A crypto-Dravidian origin for the nontribal communities of South India based on human leukocyte antigen class I diversity.

PubMed

Thomas, R; Nair, S B; Banerjee, M

2006-09-01

The Dravidian communities are considered to be the original inhabitants of India, now restricted to South India. The southern most state, Kerala, is socio-culturally stratified into Hindus, Muslims and Christians on the basis of religion. The origin of these religious communities in Kerala is considered to be unique in comparison with that in other parts of the country. These communities were later influenced by the hierarchical caste structure established by the Hindu Brahmins. In the present study, we compared six nontribal (Namboothiri, Nair, Ezhava, Pulaya, Malabar Muslim and Syrian Christian) communities belonging to the major religious groups in Kerala (Hindu, Muslim and Christian) based on the human leukocyte antigen (HLA)-A, -B and -C diversity. Our aim was to understand the genomic substructuring associated with the changing social scenario in various caste and religious groups and compare it with the Dravidian tribal and other world populations. The present study reveals that the HLA diversity of the Dravidian communities is very distinct from that in the other world populations. It is obvious that the nontribal communities of Kerala display a greater Dravidian influence, but traces of genetic admixture with the Mediterranean, western European, central Asian and East Asian populations can be observed. This characterizes the crypto-Dravidian features of the nontribal communities of Kerala. Demic diffusion of the local progressive communities with the migrant communities may have given rise to crypto-Dravidian features among the nontribal communities of Kerala.

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.

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

Prevalence of Neglected Tropical Diseases (Leishmaniasis and Lymphatic Filariasis) and Malaria Among a Migrant Labour Settlement in Kerala, India.

PubMed

George, Sobha; Joy, Teena Mary; Kumar, Anil; Panicker, K N; George, Leyanna Susan; Raj, Manu; Leelamoni, K; Nair, Prem

2018-06-02

Neglected tropical diseases (visceral leismaniasis, lymphatic filariasis) and malaria are endemic in northern states of India. Kerala has become a hub of construction activities employing a large number of migrants from these endemic states. Studies on morbidity pattern among migrants in Kerala are lacking. It is essential to look into the burden of these infections among migrant laborers who can act as reservoirs and are a threat to native population. A cross sectional study was done among migrant laborers in Ernakulam district, Kerala. After getting informed consent, a questionnaire was administered to each participant to collect sociodemographic details and 5 ml of blood was collected for detection of antigens using rapid diagnostic tests (RDT). Of the 309 migrants tested, none of them were positive for leishmaniasis, while 3.8% were positive for malaria and 3.6% for filariasis. With 2.5 million migrant laborers in Kerala, the magnitude of the problem in absolute numbers is enormous. Active surveillance and treatment is needed to prevent the reemergence of these diseases in Kerala.

Contraceptive use and preferences of young married women in Kerala, India.

PubMed

Thulaseedharan, Jissa Vinoda

2018-01-01

As in other states of India, female sterilization is the most widely used contraceptive method in Kerala where women have higher levels of education compared to most other states in India. This paper describes the use and preferences of contraceptive methods among young married women in Trivandrum district, Kerala, India. A community-based cross-sectional survey was carried out among 203 young married women (18-28 years) during January-March 2015 using multistage cluster sampling method. Statistical analysis was mainly descriptive, and chi-squared test was used to test the statistical significance of the relationship between sociodemographic factors and contraceptive use. The average age at marriage for women was 21.3 years, and 23% of women had more than one child. Current use of any contraceptive methods was 58%. Female sterilization was preferred by 13% and it was significantly higher among women aged 25-28 years than in those aged 18-24 years (20% vs 2.6%, p <0.001). Female sterilization was significantly lower among women with higher levels of education than in women with an education level of plus two or below (5.8% vs 19%, p =0.006). Women were mostly in favor of female sterilization (91%), and a significantly lower proportion of highly educated women preferred female sterilization than women with an education of 12 years or below (85% vs 95.7%, p =0.008). A considerable number of females in the age group 25-28-years opting for sterilization and the unique preference for female sterilization when the family size is complete show the predominant reliance on female sterilization among young women. Higher education delays sterilization in young women due to delayed marriage and childbirth. Women empowerment, proper information and assuring availability and accessibility to different methods can gradually change the dominant preference for female-oriented permanent method of contraception.

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

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

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.

Developing a smoke free homes initiative in Kerala, India.

PubMed

Nichter, Mimi; Padmajam, Sreedevi; Nichter, Mark; Sairu, P; Aswathy, S; Mini, G K; Bindu, V C; Pradeepkumar, A S; Thankappan, K R

2015-05-10

Results of the Global Adult Tobacco Survey in Kerala, India found that 42 % of adults were exposed to second hand smoke (SHS) inside the home. Formative research carried out in rural Kerala suggests that exposure may be much higher. Numerous studies have called for research and intervention on SHS exposure among women and children as an important component of maternal and child health activities. Community-based participatory research was carried out in Kerala. First, a survey was conducted to assess prevalence of SHS exposure in households. Next, a proof of concept study was conducted to develop and test the feasibility of a community-wide smoke free homes initiative. Educational materials were developed and pretested in focus groups. After feasibility was established, pilot studies were implemented in two other communities. Post intervention, surveys were conducted as a means of assessing changes in community support. At baseline, between 70 and 80 % of male smokers regularly smoked inside the home. Over 80 % of women had asked their husband not to do so. Most women felt powerless to change their husband's behavior. When women were asked about supporting a smoke free homes intervention, 88 % expressed support for the idea, but many expressed doubt that their husbands would comply. Educational meetings were held to discuss the harms of second hand smoke. Community leaders signed a declaration that their community was part of the smoke free homes initiative. Six months post intervention a survey was conducted in these communities; between 34 and 59 % of men who smoked no longer smoked in their home. The smoke free homes initiative is based on the principle of collective efficacy. Recognizing the difficulty for individual women to effect change in their household, the movement establishes a smoke free community mandate. Based on evaluation data from two pilot studies, we can project that between a 30 and 60 % reduction of smoking in the home may be achieved, the

Development and Implementation of a Novel Prehospital Care System in the State of Kerala, India.

PubMed

Brown, Heather A; Douglass, Katherine A; Ejas, Shafi; Poovathumparambil, Venugopalan

2016-12-01

Most low- and middle-income countries (LMICs) have struggled to find a system for prehospital care that can provide adequate patient care and geographical coverage while maintaining a feasible price tag. The emergency medical systems of the Western world are not necessarily relevant in developing economic systems, given the lack of strict legislation, the scarcity of resources, and the limited number of trained personnel. Meanwhile, most efforts to provide prehospital care in India have taken the form of adapting Western models to the Indian context with limited success. Described here is a novel approach to prehospital care designed for and implemented in the State of Kerala, India. The Active Network Group of Emergency Life Savers (ANGELS) was launched in 2011 in Calicut City, the third largest city in the Indian State of Kerala. The ANGELS integrated an existing fleet of private and state-owned ambulances into a single network utilizing Global Positioning System (GPS) technology and a single statewide call number. A total of 85 volunteer emergency medical certified technicians (EMCTs) were trained in basic first aid and trauma care principles. Public awareness campaigns accompanied all activities to raise awareness amongst community members. Funding was provided via public-private partnership, aimed to minimize costs to patients for service utilization. Over a two-year period from March 2011 to April 2013, 8,336 calls were recorded, of which 54.8% (4,569) were converted into actual ambulance run sheets. The majority of calls were for medical emergencies and most patients were transported to Medical College Hospital in Calicut. This unique public-private partnership has been responsive to the needs of the population while sustaining low operational costs. This system may provide a relevant template for Emergency Medical Services (EMS) development in other resource-limited settings. Brown HA , Douglass KA , Ejas S , Poovathumparambil V . Development and

Reproductive tract infections: Attitude and barriers among marginalized fisher women in Kerala, South India.

PubMed

Thomas, Manoj A; Narayan, Poornima

2017-04-01

Reproductive tract infections (RTIs) are the cause of severe gynecological and maternal morbidity in India. In marginalized communities, women persevere quietly when faced with a culturally sensitive health issue such as an RTI. To hypothesize on the differential health behavior and low levels of reported incidents among women living in marginalized communities, we undertake an exploratory study in a coastal fishermen community in South India. We identify barriers influencing decisions to seek curative and preventive medical care. Public health practitioners and social workers may find our recommendations relevant for addressing health issues in marginalized communities.

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…

Coastal resource complexes of South India: options for sustainable management.

PubMed

Damodaran, A

2006-04-01

India's coastal resource complexes were traditionally characterized by a continuum of 'common property resources' or 'commons' that stretched from the shores to the seas. The continuum aided the existence of sustainable livelihood systems for local communities. Today, fragmented policy approaches and economic welfare schemes have caused the disintegration of community control over the continuum. As a consequence, livelihood systems of local communities have declined. The introduction of coastal management guidelines in the 1990s has exacerbated the situation. With reference to a coastal village located in the State of Kerala in South West India, the paper describes the trajectory of unsustainable change that has taken place in the coastal area resource complexes of the country. The paper argues for restoring the continuum of commons in the study area through community driven systems of natural resource management that are based on networks of nested institutions.

West Nile encephalitis outbreak in Kerala, India, 2011.

PubMed

Anukumar, B; Sapkal, Gajanan N; Tandale, Babasheb V; Balasubramanian, R; Gangale, Daya

2014-09-01

An outbreak of acute encephalitis syndrome (AES) was reported in Kerala in India in May 2011. The outbreak features were unusual in terms of seasonality, geographical distribution, age group, and clinical manifestations in comparison to the epidemiological features of Japanese Encephalitis. To detect the etiology of the acute encephalitis syndrome outbreak. Investigation of outbreak was undertaken by collection of brief clinical history and epidemiological details along with the specimens for viral diagnosis. The serum/CSF samples (patients=208) received from the sentinel hospitals were subjected to IgM capture ELISA and RT-PCR specific for Japanese encephalitis (JE) virus and West Nile virus (WNV). The JE/WN IgM positive samples were further tested by serum neutralization assay for the presence of JE and WNV specific neutralizing antibody. Most of the affected patients were aged above 15 years. No spatial clustering of the disease was noticed. Cases were observed in premonsoon and early monsoon season and in JE non-endemic area of Kerala. A total of 47 patient samples were positive for in-house JE IgM capture ELISA and WNV IgM capture ELISA. Serum neutralization assay result revealed that 32 of 42 (76.19%) sera were positive for WNV neutralization antibodies. WNV was isolated from a clinical specimen. Phylogenetic analysis of WNV envelope gene revealed 99% homology with Russian Lineage 1 WNV. West Nile virus (WNV) etiology was confirmed by virus isolation and detection of virus specific antibody from clinical specimen. Phylogenetic analysis grouped the current strain in lineage I West Nile virus. Copyright © 2014 Elsevier B.V. All rights reserved.

Factors affecting decisions to seek treatment for sick children in Kerala, India.

PubMed

Pillai, Rajamohanan K; Williams, Sankey V; Glick, Henry A; Polsky, Daniel; Berlin, Jesse A; Lowe, Robert A

2003-09-01

The purpose of this study was to measure the effects of social and economic variables, disease-related variables, and child gender on the decisions of parents in Kerala, India, to seek care for their children and on their choice of providers in the allopathic vs. the alternative system. A case-control analysis was done using data from the Kerala section of the 1996 Indian National Family Health Survey, a cross-sectional survey of a probability sample of households conducted by trained interviewers with a close-ended questionnaire. Of the 469 children who were eligible for this study because they had at least one common symptom suggestive of acute respiratory illness or diarrhea during the 2 weeks before the interview, 78 (17%) did not receive medical care, while the remaining 391 (83%) received medical care. Of the 391 children who received medical care, 342 (88%) received allopathic medical care, and 48 (12%) received alternative medical care. In multivariable analyses, parents chose not to seek medical care for their children significantly more often when the illness was mild, the child had a specific diagnosis, the mother had previously made fewer antenatal visits, and the family had a higher economic status. When parents sought medical care for their children, care was sought significantly more often in the alternative provider system when the child was a boy, the family lived in a rural area, and the family had a lower social class. We conclude that, in Kerala, disease severity and economic status predict whether children with acute respiratory infection or diarrhea are taken to medical providers. In contrast, most studies of this issue carried out in other populations have identified economic status as the primary predictor of medical system utilization. Also in Kerala, the gender of the child did not influence whether or not the child was taken for treatment but did influence whether care was sought in the alternative or the allopathic system.

