single model, that both transmission modes may indeed operate on the same trait, and that for most traits in the WNAI database, accounting for only one mode of transmission would result in a loss of information.

  12. A Comparative Study of Learning Organisation Practices of Indian Businesses

    Science.gov (United States)

    Bhattacharya, Sonali; Neelam, Netra; Behl, Abhishek; Acharya, Sabyasachi

    2017-01-01

    Purpose: In this study we compared the learning organisation practices of Indian Businesses across sectors. Methodology: The study is based on a sample of 406 managers of banking, information technology and information technology enabled services (IT/ITES), manufacturing, hotel & hospitality and hospital and healthcare sectors. Learning…

  13. Journal of Genetics | Indian Academy of Sciences

    Indian Academy of Sciences (India)

    The present case–control study was to evaluate the possible association between IL10 A1082G gene and OSCC in north Indian population. Analysis of IL10 A1082G genotype in 232 OSCC cases and 221 healthy controls of comparable age, gender, smokers, tobacco chewing and alcohol consumption. IL10 A1082G status ...

  14. Do Human Papilloma Viruses Play Any Role in Oral Squamous Cell Carcinoma in North Indians?

    Science.gov (United States)

    Singh, Vineeta; Husain, Nuzhat; Akhtar, Naseem; Kumar, Vijay; Tewari, Shikha; Mishra, Sridhar; Misra, Sanjeev; Khan, M Y

    2015-01-01

    Oral squamous cell carcinoma (OSCC) is the most prevalent malignancy among males in India. While tobacco and alcohol are main aetiological factors, human papilloma virus (HPV) presence has surprisingly increased in head and neck Squamous Cell Carcinoma (HNSCC) in the past two decade but its frequency in OSCCS is still uncertain. We aim to explore the frequency of HPV and its major genotypes in North Indian patients and their association with clinicopathological and histopathological features and p16 expression pattern. The study group comprised 250 histologically proven cases of OSCC. HPV was detected by real time PCR in tumor biopsy specimens and confirmed by conventional PCR with PGMY09/ PGMY11 primers. Genotyping for high-risk types 16/ 18 was conducted by type specific PCR. p16 expression was assessed by immunohistochemsitry. HPV presence was confirmed in 23/250 (9.2%) OSCC cases, of which 30.4% had HPV 16 infection, 17.4%were positive for HPV 18 and 26.1% had co-infections. HPV presence was significantly associated with male gender (p=0.02) and habit of pan masala chewing (p=0.01). HPV positive cases also had a history of tobacco consumption in 91.3% cases. p16 over expression was observed in 39.1% of HPV positive cases but this was not significantly different from negative cases (p=0.54). The frequency of HPV in OSCC is low in North-India and majority of cases are associated with a tobacco habit. It appears that tobacco shows a confounding effect in HPV positive cases and use of p16 protein as a reliable marker to assess the potential etiological role of HPV in OSCC in our population is not suggested.

  15. A Bibliography on American Indians. Bibliographic Series No. 36.

    Science.gov (United States)

    Perry, Larry S.

    The information sources on Indians of North and South America which are listed were selected from the holdings of the Arkansas University library. Materials are grouped by type, including bibliographies, biographies, catalogs and directories, documentary histories, laws and treaties, encyclopedias and guides, handbooks and sourcebooks, microfilm,…

  16. Determination of gold and arsenic in Indian tobacco leaves

    International Nuclear Information System (INIS)

    Purkayastha, B.C.; Bhattacharyya, D.K.

    1975-01-01

    Two varieties of Indian Tobacco leaves have been analysed for gold and arsenic by neutron activation ( 76 As, 198 Au). Nicotiana rustica variety from North Bengal was found to contain 3.7x10 -1 ppm of gold and 4.0x10 -3 ppm of arsenic and the nicotiana tabaccum variety from Andhra Pradesh contains 1.26x10 -1 ppm of gold and 5.1x10 -3 ppm of arsenic, respectively. Unlike those in other countries Indian tobacco leaves seem to be enriched in the gold content and depleted in the arsenic content. The soil of North Bengal is richer in gold than the soil of Andhra Pradesh which requires further investigation, and the amount of arsenic in both soils is physiologically insignificant. Irradiation of leaf samples was done in a CIRUS reactor at a neutron flux of 10 13 n cm -2 s -1 for seven days. (F.G.)

  17. Predictors of Registered Nurses' Intention To Quit: Implications for the Management of Health Care Human Resources in North Dakota Hospitals.

    Science.gov (United States)

    Pooyan, Abdullah; And Others

    Turnover rates for nurses are among the highest for all professional employees. This study investigated the potential predictors of registered nurses' intention to quit. Survey questionnaires were mailed to a population of 779 registered nurses from two hospitals in North Dakota. Approximately 4 weeks later, usable responses were received from 353…

  18. Coral Bleaching and Associated Mortality at Mayotte, Western Indian ...

    African Journals Online (AJOL)

    Mamoudzou 97600, Mayotte. Keywords: coral, bleaching, mortality, Mayotte, Western Indian Ocean. Abstract—Bleaching and associated coral mortality were assessed on fringing and barrier reefs on the north and east coasts of Mayotte from 1-24 May 2010. Major bleaching was encountered; nearly 80% of the corals were ...

  19. Journal of Genetics | Indian Academy of Sciences

    Indian Academy of Sciences (India)

    ... in IL-10 gene (−819C>T and −592C>A), haplotypes (ACC and GTA) and serum level are significantly associated with risk of MetS. IL- 10 −819C>T and −592C>A polymorphic variants are also significantly associated with insulin level and homeostasis model assessment-insulin resistance in north Indian MetS subjects.

  20. High prevalence of ACE DD genotype among north Indian end stage renal disease patients

    Directory of Open Access Journals (Sweden)

    Pandirikkal Baburajan Vinod

    2006-10-01

    Full Text Available Abstract Background The Renin-Angiotensin system (RAS is a key regulator of both blood pressure and kidney functions and their interaction. In such a situation, genetic variability in the genes of different components of RAS is likely to contribute for its heterogeneous association in the renal disease patients. Angiotensin converting enzyme-1 (ACE-1 is an important component of RAS which determines the vasoactive peptide Angiotensin-II. Methods In the present study, we have investigated 127 ESRD patients and 150 normal healthy controls from north India to deduce the association between ACE gene polymorphism and ESRD. The inclusion criteria for patients included a constantly elevated serum creatinine level above normal range (ranging from 3.4 to 15.8 and further the patients were recommended for renal transplantation. A total of 150 normal healthy controls were also genotyped for ACE I/D polymorphism. The criterion of defining control sample as normal was totally based on the absence of any kidney disease determined from the serum creatinin level. Genotyping of ACE I/D were assayed by polymerase chain reaction (PCR based DNA amplification using specific flanking primers Based on the method described elsewhere. Results The difference of DD and II genotypes was found highly significant among the two groups (p = 0.025; OR = 3.524; 95%CI = 1.54-8.07. The combined genotype DD v/s ID+II comparison validated that DD genotype is a high risk genotype for ESRD (p = 0.001; OR = 5.74; 95%CI limit = 3.4-8.5. However, no correlation was obtained for different biochemical parameters of lipid profile and renal function among DD and non DD genotype. Interestingly, ~87% of the DD ESRD patients were found hypertensive in comparison to the 65% patients of non DD genotype Conclusion Based on these observations we conclude that ACE DD genotype implicate a strong possible role in the hypertensive state and in renal damage among north Indians. The study will help in

  1. Best practices to promote occupational safety and satisfaction: a comparison of three North American hospitals.

    Science.gov (United States)

    McCaughey, Deirdre; DelliFraine, Jami; Erwin, Cathleen O

    2015-01-01

    Hospitals in North America consistently have employee injury rates ranking among the highest of all industries. Organizations that mandate workplace safety training and emphasize safety compliance tend to have lower injury rates and better employee safety perceptions. However, it is unclear if the work environment in different national health care systems (United States vs. Canada) is associated with different employee safety perceptions or injury rates. This study examines occupational safety and workplace satisfaction in two different countries with employees working for the same organization. Survey data were collected from environmental services employees (n = 148) at three matched hospitals (two in Canada and one in the United States). The relationships that were examined included: (1) safety leadership and safety training with individual/unit safety perceptions; (2) supervisor and coworker support with individual job satisfaction and turnover intention; and (3) unit turnover, labor usage, and injury rates. Hierarchical regression analysis and ANO VA found safety leadership and safety training to be positively related to individual safety perceptions, and unit safety grade and effects were similar across all hospitals. Supervisor and coworker support were found to be related to individual and organizational outcomes and significant differences were found across the hospitals. Significant differences were found in injury rates, days missed, and turnover across the hospitals. This study offers support for occupational safety training as a viable mechanism to reduce employee injury rates and that a codified training program translates across national borders. Significant differences were found.between the hospitals with respect to employee and organizational outcomes (e.g., turnover). These findings suggest that work environment differences are reflective of the immediate work group and environment, and may reflect national health care system differences.

  2. 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.

  3. Journal of Genetics | Indian Academy of Sciences

    Indian Academy of Sciences (India)

    A common variant in chromosome 9p21 associated with coronary artery disease in Asian Indians ... Institute, Narayana Hrudayalaya Hospital, 258/A Bommasandra Industrial Area, Anekal Taluk, Bangalore 560 099, India; Thrombosis Research Institute, Emmanuel Kaye Building, Manresa Road, London SW3 6LR, UK ...

  4. Journal of Earth System Science | Indian Academy of Sciences

    Indian Academy of Sciences (India)

    The temporal and spatial variability of the various meteorological parameters over India and its different subregions is high. The Indian subcontinent is surrounded by the complex Himalayan topography in north and the vast oceans in the east, west and south. Such distributions have dominant influence over its climate and ...

  5. Insects of terrestrial origin over Indian Ocean during north-east monsoon

    Digital Repository Service at National Institute of Oceanography (India)

    Pathak, S.C.; Kulshrestha, V.; Choubey, A; Parulekar, A

    Airborne insects, carried by winds were trapped over the Indian Ocean (Latitude 14 degrees N to 4 degrees S; Longitude 60 degrees-76 degrees 34 minutes E), in the course of cruise 109, ORV Sagar Kanya (January 4-February 6, 1996). A total of 3...

  6. Pb sbnd Sr sbnd Nd isotopic data of Indian Ocean ridges: new evidence of large-scale mapping of mantle heterogeneities

    Science.gov (United States)

    Hamelin, Bruno; Dupré, Bernard; Allègre, Claude J.

    1986-01-01

    A Pb sbnd Sr sbnd Nd isotope study of South West and East Indian Ridges confirms that the Indian Ocean belongs to a specific regional isotopic domain, as previously suggested by the results from islands of this ocean. The isotopic domain defined by the Indian MORB is indeed different from that of the North Atlantic and East Pacific Oceans. This demonstrates that the convective circulation of the upper mantle does not allow a rapid homogenization from one region to the other. The isotopic data of the Indian ridges can be interpreted by a contamination model, in which the depleted upper mantle (identical to that under the North Atlantic) is contaminated by two different types of contaminant, one corresponding to the source of the "central Indian Ocean" islands (Amsterdam, St. Paul, Marion, Prince Edward, Réunion, Rodriguez, Mauritius), and the other to a source similar to that of Walvis or Ninety East aseismic ridges. These two contaminants would have contributed to the ridge volcanism in different proportions over time.

  7. 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

  8. Utilization study of antidiabetic agents in a teaching hospital of Sikkim and adherence to current standard treatment guidelines.

    Science.gov (United States)

    Satpathy, Sushrut Varun; Datta, Supratim; Upreti, Binu

    2016-01-01

    Diabetes has gradually emerged as one of the most serious public health problems in our country. This underlines the need for timely disease detection and decisive therapeutic intervention. This prospective cross-sectional observational study aims at analyzing the utilization pattern of antidiabetic agents in a remote North-East Indian tertiary care teaching hospital in the perspective of current standard treatment guidelines. Diabetic patients receiving antidiabetic medication, both as outpatients and inpatients in our hospital over a period of 12 months (May 2013-May 2014), were included in this study. The data obtained were sorted and analyzed on the basis of gender, type of therapy, and hospital setting. A total of 310 patients were included in the study. Metformin was the single most frequently prescribed antidiabetic agent (66.8%) followed by the sulfonylureas group (37.4%). Insulin was prescribed in 23.2% of the patients. Combination antidiabetic drug therapy (65.1%) was used more frequently than monotherapy (34.8%). The use of biguanides (P standard treatment guidelines. Increased use of generic drugs is an area with scope for improvement.

  9. Dissolved inorganic carbon, temperature, salinity and other variables collected from discrete sample and profile observations using CTD, bottle and other instruments from the Hakuho Maru in the Indian Ocean, North Pacific Ocean and South Pacific Ocean from 2001-12-08 to 2002-01-19 (NODC Accession 0113547)

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — NODC Accession 0113547 includes biological, chemical, discrete sample, physical and profile data collected from Hakuho Maru in the Indian Ocean, North Pacific Ocean...

  10. Dissolved inorganic carbon, temperature, salinity and other variables collected from discrete sample and profile observations using CTD, bottle and other instruments from the Hakuho Maru in the Indian Ocean, North Pacific Ocean and South Pacific Ocean from 2001-12-08 to 2002-01-19 (NODC Accession 0112347)

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — NODC Accession 0112347 includes biological, chemical, discrete sample, physical and profile data collected from Hakuho Maru in the Indian Ocean, North Pacific Ocean...

  11. Journal of Earth System Science | Indian Academy of Sciences

    Indian Academy of Sciences (India)

    This paper describes the variability in the diurnal range of SST in the north Indian Ocean using in situ measurements and tests the suitability of simple regression models in estimating the diurnal range.SST measurements obtained from 1556 drifting and 25 moored buoys were used to determine the diurnal range of SSTs.

  12. Journal of Earth System Science | Indian Academy of Sciences

    Indian Academy of Sciences (India)

    The Indian northeast monsoon is inherently chaotic in nature as the rainfall realised in the peninsular India depends substantially on the formation and movement of low-pressure systems in central and southwest Bay of Bengal and on the convective activity which is mainly due to the moist north-easterlies from Bay of ...

  13. Chimpanzees prefer African and Indian music over silence.

    Science.gov (United States)

    Mingle, Morgan E; Eppley, Timothy M; Campbell, Matthew W; Hall, Katie; Horner, Victoria; de Waal, Frans B M

    2014-10-01

    [Correction Notice: An Erratum for this article was reported in Vol 40(4) of Journal of Experimental Psychology: Animal Learning and Cognition (see record 2014-35305-001). For the article, the below files were used to create the audio used in this study. The original West African akan and North Indian raga pieces were used in their entirety and the Japanese taiko piece was used from the 0:19 second mark through the end. The tempo of each piece was adjusted so that they maintained an identical base tempo of 90 beats per minute, then looped to create 40 minutes of continuous music. Additionally, the volume of the music was standardized at 50 dB so that the all music maintained the same average amplitude. All audio manipulations were completed using GarageBand © (Apple Inc.).] All primates have an ability to distinguish between temporal and melodic features of music, but unlike humans, in previous studies, nonhuman primates have not demonstrated a preference for music. However, previous research has not tested the wide range of acoustic parameters present in many different types of world music. The purpose of the present study is to determine the spontaneous preference of common chimpanzees (Pan troglodytes) for 3 acoustically contrasting types of world music: West African akan, North Indian raga, and Japanese taiko. Sixteen chimpanzees housed in 2 groups were exposed to 40 min of music from a speaker placed 1.5 m outside the fence of their outdoor enclosure; the proximity of each subject to the acoustic stimulus was recorded every 2 min. When compared with controls, subjects spent significantly more time in areas where the acoustic stimulus was loudest in African and Indian music conditions. This preference for African and Indian music could indicate homologies in acoustic preferences between nonhuman and human primates. .

  14. Letter from North Dakota: Inviting the People to See

    Science.gov (United States)

    Strickler, Eve

    1974-01-01

    A descriptive account of the diverse experiences and reactions, both positive and negative, of a resource teacher for a Follow Through Program at an Indian elementary school in Fort Yates, North Dakota, and her attempts to promote teacher cooperation and engender local involvement in the school. (EH)

  15. Journal of Genetics | Indian Academy of Sciences

    Indian Academy of Sciences (India)

    ... School of Life Sciences, Fudan University, Shanghai 200433, People's Republic of China; Department of Cardiovascular Medicine, Shanghai East Hospital, Tongji University School of Medicine, Shanghai 200120, People's Republic of China; NorthShore Research Institute, NorthShore University Health System, Evanston ...

  16. Specialized consultant in radiological safety to the north central hospital of high speciality, PEMEX. II. - August of 2001; Asesoria especializada en seguridad radiologica al hospital central norte de alta especialidad, PEMEX II.- Agosto de 2001

    Energy Technology Data Exchange (ETDEWEB)

    Angeles C, A.; Vizuet G, J.; Benitez S, J. A.; Rodriguez A, F.; Garcia A, J

    2001-10-15

    The north central hospital of high speciality, dependent of PEMEX, It request consultant of the ININ to be able to maintain their sanitary license for the use of X-ray equipment for the radiologic diagnostic.The proposal of the ININ was to be a program of technical attendance, schedule monthly to be able to solve the observations that are presented in the use of those equipment, and that the hospital can conserve its respective sanitary license.(Author)0.

  17. Specialized consultant in radiological safety to the north central hospital of high speciality, PEMEX. I. - July of 2001; Asesoria especializada en seguridad radiologica al hospital central norte de alta especialidad, PEMEX I.- Julio de 2001

    Energy Technology Data Exchange (ETDEWEB)

    Angeles C, A.; Vizuet G, J.; Benitez S, J. A

    2001-09-15

    The north central hospital of high speciality, dependent of PEMEX, It request consultant of the ININ to be able to maintain their sanitary license for the use of X-ray equipment for the radiologic diagnostic.The proposal of the ININ was to be a program of technical attendance, schedule monthly to be able to solve the observations that are presented in the use of those equipment, and that the hospital can conserve its respective sanitary license.(Author)

  18. Specialized consultant in radiological safety to the north central hospital of high speciality, PEMEX. III. - September of 2001; Asesoria especializada en seguridad radiologica al hospital central norte de alta especialidad, PEMEX III.- Septiembre de 2001

    Energy Technology Data Exchange (ETDEWEB)

    Angeles C, A; Vizuet G, J; Benitez S, J A; Rodriguez A, F; Garcia A, J

    2001-12-15

    The north central hospital of high speciality, dependent of PEMEX, It request consultant of the ININ to be able to maintain their sanitary license for the use of X-ray equipment for the radiologic diagnostic.The proposal of the ININ was to be a program of technical attendance, schedule monthly to be able to solve the observations that are presented in the use of those equipment, and that the hospital can conserve its respective sanitary license.(Author)

  19. Staphylococcus aureus eye infections in two Indian hospitals: emergence of ST772 as a major clone

    Directory of Open Access Journals (Sweden)

    Nadig S

    2012-01-01

    Full Text Available Savitha Nadig1, Nithya Velusamy2, Prajna Lalitha2, Sarita Kar3, Savitri Sharma3, Gayathri Arakere11Society for Innovation and Development, Indian Institute of Science, Bengaluru, Karnataka, 2Aravind Eye Hospital, Madurai, Tamil Nadu, 3LV Prasad Eye Institute, Bhubaneswar, Odisha, IndiaPurpose: The purpose of this study was to perform molecular characterization of Staphylococcus aureus isolates causing a variety of eye infections from two major eye care hospitals in India.Methods: Twenty-four isolates from Aravind Eye Hospital, Madurai, India, and nine isolates from LV Prasad Eye Institute, Bhubaneswar, India, representing severe to nonsevere eye infections like microbial keratitis to lacrimal sac abscess, were characterized. Staphylococcal cassette chromosome mec typing, multilocus sequence typing, accessory gene regulator typing, staphylococcal protein A typing, and pulsed field gel electrophoresis were used, along with determination of the presence of Panton–Valentine leucocidin toxin and endotoxin gene cluster among each sequence type.Results: The majority of eye infections, both severe and nonsevere, were caused by sequence type (ST772, positive for the Panton–Valentine leucocidin gene, and carrying methicillin-resistant staphylococcal cassette chromosome mec type V cassette (22/33, 67%. Some of the other sequence types that caused severe eye infections were ST1 (9%, 5 (3%, 72 (6%, 88 (3%, 121 (3%, and 672 (3%. This is the first report of the presence of ST1 and 88 in India.Conclusion: Although the number of isolates included in this study was small, most of the eye infections were caused by community-associated S. aureus where patients had no history of hospitalization or treatment in the past year. In the case of six severe infections, patients were admitted for surgeries and there is probability of hospital infection. In addition, only methicillin-resistant S. aureus isolates carrying staphylococcal cassette chromosome mec type V were

  20. Journal of Earth System Science | Indian Academy of Sciences

    Indian Academy of Sciences (India)

    In this study, the sensitivity of numerical simulations of tropical cyclones to physics parameterizations is carried out with a view to determine the best set of physics options for prediction of cyclones originating in the north Indian Ocean. For this purpose, the tropical cyclone Jal has been simulated by the advanced (or state of ...

  1. Single nucleotide polymorphisms at interleukin (IL-1β + 3954 and vitamin D receptor (VDR TaqI in chronic periodontitis patients: A pilot study in North Indian population

    Directory of Open Access Journals (Sweden)

    Anika Daing

    2015-01-01

    Full Text Available Background: Increasing evidences support the role of genetic factors in susceptibility to chronic periodontitis. The aim of the present pilot study was to explore the association of two potential single nucleotide polymorphisms (SNPs: Interleukin (IL-1β + 3954 (rs1143634, C > T and vitamin D receptor (VDR TaqI (rs731236, T > C with chronic periodontitis in a North Indian population. Materials and Methods: Twenty-eight chronic periodontitis subjects and 47 periodontally healthy controls were recruited. Individual samples of venous blood were obtained from each subject. Genotyping was done by polymerase chain reaction, followed by restriction fragment length polymorphism (PCR-RFLP. Logistic regression and chi square test were used for genetic association analysis and a P value less than 0.05 taken as statistical significance. Statistical Analysis Used: Chi square test and odds ratio (OR was used. Results: Genotypes and alleles of SNP IL-1β + 3954 did not show a significant association (P > 0.05 with chronic periodontitis. Genotype CC and allele C of VDR TaqI were significantly associated with a higher risk for chronic periodontitis as compared to subjects with TT genotype (CC/TT OR = 4.615; 95% confidence interval [CI]: 1.17 to 18.078 P = 0.028 and allele T (C/T OR = 2.423; 95% CI: 1.179 to 4.980. Conclusion: In North Indian population, genotype CC and allele C of VDR TaqI were associated with risk of chronic periodontitis. No significant correlation was found for IL-1β + 3954 polymorphism and chronic periodontitis.

  2. Journal of Biosciences | Indian Academy of Sciences

    Indian Academy of Sciences (India)

    Author Affiliations. Pornima Phatak1 S Kalai Selvi1 T Divya2 A S Hegde2 Sridevi Hegde2 Kumaravel Somasundaram1. Department of Microbiology and Cell Biology, Indian Institute of Science, Bangalore 560 012, India; Manipal Institute for Neurological Disorders, Manipal Hospital, Airport Road, Bangalore 560 017, India ...

  3. 78 FR 14017 - Courts of Indian Offenses

    Science.gov (United States)

    2013-03-04

    ... process of establishing, tribal courts; and are therefore no longer in need of an extra-tribal judicial... Health Hospital, and the Albuquerque Indian School Property (land held in trust for the 19 Pueblos of New... have courts to administer justice on land under their jurisdiction. Prior notice and comment are...

  4. Journal of Earth System Science | Indian Academy of Sciences

    Indian Academy of Sciences (India)

    The sediment records along the bedrock rivers of Kachchh register imprints of the Indian summer monsoon (ISM), which is the major source of moisture to the fluvial system in western India. The Rukmawati River originates from the Katrol Hill Range in the north and flows towards the south, into the Gulf of Kachchh. The field ...

  5. ENSO modulation of interannual variability of dust aerosols over the northwest Indian ocean

    Digital Repository Service at National Institute of Oceanography (India)

    Banerjee, P.; PrasannaKumar, S.

    Mineral dust is known to affect many aspects of the climate of the north Indian Ocean (IO) However, what controls its interannual variability over this region is largely unknown The authors study the mechanism controlling the interannual variability...

  6. ( Camelus dromedarius ) of North east sahel region of Nigeria

    African Journals Online (AJOL)

    The values for red blood cell count, haemoglobin concentration, packed cell volume and erythrocyte indices were similar to those obtained from camels in Sokoto (North West Region) Nigeria; and also in accord with values published in the literature for Indian camels. Total leucocyte counts were relatively higher but within ...

  7. Serum level of orexin-A, leptin, adiponectin and insulin in north Indian obese women.

    Science.gov (United States)

    Mishra, Sameeksha; Gupta, Vani; Mishra, Supriya; Sachan, Rekha; Asthana, Akash

    2017-12-01

    Obesity is regulated by different metabolic factors like leptin, adiponectin insulin and neuropeptide orexin-A. The aim of this study is to assess the role of these hormones and their interrelationship with obesity in north Indian women. A total of 168 obese women with Body Mass Index (BMI)>30kg/m 2 and 150 lean women (BMIWomen with obesity were further subdivided into two groups according to their BMI, 71 overweight women with the BMI 25-29.9kg/m 2 (mean±S.D: 27.87±0.71) and the 97 obese women with BMI>30kg/m 2 (34.68±1.90). Orexin -A, leptin and adiponectin were estimated using quantitative sandwich enzyme linked immunoassay and insulin was estimated by using an immuno-radiometric assay. Orexin -A and adiponectin level were significantly lower however, leptin and inulin level were significantly higher in obese women as compared with control group. Further, the one- way group analysis showed that the orexin -A and adiponectin level were significantly lower but leptin and insulin level was significantly higher in obese women as compared to overweight and control group respectively. Result showed that the level of adiponectin, leptin, orexin-A and insulin play an important role in the regulation of energy expenditure. In obesity, the activity of these peptides is disturbed. Copyright © 2017 Diabetes India. Published by Elsevier Ltd. All rights reserved.

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

    Directory of Open Access Journals (Sweden)

    Ketaki Rajurkar

    2018-06-01

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

  9. Spatial Epidemiology of Alcohol- and Drug-Related Health Problems Among Northern Plains American Indians: Nebraska and South Dakota, 2007 to 2012.

    Science.gov (United States)

    Ponicki, William R; Henderson, Jeffrey A; Gaidus, Andrew; Gruenewald, Paul J; Lee, Juliet P; Moore, Roland S; Davids, Sharice; Tilsen, Nick

    2018-03-01

    Despite high abstinence rates, American Indians experience elevated rates of many alcohol and other drug problems. American Indians also predominantly reside in poor and rural areas, which may explain some observed health disparities. We investigated whether geographic areas including reservations or large American Indian populations exhibited greater incidence of alcohol- and drug-related hospitalizations. We obtained inpatient hospitalization records for 2 Northern Plain states (Nebraska and South Dakota) for the years 2007 to 2012. We constructed zip code counts for 10 categories of hospitalization with diagnoses or injury causation commonly associated with alcohol or drug use. We related these to community sociodemographic characteristics using Bayesian Poisson space-time regression models and examined associations with and without controls for whether each zip code was located within an American Indian reservation. Controlling for other demographic and economic characteristics, zip codes with greater percentage of American Indians exhibited greater incidence for all 10 substance abuse-related health outcomes (9 of 10 well supported); zip code areas within American Indian reservations had greater incidence of self-inflicted injury and drug dependence and abuse, and reduced incidence of alcohol cirrhosis and prescription opioid poisoning. However, the analyses generally demonstrated no well-supported differences in incidence associated with local residence percentages of American Indian versus African American. In our analyses, ethnicity or heredity alone did not account for alcohol- and drug-related hospitalizations among Native populations. Aspects of social, economic, and political dimensions of Native lives must be considered in the etiology of alcohol- and drug-related problems for rural-dwelling indigenous peoples. Copyright © 2018 by the Research Society on Alcoholism.

  10. A new atlas of temperature and salinity for the North Indian Ocean

    Digital Repository Service at National Institute of Oceanography (India)

    Chatterjee, A; Shankar, D.; Shenoi, S.S.C.; Reddy, G.V.; Michael, G.S.; Ravichandran, M.; Gopalakrishna, V.V.; Rao, E.P.R.; UdayaBhaskar, T.V.S.; Sanjeevan, V.N.

    the available hydrographic data from the Indian Exclusive Economic Zone (EEZ), leading to the potential for improvement if the data from this region are included to prepare a new climatology. We use all the data that went into the preparation of the WOA...

  11. Evaluation of a pharmacist-managed asthma clinic in an Indian Health Service clinic.

    Science.gov (United States)

    Pett, Ryan G; Nye, Shane

    2016-01-01

    To observe whether American Indian and Alaskan Native (AI/AN) patients at the Yakama Indian Health Service seen at the pharmacist-managed asthma clinic improved asthma outcomes. Retrospective chart review, single group, preintervention and postintervention. Pharmacist-managed asthma clinic at an Indian Health Service ambulatory care clinic. Sixty-one AI/AN patients who were seen at least once in the asthma clinic from 2010 to 2014. Pharmacist-provided asthma education and medication management. Asthma-related hospitalizations and emergency department or urgent care (ED) visits. The total number of asthma-related hospitalizations and ED visits between the 12-month periods preceding and following the initial asthma clinic visit were 11 versus 2 hospitalizations (P = 0.02) and 43 versus 25 ED visits (P = 0.02), respectively. Over the same period, asthma-related oral corticosteroid use showed a nonsignificant decrease in the number of prescriptions filled (n = 59, P = 0.08). In contrast, inhaled corticosteroid prescription fills significantly increased (n = 42, P = 0.01). A reduction of asthma-related hospitalizations and ED visits were observed during the course of the intervention. Increased access to formal asthma education and appropriate asthma care benefit the Yakama AI/AN people. A controlled trial is needed to confirm that the intervention causes the intended effect. Published by Elsevier Inc.

  12. Hospital-acquired listeriosis.

    Science.gov (United States)

    Graham, J C; Lanser, S; Bignardi, G; Pedler, S; Hollyoak, V

    2002-06-01

    We report four cases of listeriosis that occurred over a two-month period in north east England. Due to the apparent nosocomial acquisition of infection and the clustering of cases in time and place, extended epidemiological investigation was performed and the outbreak was traced to a caterer who was providing sandwiches for hospital shops. We discuss the difficulties in preventing food-borne listeriosis in the hospital setting. Copyright 2002 The Hospital Infection Society.

  13. Views and attitudes towards blood donation: a qualitative investigation of Indian non-donors living in England

    OpenAIRE

    Joshi, D.; Meakin, R.

    2017-01-01

    OBJECTIVE: To explore the views and attitudes of Indians living in England on blood donation. BACKGROUND: In light of the predicted shortages in blood supply, it is vital to consider ways in which to maximise donation rates. These include addressing the issue of lower donation rates among ethnic minorities, including Indians. However research specifically among minority ethnicities in UK is sparse. SETTING: General practice in North London. PARTICIPANTS: A convenience ...

  14. 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

  15. 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

  16. Specialized consultant in radiological safety to the north central hospital of high speciality, PEMEX. I. - May-June of 2003; Asesoria especializada en seguridad radiologica al hospital central norte de alta especialidad, PEMEX I.- Mayo-Junio de 2003

    Energy Technology Data Exchange (ETDEWEB)

    Angeles C, A.; Camacho V, B.; Rodriguez A, F

    2003-09-15

    The north central hospital of high speciality, dependent of PEMEX, It request consultant of the ININ to be able to maintain their sanitary license for the use of X-ray equipment for the radiologic diagnostic.The proposal of the ININ was to be a program of technical attendance, schedule monthly to be able to solve the observations that are presented in the use of those equipment, and that the hospital can conserve its respective sanitary license.(Author)

  17. An atlast of XBT thermal structures and TOPEX/POSEIDON sea surface heights in the north Indian Ocean

    Digital Repository Service at National Institute of Oceanography (India)

    Gopalakrishna, V.V.; Ali, M.M.; Araligidad, N.; Shenoi, S.S.C.; Shum, C.K.; Yi, Y.

    the Indian XBT Program were used to plot the sub-surface thermal structures of the Indian Ocean for 1993 to 2003. Since these in situ measurements are just along the ship tracks, sea surface height observations from the TOPEX altimeter were also plotted over...

  18. Study of Pancytopenia in a Tertiary Care Hospital in North Karnataka

    Directory of Open Access Journals (Sweden)

    Kulkarni Naveen S

    2017-03-01

    Full Text Available Introduction: Pancytopenia refers to the combination of anaemia, leukopenia and thrombocytopenia. Causes may be due to bone marrow failure, bone marrow infiltration, ineffective haematopoiesis or peripheral pooling/ destruction. A bone marrow aspirate is usually required to establish the diagnosis. Aetiologies of pancytopenia vary from one geographical region to other. Aim: Study of pancytopenia in patients admitted to a tertiary care hospital in north Karnataka. Methods: This study was conducted at SNMC and HSK, Bagalkot. This study was prospective, observational undertaken for 6-month period between July 2016-January 2017. History, physical examination, and primary blood investigations were done in all patients. Selected patients were evaluated with bone marrow examination. Materials: A total of 69 human subjects were enrolled. A thorough history, clinical examination and blood investigations were carried out. Results: Dimorphic anaemia is common than megaloblastic anaemia. Among those subjected for bone marrow megaloblastic anaemia was commoner than dual deficiency bone marrow. Other causes of pancytopenia were malaria, dengue, enteric fever, and less common causes included sepsis, MDS, TB, HIV, SLE. Conclusion: Nutritional anaemia is commonest cause for pancytopenia. This may be due to megaloblastic anaemia or deficiency of iron/vitamin B12/folate combined

  19. Shigellosis on Indian reserves in Manitoba, Canada: its relationship to crowded housing, lack of running water, and inadequate sewage disposal.

    Science.gov (United States)

    Rosenberg, T; Kendall, O; Blanchard, J; Martel, S; Wakelin, C; Fast, M

    1997-09-01

    This study compares incidence and hospitalization rates for shigellosis between Indians and the rest of the population in Manitoba, Canada. It examines the relationship between shigellosis and environmental conditions on reserves. Rates were calculated with surveillance data and a survey of environmental infrastructure was done. Indians had shigellosis incidence and hospitalization rates that were 29 and 12 times as high, respectively, as those of the rest of the population. Household crowding, lack of piped water, and inadequate sewage disposal were significantly associated with an increased incidence of shigellosis on reserves. Many cases of shigellosis may be prevented by improving living conditions on Indian reserves.

  20. Specialized consultant in radiological safety to the clinical north central hospital of high speciality, PEMEX. IV. - December of 2001; Asesoria especializada en seguridad radiologica a la clinica hospital central norte de alta especialidad, PEMEX. IV.- Diciembre de 2001

    Energy Technology Data Exchange (ETDEWEB)

    Angeles C, A.; Vizuet G, J.; Benitez S, J. A.; Garcia A, J.; Rodriguez A, F

    2002-01-15

    The clinical north central hospital of high speciality, dependent of PEMEX, It request consultant of the ININ to be able to maintain their sanitary license for the use of X-ray equipment for the radiologic diagnostic.The proposal of the ININ was to be a program of technical attendance, schedule monthly to be able to solve the observations that are presented in the use of those equipment, and that the hospital can conserve its respective sanitary license.(Author)

  1. Association of MTHFR and PPARγ2 gene polymorphisms in relation to type 2 diabetes mellitus cases among north Indian population.

    Science.gov (United States)

    Raza, Syed Tasleem; Abbas, Shania; Ahmed, Faisal; Fatima, Jalees; Zaidi, Zeashan Haider; Mahdi, Farzana

    2012-12-15

    Type 2 diabetes mellitus is a multifactorial and polygenic disease, which is considered as a major life threatening problem all over the world. There has been a worldwide effort in the identification of susceptibility genes for type 2 diabetes mellitus and its complications. At present, adequate data is not available dealing with MTHFR (rs1801133) and PPARγ2 (rs1801282) gene polymorphisms and its association with type 2 diabetes mellitus cases among north Indian populations. Thus, we conceived the need for further studies to investigate MTHFR and PPARγ2 gene polymorphisms and their susceptibility to type 2 diabetes mellitus in north Indian population. In this study, a total 175 subjects including 87 type 2 diabetes mellitus cases and 88 controls were enrolled. MTHFR and PPARγ2 gene polymorphisms in the cases and controls were evaluated by polymerase chain reaction and restriction fragment length polymorphism (PCR-RFLP). The MTHFR gene CC, CT, TT genotype frequencies obtained were 40%, 43%, and 17% in type 2 diabetes mellitus cases and 56%, 29%, and 15% in healthy controls respectively. The OR for CC was 0.54 (95%CI 0.29-0.98, P=0.041, χ(2)=4.18, power=0.98), for CT 1.76 (95%CI 0.94-3.30, P=0.07, χ(2)=3.2, power=0.96), and for TT 1.2 (95%CI 0.53-2.70, P=0.66, χ(2)=0.198, power=0.76). The PPARγ2 gene GG CG, CC genotype frequencies obtained were 28%, 41%, and 31% in cases and 40%, 39%, and 21% in healthy controls respectively. OR for GG was 0.58 (95%CI 0.30-1.09, P=0.08, χ(2)=2.9, power=0.96), for CG 1.12 (95%CI 0.61-2.05, P=0.71, χ(2)=0.137, power=0.778), and for CC 1.63 (95%CI 0.82-3.23, P=0.156, χ(2)=2.01, power=0.92). It might be recommended that MTHFR CC genotype seems to be a good marker for the early identification of population at risk of type 2 diabetes mellitus. While we have detected significant difference in allelic frequencies of PPARγ2 C (Proline) and G (Alanine), but at genotypic level significant difference was not detected in this case

  2. Hospital morbidity in the Fiji islands with special reference to the saccharine disease.

    Science.gov (United States)

    Sorokin, M

    1975-08-23

    The concept of the excessive consumption of carbohydrates as a cause of many diseases of civilisation has previously been proposed under the name of the 'saccharine disease'. A review of the hospital morbidity figures for these diseases in a divisional hospital in the Fiji Islands is presented. The hospital serves a population comprised of Indians and Fijians, suggesting comparison with the province of Natal, South Africa. Indians have a higher incidence of diabetes melitus, myocardial infarction, duodenal ulcer, acute appendicitis, gallstones, renal stones and eclampsia. Their diets differ mainly in the higher consumption of refined fibre-depleted carbohydrates, and it is suggested that the association is compatible with the concept of the "saccharine disease".

