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Sample records for madakkathara kerala india

  1. Kerala State, India: radical reform as development.

    PubMed

    Franke, R W; Chasin, B H

    1992-01-01

    Kerala State in southwestern India has achieved some of the third world's best rates of life expectancy, literacy, and infant mortality, despite one of the lowest per capita incomes. Especially notable is the nearly equal distribution of development benefits to urban, rural, male, female, high-caste, and low-caste sections of the populations. An even population distribution, a cosmopolitan trading history, and the development of militant worker and small farmer organizations led by dedicated activists provide the main explanations for Kerala's achievements. Land reform has redistributed wealth and political power from a rich elite to small holders and landless laborers. Public food distribution at controlled prices, large-scale public health actions, accessible medical facilities, and widespread literacy combine with and reinforce each other to maintain and expand Kerala's achievements. Serious unemployment threatens the Kerala experiment, but Kerala nonetheless offers important lessons to development planners, policymakers, and third world activists. PMID:1735622

  2. Coastal Zone Management program in Kerala, India

    SciTech Connect

    Mallik, T.K. )

    1987-01-01

    The physiographic setting of Kerala State, India, is unique. A narrow strip of the state contains a chain of lagoons and estuaries with a very high population density. The strip is subjected to severe coastal erosion during the monsoon season. A number of other problems are also associated with the coastal zone of Kerala, such as irregular dredging of black sands from the beaches, coastal flooding, hazards due to developmental activities, etc. A Coastal Zone Management Program was developed and administered by the Centre for Earth Science Studies, Trivandrum, to provide efficient coastal management and solve some of these problems. Various programs included under the Coastal Zone Management are the following: (1) Sedimentological, bathymetric, and geochemical studies of lagoons and estuaries; (2) monitoring of planimetric changes of beaches by profiling beaches during different seasons all along the coast; (3) studies of the nature, distribution, and provenance of black sand deposits from beaches; (4) studies of the peculiar occurrence of patchy, calm, turbid areas of water in the offshore containing high suspended sediment concentrate known as mud banks; (5) wave studies involving continuous monitoring of wave data all along the coast in order to understand wave climate and erosion; (6) sediment movement studies using fluorescent tracer to aid in the development of ports and harbors; (7) studies on various aspects of offshore. The outlines of the various programs discussed in this article will help other states and countries to develop a coastal zone management program according to the needs of the state or country and the nature of the problem occurring in the coastal zone.

  3. Risk factors for cervical dysplasia in Kerala, India.

    PubMed Central

    Varghese, C.; Amma, N. S.; Chitrathara, K.; Dhakad, N.; Rani, P.; Malathy, L.; Nair, M. K.

    1999-01-01

    A study in Kerala, India, confirmed the importance of genital hygiene in the fight against infections that have a role in the development of cervical dysplasia and cancer. Many women cannot afford sanitary pads, while adequate facilities for washing after coitus are often unavailable. Health education, satisfactory living standards, and the empowerment of women are prerequisites for reducing the incidence of cervical dysplasia. PMID:10212523

  4. Chikungunya virus outbreak in Kerala, India, 2007: a seroprevalence study.

    PubMed

    Kumar, Narendran Pradeep; Suresh, Abidha; Vanamail, Perumal; Sabesan, Shanmugavelu; Krishnamoorthy, Kalianna Gounder; Mathew, Jacob; Jose, Varakilparambil Thomas; Jambulingam, Purushothaman

    2011-12-01

    India was affected by a major outbreak of chikungunya fever caused by Chikungunya virus (CHIKV) during 2006-2007. Kerala was the worst affected state during 2007 with a contribution of 55.8% suspected cases in the country. However, except for clinically reported case records, no systematic information is available on infection status of CHIKV in the region. Hence, we carried out a post-epidemic survey to estimate seroprevalence status [immunoglobulin G (IgG)] in the community using commercially available indirect immunofluorescence test. This methodology had been reported to be highly specific and sensitive for CHIKV infection. The study area selected was the worst affected mid-highlands region of Kerala which harbour vast area of rubber plantations. The study evidenced 68% of the population to be seropositive for CHIKV IgG. Males were found more affected than females (χ2 = 9.86; p = 0.002). Among males, prevalence was significantly higher in the age classes 21-30 (χ2 = 5.46; p = 0.019) and 31-40 (χ2 = 5.84; p = 0.016) years. This may be due to high occupational risk of the male population engaged in plantation activities exposed to infective bites of Aedes albopictus. The current study provides an insight into the magnitude of CHIKV outbreak in Kerala. PMID:22241110

  5. Microevolutionary trends of dengue virus-3 in Kerala, India.

    PubMed

    Thomas, Mittu; Kumar, N Pradeep

    2015-04-01

    Envelope gene is of great evolutionary significance and had been targeted as the vaccine candidate for dengue virus. We analyzed partial sequences of this gene to understand its genetic variability among viral isolates from Kerala state, India, if any. The current study focused on the evolutionary trends of this phylogenetically important gene among DENV-3 isolates through 2008 to 2010 outbreaks. The results gave an insight into the microevolutionary trends of the dengue viral genome. A unique mutation was recorded in the Domain II of the Envelope gene (EDII) of the viral genome at the amino acid position 219 (A219T). The evolutionary implication of this non-synonymous mutation near the EDI/EDII hinge remains to be explored. The study also provided knowledge on the genetic ancestral history of the viral isolates. Two variants of different phylogenetic origin were recorded in Kerala State. The findings in the study have significant implications on the development of dengue vaccines based on the Envelope gene of the virus. PMID:26011986

  6. Literacy in India and the Example of Kerala (Changes in Literacy).

    ERIC Educational Resources Information Center

    Chandran, K. Narayana

    1994-01-01

    Discusses the National Literacy Mission (NLM) launched in 1988 in India. Notes the barriers to successful campaigns for literacy in India. Describes the reasons for the particularly successful campaign in the state of Kerala, including the fact that it was in every sense a people's campaign. (SR)

  7. Understanding levels of morbidity and hospitalization in Kerala, India.

    PubMed Central

    Dilip, T. R.

    2002-01-01

    The prevalence of ailments and hospitalization in Kerala was examined using data from the 52 nd National Sample Survey Data on Health Care in Kerala in 1995-6. The survey included 24401 people from 4928 households. Age and seasonality had considerable effects on the morbidity of individuals. The burden of ill health was higher in rural areas than in urban areas. People who were more likely to have a better lifestyle had a higher level of morbidity and hospitalization. Regional differences were seen, with levels of morbidity and hospitalization higher in the comparatively developed regions of Southern Kerala than in Northern Kerala. Factors like physical accessibility of health care services and capacity to seek health care services could create artificial differences in morbidity and hospitalization among different subgroups of the population in Kerala. PMID:12378294

  8. Breeding patterns of Aedes stegomyia albopictus in periurban areas of Calicut, Kerala, India.

    PubMed

    Rao, B Bhaskar; George, Biju

    2010-05-01

    Aedes albopictus has been shown to be a vector for diseases which have been on the increase, such as dengue fever and chikungunya infection. We conducted a study of 100 homes from 2006-2009 to determine the breeding sites for Ae. albopictus mosquitoes in Calicut, Kerala, India. We found the larvae of Ae. albopictus mosquitoes most often in coconut shells and plastic waste, followed by tires, flower pots, glass products, egg shells and dumped grinding stones. Ae. albopictus control programs in Calicut, Kerala, India should target these objects as part of a control program. PMID:20578539

  9. Landslide fatalities in the Western Ghats of Kerala, India

    NASA Astrophysics Data System (ADS)

    Lukose Kuriakose, Sekhar; Sankar, G.; Muraleedharan, C.

    2010-05-01

    The Western Ghats of Kerala, India is prone to shallow landslides and consequent debris flows. An earlier study (Kuriakose et al., EG, 2009) has compiled and presented the history and chorology of landslide prone areas of the region. An attempt to collect and compile a reliable fatal landslide inventory of the region resulted in a database of 63 landslides from 1961 to 2009. The data base was compiled from the news paper reports and research reports of the CESS and GSI. Most landslides were visited in and the locations were mapped using a handheld GPS. Date and fatality information was also collected. For twelve of the landslides accurate location information was not available and hence was plotted at the nearest known village centre. Three landslides did not have any location information but was recorded in the district gazetteer and hence included in the data base. A total of 257 valuable lives were lost in landslides. The landslide that caused the highest number of deaths was the Amboori landslide (Thiruvananthapuram) which occurred on 11 September 2001 that caused 39 fatalities. Idukki district experienced the largest number of fatal landslides during this period, 20 events resulting in 67 fatalities. Thiruvananthapuram district experienced the highest average number of fatalities per landslide (47 deaths from 5 events). The district wise statistics from north to south are, Kannur (6 from 5), Kasargodu (24 from 6), Wayanad (36 from 6), Kozhikode (44 from 10), Malappuram (9 from 3), Palakkad (3 from 3), Thrissur (2 from 1), Kottayam (5 from 3), and Pathanamthitta (14 from 3). It was noted that there exists a spatial trend in the occurrence of fatal landslides which follows the general monsoon rainfall trends and the population density. About 55% of the events occurred during the south west monsoon (June to September) season. It was also observed that there exists a strong upward trend in the number of fatal landslides. This upward trend can be directly

  10. Presentation, management, and outcomes of 25 748 acute coronary syndrome admissions in Kerala, India: results from the Kerala ACS Registry

    PubMed Central

    Mohanan, Padinhare Purayil; Mathew, Rony; Harikrishnan, Sadasivan; Krishnan, Mangalath Narayanan; Zachariah, Geevar; Joseph, Jhony; Eapen, Koshy; Abraham, Mathew; Menon, Jaideep; Thomas, Manoj; Jacob, Sonny; Huffman, Mark D.; Prabhakaran, Dorairaj

    2013-01-01

    Aims There are limited contemporary data on the presentation, management, and outcomes of acute coronary syndrome (ACS) admissions in India. We aimed to develop a prospective registry to address treatment and health systems gaps in the management of ACSs in Kerala, India. Methods and results We prospectively collected data on 25 748 consecutive ACS admissions from 2007 to 2009 in 125 hospitals in Kerala. We evaluated data on presentation, management, and in-hospital mortality and major adverse cardiovascular events (MACE). We created random-effects multivariate regression models to evaluate predictors of outcomes while accounting for confounders. Mean (SD) age at presentation was 60 (12) years and did not differ among ACS types [ST-segment myocardial infarction (STEMI) = 37%; non-STEMI = 31%; unstable angina = 32%]. In-hospital anti-platelet use was high (>90%). Thrombolytics were used in 41% of STEMI, 19% of non-STEMI, and 11% of unstable angina admissions. Percutaneous coronary intervention rates were marginally higher in STEMI admissions. Discharge medication rates were variable and generally suboptimal (<80%). In-hospital mortality and MACE rates were highest for STEMI (8.2 and 10.3%, respectively). After adjustment, STEMI diagnosis (vs. unstable angina) [odds ratio (OR) (95% confidence interval = 4.06 (2.36, 7.00)], symptom-to-door time >6 h [OR = 2.29 (1.73, 3.02)], and inappropriate use of thrombolysis [OR = 1.33 (0.92, 1.91)] were associated with higher risk of in-hospital mortality and door-to-needle time <30 min [OR = 0.44 (0.27, 0.72)] was associated with lower mortality. Similar trends were seen for risk of MACE. Conclusion These data represent the largest ACS registry in India and demonstrate opportunities for improving ACS care. PMID:22961945

  11. Appropriating depression: biomedicalizing Ayurvedic psychiatry in Kerala, India.

    PubMed

    Lang, Claudia; Jansen, Eva

    2013-01-01

    The appropriation of biopsychiatric concepts such as depression, and their reframing in clinical and academic discussions, are important parts of the revitalization of bhūt vidyā as Ayurvedic psychiatry. Drawing on ethnographic fieldwork conducted in Kerala from 2009 to 2011, in this article we explore the process and the controversies of translating and correlating the biopsychiatric notion of depression, as a discrete and biologic pathological entity, with Ayurvedic notions of body, mind, and mental distress. Depression, conceptualized as a neurochemical imbalance, is, we argue, relatively compatible with Ayurvedic notions of a fluent body and mind, and so is easier to correlate with Ayurvedic concepts of do[Formula: see text]ic imbalances and blockages of channels than the former psychoanalytically dominated model of depression. The appropriation of depression within Ayurvedic discourse challenges the dichotomy of universal and culture-specific disorders, and this has a significant impact on mental health programs in Kerala. PMID:23206173

  12. Genetic characterization of dengue viruses prevalent in Kerala State, India.

    PubMed

    Kumar, N Pradeep; Jayakumar, P R; George, Kochurani; Kamaraj, T; Krishnamoorthy, K; Sabesan, S; Jambulingam, P

    2013-04-01

    Dengue fever is re-emerging as a major scourge in south-east Asian countries, affecting about 50-100 million people and causing about 25,000 deaths annually. The Indian population as a whole is at risk of succumbing to this disease. This study genetically characterized viruses causing dengue infection in Kerala, one of the worst affected states of the country, during the disease outbreaks in 2008-2010. All four serotypes of dengue virus (DENV), DENV-1, DENV-2, DENV-3 and DENV-4, were found to be prevalent in the state. The genotypes recognized for these were III, IV, III and I, respectively. Phylogenetic analysis showed that the re-emergence of serotype DENV-4 reported in Maharashtra and Andhra Pradesh recently is spreading to different regions of the country. The circulation of all four DENV serotypes in Kerala may lead to an increase in the prevalence of more severe complications of this emerging disease, such as dengue haemorrhagic fever and dengue shock syndrome. PMID:23288429

  13. Improving quality for maternal care - a case study from Kerala, India

    PubMed Central

    Vlad, Ioana; Paily, VP; Sadanandan, Rajeev; Cluzeau, Françoise; Beena, M; Nair, Rajasekharan; Newbatt, Emma; Ghosh, Sujit; Sandeep, K; Chalkidou, Kalipso

    2016-01-01

    Background: The implementation of maternal health guidelines remains unsatisfactory, even for simple, well established interventions. In settings where most births occur in health facilities, as is the case in Kerala, India, preventing maternal mortality is linked to quality of care improvements. Context: Evidence-informed quality standards (QS), including quality statements and measurable structure and process indicators, are one innovative way of tackling the guideline implementation gap. Having adopted a zero tolerance policy to maternal deaths, the Government of Kerala worked in partnership with the Kerala Federation of Obstetricians & Gynaecologists (KFOG) and NICE International to select the clinical topic, develop and initiate implementation of the first clinical QS for reducing maternal mortality in the state. Description of practice: The NICE QS development framework was adapted to the Kerala context, with local ownership being a key principle. Locally generated evidence identified post-partum haemorrhage as the leading cause of maternal death, and as the key priority for the QS. A multidisciplinary group (including policy-makers, gynaecologists and obstetricians, nurses and administrators) was established. Multi-stakeholder workshops convened by the group ensured that the statements, derived from global and local guidelines, and their corresponding indicators were relevant and acceptable to clinicians and policy-makers in Kerala. Furthermore, it helped identify practical methods for implementing the standards and monitoring outcomes. Lessons learned: An independent evaluation of the project highlighted the equal importance of a strong evidence-base and an inclusive development process. There is no one-size-fits-all process for QS development; a principle-based approach might be a better guide for countries to adapt global evidence to their local context. PMID:27441084

  14. Molecular typing and phylogenetic analysis of classical swine fever virus isolates from Kerala, India.

    PubMed

    Bhaskar, Nimisha; Ravishankar, Chintu; Rajasekhar, R; Sumod, K; Sumithra, T G; John, Koshy; Mini, M; Ravindran, Reghu; Shaji, Shiju; Aishwarya, J

    2015-12-01

    Classical swine fever (CSF) is an economically important disease of pigs caused by CSF virus (CSFV) belonging to the genus Pestivirus within the family Flaviviridae. The disease is endemic in many countries including India. A comprehensive study was carried out to assess the type of CSFV circulating in the South Indian state of Kerala. During the period 2013-2014, clinical samples were collected from 19 suspected CSF outbreaks of domestic pigs in different districts of Kerala. The samples were tested using nested reverse transcription PCR (RT-PCR) targeting the E2 gene and RT-PCR for 5'UTR of the virus. Partial 5' UTR and E2 gene regions of six CSFV isolates were sequenced. Phylogenetic analysis revealed that all the CSFV isolates belonged to subgroup 2.2. The isolates showed close resemblance to the other CSFV isolates circulating in India. It was also observed that the CSFV viruses from Kannur district were distinct from those circulating in the other districts as evidenced by their divergence from other Kerala isolates in the phylogenetic tree. Close relationship was seen to the CSFV isolates from South East Asian countries. PMID:26645036

  15. Detection of Chikungunya virus in wild populations of Aedes albopictus in Kerala State, India.

    PubMed

    Kumar, Narendran Pradeep; Sabesan, Shanmugavelu; Krishnamoorthy, Kaliannagounder; Jambulingam, Purushothaman

    2012-10-01

    We detected Chikungunya virus (CHIKV) infection among wild populations of Aedes albopictus female specimens during the CHIKV outbreaks of 2009 and 2006 collected in different localities in Kerala State, India. The envelope 1 gene (E1) sequences of the virus isolate 2009 from the mosquito species showed close genetic relatedness (Kimura 2 Parameter genetic distance=0.0013) to CHIKV-positive isolates from human serum samples from the same area. E1 gene sequences from Ae. albopictus, as well as from human isolates, had the crucial non-synonymous C/T mutation at position 10670, leading to the A226V amino acid change. This natural inclination indicated the role of this mosquito species in the transmission of CHIKV during its recent outbreaks in Kerala State. PMID:22925018

  16. A226V mutation in virus during the 2007 chikungunya outbreak in Kerala, India.

    PubMed

    Kumar, N Pradeep; Joseph, Rajan; Kamaraj, T; Jambulingam, P

    2008-08-01

    Kerala State in India was gripped by a renewed and widespread outbreak of Chikungunya virus (CHIKV) infection during 2007. Here, we report the A226V mutation in the glycoprotein envelope 1 (E1) gene of the virus among isolates collected from the three worst-affected districts of the state during this outbreak. This mutation had already been suggested to be directly responsible for a significant increase in CHIKV infectivity in Aedes albopictus. The badly affected districts in Kerala State during 2007 have abundant rubber plantations, which supported prolific breeding of Ae. albopictus mosquitoes. The abundance of Ae. albopictus in the region and molecular evolution of CHIKV may be contributing factors for the renewed epidemic of chikungunya fever during 2007. PMID:18632966

  17. High school students' knowledge, attitude, and practice with respect to epilepsy in Kerala, southern India.

    PubMed

    Pandian, Jeyaraj D; Santosh, Deetha; Kumar, T Santosh; Sarma, P Sankara; Radhakrishnan, Kurupath

    2006-11-01

    Very little information is available on knowledge, attitude, and practice (KAP) with respect to epilepsy among schoolchildren from developing countries. We quantified KAP with respect to epilepsy among 1213 tenth-grade students of Kerala, southern India. Ninety-eight percent of them had heard or read about epilepsy. However, nearly 60% of students thought that epilepsy was a form of insanity. Allopathic treatment was preferred by more than half of the respondents; however, many had faith in exorcism and visiting religious places as ways to cure epilepsy. Half of the students considered epilepsy a hindrance to education, employment, and marriage. Thirteen percent would be unwilling to sit adjacent to or play with a child with epilepsy. We conclude that although familiarity with epilepsy was high among high school students in Kerala, misconceptions and negative attitudes were alarmingly high. Persistent and effective information campaigns, therefore, are necessary to change their attitudes toward fellow students with epilepsy. PMID:16971188

  18. Socioeconomic and demographic diversity in the health status of elderly people in a transitional society, Kerala, India.

    PubMed

    Mini, G K

    2009-07-01

    Kerala State in India is the most advanced in terms of demographic and epidemiological transition and has the highest proportion of elderly population. The study examines the socio-demographic correlates of health status of elderly persons in Kerala in terms of three components: perceived health status, physical mobility and morbidity level. Overall health status was measured by combining the above three components of health status. Data from the 60th National Sample Survey Organization (NSSO) on Condition and Health Care of the Aged in Kerala in 2004 was used for the study. Significant socio-demographic differentials in health status were noted. While women report less morbidity, perceived well-being and physical mobility was better for men. This anomaly can be explained by variations in the components of socio-demographic factors. The findings call for urgent health care strategies for elderly persons in different socio-demographic groups in transitional Indian states like Kerala. PMID:18647442

  19. Searching for justice for body and self in a coercive environment: sex work in Kerala, India.

    PubMed

    Jayasree, A K

    2004-05-01

    Sex workers in Kerala, India, live in a coercive environment and face violence from the police and criminals, lack of shelter, lack of childcare support and have many physical and mental health problems. This paper documents the environment in which women have been selling sex in Kerala since 1995, and their efforts to claim their rights. It is based on sex workers' own reports and experiences, a situation analysis and a needs assessment study by the Foundation for Integrated Research in Mental Health. Involvement in HIV/AIDS prevention projects first gave sex workers in Kerala an opportunity to come together. Some have become peer educators and distribute condoms but they continue to be harassed by police. Most anti-trafficking interventions, including rescue and rehabilitation, either criminalise or victimise sex workers, and sex workers reject them as a solution to sex work. They understand that the lack of sexual fulfillment in other relationships and their own lack of access to other work and resources are the reasons why commercial sex flourishes. Sex workers are not mere victims without agency. They have a right to bodily integrity, pleasure, livelihood, self-determination and a safe working environment. Sex workers are organising themselves for these objectives and demand decriminalisation of sex work. PMID:15242211

  20. Seasonal Variation of Indoor Radon Concentration in the Tropics: Comparative studies between Kuala Lumpur, Malaysia and Kerala, India

    SciTech Connect

    Mahat, R. H.; Amin, Y. M.; Jojo, P. J.; Pereira, C. E.

    2011-03-30

    The radiation dose received by man from indoor radon and its progeny is the largest at more than 50% of total dose received. The seasonal variation of indoor radon concentration in Kerala, India and Kuala Lumpur, Malaysia were studied. The Southwest coast of the Kerala state in India is known to have very high levels of natural background radiation owing to the rare earths rich monazite sand available in large amount. Kuala Lumpur, Malaysia used to be a famous tin mining area where it was done using open cast system. One-year measurements of radon concentration in houses were done for these two regions. It was found that there is considerable seasonal variation in the levels of radon in Kerala but the variation in Kuala Lumpur is only less than 10%.

  1. Artesian water in the Malabar coastal plain of southern Kerala, India

    USGS Publications Warehouse

    Taylor, George C.; Ghosh, P.K.

    1964-01-01

    The present report is based on a geological and hydrological reconnaissance during 1954 of the Malabar Coastal Plain and adjacent island area of southern Kerala to evaluate the availability of ground water for coastal villages and municipalities and associated industries and the potentialities for future development. The work was done in cooperation with the Geological Survey of India and under the auspices of the U.S. Technical Cooperation Mission to India. The State of Kerala, which lies near the southern tip of India and along the eastern shore of the Caspian Sea, contains a total area of 14,937 square miles. The eastern part of the state is s rugged mountainous highland which attains altitudes of more than 6,000 feet. This highland descends westward through piedmont upland to s narrow coastal plain, which reaches a maximum width of about 16 miles in the latitude of Shertalli. A tropical monsoon rain-forest climate prevails in most of Kerala, and annual rainfall ranges from 65 to 130 inches in the southern part of the coastal plain to as much a 200 inches in the highland. The highland and piedmont upland tracts of Kerala are underlain by Precambrian meamorphic and igneous rocks belonging in large parabola-the so-called Charnockite Series. Beneath ahe coastal plain are semiconsolidated asunconsolidated sedimentary deposits whose age ranges from Miocene to Recent. These deposits include sofa sandstone and clay shale containing some marl or limestone and sand, and clay and pea containing some gravel. The sofa sandstone, sand, and gravel beds constitute important aquifers a depths ranging from a few tens of feet to 400 feet or more below the land surface. The shallow ground war is under water-able or unconfined conditions, but the deeper aquifers contain water under artesian pressure. Near the coast, drilled wells tapping the deeper aquifers commonly flow with artesian heads as much as 10 to 12 feet above the land surface. The draft from existing wells in the

  2. The Impact of General Strike on Government Healthcare Delivery in Kerala State in India.

    PubMed

    Jacob, Aasems; Weiss, Heidi; Mathew, Aju

    2016-01-01

    General strike (also known as hartal) is used as a mode of protest by organizations and political parties in India. It is generally thought that hartals negatively impact the healthcare delivery in a society. We used the Right to Information Act to obtain data from government health centers in Kerala state in India for four hartal days (H-day) and two control days (A-day and B-day) for each H-day, from sixteen health centers including 6 Community Health Center (CHC), 6 Secondary Health Center (SHC), and 4 Tertiary Health Center (THC). Data on emergency room visits was available for six HCs. 15 HCs had a statistically significant decrease in the number of outpatient visits on H-day. There was no difference in the number of outpatient visits between the two control days (A and B) in 15 HCs, suggesting the lack of a posthartal surge in visits. Median decrease in outpatient visits in CHCs, SHCs, and THCs was 50.4%, 59.5%, and 47.4%, respectively. Hartal did not impact the number of emergency room visits in 6 out of 7 health centers assessed. Our study identified a significant harmful impact on government healthcare delivery due to hartals in Kerala. These findings have major public health implications. PMID:27242908

  3. The Impact of General Strike on Government Healthcare Delivery in Kerala State in India

    PubMed Central

    Jacob, Aasems; Weiss, Heidi; Mathew, Aju

    2016-01-01

    General strike (also known as hartal) is used as a mode of protest by organizations and political parties in India. It is generally thought that hartals negatively impact the healthcare delivery in a society. We used the Right to Information Act to obtain data from government health centers in Kerala state in India for four hartal days (H-day) and two control days (A-day and B-day) for each H-day, from sixteen health centers including 6 Community Health Center (CHC), 6 Secondary Health Center (SHC), and 4 Tertiary Health Center (THC). Data on emergency room visits was available for six HCs. 15 HCs had a statistically significant decrease in the number of outpatient visits on H-day. There was no difference in the number of outpatient visits between the two control days (A and B) in 15 HCs, suggesting the lack of a posthartal surge in visits. Median decrease in outpatient visits in CHCs, SHCs, and THCs was 50.4%, 59.5%, and 47.4%, respectively. Hartal did not impact the number of emergency room visits in 6 out of 7 health centers assessed. Our study identified a significant harmful impact on government healthcare delivery due to hartals in Kerala. These findings have major public health implications. PMID:27242908

  4. Cutaneous Leishmaniasis: Knowledge, Attitude and Practices of the Inhabitants of the Kani Forest Tribal Settlements of Tiruvananthapuram District, Kerala, India

    ERIC Educational Resources Information Center

    Nandha, B.; Srinivasan, R.; Jambulingam, P.

    2014-01-01

    Cutaneous leishmaniasis (CL) is reported among Kani tribes in forest settlements of Tiruvananthapuram district, Kerala, India. Epidemiological investigations are ongoing and 27 histopathologically confirmed cases of CL have been reported from five settlements indicating transmission of disease within settlements. One of the priorities for…

  5. Impact of Vishnu Fracture Zone on Tectono-Stratigraphy of Kerala Deepwater Basin, India

    NASA Astrophysics Data System (ADS)

    Bastia, R.; Krishna, K. S.; Nathaniel, D. M.; Tenepalli, S.

    2008-12-01

    Integration of regional seismic data extending from coast to deep water with the gravity-magnetics reveals the expression and evolution of ridge systems and fracture zones in Indian Ocean. Kerala deepwater basin, situated in the south-western tip of India, is bounded by two prominent north-south oriented ocean fracture zones viz., Vishnu (west) and Indrani (east) of the Indian Ocean. Vishnu Fracture Zone (VFZ), which extends from the Kerala shelf southward to the Carlsberg-Ridge, over a length of more than 2500 km, has a strong bearing on the sedimentation as well as structural fabric of the basin. VFZ is identified as the transform plate margin formed during Late-Cretaceous-Tertiary separation of Seychelles from India. Represented by a highly deformed structural fabric, VFZ forms an abrupt boundary between ocean floors of about 65 MY in the west and 140 MY in the east, implying a great scope for sedimentary pile on this very older ocean floor. Armed with this premise of an older sedimentary pile towards east of VFZ, congenial for petroleum hunt, the implemented modern long offset seismic program with an objective to enhance sub-basalt (Deccan) imagery, gravity-magnetic modelling and plate-tectonic reconstructions unraveled huge Mesozoic Basin, unheard earlier. Multi-episodic rifting in western continental margin of India starting during Mid Jurassic Karoo rift along the western Madagascar, Kerala deepwater basin, and western Antarctica and conjugate margins of Africa forms the main corridor for sedimentation. Subsequent Late Cretaceous dextral oblique extension of Madagascar rift reactivated pre-existing structural framework creating major accommodation zones along the southern tip of India. Followed by separation of Seychelles during KT boundary led to the formation of VFZ (an oceanic fracture zone) forming a transform boundary between newly formed Tertiary oceanic crust to the west and older basin to the east. The pulses of right-lateral movement were associated

  6. The racial and gendered experiences of immigrant nurses from Kerala, India.

    PubMed

    Dicicco-Bloom, Barbara

    2004-01-01

    The purpose of this article is to describe the experience of a group of immigrant women nurses regarding their life and work in a culture other than their own. Semistructured, in-depth interviews were conducted with nurses who were born in Kerala, India, educated in India, and are actively employed as nurses in the United States. The participants told stories that were about (a) the challenges of living between two cultures and countries, (b) the racism they experience, and (c) their marginalization as female nurses of color. This study underscores the continuing inequities of our health care system. Our challenge is to establish a more just and effective environment for those who provide care as well as those who receive it. PMID:14768413

  7. Trends in seasonal precipitation extremes - An indicator of ‘climate change’ in Kerala, India

    NASA Astrophysics Data System (ADS)

    Pal, Indrani; Al-Tabbaa, Abir

    2009-03-01

    SummaryRecent news on the occurrence of off-seasonal natural disasters, such as pre-monsoon drought and post-monsoon flooding in India and particularly in the peninsular region, highlight the urgent need to look at the patterns of change in seasonal extremes at the local level. Kerala, the south-western state of the Indian peninsula, comprising of a total of six gridded areas, was chosen for this study focusing on the variability and changes in rainfall extremes in the different seasons. Since other studies by the authors have focused on the monsoon season, this paper considers the winter, spring and autumn seasons only. A set of indices derived from the daily rainfall time series is defined and used to examine the changes in extreme rainfall through assessing long-term trends by non-parametric Mann-Kendall technique. The trends are determined over the period of 1954-2003, which are also tested for significance. The results show that there are large intra-regional differences in the trends in different seasons. Local changes were found different from the large spatial scale averages in Kerala. Winter and autumn extreme rainfall were found having an increasing tendency with statistically significant changes in some regions indicating more occurrences of winter and autumn floods. On the other hand the spring seasonal extreme rainfall showed decreasing trends, which together with increasing frequency of the dry days is mainly affecting the total seasonal precipitation, which mainly point towards the vulnerability of Kerala to increasing probability of water scarcity in the pre-monsoon time and a delaying monsoon onset. Overall, the results of this study are good indicators of local climate changes over the five decades that will assist in seasonal forecasting and risk management.

  8. Development of a web geoservices platform for School of Environmental Sciences, Mahatma Gandhi University, Kerala, India

    NASA Astrophysics Data System (ADS)

    Satheendran, S.; John, C. M.; Fasalul, F. K.; Aanisa, K. M.

    2014-11-01

    Web geoservices is the obvious graduation of Geographic Information System in a distributed environment through a simple browser. It enables organizations to share domain-specific rich and dynamic spatial information over the web. The present study attempted to design and develop a web enabled GIS application for the School of Environmental Sciences, Mahatma Gandhi University, Kottayam, Kerala, India to publish various geographical databases to the public through its website. The development of this project is based upon the open source tools and techniques. The output portal site is platform independent. The premier webgis frame work `Geomoose' is utilized. Apache server is used as the Web Server and the UMN Map Server is used as the map server for this project. It provides various customised tools to query the geographical database in different ways and search for various facilities in the geographical area like banks, attractive places, hospitals, hotels etc. The portal site was tested with the output geographical database of 2 projects of the School such as 1) the Tourism Information System for the Malabar region of Kerala State consisting of 5 northern districts 2) the geoenvironmental appraisal of the Athirappilly Hydroelectric Project covering the entire Chalakkudy river basin.

  9. Rural water supply in Kerala, India: How to emerge from a low-level equilibrium trap

    NASA Astrophysics Data System (ADS)

    Singh, Bhanwar; Ramasubban, Radhika; Bhatia, Ramesh; Briscoe, John; Griffin, Charles C.; Kim, Chongchun

    1993-07-01

    Large quantities of financial and human resources have been devoted to improving rural water supplies in developing countries over the past two decades. Many projects have been successful, but many have failed to meet the needs of the intended beneficiaries. Evidence of the failures lies in the unused and poorly maintained systems that are scattered throughout rural areas of the developing world. The current situation in water supply in rural Kerala, India, reflects this general observation and can be described as a "low-level equilibrium trap." Water systems provide a low level of service with few yard taps. The monthly tariff for water from household connections is low. With few connectors and low tariffs, little revenue is generated beyond subsidies provided by the government. The water authority can afford to maintain the system up to a level at which the reliability of service is low, forcing consumers to supplement piped water from traditional sources. This study analyzes contingent valuation data collected in three areas of Kerala to evaluate the possibility of lifting the system out of this trap. The analysis shows that by making a few critical policy changes, encouraging private connections and financing those connections through higher tariffs, the system can ratchet up to a "high-level equilibrium" in which there are many connectors, monthly revenues are greatly increased, and consumer welfare improves. Such a system would be better financed, making it possible to improve the reliability and quality of the service.

  10. Prevalence of oral submucous fibrosis in the high natural radiation belt of Kerala, south India.

    PubMed Central

    Rajendran, R.; Raju, G. K.; Nair, S. M.; Balasubramanian, G.

    1992-01-01

    Oral submucous fibrosis (OSMF) is a crippling disorder which is confined almost exclusively to the Indian subcontinent. Despite its association with a significantly increased risk of cancer, the etiology is still not clear. An epidemiological assessment showed 0.4% prevalence for OSMF in Kerala, South India, which is among the highest recorded. Recently the National Tumour Registry in Trivandrum reported the highest recorded site-specific incidence rate for oral cancer (ICD 140-145) in this area. The coastal belt of the Trivandrum and Quilon districts of Kerala has a very high natural radioactivity (over 1500 mR (387 microC) per year); about 500 mR (129 microC) per year is considered to be the maximum permissible dose for populations in general. An epidemiological survey in this area and in a comparable population (without exposure to high background radiation) as a control showed that the percentage prevalence of OSMF in the study area was 0.27 and in the control area 0.32. It appears highly improbable that the OSMF in the study area was induced by high background radiation. PMID:1486676

  11. Mosquitoes of the mangrove forests of India: part six--Kundapur, Karnataka and Kannur, Kerala.

    PubMed

    Rajavel, A R; Natarajan, R; Vaidyanathan, K

    2006-12-01

    Mosquitoes of 26 species belonging to 16 subgenera and 11 genera were recorded in the Kundapur mangroves of Karnataka, and 17 species belonging to 11 subgenera and 7 genera were recorded in the mangroves of Kannur, Kerala along the west coast of India. Genera recorded were Aedes, Anopheles, Armigeres, Culex, Heizmannia, Lutzia, Mansonia, Ochlerotatus, Tripteroides, Uranotaenia, and Verrallina. Species common to both mangrove forests were Ae. albopictus, Ae. vittatus, An. jamesi, Ar. subalbatus, Cx. gelidus, Cx. infantulus, Cx. pseudovishnui, Cx. sitiens, Cx. tritaeniorhynchus, Oc. wardi, Ur. atra, and Ve. luguhris. Tree holes and swamp pools were the common larval habitats, with more species occurring in tree holes in Kundapur than in Kannur. Adults of Ae. albopictus, Ae. vittatus, Ar. aureolineatus, Ar. subalbatus, Cx. bitaeniorhynchus, Cx. sitiens, Ma. uniformis, and Ve. lugubris bloodfed on humans. PMID:17304922

  12. Adaptation to coastal hazards: the livelihood struggles of a fishing community in Kerala, India.

    PubMed

    Santha, Sunil D

    2015-01-01

    This case study examines the coastal hazard adaptation strategies of a fishing community in a village in Kerala, India. It shows that formal adaptation strategies are highly techno-centric, costly, and do not take into account the vulnerabilities of the fishing community. Instead, they have contributed to ecological, livelihood, and knowledge uncertainties. The adaptation strategies of the fishing community are a response to these uncertainties. However, they may not lead to the fishing community's recovery from its vulnerability contexts. This case study is primarily qualitative in nature. Data were collected through in-depth interviews. Insights reveal that when actors with diverse values, interests, knowledge, and power evolve or design their respective adaptation strategies, the resulting interface often aggravates existing uncertainties associated with hazards. Furthermore, the study demonstrates that local discourses on coastal hazards are livelihood-centric and socially constructed within the struggle of the fishing community to access resources and to acquire the right to development. PMID:25230704

  13. Outbreaks of salmonellosis in three different poultry farms of Kerala, India

    PubMed Central

    Rajagopal, Ramachandranpillai; Mini, Mangattumuruppel

    2013-01-01

    Avian salmonellosis is an important disease causing serious impediment to the development of poultry industry especially in developing countries of Asia and Africa. Since no “effective” immunoprophylactic measures are available for the disease till date, strict biosecurity is the only alternative to preclude the disease. For formulating the control measures, an understanding of the epidemiology of the disease, proper diagnosis and identification of the causative agent is quintessential. This report sheds light on three different outbreaks of salmonellosis in three different farms in Kerala (India) describing the disease diagnosis, antibiotic resistance and the suggested control measures. All the three isolates were revealed to be Salmonella gallinarum and were resistant to at least three of the antimicrobial agents tested. PMID:23730565

  14. Social factors influencing the acquisition of antibiotics without prescription in Kerala State, south India.

    PubMed

    Saradamma, R D; Higginbotham, N; Nichter, M

    2000-03-01

    We investigated the magnitude of self-medication with antibiotics in a peri-urban area of Southern Kerala State, India and factors influencing this practice. First, a random sample of 400 households was surveyed in one primary health centre area near Trivandrum. We found 69.3% (95% CI = 64.8-73.8) of households had at least one person using a pharmaceutical product during the two-week recall period; antibiotics formed almost 11% of the medicines consumed. Next, pharmacy based interview and observation data were collected from 405 antibiotic purchasers sampled from 11 out of the 12 private pharmacies in the area. Seventy-three of these 405 customers purchased antibiotics without a prescription (18%; 95% CI = 14.3-21.7). By combining the household survey and pharmacy observations, we estimate that almost half of 1% (0.41%; 95% CI = 0.24-1.16) of the population, or four people per 1000, is engaged in self-medication using antibiotics in Kerala in any two-week period. Our data show that people least likely to follow this practice are from higher income families, having more education and higher status occupations and receiving the benefits of medical insurance. Conversely, logistic regression analysis indicated that risk of buying antibiotics without a script was associated with education at secondary level or below, the perception that it is expensive to consult a doctor and low satisfaction with medical practitioners. Keralites' self-medication patterns are interpreted broadly using social, cultural, historical and economic perspectives. Solutions to the problem of antibiotic misuse are suggested, proceeding on several fronts: among practitioners, suppliers and marketeers of medicines, and among the population of pharmaceutical consumers themselves. PMID:10695985

  15. Probing for suitable climatology to estimate the predictability of monsoon onset over Kerala (MOK), India

    NASA Astrophysics Data System (ADS)

    Pal, J.; Chaudhuri, S.; Mukherjee, S.; Chowdhury, A. Roy

    2016-07-01

    Inter-annual variability in the onset of monsoon over Kerala (MOK), India, is investigated using daily temperature; mean sea level pressure; winds at 850, 500 and 200 hPa pressure levels; outgoing longwave radiation (OLR); sea surface temperature (SST) and vertically integrated moisture content anomaly with 32 years (1981-2013) observation. The MOK is classified as early, delayed, or normal by considering the mean monsoon onset date over Kerala to be the 1st of June with a standard deviation of 8 days. The objective of the study is to identify the synoptic setup during MOK and comparison with climatology to estimate the predictability of the onset type (early, normal, or delayed) with 5, 10, and 15 days lead time. The study reveals that an enhanced convection observed over the Bay of Bengal during early MOK is found to shift over the Arabian Sea during delayed MOK. An intense high-pressure zone observed over the western south Indian Ocean during early MOK shifts to the east during delayed MOK. Higher tropospheric temperature (TT) over the western Equatorial Ocean during early MOK and lower TT over the Indian subcontinent intensify the land-ocean thermal contrast that leads to early MOK. The sea surface temperature (SST) over the Arabian Sea is observed to be warmer during delayed than early MOK. During early MOK, the source of 850 hPa southwesterly wind shifts to the west equatorial zone while a COL region has been found during delayed MOK at that level. The study further reveals that the wind speed anomaly at the 200-hPa pressure level coincides inversely with the anomaly of tropospheric temperature.