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

2017-10-01

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.

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…

Coir geotextile for slope stabilization and cultivation - A case study in a highland region of Kerala, South India

NASA Astrophysics Data System (ADS)

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

A sloping field is not only vulnerable to soil erosion it may also suffer from soil moisture deficiency. Farmers that cultivate on slopes everywhere face similar problems. Conservation technologies may reduce soil and nutrient losses, and thus enhance water holding capacity and soil fertility. But although these technologies promote sustainable crop production on steep slopes, the construction of physical structure such as bench terraces are often labour intensive and expensive to the farmers, since construction and maintenance require high investments. Here we studied the efficiency of coir geotextile with and without crop cultivation in reducing soil moisture deficiency on marginal slopes in Kerala, India. From the results it is evident that the slopes treated with geotextile and crops have the highest moisture retention capacity followed by geotextiles alone, and that the control plot has the lowest moisture retention capacity. As the poor and marginal farmers occupy the highland region, this method provides an economically viable option for income generation and food security along with slope stabilization.

Does land ownership make a difference? Women's roles in agriculture in Kerala, India.

PubMed

Arun, S

1999-11-01

Drawing on a 12-month study, this paper explores the role of women in agriculture in Kerala, India. Despite claims that women enjoy high status in Kerala, economic, social, and cultural factors interplay to reinforce gender differences in ownership, control over, and access to critical agricultural resources, including land. Although women may gain access to land through inheritance, marriage, or informal networks, none of this guarantee effective control over it. The traditional rights of women to land have not been adequately recognized: the gender gap in the ownership and control of property is the only most significant contributor to the gender gap in the economic well-being, social status, and empowerment of women. The existing socioeconomic changes and crisis which render agricultural land as a main source of livelihood, is leading nair women's share of land being sold, with gains going to men, thus decreasing women¿s ownership of land to the status of male-controlled dowry. The case of the Christian succession laws in Kerala illustrate that legal provisions alone can have a limited impact on changing gendered power structures. The role of women in agriculture needs to be recognized, and institutional support must be increased in order for women to gain access to agricultural inputs and technology, which in turn, leads to better agricultural practices and a higher income from farming in the country. Most importantly, there should be a concerted effort to enable women to function as independent farmers who control their own land.

Home-Based Palliative Care Program Relieves Chronic Pain in Kerala, India: Success Realized Through Patient, Family Narratives.

PubMed

Ajjarapu, Aparna Sai; Broderick, Ann

2018-06-14

An estimated 1.5 billion people across the globe live with chronic pain, and an estimated 61 million people worldwide experience unrelieved serious health-related suffering. One-sixth of the global population lives in India, where approximately 10 million people endure unrelieved serious health-related suffering. The state of Kerala is home to Pallium India, one of the most sophisticated palliative care programs in the country. This private organization in Trivandrum provides palliative and hospice care to underresourced populations and emphasizes holistic pain treatment. The current project features the pain stories of six patients who received treatment from Pallium India. Basic patient demographic information was collected, and a Pallium India staff member who was fluent in Malayalam and English asked questions about each patient's pain experience. Pain narratives illustrate the substantial impact of Pallium India's home visit program and the role of total pain assessment in delivering high-quality palliative care.

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.

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

PubMed

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

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

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

Toward a social justice theory of demographic transition: lessons from India's Kerala State.

PubMed

Ratcliffe, J W

1983-06-01

Recent research evidence, which suggests that observed demographic trends and patterns are largely consequences of broad structural changes in society, has raised serious doubts about the validity of traditional demographic theory and the framework for action it has generated. This theoretical essay 1st recasts classical demographic transition theory in general systems terms in order to make it consistent with the evidence and to place the processes of fertility and mortality in a larger social context. The demographic transition experience of Kerala State, India is then recounted to provide a concrete example of the demographic response in society to structural reforms based primarily on equity considerations.

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 %.

Oral Morphine Use in South India: A Population-Based Study

PubMed Central

Karim, Safiya; Booth, Christopher M.

2017-01-01

Purpose Access to opioids for pain control is recognized as an urgent issue in low- and middle-income countries. Here we report temporal and regional trends in morphine use in Kerala, India. Methods Oral morphine use data for the State of Kerala (2012 to 2015) was used to describe temporal trends, regional variation, and provider characteristics. Total morphine use was calculated for each district of Kerala to derive an annual per capita use rate (milligrams per capita). Each provider was classified as government, private, nongovernment organization (NGO), or NGO partnership. Results Oral morphine use for Kerala was 1.32 mg/capita and increased over the study period 27% (from 1.23 mg/capita to 1.56 mg/capita). There was substantial variation in morphine use across districts (range, 0.49 mg/capita to 2.97 mg/capita; six-fold difference). This variation increased over time (19-fold difference in 2015). In 2015, 31% of morphine providers (51 of 167) were government institutions; they delivered 48% of total morphine in Kerala. Corresponding data for other providers are private institutions, 23% of centers and 13% of morphine; NGOs, 41% of centers and 34% of morphine; and NGO partnerships, 5% of centers and 4% of morphine. From 2012 to 2015, the total number of centers increased by 35%, from 124 to 167. Conclusion Oral morphine use has increased over time in Kerala but remains substantially lower than estimated need. There is significant geographic variation of use. Efforts are needed to improve palliative care in Kerala and to reduce regional disparities in access to opioids. PMID:29244992

Habitat monitoring and conservation prioritisation of protected areas in Western Ghats, Kerala, India.

PubMed

Athira, K; Reddy, C Sudhakar; Saranya, K R L; Joseph, Shijo; Jaishanker, R

2017-06-01

Spatially explicit approach is essential to prioritise the ecosystems for biodiversity conservation. In the present study, the conservation status of 20 protected areas of the Western Ghats of Kerala, India, was analysed based on long-term changes in forests (1975-1985-1995-2005-2013), landscape level changes in fragmentation and forest fires (2005-2015). This study has shown that a significant forest loss occurred in protected areas before declaration. Idukki is one of the major protected areas which showed a drastic reduction (18.83%) in its forest cover. During 1985-1995, Periyar tiger reserve had lost 24.19 km 2 core 3 forest area followed by Peppara (18.54 km 2 ), Parambikulam (17.93 km 2 ), Chimmony (17.71 km 2 ), Peechi-Vazhani (12.31 km 2 ) and Neyyar (11.67 km 2 ). An area of 71.33 km 2 of the protected area was affected by fires in 2014. Overall protected area-wise decadal analysis indicates Periyar has the highest number of fire incidences followed by Wayanad, Kurinjimala, Silent Valley and Eravikulam. Disturbances in the form of fires and fragmentation still exist and may have significant conservation threat to flora and fauna. Among protected areas, many are having a probability to go under threat or dynamic stage. Chinnar, Thattekkad and Kurinjimala sanctuaries are representing high levels of vulnerability, or they are near to decline stage. Habitat level monitoring of the anthropogenic disturbances can be efficiently useful for the strategic conservation planning. The present study has provided geospatial database on spatial patterns of deforestation, fragmentation and forest fires in protected areas of Kerala. Conservation prioritization approach based on these parameters will be useful for the strategic planning in the state of Kerala.

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.

Cultural adaptation of a peer-led lifestyle intervention program for diabetes prevention in India: the Kerala diabetes prevention program (K-DPP).

PubMed

Mathews, Elezebeth; Thomas, Emma; Absetz, Pilvikki; D'Esposito, Fabrizio; Aziz, Zahra; Balachandran, Sajitha; Daivadanam, Meena; Thankappan, Kavumpurathu Raman; Oldenburg, Brian

2018-01-04

Type 2 diabetes mellitus (T2DM) is now one of the leading causes of disease-related deaths globally. India has the world's second largest number of individuals living with diabetes. Lifestyle change has been proven to be an effective means by which to reduce risk of T2DM and a number of "real world" diabetes prevention trials have been undertaken in high income countries. However, systematic efforts to adapt such interventions for T2DM prevention in low- and middle-income countries have been very limited to date. This research-to-action gap is now widely recognised as a major challenge to the prevention and control of diabetes. Reducing the gap is associated with reductions in morbidity and mortality and reduced health care costs. The aim of this article is to describe the adaptation, development and refinement of diabetes prevention programs from the USA, Finland and Australia to the State of Kerala, India. The Kerala Diabetes Prevention Program (K-DPP) was adapted to Kerala, India from evidence-based lifestyle interventions implemented in high income countries, namely, Finland, United States and Australia. The adaptation process was undertaken in five phases: 1) needs assessment; 2) formulation of program objectives; 3) program adaptation and development; 4) piloting of the program and its delivery; and 5) program refinement and active implementation. The resulting program, K-DPP, includes four key components: 1) a group-based peer support program for participants; 2) a peer-leader training and support program for lay people to lead the groups; 3) resource materials; and 4) strategies to stimulate broader community engagement. The systematic approach to adaptation was underpinned by evidence-based behavior change techniques. K-DPP is the first well evaluated community-based, peer-led diabetes prevention program in India. Future refinement and utilization of this approach will promote translation of K-DPP to other contexts and population groups within India as

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…

CDC Kerala 1: Organization of clinical child development services (1987-2013).

PubMed

Nair, M K C; George, Babu; Nair, G S Harikumaran; Bhaskaran, Deepa; Leena, M L; Russell, Paul Swamidhas Sudhakar

2014-12-01

The main objective of establishing the Child Development Centre (CDC), Kerala for piloting comprehensive child adolescent development program in India, has been to understand the conceptualization, design and scaling up of a pro-active positive child development initiative, easily replicable all over India. The process of establishing the Child Development Centre (CDC) Kerala for research, clinical services, training and community extension services over the last 25 y, has been as follows; Step 1: Conceptualization--The life cycle approach to child development; Step 2: Research basis--CDC model early stimulation is effective; Step 3: Development and validation of seven simple developmental screening tools; Step 4: CDC Diagnostic services--Ultrasonology and genetic, and metabolic laboratory; Step 5: Developing seven intervention packages; Step 6: Training--Post graduate diploma in clinical child development; Step 7: CDC Clinic Services--seven major ones; Step 8: CDC Community Services--Child development referral units; Step 9: Community service delivery models--Childhood disability and for adolescent care counselling projects; Step 10: National capacity building--Four child development related courses. CDC Kerala follow-up and clinic services are offered till 18 y of age and premarital counselling till 24 y of age as shown in "CDC Kerala Clinic Services Flow Chart" and 74,291 children have availed CDC clinic services in the last 10 y. CDC Kerala is the first model for comprehensive child adolescent development services using a lifecycle approach in the Government sector and hence declared as the collaborative centre for Rashtriya Bal Swasthya Karyakram (RBSK), in Kerala.

Early childhood caries lesions in preschool children in Kerala, India.

PubMed

Jose, Babu; King, Nigel M

2003-01-01

No data are available on possible risk indicators or the prevalence of caries lesions for preschool children under 4 years of age in Kerala, southern India. Therefore, the aims of this study were: (1) to gather data on caries lesion frequency and distribution; (2) to determine any possible associations with feeding habits and oral health care practices. A sample of 530 children, aged from 8 to 48 months (mean=2.5+/-0.96 years), who attended 13 day care centers were clinically examined for caries lesions using a disposable mouth mirror, tongue spatula, and a torch light. There were 513 dentate children. The caregiver of each child then completed, by interview, a structured questionnaire. Among the group of 252 girls and 278 boys, the dmft was 1.84+/-2.87 with 56% of the children being caries-lesion free. Fifty-nine (12%) were considered to have early childhood caries (ECC), based on the criteria that smooth surface caries lesions on all 4 maxillary incisor teeth indicated severe ECC. Breast-feeding was practiced by 99% of the mothers, and 5% did so exclusively. Generally, breast-feeding was on demand. Statistically significant correlations were found between caries lesions and the child's dental condition, as perceived by the mother or caregiver (P<.0001), the dental status of the caregiver (P=.0417), consumption of snacks (P=.0177), giving of sweets as a reward (P<.0001), cleaning of the child's mouth (P<.0001), oral hygiene status of the child (P<.0001) and low socioeconomic status, as measured by income (P<.0001). From the results of this study of preschool children in Kerala, the groups at high risk from dental caries lesions are: (1) those with poor oral hygiene status; (2) those who consume snacks and are given sweets as rewards; (3) those belonging to a lower socioeconomic class.