  3. Complications associated with blood donations in a blood bank at an Indian tertiary care hospital.

    Science.gov (United States)

    Meena, Monika; Jindal, Tarun

    2014-09-01

    Blood donation, though safe, has a few potentially avoidable complications associated with it. They are important reasons for the failure of the donors to return for repeat donations. The aim of this study was to assess the frequency and identify the possible factors associated with increased risk of blood donation related complications so that they can be minimized. A prospective study was done over a period of four months in the blood bank of an Indian tertiary care hospital to record the donation related complications. Out of 7450 blood donations, total donation associated complications were 74, of which majority were vasovagal reactions (VVRs) (n=48), followed by venous hematomas (n=24) and arterial punctures (n=2). The incidence of VVRs was more, though not statistically significant, in females, replacement/repeat donors, donors between 21-30 y of age and who had a body-mass-index (BMI) of 18.5-24.9. VVRs were more common in April (p=0.002) and in those who donated 450ml of blood (pdonated 350ml of blood, statistically significant association was seen only in repeat donors (pdonation in our country has a complication rate of nearly 1%.

  4. A new atlas of temperature and salinity for the North Indian Ocean

    Indian Academy of Sciences (India)

    The most used temperature and salinity climatology for the world ocean, including the Indian Ocean, is the World Ocean Atlas (WOA) (Antonov et al 2006, 2010; Locarnini et al 2006, 2010) because of the vast amount of data used in its preparation. The WOA climatology does not, however, include all the available ...

  5. Ethnic group variations in alcohol-related hospital admissions in England: does place matter?

    Science.gov (United States)

    Barry, Eleanor; Laverty, Anthony A; Majeed, Azeem; Millett, Christopher

    2015-01-01

    The health burden of alcohol use is socially and geographically patterned in many countries. Less is known about variations in this burden between ethnic groups and whether this differs across place of residence. National cross-sectional study using hospital admission data in England. Alcohol-related admission rates, where an alcohol-related condition was either the primary diagnosis (considered as the reason for admission) or a comorbidity, were calculated using ethnic group specific rates for English regions. In 2010/11 there were a total of 264,870 alcohol-related admissions in England. Admission rates were higher in the North of England than elsewhere (e.g. for primary diagnosis 161 per 100,000 population in the North vs. 62 per 100,000 in the South). These patterns were not uniform across ethnic groups however. For example, admission rates for alcohol-related comorbidity were four times higher among White Irish in London compared with those in the South of England (306 to 76 per 100,000) and four times higher in Indians living in the Midlands compared with those in the South of England (128 to 29 per 100,000). These patterns were similar for admissions with a comorbid alcohol-related condition. Geographical location may be an important determinant of within and between ethnic group variations in alcohol-related hospital admissions in England. While a number of factors were not examined here, this descriptive analysis suggests that this heterogeneity should be taken into account when planning interventions and services for the prevention and management of alcohol misuse.

  6. Hospital morbidity among Guarani Indians in Southeastern and Southern Brazil.

    Science.gov (United States)

    Cardoso, Andrey Moreira; Coimbra, Carlos E A; Tavares, Felipe Guimarães

    2010-03-01

    Studies on hospital morbidity among Brazilian indigenous peoples are relatively recent, show limited coverage, and lack data sources capable of generating specific indicators according to ethnic group. The current study describes hospital morbidity in the indigenous population living in 83 Guarani villages in Southern and Southeastern Brazil (N=6,483), based on primary data obtained from a hospital admissions surveillance system implemented in 2007-2008, specifically for a case-control study on acute respiratory infections (ARI) in Guarani children. During the study period there were 666 hospitalizations in a total of 497 individuals, the majority under 5 years of age (71.9%). Respiratory illnesses were the main causes of hospitalization (64.6%), especially in children (<5 years: 77.6%; <1 year: 83.4%) and exceeded the proportions of hospital admissions from these causes in other indigenous groups. The overall hospitalization rate (per 100 person-years) was 8.8, or 71.4 under 1 year and 21.0 from 1 to 4 years of age. The ARI hospitalization rate (5.3) was 6.5 and 2.0 times higher than for diarrhea and other causes, respectively, while in children under 5 years of age (ARI=23.7) these differences were 7.4 and 5.4 times, respectively. The standardized Guarani hospitalization rate exceeded the standardized rates for the South and Southeast of Brazil by 40% and 210%, respectively. Hospitalization for primary care sensitive conditions and the high ARI rates indicate the need for studies to understand the epidemiology of ARI and investments to upgrade primary health care for the Guarani.

  7. Characterization of stem rust resistance gene Sr2 in Indian wheat ...

    African Journals Online (AJOL)

    SONY

    2013-05-01

    May 1, 2013 ... accelerating wheat production in the last forty years and ensured food security of the Nation. In the present investigation, Sr2 specific molecular markers were used to assess their efficacy for assessing the deployment of Sr2 gene in Indian wheat cultivars of highly productive north-west plains and stem rust ...

  8. PTSD in post-road traffic accident patients requiring hospitalization in Indian subcontinent: A review on magnitude of the problem and management guidelines.

    Science.gov (United States)

    Undavalli, Chaitanya; Das, Piyush; Dutt, Taru; Bhoi, Sanjeev; Kashyap, Rahul

    2014-10-01

    Traumatic events after a road traffic accident (RTA) can be physical and/or psychological. Posttraumatic stress disorder (PTSD) is one of the major psychological conditions which affect accident victims. Psychological issues may not be addressed in the emergency department(ED) immediately. There have been reports about a mismatch between the timely referrals from ED to occupational or primary care services for these issues. If left untreated, there may be adverse effects on quality of life (QOL) and work productivity. Hospital expenses, loss of income, and loss of work could create a never ending cycle for financial difficulties and burden in trauma victims. The aim of our review is to address the magnitude of PTSD in post-RTA hospitalized patients in Indian subcontinent population. We also attempted to emphasis on few management guidelines. A comprehensive search was conducted on major databases with Medical Subject Headings (MeSH) term 'PTSD or post-traumatic stress' and Emergency department and vehicle or road or highway or automobile or car or truck or trauma and India. Out of 120 studies, a total of six studies met our inclusion criteria and were included in the review. Our interpretation of the problem is that; hospital expenditure due to trauma, time away from work during hospitalization, and reduction in work performance, are three major hits that can lead RTA victims to financial crisis. Proposed management guidelines are; establish a coordinated triage, implementing a screening tool in the ED, and provide psychological counseling.

  9. Views and attitudes towards blood donation: a qualitative investigation of Indian non-donors living in England

    OpenAIRE

    Joshi, Dhaara; Meakin, Richard

    2017-01-01

    Objective To explore the views and attitudes of Indians living in England on blood donation. Background In light of the predicted shortages in blood supply, it is vital to consider ways in which to maximise donation rates. These include addressing the issue of lower donation rates among ethnic minorities, including Indians. However research specifically among minority ethnicities in UK is sparse. Setting General practice in North London. Participants A convenience sample of 12 non-donor India...

  10. Leadership Preferences of Indian and Non-Indian Athletes.

    Science.gov (United States)

    Malloy, D. C.; Nilson, R. N.

    1991-01-01

    Among 86 Indian and non-Indian volleyball competitors, non-Indian players indicated significantly greater preferences for leadership that involved democratic behavior, autocratic behavior, or social support. Indians may adapt their behavior by participating in non-Indian games, without changing their traditional value orientations. Contains 22…

  11. A climatological model of North Indian Ocean tropical cyclone genesis, tracks and landfall

    Science.gov (United States)

    Wahiduzzaman, Mohammad; Oliver, Eric C. J.; Wotherspoon, Simon J.; Holbrook, Neil J.

    2017-10-01

    Extensive damage and loss of life can be caused by tropical cyclones (TCs) that make landfall. Modelling of TC landfall probability is beneficial to insurance/re-insurance companies, decision makers, government policy and planning, and residents in coastal areas. In this study, we develop a climatological model of tropical cyclone genesis, tracks and landfall for North Indian Ocean (NIO) rim countries based on kernel density estimation, a generalised additive model (GAM) including an Euler integration step, and landfall detection using a country mask approach. Using a 35-year record (1979-2013) of tropical cyclone track observations from the Joint Typhoon Warning Centre (part of the International Best Track Archive Climate Stewardship Version 6), the GAM is fitted to the observed cyclone track velocities as a smooth function of location in each season. The distribution of cyclone genesis points is approximated by kernel density estimation. The model simulated TCs are randomly selected from the fitted kernel (TC genesis), and the cyclone paths (TC tracks), represented by the GAM together with the application of stochastic innovations at each step, are simulated to generate a suite of NIO rim landfall statistics. Three hindcast validation methods are applied to evaluate the integrity of the model. First, leave-one-out cross validation is applied whereby the country of landfall is determined by the majority vote (considering the location by only highest percentage of landfall) from the simulated tracks. Second, the probability distribution of simulated landfall is evaluated against the observed landfall. Third, the distances between the point of observed landfall and simulated landfall are compared and quantified. Overall, the model shows very good cross-validated hindcast skill of modelled landfalling cyclones against observations in each of the NIO tropical cyclone seasons and for most NIO rim countries, with only a relatively small difference in the percentage of

  12. Mediterranean climate change and Indian Ocean warming

    International Nuclear Information System (INIS)

    Hoerling, M.; Eischeid, J.; Hurrel, J.

    2006-01-01

    General circulation model (GCM) responses to 20. century changes in sea surface temperatures (SSTs) and greenhouse gases are diagnosed, with emphasis on their relationship to observed regional climate change over the Mediterranean region. A major question is whether the Mediterranean region's drying trend since 1950 can be understood as a consequence of the warming trend in tropical SSTs. We focus on the impact of Indian Ocean warming, which is itself the likely result of increasing greenhouse gases. It is discovered that a strong projection onto the positive polarity of the North Atlantic Oscillation (NAO) index characterizes the atmospheric response structure to the 1950-1999 warming of Indian Ocean SSTs. This influence appears to be robust in so far as it is reproduced in ensembles of experiments using three different GCMs. Both the equilibrium and transient responses to Indian Ocean warming are examined. Under each scenario, the latitude of prevailing mid latitude westerlies shifts poleward during the November-April period. The consequence is a drying of the Mediterranean region, whereas northern Europe and Scandinavia receive increased precipitation in concert with the poleward shift of storminess. The IPCC (TAR) 20. century coupled ocean-atmosphere simulations forced by observed greenhouse gas changes also yield a post-1950 drying trend over the Mediterranean. We argue that this feature of human-induced regional climate change is the outcome of a dynamical feedback, one involving Indian Ocean warming and a requisite adjustment of atmospheric circulation systems to such ocean warming

  13. Mouthwatering but erosive? A preliminary assessment of the acidity of a basic sauce used in many Indian dishes.

    Science.gov (United States)

    Ghai, Nandini; Burke, F J Trevor

    2012-12-01

    The aim of this study was to assess whether some types of Indian cuisine may contain erosive components. Indian dishes were prepared by a previously published method and their pH measured using a pH probe. The results indicated: (i) that some components of Indian cooking, such as tomatoes and red chilli powder, had the potential to erode enamel; (ii) that the pH of some foods was reduced with increasing temperature; and (iii) that all the basic masalas made and tested had a pH of less than 4.5. Within the limitations of the study, it may be concluded that the basic sauce/masala used in north Indian dishes may have erosive potential. This information could be considered useful when advising patients who eat Indian curries about causes of acid erosion of their teeth.

  14. Increasing incidence of Rocky Mountain spotted fever among the American Indian population in the United States.

    Science.gov (United States)

    Holman, Robert C; McQuiston, Jennifer H; Haberling, Dana L; Cheek, James E

    2009-04-01

    To examine trends of Rocky Mountain spotted fever (RMSF) incidence among American Indians compared with other race groups, a retrospective analysis of national RMSF surveillance data reported to the National Electronic Telecommunications System for Surveillance and the Tickborne Rickettsial Disease Case Report Forms system were used. The RMSF incidence for American Indians, which was comparable to those for other race groups during 1990-2000, increased at a disproportionate rate during 2001-2005. The average annual incidence of RMSF reported among American Indians for 2001-2005 was 16.8 per 1,000,000 persons compared with 4.2, 2.6, and 0.5 for white, black, and Asian/Pacific Islander persons, respectively. Most cases in American Indians were reported from Oklahoma (113.1 cases per 1,000,000), North Carolina (60.0), and Arizona (17.2). The incidence of RMSF increased dramatically among American Indians disproportionately to trends for other race groups. Education about tick-borne disease and prevention measures should be addressed for high-risk American Indian populations.

  15. 75 FR 20390 - Robert Bosch LLC, Including On-Site Leased Workers From Bosch Management Services North America...

    Science.gov (United States)

    2010-04-19

    ...-site leased workers of Bosch Management Services North America, South Haven Community Hospital... leased workers of Bosch Management Services North America, South Haven Community Hospital, Huffmaster Inc..., Including On-Site Leased Workers From Bosch Management Services North America, South Haven Community...

  16. Comparison of stress and burnout among anesthesia and surgical residents in a tertiary care teaching hospital in North India.

    Science.gov (United States)

    Gandhi, K; Sahni, N; Padhy, S K; Mathew, P J

    2017-10-23

    The residents undergoing training at hospitals in our country face challenges in terms of infrastructure and high workload with undefined working hours. The aim of the study was to compare the stress and burnout levels in trainee doctors doing residency in surgical fields and anesthesia at a tertiary care academic center in North India. A comparative, observational study was conducted in a tertiary care teaching hospital in North India. After Ethics Committee approval, 200 residents (100 each from surgical branches and anesthesia) were required to fill a questionnaire with information about age, sex, year of residency, marital status, and the Perceived Stress Scale-10, and Burnout Clinical Subtype Questionnaire-12. Burnout and perceived stress were compared between residents of anesthesia and surgical specialties. Residents of both surgical and anesthesia branches scored high in perceived stress, namely 21 and 18, respectively. The score was significantly higher in surgical residents (P = 0.03) and increased progressively with the year of residency. The majority of residents (90% surgical, 80% anesthesia) felt that they were being overloaded with work. However, only 20%-30% of respondents felt that there was lack of development of individual skills and still fewer (<10%) reported giving up in view of difficulties. There is high level of stress and overload dimension of burnout among the residents of anesthesia and surgical branches at our tertiary care academic institution and the surgical residents score marginally higher than anesthesia residents.

  17. Water-Quality Monitoring and Biological Integrity Assessment in the Indian River Lagoon, Florida: Status, Trends, and Loadings (1988-1994).

    Science.gov (United States)

    Sigua; Steward; Tweedale

    2000-02-01

    / The Indian River Lagoon (IRL) system that extends from Ponce DeLeon Inlet to Jupiter Inlet is comprised of three interconnected estuarine lagoons: the Mosquito Lagoon (ML), the Banana River Lagoon (BRL), and the Indian River Lagoon (subdivided into North Indian River Lagoon, NIRL and the South Indian River Lagoon, SIRL). The declines in both the areal coverage and species diversity of seagrass communities within the IRL system are believed to be due in part to continued degradation of water quality. Large inflows of phosphorus (P) and nitrogen (N) -laden storm-water from urban areas and agricultural land have been correlated with higher chlorophyll a production in the central, south central, and the south segments of the lagoon. In a system as large and complex as the lagoon, N and P limitations are potentially subject to significant spatial and temporal variability. Total Kjeldahl nitrogen (TN) was higher in the north (1.25 mg/liter) and lower in the south (0.89 mg/liter). The reverse pattern was observed for total P (TP), i.e., lowest in the north (0.03 mg/liter) and highest at the south (0.14 mg/liter) ends of the IRL. This increased P concentration in the SIRL appears to have a significantly large effect on chlorophyll a production compared with the other segments, as indicated by stepwise regression statistics. This relationship can be expressed as follows: South IRL [chlorophyll a] = -8.52 + 162.41 [orthophosphate] + 7.86 [total nitrogen] + 0.38 [turbidity]; R(2) = 0.98**.

  18. Effect of coppicing height on the regeneration and productivity of certain firewood shrubs in alkaline soils of north Indian plains

    Energy Technology Data Exchange (ETDEWEB)

    Misra, P.N.; Tewari, S.K.; Singh, Dheer; Katiyar, R.S. [National Botanical Research Inst., Lucknow (India)

    1995-12-31

    Four shrubs, viz. Hibiscus tiliaceus, Leucaena leucocephala, Vitex negundo and Sesbania sesban, were evaluated for their performance as firewood crops in coppiced stands of varying cutting heights (15, 30 and 45 cm) in repeated annual harvests (4) on alkaline soils of the North Indian plains. The dry wood yield of Leucaena and Sesbania ranged between 22.9-42.6 and 9.9-18.0 tonnes ha{sup -1} year{sup -1}, respectively. Leucaena showed progressive increases in yield from coppiced stumps up to the 4th harvest while Sesbania showed a reduction after the third harvest mainly due to the high degeneration (60%) of coppiced stumps. Degeneration was low (< 10%) in Leucaena and Vitex. The coppicing heights generally did not show any significant effect on the growth and productivity. The number of coppice shoots per stump increased with stump height and production of coppice shoots was maximum in Vitex and minimum in Leucaena. The average diameter of coppice shoots tended to decrease with increasing coppicing height of the stumps. (author)

  19. Prevalence of duodenal ulcer-promoting gene (dupA) of Helicobacter pylori in patients with duodenal ulcer in North Indian population.

    Science.gov (United States)

    Arachchi, H S Jayasinghe; Kalra, Vijay; Lal, Banwari; Bhatia, Vikram; Baba, C S; Chakravarthy, S; Rohatgi, S; Sarma, Priyangshu M; Mishra, V; Das, Bimal; Ahuja, Vineet

    2007-12-01

    The duodenal ulcer (DU)-promoting gene (dupA) of Helicobacter pylori has been identified as a novel virulent marker associated with an increased risk for DU. The presence or absence of dupA gene of H. pylori present in patients with DU and functional dyspepsia in North Indian population was studied by polymerase chain reaction (PCR) and hybridization analysis. One hundred and sixty-six patients (96 DU and 70 functional dyspepsia) were included in this study. In addition, sequence diversity of dupA gene of H. pylori found in these patients was analyzed by sequencing the PCR products jhp0917 and jhp0918 on both strands with appropriate primers. PCR and hybridization analyses indicated that dupA gene was present in 37.5% (36/96) of H. pylori strains isolated from DU patients and 22.86% (16/70) of functional dyspepsia patients (p dupA was significantly associated with the cagA-positive genotype (p dupA gene with DU in this population. The dupA gene can be considered as a novel virulent marker for DU in this population.

  20. Electronic Cigarettes on Hospital Campuses

    OpenAIRE

    Meernik, Clare; Baker, Hannah M.; Paci, Karina; Fischer-Brown, Isaiah; Dunlap, Daniel; Goldstein, Adam O.

    2015-01-01

    Smoke and tobacco-free policies on hospital campuses have become more prevalent across the U.S. and Europe, de-normalizing smoking and reducing secondhand smoke exposure on hospital grounds. Concerns about the increasing use of electronic cigarettes (e-cigarettes) and the impact of such use on smoke and tobacco-free policies have arisen, but to date, no systematic data describes e-cigarette policies on hospital campuses. The study surveyed all hospitals in North Carolina (n = 121) to assess w...

  1. Emergency Care Capabilities in North East Haiti: A Cross-sectional Observational Study.

    Science.gov (United States)

    De Wulf, Annelies; Aluisio, Adam R; Muhlfelder, Dana; Bloem, Christina

    2015-12-01

    The North East Department is a resource-limited region of Haiti. Health care is provided by hospitals and community clinics, with no formal Emergency Medical System and undefined emergency services. As a paucity of information exists on available emergency services in the North East Department of Haiti, the objective of this study was to assess systematically the existing emergency care resources in the region. This cross-sectional observational study was carried out at all Ministry of Public Health and Population (MSPP)-affiliated hospitals in the North East Department and all clinics within the Fort Liberté district. A modified version of the World Health Organization (WHO) Tool for Situational Analysis to Assess Emergency and Essential Surgical Care and Generic Essential Emergency Equipment Lists were completed for each facility. Three MSPP hospitals and five clinics were assessed. Among hospitals, all had a designated emergency ward with 24 hour staffing by a medical doctor. All hospitals had electricity with backup generators and access to running water; however, none had potable water. All hospitals had x-ray and ultrasound capabilities. No computed tomography scanners existed in the region. Invasive airway equipment and associated medications were not present consistently in the hospitals' emergency care areas, but they were available in the operating rooms. Pulse oximetry was unavailable uniformly. One hospital had intermittently functioning defibrillation equipment, and two hospitals had epinephrine. Basic supplies for managing obstetrical and traumatic emergencies were available at all hospitals. Surgical services were accessible at two hospitals. No critical care services were available in the region. Clinics varied widely in terms of equipment availability. They uniformly had limited emergency medical equipment. The clinics also had inconsistent access to basic assessment tools (sphygmomanometers 20% and stethoscopes 60%). A protocol for transferring

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

    Directory of Open Access Journals (Sweden)

    Singh Sarman

    2007-11-01

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

  3. Transforming growth factor-β1 (C509T, G800A, and T869C) gene polymorphisms and risk of ischemic stroke in North Indian population: A hospital-based case-control study.

    Science.gov (United States)

    Kumar, Pradeep; Misra, Shubham; Kumar, Amit; Faruq, Mohammad; Shakya, Sunil; Vardhan, Gyan; Vivekanandhan, Subiah; Srivastava, Achal Kumar; Prasad, Kameshwar

    2017-01-01

    Transforming growth factor-beta 1 (TGF-β1) is a multifunctional pleiotropic cytokine involved in inflammation and pathogenesis of cerebrovascular diseases. There is limited information on the association between variations within the TGF-β1 gene polymorphisms and risk of ischemic stroke (IS). The aim of this study was to investigate the association of the TGF-β1 gene (C509T, G800A, and T869C) polymorphisms, and their haplotypes with the risk of IS in North Indian population. A total of 250 IS patients and 250 age- and sex-matched controls were studied. IS was classified using the Trial of Org 10172 in Acute Stroke Treatment classification. Conditional logistic regression analysis was used to calculate the strength of association between TGF-β1 gene polymorphisms and risk of IS. Genotyping was performed using SNaPshot method. Hypertension, diabetes, dyslipidemia, alcohol, smoking, family history of stroke, sedentary lifestyle, and low socioeconomic status were found to be associated with the risk of IS. The distribution of C509T, G800A and T869C genotypes was consistent with Hardy-Weinberg Equilibrium in the IS and control groups. Adjusted conditional logistic regression analysis showed a significant association of TGF-β1 C509T (odds ratio [OR], 2.1; 95% CI; 1.2-3.8; P = 0.006), G800A (OR, 4.4; 95% CI; 2.1-9.3; P population.

  4. Exhumation history of the NW Indian Himalaya revealed by fission track and 40Ar/39Ar ages

    Science.gov (United States)

    Schlup, Micha; Steck, Albrecht; Carter, Andrew; Cosca, Michael; Epard, Jean-Luc; Hunziker, Johannes

    2011-01-01

    New fission track and Ar/Ar geochronological data provide time constraints on the exhumation history of the Himalayan nappes in the Mandi (Beas valley) — Tso Morari transect of the NW Indian Himalaya. Results from this and previous studies suggest that the SW-directed North Himalayan nappes were emplaced by detachment from the underthrusted upper Indian crust by 55 Ma and metamorphosed by ca. 48–40 Ma. The nappe stack was subsequently exhumed to shallow upper crustal depths (

  5. Pulse and entrainment to non-isochronous auditory stimuli: the case of north Indian alap.

    Directory of Open Access Journals (Sweden)

    Udo Will

    Full Text Available Pulse is often understood as a feature of a (quasi- isochronous event sequence that is picked up by an entrained subject. However, entrainment does not only occur between quasi-periodic rhythms. This paper demonstrates the expression of pulse by subjects listening to non-periodic musical stimuli and investigates the processes behind this behaviour. The stimuli are extracts from the introductory sections of North Indian (Hindustani classical music performances (alap, jor and jhala. The first of three experiments demonstrates regular motor responses to both irregular alap and more regular jor sections: responses to alap appear related to individual spontaneous tempi, while for jor they relate to the stimulus event rate. A second experiment investigated whether subjects respond to average periodicities of the alap section, and whether their responses show phase alignment to the musical events. In the third experiment we investigated responses to a broader sample of performances, testing their relationship to spontaneous tempo, and the effect of prior experience with this music. Our results suggest an entrainment model in which pulse is understood as the experience of one's internal periodicity: it is not necessarily linked to temporally regular, structured sensory input streams; it can arise spontaneously through the performance of repetitive motor actions, or on exposure to event sequences with rather irregular temporal structures. Greater regularity in the external event sequence leads to entrainment between motor responses and stimulus sequence, modifying subjects' internal periodicities in such a way that they are either identical or harmonically related to each other. This can be considered as the basis for shared (rhythmic experience and may be an important process supporting 'social' effects of temporally regular music.

  6. Pulse and entrainment to non-isochronous auditory stimuli: the case of north Indian alap.

    Science.gov (United States)

    Will, Udo; Clayton, Martin; Wertheim, Ira; Leante, Laura; Berg, Eric

    2015-01-01

    Pulse is often understood as a feature of a (quasi-) isochronous event sequence that is picked up by an entrained subject. However, entrainment does not only occur between quasi-periodic rhythms. This paper demonstrates the expression of pulse by subjects listening to non-periodic musical stimuli and investigates the processes behind this behaviour. The stimuli are extracts from the introductory sections of North Indian (Hindustani) classical music performances (alap, jor and jhala). The first of three experiments demonstrates regular motor responses to both irregular alap and more regular jor sections: responses to alap appear related to individual spontaneous tempi, while for jor they relate to the stimulus event rate. A second experiment investigated whether subjects respond to average periodicities of the alap section, and whether their responses show phase alignment to the musical events. In the third experiment we investigated responses to a broader sample of performances, testing their relationship to spontaneous tempo, and the effect of prior experience with this music. Our results suggest an entrainment model in which pulse is understood as the experience of one's internal periodicity: it is not necessarily linked to temporally regular, structured sensory input streams; it can arise spontaneously through the performance of repetitive motor actions, or on exposure to event sequences with rather irregular temporal structures. Greater regularity in the external event sequence leads to entrainment between motor responses and stimulus sequence, modifying subjects' internal periodicities in such a way that they are either identical or harmonically related to each other. This can be considered as the basis for shared (rhythmic) experience and may be an important process supporting 'social' effects of temporally regular music.

  7. Association of glutathione S-transferase (GSTM1, T1 and P1 gene polymorphisms with type 2 diabetes mellitus in north Indian population

    Directory of Open Access Journals (Sweden)

    Bid H

    2010-01-01

    Full Text Available Background: Diabetes mellitus is associated with an increased production of reactive oxygen species (ROS and a reduction in antioxidant defense. The oxidative stress becomes evident as a result of accumulation of ROS in conditions of inflammation and Type 2 diabetes mellitus (T2DM. The genes involved in redox balance, which determines the susceptibility to T2DM remain unclear. In humans, the glutathione S-transferase (GST family comprises several classes of GST isozymes, the polymorphic variants of GSTM1, T1 and P1 genes result in decreased or loss of enzyme activity. Aims: The present study evaluated the effect of genetic polymorphisms of the GST gene family on the risk of developing T2DM in the North Indian population. Settings and Design: GSTM1, T1 and P1 polymorphisms were genotyped in 100 T2DM patients and 200 healthy controls from North India to analyze their association with T2DM susceptibility. Materials and Methods: Analysis of GSTM1 and GSTT1 gene polymorphisms was performed by multiplex polymerase chain reaction (PCR and GSTP1 by PCR-Restriction Fragment Length Polymorphism (RFLP. Statistical Analysis: Fisher′s exact test and χ2 statistics using SPSS software (Version-15.0. Results: We observed significant association of GSTM1 null (P=0.004, OR= 2.042, 95%CI= 1.254-3.325 and GSTP1 (I/V (P=0.001, OR= 0.397, 95%CI=0.225-0.701 with T2DM and no significant association with GSTT1 (P=0.493. The combined analysis of the three genotypes GSTM1 null, T1 present and P1 (I/I demonstrated an increase in T2DM risk (P= 0.005, OR= 2.431 95% CI=1.315-4.496. Conclusions: This is the first study showing the association of a combined effect of GSTM1, T1 and P1 genotypes in a representative cohort of Indian patients with T2DM. Since significant association was seen in GSTM1 null and GSTP1 (I/V and multiple association in GSTM1 null, T1 present and P1 (I/I, these polymorphisms can be screened in the population to determine the diabetic risk.

  8. PTSD in post-road traffic accident patients requiring hospitalization in Indian subcontinent: A review on magnitude of the problem and management guidelines

    Directory of Open Access Journals (Sweden)

    Chaitanya Undavalli

    2014-01-01

    Full Text Available Traumatic events after a road traffic accident (RTA can be physical and/or psychological. Posttraumatic stress disorder (PTSD is one of the major psychological conditions which affect accident victims. Psychological issues may not be addressed in the emergency department(ED immediately. There have been reports about a mismatch between the timely referrals from ED to occupational or primary care services for these issues. If left untreated, there may be adverse effects on quality of life (QOL and work productivity. Hospital expenses, loss of income, and loss of work could create a never ending cycle for financial difficulties and burden in trauma victims. The aim of our review is to address the magnitude of PTSD in post-RTA hospitalized patients in Indian subcontinent population. We also attempted to emphasis on few management guidelines. A comprehensive search was conducted on major databases with Medical Subject Headings (MeSH term ′PTSD or post-traumatic stress′ and Emergency department and vehicle or road or highway or automobile or car or truck or trauma and India. Out of 120 studies, a total of six studies met our inclusion criteria and were included in the review. Our interpretation of the problem is that; hospital expenditure due to trauma, time away from work during hospitalization, and reduction in work performance, are three major hits that can lead RTA victims to financial crisis. Proposed management guidelines are; establish a coordinated triage, implementing a screening tool in the ED, and provide psychological counseling.

  9. Customer perceived service quality, satisfaction and loyalty in Indian private healthcare.

    Science.gov (United States)

    Kondasani, Rama Koteswara Rao; Panda, Rajeev Kumar

    2015-01-01

    The purpose of this paper is to analyse how perceived service quality and customer satisfaction lead to loyalty towards healthcare service providers. In total, 475 hospital patients participated in a questionnaire survey in five Indian private hospitals. Descriptive statistics, factor analysis, regression and correlation statistics were employed to analyse customer perceived service quality and how it leads to loyalty towards service providers. Results indicate that the service seeker-service provider relationship, quality of facilities and the interaction with supporting staff have a positive effect on customer perception. Findings help healthcare managers to formulate effective strategies to ensure a better quality of services to the customers. This study helps healthcare managers to build customer loyalty towards healthcare services, thereby attracting and gaining more customers. This paper will help healthcare managers and service providers to analyse customer perceptions and their loyalty towards Indian private healthcare services.

  10. The impact of Indian Ocean high pressure system on rainfall and stream flow

    International Nuclear Information System (INIS)

    Rehman, S.; Nasir, H.; Zia, S.S.; Ansari, W.A.; Salam, K.; Tayyab, N.

    2012-01-01

    Centre of Action approach is very useful in getting insight of rainfall and stream flow variability of specific region. Hameed et al. showed that Inter-annual variability of Gulf Stream north wall is influenced by low Icelandic pressure system and has more statistically significant correlation than North Atlantic Oscillation (NAO) with longitude of Icelandic low. This study also aims to explore possible relationships between rainfall and stream flow in Collie river catchment in Southwest Western Australia (SWWA) with Indian Ocean high pressure dynamics. The relationship between rainfall and stream flow with Indian Ocean high pressure system have been investigated using correlation analysis for early winter season (MJJA), lag correlation for MJJA versus SOND rainfall and stream flow are also calculated and found significant at 95% confidence level. By investigating the relationship between COA indices with rainfall and stream flow over the period 1976-2008, significant correlations suggests that rainfall and stream flow in Collie river basin is strongly influenced by COA indices. Multiple correlations between rainfall and stream flow with Indian Ocean high pressure (IOHPS and IOHLN) is 0.7 and 0.6 respectively. Centers of Action (COA) indices explain 51% and 36% of rainfall and stream flow respectively. The correlation between rainfall and stream flow with IOHPS is -0.4 and -0.3 whereas, with IOHLN is -0.47 and -0.52 respectively. (author)

  11. Impacts of increasing ozone on Indian plants

    International Nuclear Information System (INIS)

    Oksanen, E.; Pandey, V.; Pandey, A.K.; Keski-Saari, S.; Kontunen-Soppela, S.; Sharma, C.

    2013-01-01

    Increasing anthropogenic and biogenic emissions of precursor compounds have led to high tropospheric ozone concentrations in India particularly in Indo-Gangetic Plains, which is the most fertile and cultivated area of this rapidly developing country. Current ozone risk models, based on European and North American data, provide inaccurate estimations for crop losses in India. During the past decade, several ozone experiments have been conducted with the most important Indian crop species (e.g. wheat, rice, mustard, mung bean). Experimental work started in natural field conditions around Varanasi area in early 2000's, and the use of open top chambers and EDU (ethylene diurea) applications has now facilitated more advanced studies e.g. for intra-species sensitivity screening and mechanisms of tolerance. In this review, we identify and discuss the most important gaps of knowledge and future needs of action, e.g. more systematic nationwide monitoring for precursor and ozone formation over Indian region. -- Tropospheric ozone is an increasing threat to food production in India

  12. [North] Korea.

    Science.gov (United States)

    1986-05-01

    In 1985, the population of the Democratic People's Republic of Korea (North Korea) stood at 20 million, with an annual growth rate of 2.3%. The infant mortality rate was 30/1000 live births and life expectancy was 66 years. The gross national product (GNP) was US$23 billion in 1984, with a per capita GNP of $1175. Both North Korea's labor force and natural resources have been concentrated in recent years on an effort to achieve rapid economic development. During the early 1970s, a large-scale modernization program involving the importation of Western technology, primarily in the heavy industiral sectors of the economy, was attempted and resulted in a massive foreign debt. North Korea has a strongly centralized government under the control of the communist Korean Workers' Party. Literacy in the country is at the 99% level. Medical treatment is free. There is 1 physician/600 population and 1 hospital bed/350 inhabitants.

  13. 76 FR 58533 - Notice of Filing of Plats of Survey; North Dakota

    Science.gov (United States)

    2011-09-21

    ...] Notice of Filing of Plats of Survey; North Dakota AGENCY: Bureau of Land Management, Interior. ACTION..., Bureau of Indian Affairs, Great Plains Region, Aberdeen, South Dakota and was necessary to determine... Dakota T. 152 N., R. 65 W. The plat, in two sheets, representing the dependent resurvey of a portion of...

  14. 76 FR 44946 - Notice of Filing of Plats of Survey; North Dakota

    Science.gov (United States)

    2011-07-27

    ...] Notice of Filing of Plats of Survey; North Dakota AGENCY: Bureau of Land Management, Interior. ACTION..., Bureau of Indian Affairs, Great Plains Region, Aberdeen, South Dakota and was necessary to determine... Dakota T. 152 N., R. 64 W. The plat, in one sheet, representing the dependent resurvey of a portion of...

  15. Unit cost of medical services at different hospitals in India.

    Directory of Open Access Journals (Sweden)

    Susmita Chatterjee

    Full Text Available Institutional care is a growing component of health care costs in low- and middle-income countries, but local health planners in these countries have inadequate knowledge of the costs of different medical services. In India, greater utilisation of hospital services is driven both by rising incomes and by government insurance programmes that cover the cost of inpatient services; however, there is still a paucity of unit cost information from Indian hospitals. In this study, we estimated operating costs and cost per outpatient visit, cost per inpatient stay, cost per emergency room visit, and cost per surgery for five hospitals of different types across India: a 57-bed charitable hospital, a 200-bed private hospital, a 400-bed government district hospital, a 655-bed private teaching hospital, and a 778-bed government tertiary care hospital for the financial year 2010-11. The major cost component varied among human resources, capital costs, and material costs, by hospital type. The outpatient visit cost ranged from Rs. 94 (district hospital to Rs. 2,213 (private hospital (USD 1 = INR 52. The inpatient stay cost was Rs. 345 in the private teaching hospital, Rs. 394 in the district hospital, Rs. 614 in the tertiary care hospital, Rs. 1,959 in the charitable hospital, and Rs. 6,996 in the private hospital. Our study results can help hospital administrators understand their cost structures and run their facilities more efficiently, and we identify areas where improvements in efficiency might significantly lower unit costs. The study also demonstrates that detailed costing of Indian hospital operations is both feasible and essential, given the significant variation in the country's hospital types. Because of the size and diversity of the country and variations across hospitals, a large-scale study should be undertaken to refine hospital costing for different types of hospitals so that the results can be used for policy purposes, such as revising

  16. Unit Cost of Medical Services at Different Hospitals in India

    Science.gov (United States)

    Chatterjee, Susmita; Levin, Carol; Laxminarayan, Ramanan

    2013-01-01

    Institutional care is a growing component of health care costs in low- and middle-income countries, but local health planners in these countries have inadequate knowledge of the costs of different medical services. In India, greater utilisation of hospital services is driven both by rising incomes and by government insurance programmes that cover the cost of inpatient services; however, there is still a paucity of unit cost information from Indian hospitals. In this study, we estimated operating costs and cost per outpatient visit, cost per inpatient stay, cost per emergency room visit, and cost per surgery for five hospitals of different types across India: a 57-bed charitable hospital, a 200-bed private hospital, a 400-bed government district hospital, a 655-bed private teaching hospital, and a 778-bed government tertiary care hospital for the financial year 2010–11. The major cost component varied among human resources, capital costs, and material costs, by hospital type. The outpatient visit cost ranged from Rs. 94 (district hospital) to Rs. 2,213 (private hospital) (USD 1 = INR 52). The inpatient stay cost was Rs. 345 in the private teaching hospital, Rs. 394 in the district hospital, Rs. 614 in the tertiary care hospital, Rs. 1,959 in the charitable hospital, and Rs. 6,996 in the private hospital. Our study results can help hospital administrators understand their cost structures and run their facilities more efficiently, and we identify areas where improvements in efficiency might significantly lower unit costs. The study also demonstrates that detailed costing of Indian hospital operations is both feasible and essential, given the significant variation in the country’s hospital types. Because of the size and diversity of the country and variations across hospitals, a large-scale study should be undertaken to refine hospital costing for different types of hospitals so that the results can be used for policy purposes, such as revising payment rates

  17. 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.

  18. [Waste management in hospitals. Current situation in the state of North Rhine-Westphalia].