  16. Spatio-temporal analysis of rainfall trends over a maritime state (Kerala) of India during the last 100 years

    NASA Astrophysics Data System (ADS)

    Nair, Archana; Ajith Joseph, K.; Nair, K. S.

    2014-05-01

    Kerala, a maritime state of India is bestowed with abundant rainfall which is about three times the national average. This study is conducted to have a better understanding of rainfall variability and trend at regional level for this state during the last 100 years. It is found that the rainfall variation in northern and southern regions of Kerala is large and the deviation is on different timescales. There is a shifting of rainfall mean and variability during the seasons. The trend analysis on rainfall data over the last 100 years reveals that there is a significant (99%) decreasing trend in most of the regions of Kerala especially in the month of January, July and November. The annual and seasonal trends of rainfall in most regions of Kerala are also found to be decreasing significantly. This decreasing trend may be related to global anomalies as a result of anthropogenic green house gas (GHG) emissions due to increased fossil fuel use, land-use change due to urbanisation and deforestation, proliferation in transportation associated atmospheric pollutants. We have also conducted a study of the seasonality index (SI) and found that only one district in the northern region (Kasaragod) has seasonality index of more than 1 and that the distribution of monthly rainfall in this district is mostly attributed to 1 or 2 months. In rest of the districts, the rainfall is markedly seasonal. The trend in SI reveals that the rainfall distribution in these districts has become asymmetric with changes in rainfall distribution.

  17. Estimation of Stature From Hand and Foot Measurements in a Rare Tribe of Kerala State in India

    PubMed Central

    Geetha, GN; Swathi

    2015-01-01

    Introduction The present study has been undertaken on the Vettuvar group of tribes in Kasargod district of Kerala state, and explores the usability of dimensions of hands and feet as predictors of stature in the tribal population of Kasargod District of Kerala, India. The present study is the first ever documented anthropological work on the tribes of Kasargod district, Kerala, India. Materials and Methods Two hundred subjects comprising of 100 males and 100 females in 20-30 years age group were included in the study group. Dimensions of hands and feet viz: hand length, hand breadth, foot length and foot breadth were measured independently on left and right side of each individual using a Sliding calliper. Stature of individuals was measured with the help of a Stadiometer. Results Statistical analysis indicated that the bilateral variations were insignificant for all the measurements except foot breadth among females (p<0.001). The paired sample t-test showed that the statistical difference between males and females was highly significant for all the measurements (p<0.001). The correlation between the stature and various parameters studied in males and females were found to be positive and statistically highly significant. Linear and multiple regression equation for stature estimation were calculated separately for males and females. Conclusion The significant positive correlation between the study variables and the stature indicates that these variables can be successfully used to predict stature. PMID:26557539

  18. Returns and determinants of technical efficiency in small-scale Malabari goat production units in Kerala, India.

    PubMed

    Alex, Rani; Kunniyoor Cheemani, Raghavan; Thomas, Naicy

    2013-11-01

    A stochastic frontier production function was employed to measure technical efficiency and its determinants in smallholder Malabari goat production units in Kerala, India. Data were obtained from 100 goat farmers in northern Kerala, selected using multistage random sampling. The parameters of the stochastic frontier production function were estimated using the maximum likelihood method. Cost and return analysis showed that the major expenditure was feed and fodder, and veterinary expenses were secondary. The chief returns were the sale of live animals, milk and manure. Individual farm technical efficiency ranged from 0.34 to 0.97 with a mean of 0.88. The study found herd size (number of animal units) and centre (locality of farm) significantly affected technical efficiency, but sex of farmer, education, land size and family size did not. Technical efficiency decreased as herd size increased; half the units with five or more adult animals had technical efficiency below 60 %. PMID:23666514

  19. Wayanad widows: A study of sustainable rural economic development using renewable energy technology for micro enterprise in Kerala, India

    NASA Astrophysics Data System (ADS)

    Voorhees, Maire Claire

    This thesis examines the situation of the farmer widows of Wayanad, Kerala through exploration of the underlying agricultural and economic issues leading to farmers' suicides, the current state of the environment in the Wayanad District of Kerala, India, and an economic model of micro-entrepreneurship to address economic and social issues of the surviving widows. Quantitative and qualitative research methods were performed through the assessment and document analysis of archive, newspaper, and published reports to gain a macro perspective. The Environmental Vulnerability Index was used as a tool to evaluate and organize findings of the current environmental conditions in the region. This thesis supports the sustainability concept of considering the economic, ecological, and social impacts when identifying economic development pathways. The goal was to explore the appropriateness of small household solar systems as vehicle in the micro-enterprise model to be a sustainable alternative economic pathway to agriculture for the farmer widows of Wayanad.

  20. Estimation of External Dose by Car-Borne Survey in Kerala, India

    PubMed Central

    Hosoda, Masahiro; Tokonami, Shinji; Omori, Yasutaka; Sahoo, Sarata Kumar; Akiba, Suminori; Sorimachi, Atsuyuki; Ishikawa, Tetsuo; Nair, Raghu Ram; Jayalekshmi, Padmavathy Amma; Sebastian, Paul; Iwaoka, Kazuki; Akata, Naofumi; Kudo, Hiromi

    2015-01-01

    A car-borne survey was carried out in Kerala, India to estimate external dose. Measurements were made with a 3-in × 3-in NaI(Tl) scintillation spectrometer from September 23 to 27, 2013. The routes were selected from 12 Panchayats in Karunagappally Taluk which were classified into high level, mid-level and low level high background radiation (HBR) areas. A heterogeneous distribution of air kerma rates was seen in the dose rate distribution map. The maximum air kerma rate, 2.1 μGy/h, was observed on a beach sand surface. 232Th activity concentration for the beach sand was higher than that for soil and grass surfaces, and the range of activity concentration was estimated to be 0.7–2.3 kBq/kg. The contribution of 232Th to air kerma rate was over 70% at the measurement points with values larger than 0.34 μGy/h. The maximum value of the annual effective dose in Karunagappally Taluk was observed around coastal areas, and it was estimated to be 13 mSv/y. More than 30% of all the annual effective doses obtained in this survey exceeded 1 mSv/y. PMID:25885680

  1. Investigation of an Outbreak of Acute Gastroenteritis in Kollam, Kerala, India.

    PubMed

    Rakesh, P S; Narayanan, Vishnu; Pillai, Swapna S; Retheesh, Rahul; Dev, Soumya

    2016-07-01

    An outbreak investigation was initiated following a report of unusual occurrence of acute gastroenteritis in Ashramam area, Kollam district, Kerala, India. House to house survey was conducted to identify cases. Person, place, and time analysis was done. Hypothesis was generated based on findings from cross sectional study, anecdotal evidences, laboratory investigation, and environmental observations. Univariate analysis was done generating odds ratios and confidence intervals to identify factors associated with the disease. A total of 57 cases were reported. Attack rate was highest among children younger than 14 years (22%). Among them, 91.2% (52/57) of the cases and 45.8% (169/369) of the people who had not developed the disease were dependent on pipe water (OR 12.31; 95% CI 4.81-31.52) for drinking purpose. The time frame of the disease occurrence, environmental observations, anecdotal evidences, and the results of analytical study indicated the possibility of the acute gastroenteritis outbreak as a result of pipeline contamination. The study warrants establishment of a good water quality surveillance system. PMID:27053229

  2. 'Eating, eating is always there': food, consumerism and cardiovascular disease. Some evidence from Kerala, south India.

    PubMed

    Wilson, Caroline

    2010-12-01

    The state of Kerala, south India, has particularly high prevalence rates for cardiovascular disease (20%, Sugathan, Soman and Sankaranarayanan 2008) and Type II diabetes (16.3%, Kutty, Joseph, and Soman 1999). Although so-called 'lifestyle' diseases can be prevented and symptoms controlled by diet, exercise, and medicines, heart disease and diabetes have become the most common causes of suffering, disability and death. This article explores the social dynamics transforming consumer lifestyles as increased food consumption, reduced physical activity and social stress contribute to the burden of cardiovascular disease (CVD). It examines the centrality of food to ideas of the 'good life', to nurture social relationships and strengthen weak modern bodies, as the principle source of embodied pleasure and health. It explores the micro and macro politics of eating and feasting, limiting the extent to which 'individuals' (can) control food habits. Thus, despite widespread recognition of the relationship between diet, exercise and heart disease, the flow of food, the immediacy of pleasure, and associations between appetite and health override latent concerns about the negative impacts of dietary excesses on long-term health and chronic illness. Findings are discussed to highlight the inherent limitations of public health interventions focusing on education and individual choice. PMID:21153961

  3. Estimation of external dose by car-borne survey in Kerala, India.

    PubMed

    Hosoda, Masahiro; Tokonami, Shinji; Omori, Yasutaka; Sahoo, Sarata Kumar; Akiba, Suminori; Sorimachi, Atsuyuki; Ishikawa, Tetsuo; Nair, Raghu Ram; Jayalekshmi, Padmavathy Amma; Sebastian, Paul; Iwaoka, Kazuki; Akata, Naofumi; Kudo, Hiromi

    2015-01-01

    A car-borne survey was carried out in Kerala, India to estimate external dose. Measurements were made with a 3-in × 3-in NaI(Tl) scintillation spectrometer from September 23 to 27, 2013. The routes were selected from 12 Panchayats in Karunagappally Taluk which were classified into high level, mid-level and low level high background radiation (HBR) areas. A heterogeneous distribution of air kerma rates was seen in the dose rate distribution map. The maximum air kerma rate, 2.1 μGy/h, was observed on a beach sand surface. 232Th activity concentration for the beach sand was higher than that for soil and grass surfaces, and the range of activity concentration was estimated to be 0.7-2.3 kBq/kg. The contribution of 232Th to air kerma rate was over 70% at the measurement points with values larger than 0.34 μGy/h. The maximum value of the annual effective dose in Karunagappally Taluk was observed around coastal areas, and it was estimated to be 13 mSv/y. More than 30% of all the annual effective doses obtained in this survey exceeded 1 mSv/y. PMID:25885680

  4. Migration Status and Prevalence of Chronic Diseases in Kerala State, India

    PubMed Central

    Shahul Hameed, Safraj; Kutty, Vellapallil Raman; Vijayakumar, Krishnapillai; Kamalasanan, Ajayan

    2013-01-01

    Aim. To study the relationship between a personal history of migration and prevalence of chronic diseases and risk factors in a rural population. Method. Cross sectional survey data from PROLIFE, a cohort study involving the long time follow-up of the residents of an administrative unit in Kerala, India, was used. Pre-tested questionnaire was administered to 78,173 adult residents. Information on physician diagnosed diabetes, hypertension, and cardiac diseases and lifestyle attributes like physical activity, habits, and migration was captured. Results. Subjects with a history of migration had a higher prevalence of chronic disease when compared with those with no history of migration. Diabetes (19.6% versus 4.1%), hypertension (18.8% versus 6.6%), and cardiac complaints (8.6% versus 4.1%) are more prevalent among those with history of migration of over 5 years. After adjustment for age, gender, and education, we found that chronic diseases are higher among persons with a history of migration (OR 2.2, 95% CI: 2.1–2.3). Age-specific increases in prevalence of chronic diseases are also substantially higher among migrants. Conclusion. People with a history of migration have a higher prevalence of chronic diseases and risk factors. PMID:26464844

  5. Migration Status and Prevalence of Chronic Diseases in Kerala State, India.

    PubMed

    Shahul Hameed, Safraj; Kutty, Vellapallil Raman; Vijayakumar, Krishnapillai; Kamalasanan, Ajayan

    2013-01-01

    Aim. To study the relationship between a personal history of migration and prevalence of chronic diseases and risk factors in a rural population. Method. Cross sectional survey data from PROLIFE, a cohort study involving the long time follow-up of the residents of an administrative unit in Kerala, India, was used. Pre-tested questionnaire was administered to 78,173 adult residents. Information on physician diagnosed diabetes, hypertension, and cardiac diseases and lifestyle attributes like physical activity, habits, and migration was captured. Results. Subjects with a history of migration had a higher prevalence of chronic disease when compared with those with no history of migration. Diabetes (19.6% versus 4.1%), hypertension (18.8% versus 6.6%), and cardiac complaints (8.6% versus 4.1%) are more prevalent among those with history of migration of over 5 years. After adjustment for age, gender, and education, we found that chronic diseases are higher among persons with a history of migration (OR 2.2, 95% CI: 2.1-2.3). Age-specific increases in prevalence of chronic diseases are also substantially higher among migrants. Conclusion. People with a history of migration have a higher prevalence of chronic diseases and risk factors. PMID:26464844

  6. Petrology and tectonic development of supracrustal sequence of Kerala Khondalite Belt, Southern India

    NASA Technical Reports Server (NTRS)

    Kumar, G. R. Ravindra; Chacko, Thomas

    1988-01-01

    The granulite terrain of southern India, of which the Kerala Khondalite belt (KKB) is a part, is unique in exposing crustal sections with arrested charnockite growth in different stages of transformation and in varied lithological association. The KKB with rocks of surficial origin and incipient charnockite development, poses several problems relating to the tectonics of burial of vast area and mechanisms involved in expelling initial H2O (causes of dryness) for granulite facies metamorphism. It is possible to infer the following sequence of events based on the field and laboratory studies: (1) derivation of protoliths of KKB from granitic uplands and deposition in fault bounded basin (cratonic rift); (2) subhorizontal deep burial of sediments; (3) intense deformation of infra and supracrustal rocks; (4) early granulite facies metamorphism predating F sub 2 - loss of primary structure in sediments and formation of charnockites from amphibole bearing gneisses and khondalites from pelites; (5) migmatisation and deformation of metasediments and gneisses; (6) second event of charnockite formation probably aided by internal CO2 build-up; and (7) isothermal uplift, entrapment of late CO2 and mixed CO2-H2O fluids, formation of second generation cordierites and cordierite symplectites.

  7. The prevalence, risk factors and awareness of hypertension in an urban population of Kerala (South India).

    PubMed

    Vimala, Avadaiammal; Ranji, Suja Ann; Jyosna, Mattummal Thodi; Chandran, Vincy; Mathews, Swetha Reba; Pappachan, Joseph M

    2009-07-01

    To determine the prevalence and possible risk factors for hypertension and prehypertensive state in Trivandrum City of Kerala (South India) using Joint National Committee (JNC) VII criteria, a team of trained fourth year medical students conducted a 10% random household survey in certain wards of the City. Households were selected using a random start and interval and all the members above the age of 10 years were interviewed using a standard questionnaire. The blood pressure (BP) was measured twice in each participant and the mean value of the two measurements was taken. A total of 482 individuals (212 males and 270 females) were interviewed in the survey. Overall prevalence of hypertension was 47% (n = 226) with equal sex ratio; 109 (21.6%) had stage-I hypertension, 45 (9.34%) had stage-II hypertension and 72 were taking drug treatment. Only 55 (11.4%) individuals had normal BP, while 201 (41.7%) were prehypertensives. Only 81 (16.8%) hypertensive patients were aware of their disease. Among the parameters such as dietary habits, physical activity, educational standards, salt intake, and diabetes mellitus, only high salt diet (P= 0.03) and diabetes mellitus (P= 0.004) had a significant association with hypertensive state. In conclusion, the prevalence of hypertension is high but the awareness is low in our community, and intervention is necessary to impose control measures and to improve awareness. PMID:19587522

  8. Studies on stable isotopic composition of daily rainfall from Kozhikode, Kerala, India.

    PubMed

    Unnikrishnan Warrier, C; Praveen Babu, M; Sudheesh, M; Deshpande, Rajendrakumar D

    2016-06-01

    The stable isotopic compositions of all major daily rain fall samples (n = 113) collected from Kozhikode station in Kerala, India, for the year 2010 representing the pre-monsoon, southwest and northeast monsoon seasons are examined. The isotopic variations δ(18)O, δ(2)H and d-excess in daily rainfall ranged from δ(18)O: -4.4 to 2 ‰, δ(2)H: -25.3 to 13.8 ‰, and d-excess: -2.4 to 15.3 ‰; δ(18)O: -9.7 to -0.6 ‰, δ(2)H: -61.7 to 5.3 ‰, and d-excess 5.8 to 17.4 ‰; δ(18)O -11.3 to -1.4 ‰, δ(2)H: -75.3 to 0.9 ‰, and d-excess: 8.8 to 21.3 ‰ during the pre-, southwest and northeast monsoon periods, respectively. Thus, daily rainfall events during two monsoon periods had a distinct range of isotopic variations. The daily rain events within the two monsoon seasons also exhibited periodic variations. The isotopic composition of rain events during pre-monsoon and a few low-intensity events during the southwest monsoon period had imprints of secondary evaporation. This study analysing the stable isotopic characteristics of individual rain events in southern India, which is influenced by dual monsoon rainfall, will aid in a better understanding of its mechanism. PMID:26617222

  9. Debt, shame, and survival: becoming and living as widows in rural Kerala, India

    PubMed Central

    2012-01-01

    Background The health and well-being of widows in India is an important but neglected issue of public health and women’s rights. We investigate the lives of Indian women as they become widows, focussing on the causes of their husband’s mortality and the ensuing consequences of these causes on their own lives and identify the opportunities and challenges that widows face in living healthy and fulfilling lives. Methods Data were collected in a Gram Panchayat (lowest level territorial decentralised unit) in the south Indian state of Kerala. Interviews were undertaken with key informants in order to gain an understanding of local constructions of ‘widowhood’ and the welfare and social opportunities for widows. Then we conducted semi-structured interviews with widows in the community on issues related to health and vulnerability, enabling us to hear perspectives from widows. Data were analysed for thematic content and emerging patterns. We synthesized our findings with theoretical understandings of vulnerability and Amartya Sen’s entitlements theory to develop a conceptual framework. Results Two salient findings of the study are: first, becoming a widow can be viewed as a type of ‘shock’ that operates similarly to other ‘economic shocks’ or ‘health shocks’ in poor countries except that the burden falls disproportionately on women. Second, widowhood is not a static phenomenon, but rather can be viewed as a multi-phased process with different public health implications at each stage. Conclusion More research on widows in India and other countries will help to both elucidate the challenges faced by widows and encourage potential solutions. The framework developed in this paper could be used to guide future research on widows. PMID:23126457

  10. Cervical cancer screening: Current knowledge & practice among women in a rural population of Kerala, India

    PubMed Central

    Aswathy, S.; Quereshi, Mariya Amin; Kurian, Beteena; Leelamoni, K.

    2012-01-01

    Background & objectives: Cervical cancer has a major impact on woman's lives worldwide and one in every five women suffering from cervical cancer belongs to India. Hence the objectives of this study were to find the knowledge of women regarding cervical cancer, to determine screening practices and determinants, and to identify factors for non screening. Methods: A cross-sectional study was conducted in Vypin Block of Ernakulam District, Kerala, India where four of the seven Panchayats were randomly chosen. Households were selected by systematic random sampling taking every second house in the tenth ward of the Panchayat till at least 200 women were interviewed. Thus, 809 women were interviewed from four Panchayats. Results: Mean age of the study population was 34.5 + 9.23 yr. Three fourths of the population (74.2%) knew that cervical cancer could be detected early by a screening test. Majority of respondents (89.2%) did not know any risk factor for cervical cancer. Of the 809 women studied, only 6.9 per cent had undergone screening. One third of the population were desirous of undergoing screening test but had not done it due to various factors. These factors related to knowledge (51.4%) such as no symptoms, not being aware of Pap test, not necessary, etc. This was followed by resource factors (15.1%) like no time, no money, etc. and psychosocial factors (10.2%) included lack of interest, fear of procedure, etc. Independent predictors for doing Pap test included age >35, having knowledge of screening for cervical cancer and Pap test (P<0.05). Interpretation & conclusions: Specific knowledge on cervical cancer screening is a critical element in determining whether a woman will undergo Pap test in addition to making cancer screening facilities available in the primary health centre. PMID:22960886

  11. Rapid detection and characterization of Chikungunya virus by RT-PCR in febrile patients from Kerala, India.

    PubMed

    Joseph, Anu Yamuna; Babu, Vidhu Sankar; Dev, Sona S; Gopalakrishnapai, Jayashree; Harish, M; Rajesh, M D; Anisha, S; Mohankumar, C

    2008-08-01

    There has been a resurgence and prevalence of fever with symptoms of Chikungunya (CHIK) and increased death toll in Kerala, the southern-most state of India. The objective of this study was to develop a rapid detection method to determine the presence of CHIK- virus in the serum samples collected from febrile patients in Kerala, India. Serum specimens were analyzed for CHIK viral RNA by RT-PCR using primers specific for nsP1 and E1 genes. Five out of twenty clinical samples were positive for CHIK virus. The partial sequences of the E1 and nsP1 genes of the strain, IndKL01 were highly similar to the Reunion strains and the recently isolated Indian strains. A novel substitution, A148V, was detected in the E1 gene of the isolate, IndKL02. The detection procedure used in this study was simple, sensitive and rapid (less than 4 hr). This result suggests that CHIK viruses similar to the Reunion strains, which had resulted in high morbidity and mortality rates, may have caused the recent Chikungunya outbreak in India. The effect of the variant, E1-A148V, in the virulence and the rate of transmission of the virus deserves further investigation. PMID:18814485

  12. Lifestyle change in Kerala, India: needs assessment and planning for a community-based diabetes prevention trial

    PubMed Central

    2013-01-01

    Background Type 2 Diabetes Mellitus (T2DM) has become a major public health challenge in India. Factors relevant to the development and implementation of diabetes prevention programmes in resource-constrained countries, such as India, have been under-studied. The purpose of this study is to describe the findings from research aimed at informing the development and evaluation of a Diabetes Prevention Programme in Kerala, India (K-DPP). Methods Data were collected from three main sources: (1) a systematic review of key research literature; (2) a review of relevant policy documents; and (3) focus groups conducted among individuals with a high risk of progressing to diabetes. The key findings were then triangulated and synthesised. Results Prevalence of risk factors for diabetes is very high and increasing in Kerala. This situation is largely attributable to rapid changes in the lifestyle of people living in this state of India. The findings from the systematic review and focus groups identified many environmental and personal determinants of these unhealthy lifestyle changes, including: less than ideal accessibility to and availability of health services; cultural values and norms; optimistic bias and other misconceptions related to risk; and low expectations regarding one’s ability to make lifestyle changes in order to influence health and disease outcomes. On the other hand, there are existing intervention trials conducted in India which suggests that risk reduction is possible. These programmes utilize multi-level strategies including mass media, as well as strategies to enhance community and individual empowerment. India’s national programme for the prevention and control of major non-communicable diseases (NCD) also provide a supportive environment for further community-based efforts to prevent diabetes. Conclusion These findings provide strong support for undertaking more research into the conduct of community-based diabetes prevention in the rural areas of

  13. A Study of the Effects of a University Education upon the Ministerial Behaviors of Indian Pentecostal Church of God Pastors in the State of Kerala, India

    ERIC Educational Resources Information Center

    Mathew, John K.

    2010-01-01

    The main research question of this study was, "What effects does a university education have on the ministerial behaviors of Indian Pentecostal Church of God (IPCG) pastors in Kerala, India?" Three data collection methods were used: interview, questionnaire, and participant observation. There were 10 university-educated (UE) pastors interviewed,…

  14. Fire disaster following LPG tanker explosion at Chala in Kannur (Kerala, India): August 27, 2012.

    PubMed

    Kumar, Pramod

    2013-11-01

    A fire disaster following LPG tanker explosion occurred at Chala bypass, Kannur, Kerala, India on August 27, 2012. The three chambered tanker with total 16tonnes (162.57 quintal) LPG collided with a road divider and exploded thrice. A total of 41 people became victims during first blast; out of which 20 died in various hospitals. Five people remained inside the house after first blast and escaped unhurt from the zone of accident before second blast. All the victims were transferred to various hospitals; of these, six were transferred to the burns unit of the Kasturba Hospital, Manipal (320km from Chala). Five (5/6) were transferred within 1-5 days at our burns unit suffered 31-72% total body surface area (TBSA) burn, none had external injuries. One (1/6) was transferred on 20th day as a follow up case of 15% TBSA burn with 4% residual raw area and diabetes mellitus. Except one, all were managed conservatively using Limited access dressings (LAD; Negative Pressure Wound Therapy). One of the patient wound bed prepared under LAD and on 41 post burn day underwent split skin grafting under LAD. Out of the six patients admitted at the burns unit, two (2/6) admitted patients expired (one due to inhalation injury and another due to sepsis with multiple organ failure). One survivor (1/4) developed sepsis related liver dysfunction with hepatomegaly but recovered well. The total hospital stay of survivors at the burns unit varied from 8 to 60 days (mean hospital stay 36.5 days). All the victims who developed psychological symptoms were treated by psychiatrists and counselled before discharge. Three of survivors developed psychological symptoms. Two of them (2/3) developed mixed anxiety-depression disorder (ICD 10 code F41.8) and one of these two showed grief reaction too (ICD 10 code F43.23). One victim (1/3) developed non-organic insomnia (ICD 10 code F51.0) and responded to counselling. The article describes the incident, mechanism of the incident, injuries sustained

  15. Economic impact of chikungunya epidemic: out-of-pocket health expenditures during the 2007 outbreak in Kerala, India.

    PubMed

    Vijayakumar, K; George, B; Anish, T S; Rajasi, R S; Teena, M J; Sujina, C M

    2013-01-01

    The southern state of Kerala, India was seriously affected by a chikungunya epidemic in 2007. As this outbreak was the first of its kind, the morbidity incurred by the epidemic was a challenge to the state's public health system. A cross sectional survey was conducted in five districts of Kerala that were seriously affected by the epidemic, using a two-stage cluster sampling technique to select households, and the patients were identified using a syndromic case definition. We calculated the direct health expenditure of families and checked whether it exceed the margins of catastrophic health expenditure (CHE). The median (IQR) total out-of-pocket (OOP) health expenditure in the study population was USD7.4 (16.7). The OOP health expenditure did not show any significant association with increasing per-capita monthly income.The major share (47.4%) of the costs was utilized for buying medicines, but costs for transportation (17.2%), consultations (16.6%), and diagnoses (9.9%) also contributed significantly to the total OOP health expenditure. The OOP health expenditure was high in private sector facilities, especially in tertiary care hospitals. For more than 15% of the respondents, the OOP was more than double their average monthly family income. The chikungunya outbreak of 2007 had significantly contributed to the OOP expenditure of the affected community in Kerala.The OOP health expenditure incurred was high, irrespective of the level of income. Governments should attempt to ensure comprehensive financial protection by covering the costs of care, along with loss of productivity. PMID:23682438

  16. Characterization of fluids involved in the Gneiss-Charnockite transformation in Southern Kerala (India)

    NASA Technical Reports Server (NTRS)

    Klatt, E.; Hoernes, S.; Raith, M.

    1988-01-01

    The characterization of fluids involved in the gneiss-charnockite transformation in southern Kerala are discussed. Using a variety of techniques, including microthermometry, Raman laser probe analysis, and mass spectrometry, it was concluded that the CO2-rich, N2-bearing metamorphic fluids in these rocks were internally-derived rather than having been introduced by CO2-streaming.

  17. High Prevalence of Tobacco Use and Associated Oral Mucosal Lesion Among Interstate Male Migrant Workers in Urban Kerala, India

    PubMed Central

    Aslesh, Ottapura Prabhakaran; Paul, Sam; Paul, Lipsy; Jayasree, Anandabhavan Kumaran

    2015-01-01

    Background: Kerala is a highly urbanized state in India and interstate migrant laborers working there forms a marginalized community. It was generally perceived that use of tobacco and alcohol was high among the workers, but there are no epidemiological studies assessing the actual burden. Objectives: To estimate the prevalence of use of tobacco and also the prevalence of oral mucosal lesions associated with such use consumption among the adult male interstate migrant workers in North Kerala. Materials and Methods: A cross sectional study was carried out among male migrant workers above 18 years working in different factories in urban parts of Kannur district. Total of 244 participants attending routine health check-up camp were assessed for the use of tobacco/alcohol, type, frequency and duration of their use by a questionnaire. The trained dental interns conducted oral cavity examination for detecting oral mucosal lesions associated with tobacco use. Results: The prevalence of current use of smoked tobacco, smokeless tobacco and alcohol use were 41.8%, 71.7% and 56.6%, respectively among migrants. Oral mucosal lesions (OML) were seen in 36.3% of participants. Among smokeless tobacco users, 44.6% had lesions. Adjusted odds ratio for OML was 4.5 (CI: 1.9 - 19.84) among smokeless tobacco users. Conclusions: The current use of smokeless tobacco and oral mucosal lesions are highly prevalent among migrant workers. PMID:26855720

  18. Predatory potential of Platynectes sp. (Coleoptera: Dytiscidae) on Aedes albopictus, the vector of dengue/chikungunya in Kerala, India.

    PubMed

    Kumar, N P; Bashir, A; Abidha, S; Sabesan, S; Jambulingam, P

    2014-12-01

    Unused and discarded latex collection containers (LCCs) are the major breeding habitats of Aedes albopictus in the rubber plantations of Kerala, India. Platynectes sp. (Family: Dytiscidae) was observed to invade these habitats during the monsoon season and voraciously devour the larval instars of this major vector species of arbo-viral diseases. Field observations showed a reduction of 70.91% (p = 0.0017) and 100% in Aedes larval density, on the first and four days post release of eight beetles per LCC respectively. In laboratory, a beetle was found to devour 17.75 + 5.0 late larval instars of Ae. albopictus per day. Our findings indicate Platynectes sp. could be a potential bio-control agent against Ae. albopictus, the vector of chikungunya/dengue fevers, in rubber plantations. PMID:25776599

  19. Folk-lore medicines for jaundice from Coimbatore and palghat districts of Tamil Nadu and kerala, India.

    PubMed

    Sankaranarayanan, A S

    1988-01-01

    Ethno-botanical explorations with regard to the folk-lore medicine in Coimbatore district of Tamil Nadu and Palghat district of Kerala for jaundice was carried out. Out of twenty remedies thus gathered two are found to be new reports and a few others have got interesting combination. The specimens are identified at Botanical Survey of India, Coimbatore and deposited in the Herbarium of Ethnobiology department of International Institute of Ayurveda, Coimbatore. Two newly reported plants for Jaundice namely Alysicarpus vaginalis DC. and Justicia tranquebariensis L. f, have been taken for phytochemical screening and pharmacological studies. The botanical name of the plant, local name, Sanskrit name and the part of the plant employed are given in table I. PMID:22557611

  20. Trace metal enrichment and organic matter sources in the surface sediments of Arabian Sea along southwest India (Kerala coast).

    PubMed

    Sreekanth, Athira; Mrudulrag, S K; Cheriyan, Eldhose; Sujatha, C H

    2015-12-30

    The geochemical distribution and enrichment of trace metals (Cd, Co, Cu, Fe, Mn, Ni, Pb and Zn) were determined in the surface sediments of Arabian Sea, along southwest India, Kerala coast. The results of geochemical indices indicated that surficial sediments of five transects are uncontaminated with respect to Mn, Zn and Cu, uncontaminated to moderately contaminated with Co and Ni, and moderately to strongly contaminated with Pb. The deposition of trace elements exhibited three different patterns i) Cd and Zn enhanced with settling biodetritus from the upwelled waters, ii) Pb, Co and Ni show higher enrichment, evidenced by the association through adsorption of iron-manganese nodules onto clay minerals and iii) Cu enrichment observed close to major urban sectors, initiated by the precipitation as Cu sulfides. Correlation, principal component analysis (PCA) and cluster analysis (CA) were used to confirm the origin information of metals and the nature of organic matter composition. PMID:26602174

  1. "Maybe at birth there was an injury": drivers and implications of caretaker explanatory models of autistic characteristics in Kerala, India.

    PubMed

    Sarrett, Jennifer C

    2015-03-01

    Explanatory models (EMs) are the way people explain the presence and meaning of an illness or disability and are reliant on and reflective of culturally specific values of normalcy, disability, health, and illness. EMs about autism spectrum disorder (ASD) are particularly revealing because there is no known cause, and so people can explain this disability in ways more appropriate for and useful to them. This article presents caretaker EMs about children with autistic characteristics in Kerala, India. I argue that the reliance on biological, but not genetic, causal models is reflective of the state's high access to biomedical heath care. These EMs are used to deflect the stigma of 'bad blood' and reflect a nuanced relationship between stigma and biological EMs. Understanding how caretakers talk about ASD and related conditions is critical for anyone interested in engaging in crosscultural or international autism-related work. PMID:25739530

  2. The Kerala formula.

    PubMed

    Nag, M

    1988-01-01

    Although many of Kerala's socioeconomic indicators have lagged considerably behind those of India as a whole, this state has the lowest fertility and mortality levels in the country. With a view to explaining this paradox, the areas of land reform, social equity, education, women's status, and health care--among others-- have been examined in both Kerala and West Bengal. As expected, equity in health care and education were found to be important. But it was notable that the development of political awareness and action among the masses was also very important. Kerala provides a good example of good health at low cost, relative to other Indian states. The relatively rapid decline in mortality in rural Kerala, in comparison with that in West Bengal, can be attributed mainly to Kerala's more equitable distribution of health facilities and to their better utilization. This has been possible because of their greater accessibility, the more equitable distribution of educational services, and a higher degree of political awareness among the people in rural Kerala. This analysis suggests that in countries or regions with large proportions of economically and socially deprived people, interventions aimed at reducing mortality should give higher priority to social equity than to economic equity. PMID:3254226

  3. Impacts of public policies and farmer preferences on agroforestry practices in Kerala, India.

    PubMed

    Guillerme, S; Kumar, B M; Menon, A; Hinnewinkel, C; Maire, E; Santhoshkumar, A V

    2011-08-01

    Agroforestry systems are fundamental features of the rural landscape of the Indian state of Kerala. Yet these mixed species systems are increasingly being replaced by monocultures. This paper explores how public policies on land tenure, agriculture, forestry and tree growing on private lands have interacted with farmer preferences in shaping land use dynamics and agroforestry practices. It argues that not only is there no specific policy for agroforestry in Kerala, but also that the existing sectoral policies of land tenure, agriculture, and forestry contributed to promoting plantation crops, even among marginal farmers. Forest policies, which impose restrictions on timber extraction from farmers' fields under the garb of protecting natural forests, have often acted as a disincentive to maintaining tree-based mixed production systems on farmlands. The paper argues that public policies interact with farmers' preferences in determining land use practices. PMID:21461959

  4. Impacts of Public Policies and Farmer Preferences on Agroforestry Practices in Kerala, India

    NASA Astrophysics Data System (ADS)

    Guillerme, S.; Kumar, B. M.; Menon, A.; Hinnewinkel, C.; Maire, E.; Santhoshkumar, A. V.