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. Copyright © 2016 Elsevier Ltd. All rights reserved.

Prevalence of hypertension, its correlates and awareness among adult tribal population of Kerala state, India.

PubMed

Meshram, I I; Arlappa, N; Balkrishna, N; Rao, K M; Laxmaiah, A; Brahmam, G N V

2012-01-01

Increasing prevalence of hypertension is a public health problem in India. To study prevalence, correlates, and awareness of hypertension among tribal adult population in Kerala. A community-based, cross-sectional study was carried out in tribal areas of Kerala by adopting multistage random sampling procedure. Data was collected on socio-demographic and behavioral factors, and anthropometric measurements were carried out. Body mass index (BMI) was categorized using the classification recommended for Asians. Waist circumference ≥ 90 cm for men and ≥ 80 cm for women was used cut off for defining an abdominal obesity. Bivariate and multivariate analysis was carried out to study association of hypertension with socio-demographic variables, personal habits, and obesity. A total of 4,193 adults (men 1,891, women: 2,302) of ≥ 20 years of age were covered. The overall prevalence of hypertension was 40% (n=1671). The prevalence of hypertension increases with increase in age among both the genders. Regression analysis showed that the risk of hypertension was significantly (P<0.001) lower among educated and among higher socio-economic status group. Sedentary activity had 1.3 times (CI=1.09-1.60) and alcohol consumption had 1.4 (CI=1.17-1.73) times higher risk of hypertension. The risk of hypertension was 1.7 times higher among overweight/obese subjects. Overall, only 10% (n=164) of the adult population was aware of hypertension status, and about 8% (n=129) were on regular treatment. It was observed that the prevalence of hypertension was higher among tribal adult population of Kerala and was associated with age, gender, education, HHs wealth index, physical inactivity, alcohol consumption, and overweight/obesity.

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

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.

Compliance with infection control practices in sputum microscopy centres: a study from Kerala, India

PubMed Central

Ubaid, N. P.; Nagaraja, S. B.; Shewade, H. D.; Padmanabhan, K. V.; Naik, B. R.; Satpati, M.; Blesson, S.; Jayasree, A. K.

2015-01-01

Background: One of the strategies of the Revised National Tuberculosis Control Programme in India to achieve tuberculosis control is by increasing case detection through a nationwide network of designated microscopy centres (DMC). Practice of standard precautions for infection control in these DMCs is very important to prevent transmission of infection not only to the laboratory personnel, but also to the general population. However, in India this has not been evaluated by an external agency. Method: A cross-sectional study was carried out to assess knowledge, facilities and compliance regarding infection control practices (ICP) in all 38 DMCs in Kannur district, Kerala, India, in 2015. Using observations and interviews, the investigators collected data in a structured format. Results: Overall knowledge about infection control was found to be satisfactory among 29% of laboratory technicians. Overall facilities for infection control were satisfactory in 61% of the DMCs, while adherence to ICP was satisfactory in 45% of the DMCs. Knowledge regarding ICP was better in government DMCs, whereas facilities for ICP and adherence to biomedical waste management guidelines were better in private DMCs. Conclusion: Given the higher risk of infection among laboratory technicians, there is an urgent need to address the shortcomings in infection control practices. PMID:26767180

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.

Domestic and Environmental Factors of Chikungunya-affected Families in Thiruvananthapuram (Rural) District of Kerala, India

PubMed Central

Anish, TS; Vijayakumar, K; Leela, Itty Amma KR

2011-01-01

Background: The world is experiencing a pandemic of chikungunya which has swept across Indian Ocean and the Indian subcontinent. Kerala the southernmost state of India was affected by the chikungunya epidemic twice, first in 2006 and then in 2007. Kerala has got geography and climate which are highly favorable for the breeding of Aedes albopictus, the suspected vector. Aim: The aim of the study was to highlight the various domestic and environmental factors of the families affected by chikungunya in 2007 in Thiruvananthapuram district (rural) of Kerala. Settings and design:This is a cross-sectional survey conducted in Thiruvananthapuram (rural) district during November 2007. Settings and design: This is a cross-sectional survey conducted in Thiruvananthapuram (rural) district during November 2007 Materials and Methods: Samples were selected from field area under three Primary Health Centers.These areas represent the three terrains of the district namely the highland, midland, and lowland. The sample size was estimated to be 134 houses from each study area.The field area of health workers was selected as clusters and six subcenters from each primary health center were randomly selected (lot method). Results and Conclusions: The proportion of population affected by chikungunya fever is 39.9% (38.9-40.9%). The investigators observed water holding containers in the peri-domestic area of 95.6% of the houses. According to regression (binary logistic) analysis, the area of residence [adjusted odds ratio (OR) = 8.01 (6.06-14.60)], residing in a non-remote area [adjusted OR=0.25 (0.16-0.38)], perceived mosquito menace [adjusted OR=3.07 (2.31-4.64)], and containers/tires outside the house [adjusted OR=5.61 (2.74-27.58)] were the independent predictors of the occurrence of chikungunya in households. PMID:21572606

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

Swaroop, Mamta; Galwankar, Sagar C; Stawicki, Stanislaw P A; Balakrishnan, Jayaraj M; Worlton, Tamara; Tripathi, Ravi S; Bahner, David P; Bhoi, Sanjeev; Kaide, Colin; Papadimos, Thomas J

2014-05-06

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.

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.

Women and work in Kerala: a comparison of the 1981 and 1991 censuses.

PubMed

Gulati, L; Rajan, S I; Ramalingam, A

1997-01-01

This study examines census data on women's work status during 1981 and 1991 in Kerala state in India. During 1981 and 1991, Kerala had a stable female work participation rate (FWPR), which placed Kerala 19th out of 30 states and Union territories. However, Kerala's FWPR declined in size and in the ratio to the male work participation rate during 1951-81. The work participation rate in Kerala was 15.85 for women and 47.58 for men in 1991 and 16.61 for women and 44.89 for men in 1981, which was under the national average. Fertility declined from 3.7 during 1970-75 to 1.7 in 1992. Life expectancy at birth was 74.7 years for women and 68.8 years for men, which is higher than the national average. The proportion of persons aged 15-59 years increased. Several explanations are offered to explain the low FWPR. Women increased in the number of enrollments in higher education. The increase for women was 50% compared to only 24% for men. The number of unemployed women aged 15-34 years rose during 1961-81. A 1987-88 unemployment survey revealed that over 10% of the unemployed in India lived in Kerala state, which had only 3.4% of total Indian population. A 1987 migration survey indicated that 300,929 workers from Kerala migrated to the Middle East, of which 92.5% were men. 31.43% of Kerala's population in 1991 were workers. The increase in the proportion of workers during 1981-91 was due primarily to the increase in male workers. The number of main workers increased over the decade for men and women, although only marginally for women. Marginal workers declined for both genders. Work participation rates of main and marginal workers increased for men and declined for women. Urban employment for women increased. Two districts had very low FWPRs. 48.78% of the female work force worked as cultivators and agricultural laborers. Growth occurred in urban and tertiary activities.

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

PubMed

Mohindra, Ks; Haddad, Slim; Narayana, D

2008-01-10

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. 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. 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. 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.

Prevalence of chronic respiratory diseases from a rural area in Kerala, southern India.

PubMed

Viswanathan, Krishnaveni; Rakesh, P S; Balakrishnan, Shibu; Shanavas, A; Dharman, Varun

2018-01-01

Chronic lung diseases are one of the leading causes of morbidity in developing countries. A community based survey was undertaken with an objective to estimate the prevalence of chronic respiratory diseases and to describe the profile of people with CRDs in the rural area Nilamel health block in Kollam district, Kerala, southern India. A household information sheet and a translated respiratory symptom questionnaire based on International Union against Tuberculosis and Lung Disease (IUATLD) bronchial symptoms questionnaire was administered to 12,556 people above 15 years, selected randomly from Nilamel health block. Prevalence of self reported asthma was 2.82% (95% CI 2.52-3.12) and that of chronic bronchitis was 6.19% (95% CI 5.76-6.62) while other CRDs which did not fit to either constitute 1.89%. Prevalence of asthma among males was 2.44% (95% CI 2.05-2.85) while that of females was 3.14% (95% CI 2.71-3.57). Chronic bronchitis prevalence was 6.73% and 5.67% among males and females respectively. Although India has devised a programme to combat cancer, diabetes, cardio vascular disease and stroke, none have been devised for chronic respiratory illness till date. Considering high prevalence and its contributions to morbidity and mortality, a comprehensive programme to tackle chronic respiratory diseases is needed. Copyright © 2017 Tuberculosis Association of India. Published by Elsevier B.V. All rights reserved.

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

PubMed

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

2015-11-28

To assess the risk of gastric cancer (GC) in relation to tobacco use and alcohol drinking in the Karunagappally cohort in Kerala, South India. 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. 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. Among a male cohort in South India, gastric cancer risk increased with the number and duration of bidi smoking.

Return of overseas contract workers and their rehabilitation and development in Kerala (India). A critical account of policies, performance and prospects.

PubMed

Nair, P R

1999-01-01

This article reviews the situation of labor migrants from Kerala state, India, who were 40-60% of all contract workers in the Middle East and who returned after the mid-1980s. Descriptions are provided of the characteristics of return migrants, the Kerala economy, return migration policies, and impact studies of returnees. About 500,000 returned to Kerala. Returnees were middle aged, with low levels of education, skills, and experience. About 50% of returnees remained unemployed. The other 50% either retired or sought self-employment or other wage labor. Surveys conducted in 1985, 1987, 1993-93, and 1997 reveal that returnees peaked during the 1990s. By 1997, returnees to the Kadinamkulam panchayat included about one-sixth who were women. Most returnees had worked in Saudi Arabia, United Arab Emirates, and Kuwait. The reasons for return were poor working and living conditions, lack of opportunity or contract for staying longer, or forced repatriation. Upon return, 50% of the women and about 16% of the men remained unemployed. Return wages were about the same as before the migration. Returnees complained about the lack of support from government and society. Impact studies do not differentiate migration effects from development effects in general. Evaluation should focus on multidimensional impacts and individual attainment of emigration goals.

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

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

Socio-economic variables influencing mean age at marriage in Karnataka and Kerala.

PubMed

Prakasam, C P; Upadhyay, R B

1985-01-01

"In this paper an attempt was made to study the influence of certain socio-economic variables on the male and the female age at marriage in Karnataka and Kerala [India] for the year 1971. Step-wise regression method has been used to select the predictor variables influencing mean age at marriage. The results reveal that percent female literate...and percent female in labour force...are found to influence female mean age at marriage in Kerala, while the variables for Karnataka were percent female literate..., percent male literate..., and percent urban male population...." excerpt

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.

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.

Marital status, family ties, and self-rated health among elders in South India.

PubMed

Sudha, S; Suchindran, Chirayath; Mutran, Elizabeth J; Rajan, S Irudaya; Sarma, P Sankara

2006-01-01

This article examines the impact of familial social support ties (indicated by marital status, kin availability, sources of economic support, and frequency and quality of emotional interaction) on subjective health perception among a sample of elderly men and women aged 60 and older in South India. We used 1993 survey data from three states of South India: Kerala, Tamil Nadu, and Karnataka. We hypothesized that (a) widowhood would be associated with poorer self-rated health, (b) number of kin ties would be positively associated with self-rated health, (c) economic and emotional support from kin would improve outcomes, and (d) these associations would be stronger among women than among men. Results of logistic regression techniques supported the first hypothesis and partially supported the third. With regard to the second hypothesis, the presence of specific kin rather than the number of each type of family member was important. For the fourth hypothesis, results suggest that men and women in this sample have broadly similar associations between widowhood and self-rated health. For women however, controlling for socioeconomic status did not weaken the association between widowhood and self-rated health, suggesting the symbolic/cultural importance of this status. In general, these findings suggest that theories on the importance of marital status and kin ties for older adults' self-rated health, which were developed and tested in Western societies, need to be refined for Asian societies, where the nature of marriage and widowhood are different.

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

Twenty years of home-based palliative care in Malappuram, Kerala, India: a descriptive study of patients and their care-givers.