    Science.gov (United States)

    Popp, W; Hansen, D; Hilgenhöner, M; Grandek, M; Heinemann, A; Blättler, T

    2009-07-01

    In 20 hospitals in North Rhine-Westphalia in-plant handling wastes and the delivery of the waste to the disposer were examined. Deficits were seen regarding risk assessment and operating instructions, support by company doctors, personal protection equipment, and break areas for the waste collecting personnel. Also the qualification of the waste management officer and his/her time contingent, correct declaration of the wastes, the training of the waste collecting personnel, the cleaning of multi-use containers and transportation vehicles, storage of the wastes at the collecting points, and the use of sharp collecting boxes were to be partly criticized. Consequences and recommendations are given, concerning the company's obligations (e.g., provide risk assessment, operating instructions), waste management officer (e.g., qualification, enough time contingent, regular inspections), waste collecting personnel (e.g., training courses), industrial safety (e.g., protection equipment, break area wash places), company doctors, transportation vehicles in the house (e.g., regular cleaning), one-way collectors (e.g., labelling at the site of the collection), multi-use collectors (e.g., cleaning), and compressing containers (e.g., larger maintenance openings).

  19. Effects of controlled school-based multi-component model of nutrition and lifestyle interventions on behavior modification, anthropometry and metabolic risk profile of urban Asian Indian adolescents in North India.

    Science.gov (United States)

    Singhal, N; Misra, A; Shah, P; Gulati, S

    2010-04-01

    To study the effectiveness of a multi-component intervention model of nutrition and lifestyle education on behavior modification, anthropometry and metabolic risk profile of urban Asian-Indian adolescents in North India. Two schools matched for student strength and middle socioeconomic strata were randomly allocated to intervention and control group. Changes in nutrition-related knowledge, attitude, lifestyle practices, food frequency and body image of eleventh-grade students (15-17 years) in both schools were tested using a validated questionnaire. Anthropometric and biochemical measurements were made using standard methods. Segmental body composition analysis was carried out using an 8-electrode multifrequency bioelectrical impedance method of body fat estimation. At 6 months follow-up, significant improvement in several domains of knowledge was observed in intervention children (n=99; males=60; females=39) as compared with control school children (n=102; males=61; females=41). In the intervention group, significantly lower proportion of children consumed aerated drinks (15.1%; Phabits and lifestyle practices, and resulted in beneficial changes in anthropometric and biochemical profiles of the Asian Indian adolescents. This model should be applied on countrywide basis to prevent obesity and diabetes.

  20. Indian sports nicknames/logos: affective difference between American Indian and non-Indian college students.

    Science.gov (United States)

    LaRocque, Angela R; McDonald, J Douglas; Weatherly, Jeffrey N; Ferraro, F Richard

    2011-01-01

    The use of American Indian (AI) words and images in athletic teams' nicknames, logos, and mascots remains a controversial issue. This study investigated the emotional impact of the University of North Dakota's "Fighting Sioux" nickname/logo on 33 AI and 36 majority culture (MC) students enrolled at the university. Participants completed the Multiple Affect Adjective Checklist-Revised (MAACL-R) before viewing two slide presentations of Fighting Sioux-related images: one neutral (i.e., non-controversial) and one controversial. Participants completed the MAACL-R after each presentation. They also completed the Nickname and Logo Distress Scale, and AI participants completed the Northern Plains Biculturalism Inventory to assess their degree of cultural orientation. Results showed that AIs experienced higher negative affect following both slide presentations than did MC participants. MC participants' affect was only changed following the controversial slide presentation. The findings suggest AI students may experience significantly higher levels of psychological distress when viewing even neutral images of AI nicknames/logos.

  1. 78 FR 9729 - Eastern States: Filing of Plat of Survey, North Carolina

    Science.gov (United States)

    2013-02-11

    ... DEPARTMENT OF THE INTERIOR Bureau of Land Management [LLES956000-L14200000-BJ0000] Eastern States..., on pages 318 through 319 a notice entitled ``Eastern States: Filing of Plats of Survey''. In said... Boundary, lands held in trust for the Eastern Band of Cherokee Indians, Swain County, in the State of North...

  2. Nutrient characteristics of the water masses and their seasonal variability in the eastern equatorial Indian Ocean

    Digital Repository Service at National Institute of Oceanography (India)

    Sardessai, S.; Shetye, S.; Maya, M.V.; Mangala, K.R.; PrasannaKumar, S.

    . (Position of Fig 1.) 3. Results and Discussion 3.1. Water masses in the area of observation You and Tomczak (1993) has reviewed the water masses in the Indian Ocean identified by the earlier workers ( Sverdrup et al. 1942; Mamalev, 1975; and Shcherbinin... at 200 m at 5° S in the meridional region of our observations and flows down to 800 m to the north and termed as Indian central water (ICW) (You and Tomczak, 1993). (position of Fig.2) 3.2. Seasonal variability of water masses The seasonal...

  3. An evaluation of magnetic resonance imaging at the Royal North Shore Hospital of Sydney, 1986-1987

    International Nuclear Information System (INIS)

    Sorby, W.A.

    1989-01-01

    The diagnostic accuracy and clinical utility have been evaluated of 2810 consecutive magnetic-resonance-imaging examinations that were performed on a 1.5-T Signa magnetic-resonance-imaging unit at The Royal North Shore Hospital of Sydney between November 1986 and December 1987. The average accuracy of magnetic resonance imaging was 80%, and ranged from 21%-98% in various brain-disease and spinal-disease categories, compared with the average provisional premagnetic-resonance-imaging diagnostic accuracy of 64%, and an average accuracy of computed tomography of 45%. Clinical follow-up at three months after magnetic-resonance-imaging investigation indicated that, as a result of the magnetic-resonance-imaging examination, patient management was altered in 70% of cases, and patient outcome was altered in 62% of cases. 32 refs., 4 tabs

  4. Public mental hospital work: pros and cons for psychiatrists.

    Science.gov (United States)

    Miller, R D

    1984-09-01

    The extensive literature concerning public mental hospitals has largely been written from the perspective of administrators and systems analysts; most of the reports emphasize the frustrations and problems of working in public mental hospitals and the continued exodus of psychiatrists from these facilities. The author addresses the pros and cons of such a career choice from the viewpoint of one who has been an "Indian" rather than a "chief" for a decade. He suggests that the current financial situation in both private practice and academia makes work in public mental hospitals increasingly attractive.

  5. Partial pressure (or fugacity) of carbon dioxide, salinity and other variables collected from Surface underway observations using Carbon dioxide (CO2) gas analyzer, Shower head chamber equilibrator for autonomous carbon dioxide (CO2) measurement and other instruments from NATHANIEL B. PALMER in the Indian Ocean, North Pacific Ocean and others from 2000-02-15 to 2001-01-25 (NCEI Accession 0157250)

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — NCEI Accession 0157250 includes Surface underway, chemical, meteorological and physical data collected from NATHANIEL B. PALMER in the Indian Ocean, North Pacific...

  6. Association of ECRG2 TCA short tandem repeat polymorphism with the risk of oesophageal cancer in a North Indian population.

    Science.gov (United States)

    Jain, Meenu; Kumar, Shaleen; Ghoshal, Uday C; Mittal, Balraj

    2008-06-01

    Oesophageal cancer-related gene (ECRG2) is a tumour suppressor gene and it has been suggested that a triplet TCA short tandem repeat (STR) in the noncoding region of exon 4 plays a role in genetic susceptibility to oesophageal cancer. In the present study, ECRG2 STR polymorphism was studied in 134 patients with oesophageal cancer and 194 controls, using PCR and polyacrylamide gel electrophoresis. The results showed a higher frequency of the ECRG2 TCA (3)/TCA (4) genotype in cancer patients than in controls (odds ratio 2.6, 95% CI 1.0-6.4, p = 0.03). The association of the ECRG2 TCA (3)/TCA (4) genotype with clinical characteristics showed an increased risk for squamous cell histology (2.8, 95% CI 1.1-7.1, p = 0.03), while no association with tumor location or lymph node involvement was observed. Interaction of tobacco, alcohol and occupational exposure with the ECRG2 genotypes did not show modulation of risk. In conclusion, the ECRG2 TCA (3)/TCA (4) genotype is associated with the risk of oesophageal carcinoma in a North Indian population.

  7. Analysing workplace violence towards health care staff in public hospitals using alternative ordered response models: the case of north-eastern Turkey.

    Science.gov (United States)

    Çelik, Ali Kemal; Oktay, Erkan; Çebi, Kübranur

    2017-09-01

    The main objective of this article is to determine key factors that may have a significant effect on the verbal abuse, emotional abuse and physical assault of health care workers in north-eastern Turkey. A self-administered survey was completed by 450 health care workers in three well-established hospitals in Erzurum, Turkey. Because of the discrete and ordered nature of the dependent variable of the survey, the data were analysed using four distinctive ordered response models. Results revealed that several key variables were found to be a significant determinant of workplace violence, such as the type of health institution, occupational position, weekly working hours, weekly shift hours, number of daily patient contacts, age group of the respondents, experience in the health sector, training against workplace violence and current policies of the hospitals and the Turkish Ministry of Health.

  8. Images of American Indians in Environmental Education: Anthropological Reflections on the Politics and History of Cultural Representation

    Science.gov (United States)

    Willow, Anna J.

    2010-01-01

    For hundreds of years, North America's colonizers worked systematically to eradicate the indigenous cultural practices, religious beliefs, and autonomous political systems many venerate. This article illustrates that imperialist nostalgia underlies and directs portrayals of American Indians in environmental education today. Whether unconsciously…

  9. Multi year changes of Aerosol Optical Depth in the monsoon region of the Indian Ocean since 1986 as seen in the AVHRR and TOMS data

    Directory of Open Access Journals (Sweden)

    J. P. George

    2008-02-01

    Full Text Available Aerosol Optical Depth (AOD data based on AVHRR and TOMS was analyzed to find out the changes in the Indian Ocean from 1981 to 2004. Four regions covering Indian Ocean north of 10° S were studied in detail. The results strongly suggest that the mean value of AOD in these regions decreased from 1986–1990 to 1995–1999. The Arabian Sea and Bay of Bengal show increase thereafter whereas in the equatorial part it decreased further, during 2000–2004. The drop in AOD from the first to second period is evident in AVHRR and TOMS in the case of the Arabian Sea (North West Indian Ocean. The decrease in this case is prominent in summer. These results in general agree with the recently reported global decrease in AOD, "global brightening" and also the reversal of trend in some of the anthropogenic emissions.

  10. Association between methylenetetrahydrofolate reductase (MTHFR ...

    African Journals Online (AJOL)

    Association between methylenetetrahydrofolate reductase (MTHFR) C677T gene polymorphism and risk of ischemic stroke in North Indian population: A hospital based case–control study. Amit Kumar, Shubham Misra, Anjali Hazarika, Pradeep Kumar, Ram Sagar, Abhishek Pathak, Kamalesh Chakravarty, Kameshwar ...

  11. Role of MMP-3 and MMP-9 and their haplotypes in risk of bladder cancer in North Indian cohort.

    Science.gov (United States)

    Srivastava, Priyanka; Mandhani, Anil; Kapoor, Rakesh; Mittal, Rama D

    2010-11-01

    Matrix metalloproteinases (MMPs) play critical roles in cancer development and progression. Nonsynonymous single nucleotide polymorphisms (SNPs) in functional domain of MMP-3 and MMP-9 contribute appreciably to cancer predisposition and aggression. To test this proposition we examined whether six SNPs of the MMP-3 and MMP-9 genes are associated with risk of bladder cancer (BC) in a North Indian population. Six SNPs of MMP-3 and MMP-9 were analyzed by polymerase chain reaction-restriction fragment length polymorphism (PCR-RFLP) in a case-control study including 200 BC patients and 200 age/gender/ethnicity-matched controls. Increased risk for BC susceptibility was observed in MMP-3 (1171) 5A/5A [P = 0.022; odds ratio (OR), 3.46; 95% confidence interval (CI), 1.20-9.98], MMP-9 (Q279R) QQ (P = 0.048; OR, 1.92; 95%CI, 1.01-3.66), MMP-9 (P574R) PR (P BCG)-treated non-muscle-invasive BC (NMIBC) patients (log-rank P = 0.025). Our data suggested that MMP-3-1171 5A/5A and MMP-9 (Q279R) QQ, MMP-9 (P574R) PR, PR + RR, and R allele are associated with high risk of BC.

  12. Prediction of tropical cyclone over North Indian Ocean using WRF model: sensitivity to scatterometer winds, ATOVS and ATMS radiances

    KAUST Repository

    Dodla, Venkata B.

    2016-05-03

    Tropical cyclone prediction, in terms of intensification and movement, is important for disaster management and mitigation. Hitherto, research studies were focused on this issue that lead to improvement in numerical models, initial data with data assimilation, physical parameterizations and application of ensemble prediction. Weather Research and Forecasting (WRF) model is the state-of-art model for cyclone prediction. In the present study, prediction of tropical cyclone (Phailin, 2013) that formed in the North Indian Ocean (NIO) with and without data assimilation using WRF model has been made to assess impacts of data assimilation. WRF model was designed to have nested two domains of 15 and 5 km resolutions. In the present study, numerical experiments are made without and with the assimilation of scatterometer winds, and radiances from ATOVS and ATMS. The model performance was assessed in respect to the movement and intensification of cyclone. ATOVS data assimilation experiment had produced the best prediction with least errors less than 100 km up to 60 hours and producing pre-deepening and deepening periods accurately. The Control and SCAT wind assimilation experiments have shown good track but the errors were 150-200 km and gradual deepening from the beginning itself instead of sudden deepening.

  13. Radiocarbon Content of Dissolved Organic Carbon in the South Indian Ocean

    Science.gov (United States)

    Bercovici, S. K.; McNichol, A. P.; Xu, L.; Hansell, D. A.

    2018-01-01

    We report four profiles of the radiocarbon content of dissolved organic carbon (DOC) spanning the South Indian Ocean (SIO), ranging from the Polar Front (56°S) to the subtropics (29°S). Surface waters held mean DOC Δ14C values of -426 ± 6‰ ( 4,400 14C years) at the Polar Front and DOC Δ14C values of -252 ± 22‰ ( 2,000 14C years) in the subtropics. At depth, Circumpolar Deep Waters held DOC Δ14C values of -491 ± 13‰ ( 5,400 years), while values in Indian Deep Water were more depleted, holding DOC Δ14C values of -503 ± 8‰ ( 5,600 14C years). High-salinity North Atlantic Deep Water intruding into the deep SIO had a distinctly less depleted DOC Δ14C value of -481 ± 8‰ ( 5,100 14C years). We use multiple linear regression to assess the dynamics of DOC Δ14C values in the deep Indian Ocean, finding that their distribution is characteristic of water masses in that region.

  14. Prevalence of dental anomalies in Indian population

    OpenAIRE

    Santosh, Patil; Bharati, Doni; Sumita, Kaswan; Farzan, Rahman

    2013-01-01

    Objectives: Developmental anomalies of the dentition are not infrequently observed by the dental practitioner. The aim of the present study was to determine the prevalence of dental anomalies in the Indian population. Study Design: A retrospective study of 4133 panoramic radiographs of patients, who attended the Department of Oral Medicine and Radiology, Jodhpur Dental College General Hospital between September 2008 to December 2012 was done. The ages of the patients ranged from 13 to 38 year...

  15. P450 Pharmacogenetics in Indigenous North American Populations

    Directory of Open Access Journals (Sweden)

    Lindsay M. Henderson

    2018-02-01

    Full Text Available Indigenous North American populations, including American Indian and Alaska Native peoples in the United States, the First Nations, Métis and Inuit peoples in Canada and Amerindians in Mexico, are historically under-represented in biomedical research, including genomic research on drug disposition and response. Without adequate representation in pharmacogenetic studies establishing genotype-phenotype relationships, Indigenous populations may not benefit fully from new innovations in precision medicine testing to tailor and improve the safety and efficacy of drug treatment, resulting in health care disparities. The purpose of this review is to summarize and evaluate what is currently known about cytochrome P450 genetic variation in Indigenous populations in North America and to highlight the importance of including these groups in future pharmacogenetic studies for implementation of personalized drug therapy.

  16. Clustering Indian Ocean Tropical Cyclone Tracks by the Standard Deviational Ellipse

    Directory of Open Access Journals (Sweden)

    Md. Shahinoor Rahman

    2018-05-01

    Full Text Available The standard deviational ellipse is useful to analyze the shape and the length of a tropical cyclone (TC track. Cyclone intensity at each six-hour position is used as the weight at that location. Only named cyclones in the Indian Ocean since 1981 are considered for this study. The K-means clustering algorithm is used to cluster Indian Ocean cyclones based on the five parameters: x-y coordinates of the mean center, variances along zonal and meridional directions, and covariance between zonal and meridional locations of the cyclone track. Four clusters are identified across the Indian Ocean; among them, only one cluster is in the North Indian Ocean (NIO and the rest of them are in the South Indian Ocean (SIO. Other characteristics associated with each cluster, such as wind speed, lifespan, track length, track orientation, seasonality, landfall, category during landfall, total accumulated cyclone energy (ACE, and cyclone trend, are analyzed and discussed. Cyclone frequency and energy of Cluster 4 (in the NIO have been following a linear increasing trend. Cluster 4 also has a higher number of landfall cyclones compared to other clusters. Cluster 2, located in the middle of the SIO, is characterized by the long track, high intensity, long lifespan, and high accumulated energy. Sea surface temperature (SST and outgoing longwave radiation (OLR associated with genesis of TCs are also examined in each cluster. Cyclone genesis is co-located with the negative OLR anomaly and the positive SST anomaly. Localized SST anomalies are associated with clusters in the SIO; however, TC geneses of Cluster 4 are associated with SSTA all over the Indian Ocean (IO.

  17. 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.

  18. 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

  19. 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

  20. An Insight to the Structure of the North East Indian Retail Sector

    OpenAIRE

    Hazarika, Bhabesh

    2015-01-01

    Retail trade plays a major role in all economies all over the world. The performance of the sector has important implications towards the economic development of a country. Towards the end of 2008-09, while the world economy got shrank, the Indian economy was not much hampered due to its strong consumer demand. Retail demand,, bar some exceptions, has proven to be more resilient than that was expected for many emerging countries during the economic downturn of 2008-09. In India, the concept a...

  1. Inter-annual variability of sea surface temperature, wind speed and sea surface height anomaly over the tropical Indian Ocean

    Digital Repository Service at National Institute of Oceanography (India)

    Muraleedharan, P.M.; Pankajakshan, T.; Sathe, P.V.

    Being land-locked at the north, the Indian Ocean and its surrounding atmosphere behave in such a way that the ocean-atmosphere interaction over this domain is different from that over the other oceans, exhibiting a peculiar dynamics. The sparse data...

  2. Normative Data of Corpus Callosal Morphology in a North-West Indian Population- An autopsy and MRI study

    Directory of Open Access Journals (Sweden)

    Tulika Gupta

    2009-01-01

    The values of different CC parameters observed were almost similar to the values reported in the other two Indian studies. However, Indian values were found to be more than the Japanese values for length, height and most of the widths of CC. The length and width of CC were found to be less than those of Caucasian population. Generation of this data will help in comparing the CC structure of different sex and ages, to study variations from the normal and may help in surgical planning. Keywords:autopsy brains; corpus callosum; magnetic resonance imaging; morphometric data.

  3. Red Women, White Policy: American Indian Women and Indian Education.

    Science.gov (United States)

    Warner, Linda Sue

    This paper discusses American Indian educational policies and implications for educational leadership by Indian women. The paper begins with an overview of federal Indian educational policies from 1802 to the 1970s. As the tribes have moved toward self-determination in recent years, a growing number of American Indian women have assumed leadership…

  4. Clinical characteristics, angiographic profile and in hospital mortality in acute coronary syndrome patients in south indian population

    Directory of Open Access Journals (Sweden)

    Rajni Sharma

    2014-01-01

    Full Text Available Aims: The aim was to study the clinical profile, risk factors prevalence, angiographic distribution, and severity of coronary artery stenosis in acute coronary syndrome (ACS patients of South Indian population. Materials and Methods: A total of 1562 patients of ACS were analyzed for various risk factors, angiographic pattern and severity of coronary heart disease, complications and in hospital mortality at Sri Jayadeva Institute of Cardiovascular Research and Sciences, Bengaluru, Karnataka, India. Results: Mean age of presentation was 54.71 ± 19.90 years. Majority were male 1242 (79.5% and rest were females. Most patients had ST elevation myocardial infarction (STEMI 995 (63.7% followed by unstable angina (UA 390 (25% and non-STEMI (NSTEMI 177 (11.3%. Risk factors; smoking was present in 770 (49.3%, hypertension in 628 (40.2%, diabetes in 578 (37%, and obesity in (29.64% patients. Angiography was done in 1443 (92.38% patients. left anterior descending was most commonly involved, left main (LM coronary artery was least common with near similar frequency of right coronary artery and left circumflex involvement among all three groups of ACS patients. Single-vessel disease was present in 168 (45.28% UA, 94 (56.29% NSTEMI and 468 (51.71% STEMI patients. Double-vessel disease was present in 67 (18.08% UA, 25 (14.97% NSTEMI and 172 (19.01% STEMI patients. Triple vessel disease was present in 28 (7.55% UA, 16 (9.58% NSTEMI, 72 (7.95% STEMI patients. LM disease was present in 12 (3.23% UA, 2 (1.19% NSTEMI and 9 (0.99% STEMI patients. Complications; ventricular septal rupture occurred in 3 (0.2%, free wall rupture in 2 (0.1%, cardiogenic shock in 45 (2.9%, severe mitral regurgitation in 3 (0.2%, complete heart block in 11 (0.7% patients. Total 124 (7.9% patients died in hospital after 2.1 ± 1.85 days of admission. Conclusion: STEMI was most common presentation. ACS occurred a decade earlier in comparison to Western population. Smoking was most prevalent

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

    OpenAIRE

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

    2017-01-01

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

  6. A randomized controlled trial to evaluate the effects of high Protein Complete (lActo VEgetaRian (PACER diet in non-diabetic obese Asian Indians in North India

    Directory of Open Access Journals (Sweden)

    Swati Bhardwaj

    2017-12-01

    There was significant weight loss along with improvements in cardio-metabolic risk factors among both the groups post intervention. Percent reductions in the intervention group for weight (6.1± 2.9; p < 0.001, WC (3.9 ± 1.7; p < 0.001, FPG (5.9 ± 3.2; p < 0.001, total cholesterol (10.2 ± 6.3: p < 0.001, serum triacylglycerol (13.6 ± 10.6; p < 0.001 and low-density lipoprotein cholesterol (11.9 ± 7.1; p < 0.001] were significantly greater than the control diet group. In summary, intervention with a PACER diet (high protein, high fat and moderately low carbohydrate, lacto-vegetarian diet showed significant improvement in weight loss, body composition and cardio-metabolic profile as compared to a standard vegetarian diet among obese Asian Indians in north India.

  7. Interlukin-10 gene polymorphisms (-819T/C and -1082A/G and Type 2 diabetes mellitus in North Indian population

    Directory of Open Access Journals (Sweden)

    Sushma Verma

    2016-12-01

    Full Text Available Diabetes is a metabolic disorder characterized by chronic hyperglycemia and impaired cytokine levels leading to inflammation. Interlukin-10 (IL-10 is an anti-inflammatory cytokine which acts as macrophage deactivator affecting the synthesis of TNF-a, IL-1, IL-6, IL-8 and GM-CSF. Single-nucleotide polymorphisms (SNPs viz. -592A/C, -819T/C and -1082A/G in IL-10 promoter are associated with IL-10 production. Low IL-10 levels in T2DM cases may be regulated by such gene variants. The present study was undertaken to evaluate the association of two genetic polymorphisms viz. IL-10 -819T/C and -1082A/G with T2DM in a North Indian population. Blood samples from 402 subjects (201 each of controls and T2DM cases were collected after ethical approval and individual written consent. All subjects were genotyped by polymerase chain reaction-restriction length polymorphism (PCR-RFLP using specific primers and restriction enzymes. Genotypic, allelic, carriage rate frequencies were calculated and haplotypic analysis performed by SPSS (version 21.0 and SHEsis (online version. All biochemical parameters except WHR and TG showed significant association with T2DM (P [Dis Mol Med 2016; 4(4.000: 68-76

  8. Price and Volatility Spillovers across North American, European and Asian Stock Markets: With Special Focus on Indian Stock Market

    OpenAIRE

    Priyanka Singh; Brajesh Kumar; Pandey, Ajay

    2008-01-01

    This paper investigates interdependence of fifteen world indices including an Indian market index in terms of return and volatility spillover effect. Interdependence of Indian stock market with other fourteen world markets in terms of long run integration, short run dependence (return spillover) and volatility spillover are investigated. These markets are that of are Canada, China, France, Germany, Hong-Kong, Indonesia, Japan, Korea, Malaysia, Pakistan, Singapore, Taiwan, United Kingdom and U...

  9. Where Nursing Counts. Careers for Nurses in the Indian Health Service.

    Science.gov (United States)

    Public Health Service (DHEW), Rockville, MD. Indian Health Service.

    To meet the health needs of Native Americans, the Indian Health Service (IHS) administers a large community health and medical care program, operating 51 hospitals, 99 health care centers, and 108 health stations in 24 states. Registered nurses can be employed by the IHS through either of two systems: the Commissioned Corps of the U.S. Public…

  10. Hospitality and tourism management professor receives Fulbright to teach in India

    OpenAIRE

    Ho, Sookhan

    2009-01-01

    Mahmood A. Khan, professor of hospitality and tourism management at Virginia Tech's Pamplin College of Business, has been awarded a Fulbright-Nehru Scholar grant to teach at the Indian Institute of Technology in New Delhi during the 2009-10 academic year.

  11. Determining the Status Quo of Infection Prevention and Control Standards in the Hospitals of Iran: A Case Study in 23 Hospitals

    OpenAIRE

    Shojaee, Jalil; Moosazadeh, Mahmood

    2014-01-01

    Background: Applying Prevention and Control of Infection (PCI) standards in hospitals reduces probable risks to patients, staff and visitors; it also increases efficiency, and ultimately improves productivity of hospitals. Objective: The current study aimed to determine the status quo of international standards of PCI in hospitals located in the north of Iran. Materials and Methods: This cross-sectional study was conducted in 23 hospitals. Data collection tool was a questionnaire with confirm...

  12. A dated phylogeny of the palm tribe Chamaedoreeae supports Eocene dispersal between Africa, North and South America

    DEFF Research Database (Denmark)

    Cuenca-Navarro, Argelia; Lange, Conny Bruun Asmussen; Borchsenius, Finn

    2008-01-01

    The palm tribe Chamaedoreeae reaches its higher diversity in Central America, however, its distribution ranges from the north eastern part of Mexico to Bolivia with a disjunction to the Mascarene Islands in the Indian Ocean. The disjunct distribution of Chamaedoreeae is generally considered a res...

  13. Establishment of sexual dimorphism in north indian population by odontometric study of permanent maxillary canine teeth

    Directory of Open Access Journals (Sweden)

    Shalini Gupta

    2014-01-01

    Full Text Available Aim: To investigate whether sexual dimorphism can be established by odontometric study of permanent maxillary canine teeth as well as inter-canine width in north Indian population. Study Design: The study was carried out at department of oral and maxillofacial pathology, King George′s Medical University, Lucknow, India on students and patients reporting at OPD. Out of total 180 subjects examined 90 subjects were female and 90 were male. Impressions of the upper arch were made using alginate and casts poured in dental stone. The mesiodistal diameter (MD of the crown of permanent maxillary canine both on right and left sides and inter-canine width were measured. From these measurements, maxillary canine index was calculated. The percentage of sexual dimorphism (SD was assessed for all the parameters. Results: In the present study, the MD of maxillary canine for both right (P = 0.001 and left side (P = 0.005 was significantly higher among male subjects than females, Similar observation was found for inter-canine width too (P = 0.0001. However, the maxillary canine index for right and left was almost similar (P > 0.05 for both male and female subjects. The SD in right and left MDs of maxillary canine was 4.2% and 3.6% respectively. For, inter-canine width it was maximum (13.7%. However, SD in right and left canine index showed negative values (−2.1% and -0.9% respectively. Conclusion: There was SD in MD and inter-canine width of permanent maxillary canine teeth. SD was more on right permanent maxillary canine teeth than left permanent maxillary canine.

  14. Seasonal water mass distribution in the Indonesian throughflow entering the Indian Ocean

    Science.gov (United States)

    Coatanoan, C.; Metzl, N.; Fieux, M.; Coste, B.

    1999-09-01

    A multiparametric approach is used to analyze the seasonal properties of water masses in the eastern Indian Ocean. The data were measured during two cruises of the Java Australia Dynamic Experiment (JADE) program carried out during two opposite seasons: August 1989 (SE monsoon) and February-March 1992 (NW monsoon). These cruises took place at the end of a La Niña event and during an El Niño episode, respectively. Seven sources have been identified in the studied region for the 200-800 m layer: the Subtropical Indian Water, the Indian Central Water, the modified Antarctic Intermediate Water, the Indonesian Subsurface Water, the Indonesian Intermediate Water, the Arabian Sea-Persian Gulf Water (AS-PGW), and the Arabian Sea-Red Sea Water (AS-RSW). The selected tracers are potential temperature, salinity and oxygen with mass conservation and positive mixing coefficients as constraints. The analysis indicates the proportion of each water source along the Australia-Bali section and into the Indonesian channels. Although no large changes are observed for Indonesian waters, significant seasonal variations are found for the southern and northern Indian Ocean water. During the NW monsoon, the contribution of the AS-RSW increases at the entrance of the Indonesian archipelago whereas the contribution of the south Indian waters decreases in the northwest Australia basin. In a complementary study, nutrients are introduced into the multiparametric analysis in order to more clearly separate the signature of the north Indian waters (AS-PGW, AS-RSW) and to provide supplementary information on the biological history of the water masses, which is compared to large-scale primary production estimates.

  15. Petrogenesis and tectonic association of rift-related basic Panjal dykes from the northern Indian plate, North-Western Pakistan: evidence of high-Ti basalts analogous to dykes from Tibet

    Science.gov (United States)

    Sajid, Muhammad; Andersen, Jens; Arif, Mohammad

    2017-10-01

    Rift related magmatism during Permian time in the northern margin of Indian plate is represented by basic dykes in several Himalayan terranes including north western Pakistan. The field relations, mineralogy and whole rock geochemistry of these basic dykes reveal significant textural, mineralogical and chemical variation between two major types (a) dolerite and (b) amphibolite. Intra-plate tectonic settings for both rock types have been interpreted on the basis of low Zr/Nb ratios (primitive mantle using Dy/Yb, La/Yb, Sm/Yb and La/Sm ratios show that amphibolite formed by smaller degrees (< 5%) of partial melting than the dolerites (< 10%). The trace elements ratios suggest the origination of dolerites from the subcontinental lithospheric mantle with some crustal contamination. This is consistent with a petrogenetic relationship with Panjal trap magmatism, reported from Kashmir and other parts of north western India. The amphibolites, in contrast, show affinity towards Ocean Island basalts (OIB) with a relatively deep asthenospheric mantle source and minimal crustal contribution and are geochemically similar to the High-Ti mafic dykes of southern Qiangtang, Tibet. These similarities combined with Permian tectonic restoration of Gondwana indicate the coeval origin for both dykes from distinct mantle source during continental rifting related to formation of the Neotethys Ocean.

  16. Association of DD genotype of angiotensin-converting enzyme gene (I/D) polymorphism with hypertension among a North Indian population.

    Science.gov (United States)

    Rana, Garima; Yadav, Suniti; Joshi, Shipra; Saraswathy, K N

    2018-01-01

    Hypertension, a major risk factor for cardiovascular diseases, is among the leading causes of morbidity and mortality worldwide. Genetic predisposition to the risk of developing hypertension due to angiotensin-converting enzyme (ACE) gene insertion(I)/deletion(D) polymorphism (through altered serum ACE activity) is well documented among various populations. The present study investigated the possible association between ACE (DD) genotype and hypertension using a nested case-control study design including 451 individuals (of either sex in the age group 30-65 years) from a rural North Indian population practicing agriculture and lacto-vegetarianism. Blood Pressure was classified using JNC-7 criterion. Age- and sex-matched individuals were selected from normotensive (N-122), pre-hypertensive (N-123), hypertensive not on medication (N-122), and hypertensive on medication (N-84) categories. Amplification of DNA and genotyping of PCR product was done using standard protocols. From the analysis, comparatively higher frequency of individuals with DD genotype in the hypertensive category was observed, indicating a possible relation between DD genotype and hypertension. The odds ratio analysis revealed 2.225 (1.13-4.37)-fold significant increased risk for hypertension among cases, validating the vulnerability of individuals with DD genotype towards hypertension. Thus, the present study highlights the increased risk for developing hypertension due to ACE DD genotype in the studied population.

  17. Genetic epidemiology of pharmacogenetic variations in CYP2C9, CYP4F2 and VKORC1 genes associated with warfarin dosage in the Indian population.

    Science.gov (United States)

    Giri, Anil K; Khan, Nazir M; Grover, Sandeep; Kaur, Ismeet; Basu, Analabha; Tandon, Nikhil; Scaria, Vinod; Kukreti, Ritushree; Brahmachari, Samir K; Bharadwaj, Dwaipayan

    2014-07-01

    Warfarin, a widely used anticoagulant, exhibits large interindividual variability in dose requirements. CYP2C9 and VKORC1 polymorphisms in various ethnic groups have been extensively studied as genetic markers associated with variable drug response. However, allele frequencies of these variants have not been assessed in major ethnic groups in the Indian population. To study the functional variants known to affect warfarin dosing, we reanalyzed genotype microarray datasets generated as a part of genome-wide association studies as well as data from the Indian Genome Variation database. We examined data from 2680 individuals across 24 ethnically diverse Indian subpopulations. Allelic distribution of VKORC1 (-1639G>A) showed a greater degree of variation across Indian subpopulations, with frequencies as low as 6.5% in an out-group subpopulation to >70% in Tibeto-Burmans. Risk allele frequency of CYP4F2*3 (V433M) was higher in north Indians (0.30-0.44), as compared with other world populations, such as African-American (0.12), Caucasian (0.34) and Hispanic (0.23). TheVKORC1 variant (-1639A) was shown to be prevalent amongst Tibeto-Burmans, whereas CYP2C9 (R144C, I359L) and CYP4F2 (V433M) variants were observed in considerable variability amongst Indo-Europeans. The frequency of CYP2C9*3 (I359L) in north Indians was found to be higher than in most Asian populations. Furthermore, geographical distribution patterns of these variants in north India showed an increased trend of warfarin extensive metabolizers from the Himalayan to Gangetic region. Combined allele frequency (CYP2C9*3 and CYP4F2*3) data suggest that poor metabolizers varied in the range of 0.38-1.85% in Indo-Europeans. Based on genotypic distribution, the majority of the Indian subpopulation might require higher doses for stable anticoagulation, whereas careful assessment is required for Tibeto-Burmans who are expected to have intermediate dose requirement. This is the largest global genetic epidemiological

  18. Detection of active human papilloma virus-16 in head and neck cancers of Asian North Indian patients.

    Science.gov (United States)

    Sannigrahi, M K; Singh, V; Sharma, R; Panda, N K; Radotra, B D; Khullar, M

    2016-01-01

    Head and neck cancers (HNC) are one of the most common cancers in India. Human papillomavirus (HPV) has been identified as an emerging risk factor for HNC. The present study was carried out to determine the active form of HPV-16 using a combination of PCR, viral load determination, HPV-16 E7 mRNA expression, p16, p53, and pRB immuno-histochemistry (IHC). A total of 226 HNC patients were enrolled in the present study. Sixty-seven (29.7%) of HNC cases were found to be HPV DNA positive. Thirty-two (14%) cases were HPV-16 DNA positive and 20 (9%) cases expressed HPV-16 E7 mRNA. HPV-16 mRNA/p16 positive cases had significantly increased viral load and integrated HPV-16 DNA. In summary, of total HNC patients, 6% cases were positive for both HPV-16 DNA and p16, and 5% were positive for both E7 mRNA and p16 IHC. We observed similar HPV-16 DNA/E7mRNA prevalence in oropharynx and oral cavity sites, however, oropharynx SCC had significantly higher viral load. Our results show low prevalence of active HPV-16 in North Indian HNC patients. HPV-16 E7 mRNA expression correlated with p16 nuclear positivity and increased viral load. Therefore, E7 mRNA expression may be used as a good surrogate indicator for active form of HPV-16 infection. © 2015 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

  19. PROTAGONISM OF AMERICAN INDIANS IN WALTER LANTZ'S CARTOONS

    Directory of Open Access Journals (Sweden)

    Rafael Duarte Oliveira Venancio

    2011-06-01

    Full Text Available Condemned to a dubious media representation in early cinema through the novels of the late nineteenth century, the North American Indians never had a high profile in films of this period. However, an animator, Walter Lantz, has a high degree of characterization of Native Americans in his work. The aim of this paper is to study the role of Native Americans in these cartoons and analyze the social implications of these choices, using the concepts of apparatus and formula. Furthermore, the analysis will include a portrayal of the American media scene before and after Lantz, seeking disruptions and legacies.

  20. A preliminary study to find out maximum occlusal bite force in Indian individuals

    DEFF Research Database (Denmark)

    Jain, Veena; Mathur, Vijay Prakash; Pillai, Rajath

    2014-01-01

    PURPOSE: This preliminary hospital based study was designed to measure the mean maximum bite force (MMBF) in healthy Indian individuals. An attempt was made to correlate MMBF with body mass index (BMI) and some of the anthropometric features. METHODOLOGY: A total of 358 healthy subjects in the ag...

  1. Effect of tropical cyclones on the stratosphere–troposphere exchange observed using satellite observations over the north Indian Ocean

    Directory of Open Access Journals (Sweden)

    M. Venkat Ratnam

    2016-07-01

    Full Text Available Tropical cyclones play an important role in modifying the tropopause structure and dynamics as well as stratosphere–troposphere exchange (STE processes in the upper troposphere and lower stratosphere (UTLS region. In the present study, the impact of cyclones that occurred over the north Indian Ocean during 2007–2013 on the STE processes is quantified using satellite observations. Tropopause characteristics during cyclones are obtained from the Global Positioning System (GPS radio occultation (RO measurements, and ozone and water vapour concentrations in the UTLS region are obtained from Aura Microwave Limb Sounder (MLS satellite observations. The effect of cyclones on the tropopause parameters is observed to be more prominent within 500 km of the centre of the tropical cyclone. In our earlier study, we observed a decrease (increase in the tropopause altitude (temperature up to 0.6 km (3 K, and the convective outflow level increased up to 2 km. This change leads to a total increase in the tropical tropopause layer (TTL thickness of 3 km within 500 km of the centre of cyclone. Interestingly, an enhancement in the ozone mixing ratio in the upper troposphere is clearly noticed within 500 km from the cyclone centre, whereas the enhancement in the water vapour in the lower stratosphere is more significant on the south-east side, extending from 500 to 1000 km away from the cyclone centre. The cross-tropopause mass flux for different intensities of cyclones is estimated and it is found that the mean flux from the stratosphere to the troposphere for cyclonic storms is 0.05 ± 0.29 × 10−3 kg m−2, and for very severe cyclonic storms it is 0.5 ± 1.07 × 10−3 kg m−2. More downward flux is noticed on the north-west and south-west side of the cyclone centre. These results indicate that the cyclones have significant impact in effecting the tropopause structure, ozone and water vapour budget, and

  2. Specialized consulting in radiological safety to the North Central Hospital of high specialty, PEMEX. V. November of 2001

    International Nuclear Information System (INIS)

    Angeles C, A.; Vizuet G, J.; Benitez S, J. A.; Garcia A, J.; Rodriguez A, F.