    2011-08-01

    Agroforestry systems are fundamental features of the rural landscape of the Indian state of Kerala. Yet these mixed species systems are increasingly being replaced by monocultures. This paper explores how public policies on land tenure, agriculture, forestry and tree growing on private lands have interacted with farmer preferences in shaping land use dynamics and agroforestry practices. It argues that not only is there no specific policy for agroforestry in Kerala, but also that the existing sectoral policies of land tenure, agriculture, and forestry contributed to promoting plantation crops, even among marginal farmers. Forest policies, which impose restrictions on timber extraction from farmers' fields under the garb of protecting natural forests, have often acted as a disincentive to maintaining tree-based mixed production systems on farmlands. The paper argues that public policies interact with farmers' preferences in determining land use practices.

  5. Medically important mosquitoes in the rubber plantation belt of central Kerala, India.

    PubMed

    Jomon K V; Valamparampil T T

    2014-07-01

    Entomological surveys were carried out in the rubber plantation belt of Kerala to record mosquito fauna. Samples were collected from 23 randomly selected localities using standard methods for a period of three years, from Feb- ruary 2008 to January 2011. Thirty-two species belonging to nine genera: Aedes, Anopheles, Armigeres, Coquillettidia, Culex, Heizmannia, Mansonia, Toxorhynchites, and Uranotaenia were recorded. Many of the recorded species were medically im- portant as potential vectors of dengue fever, chikungunya, Japanese encephalitis, malaria and filariasis. PMID:25427346

  6. Medically important mosquitoes in the rubber plantation belt of central Kerala, India.

    PubMed

    Jomon K V; Valamparampil T T

    2014-07-01

    Entomological surveys were carried out in the rubber plantation belt of Kerala to record mosquito fauna. Samples were collected from 23 randomly selected localities using standard methods for a period of three years, from Feb- ruary 2008 to January 2011. Thirty-two species belonging to nine genera: Aedes, Anopheles, Armigeres, Coquillettidia, Culex, Heizmannia, Mansonia, Toxorhynchites, and Uranotaenia were recorded. Many of the recorded species were medically im- portant as potential vectors of dengue fever, chikungunya, Japanese encephalitis, malaria and filariasis. PMID:25507596

  7. Analysis of birth intervals in India's Uttar Pradesh and Kerala States.

    PubMed

    Singh, K K; Suchindran, C M; Singh, V; Ramakumar, R

    1993-04-01

    Life tables of birth intervals and median birth intervals in two Indian states, Uttar Pradesh and Kerala, were computed for several subgroups of the study population. Multivariate hazards modelling technique was used to examine the net effect of each of the variables studied. The results show a substantial effect of socioeconomic variables in child-spacing after controlling for the major intermediate variables. PMID:8478365

  8. HEPATOPROTECTIVE PLANTS USED BY THE TRIBALS OF WYNADU, MALAPPURAM AND PALGHAT DISTRICTS OF KERALA, INDIA.

    PubMed Central

    Asha, V.V; Pushpangadan, P.

    2002-01-01

    An intensive survey was carried out in Wynadu, Palghat and malappuram districts of Kerala to identify plants used by the tribals were identified in the survey. A brief account of 15 plant species used as single plant remedy for alleviating liver ailments by the tribals is given in this report. This ethnomedical information can lead the development of useful drugs against liver diseases. PMID:22557068

  9. Root reinforcement and its contribution to slope stability in the Western Ghats of Kerala, India

    NASA Astrophysics Data System (ADS)

    Lukose Kuriakose, Sekhar; van Beek, L. P. H.

    2010-05-01

    The Western Ghats of Kerala, India is prone to shallow landslides and consequent debris flows. An earlier study (Kuriakose et al., DOI:10.1002/esp.1794) with limited data had already demonstrated the possible effects of vegetation on slope hydrology and stability. Spatially distributed root cohesion is one of the most important data necessary to assess the effects of anthropogenic disturbances on the probability of shallow landslide initiation, results of which are reported in sessions GM6.1 and HS13.13/NH3.16. Thus it is necessary to the know the upper limits of reinforcement that the roots are able to provide and its spatial and vertical distribution in such an anthropogenically intervened terrain. Root tensile strength and root pull out tests were conducted on nine species of plants that are commonly found in the region. They are 1) Rubber (Hevea Brasiliensis), 2) Coconut Palm (Cocos nucifera), 3) Jackfruit trees (Artocarpus heterophyllus), 4) Teak (Tectona grandis), 5) Mango trees (Mangifera indica), 6) Lemon grass (Cymbopogon citratus), 7) Gambooge (Garcinia gummi-gutta), 8) Coffee (Coffea Arabica) and 9) Tea (Camellia sinensis). About 1500 samples were collected of which only 380 could be tested (in the laboratory) due to breakage of roots during the tests. In the successful tests roots failed in tension. Roots having diameters between 2 mm and 12 mm were tested. Each sample tested had a length of 15 cm. Root pull out tests were conducted in the field. Root tensile strength vs root diameter, root pull out strength vs diameter, root diameter vs root depth and root count vs root depth relationships were derived. Root cohesion was computed for nine most dominant plants in the region using the perpendicular root model of Wu et al. (1979) modified by Schimidt et al. (2001). A soil depth map was derived using regression kriging as suggested by Kuriakose et al., (doi:10.1016/j.catena.2009.05.005) and used along with the land use map of 2008 to distribute the

  10. Climate-based statistical regression models for crop yield forecasting of coffee in humid tropical Kerala, India

    NASA Astrophysics Data System (ADS)

    Jayakumar, M.; Rajavel, M.; Surendran, U.

    2016-07-01

    A study on the variability of coffee yield of both Coffea arabica and Coffea canephora as influenced by climate parameters (rainfall (RF), maximum temperature (Tmax), minimum temperature (Tmin), and mean relative humidity (RH)) was undertaken at Regional Coffee Research Station, Chundale, Wayanad, Kerala State, India. The result on the coffee yield data of 30 years (1980 to 2009) revealed that the yield of coffee is fluctuating with the variations in climatic parameters. Among the species, productivity was higher for C. canephora coffee than C. arabica in most of the years. Maximum yield of C. canephora (2040 kg ha-1) was recorded in 2003-2004 and there was declining trend of yield noticed in the recent years. Similarly, the maximum yield of C. arabica (1745 kg ha-1) was recorded in 1988-1989 and decreased yield was noticed in the subsequent years till 1997-1998 due to year to year variability in climate. The highest correlation coefficient was found between the yield of C. arabica coffee and maximum temperature during January (0.7) and between C. arabica coffee yield and RH during July (0.4). Yield of C. canephora coffee had highest correlation with maximum temperature, RH and rainfall during February. Statistical regression model between selected climatic parameters and yield of C. arabica and C. canephora coffee was developed to forecast the yield of coffee in Wayanad district in Kerala. The model was validated for years 2010, 2011, and 2012 with the coffee yield data obtained during the years and the prediction was found to be good.

  11. Species diversity of mosquito breeding in rubber plantations of Kerala, India.

    PubMed

    Sumodan, P K

    2012-06-01

    During south-west monsoon season, rubber plantations in Kerala have been found to provide ideal conditions for the proliferation of mosquitoes. In a study conducted from June 2005 to September 2010 in Kannur, Wayanad, and Kozhikode districts, 12 species of mosquitoes in 6 genera--Aedes, Armigeres, Culex, Heizmannia, Toxorhynchites, and Verrallina--were found to breed in rain water-filled cups used for collecting rubber latex. The only vector species found was Aedes albopictus, known for its ability to transmit dengue and chikungunya. The combinations of species found associated in the latex cups is also presented. PMID:22894122

  12. Cutaneous leishmaniasis caused by Leishmania donovani in the tribal population of the Agasthyamala Biosphere Reserve forest, Western Ghats, Kerala, India.

    PubMed

    Kumar, N Pradeep; Srinivasan, R; Anish, T S; Nandakumar, G; Jambulingam, P

    2015-02-01

    Cutaneous leishmaniasis (CL), a neglected tropical disease, is reported to be prevalent in tribal villages located in the Agasthyamala Biosphere Reserve forests of Western Ghats, Kerala state, India. We carried out an investigation to characterize the species of Leishmania parasites involved in these infections prevalent among one of the oldest human tribal populations in India. Skin aspirates collected from 13 clinically diagnosed cases were subjected to histopathological investigations, serological rapid tests using 'rk39' and molecular diagnostics. Clinical manifestations recorded among the patients were hypo-pigmented erythematous nodules/papules on limbs and other parts of the body. Histopathological investigations of these skin lesions among patients showed Leishman-Donovan bodies in macrophages. None of the patients were found to be positive for rk39 tests, which detect active visceral leishmaniasis. Using three different genetic markers [kinetoplast minicircle DNA, 3' UTR region of heat-shock protein 70 (Hsp70) and Hsp70 gene] we identified the parasite species involved in these infections to be Leishmania donovani. The 6-phosphogluconate (6-PGDH) gene sequences of the parasite isolates from Western Ghats indicated close genetic relatedness to L. donovani isolates reported from Sri Lanka, also causing CL. This could be cited as another instance of 'local endemism' of organisms in this single 'bio-geographic unit'. PMID:25480880

  13. Identification of Dermatophilus congolensis from lower leg dermatitis of cattle in Kerala, India.

    PubMed

    Tresamol, P V; Saseendranath, M R; Subramanian, H; Pillai, U N; Mini, M; Ajithkumar, S

    2015-12-01

    This study was conducted to identify the aetiological agents associated with a particular type of lower leg dermatitis, locally called pododermatitis, among dairy cattle in Kerala. Skin scabs and scrapings were collected aseptically from 82 naturally occurring cases of lower leg dermatitis in cattle and were subjected to direct microscopical examination and bacterial and fungal culture. Microscopical examination of the skin scrapings with 10% potassium hydroxide revealed fungal spores in hair shafts from only two samples and did not reveal the presence of mites or other parasites. Fungal culture yielded dermatophytes from only five samples; these were identified as Trichophyton mentagrophytes in two cases, T verrucosum in one case, Epidermophyton floccosum in one case and Microsporum nanum in one case. Microscopical examination of Giemsa- and Gram-stained smears of the scab material from the lesions from 72 cases revealed characteristic Gram-positive septate branching filaments with multiple rows of spherical to ovoid cocci, with a typical 'tram-track' appearance suggestive of Dermatophilus congolensis. Culture of the scab materials on sheep blood agar in the presence of 10% carbon dioxide yielded typical beta haemolytic colonies of D. congolensis from 75 samples. The isolates were further confirmed by the macroscopic and microscopic morphology of the colonies, and biochemical test results. This study confirmed the presence of dermatophilosis caused by D. congolensis in cattle in Kerala. PMID:27044156

  14. Ethnomedical and ethnobotanical investigations among some scheduled caste communities of Travancore, Kerala, India.

    PubMed

    Pushpangadan, P; Atal, C K

    1986-06-01

    Investigations were conducted on the traditional life, culture and medical lore of some prominent scheduled caste communities, namely Pulayar, Kuravar, Vedar, Parayar and Nayadi, inhabiting the Travancore region of Kerala. These communities were perhaps some of the original inhabitants of Kerala who have evolved their own peculiar cultural traditions, religious customs, cults, totems, legends, myths, folklores and medicinal practices. But in recent years these communities are being enveloped in the rising tide of civilization and their age old cultural heritage and knowledge systems are fast disappearing. Considering the great importance of conserving/preserving this knowledge system the present study was undertaken. Much interesting information on the cultural life of these communities was gathered. Special attention was paid to the study of their medicinal practices which is essentially a magico-religious-herbal therapy. These tribals have an indepth knowledge of the surrounding flora and utilize over 500 plant species for treating various ailments. The present communication reports only those medical claims for plants that have not been previously published. PMID:3747563

  15. Incidence of keratinophilic fungi from selected soils of Kerala state (India).

    PubMed

    Deshmukh, S K

    2002-01-01

    One hundred and fifty-eight soil samples were collected from various areas of four districts of Kerala and screened for prevalence of keratinophilic fungi and related dermatophytes. From the positive samples (60.75%), a total of eight genera with 15 species were isolated viz., Arthroderma simii (0.63%), Chrysosporium indicum (20.25%), C. keratinophilum (6.96%). C. lobatum (1.26%), C. pannicola (1.26%), C. tropicum (5.06%), Chrysosporium state of Arthroderma cuniculi (1.26%), Chrysosporium state of Ctenomyces serratus (2.53%), Gymnascella hyalinospora (1.26%), Malbranchea aurantiaca (0.63%) M. fulva (1.26%), Microsporum gypseum complex (12.65%), Pseudogymnoascus roseus (1.26%), Trichophyton mentragrophytes (1.26%), and T. terrestre (3.16%). PMID:12749581

  16. Custodial Homes, Therapeutic Homes, and Parental Acceptance: Parental Experiences of Autism in Kerala, India and Atlanta, GA USA.

    PubMed

    Sarrett, Jennifer C

    2015-06-01

    The home is a critical place to learn about cultural values of childhood disability, including autism and intellectual disabilities. The current article describes how the introduction of autism into a home and the availability of intervention options change the structure and meaning of a home and reflect parental acceptance of a child's autistic traits. Using ethnographic data from Kerala, India and Atlanta, GA USA, a description of two types of homes are developed: the custodial home, which is primarily focused on caring for basic needs, and the therapeutic home, which is focused on changing a child's autistic traits. The type of home environment is respondent to cultural practices of child rearing in the home and influences daily activities, management, and care in the home. Further, these homes differ in parental acceptance of their autistic children's disabilities, which is critical to understand when engaging in international work related to autism and intellectual disability. It is proposed that parental acceptance can be fostered through the use of neurodiverse notions that encourage autism acceptance. PMID:25772598

  17. Genetic characterization of 2006-2008 isolates of Chikungunya virus from Kerala, South India, by whole genome sequence analysis.

    PubMed

    Sreekumar, E; Issac, Aneesh; Nair, Sajith; Hariharan, Ramkumar; Janki, M B; Arathy, D S; Regu, R; Mathew, Thomas; Anoop, M; Niyas, K P; Pillai, M R

    2010-02-01

    Chikungunya virus (CHIKV), a positive-stranded alphavirus, causes epidemic febrile infections characterized by severe and prolonged arthralgia. In the present study, six CHIKV isolates (2006 RGCB03, RGCB05; 2007 RGCB80, RGCB120; 2008 RGCB355, RGCB356) from three consecutive Chikungunya outbreaks in Kerala, South India, were analyzed for genetic variations by sequencing the 11798 bp whole genome of the virus. A total of 37 novel mutations were identified and they were predominant in the 2007 and 2008 isolates among the six isolates studied. The previously identified E1 A226V critical mutation, which enhances mosquito adaptability, was present in the 2007 and 2008 samples. An important observation was the presence of two coding region substitutions, leading to nsP2 L539S and E2 K252Q change. These were identified in three isolates (2007 RGCB80 and RGCB120; 2008 RGCB355) by full-genome analysis, and also in 13 of the 31 additional samples (42%), obtained from various parts of the state, by sequencing the corresponding genomic regions. These mutations showed 100% co-occurrence in all these samples. In phylogenetic analysis, formation of a new genetic clade by these isolates within the East, Central and South African (ECSA) genotypes was observed. Homology modeling followed by mapping revealed that at least 20 of the identified mutations fall into functionally significant domains of the viral proteins and are predicted to affect protein structure. Eighteen of the identified mutations in structural proteins, including the E2 K252Q change, are predicted to disrupt T-cell epitope immunogenicity. Our study reveals that CHIK virus with novel genetic changes were present in the severe Chikungunya outbreaks in 2007 and 2008 in South India. PMID:19851853

  18. Can microcredit help improve the health of poor women? Some findings from a cross-sectional study in Kerala, India

    PubMed Central

    Mohindra, KS; Haddad, Slim; Narayana, D

    2008-01-01

    Background This study examines associations between female participation in a microcredit program in India, known as self help groups (SHGs), and women's health in the south Indian state of Kerala. Because SHGs do not have a formal health program, this provides a unique opportunity to assess whether SHG participation influences women's health via the social determinants of health. Methods This cross-sectional study used special survey data collected in 2003 from one Panchayat (territorial decentralized unit). Information was collected on women's characteristics, health determinants (exclusion to health care, exposure to health risks, decision-making agency), and health achievements (self assessed health, markers of mental health). The study sample included 928 non elderly poor women. Results The primary finding is that compared to non-participants living in a household without a SHG member, the odds of facing exclusion is significantly lower among early joiners, women who were members for more than 2 years (OR = 0.58, CI = 0.41–0.80), late joiners, members for 2 years and less (OR = 0.60, CI = 0.39–0.94), and non-participants who live in a household with a SHG member (OR = 0.53, CI = 0.32–0.90). We also found that after controlling for key women's characteristics, early joiners of a SHG are less likely to report emotional stress and poor life satisfaction compared to non-members (OR = 0.52, CI = 0.30–0.93; OR = 0.32, CI = 0.14–0.71). No associations were found between SHG participation and self assessed health or exposure to health risks. The relationship between SHG participation and decision-making agency is unclear. Conclusion Microcredit is not a panacea, but could help to improve the health of poor women by addressing certain issues relevant to the context. In Kerala, SHG participation can help protect poor women against exclusion to health care and possibly aid in promoting their mental health. PMID:18186918

  19. Radiation dose in the high background radiation area in Kerala, India.

    PubMed

    Christa, E P; Jojo, P J; Vaidyan, V K; Anilkumar, S; Eappen, K P

    2012-03-01

    A systematic radiological survey has been carried out in the region of high-background radiation area in Kollam district of Kerala to define the natural gamma-radiation levels. One hundred and forty seven soil samples from high-background radiation areas and five samples from normal background region were collected as per standard sampling procedures and were analysed for (238)U, (232)Th and (40)K by gamma-ray spectroscopy. External gamma dose rates at all sampling locations were also measured using a survey meter. The activities of (238)U, (232)Th and (40)K was found to vary from 17 to 3081 Bq kg(-1), 54 to 11976 Bq kg(-1) and BDL (67.4 Bq kg(-1)) to 216 Bq kg(-1), respectively, in the study area. Such heterogeneous distribution of radionuclides in the region may be attributed to the deposition phenomenon of beach sand soil in the region. Radium equivalent activities were found high in several locations. External gamma dose rates estimated from the levels of radionuclides in soil had a range from 49 to 9244 nGy h(-1). The result of gamma dose rate measured at the sampling sites using survey meter showed an excellent correlation with dose rates computed from the natural radionuclides estimated from the soil samples. PMID:21515614

  20. Calappid and leucosiid crabs (Crustacea: Decapoda: Brachyura) from Kerala, India, with the description of a new species of Mursia Desmarest, 1823, from the Arabian Sea and redescription of M. bicristimana Alcock & Anderson, 1894.

    PubMed

    Kumar, Biju A; Kumar, M Sushil; Galil, Bella S

    2013-01-01

    Eleven species of calappid and leucosiid crabs were identified from by-catch landed by trawlers at four fishing ports in Kerala, India that were surveyed in 2007 and supplemented by material obtained in January 2013. Four species are reported for the first time from India, six are new records for Kerala. The status of Mursia bicristimana Alcock & Anderson, 1894, is clarified and the species redescribed. A new species of Mursia is described from the Gulf of Aden, Arabian Sea.  PMID:25113495

  1. Reliability of Malayalam version of Geriatric Oral Health Assessment Index among institutionalized elderly in Alleppey, Kerala (India): A pilot study

    PubMed Central

    Shekhawat, Kuldeep Singh; Chauhan, Arunima; Koshy, Anitha Ann; Rekha, P.; Kumar, Hemanth

    2016-01-01

    Background: Oral health has a profound effect on the daily activities of geriatric group. India being a multilingual country, it is essential that instruments used to evaluate the quality of life is in local languages. However, the validation and translational aspect are important before involving a larger cohort of geriatrics. Aim: To assess the reliability of Malayalam version of Geriatric Oral Health Assessment Index (GOHAI-m). Settings and Design: Institutionalized elderly in Alleppey, Kerala, cross-sectional study. Materials and Methods: The 12 items in GOHAI were translated into Malayalam using a back-translation technique. The comprehensibility of the Malayalam version was assessed by a pilot study. Fifty institutionalized elderly answered the questionnaire. Impact based on age and marital status was also assessed. Statistical Analysis: Independent sample t-test, Cronbach's alpha, test–retest reliability using intraclass correlation coefficient (ICC). Results: The mean GOHAI-m scores were higher for elderly participants with slightly more impact on quality of life such as for biting or chewing food, and lower mean GOHAI-m scores indicated a positive impact on quality of life such as their self-conscious of oral health. Cronbach's alpha of 0.677 was reached with 12 items. Item 12 had a negative item-total correlation, −0.016, the deletion of Item-12 increased the item correlation to 0.7. Test–retest reliability of 0.65 for ICC indicated moderate stability. Females had more impact than males (P < 0.05). Age and marital status had no impact on their quality of life. Conclusion: The primary analysis of GOHAI-m indicated moderate stability. The elimination of negative items depends on the objectives of the study and/or after conducting a larger study keeping in view various parameters of the study. PMID:27307659

  2. Radionuclides and Radiation Indices of High Background Radiation Area in Chavara-Neendakara Placer Deposits (Kerala, India)

    PubMed Central

    Derin, Mary Thomas; Vijayagopal, Perumal; Venkatraman, Balasubramaniam; Chaubey, Ramesh Chandra; Gopinathan, Anilkumar

    2012-01-01

    The present paper describes a detailed study on the distribution of radionuclides along Chavara – Neendakara placer deposit, a high background radiation area (HBRA) along the Southwest coast of India (Kerala). Judged from our studies using HPGe gamma spectrometric detector, it becomes evident that Uranium (238U), Thorium (232Th) and Potassium (40K) are the major sources for radioactivity prevailing in the area. Our statistical analyses reveal the existence of a high positive correlation between 238U and 232Th, implicating that the levels of these elements are interdependent. Our SEM-EDAX analyses reveal that titanium (Ti) and zircon (Zr) are the major trace elements in the sand samples, followed by aluminum, copper, iron, ruthenium, magnesium, calcium, sulphur and lead. This is first of its kind report on the radiation hazard indices on this placer deposit. The average absorbed dose rates (9795 nGy h−1) computed from the present study is comparable with the top-ranking HBRAs in the world, thus offering the Chavara-Neendakara placer the second position, after Brazil; pertinently, this value is much higher than the World average. The perceptibly high absorbed gamma dose rates, entrained with the high annual external effective dose rates (AEED) and average annual gonadal dose equivalent (AGDE) values existing in this HBRA, encourage us to suggest for a candid assessment of the impact of the background radiation, if any, on the organisms that inhabit along this placer deposit. Future research could effectively address the issue of the possible impact of natural radiation on the biota inhabiting this HBRA. PMID:23185629

  3. Views and Attitudes Towards Sexual Functioning in Men Living with Spinal Cord Injury in Kerala, South India

    PubMed Central

    Sunilkumar, MM; Boston, Patricia; Rajagopal, MR

    2015-01-01

    Context: Sexual dysfunction is a major concern for Indian men living with a spinal cord injury. Few first-hand reports exist about the experience of living with an altered sense of sexual identity and the inability to express sexual concerns. Aims: In this qualitative study, the authors explore views and attitudes towards sexual functioning in men living with a spinal cord injury in Kerala, India. Materials and Methods: Semi-structured and open-ended interviews were conducted with seven participants according to IE Seidman's phenomenological approach. Thematic analysis followed the analytic process outlined by Moustakas (1990). Results: Identification of seven interconnected themes included: Recalling an active sexual life, disconnection with sexual identity, incongruence between emotional and physical capability, spousal isolation, social readjustment of spouse, physical barriers to sexual functioning, coping, and reintegration. Conclusions: Patient's descriptions of suffering demonstrate complexities of experience in sexual functioning. All patients were sexually active prior to the injury. This was now lost causing anxiety, distress, and sadness. A huge gap existed between sexual desire and physical capability. The patient and spouse were now isolated emotionally, socially, and physically. Physical barriers included urinary incontinence and indwelling catheters. While several self-evolved coping strategies were identified, support from palliative care services was not evident. Two important gaps exist in research and practice: (1) Attention to sexual issues and whole-person care. (2) Attention to quality of sexual life. Future qualitative studies on sexual dysfunction could provide a useful adjunct to current literature which is predominantly biomedical in its approach. PMID:25709179

  4. Radionuclides and radiation indices of high background radiation area in Chavara-Neendakara placer deposits (Kerala, India).

    PubMed

    Derin, Mary Thomas; Vijayagopal, Perumal; Venkatraman, Balasubramaniam; Chaubey, Ramesh Chandra; Gopinathan, Anilkumar

    2012-01-01

    The present paper describes a detailed study on the distribution of radionuclides along Chavara - Neendakara placer deposit, a high background radiation area (HBRA) along the Southwest coast of India (Kerala). Judged from our studies using HPGe gamma spectrometric detector, it becomes evident that Uranium ((238)U), Thorium ((232)Th) and Potassium ((40)K) are the major sources for radioactivity prevailing in the area. Our statistical analyses reveal the existence of a high positive correlation between (238)U and (232)Th, implicating that the levels of these elements are interdependent. Our SEM-EDAX analyses reveal that titanium (Ti) and zircon (Zr) are the major trace elements in the sand samples, followed by aluminum, copper, iron, ruthenium, magnesium, calcium, sulphur and lead. This is first of its kind report on the radiation hazard indices on this placer deposit. The average absorbed dose rates (9795 nGy h(-1)) computed from the present study is comparable with the top-ranking HBRAs in the world, thus offering the Chavara-Neendakara placer the second position, after Brazil; pertinently, this value is much higher than the World average. The perceptibly high absorbed gamma dose rates, entrained with the high annual external effective dose rates (AEED) and average annual gonadal dose equivalent (AGDE) values existing in this HBRA, encourage us to suggest for a candid assessment of the impact of the background radiation, if any, on the organisms that inhabit along this placer deposit. Future research could effectively address the issue of the possible impact of natural radiation on the biota inhabiting this HBRA. PMID:23185629

  5. Gastric cancer risk in relation to tobacco use and alcohol drinking in Kerala, India - Karunagappally cohort study

    PubMed Central

    Jayalekshmi, Padmavathy Amma; Hassani, Soroush; Nandakumar, Athira; Koriyama, Chihaya; Sebastian, Paul; Akiba, Suminori

    2015-01-01

    AIM: To assess the risk of gastric cancer (GC) in relation to tobacco use and alcohol drinking in the Karunagappally cohort in Kerala, South India. METHODS: This study examined the association of tobacco use and alcohol drinking with GC incidence among 65553 men aged 30-84 in the Karunagappally cohort. During the period from 1990-2009, 116 GC cases in the cohort were identified as incident cancers. These cases were identified from the population-based cancer registry. Information regarding risk factors such as socioeconomic factors and tobacco and alcohol habits of cohort members were collected from the database of the baseline survey conducted during 1990-1997. The relative risks (RRs) and the corresponding 95% confidence intervals (95%CIs) for tobacco use were obtained from Poisson regression analysis of grouped survival data, considering age, follow-up period, occupation and education. RESULTS: Bidi smoking was associated with GC risk (P = 0.042). The RR comparing current versus never smokers was 1.6 (95%CI: 1.0-2.5). GC risk was associated with the number of bidis smoked daily (P = 0.012) and with the duration of bidi smoking (P = 0.036). Those who started bidi smoking at younger ages were at an elevated GC risk; the RRs for those starting bidi smoking under the age of 18 and ages 18-22 were 2.0 (95%CI: 1.0-3.9) and 1.8 (95%CI: 1.1-2.9), respectively, when their risks were compared with lifetime non-smokers of bidis. Bidi smoking increased the risk of GC among never cigarette smokers more evidently (RR = 2.2; 95%CI: 1.3-4.0). GC risk increased with the cumulative amount of bidi smoking, which was calculated as the number of bidis smoked per day x years of smoking (bidi-year; P = 0.017). Cigarette smoking, tobacco chewing or alcohol drinking was not significantly associated with GC risk. CONCLUSION: Among a male cohort in South India, gastric cancer risk increased with the number and duration of bidi smoking. PMID:26640345

  6. Melt inclusions and origin of granite in migmatitic granulites from the Kerala Khondalite Belt, Southern India

    NASA Astrophysics Data System (ADS)

    Ferrero, Silvio; Cesare, Bernardo; Salvioli Mariani, Emma; Cavallo, Andrea

    2010-05-01

    Both glassy and crystallized melt inclusions (MI) occur in garnet in metapelitic granulites from the Kerala Khondalite Belt. These rocks were metamorphosed and partially melted at UHT conditions during the Pan-African event, and MI represent droplets of the anatectic melt, originated by dehydration melting of biotite and trapped by garnet growth at supersolidus conditions. An extensive ESEM-BSE mapping study, along with EMPA analysis and re-heating experiments, has been carried out to characterize these anatectic MI. The inclusions range from 4 to 35 μm in diameter and occur as clusters in garnets. In spite of the long time it took for these rocks to cool below 350 °C (at least 60 m.y.), different degrees of crystallization were observed in the same cluster, ranging from totally crystallized to totally glassy. The crystallized MI are referred to as "nanogranites" (Cesare et al., 2009) and always contain quartz, Mg-rich biotite (XFe=0.23) and two feldspars in a fine-grained polycrystalline aggregate. Based on microstructural evidence, biotite crystallized as first phase, preferentially on the walls of the MI, while quartz and feldspars crystallized later, often forming graphic intergrowths and/or melt pseudomorph-like structures (≥ 50 nm) similar to coarser structures (≈ tens of microns scale) observed in the host rocks. The glassy inclusions are rare (about 15% of the total) and smaller in size (≤15 μm in diameter) compared to the crystallized nanogranite MI. Both MI types often show negative crystal-shape and contain trapped crystalline phases that are accessories in the host rock, including rutile, titanite, zircon, apatite and Zn-rich spinel. Partially crystallized MI have been also recognized, containing an amorphous phase identified as a residual melt Where Cl and Ca are preferentially partitioned. Re-heating experiments in a HT hearing stage succeeded in re-homogenizing the nanogranite inclusions. EMP data on 40 re-homogenized MI show an average SiO2

  7. The population Doomsday forecast: lessons from Kerala.

    PubMed

    Black, J A

    1993-12-01

    The discussion of fertility decline in Kerala state, India, focused on fertility decline in Kerala state and the role of the UN. Key features of Kerala's success in fertility decline were the emphasis on female education and the emancipation of women, reduced infant and child mortality rates, and political support. Since 1956 when the states of Cochin and Travancore were joined, the development of education and health services was encouraged. Literacy was over 90% in Kerala compared to 62% for males and 34% for females in India in 1990. Kerala's government invested in primary and secondary education, primary health care, and family planning services. 12% of Kerala's education budget is devoted to "higher" education compared to 47% of national government expenditures. Inheritance of property was matrilineal. 85% of girls aged under 14 years stayed in school in Kerala compared to 21% nationally. The mean age of marriage is 21.9 years compared to 18.3 years nationally. The sex ratio, life expectancy, and child mortality rates were favorable to females. In 1987 the crude birth rate was 22/1000 population in Kerala and 32/1000 nationally. The infant mortality rate was 27/1000 live births in Kerala and 94/1000 nationally. Contraceptive use in Kerala was predominately female sterilization, followed by the condom. Successful features of Kerala's fertility decline are potentially transportable to African countries where women already play an important role in trade and shopkeeping. Emphasis must be simultaneously placed on primary health care and free family planning services that are easily accessible at all levels of health care. With political will, African or poor countries should be able to afford these programs. The UN and its agencies should be the unifying force promoting and supporting education, primary health care, and family planning services on a worldwide scale. However, the authority and expertise within the UN has not been sufficient to meet this challenge

  8. Prevalence of burnout and its correlates among residents in a tertiary medical center in Kerala, India: A cross-sectional study

    PubMed Central

    Ratnakaran, B; Prabhakaran, A; Karunakaran, V

    2016-01-01

    Background and Rationale: Residents work in emotionally demanding environments with multiple stressors. The risk for burnout is high in them and it has significant negative consequences for their career. Burnout is also associated with consequences in terms of physical and mental health including insomnia, cardiovascular disease, depression and suicidal ideation. Thus, the study aimed to study the prevalence of burn out and its correlates among interns and residents at Government Medical College, Thiruvananthapuram, Kerala, India. Settings and Design: Cross Sectional Study at Government Medical College, Thiruvananthapuram, Kerala, India. Methods: It was a cross Sectional study of 558 interns and residents of Government Medical College, Thiruvananthapuram, Kerala, India. Data was collected which included the Copenhagen Burnout Inventory [CBI] which assesses burnout in the dimensions of Personal burnout, Work burnout and Patient related burnout, with a cut off score of 50 for each dimension. Age, sex, year of study, department the resident belonged to, or an intern, junior resident or a super speciality senior resident (resident doing super speciality course after their post graduate masters degree) were the correlates assessed. Statistical analysis: Univariate analysis. Results: More than one third of the participants were found to have burnout in one or another dimension of the CBI. Burnout was found to be the highest among the interns in the domains of personal burnout (64.05 %) and patient related burnout (68.62 %) and in junior residents for work related burnout (40%). Super specialty senior residents had the least prevalence of burnout in all three dimensions. Among the residents, Non Medical/Non Surgical residents had the least prevalence of burnout in all three dimensions, whereas surgical speciality residents had the highest of personal burnout (57.92 %) and Medical speciality residents had the highest patient related burnout (27.13%). Both medical and

  9. Tobacco and Alcohol Use and the Impact of School Based Antitobacco Education for Knowledge Enhancement among Adolescent Students of Rural Kerala, India

    PubMed Central

    Geetha, Seema; Thomas, Gigi; Sebastian, Paul

    2016-01-01

    Objectives. Limited information is available on adolescent tobacco and alcohol use in rural Kerala, the southernmost state in India. The study was conducted to estimate the prevalence of tobacco and alcohol use among adolescent school students and further to understand the extent of knowledge pertaining to tobacco before and after conducting awareness programmes in schools. Methods. A cross-sectional study was conducted in 10 government schools of rural Thiruvananthapuram district of Kerala state based on a multistaged sampling design. Using a pretested semistructured questionnaire, prevalence and patterns of tobacco use by students and their households, as well as students' knowledge on tobacco hazards before and after delivering antitobacco messages, were collected. Results. The overall prevalence of self-reported ever users of tobacco in the current academic year was 7.4% (95% CI 5.86–8.94), while that of ever alcohol users was 5.6% (95% CI 4.25–6.95). Knowledge assessment scores revealed a significant increase in the mean knowledge scores after posttraining evaluation (mean score = 10.34) when compared to pretraining evaluation (mean score = 9.26) (p < 0.0001). Conclusion. Apart from antitobacco awareness programmes, strict monitoring of trade of tobacco and alcohol products near educational institutions has to be conducted consistently to curb the problem.

  10. The development of the nursing profession in a globalised context: A qualitative case study in Kerala, India.

    PubMed

    Timmons, Stephen; Evans, Catrin; Nair, Sreelekha

    2016-10-01

    In the paper, we are looking at the relationship between globalisation and the professional project, using nursing in Kerala as an exemplar. Our focus is on the intersection of the professional project, gender and globalisation processes. Included in our analysis are the ways in which gender affects the professional project in the global south, and the development of a professional project which it is closely tied to global markets and global migration, revealing the political-economic, historical, and cultural factors that influence the shape and consequences of nurse migration. The phenomenon that enabled our analysis, by showing these forces at work in a particular time and place, was an outbreak of strikes by nurses working in private hospitals in Kerala in 2011-2012. PMID:27529143

  11. Intra-annual variations of teak cellulose δ18O in Kerala, India: implications to the reconstruction of past summer and winter monsoon rains

    NASA Astrophysics Data System (ADS)

    Managave, S. R.; Sheshshayee, M. S.; Bhattacharyya, A.; Ramesh, R.

    2011-08-01

    A seasonal cycle has been observed in the high and coarse resolution intra-annual analyses of oxygen isotopic composition (δ18O) of teak ( Tectona grandis) cellulose from southern India, that receives both the south-west (SW) (summer) and the north-east (NE) (winter, more depleted in 18O) monsoon rains. The seasonal cycle as recorded by teak, with an amplitude between 1 and 3‰, shows lower δ18O values at the early and late growing seasons than at the middle. This pattern is opposite to that found in central Indian teak, nurtured mostly by the SW monsoon rain. A comparison of the observed and modeled intra-annual profiles reveals that the observed pattern of intra-annual δ18O variation in southern India is explainable only if teak trees had sampled rainfall from both the monsoons. Thus it appears possible to detect years of past excess NE monsoon rains by analyzing the δ18O of cellulose from the latewood of teak trees growing in Kerala, southern India.

  12. Kerala: Radical Reform As Development in an Indian State. 2nd Edition.

    ERIC Educational Resources Information Center

    Franke, Richard W.; Chasin, Barbara H.

    Kerala, a state in southwestern India, has implemented radical reform as a development strategy. As a result, Kerala now has some of the Third World's highest levels of health, education, and social justice. Originally published in 1989, this book traces the role that movements of social justice played in Kerala's successful struggle to…

  13. Sex ratio at birth: scenario from normal- and high-level natural radiation areas of Kerala coast in south-west India.

    PubMed

    Koya, P K M; Jaikrishan, G; Sudheer, K R; Andrews, V J; Madhusoodhanan, M; Jagadeesan, C K; Das, Birajalaxmi

    2015-11-01

    Newborns were monitored for congenital malformations in four government hospitals located in high-level (ambient dose >1.5 mGy/year) and normal-level (≤ 1.5 mGy/year) natural radiation areas of Kerala, India, from August 1995 to December 2012. Sex ratio at birth (SRB) among live singleton newborns and among previous children, if any, of their mothers without history of any abortion, stillbirth or twins is reported here. In the absence of environmental stress or selective abortion of females, global average of SRB is about 1050 males to 1000 females. A total of 151,478 singleton, 1031 twins, 12 triplets and 1 quadruplet deliveries were monitored during the study period. Sex ratio among live singleton newborns was 1046 males (95 % CI 1036-1057) for 1000 females (77,153 males:73,730 females) and was comparable to the global average. It was similar in high-level and normal-level radiation areas of Kerala with SRB of 1050 and 1041, respectively. It was consistently more than 1000 and had no association with background radiation levels, maternal and paternal age at birth, parental age difference, gravida status, ethnicity, consanguinity or year of birth. Analysis of SRB of the children of 139,556 women whose reproductive histories were available suggested that couples having male child were likely to opt for more children and this, together with enhanced rate of males at all birth order, was skewing the overall SRB in favour of male children. Though preference for male child was apparent, extreme steps of sex-selective abortion or infanticide were not prevalent. PMID:26343038

  14. Temporal analysis of rainfall (1871-2012) and drought characteristics over a tropical monsoon-dominated State (Kerala) of India

    NASA Astrophysics Data System (ADS)

    Thomas, Jobin; Prasannakumar, V.