PubMed

Philip, Rekha Rachel; Philip, Sairu; Tripathy, Jaya Prasad; Manima, Abdulla; Venables, Emilie

2018-02-14

The well lauded community-based palliative care programme of Kerala, India provides medical and social support, through home-based care, for patients with terminal illness and diseases requiring long-term support. There is, however, limited information on patient characteristics, caregivers and programme performance. This study was carried out to describe: i) the patients enrolled in the programme from 1996 to 2016 and their diagnosis, and ii) the care-giver characteristics and palliative care support from nurses and doctors in a cohort of patients registered during 2013-2015. A descriptive study was conducted in the oldest community-based palliative clinic in Kerala. Data were collected from annual patient registers from 1996 to 2016 and patient case records during the period 2013-2015. While 91% of the patients registered in the clinic in 1996 had cancer, its relative proportion came down to 32% in 2016 with the inclusion of dementia-related illness (19%) cardiovascular accidents (17%) and severe mental illness (5%).Among patients registered during 2013-15, the median number of home visits from nurses and doctors in 12 months were five and one respectively. In the same cohort, twelve months' post-enrolment, 56% of patients died, 30% were in continuing in active care and 7% opted out. Those who opted out of care were likely to be aged < 60 years, received one or less visit annually from a doctor or have a serious mental illness. 96% of patients had a care-giver at home, 85% of these care-givers being female. The changing dynamics over a 20-year period of this palliative care programme in Kerala, India, highlights the need for similar programmes to remain flexible and adapt their services in response to a growing global burden of Non Communicable Diseases. While a high death rate is expected in this population, the high proportion of patients choosing to stay in the programme suggests that home-based care is valued within this particular group. A diverse range

Socio-economic factors & longevity in a cohort of Kerala State, India.

PubMed

Sauvaget, Catherine; Ramadas, Kunnambath; Fayette, Jean-Marie; Thomas, Gigi; Thara, Somanathan; Sankaranarayanan, Rengaswamy

2011-05-01

Even though Kerala State is well-known for its egalitarian policies in terms of healthcare, redistributive actions and social reforms, and its health indicators close to those of high-resource countries despite a poor per-capita income, it is not clear whether socio-economic disparities in terms of life expectancy are observed. This study was therefore carried out to study the impact of socio-economic level on life expectancy in individuals living in Kerala. A cohort of 1,67,331 participants aged 34 years and above in Thiruvananthapuram district, having completed a lifestyle questionnaire at baseline in 1995, was followed up for mortality and cause of death until 2005. Survival estimates were based on the participants' vital status and death rates were calculated separately for men and women and for several socio-economic factors, stratified by age. At 40 years, men and women were expected to live another 34 and 37 years, respectively. Life expectancy varied across the participants' different socio-economic categories: those from high income households with good housing conditions, materially privileged households and small households, had a 2-3 years longer life expectancy as compared to the deprived persons. Also, those who went to college lived longer than the illiterates. The gaps between categories were wider in men than in women. Socio-economic disparity in longevity was observed: wealthy people from Kerala State presented a longer life expectancy.

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

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

Women's health in a rural community in Kerala, India: do caste and socioeconomic position matter?

PubMed Central

Mohindra, K S; Haddad, Slim; Narayana, D

2006-01-01

Objectives To examine the social patterning of women's self‐reported health status in India and the validity of the two hypotheses: (1) low caste and lower socioeconomic position is associated with worse reported health status, and (2) associations between socioeconomic position and reported health status vary across castes. Design Cross‐sectional household survey, age‐adjusted percentages and odds ratios, and multilevel multinomial logistic regression models were used for analysis. Setting A panchayat (territorial decentralised unit) in Kerala, India, in 2003. Participants 4196 non‐elderly women. Outcome measures Self‐perceived health status and reported limitations in activities in daily living. Results Women from lower castes (scheduled castes/scheduled tribes (SC/ST) and other backward castes (OBC) reported a higher prevalence of poor health than women from forward castes. Socioeconomic inequalities were observed in health regardless of the indicators, education, women's employment status or household landholdings. The multilevel multinomial models indicate that the associations between socioeconomic indicators and health vary across caste. Among SC/ST and OBC women, the influence of socioeconomic variables led to a “magnifying” effect, whereas among forward caste women, a “buffering” effect was found. Among lower caste women, the associations between socioeconomic factors and self‐assessed health are graded; the associations are strongest when comparing the lowest and highest ratings of health. Conclusions Even in a relatively egalitarian state in India, there are caste and socioeconomic inequalities in women's health. Implementing interventions that concomitantly deal with caste and socioeconomic disparities will likely produce more equitable results than targeting either type of inequality in isolation. PMID:17108296

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.

2016-12-01

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.

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.

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

PubMed

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

2015-08-28

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.

Use of tobacco and alcoholic beverages by children and teenagers in a low-income coastal community in south India.

PubMed

George, A; Varghese, C; Sankaranarayanan, R; Nair, M K

1994-01-01

To plan and implement cancer control measures, information about the baseline habit patterns of the community is needed. A coastal village near Trivandrum, Kerala, Southern India, supported mainly by the fishing industry, was identified for this study with regard to establishing measures to control oral cancer there. Oral cancer is prevalent in Kerala. Smoking and chewing tobacco and drinking alcoholic beverages are the major risk factors for this cancer. The socioeconomic status of the fishermen of Kerala is low and their literacy rate is low. The adults in coastal Kerala have been found to have a habit pattern of very high levels of tobacco and alcohol use. A survey was conducted to study the tobacco and alcohol use habits of 146 children and teenagers in this village. The percentages of study subjects with pan-tobacco-chewing, smoking, and drinking habits were 29%, 2%, and 3%, respectively. The habit pattern correlated negatively with education and positively with number of children per family. This survey provides information that can be used to plan cancer education efforts, including redesigning the school curriculum and focusing on high-risk groups.

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

Economic impacts of avian influenza outbreaks in Kerala, India.

PubMed

Govindaraj, G; Sridevi, R; Nandakumar, S N; Vineet, R; Rajeev, P; Binu, M K; Balamurugan, V; Rahman, H

2018-04-01

This study assessed the short-run impact to poultry farmers, duck hatcheries, control costs, compensation paid to stakeholders (transfer payments) and market reactions on own and substitute product prices and backwater tourism (boat operators) due to avian influenza (AI) outbreaks in Kuttanad region of Kerala, India, during 2014. The primary data from 91 poultry farms (duck farms, broiler chicken and backyard poultry), four hatcheries and 90 backwater boat owners were collected through pre-tested schedules. The secondary data on transfer payments and expenditure incurred to control AI were collected from developmental departments and were analysed. The estimated loss (culling live birds, eggs and feed destruction) per duck farm was USD 9,181, USD 3,889 and USD 156 in case of commercial farms reared for meat, dual-purpose and backyard farms, respectively. The loss incurred by small-scale broiler and backyard poultry farms was USD 453 and USD 40, respectively. The loss incurred by large and small duck hatcheries was USD 11,963 and USD 5,790, respectively, due to culling of hatchlings, young birds and destroying eggs. The government invested USD 744,890 to contain the disease spread through massive culling, surveillance and monitoring of poultry and humans due to zoonotic nature of the disease. A sharp market reaction on own and substitute product prices and eight weeks' time lag in price recovery was observed. The consequential impact on tourism especially for the backwater boat operators amounted to a loss of USD 2,280/boat due to fall in tourist inflow. Since, control measures are post-incidence, it is necessary to adopt appropriate preventive bio-security measures at the farm level besides periodical screening of domestic birds in migratory birds' flyway locations like Kuttanad to reduce the AI burden on various stakeholders including government. © 2017 Blackwell Verlag GmbH.

Radiation dose due to radon and thoron progeny inhalation in high-level natural radiation areas of Kerala, India.

PubMed

Omori, Yasutaka; Tokonami, Shinji; Sahoo, Sarata Kumar; Ishikawa, Tetsuo; Sorimachi, Atsuyuki; Hosoda, Masahiro; Kudo, Hiromi; Pornnumpa, Chanis; Nair, Raghu Ram K; Jayalekshmi, Padmavaty Amma; Sebastian, Paul; Akiba, Suminori

2017-03-20

In order to evaluate internal exposure to radon and thoron, concentrations for radon, thoron, and thoron progeny were measured for 259 dwellings located in high background radiation areas (HBRAs, outdoor external dose: 3-5 mGy y -1 ) and low background radiation areas (control areas, outdoor external dose: 1 mGy y -1 ) in Karunagappally Taluk, Kerala, India. The measurements were conducted using passive-type radon-thoron detectors and thoron progeny detectors over two six-month measurement periods from June 2010 to June 2011. The results showed no major differences in radon and thoron progeny concentrations between the HBRAs and the control areas. The geometric mean of the annual effective dose due to radon and thoron was calculated as 0.10 and 0.44 mSv, respectively. The doses were small, but not negligible compared with the external dose in the two areas.

Utilization of maternal health-care services by tribal women in Kerala.

PubMed

Jose, Jinu Annie; Sarkar, Sonali; Kumar, S Ganesh; Kar, Sitanshu Sekhar

2014-01-01

The coverage of maternal care services among the tribal women in Kerala is better as compared to other states in India. This study was done to identify the factors contributing to better coverage of maternal care services among the tribal women in Kerala and to study the reasons for remaining differences that exists in utilization of services between tribal and non-tribal pregnant women. This was a descriptive cum qualitative study conducted in Thariode Gramapanchayat in the Wayanad district of Kerala. Among all women who had registered their pregnancies in the 5 sub-centres under CHC Thariode and had delivered between September 2009 and October 2010, equal numbers of tribal and non-tribal ante-natal women, 35 each were interviewed in-depth using a semi-structured questionnaire. Quantitative data was analysed using SPSS Version 16.0. Content analysis was done for qualitative data. The determinants of utilization in tribal women were general awareness, affordability, accessibility and quality of services along with motivation by health workers. Among tribal antenatal women, 85% utilized maternal health care facilities fully compared to 100% among non-tribal women. Lower levels of education and lack of transport facilities were prime factors contributing to under utilization by tribal women. Affordable, accessible and good quality of services in the public health system in Kerala and motivation by health workers were important contributing factors for better utilization of maternal care services.

Utilization of maternal health-care services by tribal women in Kerala

PubMed Central

Jose, Jinu Annie; Sarkar, Sonali; Kumar, S. Ganesh; Kar, Sitanshu Sekhar

2014-01-01

Background: The coverage of maternal care services among the tribal women in Kerala is better as compared to other states in India. Aim: This study was done to identify the factors contributing to better coverage of maternal care services among the tribal women in Kerala and to study the reasons for remaining differences that exists in utilization of services between tribal and non-tribal pregnant women. Settings and Design: This was a descriptive cum qualitative study conducted in Thariode Gramapanchayat in the Wayanad district of Kerala. Materials and Methods: Among all women who had registered their pregnancies in the 5 sub-centres under CHC Thariode and had delivered between September 2009 and October 2010, equal numbers of tribal and non-tribal ante-natal women, 35 each were interviewed in-depth using a semi-structured questionnaire. Statistical Analysis Used: Quantitative data was analysed using SPSS Version 16.0. Content analysis was done for qualitative data. Results: The determinants of utilization in tribal women were general awareness, affordability, accessibility and quality of services along with motivation by health workers. Among tribal antenatal women, 85% utilized maternal health care facilities fully compared to 100% among non-tribal women. Lower levels of education and lack of transport facilities were prime factors contributing to under utilization by tribal women. Conclusions: Affordable, accessible and good quality of services in the public health system in Kerala and motivation by health workers were important contributing factors for better utilization of maternal care services. PMID:24678214

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

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.

Prevalence and Social Determinants of Type 2 Diabetes in a Coastal Area of Kerala, India.