    2002-01-01

    It is a report of a specialized consulting in radiological safety that to be carried the ININ to PEMEX for the North Central Hospital of High Specialty, to maintain the sanitary license for the use of X ray equipment of medical diagnostic, and guarantee these services with a program of quality assurance. To give fulfilment to that requests it is programmed a technical assistance monthly, with reports of results during the development of the service. In this document it is carried a report of the advances and results in the month of November of the 2001, where the following documents are analyzed: Manual of radiological safety, program of quality assurance, operation procedures, procedure of maintenance team, procedure of medical radiological control of the specialized personnel; also are annotate the obtained results and their observations. (Author)

  3. 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.

  4. Indian monsoon variations during three contrasting climatic periods: the Holocene, Heinrich Stadial 2 and the last interglacial-glacial transition

    Science.gov (United States)

    Zorzi, Coralie; Fernanda Sanchez Goñi, Maria; Anupama, Krishnamurthy; Prasad, Srinivasan; Hanquiez, Vincent; Johnson, Joel; Giosan, Liviu

    2016-04-01

    In contrast to the East Asian and African monsoons the Indian monsoon is still poorly documented throughout the last climatic cycle (last 135,000 years). Pollen analysis from two marine sediment cores (NGHP-01-16A and NGHP-01-19B) collected from the offshore Godavari and Mahanadi basins, both located in the Core Monsoon Zone (CMZ) reveals changes in Indian summer monsoon variability and intensity during three contrasting climatic periods: the Holocene, the Heinrich Stadial (HS) 2 and the Marine Isotopic Stage (MIS) 5/4 during the ice sheet growth transition. During the first part of the Holocene between 11,300 and 4,200 cal years BP, characterized by high insolation (minimum precession, maximum obliquity), the maximum extension of the coastal forest and mangrove reflects high monsoon rainfall. This climatic regime contrasts with that of the second phase of the Holocene, from 4,200 cal years BP to the present, marked by the development of drier vegetation in a context of low insolation (maximum precession, minimum obliquity). The historical period in India is characterized by an alternation of strong and weak monsoon centennial phases that may reflect the Medieval Climate Anomaly and the Little Ice Age, respectively. During the HS 2, a period of low insolation and extensive iceberg discharge in the North Atlantic Ocean, vegetation was dominated by grassland and dry flora indicating pronounced aridity as the result of a weak Indian summer monsoon. The MIS 5/4 glaciation, also associated with low insolation but moderate freshwater fluxes, was characterized by a weaker reduction of the Indian summer monsoon and a decrease of seasonal contrast as recorded by the expansion of dry vegetation and the development of Artemisia, respectively. Our results support model predictions suggesting that insolation changes control the long term trend of the Indian monsoon precipitation, but its millennial scale variability and intensity are instead modulated by atmospheric

  5. Indianization of psychiatry utilizing Indian mental concepts

    Science.gov (United States)

    Avasthi, Ajit; Kate, Natasha; Grover, Sandeep

    2013-01-01

    Most of the psychiatry practice in India is guided by the western concepts of mental health and illness, which have largely ignored the role of religion, family, eastern philosophy, and medicine in understanding and managing the psychiatric disorders. India comprises of diverse cultures, languages, ethnicities, and religious affiliations. However, besides these diversities, there are certain commonalities, which include Hinduism as a religion which is spread across the country, the traditional family system, ancient Indian system of medicine and emphasis on use of traditional methods like Yoga and Meditation for controlling mind. This article discusses as to how mind and mental health are understood from the point of view of Hinduism, Indian traditions and Indian systems of medicine. Further, the article focuses on as to how these Indian concepts can be incorporated in the practice of contemporary psychiatry. PMID:23858244

  6. Zidovudine-induced myopathy: A study in Indian patients.

    Science.gov (United States)

    Sagar, Amitabh; Mohanty, Ambika P; Bahal, Ashish

    2010-07-01

    Literature is replete with studies on zidovudine-induced myopathy after prolonged use (use beyond 270 days on an average). However, all these studies have been done on patients of Caucasian, American and African ethnic origin. No such study has been carried out in Indian patients to our knowledge. To determine the correlation of zidovudine usage with serum creatine phosphokinase (CK) levels, clinical muscular weakness and muscle histology in Indian patients, we studied 147 physically active, Human Immunodeficiency Virus infected men on prolonged zidovudine-based antiretroviral therapy (ART). Cross-sectional study on hospital follow-up patients of HIV infection. All cases on ART who reported to our canter during a period of 18 months were evaluated for symptoms (muscle fatigue, myalgia), objective muscle strength (testing clinically) and serum CK levels, and a select group was evaluated by muscle biopsy. These patients were on zidovudine for 1 to 7 years. None of the patients studied had significant symptoms or objective muscle weakness and only a small fraction (10.8% of cases) had marginally raised serum CK levels. All muscle biopsies were normal on light microscopy. Zidovudine myopathy may be a constraint for use of the drug in the western population; however, it is a well-tolerated drug as regards myopathy in our study on Indian patients.

  7. Diagnostic model of 3-D circulation in the Arabian Sea and western equatorial Indian Ocean: Results of monthly mean sea surface topography

    Digital Repository Service at National Institute of Oceanography (India)

    Bahulayan, N.; Shaji, C.

    A three-dimensional diagnostic model has been developed to compute the monthly mean circulation and sea surface topography in the Western Tropical Indian Ocean north of 20 degrees S and west of 80 degrees E. The diagnostic model equations...

  8. Egyptian Journal of Medical Human Genetics - Vol 17, No 4 (2016)

    African Journals Online (AJOL)

    ... reductase (MTHFR) C677T gene polymorphism and risk of ischemic stroke in North Indian population: A hospital based case–control study · EMAIL FREE FULL TEXT EMAIL FREE FULL TEXT DOWNLOAD FULL TEXT DOWNLOAD FULL TEXT. Amit Kumar, Shubham Misra, Anjali Hazarika, Pradeep Kumar, Ram Sagar, ...

  9. The top 10 most cited Indian articles in arthroscopy in last 10 years

    Directory of Open Access Journals (Sweden)

    Raju Vaishya

    2017-01-01

    Full Text Available The interest in the field of arthroscopy is increasing globally and exponentially in the recent past, including in India. Clinicians interested in this area of super specialization have started publishing their research work in reputed journals in this field. The publication from Indian authors is contributed equally by both the teaching government institutions and nonteaching private hospital specialists. The contributions by the Indian teaching institutes have predominantly Indian authors only, whereas those from the private sectors usually have an association with the foreign authors in their research and publications. The publications with higher hierarchy and level of evidence (1 and 2 are associated with greater citations. In addition, the publications in high-impact, reputed journals attract more citations and therefore it is recommended that the “good” scientific research work should preferably be submitted to these journals to create greater impact and awareness about ones' research and publication.

  10. High prevalence of cardiovascular risk factors in Asian Indians: A community survey - Chandigarh Urban Diabetes Study (CUDS

    Directory of Open Access Journals (Sweden)

    Rama Walia

    2014-01-01

    Full Text Available Background & objectives: Studies conducted to assess the prevalence of cardiovascular (CV risk factors among different regions of the country show variation in risk factors in different age groups and urban and rural population. We undertook this study to determine the prevalence of cardiovascular risk factors among urban adults in a north Indian city. Methods: In a cross-sectional survey, 2227 subjects aged ≥ 20 yr were studied from April 2008 to June 2009 in Urban Chandigarh, a north Indian city. Demographic history, anthropometry and blood pressure were assessed. Fasting, and 2 h capillary plasma glucose after 75 g glucose load, HDL-C and triglycerides were estimated. Results: The most prevalent cardiovascular risk factors in the age group of 20-29 yr was sedentary lifestyle (63%, while from fourth decade and onwards, it was overweight/obesity (59-85%. The second most common prevalent cardiovascular risk factor in the age group of 20-29 yr was overweight/obesity, in 30-49 yr sedentary lifestyle, in 50-69 yr hypertension and in subjects ≥70 yr, it was hypertriglyceridaemia. The prevalence of overweight/obesity, hypertension, dysglycaemia and smoking was almost double in subjects in the fourth decade of life, as compared to those in the third decade of life. The prevalence of CV risk factors significantly increased with age irrespective of gender and prevalence of low HDL-C was significantly more common in women as compared to men. Interpretation & conclusions: Sedentary lifestyle, obesity and low HDL-C are the most prevalent CV risk factors in subjects in the third and fourth decade of life in this north Indian population and clustering of these cardiovascular risk factors increases with advancing age. Strategies need to be formulated to target this population to prevent the epidemic of cardiovascular disease.

  11. Multifaceted intra-seasonal modes over the East Asia-western North Pacific summer monsoon region

    Science.gov (United States)

    Ha, K. J.; Oh, H.

    2017-12-01

    Intra-seasonal monsoon prediction is the most imperative task due to high impact on 2/3 of world populations' daily life, but there remains an enduring challenge in climate science. The present study aims to provide a physical understanding of the sources for prediction of dominant intra-seasonal modes in the East Asian-western North Pacific summer monsoon (EA-WNPSM): preMeiyu&Baiu, Changma&Meiyu, WNPSM, and monsoon gyre modes classified by the self-organizing map analysis. The preMeiyu-Baiu mode is strongly linked to both the anomalous low-level convergence and vertical wind shear through baroclinic instability, and the Changma&Meiyu mode has a strengthened tropic-subtropics connection along the western north Pacific subtropical high, which induces vertical destabilization and strong convective instability. The WNPSM and monsoon gyre modes are characterized by anomalous southeasterly flow of warm and moist air from western north Pacific monsoon, and low-level easterly flow, respectively. Prominent difference in response to the ENSO leads to different effects of the Indian Ocean and western Pacific thermal state, and consequently, the distinct moisture supply and instability variations for the EASM intra-seasonal modes. We attempt to determine the predictability sources for the four modes in the EA-WNPSM using physical-empirical model. The selected predictors are based on the persistent and tendency signals of the SST/2m air temperature and sea level pressure fields, which reflect the asymmetric response to the ENSO and the ocean and land surface anomalous conditions. For the preMeiyu&Baiu mode, the SST cooling tendency over the WNP, which persists into summer, is the distinguishing contributor which is causative of north-south thermal contrast. Since the Changma&Meiyu mode is strongly related to the WNP subtropical high, a major precursor is the persistent SST difference between the Indian Ocean and the western Pacific. The WNPSM mode is mostly affected by the

  12. Implementing a sharps injury reduction program at a charity hospital in India.

    Science.gov (United States)

    Gramling, Joshua J; Nachreiner, Nancy

    2013-08-01

    Health care workers in India are at high risk of developing bloodborne infections from needlestick injuries. Indian hospitals often do not have the resources to invest in safety devices and protective equipment to decrease this risk. In collaboration with hospital staff, the primary author implemented a sharps injury prevention and biomedical waste program at an urban 60-bed charity hospital in northern India. The program aligned with hospital organizational objectives and was designed to be low-cost and sustainable. Occupational health nurses working in international settings or with international workers should be aware of employee and employer knowledge and commitment to occupational health and safety. Copyright 2013, SLACK Incorporated.

  13. Trends in clinical diagnoses of Rocky Mountain spotted fever among American Indians, 2001-2008.

    Science.gov (United States)

    Folkema, Arianne M; Holman, Robert C; McQuiston, Jennifer H; Cheek, James E

    2012-01-01

    American Indians are at greater risk for Rocky Mountain spotted fever (RMSF) than the general U.S. population. The epidemiology of RMSF among American Indians was examined by using Indian Health Service inpatient and outpatient records with an RMSF International Classification of Diseases, Ninth Revision, Clinical Modification diagnosis. For 2001-2008, 958 American Indian patients with clinical diagnoses of RMSF were reported. The average annual RMSF incidence was 94.6 per 1,000,000 persons, with a significant increasing incidence trend from 24.2 in 2001 to 139.4 in 2008 (P = 0.006). Most (89%) RMSF hospital visits occurred in the Southern Plains and Southwest regions, where the average annual incidence rates were 277.2 and 49.4, respectively. Only the Southwest region had a significant increasing incidence trend (P = 0.005), likely linked to the emergence of brown dog ticks as an RMSF vector in eastern Arizona. It is important to continue monitoring RMSF infection to inform public health interventions that target RMSF reduction in high-risk populations.

  14. Immunohistochemical localization of CYP1A, vitellogenin and Zona radiata proteins in the liver of swordfish (Xiphias gladius L.) taken from the Mediterranean Sea, South Atlantic, South Western Indian and Central North Pacific Oceans

    International Nuclear Information System (INIS)

    Desantis, S.; Corriero, A.; Cirillo, F.; Deflorio, M.; Brill, R.; Griffiths, M.; Lopata, A.L.; Serna, J.M. de la; Bridges, C.R.; Kime, D.E.; De Metrio, G.

    2005-01-01

    Cytochrome P4501A (CYP1A) monoxygenase, vitellogenin (Vtg) and Zona radiata proteins (Zrp) are frequently used as biomarkers of fish exposure to organic contaminants. In this work, swordfish liver sections obtained from the Mediterranean Sea, the South African coasts (South Atlantic and South Western Indian Oceans) and the Central North Pacific Ocean were immunostained with antisera against CYP1A, Zrp, and Vtg. CYP1A induction was found in hepatocytes, epithelium of the biliary ductus and the endothelium of large blood vessels of fish from the Mediterranean Sea and South African waters, but not from the Pacific Ocean. Zrp and Vtg were immunolocalized in hepatocytes of male swordfish from the Mediterranean Sea and from South African waters. Plasma Dot-Blot analysis, performed in Mediterranean and Pacific specimens, revealed the presence of Zrp and Vtg in males from Mediterranean but not from Pacific. These results confirm previous findings about the potential exposure of Mediterranean swordfish to endocrine, disrupting chemicals and raise questions concerning the possible presence of xenobiotic contaminants off the Southern coasts of South Africa in both the South Atlantic and South Western Indian Oceans

  15. Folate deficiency in north Indian children undergoing maintenance chemotherapy for acute lymphoblastic leukemia-Implications and outcome.

    Science.gov (United States)

    Roy Moulik, Nirmalya; Kumar, Archana; Agrawal, Suraksha; Mahdi, Abbas Ali

    2018-01-01

    Treatment-related toxicity and mortality are not uncommon during maintenance chemotherapy for childhood acute lymphoblastic leukemia (ALL), especially in the low- and middle-income countries (LMIC). Undernutrition and micronutrient deficiencies are commonly seen in children from LMICs undergoing treatment for ALL. The present study examines the prevalence and clinical implications of folate deficiency in north Indian children with ALL during the maintenance phase of treatment in view of prolonged antifolate treatment and high population prevalence of folate deficiency. Pre-cycle folate levels/deficiency as well as weight for age z-score and serum albumin level were determined and correlated with complications of treatment and mortality encountered during the maintenance phase of treatment. Twenty-nine of 52 children enrolled in the study had folate deficiency at some point during maintenance chemotherapy. Neutropenia (18 of 29 vs. 4 of 23; P = 0.002), thrombocytopenia (17 of 29 vs. 4 of 23; P = 0.005), febrile neutropenia (17 of 29 vs. 4 of 23; P = 0.005), and need for chemotherapy dose reduction (20 of 29 vs. 7 of 21; P = 0.01) were more common in folate-deficient children. Maintenance deaths were higher (8 of 29 vs. 1 of 23; P = 0.03) and survival lower (P = 0.02) in deficient children. In multivariate analysis, hypoalbuminemia (P = 0.02) and folate deficiency (P = 0.01) were associated with febrile neutropenia, and folate deficiency with maintenance deaths (P = 0.03). Folate deficiency was associated with treatment-related complications and adverse outcome in our patients. The risks and benefits of folate supplementation in deficient children during maintenance chemotherapy need to be explored with properly designed randomized studies in similar settings. © 2017 Wiley Periodicals, Inc.

  16. Population-based characteristics of fatal and hospital admissions for poisoning in Fiji: TRIP Project-11

    Science.gov (United States)

    Peiris-John, Roshini; Kafoa, Berlin; Wainiqolo, Iris; Reddy, Ravi Krishnan; McCaig, Eddie; Ameratunga, Shanthi N

    2013-01-01

    This study investigated the incidence and characteristics of poisoning fatalities and hospital admissions among indigenous Fijians and Indians in Viti Levu, Fiji. Individuals with a mechanism of injury classified as poisoning were identified using the Fiji injury surveillance in hospitals system, a population-based registry established for 12 months in Viti Levu, and analysed using population-based denominators. The mean annual rates of fatalities and hospitalisations were 2.3 and 26.0 per 100 000, respectively. Over two-thirds of poisonings occurred among people of Indian ethnicity. Most intentional poisoning admissions occurred among women (58.3%) and in 15–29-year-old individuals (73.8%). Unintentional poisoning admission rates were highest among Indian boys aged 0–14 years. While over 75% of events occurred at home, the substances involved were not systematically identified. The findings indicate the need for a strategy that addresses the differing contexts across age group, gender and ethnicity, and a lead agency responsible for implementing and monitoring its effectiveness. PMID:23353079

  17. Morbidity and mortality amongst Indian Hajj pilgrims: A 3-year experience of Indian Hajj medical mission in mass-gathering medicine

    Directory of Open Access Journals (Sweden)

    Inam D. Khan

    2018-03-01

    Full Text Available The Hajj, a mass-gathering of over 3.5-million pilgrims, faces challenges to global health-security, housing, food, water, transportation, communication, sanitation, crowd-control and security. The Indian Medical Mission extended health-security to approximately 140,000 pilgrims, through outreach medical teams, primary-care clinics, tent-clinics, secondary-care hospitals and evacuation capabilities. Data on medical attendance, bed-occupancy, investigations, referrals, medication usage and deaths was compared. Outpatient attendance was 374,475 in static-clinics, 5135 in tent-clinics and 13,473 through task-forces. 585 (62.90% in-patients were hospitalized amongst 930 secondary-care referrals. Secondary-care bed-days were 2106 with average bed-occupancy being 77.78%. 495 patients were institutionalized in tertiary-care Saudi-Arabian hospitals. Infectious diseases were most commonly (53.26% encountered due to overwhelming respiratory-infections, followed by trauma (24.40%. Analgesics (66.38/100 patients and antibacterials (48.34/100 patients were frequently prescribed. Crude mortality amongst Indian pilgrims was 11.99/10,000. Risk-factors associated with high morbidity were old-age and pre-existing comorbidities. Overwhelming surge of patients facilitates transmission of communicable infections and leads to stress induced physical, mental and compassion fatigue amongst healthcare personnel. Respiratory infections are highly prevalent and easily transmissible during Hajj leading to significant morbidity, increased burden to existing health facilities, overwhelming costs on health systems and globalization of multiresistant pathogens. Diabetic patients should avoid heat exposure and use protective footwear during Hajj rituals. Mass-gathering medicine at Hajj can be optimized by improving patient knowledge on performing Hajj at a younger age, medicine compliance, avoiding self-medication, self-monitoring of hypertension, blood glucose, and preventive

  18. Morbidity and mortality amongst Indian Hajj pilgrims: A 3-year experience of Indian Hajj medical mission in mass-gathering medicine.

    Science.gov (United States)

    Khan, Inam D; Khan, Shahbaz A; Asima, Bushra; Hussaini, Syed B; Zakiuddin, M; Faisal, F A

    The Hajj, a mass-gathering of over 3.5-million pilgrims, faces challenges to global health-security, housing, food, water, transportation, communication, sanitation, crowd-control and security. The Indian Medical Mission extended health-security to approximately 140,000 pilgrims, through outreach medical teams, primary-care clinics, tent-clinics, secondary-care hospitals and evacuation capabilities. Data on medical attendance, bed-occupancy, investigations, referrals, medication usage and deaths was compared. Outpatient attendance was 374,475 in static-clinics, 5135 in tent-clinics and 13,473 through task-forces. 585 (62.90%) in-patients were hospitalized amongst 930 secondary-care referrals. Secondary-care bed-days were 2106 with average bed-occupancy being 77.78%. 495 patients were institutionalized in tertiary-care Saudi-Arabian hospitals. Infectious diseases were most commonly (53.26%) encountered due to overwhelming respiratory-infections, followed by trauma (24.40%). Analgesics (66.38/100 patients) and antibacterials (48.34/100 patients) were frequently prescribed. Crude mortality amongst Indian pilgrims was 11.99/10,000. Risk-factors associated with high morbidity were old-age and pre-existing comorbidities. Overwhelming surge of patients facilitates transmission of communicable infections and leads to stress induced physical, mental and compassion fatigue amongst healthcare personnel. Respiratory infections are highly prevalent and easily transmissible during Hajj leading to significant morbidity, increased burden to existing health facilities, overwhelming costs on health systems and globalization of multiresistant pathogens. Diabetic patients should avoid heat exposure and use protective footwear during Hajj rituals. Mass-gathering medicine at Hajj can be optimized by improving patient knowledge on performing Hajj at a younger age, medicine compliance, avoiding self-medication, self-monitoring of hypertension, blood glucose, and preventive health measures

  19. The consequences upon patient care of moving Brits Hospital: A ...

    African Journals Online (AJOL)

    Background. In 2001, North West Province took the decision to increase bed capacity at Brits Hospital from 66 beds to 267 beds. After careful consideration of costs and an assessment of available land, it was decided to demolish the existing hospital and rebuild the new hospital on the same site. It was planned that during ...

  20. Cobalamin and folate status predicts mental development scores in North Indian children 12-18 mo of age.

    Science.gov (United States)

    Strand, Tor A; Taneja, Sunita; Ueland, Per M; Refsum, Helga; Bahl, Rajiv; Schneede, Joern; Sommerfelt, Halvor; Bhandari, Nita

    2013-02-01

    Micronutrient deficiencies can affect cognitive function. Many young children in low- and middle-income countries have inadequate cobalamin (vitamin B-12) status. The objective was to measure the association of plasma concentrations of folate, cobalamin, total homocysteine, and methylmalonic acid with cognitive performance at 2 occasions, 4 mo apart, in North Indian children aged 12-18 mo. Bayley Scales of Infant Development II were used to assess cognition. In multiple regression models adjusted for several potential confounders, we measured the association between biomarkers for folate and cobalamin status and psychomotor or mental development scores on the day of blood sampling and 4 mo thereafter. Each 2-fold increment in plasma cobalamin concentration was associated with a significant increment in the mental development index score of 1.3 (95% CI: 0.2, 2.4; P = 0.021). Furthermore, each 2-fold increment in homocysteine or methylmalonic acid concentration was associated with a decrement in mental development index score of 2.0 (95% CI: 0.5, 3.4; P = 0.007) or 1.1 (95% CI: 0.3, 1.8; P = 0.004) points, respectively. Plasma folate concentration was significantly and independently associated with mental development index scores only when children with poor cobalamin status were excluded, ie, in those who had cobalamin concentrations below the 25th percentile. None of these markers was associated with psychomotor scores in the multiple regression models. Cobalamin and folate status showed a statistically significant association with cognitive performance. Given the high prevalence of deficiencies in these nutrients, folate and cobalamin supplementation trials are required to measure any beneficial effect on cognition.

  1. Radioactive waste management in a hospital.

    Science.gov (United States)

    Khan, Shoukat; Syed, At; Ahmad, Reyaz; Rather, Tanveer A; Ajaz, M; Jan, Fa

    2010-01-01

    Most of the tertiary care hospitals use radioisotopes for diagnostic and therapeutic applications. Safe disposal of the radioactive waste is a vital component of the overall management of the hospital waste. An important objective in radioactive waste management is to ensure that the radiation exposure to an individual (Public, Radiation worker, Patient) and the environment does not exceed the prescribed safe limits. Disposal of Radioactive waste in public domain is undertaken in accordance with the Atomic Energy (Safe disposal of radioactive waste) rules of 1987 promulgated by the Indian Central Government Atomic Energy Act 1962. Any prospective plan of a hospital that intends using radioisotopes for diagnostic and therapeutic procedures needs to have sufficient infrastructural and manpower resources to keep its ambient radiation levels within specified safe limits. Regular monitoring of hospital area and radiation workers is mandatory to assess the quality of radiation safety. Records should be maintained to identify the quality and quantity of radioactive waste generated and the mode of its disposal. Radiation Safety officer plays a key role in the waste disposal operations.

  2. Radioactive Waste Management in A Hospital

    Science.gov (United States)

    Khan, Shoukat; Syed, AT; Ahmad, Reyaz; Rather, Tanveer A.; Ajaz, M; Jan, FA

    2010-01-01

    Most of the tertiary care hospitals use radioisotopes for diagnostic and therapeutic applications. Safe disposal of the radioactive waste is a vital component of the overall management of the hospital waste. An important objective in radioactive waste management is to ensure that the radiation exposure to an individual (Public, Radiation worker, Patient) and the environment does not exceed the prescribed safe limits. Disposal of Radioactive waste in public domain is undertaken in accordance with the Atomic Energy (Safe disposal of radioactive waste) rules of 1987 promulgated by the Indian Central Government Atomic Energy Act 1962. Any prospective plan of a hospital that intends using radioisotopes for diagnostic and therapeutic procedures needs to have sufficient infrastructural and manpower resources to keep its ambient radiation levels within specified safe limits. Regular monitoring of hospital area and radiation workers is mandatory to assess the quality of radiation safety. Records should be maintained to identify the quality and quantity of radioactive waste generated and the mode of its disposal. Radiation Safety officer plays a key role in the waste disposal operations. PMID:21475524

  3. Influence of matrix metalloproteinase gene polymorphisms in healthy North Indians compared to variations in other ethnic groups worldwide.

    Science.gov (United States)

    Srivastava, Priyanka; Kapoor, Rakesh; Mittal, Rama Devi

    2009-01-01

    Matrix metalloproteinases have a range of biological functions, including the liberation of cytokines and membrane-bound receptors, with roles in promotion of tumor invasion and angiogenesis. Several polymorphisms in MMPs have been implicated in the development of cancer as well as other diseases. Since their frequency distributions in the general North Indian population is not known the present study was conducted with the focus on MMP-1(-519) Aandgt; G, MMP-1(-1607) 1Gandgt; 2G, and MMP-7(-181) Aandgt; G gene polymorphisms. PCR-based analysis was conducted for 200 normal healthy individuals of similar ethnicity. Allelic frequencies in wild type of MMP-1(-519) Aandgt; G were 71.2% A; MMP-1(-1607) 1Gandgt; 2G 48.2% 1G; MMP-7(-181) Aandgt; G 60.7% A. The variant allele frequencies were 29% A in MMP-1(-519) Aandgt; G; 52% 2G in MMP-1(-1607) 1Gandgt; 2G; and 39.3% G in MMP-7(-181) Aandgt; G respectively. We further compared frequency distribution for these genes with various published studies in different ethnicity globally. Our results suggest that frequency in these MMP genes exhibit distinctive patterns in India that could perhaps be attributed to ethnic variation. This study is important as it can form a baseline for screening individuals who are at high risk when exposed to environmental carcinogens. More emphasis is needed on evaluating polymorphisms, alone or in combination, as modifiers of risk from relevant environmental/lifestyle exposures.

  4. Differential Heating in the Indian Ocean Differentially Modulates Precipitation in the Ganges and Brahmaputra Basins

    Directory of Open Access Journals (Sweden)

    Md Shahriar Pervez

    2016-10-01

    Full Text Available Indo-Pacific sea surface temperature dynamics play a prominent role in Asian summer monsoon variability. Two interactive climate modes of the Indo-Pacific—the El Niño/Southern Oscillation (ENSO and the Indian Ocean dipole mode—modulate the amount of precipitation over India, in addition to precipitation over Africa, Indonesia, and Australia. However, this modulation is not spatially uniform. The precipitation in southern India is strongly forced by the Indian Ocean dipole mode and ENSO. In contrast, across northern India, encompassing the Ganges and Brahmaputra basins, the climate mode influence on precipitation is much less. Understanding the forcing of precipitation in these river basins is vital for food security and ecosystem services for over half a billion people. Using 28 years of remote sensing observations, we demonstrate that (i the tropical west-east differential heating in the Indian Ocean influences the Ganges precipitation and (ii the north-south differential heating in the Indian Ocean influences the Brahmaputra precipitation. The El Niño phase induces warming in the warm pool of the Indian Ocean and exerts more influence on Ganges precipitation than Brahmaputra precipitation. The analyses indicate that both the magnitude and position of the sea surface temperature anomalies in the Indian Ocean are important drivers for precipitation dynamics that can be effectively summarized using two new indices, one tuned for each basin. These new indices have the potential to aid forecasting of drought and flooding, to contextualize land cover and land use change, and to assess the regional impacts of climate change.

  5. Differential heating in the Indian Ocean differentially modulates precipitation in the Ganges and Brahmaputra basins

    Science.gov (United States)

    Pervez, Md Shahriar; Henebry, Geoffrey M.

    2016-01-01

    Indo-Pacific sea surface temperature dynamics play a prominent role in Asian summer monsoon variability. Two interactive climate modes of the Indo-Pacific—the El Niño/Southern Oscillation (ENSO) and the Indian Ocean dipole mode—modulate the amount of precipitation over India, in addition to precipitation over Africa, Indonesia, and Australia. However, this modulation is not spatially uniform. The precipitation in southern India is strongly forced by the Indian Ocean dipole mode and ENSO. In contrast, across northern India, encompassing the Ganges and Brahmaputra basins, the climate mode influence on precipitation is much less. Understanding the forcing of precipitation in these river basins is vital for food security and ecosystem services for over half a billion people. Using 28 years of remote sensing observations, we demonstrate that (i) the tropical west-east differential heating in the Indian Ocean influences the Ganges precipitation and (ii) the north-south differential heating in the Indian Ocean influences the Brahmaputra precipitation. The El Niño phase induces warming in the warm pool of the Indian Ocean and exerts more influence on Ganges precipitation than Brahmaputra precipitation. The analyses indicate that both the magnitude and position of the sea surface temperature anomalies in the Indian Ocean are important drivers for precipitation dynamics that can be effectively summarized using two new indices, one tuned for each basin. These new indices have the potential to aid forecasting of drought and flooding, to contextualize land cover and land use change, and to assess the regional impacts of climate change.

  6. CMS penalizes 758 hospitals for safety incidents

    Directory of Open Access Journals (Sweden)

    Robbins RA

    2015-12-01

    Full Text Available No abstract available. Article truncated after 150 words. The Centers for Medicare and Medicaid Services (CMS is penalizing 758 hospitals with higher rates of patient safety incidents, and more than half of those were also fined last year, as reported by Kaiser Health News (1. Among the hospitals being financially punished are some well-known institutions, including Yale New Haven Hospital, Medstar Washington Hospital Center in DC, Grady Memorial Hospital, Northwestern Memorial Hospital in Chicago, Indiana University Health, Brigham and Womens Hospital, Tufts Medical Center, University of North Carolina Hospital, the Cleveland Clinic, Hospital of the University of Pennsylvania, Parkland Health and Hospital, and the University of Virginia Medical Center (Complete List of Hospitals Penalized 2016. In the Southwest the list includes Banner University Medical Center in Tucson, Ronald Reagan UCLA Medical Center, Stanford Health Care, Denver Health Medical Center and the University of New Mexico Medical Center (for list of Southwest hospitals see Appendix 1. In total, CMS ...

  7. 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.

  8. 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)

    D P Paneru

    2013-12-01

    Full Text Available BACKGROUND: Low Birth Weight is a multi-factorial problem of health and social concern Worldwide. India accounts for 40 percent of Low birth weight (LBW babies of the developing World and more than half of those in Asia. Despite the multitude of services rendered to improve maternal health care, LBW remains a public health problem in India. Objective: To determine bio-social predictors of low birth weight amongst the institutional births in North Karnataka, India. METHODS: A prospective hospital based study was conducted in Belgaum district of north Karnataka during July 2012-March 2013. A total of 426 pregnant women registered within 20 weeks of gestation during July–September 2013; eventually delivered in the same hospital were included in the study. Birth weight was measured by a digital weighing scale of 100 gram accuracy. Data were collected through individual interviews using pretested questionnaire. Data were analyzed by SPSS (16.0 Version. Descriptive statistics and multivariate regression were applied. P value < 0.05 considered significant. RESULTS: Mean age of subjects was 23.2254±3.09 years. About 96.7% were literates. Mean age at first pregnancy was 21.37±2.70 years. Low birth weight was observed amongst 22.5% new born (Mean weight: 2089.58±268.31gm. Almost 10.0% were preterm births. Paternal education and occupation, socio-economic status, religion, maternal blood group and gestation age at delivery were found to be the independent and significant bio-social factors predicting the low birth weight. About 68.0% variations in the birth weight were explained by these predictors. CONCLUSIONS: Low paternal education and occupation (farmers/laborers, low socio-economic status, maternal blood group (A is protective and prematurity were found to be independent bio-social predicators of LBW. Programme targeting paternal education may be useful and study of biological plausibility associated with the maternal blood group is

  9. Trends in Clinical Diagnoses of Rocky Mountain Spotted Fever among American Indians, 2001–2008

    Science.gov (United States)

    Folkema, Arianne M.; Holman, Robert C.; McQuiston, Jennifer H.; Cheek, James E.

    2012-01-01

    American Indians are at greater risk for Rocky Mountain spotted fever (RMSF) than the general U.S. population. The epidemiology of RMSF among American Indians was examined by using Indian Health Service inpatient and outpatient records with an RMSF International Classification of Diseases, Ninth Revision, Clinical Modification diagnosis. For 2001–2008, 958 American Indian patients with clinical diagnoses of RMSF were reported. The average annual RMSF incidence was 94.6 per 1,000,000 persons, with a significant increasing incidence trend from 24.2 in 2001 to 139.4 in 2008 (P = 0.006). Most (89%) RMSF hospital visits occurred in the Southern Plains and Southwest regions, where the average annual incidence rates were 277.2 and 49.4, respectively. Only the Southwest region had a significant increasing incidence trend (P = 0.005), likely linked to the emergence of brown dog ticks as an RMSF vector in eastern Arizona. It is important to continue monitoring RMSF infection to inform public health interventions that target RMSF reduction in high-risk populations. PMID:22232466

  10. Further blood genetic studies on Amazonian diversity--data from four Indian groups.

    Science.gov (United States)

    Callegari-Jacques, S M; Salzano, F M; Weimer, T A; Hutz, M H; Black, F L; Santos, S E; Guerreiro, J F; Mestriner, M A; Pandey, J P

    1994-01-01

    Information related to 31 protein genetic systems was obtained for 307 individuals affiliated with the Cinta Larga, Karitiana, Surui and Kararaô Indians of northern Brazil. In terms of genetic distances the Cinta Larga showed more similarities with the Karitiana (both are Tupi-speaking tribes), while at a more distant level the Surui clustered with the Kararaô. The latter, a Cayapo subgroup, showed a completely different genetic constitution from the other subgroups of this same tribe. Both the Kararaô and Karitiana are small, remnant populations, and their gene pools have presumably been severely affected by random and founder effects. These results were incorporated with those of 25 other Amazonian Indian tribes, and analysis by two multivariate techniques confirmed a previously observed geographical dichotomy, suggesting either that the Amazon river constitutes a barrier to north-south gene flow or that latitudinally different past migrations entered the region from the west.

  11. Retrospective assessment of the status and determinants of tuberculosis treatment outcome among patients treated in government hospitals in North Shoa Administrative Zone, Amhara Regional State, Ethiopia

    Directory of Open Access Journals (Sweden)

    Hailemeskel S

    2017-06-01

    Full Text Available Solomon Hailemeskel,1 Osman Yimer Mohammed,1 Abdurahman Mohammed Ahmed2 1Department of Midwifery, 2Department of Nursing, College of Health Sciences, Institute of Medicine and Health Science, Debre Berhan University, Debre Berhan, Ethiopia Background: One of the specific targets of Directly Observed Treatment, Short-course detailed in the updated Global Plan (2011–2015 was to achieve a treatment success rate of 87% by 2015. This strategy was introduced to Ethiopia in 1995 to reach full coverage in 2005; however, by 2009, treatment had not been as successful as expected.Objective: This study was conducted to determine treatment success rate and identify risk factors for tuberculosis (TB treatment outcomes in North Shoa Administrative Zone, Amhara Regional State, Ethiopia.Methods: A retrospective cohort study was conducted on all TB patients (739 who registered for TB treatment from September 1, 2012 to August 31, 2014 at public hospitals in North Shoa Administrative Zone, Ethiopia. Data were gathered by using a pretested structured medical record checklist. Four data collectors and two supervisors were involved in gathering the data. The data were analyzed using descriptive statistics and logistic regression and were entered into Epi Info and analyzed by using the SPSS software package version 20.Results: This study revealed that the TB treatment success rate was 86.1% (169 [22.9%] cured and 467 [63.2%] completed. In addition, 22 (3% of the study participants defaulted their treatment of which 19 (86.4% withdrew during the intensive phase. The multiple logistic regression model revealed that the study year of treatment, sputum smear positivity at the second-month follow-up, history of treatment default, and subsequent hospitalization were significantly associated with the TB treatment outcome.Conclusion: The TB treatment success rate in the study area was low compared to that estimated by World Health Organization to achieve by 2015. Therefore

  12. 137Cs, 239+24Pu and 24Pu/239Pu atom ratios in the surface waters of the western North Pacific Ocean, eastern Indian Ocean and their adjacent seas

    International Nuclear Information System (INIS)

    Yamada, Masatoshi; Zheng Jian; Wang Zhongliang

    2006-01-01

    Surface seawater samples were collected along the track of the R/V Hakuho-Maru cruise (KH-96-5) from Tokyo to the Southern Ocean. The 137 Cs activities were determined for the surface waters in the western North Pacific Ocean, the Sulu and Indonesian Seas, the eastern Indian Ocean, the Bay of Bengal, the Andaman Sea, and the South China Sea. The 137 Cs activities showed a wide variation with values ranging from 1.1 Bq m -3 in the Antarctic Circumpolar Region of the Southern Ocean to 3 Bq m -3 in the western North Pacific Ocean and the South China Sea. The latitudinal distributions of 137 Cs activity were not reflective of that of the integrated deposition density of atmospheric global fallout. The removal rates of 137 Cs from the surface waters were roughly estimated from the two data sets of Miyake et al. [Miyake Y, Saruhashi K, Sugimura Y, Kanazawa T, Hirose K. Contents of 137 Cs, plutonium and americium isotopes in the Southern Ocean waters. Pap Meteorol Geophys 1988;39:95-113] and this study to be 0.016 yr -1 in the Sulu and Indonesian Seas, 0.033 yr -1 in the Bay of Bengal and Andaman Sea, and 0.029 yr -1 in the South China Sea. These values were much lower than that in the coastal surface water of the western Northwest Pacific Ocean. This was likely due to less horizontal and vertical mixing of water masses and less scavenging. 239+24 Pu activities and 24 Pu/ 239 Pu atom ratios were also determined for the surface waters in the western North Pacific Ocean, the Sulu and Indonesian Seas and the South China Sea. The 24 Pu / 239 Pu atom ratios ranged from 0.199 ± 0.026 to 0.248 ± 0.027 on average, and were significantly higher than the global stratospheric fallout ratio of 0.18. The contributions of the North Pacific Proving Grounds close-in fallout Pu were estimated to be 20% for the western North Pacific Ocean, 39% for the Sulu and Indonesian Seas and 42% for the South China Sea by using the two end-member mixing model. The higher 24 Pu / 239 Pu atom ratios

  13. Commentary on "The Effects of Musical Fit On Choice Between Competing Pairs of Cultural Products" by Joanne P.S. Yeoh & Adrian C. North

    Directory of Open Access Journals (Sweden)

    Warren Brodsky

    2010-01-01

    Full Text Available Yeoh and North (2009 believe their findings are a clear indication that musical fit can influence product choice among a non-Western sample; pieces of Indian and Malay music primed the selection of one corresponding type of product over another, while when there was no music played the choices indicated no reliable preference for either Indian or Malay items. However, a closer look at their methods of sampling, stimuli, procedures, and results, makes it clear that these conclusions are unfounded.