    2016-03-01

    The climate of Kerala is controlled by the monsoon, and the analysis of rainfall and drought scenario, for a period of 141 years (1871-72 to 2011-12), reveals a decreasing trend in southwest monsoon, and increasing trends for post-monsoon-, winter- and pre-monsoon-rainfall. The inconsistent periodicity (2-8 years) of annual- and seasonal-rainfall agrees with the periodicity of El-Nino Southern Oscillation (ENSO). The annual rainfall shows an irregular distribution, and is concentrated roughly in half of the year, which is due to the monsoon-driven climatic seasonality. The rainfall concentration at annual-, southwest monsoon-, and winter-scales exhibits significant decreasing trends, implying decline in the degree of irregularity in annual- and seasonal-rainfall. Temporal distribution as well as severity of the drought events have been analyzed using various drought indicators. The drought pattern is not only related to the rainfall trends, but also to the rainfall concentration (or monthly rainfall heterogeneity). The decreasing rainfall during southwest monsoon contributes to short-term meteorological droughts, which have serious implications on the agricultural sector and water resources of Kerala, while the increasing rainfall during other seasons helps to reduce the drought severity.

  15. Dimensional and morphological analysis of various rugae patterns in Kerala (South India) sample population: A cross-sectional study

    PubMed Central

    Selvamani, Manickam; Hosallimath, Shilpa; Madhushankari; Basandi, Praveen Shivappa; Yamunadevi, Andamuthu

    2015-01-01

    Background: Analysis of palatal rugae patterns, which are similar to fingerprints, is one of the techniques used in forensic sciences for human identification. As palatal rugae patterns are genetically determined, they can also be used in population differentiation and gender determination. Hence, we aimed to record the distribution of the predominant rugae pattern in Kerala population. Materials and Methods: A total of 100 maxillary study models (40 males and 60 females) recorded from Kerala population within the age group of 17-25 years were analyzed. The dental casts were examined for the interpretation of the total number, length, shape, location and unification of rugae. Chi-square test and unpaired t-test were employed for statistical analysis. Result: The total number of rugae was significantly (P < 0.001) greater in females than males. Regarding the shape, wavy pattern predominated in both males and females, followed by curve, straight, divergent, convergent and circular pattern. Circular pattern was more in males than females. The rugae patterns were located more in between mesial aspect of first premolar to mesial aspect of second premolar. Conclusion: The palatal rugae and their features of an individual may be considered as a reliable guide for identification purpose, provided antemortem casts are available. Nevertheless, gender differentiation is evident in terms of number and shape of rugae. PMID:26283818

  16. Ethnomedicinal plants used for the treatment of cuts and wounds by Kuruma tribes, Wayanadu districts of Kerala, India

    PubMed Central

    Thomas, Binu; Arumugam, Rajendran; Veerasamy, Aravindhan; Ramamoorthy, Sivalingam

    2014-01-01

    Objective To study the ethnomedicinal uses by the Kuruma tribals for discovering new drugs to cure cuts and wounds so as to provid the data scientifically evaluated. Methods A survey was conducted during May 2008–September 2009 to collect information on medicinal plants used by the Kuruma tribes and queries were made on the various species of plants used regularly and occasionally to cure cuts and wounds. Results The present study includes information on 34 plant species belonging to 32 genera and 25 families used by Kuruma tribe of Wayanad district of Kerala for the treatment of cuts and wounds. Conclusions The present study of the knowledge on the folklore uses of the medicinal plants used by Kuruma tribes leads to effective utilization of herbal medicines in the future. PMID:25183135

  17. Assessment of spatial distribution and radiological hazardous nature of radionuclides in high background radiation area, Kerala, India.

    PubMed

    Ramasamy, V; Sundarrajan, M; Paramasivam, K; Meenakshisundaram, V; Suresh, G

    2013-03-01

    The concentration and distribution of the natural radionuclides ((238)U, (232)Th and (40)K) have been analyzed for the beach sediments of Kerala with an aim of evaluating the radiation hazards. The ranges of activity concentrations of (238)U, (232)Th and (40)K are BDL-1187 ± 21.7 Bq/kg, BDL-5328 ± 23.2 Bq/kg and BDL-693 ± 31.2 Bq/kg respectively. Radiological parameters such as absorbed dose rate, annual effective dose equivalent, annual gonadal dose equivalent, radium equivalent, hazard index, gamma Index, activity utilization index and excess lifetime cancer risk are calculated to know the complete radiological hazardous nature. Concentration of radionuclides ((238)U and (232)Th) and all the calculated radiological parameters are higher in site number S(23) (Chavara beach) due to the presence of rich deposits of black sands. Average concentrations of radionuclides ((238)U and (232)Th) and all calculated radiological parameters are higher than the recommended level. Both univariate and multivariate statistical analyses were applied effectively to assess the distribution of the radionuclides. Univariate statistical analysis shows that the confirmation of infrequent extreme deviations of all radioactive variables. Cluster analysis shows that light minerals play a role in cluster I sampling sites and heavy minerals may be played in sampling sites of other clusters. Calculated activity ratio confirmed the presence of light and heavy minerals in above mentioned sampling sites. The Kerala beach sediments pose significant radiological threat to the people living in the area and tourists going to the beaches for recreation or to the sailors and fishermen involved in their activities in the study area. PMID:23262126

  18. Role of light and heavy minerals on natural radioactivity level of high background radiation area, Kerala, India.

    PubMed

    Ramasamy, V; Sundarrajan, M; Suresh, G; Paramasivam, K; Meenakshisundaram, V

    2014-02-01

    Natural radionuclides ((238)U, (232)Th and (40)K) concentrations and eight different radiological parameters have been analyzed for the beach sediments of Kerala with an aim of evaluating the radiation hazards. Activity concentrations ((238)U and (232)Th) and all the radiological parameters in most of the sites have higher values than recommended values. The Kerala beach sediments pose significant radiological threat to the people living in the area and tourists going to the beaches for recreation or to the sailors and fishermen involved in their activities in the study area. In order to know the light mineral characterization of the present sediments, mineralogical analysis has been carried out using Fourier transform infrared (FTIR) spectroscopic technique. The eight different minerals are identified and they are characterized. Among the various observed minerals, the minerals such as quartz, microcline feldspar, kaolinite and calcite are major minerals. The relative distribution of major minerals is determined by calculating extinction co-efficient and the values show that the amount of quartz is higher than calcite and much higher than microcline feldspar. Crystallinity index is calculated to know the crystalline nature of quartz present in the sediments. Heavy mineral separation analysis has been carried out to know the total heavy mineral (THM) percentage. This analysis revealed the presence of nine heavy minerals. The minerals such as monazite, zircon, magnetite and illmenite are predominant. Due to the rapid and extreme changes occur in highly dynamic environments of sandy beaches, quantities of major light and heavy minerals are widely varied from site to site. Granulometric analysis shows that the sand is major content. Multivariate statistical (Pearson correlation, cluster and factor) analysis has been carried out to know the effect of mineralogy on radionuclide concentrations. The present study concluded that heavy minerals induce the (238)U and (232)Th

  19. The 9th annual INDUS-EM 2013 Emergency Medicine Summit, “Principles, Practices, and Patients,” a level one international meeting, Kerala University of Health Sciences and Jubilee Mission Medical College and Research Institute, Thrissur, Kerala, India, October 23–27, 2013

    PubMed Central

    2014-01-01

    INDUS-EM is India’s only level one conference imparting and exchanging quality knowledge in acute care. Specifically, in general and specialized emergency care and training in trauma, burns, cardiac, stroke, environmental and disaster medicine. It provides a series of exchanges regarding academic development and implementation of training tools related to developing future academic faculty and residents in Emergency Medicine in India. The INDUS-EM leadership and board of directors invited scholars from multiple institutions to participate in this advanced educational symposium that was held in Thrissur, Kerala in October 2013. PMID:24884923

  20. Validation of WHOQOL-BREF in Malayalam and Determinants of Quality of Life Among People With Type 2 Diabetes in Kerala, India.

    PubMed

    Sreedevi, Aswathy; Cherkil, Sandhya; Kuttikattu, Deepak Soman; Kamalamma, Leelamoni; Oldenburg, Brian

    2016-01-01

    Quality of life (QOL) is an important health outcome in people with chronic conditions like diabetes and WHOQOL-BREF is a popular instrument used worldwide to assess QOL. However, QOL varies considerably from society to society depending on the culture of the person. Hence, the WHOQOL-BREF was translated to the local language, Malayalam. This article attempts to establish reliability, construct and discriminant validity of the translated WHOQOL-BREF, and determinants of QOL among people with type 2 diabetes. A cross-sectional study was undertaken among 200 patients with diabetes attending a primary care center in a rural area of Kerala, India. The translated version of WHOQOL-BREF was found to be internally consistent (Cronbach's α = .86) and demonstrated discriminant and construct validity. Education was found to be an independent determinant of QOL in the physical, psychological, and environmental domains. Thus, the translated version had good psychometric properties and education was an independent determinant of QOL in 3 of 4 domains. PMID:26419636

  1. Fatal Theileria orientalis N2 genotype infection among Asian water buffaloes (Bubalus bubalis) in a commercial dairy farm in Kerala, India.

    PubMed

    Vinodkumar, Kulangara; Shyma, Varikkottil; Justin, Davis Kollannur; Ashok, Sivasailam; Anu, Joseph Parassery; Mini, Kattilveetil; Muhammedkutty, Varikkottil; Sasidharan, Suchithra; Chullipparambil, Sunanda

    2016-01-01

    Fifteen dairy buffaloes of a farm in the state of Kerala, India developed fatal oriental theileriosis within 2 months of their procurement. Typical piroplasms of Theileria orientalis were observed in the erythrocytes of all affected animals by Giemsa-Leishman staining of blood smears. Case fatality rate was 87·5% (seven out of eight) in the clinically progressed cases. Therapeutic management with anti-theilerial drugs buparvaquone and oxytetracycline led to recovery of seven other animals in less advanced stages of the disease. The aim of this study was to determine the reasons for increased virulence of this pathogen, hitherto considered to be benign. Acute haemolytic anaemia was the predominant haematological finding in the affected animals. Lymphocytic infiltration and degeneration of vital organs leading to functional derangement was the cause of the high mortality. Identification of T. orientalis was confirmed by polymerase chain reaction (PCR). DNA sequencing of the PCR products revealed close identity with already reported sequences of T. orientalis/buffeli N2 genotype. The sequences were deposited in GenBank with accession number KM609973 and KM043772. Rhipicephalus ticks, previously not reported as vectors for oriental theileriosis, were identified as the potential vectors. This is the first report of fatal oriental theileriosis in Asian water buffaloes. PMID:26522773

  2. Applying the Rasch Model to Measure Mobility of Women: A Comparative Analysis of Mobility of Informal Workers in Fisheries in Kerala, India.

    PubMed

    Menon, Nikhila

    2016-01-01

    Mobility or freedom and ability to move is gendered in many cultural contexts. In this paper I analyse mobility associated with work from the capability approach perspective of Sen. This is an empirical paper which uses the Rasch Rating Scale Model (RSM) to construct the measure of mobility of women for the first time in the development studies discourse. I construct a measure of mobility (latent trait) of women workers engaged in two types of informal work, namely, peeling work and fish vending, in fisheries in the cultural context of India. The scale measure enables first, to test the unidimensionality of my construct of mobility of women and second, to analyse the domains of mobility of women workers. The comparative analysis of the scale of permissibility of mobility constructed using the RSM for the informal women workers shows that women face constraints on mobility in social and personal spaces in the socially advanced state of Kerala in India. Work mobility does not expand the real freedoms, hence work mobility can be termed as bounded capability which is a capability limited or bounded by either the social, cultural and gender norms or a combination of all of these. Therefore at the macro level, growth in informal employment in sectors like fisheries which improve mobility of women through work mobility does not necessarily expand the capability sets by contributing to greater freedoms and transformational mobility. This paper has a significant methodological contribution in that it uses an innovative method for the measurement of mobility of women in the development studies discipline. PMID:26784381

  3. Spatial and depth wise characterization of radionuclides and minerals in various beach sediments from high background radiation area, Kerala, India.

    PubMed

    Ramasamy, V; Sundarrajan, M; Paramasivam, K; Suresh, G

    2014-11-01

    The activity concentrations ((238)U, (232)Th and (40)K) and mineralogical characterization of different layer (upper surface, first, second and third feet) Kerala beach sediments have been assessed with an aim of evaluating the radioactivity content profile, its relation to specific minerals and their distributions (spatial and depth wise). The eight different radiological indices are calculated for all samples and compared with either recommended values or the world average values of radioactivity content of the three primordial radionuclides to assess the complete radiological profile of the sediments. The radioactivity study suggests that the average specific activities of radionuclides ((238)U and (232)Th) are higher than the world average values as given in UNSCEAR reports and all radiological parameters in all layer samples are more than the recommended safety levels. These results are on the expected lines since the samples are from a well-known high background radiation area. Using FTIR, mineralogical characteristics of the sediments were analyzed and the extinction coefficient is calculated to find the relative distribution of major minerals. The calculated values show that the amount of major minerals decreases in the order of quartz>calcite>kaolinite>microcline feldspar in all layers. To confirm the results obtained from FTIR, XRD analysis was also carried out. The observations made through the XRD technique are matched with FTIR observations. Statistical analyses (cluster and factor analysis) are carried out to assess the relation between the radionuclides and minerals, and also assess their distribution patterns in different layers. The analyses suggest that the concentration of (40)K may have a strong association with the light mineral calcite and also suggest that spatial distributions of (40)K and calcite are almost similar in every layer. The concentrations of (238)U, (232)Th and absorbed dose rate are evenly distributed (spatial) and other

  4. Role of Social, Cultural and Economic Capitals in Perceived Quality of Life Among Old Age People in Kerala, India

    PubMed Central

    Deshmukh, Pradeep R; Dongre, Amol R; Rajendran, KP; Kumar, Suresh

    2015-01-01

    Objective: To find out the relationship of collective social, economic, and cultural properties of a population on the perceived quality of life (QOL) among old age people. Materials and Methods: In a community-based cross-sectional study, we analyzed information on a representative sample of 900 old age (aged > 60 years) from 28 villages in Kollam district of Kerala. WHO-Quality of Life - BREF questionnaire was used. Ethical clearance from Institutional Ethics Committee was obtained. The mean scores for perceived QOL for domains such as physical health, psychological health, social relations, and control of environments were calculated. The three scales (social capital, cultural capital, and economic capital) were standardized using z-score transformation to make them comparable. Using multiple linear regression, we calculated the independent effect of economic capital, social capital, and cultural capital on perceived QOL among old people adjusted for age, sex, and the presence of chronic disease. Results: For overall QOL, only cultural capital contributed significantly. An increase of one unit z-score cultural capital led to three units increase in overall QOL score (β = 3.362; 95% CI: 2.645-4.078). Social capital and cultural capital contributed significantly to the physical health domain of QOL. With one z-score increase in social capital and cultural capital, QOL score of physical health domain increased by 0.2 units (β = 0. 227; 95% CI: 0.020-0.434), and 0.5 (β = 0. 596; 95% CI: 0.384-0.808) units, respectively. Psychological health domain and environmental domain were affected by all three capitals significantly. But, the social relations domain was significantly affected only by cultural capital (β = 0. 576; 95% CI: 0.373-0.779). Conclusion: Hence, the policies for old people should envision retaining our cultural and social norms along with the economic interventions for a better palliative care. PMID:25709184

  5. Kerala: a unique model of development.

    PubMed

    Kannan, K P; Thankappan, K R; Ramankutty, V; Aravindan, K P

    1991-12-01

    This article capsules health in terms of morbidity, mortality, and maternal and child health; sex ratios, and population density in Kerala state in India from a more expanded report. Kerala state is known for its highly literate and female literate, and poor income population, but its well advanced state of demographic transition. There is a declining population growth rate, a high average marriage age, a low fertility rate, and a high degree of population mobility. One of the unique features of Kerala is the high female literacy, and the favorable position of women in decision making and a matrilineal inheritance mode. The rights of the poor and underprivileged have been upheld. The largest part of government revenue is spent on education followed by health. Traditional healing systems such the ayurveda are strong in Kerala, and Christian missionaries have contributed to a caring tradition. Morbidity is high and mortality is low because medical interventions have affected morality only. The reduction of poverty and environmentally related diseases has not been accomplished inspite of land reform, mass schooling, and general egalitarian policies. Mortality declines and a decline in birth rates have lead to a more adult and aged population, which increases the prevalence of chronic degenerative diseases. Historically, the death rate in Kerala was always lower (25/1000 in 1930 and 6.4 in 1986). The gains in mortality were made in reducing infant mortality (27/1000), which is 4 times less than India as a whole and comparable to Korea, Panama, Yugoslavia, Sri Lanka, and Colombia. Lower female mortality occurs in the 0-4 years. Life expectancy which was the same as India's in 1930 is currently 12 years higher than India's. Females have a higher expectation of life. The sex ratio in 1981 was 1032 compared to India's of 935. Kerala had almost replacement level in 1985. The crude birth rate is 21 versus 32 for India. In addition to the decline in death rates of those 5

  6. Arthrobacter pokkalii sp nov, a Novel Plant Associated Actinobacterium with Plant Beneficial Properties, Isolated from Saline Tolerant Pokkali Rice, Kerala, India

    PubMed Central

    Krishnan, Ramya; Menon, Rahul Ravikumar; Tanaka, Naoto; Busse, Hans-Jürgen; Krishnamurthi, Srinivasan; Rameshkumar, Natarajan

    2016-01-01

    A novel yellow colony-forming bacterium, strain P3B162T was isolated from the pokkali rice rhizosphere from Kerala, India, as part of a project study aimed at isolating plant growth beneficial rhizobacteria from saline tolerant pokkali rice and functionally evaluate their abilities to promote plant growth under saline conditions. The novel strain P3B162T possesses plant growth beneficial traits such as positive growth on 1-aminocyclopropane-1-carboxylic acid (ACC), production of indole acetic acid (IAA) and siderophore. In addition, it also showed important phenotypic characters such as ability to form biofilm and utilization of various components of plant root exudates (sugars, amino acids and organic acids), clearly indicating its lifestyle as a plant rhizosphere associated bacterium. Taxonomically, the novel strain P3B162T was affiliated to the genus Arthrobacter based on the collective results of phenotypic, genotypic and chemotaxonomic analyses. Moreover, molecular analysis using 16S rRNA gene showed Arthrobacter globiformis NBRC 12137T, Arthrobacter pascens DSM 20545T and Arthrobacter liuii DSXY973T as the closely related phylogenetic neighbours, showing more than 98% 16S rRNA similarity values, whereas the recA gene analysis displayed Arthrobacter liuii JCM 19864T as the nearest neighbour with 94.7% sequence similarity and only 91.7% to Arthrobacter globiformis LMG 3813T and 88.7% to Arthrobacter pascens LMG 16255T. However, the DNA-DNA hybridization values between strain P3B162T, Arthrobacter globiformis LMG 3813T, Arthrobacter pascens LMG 16255T and Arthrobacter liuii JCM 19864T was below 50%. In addition, the novel strain P3B162T can be distinguished from its closely related type strains by several phenotypic characters such as colony pigment, tolerance to NaCl, motility, reduction of nitrate, hydrolysis of DNA, acid from sucrose, cell wall sugars and cell wall peptidoglycan structure. In conclusion, the combined results of this study support the

  7. Arthrobacter pokkalii sp nov, a Novel Plant Associated Actinobacterium with Plant Beneficial Properties, Isolated from Saline Tolerant Pokkali Rice, Kerala, India.

    PubMed

    Krishnan, Ramya; Menon, Rahul Ravikumar; Tanaka, Naoto; Busse, Hans-Jürgen; Krishnamurthi, Srinivasan; Rameshkumar, Natarajan

    2016-01-01

    A novel yellow colony-forming bacterium, strain P3B162T was isolated from the pokkali rice rhizosphere from Kerala, India, as part of a project study aimed at isolating plant growth beneficial rhizobacteria from saline tolerant pokkali rice and functionally evaluate their abilities to promote plant growth under saline conditions. The novel strain P3B162T possesses plant growth beneficial traits such as positive growth on 1-aminocyclopropane-1-carboxylic acid (ACC), production of indole acetic acid (IAA) and siderophore. In addition, it also showed important phenotypic characters such as ability to form biofilm and utilization of various components of plant root exudates (sugars, amino acids and organic acids), clearly indicating its lifestyle as a plant rhizosphere associated bacterium. Taxonomically, the novel strain P3B162T was affiliated to the genus Arthrobacter based on the collective results of phenotypic, genotypic and chemotaxonomic analyses. Moreover, molecular analysis using 16S rRNA gene showed Arthrobacter globiformis NBRC 12137T, Arthrobacter pascens DSM 20545T and Arthrobacter liuii DSXY973T as the closely related phylogenetic neighbours, showing more than 98% 16S rRNA similarity values, whereas the recA gene analysis displayed Arthrobacter liuii JCM 19864T as the nearest neighbour with 94.7% sequence similarity and only 91.7% to Arthrobacter globiformis LMG 3813T and 88.7% to Arthrobacter pascens LMG 16255T. However, the DNA-DNA hybridization values between strain P3B162T, Arthrobacter globiformis LMG 3813T, Arthrobacter pascens LMG 16255T and Arthrobacter liuii JCM 19864T was below 50%. In addition, the novel strain P3B162T can be distinguished from its closely related type strains by several phenotypic characters such as colony pigment, tolerance to NaCl, motility, reduction of nitrate, hydrolysis of DNA, acid from sucrose, cell wall sugars and cell wall peptidoglycan structure. In conclusion, the combined results of this study support the

  8. Spectral and chemical characterization of jarosite in a palaeolacustrine depositional environment in Warkalli Formation in Kerala, South India and its implications

    NASA Astrophysics Data System (ADS)

    Singh, Mahima; Rajesh, V. J.; Sajinkumar, K. S.; Sajeev, K.; Kumar, S. N.

    2016-11-01

    Coastal cliffs fringing the Arabian Sea near Varkala exhibits the Warkalli Formation of the Tertiary sequence of Kerala, South India, with well-marked occurrence of jarosite associated with other hydrous mineral phases of phyllosilicate family in a palaeo-lacustrine depositional environment. Sandy phyllosilicates dominate the mineral assemblage, but jarosite occurs as a prominent secondary phase formed during acid-sulphate alteration of iron sulphide in this area. Here, we discuss about the potentiality of spectroscopic techniques to identify the possible mineral phases in the collected samples. The samples from the coastal cliffs have been characterized by hyperspectral analysis (VIS-NIR-SWIR), X-ray Diffraction (XRD), Fourier Transform Infra-red Reflectance (FTIR), Electron Probe Microanalysis (EPMA) and Laser Raman spectroscopy. The spectral and chemical analyses have confirmed the jarosite as natrojarosite and phyllosilicate as kaolinite. Other accessory phases have also been identified through XRD. FTIR spectroscopy has played a major role in identifying the major hydrous bonds between the minerals. VIS-NIR-SWIR spectra show several optimum spectral features at 910 nm, 1470 nm, 1849-1864 nm (in the form of a doublet), 1940 nm and 2270 nm, which could be utilised to locate jarosite in the remotely-sensed data. X-ray diffraction peaks helped in the identification of maximum number of minerals (kaolinite, smectite, quartz, feldspar, pyrite, marcasite and hematite) and the variation in jarosite content in the samples. We propose the formation of jarosite in the region by a seasonal, local and temporary development of acidic conditions. Abundance of organic matter in a fluvio-lacustrine environment has developed anaerobic conditions by removing available oxygen through decomposition of organic matter containing sulphur compounds. The sulphur thus liberated combines with hydrogen from water to develop acidic conditions and resulted in the formation of jarosite. The

  9. Spectral and chemical characterization of jarosite in a palaeolacustrine depositional environment in Warkalli Formation in Kerala, South India and its implications.

    PubMed

    Singh, Mahima; Rajesh, V J; Sajinkumar, K S; Sajeev, K; Kumar, S N

    2016-11-01

    Coastal cliffs fringing the Arabian Sea near Varkala exhibits the Warkalli Formation of the Tertiary sequence of Kerala, South India, with well-marked occurrence of jarosite associated with other hydrous mineral phases of phyllosilicate family in a palaeo-lacustrine depositional environment. Sandy phyllosilicates dominate the mineral assemblage, but jarosite occurs as a prominent secondary phase formed during acid-sulphate alteration of iron sulphide in this area. Here, we discuss about the potentiality of spectroscopic techniques to identify the possible mineral phases in the collected samples. The samples from the coastal cliffs have been characterized by hyperspectral analysis (VIS-NIR-SWIR), X-ray Diffraction (XRD), Fourier Transform Infra-red Reflectance (FTIR), Electron Probe Microanalysis (EPMA) and Laser Raman spectroscopy. The spectral and chemical analyses have confirmed the jarosite as natrojarosite and phyllosilicate as kaolinite. Other accessory phases have also been identified through XRD. FTIR spectroscopy has played a major role in identifying the major hydrous bonds between the minerals. VIS-NIR-SWIR spectra show several optimum spectral features at 910nm, 1470nm, 1849-1864nm (in the form of a doublet), 1940nm and 2270nm, which could be utilised to locate jarosite in the remotely-sensed data. X-ray diffraction peaks helped in the identification of maximum number of minerals (kaolinite, smectite, quartz, feldspar, pyrite, marcasite and hematite) and the variation in jarosite content in the samples. We propose the formation of jarosite in the region by a seasonal, local and temporary development of acidic conditions. Abundance of organic matter in a fluvio-lacustrine environment has developed anaerobic conditions by removing available oxygen through decomposition of organic matter containing sulphur compounds. The sulphur thus liberated combines with hydrogen from water to develop acidic conditions and resulted in the formation of jarosite. The

  10. Lack of increased DNA double-strand breaks in peripheral blood mononuclear cells of individuals from high level natural radiation areas of Kerala coast in India.

    PubMed

    Jain, Vinay; Kumar, P R Vivek; Koya, P K M; Jaikrishan, G; Das, Birajalaxmi

    2016-06-01

    The high level natural radiation area (HLNRA) of Kerala is a 55km long and 0.5km wide strip in south west coast of India. The level of background radiation in this area varies from <1.0mGy/year to 45.0mGy/year. It offers unique opportunity to study the effect of chronic low dose/low dose-rate radiation directly on human population. Spontaneous level of DNA double strand breaks (DSBs) was quantified in peripheral blood mononuclear cells of 91 random individuals from HLNRA (N=61, mean age: 36.1±7.43years) and normal level natural radiation area (NLNRA) (N=30, mean age: 35.5±6.35years) using gamma-H2AX as a marker. The mean annual dose received by NLNRA and HLNRA individuals was 1.28±0.086mGy/year and 8.28±4.96mGy/year, respectively. The spontaneous frequency of DSBs in terms of gamma-H2AX foci among NLNRA and HLNRA individuals were 0.095±0.009 and 0.084±0.004 per cell (P=0.22). The individuals from HLNRA were further classified as low dose group (LDG, 1.51-5.0mGy/year, mean dose: 2.63±0.76mGy/year) and high dose group (HDG, >5.0mGy/year, mean dose: 11.04±3.57mGy/year). The spontaneous frequency of gamma-H2AX foci per cell in NLNRA, LDG and HDG was observed to be 0.095±0.009, 0.096±0.008 and 0.078±0.004 respectively. Individuals belonging to HDG of HLNRA showed marginally lower frequency of DSBs as compared to NLNRA and LDG of HLNRA. This could be suggestive of either lower induction or better repair of DSBs in individuals from HDG of HLNRA. The present study indicated that 5.0mGy/year could be a possible threshold dose for DSB induction at chronic low-dose radiation exposure in vivo. However, further studies on DNA damage induction and repair kinetics are required to draw firm conclusions. PMID:27063255

  11. Sandfly species diversity in association with human activities in the Kani tribe settlements of the Western Ghats, Thiruvananthapuram, Kerala, India

    PubMed Central

    Ranganathan, Srinivasan; Swaminathan, Subramanian

    2015-01-01

    Sandfly prevalence in the Kani tribe settlements of Western Ghats in India was investigated. A total of 1,279 sandflies comprising 17 species was obtained. Sandfly abundance showed a negative correlation (r = -0.97, p = 0.003) with increase in altitudinal ranges from 0-1,000 m. When sandfly samples were grouped according to landscape characteristics of the location, the estimated Shannon-Weiner index (H) and species richness index (S) were high and species evenness index (J) was low in settlements located at 0-300 m altitudinal range. On the contrary, the values of H and J were high, while S was low at 301-600 m altitudinal range. With further increase in altitude, species diversity, S and J were low. Though the relative abundance of sandflies decreased with increase in altitude, the influence of altitudinal variation could not be attributed to determine sandfly diversity, since the number of sampling units were not uniform at all the altitudinal gradients due to nonavailability of suitable resting shelters. Sandfly species showed great aggregation at 0-300 m altitude interval, where not only the number of settlements were maximum (n = 19), but also the environmental conditions favoured sandfly abundance due to the concentration of tribal settlements, human dwellings and his activities. PMID:25946240

  12. Variations in concentrations and fluxes of dissolved inorganic nutrients related to catchment scale human interventions in Pamba River, Kerala, India

    NASA Astrophysics Data System (ADS)

    David, S. E.; Jennerjahn, T. C.; Chattopadhyay, S.

    2012-12-01

    River basins are geo-hydrological units. Water flowing out of the basin bears the imprint of natural factors such as geology, soil, vegetation and rainfall along with anthropogenic factors including the type and degree of human intervention within the basin. Pamba, a small mountainous river in the SW coast of India with a population density of ~1,400 persons km-2 was studied for its varying land use and human interventions as the global database are biased towards temperate regions while little is know about the smaller catchments from tropical regions. Land use comprised of dense forest in the highland region together with forest plantation and the human impacted Sabarimala temple- the second largest pilgrim, settlement with mixed tree crop (smt) in the midland and lowland paddy cultivated region. 50-60 million devotees visiting Sabarimala during November to January every year associated with the ritual bathing, discharge of human wastes emanating from the influx of millions of pilgrims due to inadequate number of sanitary latrines and the lack of facilities for sewage collection and treatment caused several ecological variations during pilgrim season. In order to asses the effect of land use and pilgrims in combination with seasonal variations in hydrology we investigated the seasonal and spatial variations in physicochemical and nutrient concentrations. Samples were collected from March 2010 to February 2012 during premonsoon (January-May), SW(June to September) and NE monsoon(October to December), from sites varying in land use. Nutrient budgets (load and yield) were calculated to quantify the inputs from various land use segments. Spatio-temporal variations in the physicochemical and dissolved nutrient concentrations were observed along the course of the river. Upstream forest region had highest dissolved oxygen(DO) and pH together with lowest dissolved inorganic nitrogen(DIN) values indicating almost pristine conditions. DIN in the temple region had the

  13. Do Caste and Class Define Inequality? Revisiting Education in a Kerala Village

    ERIC Educational Resources Information Center

    Scaria, Suma

    2014-01-01

    Is there a strong correlation between caste and class in access to education, especially higher education? This is the broader question addressed by the study in the context of Kerala, the southernmost state in India, with impressive conventional indicators in education. Micro-level insights based on the study of a village in Kerala show that old…

  14. Molecular characterization of Chikungunya virus isolates from clinical samples and adult Aedes albopictus mosquitoes emerged from larvae from Kerala, South India.

    PubMed

    Niyas, Kudukkil P; Abraham, Rachy; Unnikrishnan, Ramakrishnan Nair; Mathew, Thomas; Nair, Sajith; Manakkadan, Anoop; Issac, Aneesh; Sreekumar, Easwaran

    2010-01-01

    Chikungunya virus (CHIKV), an arthritogenic alphavirus, is transmitted to humans by infected Aedes (Ae.) aegypti and Ae.albopictus mosquitoes. In the study, reverse-transcription PCR (RT PCR) and virus isolation detected CHIKV in patient samples and also in adult Ae.albopictus mosquitoes that was derived from larvae collected during a chikungunya (CHIK) outbreak in Kerala in 2009. The CHIKV strains involved in the outbreak were the East, Central and South African (ECSA) genotype that had the E1 A226V mutation. The viral strains from the mosquitoes and CHIK patients from the same area showed a close relationship based on phylogenetic analysis. Genetic characterization by partial sequencing of non-structural protein 2 (nsP2; 378 bp), envelope E1 (505 bp) and E2 (428 bp) identified one critical mutation in the E2 protein coding region of these CHIKV strains. This novel, non-conservative mutation, L210Q, consistently present in both human and mosquito-derived samples studied, was within the region of the E2 protein (amino acids E2 200-220) that determines mosquito cell infectivity in many alpha viruses. Our results show the involvement of Ae. albopictus in this outbreak in Kerala and appearance of CHIKV with novel genetic changes. Detection of virus in adult mosquitoes, emerged in the laboratory from larvae, also points to the possibility of transovarial transmission (TOT) of mutant CHIKV strains in mosquitoes. PMID:20704755

  15. Risk Factors for Fall-Related Injuries Leading to Hospitalization Among Community-Dwelling Older Persons: A Hospital-Based Case-Control Study in Thiruvananthapuram, Kerala, India.

    PubMed

    Ravindran, Rekha M; Kutty, V Raman

    2016-01-01

    This study intended to identify the risk factors for injurious falls that led to hospitalization of older persons living in the community. A hospital-based unmatched incident case-control study was done among 251 cases and 250 controls admitted at a tertiary care centre in Kerala. Mean age of cases was 71.6 ± 9.13 years and that of controls was 67.02 ± 6.17 years. Hip fractures were the predominant injury following falls. Falls were mostly a result of intrinsic causes. After adjusting for other variabes, the risk factors for all injuries were age above 70 years (odds ratio [OR] = 2.25; 95% confidence interval [CI] = 1.46-3.46), previous fall history (OR = 2.76; 95% CI = 1.08-7.08), impaired vision (OR = 4.49; 95% CI = 2.77-7.30), not living with spouse (OR = 1.97; 95% CI = 1.31-2.97), door thresholds (OR = 1.52; 95% CI = 1.01-2.29), and slippery floor (OR = 2.37; 95% CI = 1.31-4.32). The risk factors for hip fractures and other injuries were identified separately. Fall prevention strategies among older persons are warranted in Kerala. PMID:26463576

  16. THE AYURVEDIC HERITAGE OF KERALA

    PubMed Central

    Variar, P. R.

    1985-01-01

    Ayurveda has a long history of being enriched by different types of contributions from different stages befitting their geographical, climatic and cultural situations, and based on their thinking and living patterns, especially the practical aspects. Kerala has its own great role in this prcess of enrichment. It is unique and invaluable. The historical aspects the literary contributions by Kerala to the Ayurvedic system, the traditional and special treatments of Kerala etc., are discussed in this paper. PMID:22557501

  17. Phosphorous fractionation in mangrove sediments of Kerala, south west coast of India: the relative importance of inorganic and organic phosphorous fractions.

    PubMed

    Resmi, P; Manju, M N; Gireeshkumar, T R; Ratheesh Kumar, C S; Movitha, M; Shameem, K; Chandramohanakumar, N

    2016-06-01

    The study of phosphorous dynamics in mangrove ecosystems of the northern Kerala coast aims to delineate its relationships with other biogeochemical parameters. Our intension is to check the validity of the hypothesis that these mangrove ecosystems act as an efficient trap of organic phosphorous by acting as P sink. The dissolved inorganic phosphate displayed higher concentration in monsoon that could be correlated with higher P leaching from mangrove litter as well as terrigenous input during wet season. Fe(OOH)≈P was much higher in monsoon (235.23 to 557.70 μg g(-1)) and lower in pre-monsoon (36.50 to 154.97 μg g(-1)), and displayed significant contribution towards the inorganic sedimentary P fractions. In monsoon, adsorption of P on iron hydroxides is enhanced by fresh water conditions, but pre-monsoon is characterised by the reductive dissolution of iron oxy hydroxides and the subsequent efflux of P to water column. CaCO3≈Pinorg may be present as an inert fraction in the sediment matrix, and did not display any interrelationship with other geochemical parameters. The abundant total organic P (25 to 73 %) fractions, largely derived from P bound with humic/fulvic acid, played a major role in immobilising P and regulating its dynamics in the nearby estuarine and coastal environment. PMID:27220505

  18. Evaluation of groundwater quality and its suitability for drinking and agricultural use in the coastal stretch of Alappuzha District, Kerala, India

    NASA Astrophysics Data System (ADS)

    Sarath Prasanth, S. V.; Magesh, N. S.; Jitheshlal, K. V.; Chandrasekar, N.; Gangadhar, K.

    2012-09-01

    Groundwater is an essential and vital component of any life support system. It is not only the basic need for human existence but also a vital input for all development activities. The present hydro-geochemical study was confined to the coastal belt of Alappuzha district, which lies in the coastal lowland division of Kerala. Groundwater quality and its suitability for irrigation and domestic purpose were examined by various physico-chemical parameters such as pH, electrical conductivity, total dissolved solids, total hardness, calcium, magnesium, sodium, potassium, bicarbonate, sulfate, and chloride. These parameters were used to assess the suitability of groundwater for domestic purpose by comparing with the WHO and Indian standards. TDS, sodium adsorption ratio (SAR), and permeability index were used for irrigation suitability assessment. The sample analysis reveals that the groundwater is not entirely fit for drinking with respect to pH, EC, Ca2+, Mg2+, Na+, and Cl-. In some of the collected samples, the concentrations of these parameters exceed the permissible limits of WHO and ISI standards. Based on TDS and SAR almost all samples are suitable for irrigation purpose except a few locations, which show values beyond the permissible limits. Ca-Mg-HCO3 is the dominant water type in the study area. The sequence of the abundance of the major cations and anions is Ca > Na > Mg > K = HCO3 > Cl > SO4. Based on the total hardness and TDS, 96 % of groundwater samples are found suitable for drinking purpose.