PubMed

Aswathy, S; Lohidas, V; Paul, Nimitha; Anish, T S; Narayanan, Tinu; Oldenburg, Brian

2017-01-01

Varying prevalence rates of type 2 diabetes have been observed in different parts of the southern state of Kerala, India which is in an advanced stage of epidemiologic transition. Social patterning is evident in diabetes and therefore it was decided to undertake a study on estimating the prevalence of diabetes and associated social determinants. The adopted local self administration unit of the Medical College which is also the field practice area with a population of 25,096 was taken for the study. All the households in the area were visited and the details regarding self reported diabetes was collected after obtaining informed consent and analysis done by multivariate logistic regression. The prevalence of self reported diabetes in this coastal area was found to be low at 7.4%. Type 2 diabetes was also found to occur significantly earlier among the respondents belonging to the below poverty line. Age above 40 years (OR 2 95% CI 1.5-2.7, p=.000), marital status (OR 1.9 95% CI 1.1-2.1, p=.006) presence of comorbidities (OR 635 95% CI 389-969, p=.000), more than 8 years of schooling (OR 0.64 95% CI 0.46-0.86, p=.004), living conditions as represented by presence of household source of drinking water(OR 1.4 95% CI 1.01-1.5) were found to be independent predictors. Though there was increasing trend of diabetes among the forward caste line families after backward logistic regression this disappeared leaving behind the proxy of socioeconomic status, household source of drinking water. Though, the state of Kerala is in an advanced stage of epidemiologic transition, coastal areas are still in the earlier phases of transition with low prevalence of type 2 diabetes mellitus. Higher education and better living conditions are important social determinants of diabetes though further studies are necessary to delineate the impact of economic status and education.

Isolated in a technologically connected world?: Changes in the core professional ties of female researchers in Ghana, Kenya, and Kerala, India.

PubMed

Miller, B Paige; Shrum, Wesley

2012-01-01

Using panel data gathered across two waves (2001 and 2005) from researchers in Ghana, Kenya, and Kerala, India, we examine three questions: (1) To what extent do gender differences exist in the core professional networks of scientists in low-income areas? (2) How do gender differences shift over time? (3) Does use of information and communication technologies (ICTs) mediate the relationship between gender and core network composition? Our results indicate that over a period marked by dramatic increases in access to and use of various ICTs, the composition and size of female researchers core professional ties have either not changed significantly or have changed in an unexpected direction. Indeed, the size of women's ties are retracting over time rather than expanding.

Childhood leprosy: a retrospective descriptive study from Government Medical College, Kozhikode, Kerala, India.

PubMed

Sasidharanpillai, Sarita; Binitha, Manikoth Payyanadan; Riyaz, Najeeba; Ambooken, Betsy; Mariyath, Olasseri Kalathingal Reena; George, Biju; Janardhanan, Anisha Kanhirangattil; Sherjeena, Pentam Veli Beegum

2014-06-01

To assess the profile and describe the clinical presentations and complications of childhood leprosy in a tertiary care hospital in North Kerala, South India during 2003-2012 and to analyse any change in the age-sex profile and the clinical pattern of leprosy in children below the age of 15 years over the 10-year study period. A retrospective descriptive study of children less than 15 years of age diagnosed with leprosy and registered for treatment in a tertiary care institution from 2003 to 2012. Demographic, clinical, investigative and treatment data were collected using a pre-set proforma. 138 (12.1%) of the total 1143 leprosy cases registered for treatment during the 10-year period were below 15 years of age. The 10-year study period witnessed a statistically insignificant decrease in the new childhood leprosy cases registered for treatment in our tertiary care institution. The majority of cases belonged to the 6-12 year age group (61.6%) with a male predominance. Borderline tuberculoid (BT) was the commonest clinical type (65.9%) followed by indeterminate leprosy (18.8%); 101 patients required paucibacillary (PB) and 37 needed multibacillary (MB) treatment. The number of patients requiring MB treatment showed a statistically significant increase and there was a significant decline in number of cases requiring PB treatment. During the entire study period no Type 2 lepra reaction was documented in patients below Hema 15 years and only two patients manifested Type 1 reaction. Ten (7.2%) out of the 138 patients were cases of relapse. There was a clear female predilection among relapse cases with the majority belonging to the adolescent age. Childhood leprosy still contributes to a significant proportion of the total case load denoting the continuing active horizontal transmission of leprosy. The rise in number of patients with more extensive disease in the background of declining disease prevalence is suggestive of the delay in diagnosis and treatment. A high

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

Optimal In-Hospital and Discharge Medical Therapy in Acute Coronary Syndromes in Kerala: Results from the Kerala ACS Registry

PubMed Central

Huffman, Mark D; Prabhakaran, Dorairaj; Abraham, AK; Krishnan, Mangalath Narayanan; Nambiar, C. Asokan; Mohanan, Padinhare Purayil

2013-01-01

Background In-hospital and post-discharge treatment rates for acute coronary syndrome (ACS) remain low in India. However, little is known about the prevalence and predictors of the package of optimal ACS medical care in India. Our objective was to define the prevalence, predictors, and impact of optimal in-hospital and discharge medical therapy in the Kerala ACS Registry of 25,718 admissions. Methods and Results We defined optimal in-hospital ACS medical therapy as receiving the following five medications: aspirin, clopidogrel, heparin, beta-blocker, and statin. We defined optimal discharge ACS medical therapy as receiving all of the above therapies except heparin. Comparisons by optimal vs. non-optimal ACS care were made via Student’s t test for continuous variables and chi-square test for categorical variables. We created random effects logistic regression models to evaluate the association between GRACE risk score variables and optimal in-hospital or discharge medical therapy. Optimal in-hospital and discharge medical care was delivered in 40% and 46% of admissions, respectively. Wide variability in both in-hospital and discharge medical care was present with few hospitals reaching consistently high (>90%) levels. Patients receiving optimal in-hospital medical therapy had an adjusted OR (95%CI)=0.93 (0.71, 1.22) for in-hospital death and an adjusted OR (95%CI)=0.79 (0.63, 0.99) for MACE. Patients who received optimal in-hospital medical care were far more likely to receive optimal discharge care (adjusted OR [95%CI]=10.48 [9.37, 11.72]). Conclusions Strategies to improve in-hospital and discharge medical therapy are needed to improve local process-of-care measures and improve ACS outcomes in Kerala. PMID:23800985

English in Kerala: Plus ca Change?

ERIC Educational Resources Information Center

Nayar, P. Bhaskaran

2008-01-01

This article overviews the status, ecology, use, and the teaching/learning of English in the southern Indian state of Kerala. It does so along two overlapping dimensions. A socio-demographic dimension situates the ecology of English in Kerala in the general Indian context, and relates it to the ethno-linguistic identity of Kerala. A second applied…

Alcohol use and its consequences in South India: views from a marginalised tribal population.

PubMed

Mohindra, K S; Narayana, D; Anushreedha, S S; Haddad, Slim

2011-08-01

Alcohol consumption in India is disproportionately higher among poorer and socially marginalised groups, notably Scheduled Tribes (STs). We lack an understanding of STs own views with regard to alcohol, which is important for implementing appropriate interventions. This study was undertaken with the Paniyas (a previously enslaved ST) in a rural community in Kerala, South India. The study, nested in a participatory poverty and health assessment (PPHA). PPHA aims to enable marginalized groups to define, describe, analyze, and express their own perceptions through a combination of qualitative methods and participatory approaches (e.g. participatory mapping and ranking exercises). We worked with 5 Paniya colonies between January and June 2008. Alcohol is viewed as a problem among the Paniyas who reported that consumption is increasing, notably among younger men. Alcohol is easily available in licensed shops and is produced illicitly in some colonies. There is evidence that local employers are using alcohol to attract Paniyas for work. Male alcohol consumption is associated with a range of social and economic consequences that are rooted in historical oppression and social discrimination. Future research should examine the views of alcohol use among a variety of marginalised groups in developing countries and the different policy options available for these populations. In addition, there is a need for studies that untangle the potential linkages between both historical and current exploitation of marginalized populations and alcohol use. Copyright © 2011 Elsevier Ireland Ltd. All rights reserved.

Modifiable risk factors of hypertension: A hospital-based case-control study from Kerala, India.

PubMed

Pilakkadavath, Zarin; Shaffi, Muhammed

2016-01-01

Hypertension is a major cause of cardiovascular morbidity and mortality in Kerala. Excess dietary salt, low dietary potassium, overweight and obesity, physical inactivity, excess alcohol, smoking, socioeconomic status, psychosocial stressors, and diabetes are considered as modifiable risk factors for hypertension. To estimate and compare the distribution of modifiable risk factors among hypertensive (cases) and nonhypertensive (controls) patients and to estimate the effect relationship of risk factors. Age- and sex-matched case-control study was conducted in a tertiary care hospital in Kerala using a pretested interviewer-administered structured questionnaire based on the WHO STEPS instrument for chronic disease risk factor surveillance. Bivariate and multiple logistic regression analyses were done. A total of 296 subjects were included in the study. The mean age of study sample was 50.13 years. All modifiable risk factors studied vis-ΰ-vis obesity, lack of physical activity, inadequate fruits and vegetable intake, diabetes, smoking, and alcohol use were significantly different in proportion among cases and controls. Obesity, lack of physical activity, smoking, and diabetes were found to be significant risk factors for hypertension after adjusting for other risk factors. Hypertension is strongly driven by a set of modifiable risk factors. Massive public awareness campaign targeting risk factors is essential in controlling hypertension in Kerala, especially focusing on physical exercise and control of diabetes, obesity, and on quitting smoking.

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. Copyright © 2014 Elsevier Ltd. All rights reserved.

Social class related inequalities in household health expenditure and economic burden: evidence from Kerala, south India

PubMed Central

2011-01-01

Background In the Indian context, a household's caste characteristics are most relevant for identifying its poverty and vulnerability status. Inadequate provision of public health care, the near-absence of health insurance and increasing dependence on the private health sector have impoverished the poor and the marginalised, especially the scheduled tribe population. This study examines caste-based inequalities in households' out-of-pocket health expenditure in the south Indian state of Kerala and provides evidence on the consequent financial burden inflicted upon households in different caste groups. Methods Using data from a 2003-2004 panel survey in Kottathara Panchayat that collected detailed information on health care consumption from 543 households, we analysed inequality in per capita out-of-pocket health expenditure across castes by considering households' health care needs and types of care utilised. We used multivariate regression to measure the caste-based inequality in health expenditure. To assess health expenditure burden, we analysed households incurring high health expenses and their sources of finance for meeting health expenses. Results The per capita health expenditures reported by four caste groups accord with their status in the caste hierarchy. This was confirmed by multivariate analysis after controlling for health care needs and influential confounders. Households with high health care needs are more disadvantaged in terms of spending on health care. Households with high health care needs are generally at higher risk of spending heavily on health care. Hospitalisation expenditure was found to have the most impoverishing impacts, especially on backward caste households. Conclusion Caste-based inequality in household health expenditure reflects unequal access to quality health care by different caste groups. Households with high health care needs and chronic health care needs are most affected by this inequality. Households in the most

Contextual Influences on Sources of Academic Self-Efficacy: A Validation with Secondary School Students of Kerala

ERIC Educational Resources Information Center

Gafoor, K. Abdul; Ashraf, P. Muhammed

2012-01-01

This study investigates the theorized sources of Academic Self-Efficacy among the higher secondary school students of Kerala, India. Mastery Experience in the form of Academic Achievement, vicarious experience in the form of School Image and Social Persuasion in the form of Parental Encouragement are included as the predictor variables of Academic…

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

Do High School Students in India Gamble? A Study of Problem Gambling and Its Correlates.

PubMed

Jaisoorya, T S; Beena, K V; Beena, M; Ellangovan, K; Thennarassu, K; Bowden-Jones, Henrietta; Benegal, Vivek; George, Sanju

2017-06-01

Studies from the West suggest that significant numbers of high school students gamble, despite it being illegal in this age group. To date, there have been no studies on the prevalence of gambling among senior high school and higher secondary school students in India. This study reports point prevalence of gambling and its psychosocial correlates among high school students in the State of Kerala, India. 5043 high school students in the age group 15-19 years, from 73 schools, were selected by cluster random sampling from the district of Ernakulam, Kerala, South India. They completed questionnaires that assessed gambling, substance use, psychological distress, suicidality, and symptoms of Attention Deficit Hyperactivity Disorder (ADHD). Of a total of 4989 completed questionnaires, 1400 (27.9 %) high school students reported to have ever gambled and 353 (7.1 %) were problem gamblers. Of those who had ever gambled, 25.2 % were problem gamblers. Sports betting (betting on cricket and football) was the most popular form of gambling followed by the lottery. Problem gamblers when compared with non-problem gamblers and non-gamblers were significantly more likely to be male, have academic failures, have higher rates of lifetime alcohol and tobacco use, psychological distress, suicidality, history of sexual abuse and higher ADHD symptom scores. Gambling among adolescents in India deserves greater attention, as one in four students who ever gambled was a problem gambler and because of its association with a range of psychosocial variables.