  14. 75 FR 61511 - Indian Gaming

    Science.gov (United States)

    2010-10-05

    ... DEPARTMENT OF THE INTERIOR Bureau of Indian Affairs Indian Gaming AGENCY: Bureau of Indian Affairs.... FOR FURTHER INFORMATION CONTACT: Paula L. Hart, Director, Office of Indian Gaming, Office of the.... SUPPLEMENTARY INFORMATION: Under section 11 of the Indian Gaming Regulatory Act of 1988 (IGRA), Public Law 100...

  15. 75 FR 38834 - Indian Gaming

    Science.gov (United States)

    2010-07-06

    ... DEPARTMENT OF THE INTERIOR Bureau of Indian Affairs Indian Gaming AGENCY: Bureau of Indian Affairs...: July 6, 2010. FOR FURTHER INFORMATION CONTACT: Paula L. Hart, Director, Office of Indian Gaming, Office...-4066. SUPPLEMENTARY INFORMATION: Under Section 11 of the Indian Gaming Regulatory Act of 1988 (IGRA...

  16. Sadhana | Indian Academy of Sciences

    Indian Academy of Sciences (India)

    Editorial Board. Sadhana. Editor. N Viswanadham, Indian Institute of Science, Bengaluru. Senior Associate Editors. Arakeri J H, Indian Institute of Science, Bengaluru Hari K V S, Indian Institute of Science, Bengaluru Mujumdar P P, Indian Institute of Science, Bengaluru Manoj Kumar Tiwari, Indian Institute of Technology, ...

  17. Multi-decadal modulation of the El Nino-Indian monsoon relationship by Indian Ocean variability

    International Nuclear Information System (INIS)

    Ummenhofer, Caroline C; Sen Gupta, Alexander; Li Yue; Taschetto, Andrea S; England, Matthew H

    2011-01-01

    The role of leading modes of Indo-Pacific climate variability is investigated for modulation of the strength of the Indian summer monsoon during the period 1877-2006. In particular, the effect of Indian Ocean conditions on the relationship between the El Nino-Southern Oscillation (ENSO) and the Indian monsoon is explored. Using an extended classification for ENSO and Indian Ocean dipole (IOD) events for the past 130 years and reanalyses, we have expanded previous interannual work to show that variations in Indian Ocean conditions modulate the ENSO-Indian monsoon relationship also on decadal timescales. El Nino events are frequently accompanied by a significantly reduced Indian monsoon and widespread drought conditions due to anomalous subsidence associated with a shift in the descending branch of the zonal Walker circulation. However, for El Nino events that co-occur with positive IOD (pIOD) events, Indian Ocean conditions act to counter El Nino's drought-inducing subsidence by enhancing moisture convergence over the Indian subcontinent, with an average monsoon season resulting. Decadal modulations of the frequency of independent and combined El Nino and pIOD events are consistent with a strengthened El Nino-Indian monsoon relationship observed at the start of the 20th century and the apparent recent weakening of the El Nino-Indian monsoon relationship.

  18. Multi-decadal modulation of the El Nino-Indian monsoon relationship by Indian Ocean variability

    Energy Technology Data Exchange (ETDEWEB)

    Ummenhofer, Caroline C; Sen Gupta, Alexander; Li Yue; Taschetto, Andrea S; England, Matthew H, E-mail: c.ummenhofer@unsw.edu.au [Climate Change Research Centre, University of New South Wales, Sydney (Australia)

    2011-07-15

    The role of leading modes of Indo-Pacific climate variability is investigated for modulation of the strength of the Indian summer monsoon during the period 1877-2006. In particular, the effect of Indian Ocean conditions on the relationship between the El Nino-Southern Oscillation (ENSO) and the Indian monsoon is explored. Using an extended classification for ENSO and Indian Ocean dipole (IOD) events for the past 130 years and reanalyses, we have expanded previous interannual work to show that variations in Indian Ocean conditions modulate the ENSO-Indian monsoon relationship also on decadal timescales. El Nino events are frequently accompanied by a significantly reduced Indian monsoon and widespread drought conditions due to anomalous subsidence associated with a shift in the descending branch of the zonal Walker circulation. However, for El Nino events that co-occur with positive IOD (pIOD) events, Indian Ocean conditions act to counter El Nino's drought-inducing subsidence by enhancing moisture convergence over the Indian subcontinent, with an average monsoon season resulting. Decadal modulations of the frequency of independent and combined El Nino and pIOD events are consistent with a strengthened El Nino-Indian monsoon relationship observed at the start of the 20th century and the apparent recent weakening of the El Nino-Indian monsoon relationship.

  19. Hospital mergers: a panacea?

    Science.gov (United States)

    Weil, Thomas

    2010-10-01

    Hospital mergers in Europe and North America have been launched to scale down expenditure, enhance the delivery of health care and elevate quality. However, the outcome of mergers suggest that they neither generated cost savings nor improved the quality of care. Almost all consolidations fall short, since those in leadership positions lack the necessary understanding and appreciation of the differences in culture, values and goals of the existing facilities. In spite of these shortcomings, hospital mergers will continue to be pursued in order to improve market share, eliminate excess capacity, gain access to capital and enhance the personal egos of the organizations' leaders.

  20. Evidence for validity of five secondary data sources for enumerating retail food outlets in seven American Indian Communities in North Carolina

    Science.gov (United States)

    2012-01-01

    Background Most studies on the local food environment have used secondary sources to describe the food environment, such as government food registries or commercial listings (e.g., Reference USA). Most of the studies exploring evidence for validity of secondary retail food data have used on-site verification and have not conducted analysis by data source (e.g., sensitivity of Reference USA) or by food outlet type (e.g., sensitivity of Reference USA for convenience stores). Few studies have explored the food environment in American Indian communities. To advance the science on measuring the food environment, we conducted direct, on-site observations of a wide range of food outlets in multiple American Indian communities, without a list guiding the field observations, and then compared our findings to several types of secondary data. Methods Food outlets located within seven State Designated Tribal Statistical Areas in North Carolina (NC) were gathered from online Yellow Pages, Reference USA, Dun & Bradstreet, local health departments, and the NC Department of Agriculture and Consumer Services. All TIGER/Line 2009 roads (>1,500 miles) were driven in six of the more rural tribal areas and, for the largest tribe, all roads in two of its cities were driven. Sensitivity, positive predictive value, concordance, and kappa statistics were calculated to compare secondary data sources to primary data. Results 699 food outlets were identified during primary data collection. Match rate for primary data and secondary data differed by type of food outlet observed, with the highest match rates found for grocery stores (97%), general merchandise stores (96%), and restaurants (91%). Reference USA exhibited almost perfect sensitivity (0.89). Local health department data had substantial sensitivity (0.66) and was almost perfect when focusing only on restaurants (0.91). Positive predictive value was substantial for Reference USA (0.67) and moderate for local health department data (0

  1. 76 FR 42722 - Indian Gaming

    Science.gov (United States)

    2011-07-19

    ... DEPARTMENT OF THE INTERIOR Bureau of Indian Affairs Indian Gaming AGENCY: Bureau of Indian Affairs... Date: July 19, 2011. FOR FURTHER INFORMATION CONTACT: Paula L. Hart, Director, Office of Indian Gaming... INFORMATION: Under section 11 of the Indian Gaming Regulatory Act of 1988 (IGRA), Public Law 100-497, 25 U.S.C...

  2. Deciphering Detailed Plate Kinematics of the Indian Ocean: A Combined Indian-Australian-French Initiative

    Science.gov (United States)

    Vadakkeyakath, Y.; Müller, R.; Dyment, J.; Bhattacharya, G.; Lister, G. S.; Kattoju, K. R.; Whittaker, J.; Shuhail, M.; Gibbons, A.; Jacob, J.; White, L. T.; Bissessur, P. D.; Kiranmai, S.

    2012-12-01

    The Indian Ocean formed as a result of the fragmentation and dispersal of East Gondwanaland since the Jurassic. The deep ocean basins in the Indian Ocean contain the imprints of this plate tectonic history, which is related with several major events such as the Kerguelen, Marion and Reunion hotspot inception and the Indo-Eurasian collision. A broad model for evolution of the Indian Ocean was proposed in the early 1980s. Subsequently, French scientists collected a large amount of magnetic data from the western and southern parts of the Indian Ocean while Indian and Australian scientists collected considerable volumes of magnetic data from the regions of Indian Ocean around their mainlands. Using these data, the Indian, French and Australian researchers independently carried out investigations over different parts of the Indian Ocean and provided improved models of plate kinematics at different sectoral plate boundaries. Under two Indo-French collaborative projects, detailed magnetic investigations were carried out in the Northwestern and Central Indian Ocean by combining the available magnetic data from conjugate regions. Those projects were complemented by additional area-specific studies in the Mascarene, Wharton, Laxmi and Gop basins, which are characterized by extinct spreading regimes. These Indo-French projects provided high resolution and improved plate tectonic models for the evolution of the conjugate Arabian and Eastern Somali basins that constrain the relative motion between the Indian-African (now Indian-Somalian) plate boundaries, and the conjugate Central Indian, Crozet and Madagascar basins that mainly constrain the relative motions of Indian-African (now Capricorn-Somalian) and Indian-Antarctic (now Capricorn-Antarctic) plate boundaries. During the same period, Australian scientists carried out investigations in the southeastern part of the Indian Ocean and provided an improved understanding of the plate tectonic evolution of the Indian

  3. National Atlas, Indian tribes, cultures & languages

    Science.gov (United States)

    Sturtevant, William C.

    1967-01-01

    Tribal distributions depicted on these maps (and on all other tribal maps covering a comparable area) are arbitrary at many points. Detailed knowledge of tribal areas was acquired at different times in different regions. For example, by the time knowledge was gained of the areas occupied by Plains tribes, many groups in the East had become extinct or had moved from their aboriginal locations. Some of these movements ultimately affected distributions on the Plains prior to reasonably detailed knowledge of Plains occupancy. Hence, it is not possible to approximate aboriginal areas of occupancy on a single map of continental scope. Furthermore, most groups did not occupy sharply defined areas, so that the delineation of territories is misleading.Distributions were derived, with slight modifications, from Indian tribes of North America (Driver and others, 1953), and boundaries within California were simplified after Languages, territories, and names of California Indian tribes (Heizer, 1966). According to the authors of these publications, the boundaries shown are those of the mid-17th century in the Southeast and the eastern part of the Northeast, the late 17th and early 18th centuries farther west in the Northeast, the late 18th and early 19th centuries in the Plains, the late 18th century in California, and the middle-to-late 19th century elsewhere. Even so, many compromises had to be made.

  4. Stepped approach for prediction of syndrome Z in patients attending sleep clinic: a north Indian hospital-based study.

    Science.gov (United States)

    Agrawal, Swastik; Sharma, Surendra Kumar; Sreenivas, Vishnubhatla; Lakshmy, Ramakrishnan; Mishra, Hemant K

    2012-09-01

    Syndrome Z is the occurrence of metabolic syndrome (MS) with obstructive sleep apnea. Knowledge of its risk factors is useful to screen patients requiring further evaluation for syndrome Z. Consecutive patients referred from sleep clinic undergoing polysomnography in the Sleep Laboratory of AIIMS Hospital, New Delhi were screened between June 2008 and May 2010, and 227 patients were recruited. Anthropometry, body composition analysis, blood pressure, fasting blood sugar, and lipid profile were measured. MS was defined using the National Cholesterol Education Program (adult treatment panel III) criteria, with Asian cutoff values for abdominal obesity. Prevalence of MS and syndrome Z was 74% and 65%, respectively. Age, percent body fat, excessive daytime sleepiness (EDS), and ΔSaO(2) (defined as difference between baseline and minimum SaO(2) during polysomnography) were independently associated with syndrome Z. Using a cutoff of 15% for level of desaturation, the stepped predictive score using these risk factors had sensitivity, specificity, positive predictive value, and negative predictive value of 75%, 73%, 84%, and 61%, respectively for the diagnosis of syndrome Z. It correctly characterized presence of syndrome Z 75% of the time and obviated need for detailed evaluation in 42% of the screened subjects. A large proportion of patients presenting to sleep clinics have MS and syndrome Z. Age, percent body fat, EDS, and ΔSaO(2) are independent risk factors for syndrome Z. A stepped predictive score using these parameters is cost-effective and useful in diagnosing syndrome Z in resource-limited settings.

  5. Trends in Out-of-Hospital Births in the United States, 1990-2012

    Science.gov (United States)

    ... to American Indian women, and 0.54% to Asian or Pacific Islander women. In 2012, out-of-hospital births comprised 3%– ... the United States choose home birth. J Midwifery Womens Health 54(2):119–26. 2009. Health Management Associates. Midwifery licensure and discipline program in Washington ...

  6. Restricted genetic variation in populations of Achatina (Lissachatina) fulica outside of East Africa and the Indian Ocean Islands points to the Indian Ocean Islands as the earliest known common source.

    Science.gov (United States)

    Fontanilla, Ian Kendrich C; Sta Maria, Inna Mikaella P; Garcia, James Rainier M; Ghate, Hemant; Naggs, Fred; Wade, Christopher M

    2014-01-01

    The Giant African Land Snail, Achatina ( =  Lissachatina) fulica Bowdich, 1822, is a tropical crop pest species with a widespread distribution across East Africa, the Indian subcontinent, Southeast Asia, the Pacific, the Caribbean, and North and South America. Its current distribution is attributed primarily to the introduction of the snail to new areas by Man within the last 200 years. This study determined the extent of genetic diversity in global A. fulica populations using the mitochondrial 16S ribosomal RNA gene. A total of 560 individuals were evaluated from 39 global populations obtained from 26 territories. Results reveal 18 distinct A. fulica haplotypes; 14 are found in East Africa and the Indian Ocean islands, but only two haplotypes from the Indian Ocean islands emerged from this region, the C haplotype, now distributed across the tropics, and the D haplotype in Ecuador and Bolivia. Haplotype E from the Philippines, F from New Caledonia and Barbados, O from India and Q from Ecuador are variants of the emergent C haplotype. For the non-native populations, the lack of genetic variation points to founder effects due to the lack of multiple introductions from the native range. Our current data could only point with certainty to the Indian Ocean islands as the earliest known common source of A. fulica across the globe, which necessitates further sampling in East Africa to determine the source populations of the emergent haplotypes.

  7. Restricted genetic variation in populations of Achatina (Lissachatina fulica outside of East Africa and the Indian Ocean Islands points to the Indian Ocean Islands as the earliest known common source.

    Directory of Open Access Journals (Sweden)

    Ian Kendrich C Fontanilla

    Full Text Available The Giant African Land Snail, Achatina ( =  Lissachatina fulica Bowdich, 1822, is a tropical crop pest species with a widespread distribution across East Africa, the Indian subcontinent, Southeast Asia, the Pacific, the Caribbean, and North and South America. Its current distribution is attributed primarily to the introduction of the snail to new areas by Man within the last 200 years. This study determined the extent of genetic diversity in global A. fulica populations using the mitochondrial 16S ribosomal RNA gene. A total of 560 individuals were evaluated from 39 global populations obtained from 26 territories. Results reveal 18 distinct A. fulica haplotypes; 14 are found in East Africa and the Indian Ocean islands, but only two haplotypes from the Indian Ocean islands emerged from this region, the C haplotype, now distributed across the tropics, and the D haplotype in Ecuador and Bolivia. Haplotype E from the Philippines, F from New Caledonia and Barbados, O from India and Q from Ecuador are variants of the emergent C haplotype. For the non-native populations, the lack of genetic variation points to founder effects due to the lack of multiple introductions from the native range. Our current data could only point with certainty to the Indian Ocean islands as the earliest known common source of A. fulica across the globe, which necessitates further sampling in East Africa to determine the source populations of the emergent haplotypes.

  8. The Living Indian Critical Tradition

    Directory of Open Access Journals (Sweden)

    Vivek Kumar Dwivedi

    2010-11-01

    Full Text Available This paper attempts to establish the identity of something that is often considered to be missing – a living Indian critical tradition. I refer to the tradition that arises out of the work of those Indians who write in English. The chief architects of this tradition are Sri Aurobindo, C.D. Narasimhaiah, Gayatri Chakravorty Spivak and Homi K. Bhabha. It is possible to believe that Indian literary theories derive almost solely from ancient Sanskrit poetics. Or, alternatively, one can be concerned about the sad state of affairs regarding Indian literary theories or criticism in English. There have been scholars who have raised the question of the pathetic state of Indian scholarship in English and have even come up with some positive suggestions. But these scholars are those who are ignorant about the living Indian critical tradition. The significance of the Indian critical tradition lies in the fact that it provides the real focus to the Indian critical scene. Without an awareness of this tradition Indian literary scholarship (which is quite a different thing from Indian literary criticism and theory as it does not have the same impact as the latter two do can easily fail to see who the real Indian literary critics and theorists are.

  9. Hereditary polymorphic light eruption of American Indians: occurrence in non-Indians with polymorphic light eruption.

    Science.gov (United States)

    Fusaro, R M; Johnson, J A

    1996-04-01

    Hereditary polymorphic light eruption (HPLE) occurs unique ly in the American Indian and Inuit and exhibits autosomal dominant transmission. Because the cutaneous expression of HPLE resembles that of polymorphic light eruption (PLE) and because many non-Indians in the United States have American Indian heritage, some instances of PLE may actually be HPLE. Our purpose was to determine whether non-Indian patients with PLE have characteristics suggestive of HPLE. We surveyed in Nebraska 25 European-Caucasian and 36 African-American patients with PLE for American Indian heritage and photosensitive relatives. Nonphotosensitive subjects (52 Caucasians and 40 African Americans) were surveyed for American Indian heritage. American Indian heritage occurred in 11 Caucasian patients (44%); of those, seven (64%) had photosensitive relatives. Likewise, 29 African Americans (81%) had American Indian heritage; 19 (66%) of those had photosensitive relatives. American Indian heritage occurred in 10 Caucasian control subjects (19%) and in 34 African-American control subjects (85%). If American Indian heritage and a family history of photosensitivity are definitive for HPLE, seven (28%) of our Caucasian patients and 19 (53%) of our African-American patients have HPLE rather than PLE. We urge physicians who suspect PLE in non-Indians to ask about American Indian heritage and photosensitive relatives and to screen their present patients with PLE for such characteristics.

  10. Epidemiology of MRSA: the North/South study of MRSA in Ireland 1999.

    LENUS (Irish Health Repository)

    McDonald, P

    2003-06-01

    The North\\/South Study of methicillin-resistant Staphylococcus aureus (MRSA) in Ireland, 1999, includes a joint review of the epidemiology of MRSA across both jurisdictions on the island of Ireland. Data were gathered on all MRSA cases identified in laboratories in Northern Ireland (the North) and in the Republic of Ireland (the South) over a two-week period. The prevalence rate per 100000 population was 11.4 in the North and 14.0 in the South, with a marked variation across geographical regions. MRSA cases were located throughout hospitals and the community, were slightly more common in males than females, and occurred in all age groups, especially in the elderly. The majority of cases were inpatients in acute hospitals and were distributed across all types of wards. Most cases were colonized with MRSA but 5% of cases in the North and 10% in the South had invasive infection. Invasive infection was associated with intravascular lines and invasive procedures\\/surgery. Continuous surveillance is recommended to monitor the epidemiology of MRSA and the effectiveness of control measures.

  11. What do we know about chronic kidney disease in India: first report of the Indian CKD registry

    Directory of Open Access Journals (Sweden)

    Rajapurkar Mohan M

    2012-03-01

    Full Text Available Abstract Background There are no national data on the magnitude and pattern of chronic kidney disease (CKD in India. The Indian CKD Registry documents the demographics, etiological spectrum, practice patterns, variations and special characteristics. Methods Data was collected for this cross-sectional study in a standardized format according to predetermined criteria. Of the 52,273 adult patients, 35.5%, 27.9%, 25.6% and 11% patients came from South, North, West and East zones respectively. Results The mean age was 50.1 ± 14.6 years, with M:F ratio of 70:30. Patients from North Zone were younger and those from the East Zone older. Diabetic nephropathy was the commonest cause (31%, followed by CKD of undetermined etiology (16%, chronic glomerulonephritis (14% and hypertensive nephrosclerosis (13%. About 48% cases presented in Stage V; they were younger than those in Stages III-IV. Diabetic nephropathy patients were older, more likely to present in earlier stages of CKD and had a higher frequency of males; whereas those with CKD of unexplained etiology were younger, had more females and more frequently presented in Stage V. Patients in lower income groups had more advanced CKD at presentation. Patients presenting to public sector hospitals were poorer, younger, and more frequently had CKD of unknown etiology. Conclusions This report confirms the emergence of diabetic nephropathy as the pre-eminent cause in India. Patients with CKD of unknown etiology are younger, poorer and more likely to present with advanced CKD. There were some geographic variations.

  12. 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.

  13. Preparation and Consumer Acceptance of Indian Mango Leather and Osmo - Dehyrated Indian Mango

    Directory of Open Access Journals (Sweden)

    Cyril John A. Domingo

    2017-05-01

    Full Text Available Indian mangoes are considered highly perishable products due to high moisture content which resulted in high postharvest losses in Pangasinan, Philippines. This study exploits the potential of underutilized indian mango to value - added products. The developed i ndian mango leather and osmo - dehyrated indian mango are deh ydrated fruit products can be eaten as snacks or desserts. Indian mango leathe r was prepared by mixing fruit puree and other additives like sugar, citric acid, and sodium met abisulphite and then dehydrated them at 55 °C for 15 hours under convective oven. Osmo - dehydrated indian mang o was prepared by immer sing h alves of deseeded and deskinned pulps in 50 % (w/w sucrose solution for 20 hours f ollowed by drying initially at 50 °C then aft er one hour at 60 °C for 15 hours. Thirty - three member untrained panels were involved in consumer a ccep tance evaluation . Panelists evaluated the colo r, sweetness, sourness, texture, and overall acceptability of the osmotically - treated indian mango and indian mango leather using seven - point h edonic scale . Over - all, the indian mango leather and osmo - dehy drated indian mango developed in this study seemed to be acceptable for all the sensory parameters as indicated by high scores of greater than five (>5 .

  14. The Regional Asthma Disease Management Program (RADMP) for low income underserved children in rural western North Carolina: a National Asthma Control Initiative Demonstration Project.

    Science.gov (United States)

    Shuler, Melinda S; Yeatts, Karin B; Russell, Donald W; Trees, Amy S; Sutherland, Susan E

    2015-01-01

    A substantial proportion of low-income children with asthma living in rural western North Carolina have suboptimal asthma management. To address the needs of these underserved children, we developed and implemented the Regional Asthma Disease Management Program (RADMP); RADMP was selected as one of 13 demonstration projects for the National Asthma Control Initiative (NACI). This observational intervention was conducted from 2009 to 2011 in 20 rural counties and the Eastern Band Cherokee Indian Reservation in western North Carolina. Community and individual intervention components included asthma education in-services and environmental assessments/remediation. The individual intervention also included clinical assessment and management. Environmental remediation was conducted in 13 childcare facilities and 50 homes; over 259 administrative staff received asthma education. Fifty children with mild to severe persistent asthma were followed for up to 2 years; 76% were enrolled in Medicaid. From 12-month pre-intervention to 12-month post-intervention, the total number of asthma-related emergency department (ED) visits decreased from 158 to 4 and hospital admissions from 62 to 1 (p < 0.0001). From baseline to intervention completion, lung function FVC, FEV1, FEF 25-75 increased by 7.2%, 13.2% and 21.1%, respectively (all p < 0.001), and average school absences dropped from 17 to 8.8 days. Healthcare cost avoided 12 months post-intervention were approximately $882,021. The RADMP program resulted in decreased ED visits, hospitalizations, school absences and improved lung function and eNO. This was the first NACI demonstration project to show substantial improvements in healthcare utilization and clinical outcomes among rural asthmatic children.

  15. Partial Hospitalization Programs: A Current Perspective.

    Science.gov (United States)

    Whitelaw, Carolyn A.; Perez, Edgardo L.

    1987-01-01

    Reviews the historical background, standards, the issue of day treatment versus day care, functional issues, specialization, efficacy and cost effectiveness, utilization issues, and alternative models of care of partial hospitalization programs in North America. Emphasizes issues of relevance when planning alternative programs to inpatient…

  16. American Indian Men's Perceptions of Breast Cancer Screening for American Indian Women.

    Science.gov (United States)

    Filippi, Melissa K; Pacheco, Joseph; James, Aimee S; Brown, Travis; Ndikum-Moffor, Florence; Choi, Won S; Greiner, K Allen; Daley, Christine M

    2014-01-01

    Screening, especially screening mammography, is vital for decreasing breast cancer incidence and mortality. Screening rates in American Indian women are low compared to other racial/ethnic groups. In addition, American Indian women are diagnosed at more advanced stages and have lower 5-year survival rate than others. To better address the screening rates of American Indian women, focus groups (N=8) were conducted with American Indian men (N=42) to explore their perceptions of breast cancer screening for American Indian women. Our intent was to understand men's support level toward screening. Using a community-based participatory approach, focus groups were audio-taped, transcribed verbatim, and analyzed using a text analysis approach developed by our team. Topics discussed included breast cancer and screening knowledge, barriers to screening, and suggestions to improve screening rates. These findings can guide strategies to improve knowledge and awareness, communication among families and health care providers, and screening rates in American Indian communities.

  17. Measurements within the Pacific-Indian oceans throughflow region

    Science.gov (United States)

    Fieux, M.; Andrié, C.; Delecluse, P.; Ilahude, A. G.; Kartavtseff, A.; Mantisi, F.; Molcard, R.; Swallow, J. C.

    1994-07-01

    Two hydrographic (θ, S, O 2) and trichlorofluoromethane (F-11) sections were carried out between the Australian continental shelf and Indonesia, in August 1989, on board the R.V. Marion Dufresne. The sections lie in the easternmost part of the Indian Ocean where the throughflow between the Pacific Ocean and the Indian Ocean emerges. They allow us to describe the features of the water-property and circulation fields of the throughflow at its entrance in the Indian Ocean. Between the Australian continental shelf and Bali, the Subtropical and Central waters are separated from the waters of the Indonesian seas by a sharp hydrological front, located around 13°30 S, below the thermocline down to 700 m. Near the coast of Bali, upwelling occurs in the near-surface layer under the effect of the southeast monsoon; at depth, between 300 m to more than 800 m, a water mass of northern Indian Ocean origin was present. From the characteristics of the bottom water found in the Lombok basin, the maximum depth of the Java ridge which separates the Lombok basin from the Northwest Australian basin lies around 3650 m. Off Sumba, Savu, Roti and Timor channels a core of low salinity and high oxygen content near-surface water was found in the axis of each channel, which suggests strong currents from the interior Indonesian seas towards the Indian Ocean. The entrance of the deep water flowing in the opposite direction, from the Indian Ocean to the Timor basin, was marked below 1400 m to the sill depth, through an increase of salinity and oxygen content. The flow reversal, observed briefly by a Pegasus direct current profiler in the Timor strait, was located at 1200 m depth. During the southeast monsoon, the net (geostrophic + Ekman) transport calculated on the section Australia-Bali give an estimate of the throughflow between 0 and 500 m of 22 ± 4 × 10 6 m 3 s -1 towards the Indian Ocean, with a concentration of the transport in the upper layers (19 × 10 6 m 3 s -1 in 0-200 m) and

  18. Tropical Indo-Pacific hydroclimate response to North Atlantic forcing during the last deglaciation as recorded by a speleothem from Sumatra, Indonesia

    Science.gov (United States)

    Wurtzel, Jennifer B.; Abram, Nerilie J.; Lewis, Sophie C.; Bajo, Petra; Hellstrom, John C.; Troitzsch, Ulrike; Heslop, David

    2018-06-01

    Abrupt changes in Atlantic Meridional Overturning Circulation are known to have affected the strength of the Indian and Asian Monsoons during glacial and deglacial climate states. However, there is still much uncertainty around the hydroclimate response of the Indo-Pacific Warm Pool (IPWP) region to abrupt climate changes in the North Atlantic. Many studies suggest a mean southward shift in the intertropical convergence zone (ITCZ) in the IPWP region during phases of reduced Atlantic meridional overturning, however, existing proxies have seasonal biases and conflicting responses, making it difficult to determine the true extent of North Atlantic forcing in this climatically important region. Here we present a precisely-dated, high-resolution record of eastern Indian Ocean hydroclimate variability spanning the last 16 ky (thousand years) from δ18O measurements in an aragonite-calcite speleothem from central Sumatra. This represents the western-most speleothem record from the IPWP region. Precipitation arrives year-round at this site, with the majority sourced from the local tropical eastern Indian Ocean and two additional long-range seasonal sources associated with the boreal and austral summer monsoons. The Sumatran speleothem demonstrates a clear deglacial structure that includes 18O enrichment during the Younger Dryas and 18O depletion during the Bølling-Allerød, similar to the pattern seen in speleothems of the Asian and Indian monsoon realms. The speleothem δ18O changes at this site are best explained by changes in rainfall amount and changes in the contributions from different moisture pathways. Reduced rainfall in Sumatra during the Younger Dryas is most likely driven by reductions in moisture transport along the northern or southern monsoon transport pathways to Sumatra. Considered with other regional proxies, the record from Sumatra suggests the response of the IPWP to North Atlantic freshwater forcing is not solely driven by southward shifts of the

  19. Petrogenesis and tectonic association of rift-related basic Panjal dykes from the northern Indian plate, North-Western Pakistan: evidence of high-Ti basalts analogous to dykes from Tibet

    Science.gov (United States)

    Sajid, Muhammad; Andersen, Jens; Arif, Mohammad

    2018-06-01

    Rift related magmatism during Permian time in the northern margin of Indian plate is represented by basic dykes in several Himalayan terranes including north western Pakistan. The field relations, mineralogy and whole rock geochemistry of these basic dykes reveal significant textural, mineralogical and chemical variation between two major types (a) dolerite and (b) amphibolite. Intra-plate tectonic settings for both rock types have been interpreted on the basis of low Zr/Nb ratios (evolution of dolerites, which also show depletion in rare earth elements (REEs) and other incompatible elements compared to the amphibolites. The equilibrium partial melting models from primitive mantle using Dy/Yb, La/Yb, Sm/Yb and La/Sm ratios show that amphibolite formed by smaller degrees (< 5%) of partial melting than the dolerites (< 10%). The trace elements ratios suggest the origination of dolerites from the subcontinental lithospheric mantle with some crustal contamination. This is consistent with a petrogenetic relationship with Panjal trap magmatism, reported from Kashmir and other parts of north western India. The amphibolites, in contrast, show affinity towards Ocean Island basalts (OIB) with a relatively deep asthenospheric mantle source and minimal crustal contribution and are geochemically similar to the High-Ti mafic dykes of southern Qiangtang, Tibet. These similarities combined with Permian tectonic restoration of Gondwana indicate the coeval origin for both dykes from distinct mantle source during continental rifting related to formation of the Neotethys Ocean.

  20. American Indian Access to Department of Defense Facilities: Source Documents and Bibliography (Legacy Resource Management Program)

    Science.gov (United States)

    1993-09-01

    who under the terms of the Archeological and Historic Preservation Act must respond within 48 hours of notification. The DCA may render an immediate...1965 The Surviving Chumash. UCLA Archaeological Survey Annual Reports 65:277-302. Grant, Campbell 1973a Chuirash: Introduction. In R.F. Heizer , ed...Coastal Chumash. In R.F. Heizer , et., California. Volume 8, Handbook of North American"Indians, William C. Sturtevant, General Editor. Washington

  1. 76 FR 49505 - Indian Gaming

    Science.gov (United States)

    2011-08-10

    ... DEPARTMENT OF THE INTERIOR Bureau of Indian Affairs Indian Gaming AGENCY: Bureau of Indian Affairs, Interior. ACTION: Notice of Tribal-State Class III Gaming Compact taking effect. SUMMARY: This publishes..., Director, Office of Indian Gaming, Office of the Deputy Assistant Secretary--Policy and Economic...

  2. 75 FR 38833 - Indian Gaming

    Science.gov (United States)

    2010-07-06

    ... DEPARTMENT OF THE INTERIOR Bureau of Indian Affairs Indian Gaming AGENCY: Bureau of Indian Affairs, Interior. ACTION: Notice of Approved Tribal-State Class III Gaming Compact. SUMMARY: This notice publishes... Date: July 6, 2010. FOR FURTHER INFORMATION CONTACT: Paula Hart, Director, Office of Indian Gaming...

  3. 77 FR 76514 - Indian Gaming

    Science.gov (United States)

    2012-12-28

    ... DEPARTMENT OF THE INTERIOR Bureau of Indian Affairs Indian Gaming AGENCY: Bureau of Indian Affairs, Interior. ACTION: Notice of Approved Tribal-State Class III Gaming Compact taking effect. SUMMARY: This... FURTHER INFORMATION CONTACT: Paula L. Hart, Director, Office of Indian Gaming, Office of the Deputy...

  4. Statistical and dynamical assessment of land-ocean-atmosphere interactions across North Africa

    Science.gov (United States)

    Yu, Yan

    North Africa is highly vulnerable to hydrologic variability and extremes, including impacts of climate change. The current understanding of oceanic versus terrestrial drivers of North African droughts and pluvials is largely model-based, with vast disagreement among models in terms of the simulated oceanic impacts and vegetation feedbacks. Regarding oceanic impacts, the relative importance of the tropical Pacific, tropical Indian, and tropical Atlantic Oceans in regulating the North African rainfall variability, as well as the underlying mechanism, remains debated among different modeling studies. Classic theory of land-atmosphere interactions across the Sahel ecotone, largely based on climate modeling experiments, has promoted positive vegetation-rainfall feedbacks associated with a dominant surface albedo mechanism. However, neither the proposed positive vegetation-rainfall feedback with its underlying albedo mechanism, nor its relative importance compared with oceanic drivers, has been convincingly demonstrated up to now using observational data. Here, the multivariate Generalized Equilibrium Feedback Assessment (GEFA) is applied in order to identify the observed oceanic and terrestrial drivers of North African climate and quantify their impacts. The reliability of the statistical GEFA method is first evaluated against dynamical experiments within the Community Earth System Model (CESM). In order to reduce the sampling error caused by short data records, the traditional GEFA approach is refined through stepwise GEFA, in which unimportant forcings are dropped through stepwise selection. In order to evaluate GEFA's reliability in capturing oceanic impacts, the atmospheric response to a sea-surface temperature (SST) forcing across the tropical Pacific, tropical Indian, and tropical Atlantic Ocean is estimated independently through ensembles of dynamical experiments and compared with GEFA-based assessments. Furthermore, GEFA's performance in capturing terrestrial

  5. Indian Academy of Sciences Conference Series | Indian Academy of ...

    Indian Academy of Sciences (India)

    Home; Journals; Indian Academy of Sciences Conference Series. BEDARTHA GOSWAMI. Articles written in Indian Academy of Sciences Conference Series. Volume 1 Issue 1 December 2017 pp 51-60 Proceedings of the Conference on Perspectives in Nonlinear Dynamics - 2016. Inferring interdependencies from short ...

  6. Biomedical solid waste management in an Indian hospital: a case study

    International Nuclear Information System (INIS)

    Patil, Gayathri V.; Pokhrel, Kamala

    2005-01-01

    The objectives of this study were: (i) to assess the waste handling and treatment system of hospital bio-medical solid waste and its mandatory compliance with Regulatory Notifications for Bio-medical Waste (Management and Handling) Rules, 1998, under the Environment (Protection Act 1986), Ministry of Environment and Forestry, Govt. of India, at the chosen KLE Society's J. N. Hospital and Medical Research Center, Belgaum, India and (ii) to quantitatively estimate the amount of non-infectious and infectious waste generated in different wards/sections. During the study, it was observed that: (i) the personnel working under the occupier (who has control over the institution to take all steps to ensure biomedical waste is handled without any adverse effects to human health and the environment) were trained to take adequate precautionary measures in handling these bio-hazardous waste materials, (ii) the process of segregation, collection, transport, storage and final disposal of infectious waste was done in compliance with the Standard Procedures, (iii) the final disposal was by incineration in accordance to EPA Rules 1998 (iv) the non-infectious waste was collected separately in different containers and treated as general waste, and (v) on an average about 520 kg of non-infectious and 101 kg of infectious waste is generated per day (about 2.31 kg per day per bed, gross weight comprising both infectious and non-infectious waste). This hospital also extends its facility to the neighboring clinics and hospitals by treating their produced waste for incineration

  7. 77 FR 76513 - Indian Gaming

    Science.gov (United States)

    2012-12-28

    ... DEPARTMENT OF THE INTERIOR Bureau of Indian Affairs Indian Gaming AGENCY: Bureau of Indian Affairs, Interior. ACTION: Notice of Approved Amended Tribal-State Class III Gaming Compact taking effect. SUMMARY..., 2012. FOR FURTHER INFORMATION CONTACT: Paula L. Hart, Director, Office of Indian Gaming, Office of the...