  19. Geologic implications of gas hydrates in the offshore of India: Krishna-Godavari Basin, Mahanadi Basin, Andaman Sea, Kerala-Konkan Basin

    USGS Publications Warehouse

    Kumar, Pushpendra; Collett, Timothy S.; Boswell, Ray; Cochran, James R.; Lall, Malcolm; Mazumdar, Aninda; Ramana, Mangipudi Venkata; Ramprasad, Tammisetti; Riedel, Michael; Sain, Kalachand; Sathe, Arun Vasant; Vishwanath, Krishna; Yadav, U.S.

    2014-01-01

    NGHP-01 yielded evidence of gas hydrate from downhole log and core data obtained from all the sites in the Krishna–Godavari Basin, the Mahanadi Basin, and in the Andaman Sea. The site drilled in the Kerala–Konkan Basin during NGHP-01 did not yield any evidence of gas hydrate. Most of the downhole log-inferred gas hydrate and core-recovered gas hydrate were characterized as either fracture-filling in clay-dominated sediments or as pore-filling or grain-displacement particles disseminated in both fine- and coarse-grained sediments. Geochemical analyses of gases obtained from sediment cores recovered during NGHP-01 indicated that the gas in most all of the hydrates in the offshore of India is derived from microbial sources; only one site in the Andaman Sea exhibited limited evidence of a thermogenic gas source. The gas hydrate petroleum system concept has been used to effectively characterize the geologic controls on the occurrence of gas hydrates in the offshore of India.

  20. Water use of eucalypts in Kerala

    SciTech Connect

    Kallarackal, J.

    1992-12-31

    The water use of the introduced eucalypt trees has been much debated in southern India. The present study looks at the water loss of eucalyptus by transpiration in an area in Kerala where the evaporative demands are relatively higher than in other zones. The results presented here have been obtained from the initial stages of project with a much wider scope. The microclimatic data above the tree canopy has been measured on three sample days in October to December, 1990. Stomatal resistance was also measured hourly on all of these days. Using these measured parameters, transpiration was calculated using the Penman-Monteith equation. The cumulative transpiration loss during the sample days in October and November was approximately 5 mm, whereas it increased to approximately 8 mm in December. The reason for this increase is discussed.

  1. A qualitative study of the perceptions, practices and socio-psychological suffering related to chronic brugian filariasis in Kerala, southern India.

    PubMed

    Suma, T K; Shenoy, R K; Kumaraswami, V

    2003-12-01

    Lymphatic filariasis is a major health problem in many parts of the tropical world. Although the disease itself is rarely fatal, the disability caused by the swollen extremities, the acute attacks of adenolymphangitis and the consequent sufferings of those afflicted are considerable. The economic burden imposed by lymphatic filariasis is not fully quantified and information on the social and psychological problems caused by the disease is scanty. Semi-structured interviews were therefore used, in southern India, to assess the perceptions, practices and socio-psychological problems of 127 patients with brugian filariasis. The patients were aware of the causative factors and the precautions to be taken to prevent progression of the disease. However, depression and loss of job opportunities were common in the study population. Patients also complained that the disease eroded their standing in the community and diminished their prospects of marriage. Awareness of these factors will be of help in planning suitable disability-management packages, including the rehabilitation of those who find it difficult to carry on with their existing jobs because of the severity of their disease. PMID:14754496

  2. CDC Kerala - The Untold Story.

    PubMed

    Nair, M K C; Leela, Leena Mundapalliyil; George, Babu; Bhaskaran, Deepa; Pillai, Asokan Nataraja; Sarasamma, Harikumaran Nair Gopinathan Nair

    2016-05-01

    This article is our life time experience in conceptualizing and systematically developing Child Development Centre (CDC) Kerala in the last 25 years, from a research project to a national training centre in child and adolescent development and premarital counseling. CDC Kerala's major contribution was in creating a 'conceptual framework' of a valid link between childhood disability, low birth weight, adolescent girls' nutrition and fetal onset adult lifestyle diseases. It all started with a randomized controlled trial (RCT) proving beyond doubt that early stimulation is effective in improving the neurodevelopmental status of high risk babies at one and two years and the same cohort was followed-up in detail at 5, 13, 16, 19 and 24 completed years. The process of establishing CDC Kerala is being presented under (i) clinical child development, (ii) adolescent care counseling, (iii) young adults and premarital counseling and (iv) institution building. PMID:26988580

  3. First case of scrub typhus with meningoencephalitis from Kerala: An emerging infectious threat

    PubMed Central

    Saifudheen, K.; Kumar, K. G. Sajeeth; Jose, James; Veena, V.; Gafoor, V. Abdul

    2012-01-01

    Scrub typhus is a rickettsial disease caused by Orientia tsutsugamushi, one of the most common infectious diseases in the Asia-Pacific region. It has been reported from northern, eastern, and southern India, and its presence has been documented in at least 11 Indian states. However, scrub typhus meningoencephalitis has not been well documented in Kerala. We report two cases of scrub typhus meningoencephalitis from northern Kerala. The diagnosis was made based on the clinical pictures, presence of eschar, and a positive Weil–Felix test with a titer of > 1:320. The first patient succumbed to illness due to respiratory failure and the second patient improved well. PMID:22566732

  4. The "Kerala model" of development: development and sustainability in the Third World.

    PubMed

    Parayil, G

    1996-12-01

    The Indian state of Kerala with a population of 29 million has made the transition to a society with low infant mortality rate, low population growth, and a low crude death rate in less than 30 years. The average life expectancy for women is 74 years (vs. 60 years for India as a whole) and 71 years for men (vs. 59 years for India), the infant mortality rate is 16.5/1000 live births (vs. 91/1000 for India), and literacy is almost universal. The population growth rate fell from 44/1000 in the 1950s to 18/1000 in 1991. By 1985 the population growth rate had stabilized to a demographic replacement level net reproduction rate. Kerala's female/male ratio is 1.04:1 as opposed to the Indian average of 0.93:1 and China's 0.94:1. All this was achieved without coercion by democratically elected state governments. In the late 1970s Kerala ranked number one in 15 out of 21 Indian states with respect to selected infrastructural and basic services. This development came about despite a low per capita income. In 1991-92 the state of Punjab, with more than twice the per capita income of Kerala, had 33 PQLI (Physical Quality of Life Index) points less than Kerala. In addition, the HDI (Human Development Index) of Kerala was more than twice the national average. The HDI was 0.925 for the US in 1994 vs. 0.775 for Kerala, where the per capita income was one-hundredth of the US per capita income. This progress was accomplished by the elimination of absentee landlords and the return of the land to the tiller; and large amounts of funds spent on education, health care, infrastructure, agricultural credits, and housing. Staples were made available to the poor at subsidized prices. The Kerala model may be taken as an early prototype of sustainable development because of improvements in the quality of life, environmental stability, social and economic equality, and the decline in political strife. PMID:12321040

  5. College Libraries in Kerala: A Survey Report.

    ERIC Educational Resources Information Center

    Bavakutty, M.

    1984-01-01

    Reports on survey utilizing questionnaires, interviews, examination of relevant records, and personal observation to assess state of the art of college libraries in Kerala (smallest Indian state). Administrative set-up, organizational efficiency, finances, book selection and acquisition, technical processing, library collections, library services,…

  6. India.

    ERIC Educational Resources Information Center

    Semaan, Leslie

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

  7. India.

    ERIC Educational Resources Information Center

    Semaan, Leslie; Lightman, Kathleen

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

  8. India.

    PubMed

    1985-05-01

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

  9. Family size, sex composition of children and contraceptive use: a case study of Kerala.

    PubMed

    Suchindran, C M; Ramakumar, R; Sathi Devi, K

    1993-01-01

    With the sudden decline of fertility it was particularly interesting to examine the situation in Kerala, regarding parental sex preference in formulating family planning policies for the rest of India with high fertility and son preference. The 1980 Kerala Fertility Survey included nearly 3000 households with about 2700 ever married women in reproductive age. Maternity history and fertility regulation data were collected. Data from 2500 currently married women were used, cross-classified by the number of male and female living children and contraceptive use status. A multiplicative model was used to study various interaction effects and to construct standardized rates of contraceptive use. Measures adjusted for both male and female composition and differential use of contraceptives among male-female combinations were obtained by the model to avoid arbitrariness in choosing rates and to preclude objections raised in previous research on Arnold's index. The model was generalized to facilitate simultaneous effects of the number of male and female children and family size on contraceptive use. Initial analysis showed that the effect of sex preference on contraceptive acceptance was rather negligible. However, there was a significant male-female interaction effect on contraceptive use. Contraception was high when the family size was large, with children of the same sex. With the effect of family size removed, the contraceptive use rate seemed to be in the inverse direction of the number of male or female children. This was possibly the result of two factors: 1) high contraception rate with large families of the same sex, and 2) low use of contraception among large families with a high number of children of both sexes. The Kerala situation partly supports McClelland's theory that couples already having proportionally more daughters may terminate fertility earlier. In Kerala such termination also occurs when couples have proportionally more sons, and family size also

  10. Biosignatures of Kerala red rain cells: Implications in understanding their origin

    NASA Astrophysics Data System (ADS)

    Gangappa, R.; Thomas, M.; Hogg, S.

    2013-09-01

    The red rain that fell over Kerala, southern India (2001-2012) was characterised by the red pigmented particles. Earlier proposal claiming that these are known algal bloom blown from trees (Sampath et al, 2001; DiGregorio, 2007) has been studied by us and disproved. Also, further investigation reporting their extraordinary properties including a suggestion that they lack DNA (Louis and Kumar 2003; 2006; 2008) has been invalidated (Gangappa and Hogg, 2013). However, their claim regarding the growth and replication of these cells at 300ºC needs more investigation if it is to gain acceptance. Current study provide evidences regarding the biological properties of Kerala red rain cells to gain insights into environmental conditions from which they may have originated. Combined with various research strategies and high resolution instruments, we have demonstrated the following interesting properties of Kerala red rain cells: (1) unusually thick external envelope enclosing the central core; (2)stability of red pigment at temperatures about 100ºC and pH variations; (3) absence of eukaryotic ultrastructures; (4) possible replication at 121ºC with nanostructures (possible daughter cells) having similar morphological features inside the large mother cells at such high temperature. They contain high percentage of carbon, iron, silicon and aluminum and often enclosed in a silicon rich biofilms. Further investigation shows that the positive detection of DNA in these cells was possible only after the complete removal of red pigment, thereby providing an explanation for the negative outcome of earlier studies in this regard. Moreover, evidences are shown to support that these cells contain high amounts of UV absorbing compounds, porphyrin complexes and possible scytonemin. Kerala red rain cells may prove to be polyextermophiles belonging to prokaryotes and may have possibly originated from the environment containing above mentioned chemical elements, high energy UV exposure and

  11. Professional Development of Academic Library Professionals in Kerala

    ERIC Educational Resources Information Center

    Mathew, K. Susan; Baby, M. D.; Pillai, S. Sreerekha

    2011-01-01

    The paper aims to bring out the problems and prospects of the professional development opportunities of academic library professionals in the Universities in Kerala. The study is a part of research undertaken to survey the professional development activities and educational needs of library professionals in the major Universities of Kerala in the…

  12. Psychological Approaches to Learner Centered Curriculum in Kerala

    ERIC Educational Resources Information Center

    Nath, Baiju K.; Sajitha, P. S.

    2010-01-01

    The major curricular innovations that have taken place in Kerala secondary education system in recent years is so revolutionary. This paper examines the basic psychological theories of the learner centered curriculum of school education in the state of Kerala. Initially the curriculum was based on the principles of behaviorism. The curriculum then…

  13. India.

    PubMed

    1989-03-01

    In 1988, India's population stood at 817 million, 25% of which was concentrated in urban areas. The annual rate of population growth is 2.01%. Life expectancy is currently 56 years, and infant mortality is 90/1000 live births. Education is compulsory to the age of 14 years, but the adult literacy rate is only 36%. Of the work force of 300 million, 70% are engaged in agriculture, 19% are in industry and commerce, 8% work in the services and government sector, and 3% are employed in transport and communications. India's gross national product currently stands at US$246 billion, with a real growth rate of 1.8% and a per capita income of $313. Although India is a federal republic, its central government has greater power in relation to its states than is the case in the US and there is a parliamentary system. Nonetheless, some states have been revitalizing traditional village councils and introducing grassroots democracy at the village level. A relatively sophisticated industrial base and pool of skilled labor have emerged since India achieved independence, although agriculture remains the crucial economic sector. There was a surge in agricultural production in the late 1960s and early 1970s as a result of the "green revolution" that made India largely self-sufficient in grain production through the use of hybrid seeds, irrigation, and fertilizer. However, failed monsoons and severe drought conditions have created fluctuations in the output of the agricultural sector in recent years. Gradual deregulation of industry and trade is providing increased incentives for foreign trade, and the Indian Government is encouraging collaborations that involve the transfer of high technology. PMID:12177992

  14. Prevalence of Malocclusion among 10-12-year-old Schoolchildren in Kozhikode District, Kerala: An Epidemiological Study

    PubMed Central

    Jeseem, MT; Kumar, TV Anupam

    2016-01-01

    ABSTRACT Background: A malocclusion is an irregularity of the teeth or a malrelationship of the dental arches beyond the range of what is accepted as normal. Objectives: To determine the prevalence of malocclusion in children aged 10-12 years in Kozhikode district of Kerala, South India. Materials and methods: A descriptive cross-sectional study was conducted among schoolchildren aged 10-12 years in six schools in Kozhikode district of Kerala, South India. A total of 2,366 children satisfied the inclusion criteria. Occlusal characteristics like crossbite, open bite, deep bite, protrusion of teeth, midline deviations, midline diastema and tooth rotation were recorded. The data were tabulated and analyzed using Chi-square test. Results: The results revealed that the overall prevalence of malocclusion was 83.3%. Of this, 69.8% of the children had Angle’s class I malocclusion, 9.3% had class II malocclusion (division 1 = 8.85%, division 2 = 0.5%) and 4.1% had class III malocclusion; 23.2% showed an increased overjet (>3 mm), 0.4% reverse overjet, 35.6% increased overbite (>3 mm), 0.29% open bite, 7.2% crossbite with 4.6% crossbite of complete anterior teeth, 63.3% deviation of midline, 0.76% midline diastema and 3.25% rotated tooth. No significant differences in gender distributions of malocclusions were noted except for increased overjet and overbite. Conclusion: There is high prevalence of malocclusion among schoolchildren in Kozhikode district of Kerala. Early interception and early correction of these malocclusions will eliminate the potential irregularities and malpositions in the developing dentofacial complex. How to cite this article: Narayanan RK, Jeseem MT, Kumar TVA. Prevalence of Malocclusion among 10-12-year-old Schoolchildren in Kozhikode District, Kerala: An Epidemiological Study. Int J Clin Pediatr Dent 2016;9(1):50-55. PMID:27274156

  15. How Ernakulam Became the First Fully Literate District of India = Comment l'Ernakulam devint le premier District entierement alphabete de l'Inde. Notes, Comments...No. 195.

    ERIC Educational Resources Information Center

    Sivadas, S.

    "Lead Kindly Light" was an extensive campaign for the total eradication of illiteracy within 1 year in the Ernakulam District of India. A major sponsor was Kerala Sastra Sahithya Parishad (KSSP), the Science and Education Center of Kerala; responsibility for the project was later handed over to the National Literacy Mission (NLM). The project had…

  16. Gneiss-charnockite transformation at Kottavattam, Southern Kerala (India)

    NASA Technical Reports Server (NTRS)

    Raith, M.; Klatt, E.; Spiering, B.; Srikantappa, C.; Staehle, H. J.

    1988-01-01

    At Kottavattam, leucocratic granitic garnet-biotite gneisses (age less than 2 Ga) were partially transformed to coarse-grained charnockite along a system of conjugate fractures (N70E and N20W) and the foliation planes (N60 to 80W; dip 80 to 90 SW) about 550 m.y. ago. To examine and quantify changes in fabric, mineralogy, pore fluids and chemical composition associated with this process, large rock specimens showing gneiss-charnockite transition were studied in detail. The results of the present study corroborate the concept that charnockite formation at Kottavattam is an internally-generated phenomenon and was not triggered by the influx of carbonic fluids from a deep-seated source. It is suggested that charnockitization was caused by the following mechanism: (1) near-isothermal decompression during uplift of the gneiss complex led to an increase of the pore fluid pressure (P sub fluid greater than P sub lith) which - in a regime of anisotropic stress - triggered or at least promoted the development of conjugate fractures; (2) the simultaneous release of pore fluids from bursting fluid inclusions and their escape into the developing fracture system resulted in a drop of fluid pressure; and (3) the internal generation and buffering of the fluids and their, probably, limited migration in an entirely granitic rock system explains the absence of any significant metasomatic mass transfer.

  17. Onychomycosis by Syncephalastrum Racemosum: Case Report from Kerala, India

    PubMed Central

    Baby, Sabitha; Ramya, T.G.; Geetha, R.K.

    2015-01-01

    We report a rare case of onychomycosis caused by Syncephalastrum racemosum in a 50-year-old diabetic patient. The patient’s nail was surgically excised and thorough debridement was done. The patient was successfully treated with topical nystatin. PMID:25918616

  18. Automation of University Libraries in Kerala: Status, Problems and Prospects

    ERIC Educational Resources Information Center

    Suku, J.; Pillai, Mini G.

    2005-01-01

    This paper discusses the present scenario of automation activities of university libraries in Kerala. The survey findings mainly cover various aspects of library automation such as information technology infrastructure, in-house activities, information services and their usage, manpower development, and budget. The paper briefly describes the role…

  19. Burden of Outdoor Air Pollution in Kerala, India—A First Health Risk Assessment at State Level

    PubMed Central

    Tobollik, Myriam; Razum, Oliver; Wintermeyer, Dirk; Plass, Dietrich

    2015-01-01

    Ambient air pollution causes a considerable disease burden, particularly in South Asia. The objective of the study is to test the feasibility of applying the environmental burden of disease method at state level in India and to quantify a first set of disease burden estimates due to ambient air pollution in Kerala. Particulate Matter (PM) was used as an indicator for ambient air pollution. The disease burden was quantified in Years of Life Lost (YLL) for the population (30 + years) living in urban areas of Kerala. Scenario analyses were performed to account for uncertainties in the input parameters. 6108 (confidence interval (95% CI): 4150–7791) of 81,636 total natural deaths can be attributed to PM, resulting in 96,359 (95% CI: 65,479–122,917) YLLs due to premature mortality (base case scenario, average for 2008–2011). Depending on the underlying assumptions the results vary between 69,582 and 377,195 YLLs. Around half of the total burden is related to cardiovascular deaths. Scenario analyses show that a decrease of 10% in PM concentrations would save 15,904 (95% CI: 11,090–19,806) life years. The results can be used to raise awareness about air quality standards at a local level and to support decision-making processes aiming at cleaner and healthier environments. PMID:26343701

  20. Report of Workshop on Reconceptualization of Pre-service Teacher Education in the University of Kerala. Organized by the Department of Education, University of Kerala on 22 December 2009

    ERIC Educational Resources Information Center

    Praveen, C.

    2010-01-01

    As suggested by the Kerala Higher Education Council, the Department of Education of the University of Kerala organized a half-day workshop for reconceptualization of the teacher education curriculum of the University of Kerala as a preliminary step in the original plan of the Council for introducing an unified BEd curriculum in the state of…

  1. Sonerila nairii (Melastomataceae) – a new species from the southern Western Ghats, India

    PubMed Central

    Murugan, Soumya; Nair, Maya C.

    2016-01-01

    Abstract The new species Sonerila nairii (Melastomataceae) is here described from Pothumala of the Nelliampathy hill ranges of Western Ghats of Kerala, India. Morphologically it most closely resembles Sonerila erecta and Sonerila pulneyensis from which differs by the form of the stem, leaves, peduncle, pedicel, inflorescence, pubescence of the stem, leaves and hypanthium, and by the form of stamens and stigma. PMID:27212878

  2. Powering the Women in Agriculture: Lessons on Women Led Farm Mechanisation in South India

    ERIC Educational Resources Information Center

    Alex, Jiju P.

    2013-01-01

    Purpose: This article analyses how an initiative on farm mechanisation by a local government in Kerala in South India evolved into a formal organisation that provides sustainable livelihood options to women and small and marginal farmers and revived the rice production system. Design/methodology/approach: The study followed the case analysis…

  3. Sonerila nairii (Melastomataceae) - a new species from the southern Western Ghats, India.

    PubMed

    Murugan, Soumya; Nair, Maya C

    2016-01-01

    The new species Sonerila nairii (Melastomataceae) is here described from Pothumala of the Nelliampathy hill ranges of Western Ghats of Kerala, India. Morphologically it most closely resembles Sonerila erecta and Sonerila pulneyensis from which differs by the form of the stem, leaves, peduncle, pedicel, inflorescence, pubescence of the stem, leaves and hypanthium, and by the form of stamens and stigma. PMID:27212878

  4. Pathways to catastrophic health expenditure for acute coronary syndrome in Kerala: ‘Good health at low cost’?

    PubMed Central

    2012-01-01

    Background Universal health coverage through the removal of financial and other barriers to access, particularly for people who are poor, is a global priority. This viewpoint describes the many pathways to catastrophic health expenditure (CHE) for patients with Acute Coronary Syndrome (ACS) based on two case studies and the thematic analysis of field notes regarding 210 patients and their households from a study based in Kerala, India. Discussion There is evidence of the severe financial impact of non-communicable diseases (NCDs), which is in contradiction to the widely acclaimed Kerala model: Good health at low cost. However, it is important to look beyond the out-of-pocket expenditure (OOPE) and CHE to the possible pathways and identify the triggers that make families vulnerable to CHE. The identified pathways include a primary and secondary loop. The primary pathway describes the direct path by which families experience CHE. These include: 1) factors related to the pre-event period that increase the likelihood of experiencing CHE, such as being from the lower socio-economic strata (SES), past financial losses or loans that leave families with no financial shock absorber at the time of illness; 2) factors related to the acute event, diagnosis, treatment and hospitalization and expenditures incurred for the same and; 3) factors related to the post-event period such as loss of gainful employment and means of financing both the acute period and the long-term management particularly through distress financing. The secondary pathway arises from the primary and includes: 1) the impact of distress financing and; 2) the long- and short- term consequences of CHE. These factors ultimately result in a vicious cycle of debt and poverty through non-compliance and repeat acute events. Summary This paper outlines the direct and indirect pathways by which patients with ACS and their families are trapped in a vicious cycle of debt and poverty. It also contradicts the prevailing

  5. Confidential Review of Maternal Deaths in Kerala: a country case study.

    PubMed

    Paily, V P; Ambujam, K; Rajasekharan Nair, V; Thomas, B

    2014-09-01

    The Confidential Review of Maternal Deaths (CRMD) in Kerala was started in 2004, with support from the World Health Organization and modelled on the United Kingdom Confidential Enquiries into Maternal Deaths. It is carried out by the Kerala Federation of Obstetrics and Gynaecology with support from the government of Kerala. The leading causes of maternal deaths identified during the period 2004-09 were haemorrhage, hypertension, amniotic fluid embolism, heart disease and sepsis. Follow-up actions in the form of advocating for emergency preparedness, proper transport and standard protocols for management were initiated. Recently the international arm of the United Kingdom National Institute for Health and Clinical Excellence has helped to establish standards to improve obstetric care in Kerala based on the findings of the CRMD Kerala. PMID:25236635

  6. Cluster randomised controlled trial of a peer-led lifestyle intervention program: study protocol for the Kerala diabetes prevention program

    PubMed Central

    2013-01-01

    Background India currently has more than 60 million people with Type 2 Diabetes Mellitus (T2DM) and this is predicted to increase by nearly two-thirds by 2030. While management of those with T2DM is important, preventing or delaying the onset of the disease, especially in those individuals at ‘high risk’ of developing T2DM, is urgently needed, particularly in resource-constrained settings. This paper describes the protocol for a cluster randomised controlled trial of a peer-led lifestyle intervention program to prevent diabetes in Kerala, India. Methods/design A total of 60 polling booths are randomised to the intervention arm or control arm in rural Kerala, India. Data collection is conducted in two steps. Step 1 (Home screening): Participants aged 30–60 years are administered a screening questionnaire. Those having no history of T2DM and other chronic illnesses with an Indian Diabetes Risk Score value of ≥60 are invited to attend a mobile clinic (Step 2). At the mobile clinic, participants complete questionnaires, undergo physical measurements, and provide blood samples for biochemical analysis. Participants identified with T2DM at Step 2 are excluded from further study participation. Participants in the control arm are provided with a health education booklet containing information on symptoms, complications, and risk factors of T2DM with the recommended levels for primary prevention. Participants in the intervention arm receive: (1) eleven peer-led small group sessions to motivate, guide and support in planning, initiation and maintenance of lifestyle changes; (2) two diabetes prevention education sessions led by experts to raise awareness on T2DM risk factors, prevention and management; (3) a participant handbook containing information primarily on peer support and its role in assisting with lifestyle modification; (4) a participant workbook to guide self-monitoring of lifestyle behaviours, goal setting and goal review; (5) the health education

  7. A new species of Callispa Baly (Coleoptera, Chrysomelidae, Cassidinae, Callispini) infesting coconut palm ( Cocos nucifera L.) in India

    PubMed Central

    Shameem, K. M.; Prathapan, K. D.

    2013-01-01

    Abstract Callispa keram sp. n. infesting coconut palm (Cocos nucifera L.) in Kerala, India is described and illustrated. Livistona chinensis R.Br. and Syagrus romanzoffiana (Cham.) Glassman are reported as additional host plants. PMID:23653522

  8. A new species of Callispa Baly (Coleoptera, Chrysomelidae, Cassidinae, Callispini) infesting coconut palm ( Cocos nucifera L.) in India.

    PubMed

    Shameem, K M; Prathapan, K D

    2013-01-01

    Callispa keram sp. n. infesting coconut palm (Cocos nucifera L.) in Kerala, India is described and illustrated. Livistona chinensis R.Br. and Syagrus romanzoffiana (Cham.) Glassman are reported as additional host plants. PMID:23653522

  9. The Ashtavaidya physicians of Kerala: A tradition in transition

    PubMed Central

    Menon, Indudharan; Spudich, Annamma

    2010-01-01

    This paper presents what we have learned from the Ashtavaidya Ayurveda physicians of Kerala regarding the status of their unique medical tradition of Ayurveda in the contemporary context. We extensively interviewed several practicing Ashtavaidyas for the “Living History of Indian Scientific Traditions” archive, a new initiative at the NCBS, Bangalore to study the history of Indian sciences. As heirs of a tradition that has adapted and evolved over centuries without compromising its fundamental principles, their views on Ayurveda presented here represent an important contribution to the current debate on the role of traditional medicine in the Indian public health system. PMID:21731370

  10. Potential for the use of mHealth in the management of cardiovascular disease in Kerala: a qualitative study

    PubMed Central

    Smith, Rebecca; Menon, Jaideep; Rajeev, Jaya G; Feinberg, Leo; Kumar, Raman Krishan; Banerjee, Amitava

    2015-01-01

    Objectives To assess the potential for using mHealth in cardiovascular disease (CVD) management in Kerala by exploring: (1) experiences and challenges of current CVD management; (2) current mobile phone use; (3) expectations of and barriers to mobile phone use in CVD management. Design Qualitative, semistructured, individual interviews. Setting 5 primary health centres in Ernakulam district, Kerala, India. Participants 15 participants in total from 3 stakeholder groups: 5 patients with CVD and/or its risk factors, 5 physicians treating CVD and 5 Accredited Social Health Activists (ASHAs). Patients were sampled for maximum variation on the basis of age, sex, CVD diagnoses and risk factors. All participants had access to a mobile phone. Results The main themes identified relating to the current challenges of CVD were poor patient disease knowledge, difficulties in implementing primary prevention and poor patient lifestyles. Participants noted phone calls as the main function of current mobile phone use. The expectations of mHealth use are to: improve accessibility to healthcare knowledge; provide reminders of appointments, medication and lifestyle changes; save time, money and travel; and improve ASHA job efficacy. All perceived barriers to mHealth were noted within physician interviews. These included fears of mobile phones negatively affecting physicians’ roles, the usability of mobile phones, radiation and the need for physical consultations. Conclusions There are three main potential uses of mHealth in this population: (1) as an educational tool, to improve health education and lifestyle behaviours; (2) to optimise the use of limited resources, by overcoming geographical barriers and financial constraints; (3) to improve use of healthcare, by providing appointment and treatment reminders in order to improve disease prevention and management. Successful mHealth design, which takes barriers into account, may complement current practice and optimise use of limited

  11. Occurrence of Gnathostoma spinigerum in a leopard cat from Wayanad Wildlife Sanctuary, Kerala.

    PubMed

    Lenka, Dibya Ranjan; Johns, Joju; Gopi, Jyothimol; Chandy, George; Narayanan, Priya Manakkulamparambil; Kalarikkal, Deepa Chundayil; Ravindran, Reghu

    2016-06-01

    The post-mortem examination of a leopard cat from Wayanad Wildlife Sanctuary, Kerala, died in a road accident, revealed presence of gastric tumours containing worms which were identified as Gnathostoma spinigerum based on morphological characteristics. PMID:27413340

  12. A post-epidemic study on awareness of vector habits of Chikungunya and vector indices in a rural area of Kerala.

    PubMed

    Aswathy, S; Dinesh, S; Kurien, Beteena; Johnson, A J; Leelamoni, K

    2011-09-01

    Chikungunya struck Kerala in a devastating form in the years 2006 and 2007 and its after effects continued to 2008. In May 2008, a post epidemic study of the awareness of vector habits and prevalence of the vectors was done. A cross sectional study was conducted in a randomly selected Panchayat affected by Chikungunya in a rural area of Kerala, India. 93.3% respondents were aware that mosquitoes spread Chikungunya though 31.3% knew the type of mosquito that spreads it. 69% knew that the vector breeds in artificial collections of water. Although three-fourths (73.6%) had good knowledge, only 39% had actually took control measures. Four of the six wards were high risk areas as per House Index and Breteau Index. All the larval samples collected were identified as Aedes albopictus. About 94.3% of the respondents used one or the other measure of personal protection against mosquito. An analysis of the high risk areas showed a significant association with education (p < .001) and information on control measures (p < .01). It therefore appears that integrated vector control is the key though converting vector control knowledge into practice by influencing human behaviour is the challenge. PMID:23781634

  13. Gulf money in Kerala: coping with the problems of plenty.

    PubMed

    Kurian, R; Thakore, D

    The recent phenomenon of emigration from Kerala to the Gulf countries and the increasing inflow of remittances is having a tremendous impact on Kerala's economy. The state planning board reports that the remittances from the Gulf to this tiny state are Rs. 400 crones/year. An annual inflow of this amount cannot help influence the fortunes of the population. Although emigration from Kerala is not new, the current outflow reached massive proportions only in the wake of the intensive construction boom in the West Asian countries, after a huge volume of petro dollars flowed into those countries in the aftermath of the 1973 hike in oil price. In December 1977 a total of 135,000 Keralities were employed in foreign countries, mainly in West Asia. These adventurous migrants, in their quest for a wage, emigrated mainly from 4 areas in the state: Varkala in Trivandrum district; Thiruvalla in Alleppey district; Chavakkad in Trichur district; and almost all parts of Malappuram district. The bulk of the remittances are sent to households and next of kin concentrated in these areas. This unprecedented inflow of remittances has kindled the hopes of politicians and administrators of tapping these resources to solve the problems of economic development of the state. 1 category of emigrants come from poor households, are poorly educated, and are masons, carpenters, or even unskilled laborers. Because of their ignorance and gullibility they are exploited by middlemen who charge them Rs. 12,000 for a no objection certificate (NOC). Moneylenders are also doing a thriving business. Another type of emigrant is from relatively well off households, better educated, and able to obtain better jobs. There are also rich businessmen and contractors among them. It is this category of better educated emigrant who is able to save a substantial part of his income. State administrative circles note that remittances at best can provide only the financial capital. According to T.C. Razajm a

  14. Water Management To Meet Challenges In Food Production ­ An Example From South India

    NASA Astrophysics Data System (ADS)

    Shadananan, K.

    Demands for food and water have been increasing with fast increasing population in many developing countries. Availability of water and fertile land, the two basic requirements for food production do not meet together in certain regions. In such regions, cooperation and efficient management practices can solve the problem to a good extend. The southern states of Kerala and Tamil Nadu of India are divided by the mountain chains, the Western Ghats the orography of which makes Kerala one among the heaviest rainfall region in the World itself and Tamil Nadu a scanty rainfall region. Kerala receives more than 300cm average annual rainfall, giving birth to a number of perennial rivers and other water bodies whereas Tamil Nadu receives rainfall less than100cm. Most of the rivers of Tamil Nadu are seasonal and it depends on interstate water transfer to face the permanent water shortage. Owing to the high density of population, peculiar topography and soil types, agricultural production in Kerala is quite inadequate and the State depends on neighbouring States, especially Tamil Nadu for rice and vegetables, but not willing to share water. According to the Constitution of India, control of rivers is by individual states and this often leads to transboundary water disputes that retard development activities. Around 80% of the rainfall of Kerala wastefully flows into the Sea, when there is acute water shortage in Tamil Nadu. All the rivers in Kerala originate in the Ghats and its steep slopes makes more water storage difficult. Cooperation among the States become essential for meeting the increasing needs in water and food. If some of the water from the catchments in Kerala is diverted into Tamil Nadu, and the States can do joint agriculture, it can meet the challenges due to increase in population and environmental changes and minimize unemployment problems. Water diversion to Tamil Naduwill reduce flood damage and soil erosion in Kerala. The existing socio

  15. Goal Orientation among Boys and Girls in Higher Secondary Schools of Kerala: How Parenting Styles Influence It?

    ERIC Educational Resources Information Center

    Gafoor, Kunnathodi Abdul; Kurukkan, Abidha

    2014-01-01

    The purpose of the study is to investigate the relation between parenting style and goal orientation among boys and girls in higher secondary schools of Kerala. Four types of parenting style and five categories of goal orientation. The sample comprised of 467 girls and 365 boys from higher secondary school in Kerala who were selected through…

  16. Community ecology of the metazoan parasites of freshwater fishes of Kerala.

    PubMed

    Beevi, M Razia; Radhakrishnan, S

    2012-10-01

    The prevalence and mean intensity of metazoan parasite infection, the community characteristics (richness index, dominance index, evenness index and Shannon index of diversity) and the qualitative similarity of the metazoan parasite fauna among the species and families of the fishes were determined of 13 fish species of freshwater fishes of Kerala belonging to seven families. The metazoan parasite fauna of this geographical area is very diverse; it consisted of 33 species of parasites belonging to seven major taxa: ten species of Monogenea, nine Digenea, two Cestoda, six Nematoda, three Acanthocephala, two Copepoda and one Isopoda. Prevalence of infection ranged from 32.9% (Puntius vittatus) to 87.1% (Mystus oculatus) and mean intensity from 3.8 (Puntius vittatus) to 27.6 (Aplocheilus lineatus). The infra- and component communities of parasites were somewhat characteristic. The dominance pattern of the major taxa was in the order Digenea > Nematoda > Monogenea = Acanthocephala > Cestoda = Copepoda > Isopoda. Macropodus cupanus harboured the richest fauna and Puntius vittatus had the least rich fauna. The parasite fauna of A. lineatus was the most heterogeneous and that of M. cavasius, the most homogeneous. The diversity of the parasite fauna was the greatest in M. cavasius and the least in A. lineatus. The parasite faunas of A. lineatus and M. cupanus and of M. cavasius and M. oculatus were similar. However, in spite of the taxonomic nearness and the similarity of the habits and habitats of the four species of cyprinids (P. amphibius, P. filamentosus, P. sarana and P. vittatus), their parasite fauna were qualitatively very dissimilar-of the seven species of parasites encountered in them only one was shared by the four host species. The cyprinid, Rasbora daniconius, had its own characteristic component community of parasites consisting of six species none of which was shared by the other four cyprinids. The richest parasite fauna was that of the family

  17. Understanding epidemiological transition in India

    PubMed Central

    Yadav, Suryakant; Arokiasamy, Perianayagam

    2014-01-01

    Background Omran's theory explains changing disease patterns over time predominantly from infectious to chronic noncommunicable diseases (NCDs). India's epidemiological transition is characterized by dual burden of diseases. Kumar addressed low mortality and high morbidity in Kerala, which seems also to be true for India as a country in the current demographic scenario. Methods NSS data (1986–1987, 1995–1996, 2004) and aggregated data on causes of death provided by Registrar General India (RGI) were used to examine the structural changes in morbidity and causes of death. A zero-inflated poisson (ZIP) regression model and a beta-binomial model were used to corroborate the mounting age pattern of morbidity. Measures, namely the 25th and 75th percentiles of age-at-death and modal age-at-death, were used to examine the advances in mortality transition. Objective This study addressed the advances in epidemiological transition via exploring the structural changes in pattern of diseases and progress in mortality transition. Results The burden of NCDs has been increasing in old age without replacing the burden of communicable diseases. The manifold rise of chronic diseases in recent decades justifies the death toll and is responsible for transformation in the age pattern of morbidity. Over time, deaths have been concentrated near the modal age-at-death. Modal age-at-death increased linearly by 5 years for females (r2=0.9515) and males (r2=0.9020). Significant increase in modal age-at-death ascertained the dominance of old age mortality over the childhood/adult age mortality. Conclusions India experiences a dual burden of diseases associated with a remarkable transformation in the age pattern of morbidity and mortality, contemporaneous with structural changes in disease patterns. Continued progress in the pattern of diseases and mortality transition, accompanied by a linear rise in ex, unravels a compelling variation in advances found so far in epidemiological

  18. Relating Difficulty in School Mathematics to Nature of Mathematics: Perception of High School Students from Kerala

    ERIC Educational Resources Information Center

    Gafoor, Kunnathodi Abdul; Sarabi, M. K.