Ethnomedicinal plants used for snake envenomation by folk traditional practitioners from Kallar forest region of South Western Ghats, Kerala, India

PubMed Central

Sulochana, Anaswara Krishnan; Raveendran, Dileepkumar; Krishnamma, Anoop Pushkaran; Oommen, Oommen V.

2015-01-01

Background: The traditional medicinal systems of Indian folklore abundantly use medicinal plants or its derivatives for the treatment of snakebites. However, this traditional knowledge is on the verge of extinction, and there is an immediate necessity to conserve this oral traditional knowledge primarily by proper documentation and scientific authentication. The present ethno botanical study carried out among the folk medicine practitioners in the rural settle mental areas of Kallar forest region of southern Kerala, aims to document the folk herbal knowledge particularly for snake envenomation. Materials and Methods: The survey was conducted during the period of June 2012-July 2013 in the rural and forest settlement areas of Kallar in the Thiruvananthapuram district of Kerala. Direct observation and oral communications with local folk medicine practitioners in this region were adopted to collect valid information regarding the herbal formulations used to treat snake bite patients. Results: The study enumerates a list of 24 plant species belonging to seventeen families with anti-venomous potential. The scientific, vernacular and family names of these plants, along with the part used and their application modes are also enumerated in this communication. Conclusions: Plants are believed to be potent snake bite antidotes from centuries back, and knowledge about the use of plants is strictly conserved among tribes through generations without recorded data. It is the need of the hour to document these old drug formulations and is the cardinal responsibility of the scientific community to validate it and come up with new potent drug molecule for the benefit of snake bite victims. PMID:26401384

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. Copyright © 2015 Elsevier Ltd. All rights reserved.

"Health divide" between indigenous and non-indigenous populations in Kerala, India: population based study.

PubMed

Haddad, Slim; Mohindra, Katia Sarla; Siekmans, Kendra; Màk, Geneviève; Narayana, Delampady

2012-05-29

The objective of this study is to investigate the magnitude and nature of health inequalities between indigenous (Scheduled Tribes) and non-indigenous populations, as well as between different indigenous groups, in a rural district of Kerala State, India. A health survey was carried out in a rural community (N = 1660 men and women, 18-96 years). Age- and sex-standardised prevalence of underweight (BMI < 18.5 kg/m2), anaemia, goitre, suspected tuberculosis and hypertension was compared across forward castes, other backward classes and tribal populations. Multi-level weighted logistic regression models were used to estimate the predicted prevalence of morbidity for each age and social group. A Blinder-Oaxaca decomposition was used to further explore the health gap between tribes and non-tribes, and between subgroups of tribes. Social stratification remains a strong determinant of health in the progressive social policy environment of Kerala. The tribal groups are bearing a higher burden of underweight (46.1 vs. 24.3%), anaemia (9.9 vs. 3.5%) and goitre (8.5 vs. 3.6%) compared to non-tribes, but have similar levels of tuberculosis (21.4 vs. 20.4%) and hypertension (23.5 vs. 20.1%). Significant health inequalities also exist within tribal populations; the Paniya have higher levels of underweight (54.8 vs. 40.7%) and anaemia (17.2 vs. 5.7%) than other Scheduled Tribes. The social gradient in health is evident in each age group, with the exception of hypertension. The predicted prevalence of underweight is 31 and 13 percentage points higher for Paniya and other Scheduled Tribe members, respectively, compared to Forward Caste members 18-30 y (27.1%). Higher hypertension is only evident among Paniya adults 18-30 y (10 percentage points higher than Forward Caste adults of the same age group (5.4%)). The decomposition analysis shows that poverty and other determinants of health only explain 51% and 42% of the health gap between tribes and non-tribes for

"My story is like a goat tied to a hook." Views from a marginalized tribal group in Kerala (India) on the consequences of falling ill: a participatory poverty and health assessment.

PubMed

Mohindra, K S; Narayana, D; Haddad, Slim

2010-06-01

Indigenous populations tend to have the poorest health outcomes worldwide and they have limited opportunities to present their own perspectives of their situation and shape priorities in research and policy. This study aims to explain low healthcare utilisation rates and opportunities to cope with illness among a deprived indigenous group - based on their own experiences and views. A participatory poverty and health assessment (PPHA) was conducted among the Paniyas, a previously enslaved tribal population of South India in a Gram Panchayat in Kerala, India in 2008. Purposive sampling was used to select five Paniya colonies, involving 66 households. There were four key findings. First, Paniyas' perception that the quality of the public healthcare system is poor leads them to seek suboptimal care or deters them from using services. Second, there are significant costs of care unrelated to service use or purchase of medicines, such as travel costs, which the Paniyas lack the ability to pay. Third, illness can lead to loss of productive opportunities among those who fall ill and those who provide informal care. Fourth, the Paniyas lack a 'range' of coping strategies as they are wage labourers without diverse sources of income. They rely on a single strategy: borrowing from outside their community, often from landowners and employers, to whom they become indebted with their labour. Improving the capacity of tribal populations to present their own perspectives is likely to lead to more effective tribal development policies and consequently better health.

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.

Dengue burden in India: recent trends and importance of climatic parameters.

PubMed

Mutheneni, Srinivasa Rao; Morse, Andrew P; Caminade, Cyril; Upadhyayula, Suryanaryana Murty

2017-08-09

For the past ten years, the number of dengue cases has gradually increased in India. Dengue is driven by complex interactions among host, vector and virus that are influenced by climatic factors. In the present study, we focused on the extrinsic incubation period (EIP) and its variability in different climatic zones of India. The EIP was calculated by using daily and monthly mean temperatures for the states of Punjab, Haryana, Gujarat, Rajasthan and Kerala. Among the studied states, a faster/low EIP in Kerala (8-15 days at 30.8 and 23.4 °C) and a generally slower/high EIP in Punjab (5.6-96.5 days at 35 and 0 °C) were simulated with daily temperatures. EIPs were calculated for different seasons, and Kerala showed the lowest EIP during the monsoon period. In addition, a significant association between dengue cases and precipitation was also observed. The results suggest that temperature is important in virus development in different climatic regions and may be useful in understanding spatio-temporal variations in dengue risk. Climate-based disease forecasting models in India should be refined and tailored for different climatic zones, instead of use of a standard model.

Potential for mobile health (mHealth) prevention of cardiovascular diseases in Kerala: A population-based survey.

PubMed

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

India's southern state of Kerala stands at the forefront of India's epidemic of cardiovascular disease (CVD), among other non-communicable diseases (NCDs). Mobile phone use in healthcare (mHealth) has shown promise in India, including NCDs. However, suitability and acceptability of m-Health interventions is poorly researched, particularly in rural settings. METHODS: A questionnaire regarding mobile phone usage and possible use in healthcare was verbally administered in five primary health centres and by home visits in five village councils ("panchayats") of Ernakulam, Kerala. Adults who spoke Malayalam or English, with access to a mobile phone were recruited by convenience sampling in partnership with accredited social health activists (ASHAs). Quantitative data analysis was conducted using SPSS software. 262 participants were recruited. 87% routinely used and 88% owned a mobile phone. 92% were willing to receive mHealth advice, and 94% favoured mobile medication reminders. 70.3% and 73% preferred voice calls over short messaging service (SMS) for delivering health information and medication reminders, respectively. 85.9% would send home recorded information on their blood pressure, weight, medication use and lifestyle to a doctor or ASHA. 75.2% trusted the confidentiality of mHealth data, while 77.1% had no concerns about the privacy of their information. The majority of this population approve mHealth interventions. While further investigation of mHealth as a health education tool is warranted, SMS interventions may fail to maximise equity and penetration across all patient groups. Copyright © 2016 Cardiological Society of India. Published by Elsevier B.V. All rights reserved.

Characteristics of gallbladder cancer in South India.

PubMed

Sachidananda, Sandeep; Krishnan, Arunkumar; Janani, K; Alexander, P C; Velayutham, Vimalraj; Rajagopal, Surendran; Venkataraman, Jayanthi

2012-09-01

Gallbladder cancer is common in north India. It is also a well established fact that gall bladder cancer is frequently associated with gallstone disease in north India, similar to reports from the West. The magnitude of the problem of gallbladder cancer in south India and its link to gallstone disease is not clearly established. The aim of the study was to determine retrospectively, the characteristics of individuals with GBC in south India and to determine its association with gallstone disease. Retrospective data was obtained from records of proven cases of gallbladder cancer and patients undergoing cholecystectomy for gallstone disease between Jan 2001 and Dec 2010. Data retrieved included age, gender, and clinical presentation, findings on imaging, histology and details of management. The number of proven cases of gallbladder cancer each year ranged from 8 to 17. There were 38 men and 23 women. Male female ratio was 1.6:1. There were more men in the successive decades. Right upper quadrant pain (42 %) followed by jaundice (27 %) and a presence of a palpable mass (12 %) were the common clinical presentation. Pre-operative diagnosis of gall bladder cancer was possible in 80 %. Twelve patients had co-existing gallstones (19.6 %). Forty patients (50 %) had stage IV disease; only 6 patients had Stage I operable disease (9.8 %). During the same time 758 patients had cholecystectomy for gallstone disease. Only one patient had an incidental gall bladder cancer, who had an extended cholecystectomy. Gallbladder cancer is uncommon in south India and its association with gallstone is also low.

Utilization of inpatient care from private hospitals: trends emerging from Kerala, India.

PubMed

Dilip, T R

2010-09-01

There is a gap in knowledge on the overall role and characteristics of private health care providers in India. This research is aimed at understanding changes in the consumption of inpatient care services from private hospitals between 1986 and 2004, with a particular focus on equitable outreach. Secondary analysis of National Sample Survey data on the utilization of inpatient care services in Kerala is performed for the periods 1986-87, 1995-96 and 2004. Household survey data are examined to understand the users of the private health system as there are limitations in obtaining reliable data from unregulated private health care providers. The annual hospitalization rate increased from 69 per 1000 population in 1986-87 to 126 per 1000 population by 2004. The proportion of persons seeking care from private rather than government hospitals increased from 55% in 1986-87 to 65% by 2004. Concentration indices revealed that the year 1995-96 witnessed the highest income inequality in hospitalization rates. A decline both in hospitalization rates and in the relative preference for private hospitals over government hospitals among the poorest two quintiles between 1986-87 and 1995-96 indicates that the poor avoided inpatient treatment. The rich-poor divide in care seeking from private hospitals was moderated by 2004. Improvements in the purchasing power of the population, and the strategy of private hospitals in this highly competitive market to generate revenue from the poorer quintiles by offering different pricing options, have reduced the observed rich-poor divide in the consumption of inpatient treatment from this sector. However, while this gap in utilization has closed, the burden of out-of-pocket expenditure is higher among the poor.

HLA diversity among Nadars, a primitive Dravidian caste of South India.

PubMed

Shankarkumar, U; Sridharan, B; Pitchappan, R M

2003-12-01

South India is one of the oldest geophysical regions mainly occupied by Dravidian language-speaking people. Here a random panel of 61 unrelated Nadar healthy individual from Tamil Nadu State were analyzed and compared with other populations of India and the world. HLA-A, B and C alleles frequencies and their haplotype frequencies were determined by high-resolution typing of genomic DNA. The analysis revealed that the Nadar caste of South India have several characters shared with East Asian populations consistent with the demographic history of South India, as well as specific features including several unique alleles such as A*03011, A*31011, B*15011, B*3501, B*51011, Cw*02022. In addition, haplotypes such as A*31011-Cw*02022-B*3501, A*03011-Cw*04011-B*4406 and A*2402101-Cw*04011-B*51011 are of high frequency in both these populations but are rare or absent in other populations of India and the world. The study suggests that a comparatively lesser degree of genetic admixture occurred between the South Indian and North Indian racial groups than that between South Indian and East Asian groups.

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

Hindu-Muslim Violence in India: A National and State-Level Study

DTIC Science & Technology

2014-09-01

clubs, sports clubs, festival organizations, trade unions, and cadre-based political parties.”25 Varshney argues that it is these groups that... tourism sectors by offering subsidies as well as fiscal and policy incentives to attract businesses to the state.37 Likewise, in 2007, Kerala also...Kerala’s tourism sector and agricultural sectors have become near equal contributors of 9% to the state’s GDP. India Brand Equity Foundation, Kerala State

Below the poverty line and non-communicable diseases in Kerala: The Epidemiology of Non-communicable Diseases in Rural Areas (ENDIRA) study.