  8. Indian Academy of Sciences Conference Series | Indian Academy of ...

    Indian Academy of Sciences (India)

    Home; Journals; Indian Academy of Sciences Conference Series. SERGEY P KUZNETSOV. Articles written in Indian Academy of Sciences Conference Series. Volume 1 Issue 1 December 2017 pp 117-132 Proceedings of the Conference on Perspectives in Nonlinear Dynamics - 2016. Chaos in three coupled rotators: ...

  9. Indian Academy of Sciences Conference Series | Indian Academy of ...

    Indian Academy of Sciences (India)

    Home; Journals; Indian Academy of Sciences Conference Series. PRIYANKA SHUKLA. Articles written in Indian Academy of Sciences Conference Series. Volume 1 Issue 1 December 2017 pp 133-143 Proceedings of the Conference on Perspectives in Nonlinear Dynamics - 2016. Grad-type fourteen-moment theory for ...

  10. Indian Academy of Sciences Conference Series | Indian Academy of ...

    Indian Academy of Sciences (India)

    Home; Journals; Indian Academy of Sciences Conference Series. F FAMILY. Articles written in Indian Academy of Sciences Conference Series. Volume 1 Issue 1 December 2017 pp 221-224 Proceedings of the Conference on Perspectives in Nonlinear Dynamics - 2016. Transport in ratchets with single-file constraint.

  11. Indian Academy of Sciences Conference Series | Indian Academy of ...

    Indian Academy of Sciences (India)

    Home; Journals; Indian Academy of Sciences Conference Series. GIOVANNA ZIMATORE. Articles written in Indian Academy of Sciences Conference Series. Volume 1 Issue 1 December 2017 pp 35-41 Proceedings of the Conference on Perspectives in Nonlinear Dynamics - 2016. RQA correlations on real business cycles ...

  12. Indian Academy of Sciences Conference Series | Indian Academy of ...

    Indian Academy of Sciences (India)

    Home; Journals; Indian Academy of Sciences Conference Series. SUDHARSANA V IYENGAR. Articles written in Indian Academy of Sciences Conference Series. Volume 1 Issue 1 December 2017 pp 93-99 Proceedings of the Conference on Perspectives in Nonlinear Dynamics - 2016. Missing cycles: Effect of climate ...

  13. Indian Academy of Sciences Conference Series | Indian Academy of ...

    Indian Academy of Sciences (India)

    Home; Journals; Indian Academy of Sciences Conference Series. NORBERT MARWAN. Articles written in Indian Academy of Sciences Conference Series. Volume 1 Issue 1 December 2017 pp 51-60 Proceedings of the Conference on Perspectives in Nonlinear Dynamics - 2016. Inferring interdependencies from short time ...

  14. Indian Academy of Sciences Conference Series | Indian Academy of ...

    Indian Academy of Sciences (India)

    Home; Journals; Indian Academy of Sciences Conference Series. JANAKI BALAKRISHNAN. Articles written in Indian Academy of Sciences Conference Series. Volume 1 Issue 1 December 2017 pp 93-99 Proceedings of the Conference on Perspectives in Nonlinear Dynamics - 2016. Missing cycles: Effect of climate change ...

  15. Indian Academy of Sciences Conference Series | Indian Academy of ...

    Indian Academy of Sciences (India)

    Home; Journals; Indian Academy of Sciences Conference Series. PAUL SCHULTZ. Articles written in Indian Academy of Sciences Conference Series. Volume 1 Issue 1 December 2017 pp 51-60 Proceedings of the Conference on Perspectives in Nonlinear Dynamics - 2016. Inferring interdependencies from short time ...

  16. Depreciation of the Indian Currency: Implications for the Indian Economy.

    OpenAIRE

    Sumanjeet Singh

    2009-01-01

    The Indian currency has depreciated by more than 20 per cent since April 2008 and breached its crucial 50-level against the greenback on sustained dollar purchases by foreign banks and stronger dollar overseas. The fall in the value of Indian rupee has several consequences which could have mixed effects on Indian economy. But, mainly, there are four expected implications of falling rupee. First, it should boost exports; second, it will lead to higher cost of imported goods and make some of th...

  17. 76 FR 165 - Indian Gaming

    Science.gov (United States)

    2011-01-03

    ... DEPARTMENT OF THE INTERIOR Bureau of Indian Affairs Indian Gaming AGENCY: Bureau of Indian Affairs... Wisconsin Gaming Compact of 1992, as Amended in 1999, 2000, and 2003. DATES: Effective Date: January 3, 2011. FOR FURTHER INFORMATION CONTACT: Paula L. Hart, Director, Office of Indian Gaming, Office of the...

  18. 75 FR 68618 - Indian Gaming

    Science.gov (United States)

    2010-11-08

    ... DEPARTMENT OF THE INTERIOR Bureau of Indian Affairs Indian Gaming AGENCY: Bureau of Indian Affairs... of Wisconsin Gaming Compact of 1991, as Amended in 1999 and 2003. DATES: Effective Date: November 8, 2010. FOR FURTHER INFORMATION CONTACT: Paula L. Hart, Director, Office of Indian Gaming, Office of the...

  19. 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...

  20. 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.

  1. Practice environment as perceived by nurses in acute care hospitals in Sharjah and North Emirates.

    Science.gov (United States)

    Al-Maaitah, Rowaida; AbuAlRub, Raeda F; Al Blooshi, Sumaya

    2018-04-01

    To explore nurses' perceptions of their practice environment in acute care hospitals in Sharjah and North Emirates in the United Arab Emirates (UAE). The health of the environment in which registered nurses' work is critical to nursing outcomes. The interest to examine the practice environment extended to the Gulf area which has a complex healthcare system including the UAE. The study used an exploratory descriptive design with a qualitative part using two focus group interviews. The sample size was 450 nurses selected through a random sampling method. A self-administered questionnaire including the Practice Environment Scale of Nursing Work Index (PES-NWI) was used. In addition, semi-structured interviews for two focus groups were done. The results showed that UAE practicing nurses reported favorable perceptions of most aspects of their practice environment. Unfavorable perceptions were only reported for Staffing and Resource Adequacy. The analysis of focus group discussions resulted in different emerged themes such as Lack of Recognition and Career Promotion, and Nurses' Workload due to Paper and Administrative Work. The findings of this study suggest that strategic interventions are needed to secure adequate staff and resources and implement an effective system for evaluation of performance. © 2018 Wiley Periodicals, Inc.

  2. Meridional overturning and large-scale circulation of the Indian Ocean

    Science.gov (United States)

    Ganachaud, Alexandre; Wunsch, Carl; Marotzke, Jochem; Toole, John

    2000-11-01

    The large scale Indian Ocean circulation is estimated from a global hydrographic inverse geostrophic box model with a focus on the meridional overturning circulation (MOC). The global model is based on selected recent World Ocean Circulation Experiment (WOCE) sections which in the Indian Basin consist of zonal sections at 32°S, 20°S and 8°S, and a section between Bali and Australia from the Java-Australia Dynamic Experiment (JADE). The circulation is required to conserve mass, salinity, heat, silica and "PO" (170PO4+O2). Near-conservation is imposed within layers bounded by neutral surfaces, while permitting advective and diffusive exchanges between the layers. Conceptually, the derived circulation is an estimate of the average circulation for the period 1987-1995. A deep inflow into the Indian Basin of 11±4 Sv is found, which is in the lower range of previous estimates, but consistent with conservation requirements and the global data set. The Indonesian Throughflow (ITF) is estimated at 15±5 Sv. The flow in the Mozambique Channel is of the same magnitude, implying a weak net flow between Madagascar and Australia. A net evaporation of -0.6±0.4 Sv is found between 32°S and 8°S, consistent with independent estimates. No net heat gain is found over the Indian Basin (0.1 ± 0.2PW north of 32°S) as a consequence of the large warm water influx from the ITF. Through the use of anomaly equations, the average dianeutral upwelling and diffusion between the sections are required and resolved, with values in the range 1-3×10-5 cm s-1 for the upwelling and 2-10 cm2 s-1 for the diffusivity.

  3. Into the black. 1993 Hospital Turnaround Contest winners.

    Science.gov (United States)

    Cerne, F; Bergman, R

    1993-07-20

    Turning a hospital around takes a lot more than adjusting the financials, as the winners and finalists in the Great Comebacks 1993: The Hospital Turnaround Contest demonstrate. In every case we report on, the hospital being recognized has worked intensively with its community to reassess the services needed by its patients, build support for major management and delivery changes, and articulate the reasons for the strategies being used. Each of the eight hospital organizations we profile, which are spread across the country from Texas to Wisconsin to Maine to North Carolina--has put together its own version of success--in other words, eight lessons in innovation and progress.

  4. The Role of Necropsy in Diagnostic Dilemmas as Seen in a Tertiary Hospital in North Central Nigeria

    Directory of Open Access Journals (Sweden)

    Olugbenga A. Silas

    2009-01-01

    Full Text Available Background. Necropsy (autopsy has helped medical science and law. It has given rise to numerous diagnostic surprises as it explains cause of death, pathogenesis of diseases, and circumstances of death. It also explains reasons for most therapeutic failures. In spite of its usefulness, the rate has dropped worldwide and Africa is worse hit. This work aims to highlight the role autopsy (Necropsy plays in demystifying diagnostic dilemmas and to encourage its patronage by medical practitioners, law enforcement agents and society. Methods. This is a retrospective review of autopsy and clinical reports of cases seen by pathologists and physicians in the Jos University Teaching Hospital (JUTH, Jos, North central Nigeria. Results. A total 166 cases were studied out of which 52 had same diagnosis for both attending physician and pathologist, 106 had different diagnoses and in eight cases diagnoses remained unknown even after autopsy was performed. Conclusions. Autopsy remains an important tool for obtaining definitive diagnosis, determining cause of death to explain pathogenesis of diseases, medical auditing and a vital source of data for health statistics and planning.

  5. Self-medication practices in patients attending a Tertiary Care Teaching Hospital in Urban North-West India

    Directory of Open Access Journals (Sweden)

    Shilpa Patrick

    2018-01-01

    Full Text Available Background: This study was designed to determine the frequency, reasons, and the association of self-medication with demographic and other factors reported by participants. Materials and Methods: This study was conducted in 500 patients visiting a tertiary hospital in Ludhiana, North Western India. Participants were interviewed with a preset questionnaire. Data were entered into Microsoft Excel and analysis was performed using SPSS software version 16. Frequencies and proportions were calculated. Results: Of 500 study participants, 93.8% reported self-medication with no gender difference. The participants who took self-medication were of the opinion that self-medication resulted in quick cure of illness 50.75%, saved their time 17.46%, and gave them a sense of independence in 17.06%, respectively. The common reasons self-medication 45.84% for fever, 18.34% for pain, and 10.87% for headache with nonsteroidal anti-inflammatory drugs 49.4% followed by antibiotics (11.6% be the common medication. The most common source of information is local chemists/pharmacy 39%. Conclusions: Self-medication is described as a double-edged sword in India, and regulation of over-the-counter sale of antibiotics prescription medication is necessary to safeguard the populace.

  6. Indian Academy of Sciences Conference Series | Indian Academy of ...

    Indian Academy of Sciences (India)

    Home; Journals; Indian Academy of Sciences Conference Series. F REVUELTA. Articles written in Indian Academy of Sciences Conference Series. Volume 1 Issue 1 December 2017 pp 145-155 Proceedings of the Conference on Perspectives in Nonlinear Dynamics - 2016. Rate calculation in two-dimensional barriers with ...

  7. Indian Academy of Sciences Conference Series | Indian Academy of ...

    Indian Academy of Sciences (India)

    Home; Journals; Indian Academy of Sciences Conference Series. JOYDEEP SINGHA. Articles written in Indian Academy of Sciences Conference Series. Volume 1 Issue 1 December 2017 pp 195-203 Proceedings of the Conference on Perspectives in Nonlinear Dynamics - 2016. Spatial splay states in coupled map lattices ...

  8. Indian Academy of Sciences Conference Series | Indian Academy of ...

    Indian Academy of Sciences (India)

    Home; Journals; Indian Academy of Sciences Conference Series. MURILO S BAPTISTA. Articles written in Indian Academy of Sciences Conference Series. Volume 1 Issue 1 December 2017 pp 17-23 Proceedings of the Conference on Perspectives in Nonlinear Dynamics - 2016. Interpreting physical flows in networks as a ...

  9. Association of maternal risk factors with large for gestational age fetuses in Indian population

    OpenAIRE

    Shamim Khandaker; Shabana Munshi

    2015-01-01

    Objective: To estimate the risk of delivering large-for gestational age (LGA) fetuses associated with maternal obesity, excessive maternal weight gain, and gestational diabetes mellitus (GDM)- in Indian mothers. Design: Retrospective study. Settings: Fernandez Hospital Private Limited, Hyderabad, Andhra Pradesh, India; a tertiary perinatal centre. Populations: Pregnant singleton mothers with correct pregnancy dating. Methods: Estimated fetal weight (EFW) is determined using ultrasound variabl...

  10. Theories on formation of an anomalous anticyclone in western North Pacific during El Niño: A review

    Science.gov (United States)

    Li, Tim; Wang, Bin; Wu, Bo; Zhou, Tianjun; Chang, Chih-Pei; Zhang, Renhe

    2017-12-01

    The western North Pacific anomalous anticyclone (WNPAC) is an important atmospheric circulation system that conveys El Niño impact on East Asian climate. In this review paper, various theories on the formation and maintenance of the WNPAC, including warm pool atmosphere-ocean interaction, Indian Ocean capacitor, a combination mode that emphasizes nonlinear interaction between ENSO and annual cycle, moist enthalpy advection/Rossby wave modulation, and central Pacific SST forcing, are discussed. It is concluded that local atmosphere-ocean interaction and moist enthalpy advection/Rossby wave modulation mechanisms are essential for the initial development and maintenance of the WNPAC during El Niño mature winter and subsequent spring. The Indian Ocean capacitor mechanism does not contribute to the earlier development but helps maintain the WNPAC in El Niño decaying summer. The cold SST anomaly in the western North Pacific, although damped in the summer, also plays a role. An interbasin atmosphere-ocean interaction across the Indo-Pacific warm pool emerges as a new mechanism in summer. In addition, the central Pacific cold SST anomaly may induce the WNPAC during rapid El Niño decaying/La Niña developing or La Niña persisting summer. The near-annual periods predicted by the combination mode theory are hardly detected from observations and thus do not contribute to the formation of the WNPAC. The tropical Atlantic may have a capacitor effect similar to the tropical Indian Ocean.

  11. Anaesthesia and hospital links: strengthening healthcare through South-North hospital partnerships.

    Science.gov (United States)

    Parry, E H O; Percy, D B

    2007-12-01

    Health services can respond to the needs of the poorest people in developing countries if those who work in the front line of health care are supported and motivated and if development needs in services and training programmes can be filled. This can be achieved when a Health Link between a southern hospital and/or training school and its northern counterpart is designed to build a disciplined and long-term programme of staff development including the needs of anaesthetic services, which meets the needs identified by the southern partner. Development of anaesthetic practice is best carried out in the context of an institution-wide Health Link where not only the staff and systems involved in anaesthesia but all the essential 'back office' or support services are also supported and developed.

  12. Electronic Cigarettes on Hospital Campuses

    Directory of Open Access Journals (Sweden)

    Clare Meernik

    2015-12-01

    Full Text Available Smoke and tobacco-free policies on hospital campuses have become more prevalent across the U.S. and Europe, de-normalizing smoking and reducing secondhand smoke exposure on hospital grounds. Concerns about the increasing use of electronic cigarettes (e-cigarettes and the impact of such use on smoke and tobacco-free policies have arisen, but to date, no systematic data describes e-cigarette policies on hospital campuses. The study surveyed all hospitals in North Carolina (n = 121 to assess what proportion of hospitals have developed e-cigarette policies, how policies have been implemented and communicated, and what motivators and barriers have influenced the development of e-cigarette regulations. Seventy-five hospitals (62% completed the survey. Over 80% of hospitals reported the existence of a policy regulating the use of e-cigarettes on campus and roughly half of the hospitals without a current e-cigarette policy are likely to develop one within the next year. Most e-cigarette policies have been incorporated into existing tobacco-free policies with few reported barriers, though effective communication of e-cigarette policies is lacking. The majority of hospitals strongly agree that e-cigarette use on campus should be prohibited for staff, patients, and visitors. Widespread incorporation of e-cigarette policies into existing hospital smoke and tobacco-free campus policies is feasible but needs communication to staff, patients, and visitors.

  13. Electronic Cigarettes on Hospital Campuses.

    Science.gov (United States)

    Meernik, Clare; Baker, Hannah M; Paci, Karina; Fischer-Brown, Isaiah; Dunlap, Daniel; Goldstein, Adam O

    2015-12-29

    Smoke and tobacco-free policies on hospital campuses have become more prevalent across the U.S. and Europe, de-normalizing smoking and reducing secondhand smoke exposure on hospital grounds. Concerns about the increasing use of electronic cigarettes (e-cigarettes) and the impact of such use on smoke and tobacco-free policies have arisen, but to date, no systematic data describes e-cigarette policies on hospital campuses. The study surveyed all hospitals in North Carolina (n = 121) to assess what proportion of hospitals have developed e-cigarette policies, how policies have been implemented and communicated, and what motivators and barriers have influenced the development of e-cigarette regulations. Seventy-five hospitals (62%) completed the survey. Over 80% of hospitals reported the existence of a policy regulating the use of e-cigarettes on campus and roughly half of the hospitals without a current e-cigarette policy are likely to develop one within the next year. Most e-cigarette policies have been incorporated into existing tobacco-free policies with few reported barriers, though effective communication of e-cigarette policies is lacking. The majority of hospitals strongly agree that e-cigarette use on campus should be prohibited for staff, patients, and visitors. Widespread incorporation of e-cigarette policies into existing hospital smoke and tobacco-free campus policies is feasible but needs communication to staff, patients, and visitors.

  14. Secular trends in menarcheal age in India-evidence from the Indian human development survey.

    Directory of Open Access Journals (Sweden)

    Praveen Kumar Pathak

    Full Text Available Evidence from a number of countries in Europe and North America point towards the secular declining trend in menarcheal age with considerable spatial variations over the past two centuries. Similar trends were reported in several developing countries from Asia, Africa and Latin America. However, data corroborating any secular trend in the menarcheal age of the Indian population remained sparse and inadequately verified.We examined secular trends, regional heterogeneity and association of socioeconomic, anthropometric and contextual factors with menarcheal age among ever-married women (15-49 years in India. Using the pseudo cohort data approach, we fit multiple linear regression models to estimate secular trends in menarcheal age of 91394 ever-married women using the Indian Human Development Survey.The mean age at menarche among Indian women was 13.76 years (95 % CI: 13.75, 13.77 in 2005. It declined by three months from 13.83 years (95% CI: 13.81, 13.85 among women born prior to 1955-1964, to nearly 13.62 years (95% CI: 13.58, 13.67 among women born during late 1985-1989. However, these aggregate national figures mask extensive spatial heterogeneity as mean age at menarche varied from 15.0 years in Himachal Pradesh during 1955-1964 (95% CI: 14.89-15.11 to about 12.1 years in Assam (95% CI: 11.63-12.56 during 1985-1989.The regression analysis established a reduction of nearly one month per decade, suggesting a secular decline in age at menarche among Indian women. Notably, the menarcheal age was significantly associated with the area of residence, geographic region, linguistic groups, educational attainment, wealth status, caste and religious affiliations among Indian women.

  15. Indian Summer

    Energy Technology Data Exchange (ETDEWEB)

    Galindo, E. [Sho-Ban High School, Fort Hall, ID (United States)

    1997-08-01

    This paper focuses on preserving and strengthening two resources culturally and socially important to the Shoshone-Bannock Indian Tribe on the Fort Hall Reservation in Idaho; their young people and the Pacific-Northwest Salmon. After learning that salmon were not returning in significant numbers to ancestral fishing waters at headwater spawning sites, tribal youth wanted to know why. As a result, the Indian Summer project was conceived to give Shoshone-Bannock High School students the opportunity to develop hands-on, workable solutions to improve future Indian fishing and help make the river healthy again. The project goals were to increase the number of fry introduced into the streams, teach the Shoshone-Bannock students how to use scientific methodologies, and get students, parents, community members, and Indian and non-Indian mentors excited about learning. The students chose an egg incubation experiment to help increase self-sustaining, natural production of steelhead trout, and formulated and carried out a three step plan to increase the hatch-rate of steelhead trout in Idaho waters. With the help of local companies, governmental agencies, scientists, and mentors students have been able to meet their project goals, and at the same time, have learned how to use scientific methods to solve real life problems, how to return what they have used to the water and land, and how to have fun and enjoy life while learning.

  16. Variations in CCR5, but not HFE, ELMO1, or SLC12A3, are associated with susceptibility to kidney disease in north Indian individuals with type 2 diabetes.

    Science.gov (United States)

    Yadav, Ashok K; Kumar, Vinod; Dutta, Pinaki; Bhansali, Anil; Jha, Vivekanand

    2014-11-01

    Diabetic nephropathy (DN), the leading cause of end-stage renal disease worldwide, may have a genetic component. In the present study, we investigated variations in a set of genes with susceptibility to DN in a north Indian population. Four genes (HFE, ELMO1, SLC12A3, and CCR5) were selected on the basis of reported association with type 2 diabetes and nephropathy. In all, 417 diabetic subjects (215 without kidney disease [DM] and 202 with DN) and 197 healthy controls (HC) were evaluated for variations in HFE (845 G>A and 187G>C), SLC12A3 (g.34372G>A), CCR5 (59029A>G), and ELMO1 (+9170 G>A). Polymorphism analysis was performed by polymerase chain reaction-restriction fragment length polymorphism and Taqman allele discrimination assays. Significant differences were found in genotype and allelic frequency in SLC12A3 (g.34372G>A) between diabetic subjects and HC (P A (AA+GA) genotype between diabetic subjects with and without nephropathy. However, the CCR5 59029AA genotype and A allele were significantly more frequent in diabetics compared with the HC (P = 0.01 and 0.03, respectively) and subjects with DN versus DM (P = 0.002 and 0.01, respectively). For ELMO1 (+9170 G>A), the GG genotype frequency was higher in the diabetic versus HC group. There were no differences in the frequency of HFE-845 G>A and HFE-187G>C among the groups. This study shows that the CCR5 AA genotype is over-represented in subjects with kidney disease due to type 2 diabetes. The CCR5 59029G>A and ELMO1 (+9170 G>A) loci are more frequent, and the SLC12A3 34372 AA genotype is associated with a reduced risk of diabetes. © 2014 Ruijin Hospital, Shanghai Jiaotong University School of Medicine and Wiley Publishing Asia Pty Ltd.

  17. The role of goal representations, cultural identity, and dispositional optimism in the depressive experiences of American Indian youth from a Northern Plains tribe.

    Science.gov (United States)

    Tyser, Jason; Scott, Walter D; Readdy, Tucker; McCrea, Sean M

    2014-03-01

    American Indian researchers and scholars have emphasized the importance of identifying variables that promote resilience and protect against the development of psychopathology in American Indian youth. The present study examined the role of self-regulation, specifically goal characteristics (i.e., goal self-efficacy, goal specificity, intrinsic vs. extrinsic motivation, and goal conflict) and dispositional optimism, as well as cultural identity and self-reported academic grades in the depressive experiences of American Indian youth from a North American plains tribe. One hundred and sixty-four participants (53% female) completed measures of goal representations, cultural identity, dispositional optimism, academic performance, and depressive symptoms. Results supported a model in which higher goal self-efficacy, American Indian cultural identity, grade point average, and dispositional optimism each significantly predicted fewer depressive symptoms. Moreover, grade point average and goal self-efficacy had both direct and indirect (through dispositional optimism) relationships with depressive symptoms. Our findings underscore the importance of cognitive self-regulatory processes and cultural identity in the depressive experiences for these American Indian youth and may have implications for youth interventions attempting to increase resiliency and decrease risk for depressive symptoms.

  18. Indian Legends.

    Science.gov (United States)

    Gurnoe, Katherine J.; Skjervold, Christian, Ed.

    Presenting American Indian legends, this material provides insight into the cultural background of the Dakota, Ojibwa, and Winnebago people. Written in a straightforward manner, each of the eight legends is associated with an Indian group. The legends included here are titled as follows: Minnesota is Minabozho's Land (Ojibwa); How We Got the…

  19. Anisotropic tomography of the Indian continent and the geodynamic role of its keel

    Science.gov (United States)

    Montagner, J. P.; Maurya, S.; Sibrant, A.; Davaille, A.; Stutzmann, E.; Kumar, R.; Jean, B.

    2017-12-01

    The Indian moved at an exceptional high rate (18-20cm/year) after the birth of La Réunion hotspot, ≈65Ma ago and the Deccan volcanic province before the collision with the Asian continent. Other older plumes Marion, Kerguelen located in the Indian ocean are also associated with very fast plate motion. We present a high-resolution 3D anisotropic model of the Indian plate region down to 300 km depth, obtained by inverting a new massive database of surface-wave observations. The Rayleigh and Love wave dispersion measurements along 14,000 paths are made in a broad frequency range (16-250s). Our estimates of the depth to the Lithosphere-Asthenosphere Boundary (LAB) derived from seismic velocity Vsv variations at depth reveal large variations (120-250 km) beneath the different cratonic blocks. A low velocity layer associated with the Mid-lithospheric discontinuity is present when the root of the lithosphere is deep. This extensive anisotropic tomographic investigation of the Indian continent displays an almost north-south keel, 600km long and 300km wide, down to 250km depth. The keel is characterized by fast velocities, smaller than average radial and azimuthal anisotropies. The distribution of azimuthal anisotropy defines the flow lines around the keel, and, at the LAB, coincides with the APM direction of the Indian plate. The fast axis azimuths at 250 km depth are also in accordance with the results from SK(K)S splitting. Such a keel could probably perturb plume-induced flow in the asthenosphere. To determine the influence of such a keel on the interaction of India with several mantle plumes (Marion, Crozet, Kerguelen, La Réunion), we used laboratory experiments. Some preliminary results will be presented on the comparison between the laboratory flowlines and the direction of seismic anisotropy.

  20. (drls) for radiography examinations in north eastern nigeria

    African Journals Online (AJOL)

    Nwokem et al.

    in two university teaching hospitals in north eastern Nigeria. Seven hundred ... review of procedures and the equipment in order to determine whether the .... The information obtained for the ... products of Variant medical system manufactured in China ... which is connected to the Reader via a serial communications port. a.

  1. Month-to-month variability of Indian summer monsoon rainfall in 2016: role of the Indo-Pacific climatic conditions

    Science.gov (United States)

    Chowdary, Jasti S.; Srinivas, G.; Du, Yan; Gopinath, K.; Gnanaseelan, C.; Parekh, Anant; Singh, Prem

    2018-03-01

    Indian summer monsoon (ISM) rainfall during 2016 exhibited a prominent month-to-month fluctuations over India, with below normal rainfall in June and August and above normal rainfall in July. The factors determining the month-to-month fluctuations in ISM rainfall during 2016 are investigated with main focus on the Indo-Pacific climatic anomalies. Warm sea surface temperature (SST) anomalies associated with super El Niño 2015 disappeared by early summer 2016 over the central and eastern Pacific. On the other hand, negative Indian Ocean dipole (IOD) like SST anomaly pattern over the equatorial Indian Ocean and anomalous anticyclonic circulation over the western North Pacific (WNP) are reported in summer 2016 concurrently with decaying El Niño/developing La Niña phase. Observations revealed that the low rainfall over central north India in June is due to moisture divergence caused by the westward extension of ridge corresponding to WNP anticyclone and subsidence induced by local Hadley cell partly related to negative IOD. Low level convergence of southeasterly wind from Bay of Bengal associated with weak WNP anticyclone and northwesterly wind corresponding to anticyclonic circulation over the northwest India remarkably contributed to positive rainfall in July over most of the Indian subcontinent. While reduced rainfall over the Indian subcontinent in August 2016 is associated with the anomalous moisture transport from ISM region to WNP region, in contrast to July, due to local cyclogenesis corroborated by number of tropical cyclones in the WNP. In addition to this, subsidence related to strong convection supported by cyclonic circulation over the WNP also resulted in low rainfall over the ISM region. Coupled General Circulation model sensitivity experiments confirmed that strong convective activities associated with cyclonic circulation over the WNP is primarily responsible for the observed negative ISM rainfall anomalies in August 2016. It is noted that the Indo

  2. 77 FR 47868 - Indian Entities Recognized and Eligible To Receive Services From the Bureau of Indian Affairs

    Science.gov (United States)

    2012-08-10

    ... Indian Colony of California) Buena Vista Rancheria of Me-Wuk Indians of California Burns Paiute Tribe... of Idaho La Jolla Band of Luiseno Indians, California (previously listed as the La Jolla Band of Luiseno Mission Indians of the La Jolla Reservation) La Posta Band of Diegueno Mission Indians of the La...

  3. Prevalence and risk factors of gestational diabetes in Punjab, North India: results from a population screening program.

    Science.gov (United States)

    Arora, Geeti P; Thaman, Richa G; Prasad, Rashmi B; Almgren, Peter; Brøns, Charlotte; Groop, Leif C; Vaag, Allan A

    2015-08-01

    The World Health Organization (WHO) has in 2013 changed the diagnostic criteria for gestational diabetes mellitus (GDM) to acknowledge the putative effect of mildly elevated fasting plasma glucose (FPG) levels on pregnancy outcomes. We aimed to determine the prevalence and risk factors of GDM comparing the previous WHO 1999 criteria to the WHO 2013 criteria in North India. In a population-based screening programme, 5100 randomly selected North Indian women were studied using a cross-sectional design with a questionnaire, venous FPG and 2-h capillary plasma glucose (PG) after a 75 g oral glucose tolerance test performed between 24 and 28 weeks of pregnancy. The prevalence of GDM was 35% using WHO 2013 criteria vs 9% using WHO 1999 criteria. FPG measurements identified 94% of WHO 2013 GDM cases as opposed to 11% of WHO 1999 GDM cases. In contrast, 2-h PG measurements identified only 13% of WHO 2013 GDM cases compared with 96% of the WHO 1999 GDM cases. Using logistic regression with backward elimination, urban habitat, illiteracy, non-vegetarianism, increased BMI, Hindu religion and low adult height were all independent risk factors of GDM using the 1999 criteria, whereas only urban habitat, low adult height and increased age were independent risk factors of GDM using the 2013 criteria. Intervention studies are needed to justify the WHO 2013 GDM criteria increasing the prevalence four fold to include more than one third of North Indian pregnant women. © 2015 European Society of Endocrinology.

  4. Survival and neurological outcome following in-hospital paediatric cardiopulmonary resuscitation in North India.

    Science.gov (United States)

    Rathore, Vinay; Bansal, Arun; Singhi, Sunit C; Singhi, Pratibha; Muralidharan, Jayashree

    2016-05-01

    Data on outcome of children undergoing in-hospital cardiopulmonary resuscitation (CPR) in low- and middle-income countries are scarce. To describe the clinical profile and outcome of children undergoing in-hospital CPR. This prospective observational study was undertaken in the Advanced Pediatric Center, PGIMER, Chandigarh. All patients aged 1 month to 12 years who underwent in-hospital CPR between July 2010 and March 2011 were included. Data were recorded using the 'Utstein style'. Outcome variables included 'sustained return of spontaneous circulation' (ROSC), survival at discharge and neurological outcome at 1 year. The incidence of in-hospital CPR in all hospital admissions (n = 4654) was 6.7% (n = 314). 64.6% (n = 203) achieved ROSC, 14% (n = 44) survived to hospital discharge and 11.1% (n = 35) survived at 1 year. Three-quarters of survivors had a good neurological outcome at 1-year follow-up. Sixty per cent of patients were malnourished. The Median Pediatric Risk of Mortality-III (PRISM-III) score was 16 (IQR 9-25). Sepsis (71%), respiratory (39.5%) and neurological (31.5%) illness were the most common diagnoses. The most common initial arrhythmia was bradycardia (52.2%). On multivariate logistic regression, duration of CPR, diagnosis of sepsis and requirement for vasoactive support prior to arrest were independent predictors of decreased hospital survival. The requirement for in-hospital CPR is common in PGIMER. ROSC was achieved in two-thirds of children, but mortality was higher than in high-income countries because of delayed presentation, malnutrition and severity of illness. CPR >15 min was associated with death. Survivors had good long-term neurological outcome, demonstrating the value of timely CPR.

  5. Tobacco Use and Cardiovascular Disease among American Indians: The Strong Heart Study

    Directory of Open Access Journals (Sweden)

    Thomas K. Welty

    2010-10-01

    Full Text Available Tobacco use among American Indians has a long and complicated history ranging from its utilization in spiritual ceremonies to its importance as an economic factor for survival. Despite this cultural tradition and long history, there are few studies of the health effects of tobacco in this population. The Strong Heart Study is a prospective observational study of cardiovascular disease (CVD in 13 American Indian tribes in Arizona, Oklahoma, and North and South Dakota with 4,549 participants. Baseline examinations were followed by two examinations at regular intervals and 16 years of morbidity and mortality follow-up. Hazard ratios (HRs for non-fatal CVD for current smokers vs. non-smokers after adjusting for other risk factors were significant in women (HR = 1.94, 95% CI 1.54 to 2.45 and men (HR = 1.59, 95% CI 1.16 to 2.18. Hazard ratios for fatal CVD for current smokers vs. non-smokers after adjusting for other risk factors were significant in women (HR = 1.64, 95% CI 1.04 to 2.58, but not in men. Individuals who smoked and who were diagnosed with diabetes mellitus, hypertension or renal insufficiency were more likely to quit smoking than those without these conditions. On average, American Indians smoke fewer cigarettes per day than other racial/ethnic groups; nevertheless, the ill effects of habitual tobacco use are evident in this population.

  6. Effects of Image Gently and the North American guidelines: administered activities in children at 13 North American pediatric hospitals.

    Science.gov (United States)

    Fahey, Frederic H; Ziniel, Sonja I; Manion, Dacie; Treves, S Ted

    2015-06-01

    The goal of this investigation was to assess the impact of the publication of the 2010 North American guidelines on the practice of nuclear medicine in children at 13 dedicated pediatric institutions within the United States and Canada by comparing results of similar surveys from 2007 and 2013. In 2013, a follow-up survey was performed of the original 13 dedicated pediatric institutions initially surveyed in 2007. Both surveys inquired about the administered activities for 16 nuclear medicine procedures commonly performed on children. The administered activity per body mass, the maximum activity, and the minimum activity for patients for each procedure were requested from each site. For each parameter the minimum and maximum reported values, as well as the median and the mean, were tabulated. The mean difference in the mean between 2007 and 2013 was calculated, as well as the 95% confidence intervals for the mean administered activity per body mass for both years. The factor of variation used with the previous survey for each parameter was calculated by taking the ratio of the maximum and minimum reported values. For the 8 procedures addressed in the 2010 North American guidelines, the percentage of institutions that were compliant (defined as within 20%) for each parameter were noted for both surveys. Institutions were asked whether they were familiar with "Image Gently," the North American guidelines, and the "Go with the Guidelines" campaign and whether they adjusted their administered activities on the basis of these guidelines. In general, the 13 pediatric institutions have reduced their administered activities in children, particularly for those procedures addressed by the 2010 North American guidelines. The average variability in the activity per body mass and the minimum activity as measured by the factor of variation were substantially reduced by 9.7% (from 3.1 to 2.8) and 24% (from 10.0 to 7.6). The average variability of the maximum activity was

  7. [On comparison of hospital performance].

    Science.gov (United States)

    Kjekshus, L E

    2000-10-20

    The motivation to identify the causes of rising health care cost and variations across providers has intensified in all industrialized countries. These countries have an ongoing debate on efficiency and effectiveness in hospital production. In this debate, national and international comparative studies are important. There are very few international comparative studies that include Norwegian hospitals. Actually we know very little about how Norwegian hospitals are performing compared to others. This paper gives an introduction to comparative studies and to the DEA model which is often used in such studies and also a multilevel model which is not so common. A short review is given of a comparative study of Norwegian and North American hospitals. I also discuss the feasibility of comparative studies of hospitals from the Nordic countries, with references to several comparative studies performed in these countries. Comparative studies are often closely linked to national health politics, policy making and reforms; thus the outcome of such studies is important for the hospitals included. This makes such studies a sensitive field of research. It is important to be aware of the strength and weaknesses of comparative studies and acknowledge their importance beyond the development of new knowledge.

  8. Decompression syndrome (Caisson disease) in an Indian diver.

    Science.gov (United States)

    Phatak, Uday A; David, Eric J; Kulkarni, Pravin M

    2010-07-01

    Acute decompression syndrome (Caisson's disease) is an acute neurological emergency in divers. It is caused due to release of nitrogen gas bubbles that impinge the blood vessels of the spinal cord and brain and result in severe neurodeficit. There are very few case reports in Indian literature. There are multiple factors in the pathogenesis of Acute decompression syndrome (Caisson's disease) such as health problems in divers (respiratory problems or congenital heart diseases like atrial septal defect, patent ductus arteriosus etc), speed of ascent from the depth and habits like smoking that render divers susceptible for such neurological emergency. Usually, immediate diagnosis of such a condition with MRI is not possible in hospitals in the Coastal border. Even though, MRI is performed, it has very low specificity and sensitivity. Facilities like hyperbaric oxygen treatment are virtually non-existent in these hospitals. Therefore, proper education of the divers and appropriate preventive measures in professional or recreational divers is recommended.

  9. Decompression syndrome (Caisson disease in an Indian diver

    Directory of Open Access Journals (Sweden)

    Phatak Uday

    2010-01-01

    Full Text Available Acute decompression syndrome (Caisson′s disease is an acute neurological emergency in divers. It is caused due to release of nitrogen gas bubbles that impinge the blood vessels of the spinal cord and brain and result in severe neurodeficit. There are very few case reports in Indian literature. There are multiple factors in the pathogenesis of Acute decompression syndrome (Caisson′s disease such as health problems in divers (respiratory problems or congenital heart diseases like atrial septal defect, patent ductus arteriosus etc, speed of ascent from the depth and habits like smoking that render divers susceptible for such neurological emergency. Usually, immediate diagnosis of such a condition with MRI is not possible in hospitals in the Coastal border. Even though, MRI is performed, it has very low specificity and sensitivity. Facilities like hyperbaric oxygen treatment are virtually non-existent in these hospitals. Therefore, proper education of the divers and appropriate preventive measures in professional or recreational divers is recommended.

  10. A partnership of a Catholic faith-based health system, nursing and traditional American Indian medicine practitioners.