    2015-01-01

    This study relates factors in nature of Mathematics and its teaching learning to student difficulties for diverse mathematics tasks. Descriptive survey was done on a sample of 300 high school students in Kerala with a questionnaire on difficulties in learning. Student perception of difficulty on 26 types of tasks, under five heads that students…

  19. Draft Genome Sequence of an Environmental trh+ Vibrio parahaemolyticus K23 Strain Isolated from Kerala, India

    PubMed Central

    Prabhakaran, Divya Meparambu; Chowdhury, Goutam; Pazhani, Gururaja Perumal; Ramamurthy, Thandavarayan

    2016-01-01

    Vibrio parahaemolyticus is the leading cause of seafood-related gastroenteritis. Here, we report the draft genome sequence of a trh+ strain, V. parahaemolyticus K23, isolated from seafood. The sequence will be useful for comparative analysis between environmental and clinical isolates of V. parahaemolyticus. PMID:27081143

  20. Taiwanascus samuelsii sp. nov., an addition to Niessliaceae from the Western Ghats, Kerala, India

    Technology Transfer Automated Retrieval System (TEKTRAN)

    A new species of Taiwanascus, T. samuelsii, was collected from southern parts of Western Ghats on dead branches of Anacardium occidentale and is described. The new cleistothecial ascomycete is different from the type and only species in Taiwanascus, T. tetrasporus, in cleistothecial size, setae, and...

  1. Methanogenesis: Seasonal changes in human impacted regions of Ashtamudi estuary (Kerala, South India)

    NASA Astrophysics Data System (ADS)

    Reshmi, R. R.; Deepa Nair, K.; Zachariah, E. J.; Vincent, Salom Gnana Thanga

    2015-04-01

    Environmental variables as well as methanogenic abundance and activity were analysed in selected human impacted regions of Ashtamudi estuary. Sediment samples were collected during summer and monsoon of 2013. Each was analysed for environmental variables such as temperature, pH, electrical conductivity, sulphate, total kjeldahl nitrogen, organic carbon, organic matter and redox potential. Abundance and methanogenic potential of two distinct groups of methanogenic archaea (i.e. aceticlastic and methylotrophic methanogens) were quantified by incubating the sediment samples in basal media, added with acetate or methanol as substrate. Most of the environmental variables showed significant differences spatially and temporally. Among the environmental variables, temperature, pH, electrical conductivity and salinity were higher during summer, while total kjeldahl nitrogen, sulphate and organic carbon were higher during monsoon. Abundance of both aceticlastic and methylotrophic methanogens showed significant variations both spatially and temporally. Aceticlastic methanogens were abundant during monsoon, with a maximum value of 810 ± 13 CFU g-1, and methylotrophic methanogens were abundant during summer, with a maximum value of 1770 ± 30 CFU g-1. Results of methanogenic potential of sediment samples showed a range of 0.01 ± 0.00 to 12.03 ± 0.35 mol m-3. Among the two substrates, methanol favoured the abundance of methylotrophic methanogens, while acetate induced the methanogenic activity. Methanogenic activity was higher during monsoon than summer that can be attributed to the favourable sedimentary conditions (like reduced redox potential and increased substrate availability). Aceticlastic methanogens were abundant at bottom layers and methylotrophic methanogens in top layers of the sediments. The results of canonical correspondence analysis revealed the existence of linear relationship between methanogenic archaea and environmental variables among the sampling stations. Higher values of salinity, electrical conductivity and total kjeldahl nitrogen favoured the distribution and abundance of aceticlastic methanogens. However, the abundance of methylotrophic methanogens was favoured by highly reduced conditions and high pH values.

  2. Root strength of tropical plants - An investigation in the Western Ghats of Kerala, India

    NASA Astrophysics Data System (ADS)

    Lukose Kuriakose, S.; van Beek, L. P. H.; van Westen, C. J.

    2009-04-01

    Earlier research on debris flows in the Tikovil River basin of the Western Ghats concluded that root cohesion is significant in maintaining the overall stability of the region. In this paper we present the most recent results (December 2008) of root tensile strength tests conducted on nine species of plants that are commonly found in the region. They are 1) Rubber (Hevea Brasiliensis), 2) Coconut Palm (Cocos nucifera), 3) Jackfruit trees (Artocarpus heterophyllus), 4) Teak (Tectona grandis), 5) Mango trees (Mangifera indica), 6) Lemon grass (Cymbopogon citratus), 7) A variety of Tamarind (Garcinia gummigutta), 8) Coffee (Coffea Arabica) and Tea (Camellia sinensis). About 1500 samples were collected of which only 380 could be tested (in the laboratory) due to breakage of roots during the tests. In the successful tests roots failed in tension. Roots having diameters between 2 mm and 12 mm were tested. Each sample tested has a length of 15 cm. Results indicate that the roots of Coffee, Tamarind, Lemon grass and Jackfruit are the strongest of the nine plant types tested whereas Tea and Teak plants had the most fragile roots. Coconut roots behaved atypical to the others, as the bark of the roots was crushed and slipped from the clamp when tested whereas its internal fiber was the strongest of all tested. Root tensile strength decreases with increasing diameters, Rubber showing more ductile behaviour than Coffee and Tamarind that behaved more brittle, root tensile strength increasing exponentially for finer roots. Teak and Tea showed almost a constant root tensile strength over the range of diameters tested and little variability. Jack fruit and mango trees showed the largest variability, which may be explained by the presence of root nodules, preventing the derivation of an unequivocal relationship between root diameters and tensile strength. This results in uncertainty of root strength estimates that are applicable. These results provide important information to quantify the upper limit of the root cohesion at the stand level in combination with land use maps. This is an indispensable component in the evaluation of slope stability in the region.

  3. Determination of groundwater quality index of a highland village of Kerala (India) using Geographical Information System.

    PubMed

    Rejith, P G; Jeeva, S P; Vijith, H; Sowmya, M; Hatha, A A Mohamed

    2009-06-01

    In this study, the authors' goal was to understand the groundwater quality of Nedumkandam panchayat by an integrated approach of traditional water quality analysis and Geographical Information Systems (GIS). Fourteen wells were identified from the study area and samples were collected and analyzed using standard protocols (American Public Health Association, 1998). Parameters analyzed include pH, hardness, nitrate, chloride, sulfate, phosphate, trace metals (cadmium, zinc, copper, and lead), and fecal coliforms. All parameters except pH, cadmium, and fecal coliforms were within the limit of drinking water quality standards prescribed by the Bureau of Indian Standards (BIS) (BIS, 1983). The spatial distribution of physico-chemical and biological parameters was analyzed using the Inverse Distance Weighted (IDW) approach and the maps thus obtained were integrated using the raster calculator option of spatial analyst in ArcGIS 8.3 software, and a water quality index (WQI) was calculated. Based on the WQI values, the study area was divided into poor, moderate, and good water quality zones. PMID:19537647

  4. Participatory GIS in action, a public health initiative from Kerala, India

    NASA Astrophysics Data System (ADS)

    Soman, B.

    2014-11-01

    Community ownership is essential for sustainable public health initiatives. The advantages of getting active involvement of homebound village women in a public health campaign to establish community health surveillance are being reported in this paper. With the support of the local self government authorities, we had selected 120 village women, and they were given extensive training on various healthcare schemes, home based management of local ailments, leadership skills and survey techniques. Afterwards, they had been asked to share their knowledge with at least 10-15 women in their neighbourhood. This had improved their status in the neighbourhood, as more and more people started getting their advice on healthcare and social services related matters. Subsequently, they had collected the socio-demographic and morbidity details of the entire households, including the geometric coordinates (longitude and latitude) of the households and public offices. In this process, they began to use the geographic position system (GPS) machines, dismissing the myth that women are not that techno savvy, further improving their acceptability in the community. Many among them were seen proudly describing the implications of the thematic maps to the village people and line department staff in the monthly subcentre meetings. Many were offered seats in the local body elections by leading political parties, a few of them did stand in the elections and three of them had won the elections. This experience reinforces our belief that the empowerment of villagers with newer technology could be a public health tool with much wider positive implications.

  5. Impact of human interventions on nutrient biogeochemistry in the Pamba River, Kerala, India.

    PubMed

    David, Shilly Elizabeth; Chattopadhyay, Mahamaya; Chattopadhyay, Srikumar; Jennerjahn, Tim C

    2016-01-15

    Anthropogenic inputs nowadays are the major source of nutrients to the coastal area. While a wealth of data exists from high latitude regions, little is known on the amount and composition of nutrient fluxes from densely populated tropical catchments. The South Indian Pamba River is a prime example in this respect because of its manifold human interventions such as the Sabarimala pilgrimage, the largest pilgrim centre in the world and agricultural practices. In order (i) to identify direct cause-effect relationships, (ii) to quantify land use specific nutrient inputs and (iii) to assess the respective impacts water was sampled along the river course during the pre monsoon, south west monsoon and north east monsoon periods in 2010 to 2012. Sampling segments were chosen according to prevailing land use. A socioeconomic survey on agricultural practices was conducted to collect information on the type, time and quantity of fertilizer application. Our results indicate (i) little human activities in the forest segment resulted in a low nutrient yield; (ii) pilgrim activities led to high ammonium and phosphate yields in the temple segment; (iii) specific fertilizer management resulted in moderate and maximum nitrate yields in the respective agriculture segments. Annual NPK fertilizer inputs to the catchment were 95 kg ha(-1) yr(-1).The average yield for the Pamba River catchment amounted to 3.5 kg ha(-1) yr(-1) of DIN and 0.2 kg ha(-1) yr(-1) of phosphate-P. As opposing predictions for densely-populated regions the N and P yields of the Pamba River are moderate to low on a global scale. It highlights the need for land use specific quantitative estimates from tropical regions in order to improve the global database and local water quality management. PMID:26479915

  6. Cross-cultural standardization of the South Texas Assessment of Neurocognition in India

    PubMed Central

    Cherkil, S.; Satish, S.; Mathew, S.S.; Dinesh, N.; Kumar, C.T.S.; Lombardo, L.E.; Glahn, D.C.; Frangou, S.

    2012-01-01

    Background & objectives: Despite the central role of cognition for mental disorders most studies have been conducted in western countries. Similar research from other parts of the world, particularly India, is very limited. As a first step in closing this gap this cross-cultural comparability study of the South Texas Assessment of Neurocognition (STAN) battery was conducted between USA and India. Methods: One hundred healthy adults from Kerala, India, were administered six language independent subtests of the Java Neuropsychological Test (JANET) version of the STAN, assessing aspects of general intellectual ability (Matrix Reasoning), attention (Identical Pairs Continuous Performance, 3 Symbol Version Test; IPCPTS), working memory (Spatial Capacity Delayed Response Test; SCAP), response inhibition (Stop Signal Reaction Time; SSRT), Emotional Recognition and Risk taking (Balloon Analogue Risk Task; BART). Test results were compared to a demographically matched US sample. Results: Overall test performance in the Kerala sample was comparable to that of the US sample and commensurate to that generally described in studies from western countries. Interpretation & conclusions: Our results support the metric equivalence of currently available cognitive test batteries developed in western countries for use in India. However, the sample was restricted to individuals who were literate and had completed basic primary and secondary education. PMID:22960896

  7. Prevalence of palatal rugae shapes in Karnataka and Kerala population: A cross-sectional study

    PubMed Central

    Savita, J. K.; Yathindra Kumar, B. N.; Satish, G.; Divya, K. T.; Ranjitha, J.; Pujari, Ravi Kumar

    2016-01-01

    Aims and Objectives: This study was conducted to assess the incidence and prevalence of palatal rugae shapes in the male and female populations of Karnataka and Kerala. Materials and Methods: This study consisted of 100 plaster models of each group, which were equally distributed between both the genders, with an age range of 17–23 years. The rugae patterns were recorded by using Thomas and Kotze classification. Correlation between the rugae shape and population as well as the rugae shape and gender were analyzed using chi-square analysis and discriminant function analysis using the Statistical Package for the Social Sciences Version 22 (IBM Corp). Results: Curved, straight, and wavy rugae patterns were the most common in both Kerala and Karnataka sample populations. Chi-square analysis showed significant differences between the populations for the curved pattern; discriminant function analysis showed significant differences between the populations for the curved and straight patterns. Significant gender differences were found in the curved pattern for Karnataka population and in unification patterns for both populations by Chi-square/Fischer exact test. Conclusions: The curved and straight rugae patterns were significantly more frequent in the Kerala population compared to the Karnataka population. Because of the limited sample size of this study, further cross-sectional studies are suggested. PMID:27382539

  8. Post-sterilization autonomy among young mothers in South India.

    PubMed

    Pallikadavath, Saseendran; Rajan, Irudaya; Singh, Abhishek; Ogollah, Reuben; Page, Samantha

    2015-01-01

    This study examined the post-sterilization autonomy of women in south India in the context of early sterilization and low fertility. Quantitative data were taken from the third round of the National Family Health Survey (NFHS-3) carried out in 2005-06, and qualitative data from one village each in Kerala and Tamil Nadu during 2010-11. The incident rate ratios and thematic analysis showed that among currently married women under the age of 30 years, those who had been sterilized had significantly higher autonomy in household decision-making and freedom of mobility compared with women who had never used any modern family planning method. Early age at sterilization and low fertility enables women to achieve the social status that is generally attained at later stages in the life-cycle. Policies to capitalize on women's autonomy and free time resulting from early sterilization and low fertility should be adopted in south India. PMID:25487194

  9. Spatial changes of estuary in Ernakulam district, Southern India for last seven decades, using multi-temporal satellite data.

    PubMed

    Dipson, P T; Chithra, S V; Amarnath, A; Smitha, S V; Harindranathan Nair, M V; Shahin, Adhem

    2015-01-15

    The study area, located in the western side of Kerala State, South India, is a part of Vembanad-Kol wetlands - the largest estuary in India's western coastal wetland system and one of the Ramsar Sites of Kerala. Major portion of this estuary comes under the Ernakulam district which includes the Cochin City - the business and Industrial hub of Kerala, which has seen fast urbanization since independence (1947). Recently, this region is subjected to a characteristic fast urban sprawl, whereas, the estuarine zone is subjected to tremendous land use/land cover changes (LULC). Periodic monitoring of the estuary is essential for the formulation of viable management options for the sustainable utilization of this vital environmental resource. Remote sensing coupled with GIS applications has proved to be a useful tool in monitoring wetland changes. In the present study, the changes this estuarine region have undergone from 1944 to 2009 have been monitored with the help of multi-temporal satellite data. Estuarine areas were mapped with the help of Landsat MSS (1973), Landsat ETM (1990) and IRS LISS-III (1998 and 2009) using visual interpretation and digitization techniques in ArcGIS 9.3 Environment. The study shows a progressive decrease in the estuarine area, the reasons of which are identified chronologically. PMID:24823281

  10. India: Bihar

    Atmospheric Science Data Center

    2013-04-16

    ... MISR Data Reveal Immense Pollution Pool over Bihar, India     View Larger Image ... a tongue of pollution extending across the middle of India. The MISR observations, however, show the pollution lies much farther ...

  11. Rheumatic Heart Disease in Kerala: A Vanishing Entity? An Echo Doppler Study in 5–15-Years-Old School Children

    PubMed Central

    Nair, Bigesh; Viswanathan, Sunitha; Koshy, A. George; Gupta, Prabha Nini; Nair, Namita; Thakkar, Ashok

    2015-01-01

    Background. Early detection of subclinical rheumatic heart disease by use of echocardiography warrants timely implementation of secondary antibiotic prophylaxis and thereby prevents or retards its related complications. Objectives. The objective of this epidemiological study was to determine prevalence of RHD by echocardiography using World Heart Federation criteria in randomly selected school children of Trivandrum. Methods. This was a population-based cross-sectional screening study carried out in Trivandrum. A total of 2060 school children, 5–15 years, were randomly selected from five government and two private (aided) schools. All enrolled children were screened for RHD according to standard clinical and WHF criteria of echocardiography. Results. Echocardiographic examinations confirmed RHD in 5 children out of 146 clinically suspected cases. Thus, clinical prevalence was found to be 2.4 per 1000. According to WHF criteria of echocardiography, 12 children (12/2060) were diagnosed with RHD corresponding to echocardiographic prevalence of 5.83 cases per 1000. As per criteria, 6 children were diagnosed with definite RHD and 6 with borderline RHD. Conclusions. The results of the current study demonstrate that echocardiography is more sensitive and feasible in detecting clinically silent RHD. Our study, the largest school survey of south India till date, points towards declining prevalence of RHD (5.83/1000 cases) using WHF criteria in Kerala. PMID:26451146

  12. Watershed development practices for ecorestoration in a tribal area - A case study in Attappady hills, South India

    NASA Astrophysics Data System (ADS)

    Vishnudas, Subha; Savenije, Hubert H. G.; Zaag, Pieter Van der

    Attappady is a rural area in Kerala, South India, that has suffered from severe land degradation and which is inhabited by a poor and predominantly tribal population. The combination of severe land degradation, poverty and a tribal population make Attappady hydrologically and socially unique. Ecological degradation and deforestation followed the gradual building up of land pressure resulting from immigration by more wealthy outsiders. The hills of Attappady were once the forest land of Kerala. Recently it was on the verge of complete degradation. This paper explains how an ecorestoration project involving soil and water conservation interventions, the introduction of agro-forestry, nutritional diversification, income generation activities and training was implemented in a participatory manner. The project had positive impacts on both the environment and the livelihoods of the people living in the watershed, but it also suffered from drawbacks. This paper reports on the successes as well as the lessons learned from this unique ecorestoration project.

  13. New Paleomagnetic Results from Late Cretaceous Volcanics and Dykes, SouthWest India

    NASA Astrophysics Data System (ADS)

    Perrin, M.; Joseph, M.; Monie, P.

    2015-12-01

    Late Cretaceous magmatism is widely distributed along the south west coast of India, mainly in the form of dyke intrusions. Most prominent dykes were emplaced around 65 Ma and are distributed in central Kerala, north Kerala and Goa. The strike trend of these dykes is NW-SE in central Kerala, whereas two orthogonal directions with NW-SE and NE-SW trends are found in north Kerala. In Goa region, they are mostly perpendicular to the coast. 25 sites (232 samples) have been collected in Kerala and Goa areas. A subordinate magmatism, around 90 Ma in age, is also traced in Agali area and St Mary Archipelago off the Malpe coast. Nine dykes (79 samples) with NW-SE trend were collected, and 9 flows (63 samples) from 8 different islands of the St Mary Archipelago. Finally, following some field evidences, the Ezhimala igneous complex, south of St Mary Islands, that occurs as a linear ridge with a NNW-SSE trend and consists mainly of granite, granophyre and gabbro, cut by dolerites, was also sampled (9 sites, 58 samples) despite its inferred Precambrian age (Rb-Sr determinations at 678 Ma). Finally, in order to constrain the duration of the Deccan volcanism, some of the younger and of the older flows (55 sites, 309 samples) were also collected. Most of the doleritic dykes are fine to medium grained with typical mineral assemblages of plagioclase, augite, olivine, and Fe-Ti oxides. All the mafic dykes of Kerala plot within the sub-alkalic field but three groups can be distinguished chemically. Fe-Ti oxides are found either as early inclusions within pyroxene or as interstitial and may constitute the late crystallization phases. Selected specimens from each site were subjected to low and high temperature susceptibility measurements to define the magnetic carriers and the thermal stability of the samples. They have indicated titanomagnetite as the main carrier of magnetization. Palaeomagnetic measurements were carried out by detailed step-wise alternating field and thermal

  14. The numbers game: a demographic profile of free India.

    PubMed

    Siddiqui, N

    1997-01-01

    India's population has grown since independence from 350 million in 1947 to 950 million in 1997 and will probably reach 1 billion by the year 2000. Projections made from the most recent census indicate that India will be the world's most populous country by 2040. According to World Bank projections, India's population will surpass 1.7 billion by 2097. India's leaders, allocating funds to industrialization, but not enough to health care and education, failed to understand the nature and consequences of high population growth. Rapid population growth in India has led to considerable unemployment among the working-age population, considerable population pressure upon renewable and nonrenewable resources, and a demand for basic facilities which surpasses their supply. The quality of life and the environment have been adversely affected. This paper considers how investments in social development led to the achievement of replacement level fertility in Kerala, Goa, and Tamil Nadu; the sex ratio; child survival; neglect of girls; the politics of population control; and the future. PMID:12321221

  15. Gender Disparity in Late-life Cognitive Functioning in India: Findings From the Longitudinal Aging Study in India

    PubMed Central

    Shih, Regina; Feeney, Kevin; Langa, Kenneth M.

    2014-01-01

    Objectives. To examine gender disparities in cognitive functioning in India and the extent to which education explains this disparity in later life. Methods. This study uses baseline interviews of a prospective cohort study of 1,451 community-residing adults 45 years of age or older in four geographically diverse states of India (Karnataka, Kerala, Punjab, Rajasthan). Data collected during home visits includes cognitive performance tests, and rich sociodemographic, health, and psychosocial variables. The cognitive performance tests include episodic memory, numeracy, and a modified version of the Mini-Mental State Examination. Results. We find gender disparity in cognitive function in India, and this disparity is greater in the north than the south. We also find that gender disparities in educational attainment, health, and social and economic activity explain the female cognitive disadvantage in later life. Discussion. We report significant gender disparities in cognitive functioning among older Indian adults, which differ from gender disparities in cognition encountered in developed countries. Our models controlling for education, health status, and social and economic activity explain the disparity in southern India but not the region-specific disparity in the northern India. North Indian women may face additional sources of stress associated with discrimination against women that contribute to persistent disadvantages in cognitive functioning at older ages. PMID:24622150

  16. A new iridescent tarantula of the genus Thrigmopoeus Pocock, 1899 from Western Ghats, India.

    PubMed

    Sanap, Rajesh V; Mirza, Zeeshan A

    2014-01-01

    A distinctive new species of ground burrowing tarantula from Western Ghats endemic genus Thrigmopoeus is described from Kerala State, India. Thrigmopoeus psychedelicus sp. nov. differs from putative species of the genus in the adults being black overall with a metallic blue lustre on the carapace and abdomen. Females of Thrigmopoeus psychedelicus sp. nov. exhibit polychromatism. Juveniles and sub-adults are paler with vibrant maroon colouration on its abdomen whereas adult females are much darker and lack vibrant colouration as sub-adults. PMID:25103834

  17. Factors Influencing the Organizational Stress among Teachers Working in Higher Education Sector in Kerala: An Empirical Analysis

    ERIC Educational Resources Information Center

    Areekkuzhiyil, Santhosh

    2014-01-01

    The study aims to explore the various factors that influence the organizational stress of teachers working in higher education sector in the state of Kerala. The data required for the study has been conveniently collected from 200 teachers working in higher education sector. Exploratory factor analysis revealed nine factors, which significantly…

  18. Mapping mental health finances in Ghana, Uganda, Sri Lanka, India and Lao PDR

    PubMed Central

    2010-01-01

    Background Limited evidence about mental health finances in low and middle-income countries is a key challenge to mental health care policy initiatives. This study aimed to map mental health finances in Ghana, Uganda, India (Kerala state), Sri Lanka and Lao PDR focusing on how much money is available for mental health, how it is spent, and how this impacts mental health services. Methods A researcher in each region reviewed public mental health-related budgets and interviewed key informants on government mental health financing. A total of 43 key informant interviews were conducted. Quantitative data was analyzed in an excel matrix using descriptive statistics. Key informant interviews were coded a priori against research questions. Results National ring-fenced budgets for mental health as a percentage of national health spending for 2007-08 is 1.7% in Sri Lanka, 3.7% in Ghana, 2.0% in Kerala (India) and 6.6% in Uganda. Budgets were not available in Lao PDR. The majority of ring-fenced budgets (76% to 100%) is spent on psychiatric hospitals. Mental health spending could not be tracked beyond the psychiatric hospital level due to limited information at the health centre and community levels. Conclusions Mental health budget information should be tracked and made publically accessible. Governments can adapt WHO AIMS indicators for reviewing national mental health finances. Funding allocations work more effectively through decentralization. Mental health financing should reflect new ideas emerging from community based practice in LMICs. PMID:20507558

  19. Jacob Chandy: pioneering neurosurgeon of India.

    PubMed

    Abraham, Jacob; Mathai, K V; Rajshekhar, Vedantam; Narayan, Raj K

    2010-09-01

    Jacob Chandy, who passed away in 2007 at the age of 97, was born into a deeply religious Christian family in Kerala, South India. After obtaining his medical education at the Madras Medical College, Madras, he serendipitously came to work with Dr Paul Harrison, a renowned medical missionary, in the Gulf state of Bahrain. Harrison urged Chandy to pursue training in the fledgling specialty of neurosurgery in North America. Chandy received his neurosurgical training at the Montreal Neurological Institute with Wilder Penfield and in Chicago with Theodore Rasmussen. At Harrison's urging, Chandy decided to return to India after completing his training to work at the Christian Medical College in Vellore. Thus, it was in 1949 that Chandy established the first neurosurgery department in south Asia in Vellore. He initiated the first neurosurgical training program in India at the Christian Medical College in 1957, with a distinct North American neurosurgical tradition. He went on to train nearly 20 neurosurgeons, many of whom set up new departments of neurosurgery in their home states. Chandy also had several other remarkable achievements to his credit. Despite the pressures of clinical practice, he insisted on fostering both basic and clinical neurosciences within his department, an arrangement that persists to this day in the Department of Neurological Sciences at the Christian Medical College, Vellore. As the Principal (Dean) of the Christian Medical College, Chandy displayed his skills as a medical educator and administrator. In this role, he was instrumental in starting specialty training programs in several other medical and surgical disciplines. His greatest legacies survive in the form of the department that he founded and his trainees and their students who have helped to establish neurosurgery all over the country. PMID:20647965

  20. India: Gujarat

    Atmospheric Science Data Center

    2013-04-16

    ... title:  Dewatering Effects from the Gujarat Earthquake     View Larger Image ... India's Republic Day is normally celebrated, a devastating earthquake hit the state of Gujarat. About 20,000 people died and millions were ...

  1. India: Kachchh

    Atmospheric Science Data Center

    2013-04-16

    ... article title:  Liquefaction Effects from the Bhuj Earthquake     View Larger Image ... of western India. On January 26, 2001, a magnitude 7.7 earthquake devastated this area, killing 20,000 people and destroying ...

  2. Charnockitic magmatism in southern India

    NASA Astrophysics Data System (ADS)

    Rajesh, H. M.; Santosh, M.

    2004-12-01

    Large charnockite massifs cover a substantial portion of the southern Indian granulite terrain. The older (late Archaean to early Proterozoic) charnockites occur in the northern part and the younger (late Proterozoic) charnockites occur in the southern part of this high-grade terrain. Among these, the older Biligirirangan hill, Shevroy hill and Nilgiri hill massifs are intermediate charnockites, with Pallavaram massif consisting dominantly of felsic charnockites. The charnockite massifs from northern Kerala and Cardamom hill show spatial association of intermediate and felsic charnockites, with the youngest Nagercoil massif consisting of felsic charnockites. Their igneous parentage is evident from a combination of features including field relations, mineralogy, petrography, thermobarometry, as well as distinct chemical features. The southern Indian charnockite massifs show similarity with high-Ba-Sr granitoids, with the tonalitic intermediate charnockites showing similarity with high-Ba-Sr granitoids with low K2O/Na2O ratios, and the felsic charnockites showing similarity with high-Ba-Sr granitoids with high K2O/Na2O ratios. A two-stage model is suggested for the formation of these charnockites. During the first stage there was a period of basalt underplating, with the ponding of alkaline mafic magmas. Partial melting of this mafic lower crust formed the charnockitic magmas. Here emplacement of basalt with low water content would lead to dehydration melting of the lower crust forming intermediate charnockites. Conversely, emplacement of hydrous basalt would result in melting at higher {ie565-01} favoring production of more siliceous felsic charnockites. This model is correlated with two crustal thickening phases in southern India, one related to the accretion of the older crustal blocks on to the Archaean craton to the north and the other probably related to the collision between crustal fragments of East and West Gondwana in a supercontinent framework.

  3. The lost-wax casting of icons, utensils, bells, and other items in South India

    NASA Astrophysics Data System (ADS)

    Pillai, R. M.; Pilhii, S. G. K.; Damodaran, A. D.

    2002-10-01

    Indian artisans and craftsmen have long been masters at extracting and shaping metals and alloys, as proven by archaeological finds from the 2nd—3rd millennia B.C. For example, two well-known artifacts, castings of the dancing girl of Mohenjo Daro and the Mother Goddess of Adichanallur, Tamilnadu, depict a high degree of metallurgical knowledge. Those castings were formed by the lost wax process, which later was modified and became known as investment casting. In various parts of India, this age-old casting process is still being practiced, without any major modifications. This paper discusses details of the process used by the Indian artisans of Swamimalai, Tamilnadu, and Mannar, Kerala, South India in shaping copper-base alloys into icons and utensils, bells, and lamps.

  4. Factors influencing the sinuosity of Pannagon River, Kottayam, Kerala, India: an assessment using remote sensing and GIS.

    PubMed

    Aswathy, M V; Vijith, H; Satheesh, R

    2008-03-01

    The present study was carried out to identify the factors influencing the sinuosity of the Pannagon river, using the IRS P6 LISS III data and Geographical Information System (GIS) on 1:50,000 scale. The river follows meandering course and exhibits a narrow, highly sinuous and incised channel. Several lines of evidence including satellite and topographic data, geological maps and field investigations and the generated themes on lithology, structure, geomorphology, slope, riparian vegetation and hydrology have analyzed to understand the controls on the channel morphology of the Pannagon river. The average of sinuosity index of the selected reaches in the river on 1967 was 1.6 and of 2004 was 1.8. The sinuous patches are more in the lower reaches of the river and most of the area comes under floodplain with thick column of alluvial deposits. The analysis shown that the style and degree of sinuosity of the Pannagon river depends on a number of geological factors, including tectonics and the riparian vegetation also plays a major role. PMID:17562210

  5. Surgical treatment pattern and outcomes in epithelial ovarian cancer patients from a cancer institute in Kerala, India

    PubMed Central

    Georgeena, P; Rajanbabu, Anupama; Vijaykumar, DK; Pavithran, K; Sundaram, KR; Deepak, KS; Sanal, MR

    2016-01-01

    Objective To evaluate the treatment and survival pattern of patients with advanced epithelial ovarian cancer. Methods and results Retrospective study of all advanced epithelial ovarian cancer patients treated in the department of gynaecologic oncology from an academic centre, in a four year period from 1 January 2008–31 December 2011. Selection criteria All patients with advanced epithelial ovarian cancer (stage III and IV) who underwent surgery from 2008–2011and had a follow-up of at least three months after completion of treatment were included. The decision on whether primary surgery or neoadjuvant chemotherapy (NACT) in advanced ovarian cancer was based on age, performance status, clinical and imaging findings. Results A total of 178 cases of epithelial ovarian cancer were operated on during this four year period. Among them 28 patients were recurrent cases, 22 had early stages of ovarian cancer, and the rest 128 had stage III and IV ovarian cancer. In these 128 patients, 50(39.1%) underwent primary surgery and 78(60.9%) had NACT followed by surgery. In the primary surgery group 36(72.0%) patients had optimal debulking while in the NACT group 59(75.6%) patient had optimal debulking. With a median follow-up of 34 months, the median overall survival (OS) and progression free survival (PFS) was 53 and 49 months respectively. Patients who underwent primary surgery had better median PFS than patients who had NACT (56 months versus 39 months, p = 0.002). In stage III C the difference median PFS was significant for those treated with primary surgery when compared with NACT (55 months versus 39 months, p = 0.012). In patients who had optimal debulking to no residual disease (n = 90), primary surgery gave a significant improved PFS (59 months versus 38 months, p = 0.001) when compared with NACT. In univariate analysis, NACT was associated with increased risk of death (HR: 0.350; CI: 0.177–0.693). Conclusion In advanced epithelial ovarian cancer, primary surgery seems to have a definite survival advantage over NACT in patients who can be optimally debulked to no residual disease. PMID:26913070

  6. Prevalence of Ascogregarina spp. in the container breeding Aedes albopictus from Chikungunya fever affected areas of Kerala State, India.

    PubMed

    Muniaraj, M; Rajendran, R; Arunachalam, N; Paramasivan, R; Samuel, P Philip

    2010-06-01

    The prevalence of protozoan, Ascogregarina sp. had been determined in the container breeding mosquitoes, Aedes albopictus. Since, the cyst of Ascogregarina might play role in the maintenance of the Chik virus during silent period, the presence of Ascogregarina has gained importance in recent days. The prevalence was found to be 71.62. PMID:22471176

  7. Internet India.

    ERIC Educational Resources Information Center

    Pahl, Ronald H.

    1997-01-01

    Reviews a number of Internet sites containing information on every aspect of life in Modern India. The various sites provide information on such diverse topics as the Indian film industry, politics, the booming Indian computer industry, changing status of women, and financial and political issues. (MJP)

  8. A study of 1177 odontogenic lesions in a South Kerala population

    PubMed Central

    Deepthi, PV; Beena, VT; Padmakumar, SK; Rajeev, R; Sivakumar, R

    2016-01-01

    Context: A study on odontogenic cysts and tumors. Aims: The aim of this study is to determine the frequency of odontogenic cysts and tumors and their distribution according to age, gender, site and histopathologic types of those reported over a period of 1998–2012 in a Tertiary Health Care Center at South Kerala. Settings and Design: The archives of Department of Oral Pathology and Microbiology, were retrospectively analyzed. Subjects and Methods: Archival records were reviewed and all the cases of odontogenic cysts and tumors were retrieved from 1998 to 2012. Statistical Analysis Used: Descriptive statistical analysis was performed using the computer software, Statistical Package for Social Sciences (SPSS) IBM SPSS Software version 16. Results: Of 7117 oral biopsies, 4.29% were odontogenic tumors. Ameloblastoma was the most common odontogenic tumor comprising 50.2% of cases, followed by keratocystic odontogenic tumor (24.3%). These tumors showed a male predilection (1.19: 1). Odontogenic tumors occurred in a mean age of 33.7 ± 16.8 years. Mandible was the most common jaw affected (76.07%). Odontogenic cysts constituted 12.25% of all oral biopsies. Radicular cyst comprised 75.11% of odontogenic cysts followed by dentigerous cyst (17.2%). Conclusions: This study showed similar as well as contradictory results compared to other studies, probably due to geographical and ethnic variations which is yet to be corroborated. PMID:27601809

  9. Distribution and diversity of aquatic insects of Vellayani lake in Kerala.

    PubMed

    Abhijna, U G; Ratheesh, R; Kumar, A Biju

    2013-05-01

    The diversity of insect fauna of Vellayani lake in Kerala was represented by 60 species classified under 37 families and 8 orders. Among the entomofauna collected from the lake, the order Coleoptera was diverse in number of genera (22). Shannon index was highest in station 2 (3.214) and lowest (2.839) in station 4. The higher richness index was also recorded in station 2 (6.331), though the lowest species richness was observed in Station 1 (5.205). The order Ephemeroptera is represented in Vellayani lake by the families Baetidae and Caenidae, which are considered as an indicator of water quality. Of the 15 metrices selected, taxa richness, Composition measures, Tolerance and Intolerance and Functional groups were also found out for all the stations. In the present study, the percentage of Ephemeroptera, Plecoptera, Trichoptera (EPT) taxa richness and diversity remained high in Station 1, 2 and 3 but reduced drastically in stations 4 and 5. The high HBI value recorded at station 4 is due to the abundance of pollution tolerant taxa such as Chironomidae, Tabanidae, Culicidae and Anophilinae. The results of the study reveal greater diversity of aquatic entomofauna in Vellayani freshwater lake and suggest the possibility of using insects effectively for biomonitoring programmes. PMID:24617149

  10. Geochemistry and petrogenesis of proterozoic mafic dykes in north Kerala, southwestern Indian Shield - Preliminary results

    NASA Technical Reports Server (NTRS)

    Radhakrishna, T.; Gopakumar, K.; Murali, A. V.; Mitchell, J. G.

    1991-01-01

    Mafic dyke intrusions occur in three distinct orientations ( NNW-SSE and NW-SE and NE-SW) in north Kerala regions, the southwestern part of the Indian Shield. Dating of two NNW-SSE trending dykes by K-Ar method has yielded Middle Proterozoic ages (ca. 1660 Ma and ca. 1420 Ma respectively). Our initial geochemical results on these dyke rocks (0.65-0.15 wt pct K2O, 0.37-0.38 wt pct P2O5, 3.30-1.00 wt pct TiO2, 11-1 p.p.m. Rb, 250-90 p.p.m. Sr, 230-40 p.p.m. Ba, 160-40 p.p.m. Zr, and 30-10 x chondrite rare earth elemental abundances) indicate a transitional character between abyssal and plateau tholeiites. Petrogenetic modelling suggests that the dyke compositions have been derived by different degrees of partial melting of a heterogenous source mantle. The mantle sources with accessory amphibole and/or garnet, variably enriched in LREE and LIL elements, are compatible with the observed geochemical data.

  11. “Why not psychiatry??” Interns of a medical college in Northern Kerala responds

    PubMed Central

    Prasad, K. Niranjan; Sajeev Kumar, P. B.; Narayanankutty, O. K.; Abraham, Amal; Raj, Zoheb; Madanagopal, Vinayak; Balu, Akash

    2016-01-01

    Purpose: This study is to assess the attitude of the medical interns toward psychiatry, psychiatrists and patients with mental health problems. Materials and Methods: A personal data sheet and the Balon et al. questionnaire was used to assess the attitude among medical interns (n = 44) of a medical college in Northern Kerala. Results: There was modestly good attitude toward psychiatry throughout the study. Data were compared between interns who have completed their posting in psychiatry and those who have not. There was no significant difference except for their awareness about consultation liaison services and the authoritative power of psychiatrists in mental health field. The stigma toward psychiatry is on the decline at least among medical professionals, and more interns are interested in taking up psychiatry as a future specialty. Conclusion: Although the study has evidenced a positive attitude to psychiatry, there is still room to improve. A clearer picture could be attained by conducting similar studies in a bigger sample size. A structured curriculum and compulsory internship during the undergraduate course have greatly contributed toward building a more positive opinion of the subject. PMID:27385855

  12. Greater India

    NASA Astrophysics Data System (ADS)

    Ali, Jason R.; Aitchison, Jonathan C.