PubMed

Menon, Jaideep; Vijayakumar, N; Joseph, Joseph K; David, P C; Menon, M N; Mukundan, Shyam; Dorphy, P D; Banerjee, Amitava

2015-01-01

India carries the greatest burden of global non-communicable diseases (NCDs). Poverty is strongly associated with NCDs but there are few prevalence studies which have measured poverty in India, particularly in rural settings. In Kerala, India, a population of 113,462 individuals was identified. The "Epidemiology of Non-communicable Diseases in Rural Areas" (ENDIRA) study was conducted via ASHAs (Accredited Social Health Activists). Standardised questionnaires were used in household interviews of individuals ≥18years during 2012 to gather sociodemographic, lifestyle and medical data for this population. The Government of Kerala definition of "the poverty line" was used. The association between below poverty line (BPL) status, NCDs and risk factors was analysed in multivariable regression models. 84,456 adults were included in the analyses (25.4% below the poverty line). The prevalence of NCDs was relatively common: myocardial infarction (MI) 1.4%, stroke 0.3%, respiratory diseases 5.0%, and cancer 1.1%. BPL status was not associated with age (p=0.96) or gender (p=0.26). Compared with those above the poverty line (APL), the BPL group was less likely to have diabetes, hypertension or dyslipidaemia (p<0.0001), and more likely to smoke (p<0.0001). Compared with APL, BPL was associated with stroke (OR 1.33, 1.04-1.69; p=0.02) and respiratory disease (OR 1.23, 1.15-1.32; p<0.0001) in multivariable analyses, but not MI or cancer. In rural Kerala, BPL status was associated with stroke and respiratory diseases, but not with MI and cancer although it was associated with smoking status, compared with above poverty line status. Copyright © 2015 Elsevier Ireland Ltd. All rights reserved.

“Health divide” between indigenous and non-indigenous populations in Kerala, India: Population based study

PubMed Central

2012-01-01

Background The objective of this study is to investigate the magnitude and nature of health inequalities between indigenous (Scheduled Tribes) and non-indigenous populations, as well as between different indigenous groups, in a rural district of Kerala State, India. Methods A health survey was carried out in a rural community (N = 1660 men and women, 18–96 years). Age- and sex-standardised prevalence of underweight (BMI < 18.5 kg/m2), anaemia, goitre, suspected tuberculosis and hypertension was compared across forward castes, other backward classes and tribal populations. Multi-level weighted logistic regression models were used to estimate the predicted prevalence of morbidity for each age and social group. A Blinder-Oaxaca decomposition was used to further explore the health gap between tribes and non-tribes, and between subgroups of tribes. Results Social stratification remains a strong determinant of health in the progressive social policy environment of Kerala. The tribal groups are bearing a higher burden of underweight (46.1 vs. 24.3%), anaemia (9.9 vs. 3.5%) and goitre (8.5 vs. 3.6%) compared to non-tribes, but have similar levels of tuberculosis (21.4 vs. 20.4%) and hypertension (23.5 vs. 20.1%). Significant health inequalities also exist within tribal populations; the Paniya have higher levels of underweight (54.8 vs. 40.7%) and anaemia (17.2 vs. 5.7%) than other Scheduled Tribes. The social gradient in health is evident in each age group, with the exception of hypertension. The predicted prevalence of underweight is 31 and 13 percentage points higher for Paniya and other Scheduled Tribe members, respectively, compared to Forward Caste members 18–30 y (27.1%). Higher hypertension is only evident among Paniya adults 18–30 y (10 percentage points higher than Forward Caste adults of the same age group (5.4%)). The decomposition analysis shows that poverty and other determinants of health only explain 51% and 42% of the health gap

Gastroenterology training in private hospitals: India vs South Africa

PubMed Central

Mulder, Chris Jacob Johan; Puri, Amarender Singh; Reddy, Duvvur Nageshwar

2010-01-01

In South Africa, nurses and doctors are emigrating in significant numbers. Job satisfaction, safety and ensuring career progression are important in retaining doctors to make a career in Republic of South Africa (RSA). Due to budgetary constraints many hospitals have not been upgraded. Coming home after overseas training seems difficult. In RSA it takes a minimum of 13 years for a young specialist to become registered and 15 years for subspecialists. Career progression, creating more specialist trainees in public and private hospitals and shortening the period of professional training are potential solutions to the problem. India, which has a population of more than 1 billion people, is struggling with similar problems. For the past 10-15 years, private hospitals have assisted in manpower development for medical specialist and subspecialist careers. Currently their private sector trains 60% of their recognised (sub)specialities fellows. A national task force for specialist training in RSA should be instituted. It should discuss, based on the current status and projected specialist and subspecialist personnel requirements, the future structure and logistics of training needs. This is required in all subspecialities including gastroenterology, as has been done in India. It is hoped that as a consequence well-trained doctors, similar to those in India, might move to provincial hospitals in rural areas, upgrading the medical services and keeping medical power in South Africa. South Africa should become a model for Sub-Saharan Africa, as India already is for South-East Asia. PMID:20180232

Dengue burden in India: recent trends and importance of climatic parameters

PubMed Central

Mutheneni, Srinivasa Rao; Morse, Andrew P; Caminade, Cyril; Upadhyayula, Suryanaryana Murty

2017-01-01

For the past ten years, the number of dengue cases has gradually increased in India. Dengue is driven by complex interactions among host, vector and virus that are influenced by climatic factors. In the present study, we focused on the extrinsic incubation period (EIP) and its variability in different climatic zones of India. The EIP was calculated by using daily and monthly mean temperatures for the states of Punjab, Haryana, Gujarat, Rajasthan and Kerala. Among the studied states, a faster/low EIP in Kerala (8–15 days at 30.8 and 23.4 °C) and a generally slower/high EIP in Punjab (5.6–96.5 days at 35 and 0 °C) were simulated with daily temperatures. EIPs were calculated for different seasons, and Kerala showed the lowest EIP during the monsoon period. In addition, a significant association between dengue cases and precipitation was also observed. The results suggest that temperature is important in virus development in different climatic regions and may be useful in understanding spatio-temporal variations in dengue risk. Climate-based disease forecasting models in India should be refined and tailored for different climatic zones, instead of use of a standard model. PMID:28790459

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

Gender disparity in late-life cognitive functioning in India: findings from the longitudinal aging study in India.

PubMed

Lee, Jinkook; Shih, Regina; Feeney, Kevin; Langa, Kenneth M

2014-07-01

To examine gender disparities in cognitive functioning in India and the extent to which education explains this disparity in later life. 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. 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. 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. © The Author 2014. Published by Oxford University Press on behalf of The Gerontological Society of America. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

Rock inhabiting potassium solubilizing bacteria from Kerala, India: characterization and possibility in chemical K fertilizer substitution.

PubMed

Anjanadevi, Indira Parameswaran; John, Neetha Soma; John, Kuzhivilayil Susan; Jeeva, Muthulekshmi Lajapathy; Misra, Raj Shekhar

2016-01-01

The role of rock inhabiting bacteria in potassium (K) solubilization from feldspar and their application in crop nutrition through substitution of fertilizer K was explored through the isolation of 36 different bacteria from rocks of a major hill station at Ponmudi in Thiruvananthapuram, Kerala, India. A comprehensive characterization of K solubilization from feldspar was achieved with these isolates which indicated that the K solubilizing efficiency increases with decrease in pH and increase in viscosity and viable cell count. Based on the level of K solubilization, two potent isolates were selected and identified as Bacillus subtilis ANctcri3 and Bacillus megaterium ANctcri7. Exopolysaccharide production, scanning electron microscopic and fourier transform infrared spectroscopic studies with these efficient strains conclusively depicted the role of low pH, increase in viscosity, and bacterial attachment in K solubilization. They were also found to be efficient in phosphorus (P) solubilization, indole acetic acid production as well as tolerant to wide range of physiological conditions. Moreover, the applicability of K containing rock powder as a carrier for K solubilizing bacteria was demonstrated. A field level evaluation on the yield of a high K demanding tuberous vegetable crop, elephant foot yam (Amorphophallus paeoniifolius (dennst.) nicolson) established the possibility of substituting chemical K fertilizer with these biofertilizer candidates successfully. © 2015 WILEY-VCH Verlag GmbH & Co. KGaA, Weinheim.

Determinants of birth intervals in Kerala: an application of Cox's hazard model.

PubMed

Nair, S N

1996-01-01

"The present study is an attempt to delineate the differences in the patterns and determinants of birth intervals which appear highly relevant in a transitional population such as Kerala [India]. In this country two comparable surveys, with a period difference of 20 years, were conducted. The study tries to estimate the effects of socio-economic, demographic and proximate variables using Cox's proportional hazard model. For the former data-set, socio-economic variables have [a] significant effect on birth intervals, while for the latter data proximate variables are the significant determinants of birth intervals." (SUMMARY IN ITA AND FRE) excerpt

Serological evidence of widespread West Nile virus and Japanese encephalitis virus infection in native domestic ducks (Anas platyrhynchos var domesticus) in Kuttanad region, Kerala, India.

PubMed

Kalaiyarasu, Semmannan; Mishra, Niranjan; Khetan, Rohit Kumar; Singh, Vijendra Pal

2016-10-01

Birds can act as reservoirs of West Nile virus (WNV) with a key role in its epidemiology. WNV lineage 1 associated fatal cases of human encephalitis in 2011 and acute flaccid paralysis in 2013 were reported in Alappuzha district, Kerala, India. But no information is available on WNV circulation in domestic ducks, which are abundant, cohabit with humans and occupy wetlands and water bodies in the region. To determine the extent of WNV infection, we investigated 209 sera, 250 oral and 350 cloacal swab samples from local Chara and Chemballi domestic ducks (Anas platyrhynchos var domesticus) in the districts of Alappuzha, Kottayam, Kollam and Pathanamthitta collected during January and March 2015. The serum samples were tested for WNV antibodies first by a competition ELISA and then by a micro virus neutralization test (micro-VNT), while oral and cloacal swabs were subjected to WNV real-time RT-PCR. Ninety five ducks showed evidence of flavivirus antibodies by ELISA. End point neutralizing antibody titre against WNV and Japanese encephalitis virus (JEV) revealed WNV specific antibodies in 24 (11.5%) ducks in 3 districts, JEV specific antibodies in 21 (10%) ducks in 2 districts and flavivirus specific antibodies in 19 (9%) ducks. However, no WNV genomic RNA could be detected. The results of this study demonstrate evidence of widespread WNV and JEV infection in domestic ducks in Kuttanad region, Kerala with a higher seroprevalence to WNV than JEV. Additionally, it highlights the utility of domestic ducks as a surveillance tool to detect WNV/JEV circulation in a region. Copyright © 2016 Elsevier Ltd. All rights reserved.

Prevalence and correlates of obsessive-compulsive disorder and subthreshold obsessive-compulsive disorder among college students in Kerala, India

PubMed Central

Jaisoorya, T. S.; Janardhan Reddy, Y. C.; Nair, B. Sivasankaran; Rani, Anjana; Menon, Priya G.; Revamma, M.; Jeevan, C. R.; Radhakrishnan, K. S.; Jose, Vineetha; Thennarasu, K.

2017-01-01

Context: There are scarce data on the prevalence of adult obsessive-compulsive disorder (OCD) in India. Aims: The aim was to study the point prevalence of OCD and subthreshold OCD and its psychosocial correlates among college students in the district of Ernakulam, Kerala, India. Settings and Design: A cross-sectional survey of 5784 students of the age range of 18–25 years from 58 colleges was conducted. Materials and Methods: Students were self-administered the OCD subsection of the Clinical Interview Schedule-Revised, the Composite International Diagnostic Interview for obsessive-compulsive symptoms (OCSs), and other relevant instruments to identify OCD, subthreshold OCD, and related clinical measures. Statistical Analysis: The point prevalence of OCD and subthreshold OCD was determined. Categorical variables were compared using Chi-square/Fisher's exact tests as necessary. Differences between means were compared using the ANOVA. Results: The point prevalence of OCD was 3.3% (males = 3.5%; females = 3.2%). 8.5% students (males = 9.9%; females = 7.7%) fulfilled criteria of subthreshold OCD. Taboo thoughts (67.1%) and mental rituals (57.4%) were the most common symptoms in OCD subjects. Compared to those without obsessive-compulsive symptoms (OCSs), those with OCD and subthreshold OCD were more likely to have lifetime tobacco and alcohol use, psychological distress, suicidality, sexual abuse, and higher attention-deficit/hyperactivity disorder symptom scores. Subjects with subthreshold OCD were comparable to those with OCD except that OCD subjects had higher psychological distress scores and academic failures. Conclusions: OCD and subthreshold OCD are not uncommon in the community, both being associated with significant comorbidity. Hence, it is imperative that both are identified and treated in the community because of associated morbidity. PMID:28529361

Screening for breast cancer in a low middle income country: predictors in a rural area of Kerala, India.