    Science.gov (United States)

    Hubbert, Ann O

    2008-04-01

    The paper presents a historically unique partnership between an American Southwestern, Catholic faith-based, urban hospital and a program it sponsored on the spirituality of American Indian Traditional Indian Medicine (TIM) by a Comanche medicine man. A discussion is offered on the cultural partnerships, experiences and benefits achieved through the cultural accommodations of these spiritual beliefs and practices within this healthcare system. The theory of Culture Care Diversity and Universality (Culture Care Theory), including the Sunrise Enabler, is applied in discussion of these past experiences to explore the relationships among and between the participating cultures. The intent of the partnerships within this program was not to 'learn Indian healing ceremonies' but to share the philosophy of TIM with all people (clients and professionals) as a means to enhance their own way of living. Examples of actual nursing decisions and actions are provided including outcomes from the program within the healthcare system and globally.

  11. [Indian workers in Oman].

    Science.gov (United States)

    Longuenesse, E

    1985-01-01

    Until recently Oman was a country of emigration, but by 1980 an estimated 200,000 foreign workers were in the country due to the petroleum boom. Almost 1/3 of the estimated 300,000 Indian workers in the Gulf states were in Oman, a country whose colonial heritage was closely tied to that of India and many of whose inhabitants still speak Urdu. The number of work permits granted to Indians working in the private sector in Oman increased from 47,928 in 1976 to 80,787 in 1980. An estimated 110,000 Indians were working in Oman in 1982, the great majority in the construction and public works sector. A few hundred Indian women were employed by the government of Oman, as domestics, or in other capacities. No accurate data is available on the qualifications of Indian workers in Oman, but a 1979 survey suggested a relatively low illiteracy rate among them. 60-75% of Indians in Oman are from the state of Kerala, followed by workers from the Punjab and the southern states of Tamil Nadu and Andhra Pradesh and Bombay. Indian workers are recruited by specialized agencies or by friends or relatives already employed in Oman. Employers in Oman prefer to recruit through agencies because the preselection process minimizes hiring of workers unqualified for their posts. Officially, expenses of transportation, visas, and other needs are shared by the worker and the employer, but the demand for jobs is so strong that the workers are obliged to pay commissions which amount to considerable sums for stable and well paying jobs. Wages in Oman are however 2 to 5 times the level in India. Numerous abuses have been reported in recruitment practices and in failure of employers in Oman to pay the promised wages, but Indian workers have little recourse. At the same level of qualifications, Indians are paid less then non-Omani Arabs, who in turn receive less than Oman nationals. Indians who remain in Oman long enough nevertheless are able to support families at home and to accumulate considerable

  12. Molecular phylogeny of Hemidactylus geckos (Squamata: Gekkonidae) of the Indian subcontinent reveals a unique Indian radiation and an Indian origin of Asian house geckos.

    Science.gov (United States)

    Bansal, Rohini; Karanth, K Praveen

    2010-10-01

    Represented by approximately 85 species, Hemidactylus is one of the most diverse and widely distributed genera of reptiles in the world. In the Indian subcontinent, this genus is represented by 28 species out of which at least 13 are endemic to this region. Here, we report the phylogeny of the Indian Hemidactylus geckos based on mitochondrial and nuclear DNA markers sequenced from multiple individuals of widely distributed as well as endemic congeners of India. Results indicate that a majority of the species distributed in India form a distinct clade whose members are largely confined to the Indian subcontinent thus representing a unique Indian radiation. The remaining Hemidactylus geckos of India belong to two other geographical clades representing the Southeast Asian and West-Asian arid zone species. Additionally, the three widely distributed, commensal species (H. brookii, H. frenatus and H. flaviviridis) are nested within the Indian radiation suggesting their Indian origin. Dispersal-vicariance analysis also supports their Indian origin and subsequent dispersal out-of-India into West-Asian arid zone and Southeast Asia. Thus, Indian subcontinent has served as an important arena for diversification amongst the Hemidactylus geckos and in the evolution and spread of its commensal geckos. Copyright 2010 Elsevier Inc. All rights reserved.

  13. Indian refining industry

    International Nuclear Information System (INIS)

    Singh, I.J.

    2002-01-01

    The author discusses the history of the Indian refining industry and ongoing developments under the headings: the present state; refinery configuration; Indian capabilities for refinery projects; and reforms in the refining industry. Tables lists India's petroleum refineries giving location and capacity; new refinery projects together with location and capacity; and expansion projects of Indian petroleum refineries. The Indian refinery industry has undergone substantial expansion as well as technological changes over the past years. There has been progressive technology upgrading, energy efficiency, better environmental control and improved capacity utilisation. Major reform processes have been set in motion by the government of India: converting the refining industry from a centrally controlled public sector dominated industry to a delicensed regime in a competitive market economy with the introduction of a liberal exploration policy; dismantling the administered price mechanism; and a 25 year hydrocarbon vision. (UK)

  14. The Challenges and Opportunities of Social Media in the Hospitality Industry. A Study of the North East Region of Romania

    Directory of Open Access Journals (Sweden)

    Andreea Maha

    2015-05-01

    and YouTube are apparently not that popular. Social Media accounts are not used at their full capacity and from the total number identified on each segment, not all have a direct reference from their own site, for in case of Facebook 31 out of 48, Twitter 7 out of 10 and YouTube 7 out of 10. The most important limitation is considered to be the consistency of the sample we used. We only investigated the hotels (rated 3 to 5 stars from the North-East region of Romania. A sample including all the hotels from Romania would have given a more realistic view of the use of Social Media in the hospitality industry. Another possible study limitation can be that the Social Media accounts may have been missed as it did not feature in the first three pages search results. The worst part is that the same mistake would be made by the potential customers searching for that hotel that is why we considered this error an acceptable one. As we made only a qualitative research, the results must be validated in a future research. The results of this research can be used by hotel managers and also by those who manage Internet websites. Business people who intend to enter on hospitality market might also be interested in this information. For the North-East region of Romania, during our documentation stage for this article, there was no study identified, similar to the one we realized. Also Romania, as a country where tourism industry it is in early stages of development, needs to benefit from this kind of research, for creating new strategies and implement best practices in the field.

  15. Manual accidents, biological risk control, and quality indicators at a children's hospital in north-east Italy.

    Science.gov (United States)

    Parco, Sergio; Vascotto, Fulvia; Simeone, Roberto; Visconti, Patrizia

    2015-01-01

    Working in health care carries the risk of transmission of infected blood to patients by hospital workers and to other health personnel in the form of occupational infections. Conscientious application of the standard precautions is the main method used to avoid needle stick injuries, contamination of skin and mucous membranes, cuts with sharp tools, and inadequate disposal and recapping of needles. The aim of this work was to investigate in Friuli Venezia Giulia, a region in north-east Italy, the enhancement carried out to prevent situations of biologic risk for health care workers, and to verify the related laboratory analyses. Biological accidents occurring during the years 2012-2013 in the departments of oncology and pediatric-obstetric surgery, and in the intensive care unit at Burlo Garofolo Children's Hospital in Trieste (a large town in Friuli Venezia Giulia) were reviewed, and a new panel of tests was introduced for patients and health care workers, to also detect human immunodeficiency virus (HIV), hepatitis C virus (HCV), hepatitis B virus (HBV), and aspartate transaminase and immunoglobulin G. All tests were submitted for external quality assessment. In total, 230 nosocomial events were reported by health care workers in the above-mentioned hospital departments in 2012-2013. There were 158 accidents in 2012, including 55 accidental needle stick injuries (34.81%), 59 blood splashes (37.34%), and 44 cuts with infected instruments (27.84%). The risk of sustaining a cut was related to movement error during surgery when the appropriate procedure was not followed or when devices were being assembled and passed between doctors and nurses. Most accidents happened among physicians compared to nurses; the high percentage of needle stick injuries (34.81%) versus nurses (25.94%) were due to incorrect recapping of needles after use. No cases of health care workers being infected with HCV, HBV, or HIV were identified. In 2013, the number of biological accidents

  16. Outcomes of planned home births with certified professional midwives: large prospective study in North America.

    Science.gov (United States)

    Johnson, Kenneth C; Daviss, Betty-Anne

    2005-06-18

    To evaluate the safety of home births in North America involving direct entry midwives, in jurisdictions where the practice is not well integrated into the healthcare system. Prospective cohort study. All home births involving certified professional midwives across the United States (98% of cohort) and Canada, 2000. All 5418 women expecting to deliver in 2000 supported by midwives with a common certification and who planned to deliver at home when labour began. Intrapartum and neonatal mortality, perinatal transfer to hospital care, medical intervention during labour, breast feeding, and maternal satisfaction. 655 (12.1%) women who intended to deliver at home when labour began were transferred to hospital. Medical intervention rates included epidural (4.7%), episiotomy (2.1%), forceps (1.0%), vacuum extraction (0.6%), and caesarean section (3.7%); these rates were substantially lower than for low risk US women having hospital births. The intrapartum and neonatal mortality among women considered at low risk at start of labour, excluding deaths concerning life threatening congenital anomalies, was 1.7 deaths per 1000 planned home births, similar to risks in other studies of low risk home and hospital births in North America. No mothers died. No discrepancies were found for perinatal outcomes independently validated. Planned home birth for low risk women in North America using certified professional midwives was associated with lower rates of medical intervention but similar intrapartum and neonatal mortality to that of low risk hospital births in the United States.

  17. Temperature profile and other data collected from XBT casts in Indian Ocean and N / S Pacific Ocean from ICEBIRD and other platforms from 02 January 1993 to 01 January 1994 (NODC Accession 9400207)

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Temperature profile and other data were collected using XBT casts from ICEBIRD and other platforms in Indian Ocean and North / South Pacific Ocean. Data were...

  18. Sensitivity of equatorial Pacific and Indian Ocean watermasses to the position of the Indonesian Throughflow

    Science.gov (United States)

    Rodgers, Keith B.; Latif, Mojib; Legutke, Stephanie

    2000-09-01

    The sensitivity of the thermal structure of the equatorial Pacific and Indian Ocean pycnoclines to a model's representation of the Indonesian Straits connecting the two basins is investigated. Two integrations are performed using the global HOPE ocean model. The initial conditions and surface forcing for both cases are identical; the only difference between the runs is that one has an opening for the Indonesian Straits which spans the equator on the Pacific side, and the other has an opening which lies fully north of the equator. The resulting sensitivity throughout much of the upper ocean is greater than 0.5°C for both the equatorial Indian and Pacific. A realistic simulation of net Indonesian Throughflow (ITF) transport (measured in Sverdrups) is not sufficient for an adequate simulation of equatorial watermasses. The ITF must also contain a realistic admixture of northern and southern Pacific source water.

  19. PATTERNS OF INTERNET USE AND THEIR IMPLICATIONS IN INDIAN MEDICAL STUDENTS: A STUDY FROM A SOUTH INDIAN MEDICAL COLLEGE

    Directory of Open Access Journals (Sweden)

    Ravi Kishore

    2016-05-01

    Full Text Available BACKGROUND Internet has become a platform for recent advances, innovative learning methods and self-assessment. Medical students spend significant time using Internet for academic and non-academic purposes. There is a dearth of clear evidence regarding patterns of internet use among Indian Medical students. An internet usage patterns study in First Year Medical students would help identify the necessity to train students in Internet access in the initial phase of Medical course. AIM To assess the Internet usage patterns in First Year Indian Medical Students. MATERIALS AND METHODS A cross-sectional study in which 132 students studying in First Year undergraduate medical course at MVJ Medical College and Research Hospital, Bangalore, a cosmopolitan city in South India, participated. Data related to internet use was captured using a pretested questionnaire. Statistical analysis was performed using Microsoft Excel version 2007. RESULTS 70% of students used internet for academic and non-academic purposes. Slow internet speed (31% and lack of time (23% were most common amongst impediments to internet use. Majority of students (57% used internet for greater than 7 hours per week. Understanding a topic better (62% seems to be most important motive for academic use of internet. 36% of students did not use any academic website. CONCLUSIONS First Year Indian Medical students spent significant amounts of time using internet for multiple purposes. There is a lack of awareness regarding academic websites and online animations among significant portion of students. Students in our study may be guided appropriately by Internet training sessions at the beginning of the Medical course to enable the best use of internet for academic purpose.

  20. 25 CFR 309.9 - When can non-Indians make and sell products in the style of Indian arts and crafts?

    Science.gov (United States)

    2010-04-01

    ... of Indian arts and crafts? 309.9 Section 309.9 Indians INDIAN ARTS AND CRAFTS BOARD, DEPARTMENT OF THE INTERIOR PROTECTION OF INDIAN ARTS AND CRAFTS PRODUCTS § 309.9 When can non-Indians make and sell products in the style of Indian arts and crafts? A non-Indian can make and sell products in the style of...

  1. About | Indian Academy of Sciences

    Indian Academy of Sciences (India)

    The 82nd Annual Meeting of the Indian Academy of Sciences is being held at ... by newly elected Fellows and Associates over a wide range of scientific topics. ... Indian Institute of Science Education and Research (IISER), Bhopal: Indian ...

  2. Indian Woman Today; Southwest Indian Women's Conference (Window Rock, Arizona, September 24-25, 1975).

    Science.gov (United States)

    1975

    Describing the activities and responses of American Indian women attending the 1975 Southwest Indian Women's Conference in Window Rock, Arizona, these proceedings present the following: (1) the keynote address (focus is on program funding and Indian female civil rights, self-concept, and cultural background); (2) observations derived from…

  3. Assessing the level of spatial homogeneity of the agronomic Indian monsoon onset

    Science.gov (United States)

    Fitzpatrick, Rory G. J.; Parker, Douglas J.; Willetts, Peter D.

    2016-11-01

    Over monsoon regions, such as the Indian subcontinent, the local onset of persistent rainfall is a crucial event in the annual climate for agricultural planning. Recent work suggested that local onset dates are spatially coherent to a practical level over West Africa; a similar assessment is undertaken here for the Indian subcontinent. Areas of coherent onset, defined as local onset regions or LORs, exist over the studied region. These LORs are significant up to the 95% confidence interval and are primarily clustered around the Arabian Sea (adjacent to and extending over the Western Ghats), the Monsoon Trough (north central India), and the Bay of Bengal. These LORs capture regions where synoptic scale controls of onset may be present and identifiable. In other regions, the absence of LORs is indicative of regions where local and stochastic factors may dominate onset. A potential link between sea surface temperature anomalies and LOR variability is presented. Finally, Kerala, which is often used as a representative onset location, is not contained within an LOR suggesting that variability here may not be representative of wider onset variability.

  4. Structure of the marine boundary layer over north western Indian Ocean during 1983 summer monsoon

    Digital Repository Service at National Institute of Oceanography (India)

    RameshKumar, M.R.; Sadhuram, Y.; Michael, G.S.; Rao, L.V.G.

    regions namely (a) the western region (from east Africa up to 56 ° E); (b) the central region (from 56 ° E to about 65 ° E) and (c) the eastern region (east of 65 ° E). The western and eastern regions were characterised by strong convective activity... and the central region by large-scale subsidence. Desai (1975) found a southerly wind component, its depth increasing to the west of 60 ° E. He also observed low level jet streams over the western Indian Ocean region between 850 and 700 mb and high humidity...

  5. The Indian Monsoon

    Indian Academy of Sciences (India)

    Pacific Oceans, on subseasonal scales of a few days and on an interannual scale. ... over the Indian monsoon zone2 (Figure 3) during the summer monsoon .... each 500 km ×500 km grid over the equatorial Indian Ocean, Bay of Bengal and ...

  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. Equality in Education for Indian Women.

    Science.gov (United States)

    Krepps, Ethel

    1980-01-01

    Historically, Indian women have been denied education due to: early marriage and family responsibilities; lack of money; inadequate family attention to education; the threat education poses to Indian men; and geographical location. Indian tribes can best administer funds and programs to provide the education so necessary for Indian women. (SB)

  8. Etiology and outcome determinants of intracerebral hemorrhage in a south Indian population, A hospital-based study

    Directory of Open Access Journals (Sweden)

    Sunil K Narayan

    2012-01-01

    Full Text Available Background: There is paucity of methodologically sound published studies on intracerebral hemorrhage (ICH from India, on pub med/embase search. Aims: To explore etiology of ICH and correlate the causes, location, and size of hemorrhage to clinical outcome. Materials and Methods: A hospital-based descriptive study from South Indian eastern coastal town of Puducherry; 60 consecutive subjects aged > 12 years, predominantly of inbred Tamil population, with head CT evidence of intracerebral hemorrhage not associated with trauma and brain tumors, were recruited. Outcome at three months was measured using Glasgow Outcome scale, NIHSS and mortality. SPSS v 19 was used for statistical analysis. Results: Commonest etiological factor was hypertension, followed by bleeding diathesis, thrombolysis for myocardial infarction, and cortical vein thrombosis. Most frequent locations of hematoma were basal ganglia, thalamus, internal capsule, and cerebral and cerebellar parenchyma. Hematoma volume correlated significantly with systolic and mean arterial pressure but not with diastolic blood pressure. Poor outcome was correlated to size (P < 0.05 and intraventricular extension of hematoma (P < 0.05, and to systolic, diastolic and mean arterial pressure, but not to age, gender, smoking, alcoholism, ischemic heart disease, and blood sugar level. Among diabetic patients with ICH, the size of hematoma (P = 0.04 and severity of coma (P = 0.01 at admission were significantly worse compared to the non-diabetic, but not the outcome at three months [Glasgow outcome scale or mortality (P = 0.94 and 0.14]. Conclusions: The location of hemorrhage and correlation with outcome agreed with the patterns described for the non-white races in prior reports. Independence of outcome to diabetic status despite a more severe initial presentation may indicate importance of good care, even in high risk groups.

  9. 76 FR 65208 - Indian Gaming

    Science.gov (United States)

    2011-10-20

    ... DEPARTMENT OF THE INTERIOR Bureau of Indian Affairs Indian Gaming AGENCY: Bureau of Indian Affairs, Interior. ACTION: Notice of Approved Tribal--State Class III Gaming Compact. SUMMARY: This notice publishes an Approval of the Gaming Compact between the Confederated Tribes of the [[Page 65209

  10. 75 FR 8108 - Indian Gaming

    Science.gov (United States)

    2010-02-23

    ... DEPARTMENT OF THE INTERIOR Bureau of Indian Affairs Indian Gaming AGENCY: Bureau of Indian Affairs, Interior. ACTION: Notice of Approved Tribal-State Class III Gaming Compact. SUMMARY: This notice publishes... Governing Class III Gaming. DATES: Effective Date: February 23, 2010. FOR FURTHER INFORMATION CONTACT: Paula...

  11. 78 FR 17427 - Indian Gaming

    Science.gov (United States)

    2013-03-21

    ... DEPARTMENT OF THE INTERIOR Bureau of Indian Affairs Indian Gaming AGENCY: Bureau of Indian Affairs, Interior. ACTION: Notice of Approved Tribal-State Class III Gaming Compact. SUMMARY: This notice publishes... Gaming (Compact). DATES: Effective Date: March 21, 2013. FOR FURTHER INFORMATION CONTACT: Paula L. Hart...

  12. Associations of −308G/A Polymorphism of Tumor Necrosis Factor(TNF)–α Gene and Serum TNF-α Levels with Measures of Obesity, Intra-Abdominal and Subcutaneous Abdominal Fat, Subclinical Inflammation and Insulin Resistance in Asian Indians in North India

    Science.gov (United States)

    Vikram, Naval K.; Bhatt, Surya Prakash; Bhushan, Bharat; Luthra, Kalpana; Misra, Anoop; Poddar, Pawan K.; Pandey, Ravindra M.; Guleria, Randeep

    2011-01-01

    Objectives: Obesity is associated with high levels proinflammatory cytokines like tumour necrosis factor alpha (TNF-α), which may play an important role in the genesis of insulin resistance. We evaluated the relationship of −308G/A polymorphism of TNF-α gene with obesity and insulin resistance in Asian Indians in north India. Methods: This cross-sectional study included 151 apparently healthy individuals (79 males, 72 females) 18–50 yrs of age from New Delhi, India. Body composition by dual-energy x-ray absorptiometry (DEXA) and abdominal fat by magnetic resonance imaging (MRI) were measured. Biochemical measurements included OGTT, lipids, fasting insulin, hs-CRP and TNF-α levels. We analysed −308G/A polymorphism of TNF-α gene and studied its association with obesity and biochemical parameters. Results: At comparable BMI, abdominal obesity was more prevalent in females (50%) as compared to males (20%). The wild genotype (GG) was present in 78.8%, GA in 17.9%, and AA in 3.3% subjects. Measures of body composition, abdominal fat distribution, lipids, insulin, hs-CRP and TNF-α levels were not influenced by the presence of −308G/A polymorphism. Serum TNF-α levels correlated significantly with fasting insulin in both genders. Conclusion: TNF-α levels correlate with fasting insulin but not with indicators of body composition in Asian Indians. The −308G/A polymorphism of TNF-α gene is not associated with differences in the serum levels of TNF-α in Asian Indians. PMID:21846948

  13. Washington Irving and the American Indian.

    Science.gov (United States)

    Littlefield, Daniel F., Jr.

    1979-01-01

    Some modern scholars feel that Washington Irving vacillated between romanticism and realism in his literary treatment of the American Indian. However, a study of all his works dealing with Indians, placed in context with his non-Indian works, reveals that his attitude towards Indians was intelligent and enlightened for his time. (CM)

  14. Indian Women: An Historical and Personal Perspective

    Science.gov (United States)

    Christensen, Rosemary Ackley

    1975-01-01

    Several issues relating to Indian women are discussed. These include (1) the three types of people to whom we owe our historical perceptions of Indian women, (2) role delineation in Indian society; (3) differences between Indian women and white women, and (4) literary role models of Indian women. (Author/BW)

  15. Urban American Indian/Alaskan Natives Compared to Non-Indians in Out-of-Home Care

    Science.gov (United States)

    Carter, Vernon B.

    2011-01-01

    Historically, American Indian/Alaskan Native (AI/AN) children have been disproportionately represented in the foster care system. In this study, nationally representative child welfare data from October 1999 was used to compare urban AI/AN children to non-Indian children placed into out-of-home care. Compared to non-Indian children, urban AI/AN…

  16. Dating of the 85 degrees E Ridge (northeastern Indian Ocean) using marine magnetic anomalies

    Digital Repository Service at National Institute of Oceanography (India)

    Michael, L.; Krishna, K.S.

    underneath the eastern Con- rad Rise on the Antarctic plate. Subsequent geophysical RESEARCH ARTICLES CURRENT SCIENCE, VOL. 100, NO. 9, 10 MAY 2011 1315 studies 5,8 opined that short-lived volcanic activity had ini- tiated the 85°E Ridge in Mahanadi.... Satellite-derived free-air gravity anomaly map of the north- eastern Indian Ocean 24 . Curved strip line indicates continuity of the 85°E Ridge from the Mahanadi Basin to ANS. Few bathymetry con- tours derived from ETOPO5 data are shown in the map. N...

  17. 77 FR 5566 - Indian Gaming

    Science.gov (United States)

    2012-02-03

    ... up to 900 gaming devices, any banking or percentage card games, and any devices or games authorized... DEPARTMENT OF THE INTERIOR Bureau of Indian Affairs Indian Gaming AGENCY: Bureau of Indian Affairs, Interior. ACTION: Notice of Tribal--State Class III Gaming Compact Taking Effect. SUMMARY: This publishes...

  18. 76 FR 56466 - Indian Gaming

    Science.gov (United States)

    2011-09-13

    ... DEPARTMENT OF THE INTERIOR Bureau of Indian Affairs Indian Gaming AGENCY: Bureau of Indian Affairs, Interior. ACTION: Notice of Approved Tribal--State Class III Gaming Compact. SUMMARY: This notice publishes an approval of the gaming compact between the Flandreau Santee Sioux Tribe and the State of South...

  19. 75 FR 68823 - Indian Gaming

    Science.gov (United States)

    2010-11-09

    ... DEPARTMENT OF THE INTERIOR Bureau of Indian Affairs Indian Gaming AGENCY: Bureau of Indian Affairs, Interior. ACTION: Notice of Approved Tribal-State Class III Gaming Amendment. SUMMARY: This notice publishes approval of the Amendments to the Class III Gaming Compact (Amendment) between the State of Oregon...

  20. 77 FR 43110 - Indian Gaming

    Science.gov (United States)

    2012-07-23

    ... DEPARTMENT OF THE INTERIOR Bureau of Indian Affairs Indian Gaming AGENCY: Bureau of Indian Affairs, Interior. ACTION: Notice of Approved Tribal--State Class III Gaming Compact. SUMMARY: This notice publishes an extension of Gaming between the Rosebud Sioux Tribe and the State of South Dakota. DATES...

  1. 76 FR 8375 - Indian Gaming

    Science.gov (United States)

    2011-02-14

    ... DEPARTMENT OF THE INTERIOR Bureau of Indian Affairs Indian Gaming AGENCY: Bureau of Indian Affairs, Interior. ACTION: Notice of Approved Tribal-State Class III Gaming Compact. SUMMARY: This notice publishes an extension of the Gaming Compact between the Oglala Sioux Tribe and the State of South Dakota...

  2. 78 FR 10203 - Indian Gaming

    Science.gov (United States)

    2013-02-13

    ... DEPARTMENT OF THE INTERIOR Bureau of Indian Affairs Indian Gaming AGENCY: Bureau of Indian Affairs, Interior. ACTION: Notice of Approved Tribal State Class III Gaming Compact. SUMMARY: This notice publishes the Approval of the Class III Tribal- State Gaming Compact between the Chippewa-Cree Tribe of the...

  3. 77 FR 45371 - Indian Gaming

    Science.gov (United States)

    2012-07-31

    ... DEPARTMENT OF THE INTERIOR Bureau of Indian Affairs Indian Gaming AGENCY: Bureau of Indian Affairs, Interior. ACTION: Notice of Approved Tribal--State Class III Gaming Compact. SUMMARY: This notice publishes an extension of Gaming between the Oglala Sioux Tribe and the State of South Dakota. DATES: Effective...

  4. 78 FR 15738 - Indian Gaming

    Science.gov (United States)

    2013-03-12

    ... DEPARTMENT OF THE INTERIOR Bureau of Indian Affairs Indian Gaming AGENCY: Bureau of Indian Affairs, Interior. ACTION: Notice of Approved Tribal--State Class III Gaming Compact. SUMMARY: This notice publishes an extension of the gaming compact between the Rosebud Sioux Tribe and the State of South Dakota...

  5. 77 FR 59641 - Indian Gaming

    Science.gov (United States)

    2012-09-28

    ... DEPARTMENT OF THE INTERIOR Bureau of Indian Affairs Indian Gaming AGENCY: Bureau of Indian Affairs, Interior. ACTION: Notice of Approved Tribal-State Class III Gaming Compact. SUMMARY: This notice publishes an extension of Gaming between the Rosebud Sioux Tribe and the State of South Dakota. DATES...

  6. 78 FR 17428 - Indian Gaming

    Science.gov (United States)

    2013-03-21

    ... DEPARTMENT OF THE INTERIOR Bureau of Indian Affairs Indian Gaming AGENCY: Bureau of Indian Affairs, Interior. ACTION: Notice of Approved Tribal-State Class III Gaming Compact. SUMMARY: This notice publishes the approval of the Class III Tribal- State Gaming Compact between the Pyramid Lake Paiute Tribe and...

  7. 76 FR 52968 - Indian Gaming

    Science.gov (United States)

    2011-08-24

    ... DEPARTMENT OF THE INTERIOR Bureau of Indian Affairs Indian Gaming AGENCY: Bureau of Indian Affairs, Interior. ACTION: Notice of Approved Tribal--State Class III Gaming Compact. SUMMARY: This notice publishes an extension of Gaming between the Rosebud Sioux Tribe and the State of South Dakota. DATES...

  8. 76 FR 33341 - Indian Gaming

    Science.gov (United States)

    2011-06-08

    ... DEPARTMENT OF THE INTERIOR Bureau of Indian Affairs Indian Gaming AGENCY: Bureau of Indian Affairs, Interior. ACTION: Notice of Approved Tribal--State Class III Gaming Compact. SUMMARY: This notice publishes an extension of Gaming between the Rosebud Sioux Tribe and the State of South Dakota. DATES...

  9. 75 FR 55823 - Indian Gaming

    Science.gov (United States)

    2010-09-14

    ... DEPARTMENT OF THE INTERIOR Bureau of Indian Affairs Indian Gaming AGENCY: Bureau of Indian Affairs, Interior. ACTION: Notice of approved Tribal-State Class III Gaming Compact. SUMMARY: This notice publishes an extension of Gaming between the Oglala Sioux Tribe and the State of South Dakota. DATES: Effective...

  10. 78 FR 44146 - Indian Gaming

    Science.gov (United States)

    2013-07-23

    ... DEPARTMENT OF THE INTERIOR Bureau of Indian Affairs Indian Gaming AGENCY: Bureau of Indian Affairs, Interior. ACTION: Notice of Tribal-State Class III Gaming Compact taking effect. SUMMARY: This notice publishes the Class III Amended and Restated Tribal-State Gaming Compact between the Shingle Springs Band of...

  11. 78 FR 33435 - Indian Gaming

    Science.gov (United States)

    2013-06-04

    ... DEPARTMENT OF THE INTERIOR Bureau of Indian Affairs Indian Gaming AGENCY: Bureau of Indian Affairs, Interior. ACTION: Notice of Approved Tribal-State Class III Gaming Amendments. SUMMARY: This notice publishes approval of an Agreement to Amend the Class III Tribal-State Gaming Compact between the Salt River...

  12. 78 FR 11221 - Indian Gaming

    Science.gov (United States)

    2013-02-15

    ... DEPARTMENT OF THE INTERIOR Bureau of Indian Affairs Indian Gaming AGENCY: Bureau of Indian Affairs, Interior. ACTION: Notice of Approved Tribal-State Class III Gaming Compact. SUMMARY: This notice publishes an extension of the gaming compact between the Oglala Sioux Tribe and the State of South Dakota...

  13. Accreditation of human research protection program: An Indian perspective

    Directory of Open Access Journals (Sweden)

    K L Bairy

    2012-01-01

    Full Text Available With the increasing number of clinical trials being placed in India, it is the collective responsibility of the Investigator sites, Government, Ethics Committees, and Sponsors to ensure that the trial subjects are protected from risks these studies can have, that subjects are duly compensated, and credible data generated. Most importantly, each institution/hospital should have a strong Human Research Protection Program to safe guard the trial subjects. In order to look at research with a comprehensive objective approach, there is a need for a formal auditing and review system by a recognized body. As of now, only the sponsors are monitoring/auditing their respective trials; however, there is an increasing need to perform a more detailed review and assessment of processes of the institution and the Ethics Committee. This challenge can be addressed by going for accreditation by a reputed association that encompasses-the institutions, the ethics committees, and researcher/research staff. Starting their journey for the accreditation process in late 2010, Kasturba Medical College and Hospital [KMC], Manipal, and Manipal Hospital Bangalore [MHB] received full Association for the Accreditation of Human Research Protection Programs (AAHRPP accreditation in Dec 2011-a first in India. This article delves into the steps involved in applying for AAHRPP accreditation from an Indian Perspective, the challenges, advantages, and testimonials from the two hospitals on the application experience and how the accreditation has improved the Human Research Protection Program at these hospitals.

  14. Indian Ocean experiments with a coupled model

    Energy Technology Data Exchange (ETDEWEB)

    Wainer, I. [Sao Paulo, Univ. (Brazil). Dept. of Oceanography

    1997-03-01

    A coupled ocean-atmosphere model is used to investigate the equatorial Indian Ocean response to the seasonally varying monsoon winds. Special attention is given to the oceanic response to the spatial distribution and changes in direction of the zonal winds. The Indian Ocean is surrounded by an Asian land mass to the North and an African land mass to the West. The model extends latitudinally between 41 N and 41 S. The asymmetric atmospheric model is driven by a mass source/sink term that is proportional to the sea surface temperature (SST) over the oceans and the heat balance over the land. The ocean is modeled using the Anderson and McCreary reduced-gravity transport model that includes a prognostic equation for the SST. The coupled system is driven by the annual cycle as manifested by zonally symmetric and asymmetric land and ocean heating. They explored the different nature of the equatorial ocean response to various patterns of zonal wind stress forcing in order to isolate the impact of the remote response on the Somali current. The major conclusions are : i) the equatorial response is fundamentally different for easterlies and westerlies, ii) the impact of the remote forcing on the Somali current is a function of the annual cycle, iii) the size of the basin sets the phase of the interference of the remote forcing on the Somali current relative to the local forcing.

  15. Effect of Gratitude Educational Intervention on Well-Being Indicators among North Indian Adolescents

    Science.gov (United States)

    Khanna, Pulkit; Singh, Kamlesh

    2016-01-01

    The aim of the present paper was to study the impact of a gratitude building intervention on adolescents' gratitude and well-being indicators. The sample comprised 177 students aged 11--14 years (M[subscript Age] = 12.29 years, SD = 0.67, 58% male) attending two schools in North India. Using quasi-experimental design, participating classrooms from…

  16. 77 FR 30550 - Indian Gaming

    Science.gov (United States)

    2012-05-23

    ... DEPARTMENT OF THE INTERIOR Bureau of Indian Affairs Indian Gaming AGENCY: Bureau of Indian Affairs, Interior. ACTION: Notice of Approved Tribal--State Class III Gaming Compact. SUMMARY: This notice publishes approval by the Department of an extension to the Class III Gaming Compact between the Pyramid Lake Paiute...

  17. 76 FR 11258 - Indian Gaming

    Science.gov (United States)

    2011-03-01

    ... DEPARTMENT OF THE INTERIOR Bureau of Indian Affairs Indian Gaming AGENCY: Bureau of Indian Affairs, Interior. ACTION: Notice of Tribal--State Class III Gaming Compact taking effect. SUMMARY: Notice is given that the Tribal-State Compact for Regulation of Class III Gaming between the Confederated Tribes of the...

  18. 77 FR 41200 - Indian Gaming

    Science.gov (United States)

    2012-07-12

    ... DEPARTMENT OF THE INTERIOR Bureau of Indian Affairs Indian Gaming AGENCY: Bureau of Indian Affairs, Interior. ACTION: Notice of Approved Tribal--State Class III Gaming Compact. SUMMARY: This notice publishes approval by the Department of an extension to the Class III Gaming Compact between the State of California...

  19. 78 FR 26801 - Indian Gaming

    Science.gov (United States)

    2013-05-08

    ... DEPARTMENT OF THE INTERIOR Bureau of Indian Affairs [DR.5B711.IA000813] Indian Gaming AGENCY: Bureau of Indian Affairs, Interior. ACTION: Notice of Approved Tribal-State Class III Gaming Compact. SUMMARY: This notice publishes the approval of an amendment to the Class III Tribal-State Gaming Compact...

  20. 78 FR 54908 - Indian Gaming

    Science.gov (United States)

    2013-09-06

    ... DEPARTMENT OF THE INTERIOR Bureau of Indian Affairs [DR.5B711.IA000813] Indian Gaming AGENCY: Bureau of Indian Affairs, Interior. ACTION: Notice of approved Tribal-State Class III Gaming Compact. SUMMARY: This notice publishes the approval of the Class III Tribal- State Gaming Compact between the...

  1. 78 FR 78377 - Indian Gaming

    Science.gov (United States)

    2013-12-26

    ... DEPARTMENT OF THE INTERIOR Bureau of Indian Affairs [DR.5B711.IA000814] Indian Gaming AGENCY... Gaming Compact. SUMMARY: This publishes notice of the extension of the Class III gaming compact between... FURTHER INFORMATION CONTACT: Paula L. Hart, Director, Office of Indian Gaming, Office of the Deputy...

  2. Controls on ferromanganese crust composition and reconnaissance resource potential, Ninetyeast Ridge, Indian Ocean

    Science.gov (United States)

    Hein, James; Conrad, Tracey A.; Mizell, Kira; Banakar, Virupaxa K.; Frey, Frederick A.; Sager, William W.

    2016-01-01

    A reconnaissance survey of Fe-Mn crusts from the 5000 km long (~31°S to 10°N) Ninetyeast Ridge (NER) in the Indian Ocean shows their widespread occurrence along the ridge as well as with water depth on the ridge flanks. The crusts are hydrogenetic based in growth rates and discrimination plots. Twenty samples from 12 crusts from 9 locations along the ridge were analyzed for chemical and mineralogical compositions, growth rates, and statistical relationships (Q-mode factor analysis, correlation coefficients) were calculated. The crusts collected are relatively thin (maximum 40 mm), and those analyzed varied from 4 mm to 32 mm. However, crusts as thick as 80 mm can be expected to occur based on the age of rocks that comprise the NER and the growth rates calculated here. Growth rates of the crusts increase to the north along the NER and with water depth. The increase to the north resulted from an increased supply of Mn from the oxygen minimum zone (OMZ) to depths below the OMZ combined with an increased supply of Fe at depth from the dissolution of biogenic carbonate and from deep-sourced hydrothermal Fe. These increased supplies of Fe increased growth rates of the deeper-water crusts along the entire NER. Because of the huge terrigenous (rivers, eolian, pyroclastic) and hydrothermal (three spreading centers) inputs to the Indian Ocean, and the history of primary productivity, Fe-Mn crust compositions vary from those analyzed from open-ocean locations in the Pacific.

  3. Impact of sinking carbon flux on accumulation of deep-ocean carbon in the Northern Indian Ocean

    Digital Repository Service at National Institute of Oceanography (India)

    Sarma, V.V.S.S.; DileepKumar, M.; Saino, T.

    calculations using 14 C activity arises from the separation of natural 90 Biogeochemistry (2007) 82:89–100 123 and bomb-produced 14 C. Rubin and Key (2002) proposed the potential alkalinity method to achieve the separation. However, they found anomalous scatter... in the relationship between 14 C and potential alkalinity caused by data from the northern Indian Ocean (north of equator) and attributed that to the possible transportation of bomb radiocarbon, as carbonate particles from the surface ocean to the sediment...

  4. Culturally Informed Social Work Practice with American Indian Clients: Guidelines for Non-Indian Social Workers.

    Science.gov (United States)

    Williams, Edith Ellison; Ellison, Florence

    1996-01-01

    Culturally informed social work health and mental health interventions directed toward American Indian clients must be harmonious with their environment and acculturation. Discusses American Indian beliefs about health and illness and degrees of acculturation. Guidelines are offered to help non-Indian social workers design culturally appropriate…

  5. INDIAN BUSINESSMEN IN FRANCE: AN INITIAL EXAMINATION OF THEIR ACTIVITIES IN A RAPIDLY-EVOLVING CONTEXT

    Directory of Open Access Journals (Sweden)

    Vasoodeven Vuddamalay

    2010-12-01

    Full Text Available The aim of this article is to understand the implications of the recent economic and political evolution of Indian immigration in Europe, and specifically in France, their businesses and entrepreneurial groups, as well as their links with the countries of origin/welcoming countries and their transnational networks, using an historical and geoanthropological approach. The analysis also covers the essential links that the transnational entrepreneurs establish between France/Europe and the rest of the world, particularly with the emerging cities of Asia, the Middle East and, possibly, certain parts of Africa, such as South Africa, the Mascarene Islands and East Africa. To that end, the author begins by contextualising Indian business projects in France, before going on to examine the current situation of ethnic shops, the transnational companies of traditional trading communities and, to some extent, their Institute of Information Technology networks. The author also carries out a study of the “Mittal Case” as a new paradigm of research within the changing world economy, as the traditional North-South separation is undermined and the complexities of fields in research on trading and business groups is renewed. Finally, the author situates these debates within the growing world knowledge of the communities of Indian immigrants in France and their small ethnic businessmen and traders.