    2005-10-01

    "Greater India" is an 80-yr-old concept that has been used by geoscientists in plate tectonic models of the India-Asia collision system. Numerous authors working on the orogen and/or plate models of the broader region have added various sized chunks of continental lithosphere to the now northern edge of their reconstructed Indian plate. Prior to plate tectonic theory, Emile Argand (1924) [Argand, E., 1924. La tectonique de l' Asie. Proc. 13th Int. Geol. Cong. 7 (1924), 171-372.] and Arthur Holmes (1965) [Holmes, A., 1965. Principles of Physical Geology, Second Edition. The Ronald Press Company, New York, 1128.] thought that the Himalayan Mountains and Tibetan Plateau had been raised due to the northern edge of the Indian craton under-thrusting the entire region. Since the advent of plate tectonic theory, Greater India proposals have been based principally on three lines of logic. One group of workers has added various amounts of continental lithosphere to India as part of their Mesozoic Gondwana models. A second form of reconstruction is based on Himalayan crustal-shortening estimates. A third body of researchers has used India continent extensions as means of allowing initial contact between the block and the Eurasian backstop plate in southern Tibet to take place at various times between the Late Cretaceous and late Eocene in what we call "fill-the-gap" solutions. The Indian craton and the southern edge of Eurasia were almost invariably some distance from one another when the collision was supposed to have started; extensions to the sub-continent were used to circumvent the problem. Occasionally, Greater India extensions have been based on a combination of fill-the-gap and shortening estimate arguments. In this paper, we exhume and re-examine the key Greater India proposals. From our analysis, it is clear that many proponents have ignored key information regarding the sub-continent's pre break-up position within Gondwana and the bathymetry of the Indian Ocean

  13. Interview: Mr. Tevia Abrams, UNFPA Country Director for India.

    PubMed

    1991-12-01

    The government of India set up a population program 25 years ago, yet the population is expected to surpass that of China in the near future. The current UN Population Fund (UNFPA) program for India covers the period 1991-95 with coordination, implementation, and evaluation. Improved services focus on states with high fertility and mortality, high infant mortality, self-reliance in contraceptive production, models for maternal health care and traditional health care, national communication strategy, public awareness enhancement, and raising women's status by female literacy expansion and employment generation. UNFPA trains, provides equipment and contraceptives, and nongovernmental organization participation. The bulk of the $90 million cost of the program will come from UNFPA: maternal-child health, family planning (FP), and information, education, and communication (IEC) will receive the most funding. Ethnic and tribal areas will get attention under a decentralized scheme in accordance with the concept of a multicultural society where early age at marriage and high economic value of children are realities. The Ministry is responsible for IEC and FP targets and allocation of funds. Government institutes and universities carry out population research. The creation of India POPIN patterned after the Asia-Pacific Population Information Network is under development under IEC activities. The status of women is varied throughout India, in the state of Kerala literacy reaches 100%, and the birth rate of 19.8%/1000 women is below the national average of 30.5. In contrast, the states of Bihar and Rajasthan with female literacy of 23% and 21%, respectively, have birth rates of 34.4% and 33.9%. PMID:12286546

  14. Delhi, India

    NASA Technical Reports Server (NTRS)

    2008-01-01

    Delhi is the second largest metropolis in India, with a population of 16 million. Located in northern India along the banks of the Yamuna River, Delhi has the status of a federally-administered union territory. Within it is the district of New Delhi, India's capital. Delhi is one of the oldest continually inhabited cites in the world, with traces of human occupation dating to the second millennium BC. The image was acquired September 22, 2003, covers an area of 30.6 x 34.8 km, and is located near 28.6 degrees north latitude, 77.2 degrees east longitude.

    The image was acquired on August 4, 2005, covers an area of 55.8 x 55.8 km, and is located at 68.6 degrees north latitude, 134.7 degrees west longitude.

    The U.S. science team is located at NASA's Jet Propulsion Laboratory, Pasadena, Calif. The Terra mission is part of NASA's Science Mission Directorate.

  15. A Pan-African thermal event in southern India

    NASA Astrophysics Data System (ADS)

    Miller, Jonathan S.; Santosh, M.; Pressley, Rachel A.; Clements, Alina S.; Rogers, John J. W.

    UPb zircon data from five igneous suites confirm previous studies that demonstrated widespread Pan-African magmatism in the Granulite Terrain of southern India. Ages determined here are ˜560 Ma for the Peralimala Granite and ˜555 Ma for the Kalpatta Granite, both north of the Palghat-Cauvery lineament, and ˜585 Ma for a charnockite in the Cardamom massif south of the lineament. Zircon from a pegmatite in the Kerala khondalite belt at Melankode yields an age of 512 Ma. Resetting of zircons in the 2500-Ma Arsikere Granite of the western Dharwar craton probably occurred at ˜450 Ma. These ages and the concentration of Pan-African granitic magmatism around the Indian portion of a broad region of granulite-facies metamorphism in East Gondwana demostrates generation of a restricted area of high temperature either above a rising plume or a zone of rifting. Mantle-derived fluids continued to move upward through the crust of southern India for at least 100 m.y. after the peak of magmatism, and the entire region was still cooling at 400 Ma.

  16. Impact of roles of women on health in India.

    PubMed

    Buckshee, K

    1997-07-01

    India's population has more than doubled since 1961. Although India has been a leader in developing health and population policies, there have been major implementation problems due to poverty, gender discrimination, and illiteracy. Yet, three-quarters of the food produced annually in India is because of women. In 1991, only 39.3% of Indian women were literate. The literacy level of women can affect reproductive behavior, use of contraceptives, health and upbringing of children, proper hygienic practises, access to jobs and the overall status of women in the society. Early marriage and childbirth was a major determinant of women's health and was also responsible for the prevailing socioeconomic underdevelopment in India. The overall maternal mortality for India is 572.3 per 100,000 births, ranging from 14.9% in Bihar to 1.3% in Kerala. Anemia is an indirect factor in 64.4% of the maternal deaths. Trained birth attendants currently assist in about 60-80% of all births in women at the time of delivery. Socioeconomic factors are responsible for maternal deaths to a large extent - money in 18.3%, transport in 13.7%. When the mother dies it doubles the chances of death of her surviving sons and quadruples that of her daughters. Among the avoidable factors in maternal deaths, lack of antenatal care is the most important. Women, if educated and aware, can improve the health of their children by simple measures like good hygiene, exercise and dietary habits. Because of poverty, many of the young children, especially girls living on streets are easy prey for criminal prostitution rings, drug trafficking and consequences of HIV infection, and severe emotional and mental disturbances. Women are responsible for 70-80% of all the healthcare provided in India. Female healthcare providers can play an important role in educating society to recognize their health and nutrition needs. Women professionals and empowerment of women at all levels are required for improvement of the

  17. Anemia and nutritional status of pre-school children in Kerala.

    PubMed

    George, K A; Kumar, N S; Lal, J J; Sreedevi, R

    2000-08-01

    A study on the pattern of anemia and its relation to nutritional status and dietary habits was conducted among 3633 pre-school children of 108 selected anganwadi centers in rural areas of Kerala State during the period 1996 to 1998. Children were invited with their parent or guardian. Capillary blood was collected from each child and hemoglobin was estimated by cyanomethemoglobin method. Weight and height of children were taken for assessing their nutritional status. The information regarding their age, sex, clinical condition and dietary habits was collected in a performa through an interview. Chi-square test was used to assess the relationship of anemia to sex, dietary habits, and nutritional status. For multivariate analysis logistic regression model was employed. The prevalence of anemia was 11.4%. The percentage of anemic children among male and female children was 10.25 and 12.55 respectively and statistical analysis showed that female children were more susceptible to anemia. Normal nutritional status was seen among 46.7% of the children. When 187 (11.78%) of the mild undernourished children were anemic, the percentage anemic among the moderate undernourished children was 57 (16.37%). Moderate under nutrition and anemia showed a significant association. Anemia was reported among both vegetarians and non-vegetarians. Among 927 vegetarians, 86 (9.27%) were anemic and among 2,706 non-vegetarians, 328 (12.1%) were anemic. Dietary survey revealed that, consumption of iron sources, whether haem or non-haem, was below the recommended level. Undernutrition can be attributed as the major reason for nutritional anemia. Changes in eating behaviour could have potentially affected the iron bio-availability. PMID:10984998

  18. Study of menopausal symptoms, and perceptions about menopause among women at a rural community in Kerala

    PubMed Central

    Borker, Sagar A.; Venugopalan, P. P.; Bhat, Shruthi N.

    2013-01-01

    Background: Menopausal health demands priority in Indian scenario due to increase in life expectancy and growing population of menopausal women. Most are either unaware or do not pay adequate attention to these symptoms. Aims: To find the prevalence of menopausal symptoms and perceptions regarding menopause among menopausal women of Kerala. Settings and Design: A community based cross-sectional house to house survey was conducted at Anjarakandy a field practice area under Kannur Medical College, Anjarakandy. Materials and Methods: The study was conducted among 106 postmenopausal women staying more than 6 months at Anjarakandy with the help of pretested questionnaire administered by a trained social worker from January to October 2009. Before that a pilot study was conducted and required sample size of 100 was calculated. Random sampling of houses was done. Statistical Analysis: Data was coded, entered, and analyzed using SPSS 15. Chi-square test, proportions, and percentages were used. Results: The mean age of attaining menopause was 48.26 years. Prevalence of symptoms among ladies were emotional problems (crying spells, depression, irritability) 90.7%, headache 72.9%, lethargy 65.4%, dysuria 58.9%, forgetfulness 57%, musculoskeletal problems (joint pain, muscle pain) 53.3%, sexual problems (decreased libido, dyspareunia) 31.8%, genital problems (itching, vaginal dryness) 9.3%, and changes in voice 8.4%. Only 22.4% of women knew the correct cause of menopause. Conclusions: Thus study stated that all the ladies were suffering from one or more number of menopausal symptoms. Ladies should be made aware of these symptoms, their causes and treatment respectively. PMID:24672192

  19. Bombay, India

    NASA Technical Reports Server (NTRS)

    2002-01-01

    Formerly known as Bombay, the city of Mumbai is situated on India's west coast, on the Arabian Sea, roughly 500 km (310 miles) south of the Tropic of Cancer. Its large harbor and ideal location facing Africa, Europe, and the Middle East make it an excellent city for trade. Sometimes referred to as the 'Gateway of India,' Mumbai handles more than one third of the country's foreign trade. The city supports a population of more than 12 million people in an area of roughly 619 square km (239 square miles). The port was acquired in 1534 by Portugal, which named it Bom Bahia, meaning 'beautiful bay.' Originally, the city rested upon seven small islands, mostly basaltic bedrock from earlier lava flows. These islands are now connected to one another by reclaimed land, but each island, or neighborhood, still retains a distinct identity within the city. (For more details, visit Welcome to Bombay: The Gateway of India.) The blue-grey pixels in this false-color image are urban areas. The dark green areas are heavily vegetated surfaces while the light brown regions are more sparsely vegetated. This image of Mumbai was acquired by the Enhanced Thematic Mapper plus (ETM+), flying aboard the Landsat 7 satellite. July 23, 2002, marks the 30th anniversary of the Landsat program. (Click to read the press release-Celebrating 30 Years of Imaging the Earth.) The Landsat program has been particularly instrumental in tracking land use and land cover changes-such as increased urban growth-over the last three decades. Image courtesy Ron Beck, USGS EROS Data Center Satellite Systems Branch

  20. Asian strain of Batrachochytrium dendrobatidis is widespread in the Western Ghats, India.

    PubMed

    Molur, Sanjay; Krutha, Keerthi; Paingankar, Mandar S; Dahanukar, Neelesh

    2015-01-15

    We investigated the distribution of Batrachochytrium dendrobatidis (Bd) fungal infections in amphibians of the Western Ghats mountain range in India, based on data from 497 samples. Eight individuals were positive, with genomic equivalents ranging from 2 to 785 zoospores. A single widespread Bd strain identical to the haplotype endemic to Asia was isolated. Our findings suggest that chytridiomycosis is widespread among the endemic and threatened amphibians of the entire stretch of the Western Ghats. An ecological niche-based prediction model based on all Bd-positive reports from the Western Ghats to date suggested a higher probability of infection in the central Western Ghats of Karnataka and northern Kerala states, which host a rich diversity of endemic and threatened amphibians. PMID:25590776

  1. Canine filarial infections in a human Brugia malayi endemic area of India.

    PubMed

    Ravindran, Reghu; Varghese, Sincy; Nair, Suresh N; Balan, Vimalkumar M; Lakshmanan, Bindu; Ashruf, Riyas M; Kumar, Swaroop S; Gopalan, Ajith Kumar K; Nair, Archana S; Malayil, Aparna; Chandrasekhar, Leena; Juliet, Sanis; Kopparambil, Devada; Ramachandran, Rajendran; Kunjupillai, Regu; Kakada, Showkath Ali M

    2014-01-01

    A very high prevalence of microfilaremia of 42.68 per cent out of 164 canine blood samples examined was observed in Cherthala (of Alappuzha district of Kerala state), a known human Brugia malayi endemic area of south India. The species of canine microfilariae were identified as Dirofilaria repens, Brugia malayi, and Acanthocheilonema reconditum. D. repens was the most commonly detected species followed by B. pahangi. D. immitis was not detected in any of the samples examined. Based on molecular techniques, microfilariae with histochemical staining pattern of "local staining at anal pore and diffuse staining at central body" was identified as D. repens in addition to those showing acid phosphatase activity only at the anal pore. Even though B. malayi like acid phosphatase activity was observed in few dogs examined, they were identified as genetically closer to B. pahangi. Hence, the possibility of dogs acting as reservoirs of human B. malayi in this area was ruled out. PMID:24971339

  2. Canine Filarial Infections in a Human Brugia malayi Endemic Area of India

    PubMed Central

    Ravindran, Reghu; Varghese, Sincy; Nair, Suresh N.; Balan, Vimalkumar M.; Lakshmanan, Bindu; Ashruf, Riyas M.; Kumar, Swaroop S.; Gopalan, Ajith Kumar K.; Nair, Archana S.; Malayil, Aparna; Chandrasekhar, Leena; Juliet, Sanis; Kopparambil, Devada; Ramachandran, Rajendran; Kunjupillai, Regu; Kakada, Showkath Ali M.

    2014-01-01

    A very high prevalence of microfilaremia of 42.68 per cent out of 164 canine blood samples examined was observed in Cherthala (of Alappuzha district of Kerala state), a known human Brugia malayi endemic area of south India. The species of canine microfilariae were identified as Dirofilaria repens, Brugia malayi, and Acanthocheilonema reconditum. D. repens was the most commonly detected species followed by B. pahangi. D. immitis was not detected in any of the samples examined. Based on molecular techniques, microfilariae with histochemical staining pattern of “local staining at anal pore and diffuse staining at central body” was identified as D. repens in addition to those showing acid phosphatase activity only at the anal pore. Even though B. malayi like acid phosphatase activity was observed in few dogs examined, they were identified as genetically closer to B. pahangi. Hence, the possibility of dogs acting as reservoirs of human B. malayi in this area was ruled out. PMID:24971339

  3. Inhalation exposures due to radon and thoron ((222)Rn and (220)Rn): Do they differ in high and normal background radiation areas in India?

    PubMed

    Mishra, Rosaline; Sapra, B K; Prajith, R; Rout, R P; Jalaluddin, S; Mayya, Y S

    2015-09-01

    In India, High Background Radiation Areas (HBRAs) due to enhanced levels of naturally occurring radionuclides in soil (thorium and, to a lesser extent, uranium), are located along some parts of the coastal tracts viz. the coastal belt of Kerala, Tamilnadu and Odisha. It is conjectured that these deposits will result in higher emissions of radon isotopes ((222)Rn and (220)Rn) and their daughter products as compared to Normal Background Radiation Areas (NBRAs). While the annual external dose rates contributed by gamma radiations in these areas are about 5-10 times higher, the extent of increase in the inhalation dose rates attributable to (222)Rn and (220)Rn and their decay products is not well quantified. Towards this, systematic indoor surveys were conducted wherein simultaneous measurements of time integrated (222)Rn and (220)Rn gas and their decay product concentrations was carried out in around 800 houses in the HBRAs of Kerala and Odisha to estimate the inhalation doses. All gas measurements were carried out using pin-hole cup dosimeters while the progeny measurements were with samplers and systems based on the Direct radon/thoron Progeny sensors (DRPS/DTPS). To corroborate these passive measurements of decay products concentrations, active sampling was also carried out in a few houses. The results of the surveys provide a strong evidence to conclude that the inhalation doses due to (222)Rn and (220)Rn gas and their decay products in these HBRAs are in the same range as observed in the NBRAs in India. PMID:26065929

  4. State of deceased donor transplantation in India: A model for developing countries around the world.

    PubMed

    Abraham, Georgi; Vijayan, Madhusudan; Gopalakrishnan, Natarajan; Shroff, Sunil; Amalorpavanathan, Joseph; Yuvaraj, Anand; Nair, Sanjeev; Sundarrajan, Saravanan

    2016-06-24

    Renal replacement therapy (RRT) resources are scarce in India, with wide urban-rural and interstate disparities. The burden of end-stage renal disease is expected to increase further due to increasing prevalence of risk factors like diabetes mellitus. Renal transplantation, the best RRT modality, is increasing in popularity, due to improvements made in public education, the deceased donor transplantation (DDT) programme and the availability of free and affordable transplant services in government hospitals and certain non-governmental philanthropic organizations. There are about 120000 haemodialysis patients and 10000 chronic peritoneal dialysis patients in India, the majority of them waiting for a donor kidney. Shortage of organs, lack of transplant facilities and high cost of transplant in private facilities are major barriers for renal transplantation in India. The DDT rate in India is now 0.34 per million population, among the lowest in the world. Infrastructural development in its infancy and road traffic rules not being strictly implemented by the authorities, have led to road traffic accidents being very common in urban and rural India. Many patients are declared brain dead on arrival and can serve as potential organ donors. The DDT programme in the state of Tamil Nadu has met with considerable success and has brought down the incidence of organ trade. Government hospitals in Tamil Nadu, with a population of 72 million, provide free transplantation facilities for the underprivileged. Public private partnership has played an important role in improving organ procurement rates, with the help of trained transplant coordinators in government hospitals. The DDT programmes in the southern states of India (Tamil Nadu, Kerala, Pondicherry) are advancing rapidly with mutual sharing due to public private partnership providing vital organs to needy patients. Various health insurance programmes rolled out by the governments in the southern states are effective in

  5. State of deceased donor transplantation in India: A model for developing countries around the world

    PubMed Central

    Abraham, Georgi; Vijayan, Madhusudan; Gopalakrishnan, Natarajan; Shroff, Sunil; Amalorpavanathan, Joseph; Yuvaraj, Anand; Nair, Sanjeev; Sundarrajan, Saravanan

    2016-01-01

    Renal replacement therapy (RRT) resources are scarce in India, with wide urban-rural and interstate disparities. The burden of end-stage renal disease is expected to increase further due to increasing prevalence of risk factors like diabetes mellitus. Renal transplantation, the best RRT modality, is increasing in popularity, due to improvements made in public education, the deceased donor transplantation (DDT) programme and the availability of free and affordable transplant services in government hospitals and certain non-governmental philanthropic organizations. There are about 120000 haemodialysis patients and 10000 chronic peritoneal dialysis patients in India, the majority of them waiting for a donor kidney. Shortage of organs, lack of transplant facilities and high cost of transplant in private facilities are major barriers for renal transplantation in India. The DDT rate in India is now 0.34 per million population, among the lowest in the world. Infrastructural development in its infancy and road traffic rules not being strictly implemented by the authorities, have led to road traffic accidents being very common in urban and rural India. Many patients are declared brain dead on arrival and can serve as potential organ donors. The DDT programme in the state of Tamil Nadu has met with considerable success and has brought down the incidence of organ trade. Government hospitals in Tamil Nadu, with a population of 72 million, provide free transplantation facilities for the underprivileged. Public private partnership has played an important role in improving organ procurement rates, with the help of trained transplant coordinators in government hospitals. The DDT programmes in the southern states of India (Tamil Nadu, Kerala, Pondicherry) are advancing rapidly with mutual sharing due to public private partnership providing vital organs to needy patients. Various health insurance programmes rolled out by the governments in the southern states are effective in

  6. A new species of pouched octopus, Cistopus Gray, 1849 (Cephalopoda: Octopodidae) from the southwest coast of India.

    PubMed

    Sreeja, Vijayamma; Norman, Mark D; Kumar, Appukuttannair Biju

    2015-01-01

    Octopuses of the genus Cistopus Gray, 1849 are commercially valuable catches in the cephalopod fisheries of India. The primary and unique diagnostic character of this genus is the possession of eight small mucous pouches embedded in the oral faces of the webs between the bases of each arm. Historically only a single species of Cistopus, C. indicus, had been reported from Indian waters. In reviewing the octopod fauna off the Kerala coast, we have detected three species of Cistopus, of which one is described here as a new species. Cistopus platinoidus sp. nov. is distinct from Cistopus species described to date (C. indicus, C. taiwanicus and C. chinensis) on the basis of sucker counts, the number and position of enlarged suckers in males, and presence/absence of a calamus. Our studies of catch composition of Kerala octopod fisheries indicate a higher diversity of target species than previously suspected, including a number of undescribed species. Taxonomic resolution and collation of biological and distributional data are required for effective monitoring and management of these valuable fisheries. PMID:26701522

  7. A revisit to prevailing care and challenges of managing diabetes in India: Focus on regional disparities.

    PubMed

    Baruah, Manash P; Pathak, Ankit; Kalra, Sanjay; Das, Ashok K; Zargar, Abdul H; Bajaj, Sarita; Unnikrishnan, Ambika G; Sahay, Rakesh K

    2014-05-01

    An unprecedented rise in diabetes mellitus (DM) prevalence in India is the outcome of lifestyle changes in the background of genetic predisposition. Moreover, there are substantial regional variations in diabetes prevalence and management. The highest prevalence of DM was observed in southern region (Ernakulum, Kerala) and lowest prevalence was observed in North Eastern region (Manipur). Similarly large variations have been evident in overall awareness and diabetes care across the geographies within India. The regional challenges are largely affected by poor disease awareness, socioeconomic disparity and underutilization of the public health-care services. Though government has taken initiatives to address this issue, overall situation demands a collaborative effort from patients, health care professionals and the state. An exhaustive literature search was performed for articles and studies published on electronic databases. Present article assesses the regional disparity of diabetes epidemiology, current management practices and government policies for T2DM in India, identifies policy and research gaps, and suggests corrective measures to address the lacunae in diabetes care. PMID:24944916

  8. A revisit to prevailing care and challenges of managing diabetes in India: Focus on regional disparities

    PubMed Central

    Baruah, Manash P.; Pathak, Ankit; Kalra, Sanjay; Das, Ashok K.; Zargar, Abdul H.; Bajaj, Sarita; Unnikrishnan, Ambika G.; Sahay, Rakesh K.

    2014-01-01

    An unprecedented rise in diabetes mellitus (DM) prevalence in India is the outcome of lifestyle changes in the background of genetic predisposition. Moreover, there are substantial regional variations in diabetes prevalence and management. The highest prevalence of DM was observed in southern region (Ernakulum, Kerala) and lowest prevalence was observed in North Eastern region (Manipur). Similarly large variations have been evident in overall awareness and diabetes care across the geographies within India. The regional challenges are largely affected by poor disease awareness, socioeconomic disparity and underutilization of the public health-care services. Though government has taken initiatives to address this issue, overall situation demands a collaborative effort from patients, health care professionals and the state. An exhaustive literature search was performed for articles and studies published on electronic databases. Present article assesses the regional disparity of diabetes epidemiology, current management practices and government policies for T2DM in India, identifies policy and research gaps, and suggests corrective measures to address the lacunae in diabetes care. PMID:24944916

  9. Appearance of E1: A226V mutant Chikungunya virus in Coastal Karnataka, India during 2008 outbreak.

    PubMed

    Santhosh, S R; Dash, Paban Kumar; Parida, Manmohan; Khan, Mohasin; Rao, Putcha V L

    2009-01-01

    Chikungunya has resurged in the form of unprecedented explosive epidemic in 2006 after a long gap in India affecting 1.39 million of persons. The disease continued for the next two consecutive years affecting 59,535 and 64,548 persons during 2007 and 2008 respectively. The 2008 outbreak being the second largest among these three years the information regarding the etiology and the mutations involved are useful for further control measures. Among the 2008 outbreaks the Coastal Karnataka accounts for the 46,510 persons. An in-depth investigation of Chikungunya epidemic of Coastal Karnataka, India, 2008 by serology, virus isolation, RT-PCR and genome sequencing revealed the presence and continued circulation of A226V mutant Chikungunya virus. The appearance of this mutant virus was found to be associated with higher prevalence of vector Aedes albopictus and the geographical proximity of coastal Karnataka with the adjoining Kerala state. This is the first report regarding the appearance of this mutation in Karnataka state of India. The present study identified the presence and association of A226V mutant virus with Chikungunya outbreak in India during 2008. PMID:19857273

  10. The India Connection

    ERIC Educational Resources Information Center

    Abdul-Alim, Jamaal

    2012-01-01

    Even though lawmakers in India don't seem likely to pass any laws that would enable foreign universities to set up shop in India anytime soon, opportunities still abound for institutions of higher learning in the United States to collaborate with their Indian counterparts and to engage and recruit students in India as well. That's the consensus…

  11. How safe motherhood in India is.

    PubMed

    Rao, K B

    1995-02-01

    According to a 3-year collaborative study estimating maternal mortality rates from 41 hospitals affiliated with teaching centers in India, maternal mortality was 721 per 100,000 live births. Community studies in rural areas of Sirur, Pachod, and Ambula reported maternal mortality as 210-253 per 100,000. Cohort studies conducted by the Indian Council of Medical Research reported maternal mortality as 530 per 100,000 based on data from rural areas of Varanasi, 460 per 100,000 in urban Delhi, and 450 per 100,000 in urban Madras. The Ministry of Health gave the rate as 460 per 100,000 in 1984, while UNICEF gave a figure of 400 per 100,000 for 1980-91. India has 1 out of 4 of the world's maternal deaths, or 1 every 6 minutes. The risk of maternal death has been calculated to be one in 64. Risk is unevenly distributed geographically. Risk is low in Kerala compared to Uttar Pradesh or Madya Pradesh. In 1992 maternal mortality was calculated to be 1320 per 100,000 births based on 5 district hospitals. The cause of maternal deaths was anemia in 25% of cases. 75% of cases were accounted for by eclampsia, sepsis, hemorrhage, and abortion. Anemia (pre-existing the pregnancy) is acerbated by the demands of pregnancy and causes congestive heart failure and death. Blood losses of greater than 150 ml (due to hemorrhages of pregnancy and labor) can be fatal. During 1982-89 anemia was responsible for 17-24% of all maternal deaths in rural areas. Morbidity from pregnancy-related causes included obstetric fistulae, pelvic inflammatory disease, anemia, genital prolapse, and urinary incontinence. Quality of maternal care is an important factor in reducing maternal mortality and morbidity. Societal factors such as illiteracy and malnutrition, early marriage, poorly supervised pregnancies, and lack of transportation during emergencies are other determinants of mortality and morbidity. About 10% of maternal deaths are attributed to unsafe abortion. The government aim for the year 2000 of

  12. No role for human papillomavirus infection in oral cancers in a region in southern India.

    PubMed

    Laprise, Claudie; Madathil, Sreenath A; Allison, Paul; Abraham, Priya; Raghavendran, Anantharam; Shahul, Hameed P; ThekkePurakkal, Akhil-Soman; Castonguay, Geneviève; Coutlée, François; Schlecht, Nicolas F; Rousseau, Marie-Claude; Franco, Eduardo L; Nicolau, Belinda

    2016-02-15

    Oral cancer is a major public health issue in India with ∼ 77,000 new cases and 52,000 deaths yearly. Paan chewing, tobacco and alcohol use are strong risk factors for this cancer in India. Human papillomaviruses (HPVs) are also related to a subset of head and neck cancers (HNCs). We examined the association between oral HPV and oral cancer in a sample of Indian subjects participating in a hospital-based case-control study. We recruited incident oral cancer cases (N = 350) and controls frequency-matched by age and sex (N = 371) from two main referral hospitals in Kerala, South India. Sociodemographic and behavioral data were collected by interviews. Epithelial cells were sampled using Oral CDx® brushes from the oral cancer site and the normal mucosa. Detection and genotyping of 36 HPV genotypes were done using a polymerase chain reaction protocol. Data collection procedures were performed by qualified dentists via a detailed protocol with strict quality control, including independent HPV testing in India and Canada. HPV DNA was detected in none of the cases or controls. Associations between oral cancer and risk factors usually associated with HPV infection, such as oral sex and number of lifetime sexual partners, were examined by logistic regression and were not associated with oral cancer. Lack of a role for HPV infection in this study may reflect cultural or religious characteristics specific to this region in India that are not conducive to oral HPV transmission. A nationwide representative prevalence study is needed to investigate HPV prevalence variability among Indian regions. PMID:26317688

  13. Generic drugs: Review and experiences from South India

    PubMed Central

    Mathew, Philip

    2015-01-01

    The cost of pharmaceuticals, as a percentage of total healthcare spending, has been rising worldwide. This has resulted in strained national budgets and a high proportion of people without access to essential medications. Though India has become a global hub of generic drug manufacturing, the expected benefits of cheaper drugs are not translating into savings for ordinary people. This is in part due to the rise of branded generics, which are marketed at a price point close to the innovator brands. Unbranded generic medicines are not finding their way into prescriptions due to issues of confidence and perception, though they are proven to be much cheaper and comparable in efficacy to branded medicines. The drug inventory of unbranded generic manufacturers fares reasonably when reviewed using the World Health Organization-Health Action International (WHO-HAI) tool for analysing drug availability. Also, unbranded generic medicines are much cheaper when compared to the most selling brands and they can bring down the treatment costs in primary care and family practice. We share our experience in running a community pharmacy for an urban health center in the Pathanamthitta district of Kerala State, which is run solely on generic medicines. The drug availability at the community pharmacy was 73.3% when analyzed using WHO-HAI tool and the savings for the final consumers were up to 93.1%, when compared with most-selling brand of the same formulation. PMID:26286613

  14. Acrylamide in deep-fried snacks of India.

    PubMed

    Shamla, L; Nisha, P

    2014-01-01

    Acrylamide content in deep-fried snacks from 20 different production sites of South Indian province of Kerala (80 samples representing 4 important product categories) were determined using a modified high performance liquid chromatography (HPLC)-diode array detector (DAD) method. The limit of detection and the limit of quantification for this method were 1.04 and 3.17 μg/kg, respectively. The mean recoveries of acrylamide obtained by using spiked samples ranged between 90% and 103%, which shows good extraction efficiency. Acrylamide concentrations in the four groups of snacks ranged from 82.0 to 4245.6 µg/kg for potato chips, 46.2-2431.4 µg/kg for jack chips, 24.8-1959.8 µg/kg for sweet plantain chips and 14.7-1690.5 µg/kg for plantain chips. These are the most widely consumed snacks in South India, and the results revealed reasonable levels of acrylamide in these foods, which indicated the general risk of consumer exposure. PMID:25029406

  15. Generic drugs: Review and experiences from South India.

    PubMed

    Mathew, Philip

    2015-01-01

    The cost of pharmaceuticals, as a percentage of total healthcare spending, has been rising worldwide. This has resulted in strained national budgets and a high proportion of people without access to essential medications. Though India has become a global hub of generic drug manufacturing, the expected benefits of cheaper drugs are not translating into savings for ordinary people. This is in part due to the rise of branded generics, which are marketed at a price point close to the innovator brands. Unbranded generic medicines are not finding their way into prescriptions due to issues of confidence and perception, though they are proven to be much cheaper and comparable in efficacy to branded medicines. The drug inventory of unbranded generic manufacturers fares reasonably when reviewed using the World Health Organization-Health Action International (WHO-HAI) tool for analysing drug availability. Also, unbranded generic medicines are much cheaper when compared to the most selling brands and they can bring down the treatment costs in primary care and family practice. We share our experience in running a community pharmacy for an urban health center in the Pathanamthitta district of Kerala State, which is run solely on generic medicines. The drug availability at the community pharmacy was 73.3% when analyzed using WHO-HAI tool and the savings for the final consumers were up to 93.1%, when compared with most-selling brand of the same formulation. PMID:26286613

  16. Inhalation and external doses in coastal villages of high background radiation area in Kollam, India.

    PubMed

    Ben Byju, S; Koya, P K M; Sahoo, B K; Jojo, P J; Chougaonkar, M P; Mayya, Y S

    2012-11-01

    The observational evidence for radiation-induced health effects in humans comes largely from the exposures to high doses received over short periods of time. The rate of induction of any health risk at low doses and dose rates is estimated by extrapolation from observations at high doses. Effects of low dose/low dose rate could be done by the study of populations that have been exposed to slightly above-average natural radiation doses. Southwest coastal line of the Kerala state in India is one such region known to have elevated levels of background radioactivity mainly due to the mineral-rich sand available with high abundance of thorium. In the present work, a study was conducted to investigate the inhalation and external radiation doses to human beings in the high background radiation area along the southwest coast of Kerala. Five hundred dwellings were selected for the study. All the selected houses were at least 10 y old with similar construction. Long-term integrated indoor measurements of the external gamma dose using thermoluminescent dosemeters (TLDs) and the inhalation dose with the SSNTD-based twin-cup dosemeters were carried out in the dwellings simultaneously. Ambient gamma dose measurements were also made with a GM tube-based survey meter while deploying and retrieving the dosemeters. The data show a high degree of heterogeneity. The inhalation dose was found to vary from 0.1 to 3.53 mSv y(-1) and the external dose rates had a range of 383-11419 µGy y(-1). The external doses measured by the survey meter and TLDs showed an excellent correlation. PMID:22961502

  17. Polymorphic Alu Insertion/Deletion in Different Caste and Tribal Populations from South India

    PubMed Central

    Chinniah, Rathika; Vijayan, Murali; Thirunavukkarasu, Manikandan; Mani, Dhivakar; Raju, Kamaraj; Ravi, Padma Malini; Sivanadham, Ramgopal; C, Kandeepan; N, Mahalakshmi; Karuppiah, Balakrishnan

    2016-01-01

    Seven human-specific Alu markers were studied in 574 unrelated individuals from 10 endogamous groups and 2 hill tribes of Tamil Nadu and Kerala states. DNA was isolated, amplified by PCR-SSP, and subjected to agarose gel electrophoresis, and genotypes were assigned for various Alu loci. Average heterozygosity among caste populations was in the range of 0.292–0.468. Among tribes, the average heterozygosity was higher for Paliyan (0.3759) than for Kani (0.2915). Frequency differences were prominent in all loci studied except Alu CD4. For Alu CD4, the frequency was 0.0363 in Yadavas, a traditional pastoral and herd maintaining population, and 0.2439 in Narikuravars, a nomadic gypsy population. The overall genetic difference (Gst) of 12 populations (castes and tribes) studied was 3.6%, which corresponds to the Gst values of 3.6% recorded earlier for Western Asian populations. Thus, our study confirms the genetic similarities between West Asian populations and South Indian castes and tribes and supported the large scale coastal migrations from Africa into India through West Asia. However, the average genetic difference (Gst) of Kani and Paliyan tribes with other South Indian tribes studied earlier was 8.3%. The average Gst of combined South and North Indian Tribes (CSNIT) was 9.5%. Neighbor joining tree constructed showed close proximity of Kani and Paliyan tribal groups to the other two South Indian tribes, Toda and Irula of Nilgiri hills studied earlier. Further, the analysis revealed the affinities among populations and confirmed the presence of North and South India specific lineages. Our findings have documented the highly diverse (micro differentiated) nature of South Indian tribes, predominantly due to isolation, than the endogamous population groups of South India. Thus, our study firmly established the genetic relationship of South Indian castes and tribes and supported the proposed large scale ancestral migrations from Africa, particularly into South India

  18. Phytochemical investigation of Bidens biternata (Lour.) Merr. and Sheriff.--a nutrient-rich leafy vegetable from Western Ghats of India.