  6. Association of AGTR1 (A1166C and ACE (I/D Polymorphisms with Breast Cancer Risk in North Indian Population

    Directory of Open Access Journals (Sweden)

    Anukriti Singh

    2018-04-01

    Full Text Available Renin angiotensin system (RAS comprising Angiotensin converting enzyme (ACE, Angiotensin II (Ang II and its receptor Angiotensin II receptor type I (AGTR1, plays a critical role in several diseases including cancer. A single nucleotide polymorphism (SNP A1166C located in 3′ untranslated region (UTR of AGTR1 and an insertion/deletion (I/D polymorphism present in intron 16 of ACE gene have been associated with many diseases, but their association with Breast cancer (BCa is still debatable. Here, we for the first time investigated the association of these polymorphisms in a North Indian BCa cohort including 161 patients and 152 healthy women. The polymorphisms were evaluated by polymerase chain reaction (PCR and restriction fragment length polymorphism (RFLP respectively. The association between these polymorphisms and BCa risk was estimated by calculating Odds Ratio (OR and chi-square (χ2 test. The DD genotype/D allele of ACE (I/D polymorphism and “AC and CC” genotype/C allele of AGTR1 (A1166C polymorphism were associated with higher risk of BCa when evaluated independently. Furthermore, interaction analysis of “AC and CC” and DD genotype and combination of “C and D” alleles of both polymorphisms revealed significantly greater BCa risk than that observed independently. Conclusively, women harboring “AC or CC” genotype/C allele for AGTR1 (A1166C polymorphism and DD genotype/D allele for ACE (I/D polymorphisms have a predisposition to develop more aggressive disease with advanced staging and larger tumor size. Our study indicates importance of genetic screening based on these polymorphisms for women, who may have higher risk of BCa.

  7. Saree cancer in Indian woman treated successfully with multimodality management

    Directory of Open Access Journals (Sweden)

    Unmesh Vidyadhar Takalkar

    2014-05-01

    Full Text Available Saree is a common, traditional garment of Indian women, wrapped around the waist tightened by a thick cord and with one end draped over the shoulder. Tight knot in the same place, sweat, soiling and continuous use can cause pigmentation, scaling of the waist and even transform to malignancy. We present here a case of saree cancer successfully managed with multimodality therapy. A 50-year-old woman was referred to our hospital (India for itching and non-healing ulcerative lesion on waistline. She was wearing saree continuously for 34 years with knot at the same place. Magnetic resonance images suggested ulcerative growth with lymph node metastasis. She then underwent wide local excision; histopathological examination confirmed it was a squamous cell carcinoma. She therefore received concomitant chemotherapy and radiotherapy. She is now (2 years after the completion of treatment in remission state. Awareness of saree cancer among Indian is important to avoid malignant lesions at waistline. Multimodality management with surgery, chemotherapy and radiotherapy is ideal mean for good outcome.

  8. Traffic accident injuries in a referral Orthopedic Hospital in North West of Iran during summer 2009

    Directory of Open Access Journals (Sweden)

    Amir Mohammad Navali

    2015-03-01

    Full Text Available Introduction: Road traffic injuries are a major public health problem, requiring huge efforts for effective and sustainable prevention. Because of the high occurrence of traffic accidents in Iran, basic data acquisition is highly needed to implement prevention plans. The present research is conducted as an epidemiological study of the traffic accident victims referred to a referral orthopedic center in North West of Iran. Methods: A cross-sectional study was conducted during a 3 months period from June to September 2009 in Tabriz, Iran. A total of 16681 patients were admitted to the emergency ward, and 3246 patients (19.5% were hospitalized during this period because of traffic related injuries. After randomization, 630 cases were selected to be enrolled in the study. The location of an accident, position of road users, type of crashed vehicle, cause of accident, type of injury, time interval from accident to hospitalization and treatment outcome were recorded. Statistical analyses were carried out using SPSS software. Results: The mean age of the patients was 31 years (range, 6 months to 98 years and 77.0% of patients (468 cases were men. A total of 193 (36.6% patients sustained traffic accident in open roads and 335 (63.4% in urban corridors. In 67 (12.9% of accidents, there was only a single occupant in the vehicle. The time interval between the accident and admission was 6.6 ± 3.2 hours. Of the 608 cases, 45.7% were drivers, 30.3% passengers, and 24.0% pedestrians. Most cases of the car accident happened in urban areas, and the male victims were largely in the driver group. The most frequent type of injury was knee, leg and head trauma. Conclusion: The large number of traffic-related injuries admitted to our emergency ward that comprise mostly young adults should be considered as an alarming signal to policy makers and health providers in our province. Strict control on drivers’ behavior should be taken into account if increasing human

  9. 78 FR 62650 - Indian Gaming

    Science.gov (United States)

    2013-10-22

    ... DEPARTMENT OF THE INTERIOR Bureau of Indian Affairs [DR.5B711.IA000813] Indian Gaming AGENCY: Bureau of Indian Affairs, Interior. ACTION: Notice of extension of Tribal-State Class III Gaming Compact. SUMMARY: This publishes notice of the extension of the Class III gaming compact between the Rosebud Sioux...

  10. 78 FR 54670 - Indian Gaming

    Science.gov (United States)

    2013-09-05

    ... DEPARTMENT OF THE INTERIOR Bureau of Indian Affairs [DR.5B711.IA000813] Indian Gaming AGENCY: Bureau of Indian Affairs, Interior. ACTION: Notice of extension of Tribal--State Class III Gaming Compact. SUMMARY: This publishes notice of the Extension of the Class III gaming compact between the Yankton Sioux...

  11. Fostering Social Determinants of Health Transdisciplinary Research: The Collaborative Research Center for American Indian Health

    Directory of Open Access Journals (Sweden)

    Amy J. Elliott

    2015-12-01

    Full Text Available The Collaborative Research Center for American Indian Health (CRCAIH was established in September 2012 as a unifying structure to bring together tribal communities and health researchers across South Dakota, North Dakota and Minnesota to address American Indian/Alaska Native (AI/AN health disparities. CRCAIH is based on the core values of transdisciplinary research, sustainability and tribal sovereignty. All CRCAIH resources and activities revolve around the central aim of assisting tribes with establishing and advancing their own research infrastructures and agendas, as well as increasing AI/AN health research. CRCAIH is comprised of three divisions (administrative; community engagement and innovation; research projects, three technical cores (culture, science and bioethics; regulatory knowledge; and methodology, six tribal partners and supports numerous multi-year and one-year pilot research projects. Under the ultimate goal of improving health for AI/AN, this paper describes the overarching vision and structure of CRCAIH, highlighting lessons learned in the first three years.

  12. Leadership Challenges in Indian Country.

    Science.gov (United States)

    Horse, Perry

    2002-01-01

    American Indian leaders must meld the holistic and cyclical world view of Indian peoples with the linear, rational world view of mainstream society. Tribal leaders need to be statesmen and ethical politicians. Economic and educational development must be based on disciplined long-range planning and a strong, Indian-controlled educational base.…

  13. Methodology for understanding Indian culture

    DEFF Research Database (Denmark)

    Sinha, Jai; Kumar, Rajesh

    2004-01-01

    Methods of understanding cultures, including Indian culture, are embedded in a broad spectrum of sociocultural approaches to human behavior in general. The approaches examined in this paper reflect evolving perspectives on Indian culture, ranging from the starkly ethnocentric to the largely...... eclectic and integrative. Most of the methods herin discussed were developed in the West and were subsequently taken up with or without adaptations to fit the Indian context. The paper begins by briefly reviewing the intrinsic concept of culture. It then adopts a historical view of the different ways...... and means by which scholars have construed the particular facets of Indian culture, highlighting the advantages and disadvantages of each. The final section concludes with some proposals about the best ways of understnding the complexity that constitutes the Indian cultural reality....

  14. Future projections of active-break spells of Indian summer monsoon in a climate change perspective

    Science.gov (United States)

    Sudeepkumar, B. L.; Babu, C. A.; Varikoden, Hamza

    2018-02-01

    The effect of global climate change on Indian summer monsoon has been analysed with special emphasis on active-break cycle. The changes in intensity and duration of active and break monsoon conditions towards the end of the century are studied by using 850 hPa zonal circulations. The analysis is carried out using twenty year climatology of historical period (1986-2005) and future projections (2080-2099) simulated as part of Coupled Model Intercomparison Project phase 5 (CMIP5). Models are compared with NCEP/NCAR reanalysis data. The models that effectively capture the circulation pattern of monsoon (JJAS) are considered for assessing the future climate in RCP 4.5 scenario. They are CanESM2, CNRM-CM5, GFDL-ESM2M, MIROC5 and MPI-ESM-LR. During the southwest monsoon period, the ensemble mean of models projects a strengthening of the wind speed towards north (north of 15°N) and weakening to the southern region (especially south of 12°N) which facilitates wetting of northern Indian regions and drying of southern peninsular regions. In the case of active-break conditions, the active spells are found to be strengthening over northern India and weakening over the peninsular India, the break spells intensify over southern tip of peninsular India indicating intense breaks. Increased propensity of short intense active days and decreased propensity of long active days are also projected by the models. The number of break spells does not show any significant changes.

  15. Prevalence of human papilloma virus with risk of cervical cancer among south Indian women: A genotypic study with meta-analysis and molecular dynamics of HPV E6 oncoprotein.

    Science.gov (United States)

    Akram Husain, R S; Rajakeerthana, R; Sreevalsan, Anoop; Prema Jayaprasad, P; Ahmed, Shiek S S J; Ramakrishnan, V

    2018-04-23

    Cervical cancer (CC) is a major fatal health problem in women with high mortality worldwide. Human Papilloma Virus (HPV) is considered as one of the causative factors for CC. The HPV prevalence and their genotype distribution among women population are essential to evaluate the deteriorating impact of HPV. A cross-sectional study was performed involving 212 participants to identify the prevalence of high-risk HPV genotypes in south India using PCR and DNA Sequencing. The results obtained from cross-sectional study were used to conduct a meta-analysis of the previous published studies on HPV prevalence and genotype distribution across six geographical regions (North, Northeast, East, Central, West, and South) of India. Additionally, molecular simulation was performed using GROMACS software to determine the structural differences of E6 oncoprotein in HPV-16 and 18 genotypes, characterized from Indian subjects. Among the study participants, the HPV prevalence was found to be 81.70% in CC, 71.42% in HSIL and 61.30% in LSIL. The meta-analysis showed a high prevalence of HPV-16 in CC across the entire six regions. Of which, South and North India were found to have high HPV prevalence among Indian regions. Further, simulation of E6 oncoprotein revealed structural differences between HPV-16 and 18 which may be associated with their oncogenic nature. The HPV-16 and 18 were noticed to be highly prevalent in Indian women. Health awareness and vaccination programs are regularly needed to protect Indian women community. Copyright © 2018 Elsevier B.V. All rights reserved.

  16. Facts about American Indian Education

    Science.gov (United States)

    American Indian College Fund, 2010

    2010-01-01

    As a result of living in remote rural areas, American Indians living on reservations have limited access to higher education. One-third of American Indians live on reservations, according to the U.S. Census Bureau. According to the most recent U.S. government statistics, the overall poverty rate for American Indians/Alaska Natives, including…

  17. Defeathering the Indian.

    Science.gov (United States)

    LaRoque, Emma

    In an effort to mitigate the stultified image of the American Indian in Canada, this handbook on Native Studies is written from the Indian point of view and is designed to sensitize the dominant society, particularly educators. While numerous approaches and pointers are presented and specific mateirals are recommended, the focus is essentially…

  18. The Indian Gaming Regulatory Act and Its Effects on American Indian Economic Development

    OpenAIRE

    Randall K. Q. Akee; Katherine A. Spilde; Jonathan B. Taylor

    2015-01-01

    The Indian Gaming Regulatory Act (IGRA), passed by the US Congress in 1988, was a watershed in the history of policymaking directed toward reservation-resident American Indians. IGRA set the stage for tribal government-owned gaming facilities. It also shaped how this new industry would develop and how tribal governments would invest gaming revenues. Since then, Indian gaming has approached commercial, state-licensed gaming in total revenues. Gaming operations have had a far-reaching and trans...

  19. Mortality among inpatients of a psychiatric hospital: Indian perspective.

    Science.gov (United States)

    Shinde, Shireesh Shatwaji; Nagarajaiah; Narayanaswamy, Janardhanan C; Viswanath, Biju; Kumar, Naveen C; Gangadhar, B N; Math, Suresh Bada

    2014-04-01

    The objective of this study is to assess mortality and its correlates among psychiatric inpatients of a tertiary care neuropsychiatric hospital. Given the background that such a study has never been undertaken in India, the findings would have a large bearing on policy making from a mental health-care perspective. The medical records of those psychiatric inpatients (n = 333) who died during their stay at the National Institute of Mental Health and Neurosciences in past 26 years (January 1983 to December 2008) constituted the study population. During the 26 years, there were a total of 103,252 psychiatric in-patient admissions, out of which 333 people died during their inpatient stay. Majority (n = 135, 44.6%) of the mortality was seen in the age group of 21-40 years. Most of the subjects were males (n = 202, 67%), married (n = 172, 56.8%) and from urban areas (n = 191, 63%). About, 54% of the subjects had short inpatient stay (history of physical illness. Leading cause of death were cardiovascular system disorders (n = 132, 43.6%), followed by respiratory system disorders (n = 45, 14.9%), nervous system disorders (n = 30, 9.9%) and infections (n = 31, 10.1%). In 21 (7%), cause of death was suicide. Identifying the factors associated with the death of inpatients is of utmost importance in assessing the care in a neuropsychiatric hospital and in formulating better treatment plan and policy in mental health. The discussion focuses on the analysis of different factors associated with inpatient mortality.

  20. Asthma and American Indians/Alaska Natives

    Science.gov (United States)

    ... Minority Population Profiles > American Indian/Alaska Native > Asthma Asthma and American Indians/Alaska Natives In 2015, 240, ... Native American adults reported that they currently have asthma. American Indian/Alaska Native children are 60% more ...

  1. Epidemiology of urinary tract infections and antibiotics sensitivity among pregnant women at Khartoum North Hospital

    Directory of Open Access Journals (Sweden)

    Ali Salah K

    2011-01-01

    Full Text Available Abstract Background Urinary tract infections (UTI can lead to poor maternal and perinatal outcomes. Investigating epidemiology of UTI and antibiotics sensitivity among pregnant women is fundamental for care-givers and health planners. Methods A cross sectional study has been conducted at Khartoum north teaching hospital Antenatal Care Clinic between February-June 2010, to investigate epidemiology of UTI and antibiotics resistance among pregnant women. Structured questionnaires were used to gather data from pregnant women. UTI was diagnosed using mid stream urine culture on standard culture media Results Out of 235 pregnant women included, 66 (28.0% were symptomatic and 169 (71.9% asymptomatic. the prevalence of bacteriuria among symptomatic and asymptomatic pregnant women were (12.1%, and (14.7% respectively, with no significant difference between the two groups (P = 0.596, and the overall prevalence of UTI was (14.0%. In multivariate analyses, age, gestational age, parity, and history of UTI in index pregnancy were not associated with bacteriuria. Escherichia coli (42.4% and S. aureus (39.3% were the commonest isolated bacteria. Four, 2, 2, 3, 4, 2 and 0 out of 14 E. coli isolates, showed resistance to amoxicillin, naladixic acid, nitrofurantoin, ciprofloxacin, co-trimoxazole, amoxicillin/clavulanate and norfloxacin, respectively Conclusion Escherichia coli were the most prevalent causative organisms and showing multi drug resistance pattern, asymptomatic bacteriuria is more prevalent than symptomatic among pregnant women. Urine culture for screening and diagnosis purpose for all pregnant is recommended.

  2. Epidemiology of urinary tract infections and antibiotics sensitivity among pregnant women at Khartoum North Hospital.

    Science.gov (United States)

    Hamdan, Hamdan Z; Ziad, Abdel Haliem M; Ali, Salah K; Adam, Ishag

    2011-01-18

    Urinary tract infections (UTI) can lead to poor maternal and perinatal outcomes. Investigating epidemiology of UTI and antibiotics sensitivity among pregnant women is fundamental for care-givers and health planners. A cross sectional study has been conducted at Khartoum north teaching hospital Antenatal Care Clinic between February-June 2010, to investigate epidemiology of UTI and antibiotics resistance among pregnant women. Structured questionnaires were used to gather data from pregnant women. UTI was diagnosed using mid stream urine culture on standard culture media Out of 235 pregnant women included, 66 (28.0%) were symptomatic and 169 (71.9%) asymptomatic. the prevalence of bacteriuria among symptomatic and asymptomatic pregnant women were (12.1%), and (14.7%) respectively, with no significant difference between the two groups (P = 0.596), and the overall prevalence of UTI was (14.0%). In multivariate analyses, age, gestational age, parity, and history of UTI in index pregnancy were not associated with bacteriuria. Escherichia coli (42.4%) and S. aureus (39.3%) were the commonest isolated bacteria. Four, 2, 2, 3, 4, 2 and 0 out of 14 E. coli isolates, showed resistance to amoxicillin, naladixic acid, nitrofurantoin, ciprofloxacin, co-trimoxazole, amoxicillin/clavulanate and norfloxacin, respectively. Escherichia coli were the most prevalent causative organisms and showing multi drug resistance pattern, asymptomatic bacteriuria is more prevalent than symptomatic among pregnant women. Urine culture for screening and diagnosis purpose for all pregnant is recommended.

  3. Detailed Configuration of the Underthrusting Indian Lithosphere Beneath Western Tibet Revealed by Receiver Function Images

    Science.gov (United States)

    Xu, Qiang; Zhao, Junmeng; Yuan, Xiaohui; Liu, Hongbing; Pei, Shunping

    2017-10-01

    We analyze the teleseismic waveform data recorded by 42 temporary stations from the Y2 and ANTILOPE-1 arrays using the P and S receiver function techniques to investigate the lithospheric structure beneath western Tibet. The Moho is reliably identified as a prominent feature at depths of 55-82 km in the stacked traces and in depth migrated images. It has a concave shape and reaches the deepest location at about 80 km north of the Indus-Yarlung suture (IYS). An intracrustal discontinuity is observed at 55 km depth below the southern Lhasa terrane, which could represent the upper border of the eclogitized underthrusting Indian lower crust. Underthrusting of the Indian crust has been widely observed beneath the Lhasa terrane and correlates well with the Bouguer gravity low, suggesting that the gravity anomalies in the Lhasa terrane are induced by topography of the Moho. At 20 km depth, a midcrustal low-velocity zone (LVZ) is observed beneath the Tethyan Himalaya and southern Lhasa terrane, suggesting a layer of partial melts that decouples the thrust/fold deformation of the upper crust from the shortening and underthrusting in the lower crust. The Sp conversions at the lithosphere-asthenosphere boundary (LAB) can be recognized at depths of 130-200 km, showing that the Indian lithospheric mantle is underthrusting with a ramp-flat shape beneath southern Tibet and probably is detached from the lower crust immediately under the IYS. Our observations reconstruct the configuration of the underthrusting Indian lithosphere and indicate significant along strike variations.

  4. Drug prescribing patterns for outpatients in three hospitals in north ...

    African Journals Online (AJOL)

    Background: Information about drug utilization at the out patient departments of the Hospitals in Ethiopia is scanty although a large segment of the patients are being served at the outpatient departments. Objective: To evaluate and compare patterns of drug prescribing practiced in the outpatient departments of three ...

  5. Violence against doctors in the Indian subcontinent: A rising bane

    Directory of Open Access Journals (Sweden)

    Paurush Ambesh

    2016-09-01

    Full Text Available Incidents of violence against doctors in the Indian subcontinent have increased in the last few years. Most doctors in India, China, Pakistan, Nepal and Sri Lanka are concerned about their safety at work. The problem is worse in government hospitals, which characteristically lack appropriate security protocols. In order to tackle the issue, doctors need to accept the problem, discuss the various causative factors, understand the public sentiment and collaborate with the government to find a solution. Formulation of legal provisions and standards to ensure the safety of health workers is the need of the hour.

  6. 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...

  7. Indo-Pacific climate during the decaying phase of the 2015/16 El Niño: role of southeast tropical Indian Ocean warming

    Science.gov (United States)

    Chen, Zesheng; Du, Yan; Wen, Zhiping; Wu, Renguang; Wang, Chunzai

    2018-06-01

    This study investigates the influence of southeast tropical Indian Ocean (SETIO) sea surface temperature (SST) warming on Indo-Pacific climate during the decaying phase of the 2015/16 El Niño by using observations and model experiments. The results show that the SETIO SST warming in spring 2016 enhanced local convection and forced a "C-shape" wind anomaly pattern in the lower troposphere. The "C-shape" wind anomaly pattern over the eastern tropical Indian Ocean consists of anomalous westerly flow south of the equator and anomalous easterly flow north of the equator. The anomalous easterly flow then extended eastward into the western North Pacific (WNP) and facilitates the development or the maintenance of an anomalous anticyclone over the South China Sea (SCS). Correspondingly, the eastern part of the Bay of Bengal, the SCS and the WNP suffered less rainfall. Such precipitation features and the associated "C-shape" wind anomaly pattern shifted northward about five latitudes in summer 2016. Additionally, the SETIO warming can induce local meridional circulation anomalies, which directly affect Indo-Pacific climate. Numerical model experiments further confirm that the SETIO SST warming plays an important role in modulating Indo-Pacific climate.

  8. Indo-Pacific climate during the decaying phase of the 2015/16 El Niño: role of southeast tropical Indian Ocean warming

    Science.gov (United States)

    Chen, Zesheng; Du, Yan; Wen, Zhiping; Wu, Renguang; Wang, Chunzai

    2017-09-01

    This study investigates the influence of southeast tropical Indian Ocean (SETIO) sea surface temperature (SST) warming on Indo-Pacific climate during the decaying phase of the 2015/16 El Niño by using observations and model experiments. The results show that the SETIO SST warming in spring 2016 enhanced local convection and forced a "C-shape" wind anomaly pattern in the lower troposphere. The "C-shape" wind anomaly pattern over the eastern tropical Indian Ocean consists of anomalous westerly flow south of the equator and anomalous easterly flow north of the equator. The anomalous easterly flow then extended eastward into the western North Pacific (WNP) and facilitates the development or the maintenance of an anomalous anticyclone over the South China Sea (SCS). Correspondingly, the eastern part of the Bay of Bengal, the SCS and the WNP suffered less rainfall. Such precipitation features and the associated "C-shape" wind anomaly pattern shifted northward about five latitudes in summer 2016. Additionally, the SETIO warming can induce local meridional circulation anomalies, which directly affect Indo-Pacific climate. Numerical model experiments further confirm that the SETIO SST warming plays an important role in modulating Indo-Pacific climate.

  9. Asymptomatic bacteriuria & obstetric outcome following treatment in early versus late pregnancy in north Indian women.

    Science.gov (United States)

    Jain, Vaishali; Das, Vinita; Agarwal, Anjoo; Pandey, Amita

    2013-04-01

    Asymptomatic bacteriuria during pregnancy if left untreated, may lead to acute pyelonephritis, preterm labour, low birth weight foetus, etc. Adequate and early treatment reduces the incidence of these obstetric complications. The present study was done to determine presence of asymptomatic bacteriuria (ASB) and obstetric outcome following treatment in early versus late pregnancy. A prospective cohort study was conducted at a tertiary care teaching hospital of north India. Pregnant women till 20 wk (n=371) and between 32 to 34 wk gestation (n=274) having no urinary complaints were included. Their mid stream urine sample was sent for culture and sensitivity. Women having > 10 [5] colony forming units/ml of single organism were diagnosed positive for ASB and treated. They were followed till delivery for obstetric outcome. Relative risk with 95% confidence interval was used to describe association between ASB and outcome of interest. ASB was found in 17 per cent pregnant women till 20 wk and in 16 per cent between 32 to 34 wk gestation. Increased incidence of preeclamptic toxaemia (PET) [RR 3.79, 95% CI 1.80-7.97], preterm premature rupture of membrane (PPROM)[RR 3.63, 45% CI 1.63-8.07], preterm labour (PTL) [RR 3.27, 95% CI 1.38-7.72], intrauterine growth restriction (IUGR)[RR 3.79, 95% CI 1.80-79], low birth weight (LBW) [RR1.37, 95% CI 0.71-2.61] was seen in late detected women (32-34 wk) as compared to ASB negative women, whereas no significant difference was seen in early detected women (till 20 wk) as compared to ASB negative women. Early detection and treatment of ASB during pregnancy prevents complications like PET, IUGR, PTL, PPROM and LBW. Therefore, screening and treatment of ASB may be incorporated as routine antenatal care for safe motherhood and healthy newborn.

  10. Asymptomatic bacteriuria & obstetric outcome following treatment in early versus late pregnancy in north Indian women

    Science.gov (United States)

    Jain, Vaishali; Das, Vinita; Agarwal, Anjoo; Pandey, Amita

    2013-01-01

    Background & objectives: Asymptomatic bacteriuria during pregnancy if left untreated, may lead to acute pyelonephritis, preterm labour, low birth weight foetus, etc. Adequate and early treatment reduces the incidence of these obstetric complications. The present study was done to determine presence of asymptomatic bacteriuria (ASB) and obstetric outcome following treatment in early versus late pregnancy. Methods: A prospective cohort study was conducted at a tertiary care teaching hospital of north India. Pregnant women till 20 wk (n=371) and between 32 to 34 wk gestation (n=274) having no urinary complaints were included. Their mid stream urine sample was sent for culture and sensitivity. Women having > 105 colony forming units/ml of single organism were diagnosed positive for ASB and treated. They were followed till delivery for obstetric outcome. Relative risk with 95% confidence interval was used to describe association between ASB and outcome of interest. Results: ASB was found in 17 per cent pregnant women till 20 wk and in 16 per cent between 32 to 34 wk gestation. Increased incidence of preeclamptic toxaemia (PET) [RR 3.79, 95% CI 1.80-7.97], preterm premature rupture of membrane (PPROM)[RR 3.63, 45% CI 1.63-8.07], preterm labour (PTL) [RR 3.27, 95% CI 1.38-7.72], intrauterine growth restriction (IUGR)[RR 3.79, 95% CI 1.80-79], low birth weight (LBW) [RR1.37, 95% CI 0.71-2.61] was seen in late detected women (32-34 wk) as compared to ASB negative women, whereas no significant difference was seen in early detected women (till 20 wk) as compared to ASB negative women. Interpretation & conclusions: Early detection and treatment of ASB during pregnancy prevents complications like PET, IUGR, PTL, PPROM and LBW. Therefore, screening and treatment of ASB may be incorporated as routine antenatal care for safe motherhood and healthy newborn. PMID:23703344

  11. 75 FR 39697 - Indians Into Psychology Program; Correction

    Science.gov (United States)

    2010-07-12

    ... DEPARTMENT OF HEALTH AND HUMAN SERVICES Indian Health Service Indians Into Psychology Program; Correction AGENCY: Indian Health Service, HHS. ACTION: Notice correction. SUMMARY: The Indian Health Service...-IHS-2010-INPSY-0001, for the Indians Into Psychology Program. The document contained an incorrect...

  12. Rasam Indian Restaurant: Menu

    OpenAIRE

    Rasam Indian Restaurant

    2013-01-01

    Rasam Indian Restaurant is located in the Glasthule, a suburb of Dublin and opened in 2003. The objective is to serve high quality, authentic Indian cuisine. "We blend, roast and grind our own spices daily to provide a flavour that is unique to Rasam. Cooking Indian food is founded upon long held family traditions. The secret is in the varying elements of heat and spices, the tandoor clay oven is a hugely important fixture in our kitchen. Marinated meats are lowered into the oven on long m...

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

    Directory of Open Access Journals (Sweden)

    Singh A

    2006-01-01

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

  14. The anatomical diaspora: evidence of early American anatomical traditions in North Dakota.

    Science.gov (United States)

    Stubblefield, Phoebe R

    2011-09-01

    The current focus in forensic anthropology on increasing scientific certainty in ancestry determination reinforces the need to examine the ancestry of skeletal remains used for osteology instruction. Human skeletal remains were discovered on the University of North Dakota campus in 2007. After recovery, the osteological examination resulted in a profile for a 33- to 46-year-old woman of African descent with stature ranging from 56.3 to 61.0 in. The pattern of postmortem damage indicated that the remains had been prepared for use as an anatomical teaching specimen. Review of the American history of anatomical teaching revealed a preference for Black subjects, which apparently extended to states like North Dakota despite extremely low resident populations of people of African descent. This study emphasizes the need to examine the ancestry of older teaching specimens that lack provenience, rather than assuming they are derived from typical (i.e., Indian) sources of anatomical material. © 2011 American Academy of Forensic Sciences.

  15. Leading Indian Business-Groups

    Directory of Open Access Journals (Sweden)

    Maria Alexandrovna Vorobyeva

    2016-01-01

    Full Text Available The goal of this paper is to investigate the evolution of the leading Indian business-groups under the conditions of economical liberalization. It is shown that the role of modern business-groups in the Indian economy is determined by their high rate in the gross domestic product (GDP, huge overall actives, substantial pert in the e[port of goods and services, as well as by their activities in modern branch structure formatting, and developing labor-intensive and high-tech branches. They strongly influence upon economical national strategies, they became a locomotive of internationalization and of transnationalization of India, the basis of the external economy factor system, the promoters of Indian "economical miracle" on the world scene, and the dynamical segment of economical and social development of modern India. The tendencies of the development of the leading Indian business groups are: gradual concentration of production in few clue sectors, "horizontal" structure, incorporation of the enterprises into joint-stock structure, attraction of hired top-managers and transnationaliziation. But against this background the leading Indian business-groups keep main traditional peculiarities: they mostly still belong to the families of their founders, even today they observe caste or communal relations which are the basis of their non-formal backbone tides, they still remain highly diversificated structures with weak interrelations. Specific national ambivalence and combination of traditions and innovations of the leading Indian business-groups provide their high vitality and stability in the controversial, multiform, overloaded with caste and confessional remains Indian reality. We conclude that in contrast to the dominant opinion transformation of these groups into multisectoral corporations of the western type is far from completion, and in the nearest perspective they will still possess all their peculiarities and incident social and economical

  16. Examining cross-equatorial precipitation variability in the western Indian Ocean using stalagmites from Madagascar

    Science.gov (United States)

    Scroxton, N.; Burns, S. J.; McGee, D.; Hardt, B. F.; Godfrey, L.; Ranivoharimanana, L.; Faina, P.

    2017-12-01

    The behavior of the world's monsoon systems and the position of the Inter Tropical Convergence Zone (ITCZ) resulting from large global climatic changes is reasonably well understood at orbital and millennial timescales. However, under the boundary conditions and relatively modest forcing of the last 2000 years it is not yet clear how tropical monsoon systems changed and why. The traditional schema of north-south translation of the ITCZ is being challenged by new theories relating to meridional expansion and contraction of the tropical rain belt, and/or to changes in zonal circulation patterns resembling modern El-Niño Southern Oscillation end members. Located at a hotspot of zonal and meridional climate forcing, stalagmites from the western Indian Ocean can provide new insights into past rainfall variability and uncover the driving mechanisms. Here, we present results from a new southern hemisphere speleothem record from Anjohibe cave, northwestern Madagascar, covering the last 1,700 years. We demonstrate that our quasi-annual, precisely dated, stable oxygen isotope record serves as a proxy for the strength of the northwestern Madagascan monsoon. The record shows a multi-decadal, in-phase relationship with its northern hemisphere monsoon counterpart from Oman - contrary to the expected antiphase relationship that would result from north-south ITCZ translation. At the centennial scale, the Madagascan record correlates well with precipitation records from Eastern Africa. We discuss the potential causes of western Indian Ocean precipitation coherency, and how it relates to either symmetrical changes in continental sensible heating, or to a low frequency zonal sea-surface temperature mode.

  17. Effects of air-sea coupling on the boreal summer intraseasonal oscillations over the tropical Indian Ocean

    Energy Technology Data Exchange (ETDEWEB)

    Lin, Ailan [CMA, Key Open Laboratory for Tropical Monsoon, Institute of Tropical and Marine Meteorology, Guangzhou (China); Li, Tim [CMA, Key Open Laboratory for Tropical Monsoon, Institute of Tropical and Marine Meteorology, Guangzhou (China); University of Hawaii, IPRC, Honolulu, Hawaii (United States); University of Hawaii, Department of Meteorology, Honolulu, Hawaii (United States); Fu, Xiouhua [University of Hawaii, IPRC, Honolulu, Hawaii (United States); Luo, Jing-Jia; Masumoto, Yukio [Research Institute for Global Change, JAMSTEC, Yokohama (Japan)

    2011-12-15

    The effects of air-sea coupling over the tropical Indian Ocean (TIO) on the eastward- and northward-propagating boreal summer intraseasonal oscillation (BSISO) are investigated by comparing a fully coupled (CTL) and a partially decoupled Indian Ocean (pdIO) experiment using SINTEX-F coupled GCM. Air-sea coupling over the TIO significantly enhances the intensity of both the eastward and northward propagations of the BSISO. The maximum spectrum differences of the northward- (eastward-) propagating BSISO between the CTL and pdIO reach 30% (25%) of their respective climatological values. The enhanced eastward (northward) propagation is related to the zonal (meridional) asymmetry of sea surface temperature anomaly (SSTA). A positive SSTA appears to the east (north) of the BSISO convection, which may positively feed back to the BSISO convection. In addition, air-sea coupling may enhance the northward propagation through the changes of the mean vertical wind shear and low-level specific humidity. The interannual variations of the TIO regulate the air-sea interaction effect. Air-sea coupling enhances (reduces) the eastward-propagating spectrum during the negative Indian Ocean dipole (IOD) mode, positive Indian Ocean basin (IOB) mode and normal years (during positive IOD and negative IOB years). Such phase dependence is attributed to the role of the background mean westerly in affecting the wind-evaporation-SST feedback. A climatological weak westerly in the equatorial Indian Ocean can be readily reversed by anomalous zonal SST gradients during the positive IOD and negative IOB events. Although the SSTA is always positive to the northeast of the BSISO convection for all interannual modes, air-sea coupling reduces the zonal asymmetry of the low-level specific humidity and thus the eastward propagation spectrum during the positive IOD and negative IOB modes, while strengthening them during the other modes. Air-sea coupling enhances the northward propagation under all

  18. Social Work Education Canada’s North : Capacity Building through Social Work

    Directory of Open Access Journals (Sweden)

    Douglas Durst

    2015-03-01

    Full Text Available The Faculty of Social Work program at the University of Regina is a broker for two social work programs north of the 60th parallel reaching the northern residents of both Aboriginal and non-Aboriginal ancestry. In addition, for over 30 years, the University of Regina partners with the First Nations University of Canada where a specialized Bachelor of Indian Social Work is offered and now a Master of Aboriginal Social Work. This paper presents the background to the Northern Human Service/BSW program at Yukon College in Whitehorse, Yukon and the Certificate of Social Work at the Aurora College in Yellowknife, Northwest Territories.

  19. Prevalence of Charcot Arthropathy in Type 2 Diabetes Patients Aged over 50 Years with Severe Peripheral Neuropathy: A Retrospective Study in a Tertiary Care South Indian Hospital.

    Science.gov (United States)

    Salini, Dharmadas; Harish, Kumar; Minnie, Pillay; Sundaram, Karimassery R; Arun, Bal; Sandya, Chirukandath J; Mangalanandan, Thacho S; Vivek, Lakshmanan; Praveen, Valiyaparambil P

    2018-01-01

    Available literature on the prevalence of Charcot arthropathy (CA) represents mainly Western population. No study has been reported from India so far. Hence we attempted to study the prevalence of CA in patients with type 2 diabetes mellitus and severe peripheral neuropathy (T2DMPN), belonging to Indian population amongst whom type 2 diabetes is on the rise in alarming proportions. Medical records of 3387 patients who performed an objective vibration perception threshold test during the year 2015 were screened for T2DMPN. Out of these, 1475 T2DMPN patients above 50 years were selected and analyzed in detail for CA. CA was diagnosed based on clinical features and/or radiological investigations. The anatomical localization of the disease distribution of the affected foot was done according to Brodsky's classification. The prevalence of CA in T2DMPN patients was found to be 9.8%. The mean age of patients diagnosed with CA was 63 ± 8.36 years, and mean duration of DM for CA to develop was 18.01 ± 8.23 years. About 62.5% of the patients were male and 37.5% female. Bilateral presentation of CA was observed in 20.8% of patients. Multiple sites of the foot were affected in 48.6% of patients and belonged to type 4 classification of Brodsky. A high prevalence of CA (9.8%) was observed in the present study conducted on T2DMPN patients who presented to the endocrinology department of a tertiary care South Indian hospital. In the majority of patients, the area of foot affected belonged to type 4 classification of Brodsky.

  20. Access to facility delivery and caesarean section in north-central Liberia: a cross-sectional community-based study

    Science.gov (United States)

    Gartland, Matthew G; Taryor, Victor D; Norman, Andy M; Vermund, Sten H

    2012-01-01

    Objective Rural north-central Liberia has one of the world's highest maternal mortality ratios. We studied health facility birthing service utilisation and the motives of women seeking or not seeking facility-based care in north-central Liberia. Design Cross-sectional community-based structured interviews and health facility medical record review. Setting A regional hospital and the surrounding communities in rural north-central Liberia. Participants A convenience sample of 307 women between 15 and 49 years participated in structured interviews. 1031 deliveries performed in the regional hospital were included in the record review. Primary outcomes Delivery within a health facility and caesarean delivery rates were used as indicators of direct utilisation of care and as markers of availability of maternal health services. Results Of 280 interview respondents with a prior childbirth, only 47 (16.8%) delivered their last child in a health facility. Women who did not use formal services cited cost, sudden labour and family tradition or religion as their principal reasons for home delivery. At the regional hospital, the caesarean delivery rate was 35.5%. Conclusions There is an enormous unmet need for maternal health services in north-central Liberia. Greater outreach and referral services as well as community-based education among women, family members and traditional midwives are vital to improve the timely utilisation of care. PMID:23117566