    PubMed

    Sukumaran, Pradeesh; Nair, Archana G; Chinmayee, Devi M; Mini, I; Sukumaran, Swapna T

    2012-07-01

    Bidens biternata, belonging to the family Asteraceae, is an erect annual herb, up to 1 cm in height, and a widespread weed of cultivated areas. This plant is common, particularly in the Western Ghats regions of Kerala state in India. It is used as a leafy vegetable by the Paniya and Kattunaayika tribes of Waynadu Districts in Kerala and also to cure hepatitis, cold, cough, dysentery, etc. The multiplication and utilization of this leafy vegetable will help to overcome the nutritional deficiency problem and also to maintain the biodiversity. For effective biochemical analysis, plant extract was taken using different solvents. Various phytochemicals like reducing sugar, glycosides, flavonoids, alkaloids, tannins, steroids, terpenoids, coumarins, saponins, anthraquinones, phlobatannins and iridoids were estimated. Different nutritional factors like total carbohydrates, total proteins, total reducing sugar, different amino acids, free fatty acids, crude fibre, lipids, total moisture content, vitamins, etc. were tested by standard estimation methods. Anti-nutritional factors like phytic acid, total phenol, tannic acid, etc., were also estimated. Micronutrients and different pigments were quantified. The present studies revealed that this wild leafy plant has numerous nutritional factors with a low level of anti-nutritional factors. Therefore, this nutritive herb with diverse health-promoting compounds can be effectively utilized to overcome the nutritional deficiency problem around the globe. PMID:22538981

  19. First authenticated cases of life-threatening envenoming by the hump-nosed pit viper (Hypnale hypnale) in India.

    PubMed

    Joseph, J K; Simpson, I D; Menon, N C S; Jose, M P; Kulkarni, K J; Raghavendra, G B; Warrell, D A

    2007-01-01

    In Kerala, south-western India, five patients developed systemic envenoming after bites by hump-nosed pit vipers (Hypnale hypnale), proved by identification of the snakes responsible. Two of the dead snakes had been misidentified as saw-scaled vipers (Echis carinatus), while three had remained unidentified. Symptoms of local envenoming were pain, swelling, haemorrhagic blistering, bruising and regional lymphadenopathy. Systemic symptoms included headache, nausea, vomiting and abdominal and chest pain. There was evidence of haemostatic dysfunction (coagulopathy, fibrinolysis, thrombocytopenia or spontaneous systemic haemorrhage) in all cases and of microangiopathic haemolysis in two. Two patients were haemodialysed for acute renal failure, one of whom developed pulmonary oedema requiring mechanical ventilation. In India, H. hypnale has not previously been regarded as a cause of frequent or potentially dangerous envenoming. Its medical importance has been overlooked throughout its geographical range, probably because of confusion with other small species. No specific antivenom exists, yet most patients are treated with non-specific antivenoms, risking reactions without hope of benefit. An effective antivenom is urgently needed in south India and in Sri Lanka, where this species is also a common cause of bites. PMID:16839578

  20. Modeling Vulnerability and Resilience to Climate Change: A Case Study of India and Indian States

    SciTech Connect

    Brenkert, Antoinette L.; Malone, Elizabeth L.

    2005-09-01

    The vulnerability of India and Indian states to climate change was assessed using the Vulnerability-Resilience Indicator Prototype (VRIP). The model was adapted from the global/country version to account for Indian dietary practices and data availability with regard to freshwater resources. Results (scaled to world values) show nine Indian states to be moderately resilient to climate change, principally because of low sulfur emissions and a relatively large percentage of unmanaged land. Six states are more vulnerable than India as a whole, attributable largely to sensitivity to sea storm surges. Analyses of results at the state level (Orissa, and comparisons between Maharashtra and Kerala, and Andhra Pradesh and Himachal Pradesh) demonstrate the value of VRIP analyses used in conjunction with other socioeconomic information to address initial questions about the sources of vulnerability in particular places. The modeling framework allows analysts and stakeholders to systematically evaluate individual and sets of indicators and to indicate where the likely vulnerabilities are in the area being assessed.

  1. Importance and feasibility of creating hypertrophic cardiomyopathy centers in developing countries: the experience in India.

    PubMed

    Maron, Barry J

    2015-07-15

    Hypertrophic cardiomyopathy (HC) is a relatively common genetic heart disease responsible for mortality and morbidity at all ages. Using contemporary treatment advances, such as implantable defibrillators, surgical myectomy, heart transplant, and modern defibrillation for out-of-hospital cardiac arrest, it is now possible to reduce HC-related mortality considerably to 0.5% per year, less than expected in the general US adult population. However, in much of the developing world, HC has not yet become a priority given the many other cardiac conditions, such as coronary artery disease and systemic hypertension, so prevalent in the most populous countries such as China and India. Management of HC is best achieved in dedicated centers within institutions, such as previously demonstrated in the United States, Canada, some European countries, and Australia. This model has recently been introduced for the first time in India at the Amrita Institute of Medical Sciences and Research in Kochi, Kerala, in which a robust program focused on HC has emerged. This novel initiative, created despite the many obstacles in the Indian health care system, is an important step forward and is reported here detail. PMID:25983127

  2. Utilization of Comprehensive Health Insurance Scheme, Kerala: A Comparative Study of Insured and Uninsured Below-Poverty-Line Households.

    PubMed

    Philip, Neena Elezebeth; Kannan, Srinivasan; Sarma, Sankara P

    2016-01-01

    We aimed to compare the sociodemographics, health care utilization pattern, and out-of-pocket (OOP) expenses of 149 insured and 147 uninsured below-poverty-line households insured under the Comprehensive Health Insurance Scheme, Kerala, through a comparative cross-sectional study. Family size more than 4 (odds ratio [OR] = 2.34; 95% confidence interval [CI] = 1.13-4.82), family member with chronic disease (OR = 2.05; 95% CI = 1.18-3.57), high socioeconomic status (OR = 2.95; 95% CI = 1.74-5.03), and an employed household head (OR = 2.69; 95% CI = 1.44-5.02) were significantly associated with insured households. Insured households had higher inpatient service utilization (OR = 1.57; 95% CI = 1.05-2.34). Only 40% of inpatient service utilization among the insured was covered by insurance. The mean OOP expenses for inpatient services among insured (INR 448.95) was higher than among uninsured households (INR 159.93); P = .003. These findings show that urgent attention of the government is required to redesign and closely monitor the scheme. PMID:26316502

  3. Assessment of groundwater quality for drinking and irrigation use in shallow hard rock aquifer of Pudunagaram, Palakkad District Kerala

    NASA Astrophysics Data System (ADS)

    Satish Kumar, V.; Amarender, B.; Dhakate, Ratnakar; Sankaran, S.; Raj Kumar, K.

    2014-06-01

    Groundwater samples were collected for pre-monsoon and post-monsoon seasons based on the variation in the geomorphological, geological, and hydrogeological factors for assessment of groundwater quality for drinking and irrigation use in a shallow hard rock aquifer of Pudunagaram area, Palakkad district, Kerala. The samples were analyzed for various physico-chemical parameters and major ion chemistry. Based on analytical results, Gibbs diagram and Wilcox plots were plotted and groundwater quality has been distinguished for drinking and irrigation use. Gibbs diagram shows that the samples are rock dominance and controlling the mechanism for groundwater chemistry in the study area, while Wilcox plot suggest that most of the samples are within the permissible limit of drinking and irrigation use. Further, the suitability of water for irrigation was determined by analyzing sodium adsorption ratio, residual sodium carbonate, sodium percent (%Na), Kelly's ratio, residual sodium carbonate, soluble sodium percentage, permeability index, and water quality index. It has been concluded that, the water from the study area is good for drinking and irrigation use, apart few samples which are exceeding the limits due to anthropogenic activities and those samples were indisposed for irrigation.

  4. Assessment of groundwater quality for drinking and irrigation use in shallow hard rock aquifer of Pudunagaram, Palakkad District Kerala

    NASA Astrophysics Data System (ADS)

    Satish Kumar, V.; Amarender, B.; Dhakate, Ratnakar; Sankaran, S.; Raj Kumar, K.

    2016-06-01

    Groundwater samples were collected for pre-monsoon and post-monsoon seasons based on the variation in the geomorphological, geological, and hydrogeological factors for assessment of groundwater quality for drinking and irrigation use in a shallow hard rock aquifer of Pudunagaram area, Palakkad district, Kerala. The samples were analyzed for various physico-chemical parameters and major ion chemistry. Based on analytical results, Gibbs diagram and Wilcox plots were plotted and groundwater quality has been distinguished for drinking and irrigation use. Gibbs diagram shows that the samples are rock dominance and controlling the mechanism for groundwater chemistry in the study area, while Wilcox plot suggest that most of the samples are within the permissible limit of drinking and irrigation use. Further, the suitability of water for irrigation was determined by analyzing sodium adsorption ratio, residual sodium carbonate, sodium percent (%Na), Kelly's ratio, residual sodium carbonate, soluble sodium percentage, permeability index, and water quality index. It has been concluded that, the water from the study area is good for drinking and irrigation use, apart few samples which are exceeding the limits due to anthropogenic activities and those samples were indisposed for irrigation.

  5. Threshold Levels of Infant and Under-Five Mortality for Crossover between Life Expectancies at Ages Zero, One and Five in India: A Decomposition Analysis

    PubMed Central

    Dubey, Manisha

    2015-01-01

    Objectives Under the prevailing conditions of imbalanced life table and historic gender discrimination in India, our study examines crossover between life expectancies at ages zero, one and five years for India and quantifies the relative share of infant and under-five mortality towards this crossover. Methods We estimate threshold levels of infant and under-five mortality required for crossover using age specific death rates during 1981–2009 for 16 Indian states by sex (comprising of India’s 90% population in 2011). Kitagawa decomposition equations were used to analyse relative share of infant and under-five mortality towards crossover. Findings India experienced crossover between life expectancies at ages zero and five in 2004 for menand in 2009 for women; eleven and nine Indian states have experienced this crossover for men and women, respectively. Men usually experienced crossover four years earlier than the women. Improvements in mortality below ages five have mostly contributed towards this crossover. Life expectancy at age one exceeds that at age zero for both men and women in India except for Kerala (the only state to experience this crossover in 2000 for men and 1999 for women). Conclusions For India, using life expectancy at age zero and under-five mortality rate together may be more meaningful to measure overall health of its people until the crossover. Delayed crossover for women, despite higher life expectancy at birth than for men reiterates that Indian women are still disadvantaged and hence use of life expectancies at ages zero, one and five become important for India. Greater programmatic efforts to control leading causes of death during the first month and 1–59 months in high child mortality areas can help India to attain this crossover early. PMID:26683617

  6. The Myths of India.

    ERIC Educational Resources Information Center

    Day, Frederick A.

    1988-01-01

    Stating that superficial stereotypes hinder the understanding of people and places, Day presents several well-known over-generalizations about India. Attempts to update readers about recent changes within the country while dispelling some popular myths. Discusses India's large population, poverty, economic growth, women's roles, and culture, along…

  7. India: Degree Verification Fees

    ERIC Educational Resources Information Center

    Gauthier, Grady

    2004-01-01

    According to the USEFI (United States Education Foundation in India) Web site, (www.fulbright-india.org/eas/eas-general.htm), there are currently 74,603 Indian students in the United States. This immense cultural and educational exchange brings with it both rewards and difficulties for the students and the institutions who enroll them. One of the…

  8. Postcards from India.

    ERIC Educational Resources Information Center

    Sahni, Urvashi

    1999-01-01

    Interviews children and adults living in rural areas in the state of Uttar Pradesh in northern India regarding education, revealing individuals' hopes and dreams against a backdrop of severe class, caste, and gender stratification. Examines the promise of schooling and literacy in India, the relationship of schooling and literacy to work, and of…

  9. A new thrust and dynamism. India.

    PubMed

    Mukherjee, S

    1992-08-01

    The 1991 census indicated that India's population was 844.3 million, increasing from the 342 million of 1947 and 683.6 million of 1981. The annual rate of increase is 16 million. The Family Welfare Program was launched in 1951 and the Medical Termination of Pregnancy Act was passed in 1971. The National Health policy of 1983 set demographic goals for 2000: infant mortality rate of 60, population growth rate of 1.2% (with a birth rate of 21/1000 and death rate of 9), and a contraceptive prevalence rate (CPR) of 60%. Owing to the decline in mortality, the rate of population growth increased from 1.3 in 1931-41 to 2.2 in 1971-81; infant mortality rate decreased from 114 in 1980 to 80 in 1990; CPR reached 44.1%; and total fertility declined from 5.9 in 1960 to 4 in 1988. An extensive infrastructure was also proposed in 1985 in order to establish 1 subcenter for every 5000 population in normal areas and 3000 population in tribal areas; primary health centers for 30,000 in normal areas and 20,000 in hilly and tribal areas; and community health centers for 120,000 in normal areas and 80,000 in hilly and tribal areas. The universal immunization program was launched in 1985 with the aim of immunizing all pregnant women and all children. In 1985-86 coverage levels ranged between 29% for BCG and 41% for DPT. By the end of March 1991 it is estimated that 98% of infants were immunized with DPT3 and OPV3; 97% of infants with BCG and 89% of infants with measles vaccine. 78% of pregnant women were immunized with tetanus toxoid. The total number of poliomyelitis cases was only about 4000 in 1991 decreasing from 32,000 cases in 1981. In states like Kerala and Tamil Nadu population growth rated declined to 1.31% and 1.39%, respectively. However, the growth rates have stayed at 2.37% in Madhya Pradesh, 2.47% in Rajasthan, and 2.26% in Uttar Pradesh. PMID:12343894

  10. "Harnessing genomics to improve health in India" – an executive course to support genomics policy

    PubMed Central

    Acharya, Tara; Kumar, Nandini K; Muthuswamy, Vasantha; Daar, Abdallah S; Singer, Peter A

    2004-01-01

    Background The benefits of scientific medicine have eluded millions in developing countries and the genomics revolution threatens to increase health inequities between North and South. India, as a developing yet also industrialized country, is uniquely positioned to pioneer science policy innovations to narrow the genomics divide. Recognizing this, the Indian Council of Medical Research and the University of Toronto Joint Centre for Bioethics conducted a Genomics Policy Executive Course in January 2003 in Kerala, India. The course provided a forum for stakeholders to discuss the relevance of genomics for health in India. This article presents the course findings and recommendations formulated by the participants for genomics policy in India. Methods The course goals were to familiarize participants with the implications of genomics for health in India; analyze and debate policy and ethical issues; and develop a multi-sectoral opinion leaders' network to share perspectives. To achieve these goals, the course brought together representatives of academic research centres, biotechnology companies, regulatory bodies, media, voluntary, and legal organizations to engage in discussion. Topics included scientific advances in genomics, followed by innovations in business models, public sector perspectives, ethics, legal issues and national innovation systems. Results Seven main recommendations emerged: increase funding for healthcare research with appropriate emphasis on genomics; leverage India's assets such as traditional knowledge and genomic diversity in consultation with knowledge-holders; prioritize strategic entry points for India; improve industry-academic interface with appropriate incentives to improve public health and the nation's wealth; develop independent, accountable, transparent regulatory systems to ensure that ethical, legal and social issues are addressed for a single entry, smart and effective system; engage the public and ensure broad-based input into

  11. "Harnessing genomics to improve health in India" - an executive course to support genomics policy.

    PubMed

    Acharya, Tara; Kumar, Nandini K; Muthuswamy, Vasantha; Daar, Abdallah S; Singer, Peter A

    2004-05-19

    BACKGROUND: The benefits of scientific medicine have eluded millions in developing countries and the genomics revolution threatens to increase health inequities between North and South. India, as a developing yet also industrialized country, is uniquely positioned to pioneer science policy innovations to narrow the genomics divide. Recognizing this, the Indian Council of Medical Research and the University of Toronto Joint Centre for Bioethics conducted a Genomics Policy Executive Course in January 2003 in Kerala, India. The course provided a forum for stakeholders to discuss the relevance of genomics for health in India. This article presents the course findings and recommendations formulated by the participants for genomics policy in India. METHODS: The course goals were to familiarize participants with the implications of genomics for health in India; analyze and debate policy and ethical issues; and develop a multi-sectoral opinion leaders' network to share perspectives. To achieve these goals, the course brought together representatives of academic research centres, biotechnology companies, regulatory bodies, media, voluntary, and legal organizations to engage in discussion. Topics included scientific advances in genomics, followed by innovations in business models, public sector perspectives, ethics, legal issues and national innovation systems. RESULTS: Seven main recommendations emerged: increase funding for healthcare research with appropriate emphasis on genomics; leverage India's assets such as traditional knowledge and genomic diversity in consultation with knowledge-holders; prioritize strategic entry points for India; improve industry-academic interface with appropriate incentives to improve public health and the nation's wealth; develop independent, accountable, transparent regulatory systems to ensure that ethical, legal and social issues are addressed for a single entry, smart and effective system; engage the public and ensure broad-based input

  12. Tropical Peat and Peatland Development in the Floodplains of the Greater Pamba Basin, South-Western India during the Holocene

    PubMed Central

    Padmalal, Damodaran; Limaye, Ruta B.; S., Vishnu Mohan; Jennerjahn, Tim; Gamre, Pradeep G.

    2016-01-01

    Holocene sequences in the humid tropical region of Kerala, South-western (SW) India have preserved abundance of organic—rich sediments in the form of peat and its rapid development in a narrow time frame towards Middle Holocene has been found to be significant. The sub—coastal areas and flood plains of the Greater Pamba Basin have provided palaeorecords of peat indicating that the deposits are essentially formed within freshwater. The combination of factors like stabilized sea level and its subsequent fall since the Middle Holocene, topographic relief and climatic conditions led to rapid peat accumulation across the coastal lowlands. The high rainfall and massive floods coupled with a rising sea level must have inundated > 75% of the coastal plain land converting it into a veritable lagoon—lake system that eventually led to abrupt termination of the forest ecosystem and also converted the floodplains into peatland where accumulation of peat almost to 2.0–3.0 m thickness in coastal lowlands and river basins during the shorter interval in the Middle Holocene. Vast areas of the coastal plains of Kerala have been converted into carbon rich peatland during the Middle Holocene and transforming the entire coastal stretch and associated landforms as one of the relatively youngest peatlands in the extreme southern tip of India. Unlike the uninterrupted formation of peatlands of considerable extent during the Holocene in Southeast Asia, the south Peninsular Indian region has restricted and short intervals of peatlands in the floodplains and coastal lowlands. Such a scenario is attributed to the topographic relief of the terrain and the prevailing hydrological regimes and environmental conditions as a consequence of monsoon variability since Middle Holocene in SW India. Considering the tropical coastal lowlands and associated peatlands are excellent repositories of carbon, they are very important for regional carbon cycling and habitat diversity. The alarming rate of

  13. Tropical Peat and Peatland Development in the Floodplains of the Greater Pamba Basin, South-Western India during the Holocene.

    PubMed

    Kumaran, Navnith K P; Padmalal, Damodaran; Limaye, Ruta B; S, Vishnu Mohan; Jennerjahn, Tim; Gamre, Pradeep G

    2016-01-01

    Holocene sequences in the humid tropical region of Kerala, South-western (SW) India have preserved abundance of organic-rich sediments in the form of peat and its rapid development in a narrow time frame towards Middle Holocene has been found to be significant. The sub-coastal areas and flood plains of the Greater Pamba Basin have provided palaeorecords of peat indicating that the deposits are essentially formed within freshwater. The combination of factors like stabilized sea level and its subsequent fall since the Middle Holocene, topographic relief and climatic conditions led to rapid peat accumulation across the coastal lowlands. The high rainfall and massive floods coupled with a rising sea level must have inundated > 75% of the coastal plain land converting it into a veritable lagoon-lake system that eventually led to abrupt termination of the forest ecosystem and also converted the floodplains into peatland where accumulation of peat almost to 2.0-3.0 m thickness in coastal lowlands and river basins during the shorter interval in the Middle Holocene. Vast areas of the coastal plains of Kerala have been converted into carbon rich peatland during the Middle Holocene and transforming the entire coastal stretch and associated landforms as one of the relatively youngest peatlands in the extreme southern tip of India. Unlike the uninterrupted formation of peatlands of considerable extent during the Holocene in Southeast Asia, the south Peninsular Indian region has restricted and short intervals of peatlands in the floodplains and coastal lowlands. Such a scenario is attributed to the topographic relief of the terrain and the prevailing hydrological regimes and environmental conditions as a consequence of monsoon variability since Middle Holocene in SW India. Considering the tropical coastal lowlands and associated peatlands are excellent repositories of carbon, they are very important for regional carbon cycling and habitat diversity. The alarming rate of land

  14. Parasitoids of Hesperiidae from peninsular India with description of a new species of Dolichogenidea (Hymenoptera: Braconidae) parasitic on caterpillar of Borbo cinnara (Wallace) (Lepidoptera: Hesperiidae).

    PubMed

    Gupta, Ankita; Lokhande, Swapnil A; Soman, Abhay

    2013-01-01

    Five species of parasitic wasps associated with hesperiids from peninsular India are documented along with the description of a new species of gregarious endoparasitoid, Dolichogenidea cinnarae sp. nov. (Hymenoptera: Braconidae) parasitic on caterpillar of Borbo cinnara (Wallace) (Lepidoptera: Hesperiidae). Also, the gregarious larval parasitoid, Cotesia erionotae (Wilkinson) (Braconidae) and solitary pupal parasitoid Charops plautus Gupta & Maheshwary (Ichneumonidae) were bred from the host Udaspes folus (Cramer) on the host plant Hedychium coronarium J. Koenig. Udaspesfolus is the new host record for the parasitic wasp genus Charops. Cotesia erionotae was bred from U. folus caterpillars from three states: Maharashtra, Karnataka and Kerala. An encyrtid wasp Ooencyrtus papilionis Ashmead was bred from eggs of Bibasisjaina (Moore) on the host pant Hiptage benghalensis (L.). This is the first documentation of a parasitic wasp from the genus Bibasis. Leptobatopsis indica (Cameron) (Ichneumonidae), often associated with Parnara guttatus (Bremer & Grey), was recorded from the Andaman islands. PMID:26191582

  15. Delay in termination of pregnancy among unmarried adolescents and young women attending a tertiary hospital abortion clinic in Trivandrum, Kerala, India.

    PubMed

    Sowmini C V

    2013-05-01

    Unwed pregnancy among adolescents is a disturbing event in Indian belief-systems, and very young motherhood limits girls' social, economic and educational prospects. Girls who seek abortions are always at higher risk for delay in care seeking; this paper looks at the reasons why. It reports the experiences of 34 unmarried adolescent girls and young women, aged 10-24 years, who obtained induced abortion from a tertiary care abortion clinic over a period of seven months in 2004. Ten were below 19 years of age, the rest were 20-24 years. Only eight of the 34 pregnancies were <12 weeks. The reasons for delay were fear of disclosure, lack of any support system and scarcity of resources. In 30 cases, the decision to terminate was made jointly with family members, especially the mother. Only half knew about contraception, of whom two used condoms. Only two of the partners accompanied the girl to the abortion clinic and another two offered some financial support. Because of the conflict between wanting to have sex and feeling guilty about it, these young people experienced terrible distress in the course of unwanted pregnancy. Comparing the adolescents who attended the clinic in 2004 with those we have seen in 2012-2013, the paper shows that as regards the essentials, much has remained the same. PMID:23684207

  16. The effect of cigarette smoking on the severity of periodontal diseases among adults of Kothamangalam Town, Kerala

    PubMed Central

    Shereef, Mohammed; Sanara, P. P.; Karuppanan, Sasikumar; Noorudeen, A. M.; Joseph, Kiran

    2015-01-01

    Aims and Objectives: Smoking is one of the major risk factors for periodontal disease. This study aims at examining the difference in the periodontal status of current smokers, former smokers, and nonsmokers among the adults of Kothamangalam, Kerala. It investigates the association between the level of cigarette consumption and periodontal attachment loss taking into account the effect of age, gender, and oral hygiene. Methodology: The study population consisted of 30 subjects and divided into three groups as current, former, and nonsmokers with periodontal disease. All clinical parameters were recorded. Smoking assessment was done using a self-reported questionnaire, and statistical analysis was carried out. Results: Current smokers had a higher percentage of sites with mean probing depth, and greater mean clinical attachment level than former smokers and nonsmoker. A significant difference (P < 0.05) was found in clinical attachment loss (CAL) between Group I (current smokers) and III (nonsmokers), that shows the increased risk of current smokers for future periodontal destruction. The CAL for current smokers was 5.20 ± 2.440 and for the nonsmokers was 1.50 ± 1.265. A significant difference (P < 0.05) was found in CAL between Group I and III. Summary and Conclusion: The study revealed a marked association between cigarette smoking and the risk of periodontitis. The increased destruction among current smokers showed a dose-dependent relationship with the amount of cigarette consumption. For former smokers, the duration since quitting smoking was associated with a lower risk for severe periodontitis. PMID:26538936

  17. Pan-African alkali granites and syenites of Kerala as imprints of taphrogenic magmatism in the South Indian shield

    NASA Technical Reports Server (NTRS)

    Santosh, M.; Drury, S. A.; Iyer, S. S.

    1988-01-01

    Granite and syenite plutons with alkaline affinities ranging in age from 550 to 750 Ma sporadically puncture the Precambrian granulites of the Kerala region. All the bodies are small (20 to 60 sq km), E-W to NW-SE elongated elliptical intrusives with sharp contacts and lie on or close to major late Proterozoic lineaments. Geochemical plots of A-F-M and An-Ab-Or relations show an apparent alkali enrichment trend on the former, but the plutons define relatively distinct fields on the latter. Most of the plutons are adamellitic to granitic by chemistry. The variations of SiO2 with log sub 10 K2O/MgO (1) brings out the distinct alkaline nature of the plutons. Some of the granites are extremely potassic, like the Peralimala pluton, which shows up to 11.8 percent K2O. On a SiO2-Al2O3-Na2O+K2O (mol percent) plot, the plutons vary from peraluminous to peralkaline, but none are nepheline normative. Low MgO, low to moderate CaO and high Fe2O3/FeO values are other common characteristics. Among trace elements, depletion of Ba, Sr and Rb with high K/Ba and K/Rb values are typical. Overall, the plutons show a trend of decreasing K/Rb ratio with increasing K content. Individual plutons show more clearly defined trends similar to those from granitic masses characterized by plagioclase fractionation.

  18. Hospice and palliative care development in India: a multimethod review of services and experiences.

    PubMed

    McDermott, Elizabeth; Selman, Lucy; Wright, Michael; Clark, David

    2008-06-01

    Palliative care has been developing in India since the mid-1980s, but there is a dearth of evidence about service provision on which to base national policy and practice. The aim of this study was to assess the current state of palliative care in India, mapping the existence of services state by state, and documenting the perspectives and experiences of those involved. A multimethod review was used, which included synthesis of evidence from published and grey literature, ethnographic field visits, qualitative interviews with 87 individuals from 12 states, and collation of existing public health data. The review identified 138 hospice and palliative care services in 16 states and union territories. These are mostly concentrated in large cities, with the exception of Kerala, where they are much more widespread. Nongovernmental organizations, public and private hospitals, and hospices are the predominant sources of provision. We were unable to identify palliative care services in 19 states/union territories. Development of services is uneven, with greater provision evident in the south than the north, but for the majority of states, coverage is poor. Barriers to the development of palliative care include: poverty, population density, geography, opioid availability, workforce development, and limited national palliative care policy. Successful models exist for the development of affordable, sustainable community-based palliative care services. These have arisen from adapting Western models of hospice and palliative care for implementation in the Indian cultural context. Further work is required to ensure that the growing interest in hospice and palliative care in India is used to increase the momentum of progress. PMID:18395401

  19. Freshwater greenhouse gas emissions and their implications on landscape level carbon balances in India

    NASA Astrophysics Data System (ADS)

    Panneer Selvam, B.; Natchimuthu, S.; Arunachalam, L.; Bastviken, D.

    2012-04-01

    Methane (CH4) and carbon dioxide (CO2) emissions from global freshwaters are important sources of greenhouse gases to the atmosphere. It has been estimated that about 0.65 Pg of C (CO2 equiv.) yr-1 in the form of CH4 and 1.4 Pg C yr -1 in the form of CO2 is being emitted from global freshwaters. Therefore, including freshwater emissions in the greenhouse gas budgets in the national or global levels could significantly reduce the estimated land carbon sink, but present estimates suffer from lack of data, in particular from tropical freshwaters. Hence, we attempted to test the validity of the land carbon sink estimate in India, a tropical country with a large number of natural and man-made water bodies. We measured the CH4 and CO2 fluxes and surface water concentrations from a wide variety of inland freshwaters like lakes, ponds, rivers, reservoirs, open wells, canals and springs in three South Indian states, Tamil Nadu, Kerala and Andhra Pradesh. We observed that almost all of these freshwater systems emitted varied amounts of CH4 and a majority of them emitted CO2, similar to other tropical locations in South America. We extrapolated the measured fluxes for the whole of Indian inland waters by using the total area of different categories of inland waters in the national wetland atlas of India. By comparing our estimates of aquatic fluxes with the national greenhouse gas budget, we show that the land carbon sink of India is substantially overestimated. Thus, freshwater emissions are important components of greenhouse gas budgets on a landscape level and it is necessary to incorporate them in national and global greenhouse gas budgets to accurately quantify the land carbon sink.

  20. Television Training in India

    ERIC Educational Resources Information Center

    Malik, Iqbal

    1973-01-01

    A general discussion of training programs which resulted from India's decision to expand television as a nationwide network and a vastly expanded use of educational technology within the educational system. (Author/HB)

  1. Liver transplantation in India.

    PubMed

    Narasimhan, Gomathy; Kota, Venugopal; Rela, Mohamed

    2016-07-01

    Liver transplantation as an established form of treatment for end-stage liver disease has gained acceptance in India over the last 10 years. Liver transplantation in India has unique features that have contributed to the growth of both deceased donor and living donor transplantations of which living donor currently dominates the picture. Living donor contributes to 80% and deceased donor to 20% of the liver transplants currently performed in India. The majority of these transplants are performed within the private sector with public sector hospitals lagging behind significantly. This article gives an overview of the evolution of liver transplantation in India and the potential future challenges. Liver Transplantation 22 1019-1024 2016 AASLD. PMID:27082718

  2. Unleashing science in India

    NASA Astrophysics Data System (ADS)

    Bagla, Pallava

    2009-04-01

    With a population of over 1.1 billion people, of whom 714 million are entitled to vote, elections in India are complex affairs. In the next general election, which begins on 16 April, there will be more than 828 000 polling stations, where some 1.3 million electronic voting machines will be used in what will be the world's largest electronic election. The machines themselves were built and designed in India.

  3. Characteristics and carbon stable isotopes of fluids in the Southern Kerala granulites and their bearing on the source of CO2

    NASA Technical Reports Server (NTRS)

    Santosh, M.; Jackson, D. H.; Mattey, D. P.; Harris, N. B. W.

    1988-01-01

    Carbon dioxide-rich inclusions commonly occur in the banded charnockites and khondalites of southern Kerala as well as in the incipient charnockites formed by desiccation of gneisses along oriented zones. The combined high density fluid inclusion isochores and the range of thermometric estimates from mineral assemblages indicate entrapment pressures in the range of 5.4 to 6.1 Kbar. The CO2 equation of state barometry closely compares with the 5 plus or minus 1 Kbar estimate from mineral phases for the region. The isochores for the high density fluid inclusions in all the three rock types pass through the P-T domain recorded by phase equilibria, implying that carbon dioxide was the dominating ambient fluid species during peak metamorphic conditions. In order to constrain the source of fluids and to evaluate the mechanism of desiccation, researchers undertook detailed investigations of the carbon stable isotope composition of entrapped fluids. Researchers report here the results of preliminary studies in some of the classic localities in southern Kerala namely, Ponmudi, Kottavattom, Manali and Kadakamon.

  4. Rising private sector and falling 'good health at low cost': health challenges in China, Sri Lanka, and Indian state of Kerala.

    PubMed

    Thresia, C U

    2013-01-01

    Despite having a captivating history of outstanding health achievements during the second half of the 20th century, China, Sri Lanka, and the Indian state of Kerala face several health challenges, particularly in the context of a shift in financing health care from a predominantly public-sector to a market-oriented provision. Over the 1990s, these "good health at low cost" (GHLC) regions faced widening health inequities and adverse health outcomes in relation to social, economic, and geographical marginalization, compared to another GHLC country, Costa Rica, and to Cuba, which have a similar history of health and economic profile. While the historical process of health development in China, Sri Lanka, and Kerala is closely entangled with the interrelated policies on health and allied social sectors with an abiding public-sector support, the retreat of the state and resultant increase in private-sector medical care and out-of-pocket spending resulted in widening inequities and medical impoverishment. Investigating the public health challenges and associated medical care-induced impoverishment, this article argues that the fundamental root causes of health challenges in these regions are often neglected in policy and in practice and that policymakers, planners, and researchers should make it a priority to address health inequities. PMID:23527452

  5. Demographic profile of the girl child in India.

    PubMed

    Unisa, S

    1995-01-01

    This article presents a statistical profile of the demographic and socioeconomic characteristics of female children in India during 1951-91. The population 0-14 years old increased during 1951-81. In 1991, there were 52-55 million children 0-4 years old. 40% of all women were 0-14 years old, 19% of the total population in 1991. Boys outnumbered girls at all childhood ages. Males gained more in mortality improvements than girls did over time. The decline in the 1991 sex ratio is attributed to female amniocentesis and differences in undercounts. Infant mortality was high and fluctuated prior to 1941. Rates thereafter declined below 200. Infant mortality improved considerably after the 1950s. The 1988 infant mortality rate (IMR) was 95 for males and 93 for females per 1000 live births. A higher female IMR during 1972-87 is attributed to low female status, sex bias in health care, and higher female rates of common childhood diseases. Boys are breast fed longer. Child marriage below the age of 14 years declined over time. In 1981, 93% of girls 0-14 years old were unmarried. The singulate mean age of marriage increased from 15.59 years in 1951 to 18.32 years in 1981. Literacy rates increased for both males and females during 1961-81 and increased rapidly during 1981-91. The gap between male educational levels and female educational levels was narrowing. School attendance was 62.07% among 10-14 year old boys and 37.47% among 10-14 year old girls. Kerala state was the only state where girls have very high attendance rates. School attendance among 10-14 year old children was positively correlated with higher budget allocations and the average cost per student. School attendance was negatively correlated with illiteracy among household members. In rural areas, girl's attendance was related to access to primary school facilities and roads. PMID:12158014

  6. History of Nuclear India

    NASA Astrophysics Data System (ADS)

    Chaturvedi, Ram

    2000-04-01

    India emerged as a free and democratic country in 1947, and entered into the nuclear age in 1948 by establishing the Atomic Energy Commission (AEC), with Homi Bhabha as the chairman. Later on the Department of Atomic Energy (DAE) was created under the Office of the Prime Minister Jawahar Lal Nehru. Initially the AEC and DAE received international cooperation, and by 1963 India had two research reactors and four nuclear power reactors. In spite of the humiliating defeat in the border war by China in 1962 and China's nuclear testing in 1964, India continued to adhere to the peaceful uses of nuclear energy. On May 18, 1974 India performed a 15 kt Peaceful Nuclear Explosion (PNE). The western powers considered it nuclear weapons proliferation and cut off all financial and technical help, even for the production of nuclear power. However, India used existing infrastructure to build nuclear power reactors and exploded both fission and fusion devices on May 11 and 13, 1998. The international community viewed the later activity as a serious road block for the Non-Proliferation Treaty and the Comprehensive Test Ban Treaty; both deemed essential to stop the spread of nuclear weapons. India considers these treaties favoring nuclear states and is prepared to sign if genuine nuclear disarmament is included as an integral part of these treaties.

  7. Need for Equipping Teachers for Quality Higher Education: Exploring How Teachers in Kerala Perceive Quality Practices in Higher Education

    ERIC Educational Resources Information Center

    Gafoor, Kunnthodi Abdul; Shilna, V.

    2013-01-01

    Over the past few years, India's higher education sector has witnessed remarkable progress. Though the country has the largest and the second largest higher education system in the world in terms of the number of institutions and enrolment respectively, it still faces challenges on several fronts. Quality of higher education (HE) is a…

  8. Regional Disparities in Adult Height, Educational Attainment and Gender Difference in Late- Life Cognition: Findings from the Longitudinal Aging Study in India (LASI)

    PubMed Central

    Lee, Jinkook; Smith, James P.

    2014-01-01

    State policies over time in India may have led to significant differences by sex in population health and cognition. In this paper, we use data from the pilot wave of the Longitudinal Aging Study in India, conducted in Karnataka, Kerala, Punjab, and Rajasthan, to examine state variations in health, educational attainment, and male preference, and how these variations contribute to gender differences in late-life cognition in India. We find men and women born in Punjab are taller than those elsewhere, but do not find any gender differences in height across states with differential male preference. We do find a significant gap in educational attainment that correlates with male preference. We find paternal education benefits both sons and daughters, while maternal education contributes to daughters’ educational attainment. Finally, we find that paternal education benefits daughters’ late-life cognition, while maternal education benefits sons’ late-life cognition, and that children’s education has positive association with older adults’ cognitive functioning as well. PMID:25530941

  9. India. Fulbright-Hays Summer Seminar Abroad 1994 (India).

    ERIC Educational Resources Information Center

    Dickler, Paul

    This curriculum packet on politics and international relations in India contains an essay, three lessons and a variety of charts, maps, and additional readings to support the unit. The essay is entitled "India 1994: The Peacock and the Vulture." The lessons include: (1) "The Kashmir Dispute"; (2) "India: Domestic Order and International Affairs, A…

  10. Molecular characterization of two distinct monopartite begomoviruses infecting tomato in india

    PubMed Central

    2010-01-01

    Background Tomato leaf curl viruses, which are the members of the genus Begomovirus, have emerged as devastating pathogens worldwide causing huge economic losses and threatening production of crops like cassava, cotton, grain legumes and vegetables. Even though the ToLCV isolates from Northern India have been shown to possess bipartite genome (designated as DNA A and DNA B), those from Australia, Taiwan and Southern India have a single genomic component (DNA A). We describe here the genetic diversity of two isolates of monopartite Tomato leaf curl virus infecting tomato in two extreme regions (North and South) of Indian subcontinent. Results The rolling circle amplification (RCA) products obtained from symptomatic samples were digested, cloned and sequenced. The complete DNA sequence of two Tomato leaf curl virus isolates identified as ToLCV-CTM (India, New Delhi, 2005) and ToLCVK3/K5 (India, Kerala, 2008) are reported here. These isolates had the characteristic features of Begomovirus genome organization with six conserved open reading frames (ORFs). The ToLCV-K3 and ToLCV-K5 isolates may be the strains of the same virus since they show sequence homology of 97% over their entire genome. This, according to the guidelines established by the ICTV Geminiviridae Study-Group is higher than threshold (92%) for delineation of different viral variants and hence single, average value has been assigned for all their analyses presented here. The ToLCV-CTM and ToLCV-K3/K5 viruses were found to be monopartite, as neither DNA-B component nor betasatellite associated with begomovirus species, were detected. The complete nucleotide sequence of DNA-A genome of CTM exhibited highest sequence homology (88%) to Croton yellow vein mosaic virus (AJ507777), and of isolates K3/K5 (88.5%) to Tomato leaf curl Pakistan virus (DQ116884). This is less than the threshold value for demarcation of species in the genus Begomovirus. Conclusion K3/K5 and CTM are considered to be novel isolates of