PubMed

Sreedevi, Aswathy; Quereshi, Mariya Amin; Kurian, Beteena; Kamalamma, Leelamoni

2014-01-01

In India, breast cancer is the leading malignancy among women in a majority of the cancer registries. Therefore it is important to understand screening practices and its predictors, including in rural areas with high female literacy and good health indices. A cross-sectional study with multistage sampling was conducted in Vypin Block, Ernakulam district, Kerala, India. Four Panchayats (self administration units) were randomly chosen and a woman in every second household was invited to participate from the tenth ward of each. Thus a total of 809 women were interviewed. The majority of the repondents (82.1%) were not aware of risk factors and about a third (37.9%) were not aware of symptoms of breast cancer. About half of the population studied (46.6%) had undergone screening. Age (35-50 years), being married, health professionals as source of information and working were significant predictors of screening. Logistic regression showed that older women (35-50 yrs) were more likely to practice screening. Out of the never screened, about a third (35%) were desirous of doing it, but had not for various reasons and 53.5% were not willing to screen. The reasons identified for not screening among those desirous of doing it were grouped into knowledge 66 (43.4%), resources 23 (15.1%) and psychosocial 32(21.1%) factors. Unmarried women were significantly more likely to express factors related to all the three domains. This study showed that in spite of the absence of a population-based screening program, about half of the study population had undergone some type of screening. The older women (35-50 years) in particular were significantly more likely to practice screening. At this critical juncture, a high quality breast cancer awareness and screening initiative can help to consolidate the gains and tackle knowledge, resource and psychosocial barriers.

Quantification of Aerosol Derived Particulate Matter and Trace gases in the Coastal Belt of Kochi, Kerala, India

NASA Astrophysics Data System (ADS)

H, S. C.

2016-02-01

Aerosol chemistry is a window to unravel the various environmental health hazard problems. This open forum which deals with the study of formation, interaction, transformation of aerosol species, which could enable in the assessment of biogeochemical cycling of anthropogenic and toxic species. It also preserves the temperature balance and reservoir and sink for nutrients, trace metals and organic species. An inventory of air pollutants is a proactive and necessary first step towards the control of air pollution. Surveys and studies on the sources of pollution and their apportionment to different sources are a pre-requisite for alleviating environmental disorder. The Kochi City (The Queen of Arabian Sea), Kerala, India is a fast growing industrial region where mounting urbanization has been affecting the quality of the atmospheric environment. Cochin estuarine environment is progressively affected by marine pollution concomitant by industrial hazardous chemicals and municipal waste. Further, rapid urbanization and industrialization has lead to lofting and large scale advection of these omnipresent species in the atmosphere. Studies were conducted to assess the significance and potential impact occupied to these ubiquitous species. The major gaseous pollutants include gases like sulphur dioxide, nitrogen dioxide, ammonia and particulate matter (PM). An attempt was performed to unravel the inorganic species in the atmosphere and programmed by means of quantification of PM10 and trace gases. Their distribution pattern and outcomes are inferred.

Composition of gallbladder bile in healthy individuals and patients with gallstone disease from north and South India.

PubMed

Jayanthi, V; Sarika, S; Varghese, Joy; Vaithiswaran, V; Sharma, Malay; Reddy, Mettu Srinivas; Srinivasan, Vijaya; Reddy, G M M; Rela, Mohamed; Kalkura, S

2016-09-01

Gallstones (GS) in south India (SI) are predominantly pure pigment or mixed, while in North India (NI), these are either pure cholesterol or mixed. While cholesterol rich gallbladder (GB) bile predicts cholesterol GS, constituent of bile in primary pigment GS is not known. We compared the composition of GB bile from healthy liver donors and patients with GS from north and south India. Gallbladder bile from healthy liver donors from north (10) and south India (8) served as controls. Cases were patients from north (21) and south India (17) who underwent cholecystectomy for GS disease. Gallbladder bile from both cases and controls was analyzed for cholesterol, lecithin (phospholipid), and bile salts. Gallstones were classified as cholesterol, mixed, and pigment based on morphology and biochemical analysis. The median cholesterol concentration in control bile from north was significantly high compared to south (p<0.001) with no difference in lecithin and bile salts (p NS). Except for one sample each from north and south, the cholesterol solubility of controls was within the critical micellar zone. Mixed GS were most frequent in north India (61.9 %) while pigment GS dominated in south (61.9 %). The median cholesterol concentration in bile samples of cholecystectomy patients from north India was significantly high GS (p < 0.00001) with significant lowering of bile salts and lecithin (p < 0.00001). In south India, patients with mixed GS had high cholesterol content in bile compared to controls and patients with pigment GS; bile in latter had significantly higher concentration of bile salt compared to controls and mixed GS. The ternary plot confirmed the composition of GB bile from north and south India. Gallbladder bile in controls and patients with GS from north India had significantly high cholesterol concentration. In south India, patients with mixed GS had cholesterol rich bile while pigment GS had higher concentrations of bile salts.

Post-exposure prophylaxis against rabies at two newly designated intradermal rabies vaccination clinics in Kerala, India.

PubMed

J, Teena M; Mathew, T; S, Anish T; M, Sujina C; Philip, R R

2012-01-01

The two-site intradermal rabies vaccination (IDRV) regimen was recently introduced in Kerala. We aimed to determine factors associated with exposure of category III severity among patients seeking prophylaxis against rabies at IDRV clinics. This hospital-based, cross-sectional study was done at two clinics in Thiruvananthapuram district, Kerala. Data were collected using a semi-structured questionnaire by direct interview and 320 patients were included. Bivariate analysis of quantitative variables was done using t-test and that of qualitative variables using chi-square test. The mean (standard deviation) age of patients was 32.4 (19.6) years. Among the 320 cases, 202 (63.1%) had category III exposure. Lower extremities were the most frequent site of exposure (146, 45.6%). The most frequent mode of exposure was being bitten by an animal (214, 66.9%), often a dog. Residence in rural areas, exposure to dogs and wounds on the extremities had a significant association with severity of exposure. Animal exposures were more among people from rural areas. About two-thirds of exposures which necessitated post-exposure prophylaxis were category III. Copyright 2012, NMJI.

The decadal-scale variation of the South Asian summer monsoon onset and its connection with the PDO

NASA Astrophysics Data System (ADS)

Watanabe, T.; Yamazaki, K.

2013-12-01

The summer Asian monsoon shows the abrupt increase of precipitation on the onset phase. It is an interesting and important problem when the summer monsoon onset occurs because natural resources, such as water and renewable energy agricultural product, are influenced by the variation of the summer Asian monsoon. Some researchers suggested the advance of the Asian summer monsoon onset in recent decades. We investigated the variation of the Asian monsoon onset using the long-term onset data over Kerala, a state in the southwest region of India, for 1948-2011. We discuss three main questions: 1) how is the variation of the monsoon onset date in the long-term period, 2) how the variation of the onset date is related to variations of atmospheric circulation and SST, and 3) what is the mechanism of such variation. Our main method is composite analysis using monthly-mean data. Though the onset date over Kerala shows the trend toward the early onset in recent three decades, such a trend is not observed in the whole period. It is noteworthy that the onset over Kerala shows the interannual variation on a multi-decadal scale. As regards the early onset years of Kerala, the summer monsoon onset is early over the following regions: the region from the southern Arabian Sea to southwestern India, the region from the southern Bay of Bengal to the Indochina Peninsula and the western North Pacific Ocean. On the other hand, the onset is late over southern China, Taiwan and the northern Philippine Sea. In early onset years of Kerala, the sea surface temperature over the northern Pacific Ocean is very similar to the negative PDO. The stationary wave train related with the negative PDO reaches into the Central Asia region, generates warm anomaly there and hence intensifies the land-sea thermal contrast there, which promotes the summer monsoon onset over South and Southeast Asia. Though the correlation between the onset over Kerala and the PDO is weak before 1976, it becomes high after

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…

Insular pathways to health care in the city: a multilevel analysis of access to hospital care in urban Kerala, India.

PubMed

Levesque, Jean-Frédéric; Haddad, Slim; Narayana, Delampady; Fournier, Pierre

2007-07-01

To identify individual and urban unit characteristics associated with access to inpatient care in public and private sectors in urban Kerala, and to discuss policy implications of inequalities in access. We analysed the NSSO survey (1995-1996) for urban Kerala with regard to source and trajectories of hospitalization. Multinomial multilevel regression models were built for 695 cases nested in 24 urban units. Private sector accounts for 62% of hospitalizations. Only 31% of hospitalizations are in free wards and 20% of public hospitalizations involve payment. Hospitalization pathways suggest a segmentation of public and private health markets. Members of poor and casual worker households have lower propensity of hospitalization in paying public wards or private hospitals. There were important variations between cities, with higher odds of private hospitalization in towns with fewer hospital beds overall and in districts with high private-public bed ratios. Cities from districts with better economic indicators and dominance of private services have higher proportion of private hospitalizations. The private sector is the predominant source of inpatient care in urban Kerala. The public sector has an important role in providing access to care for the poor. Investing in the quality of public services is essential to ensure equity in access.

Prevalence and factors related to rheumatic musculoskeletal disorders in rural south India: WHO-ILAR-COPCORD-BJD India Calicut study.

PubMed

Paul, Binoy J; Rahim, Asma A; Bina, Thomas; Thekkekara, Romy J

2013-08-01

To assess the prevalence and factors related to rheumatic musculoskeletal disorders (RMSD) in a rural population of south India. The cross-sectional study included all individuals, 15 years and above, in a rural unit of Calicut District in North Kerala. Data were collected using the validated World Health Organization - International League of Associations for Rheumatology - Community Oriented Program for the Control of Rheumatic Diseases - Bhigwan model questionnaire by trained volunteers. In Phase 1 details of demographic characteristics, major co-morbidities and perceived musculoskeletal aches and pains were elicited. Phases 2 and 3 further evaluated and diagnosed the subjects. Predictors for RMSD were assessed using binary logistic regression analysis. There were 4999 individuals in the study. The prevalence of RMSD was 24.9% (95% CI 23.73; 26.12%). Females constituted 50.7% of the population; 5.1% of the respondents were illiterate; 80.9% belonged to low-income groups. Diabetes mellitus and hypertension affected 4.1% and 5.4% of the subjects respectively. The predictors for RMSD in the population were female sex, age, illiteracy, married status, low-income group, vegetarian diet, current alcohol consumption, current tobacco use, history of injury or accidents, diabetes and hypertension. Symptom-related ill-defined rheumatism (10.39%) followed by osteoarthritis (3.85%) were the most prevalent in the Phase 3 rheumatological evaluation. There is an urgent need to introduce lifestyle modifications in high-risk groups and start rehabilitation for those affected. Community rheumatology in primary health care settings in rural areas needs to be strengthened by introducing national programs addressing RMSD at the grassroots level. © 2013 Asia Pacific League of Associations for Rheumatology and Wiley Publishing Asia Pty Ltd.

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…

A Qualitative Study on Working Experience of Rural Doctors in Malappuram District of Kerala, India

PubMed Central

Vallikunnu, Vinod; Kumar, S. Ganesh; Sarkar, Sonali; Kar, Sitanshu Sekhar; Harichandrakumar, K. T.

2014-01-01

Background: Improving the working conditions of rural doctors is an important issue to increase the quality of health services to target groups. Objectives: To assess the working experience of rural doctors at primary health care level. Materials and Methods: This qualitative study was conducted among 30 medical officers from 21 primary health centers in Malappuram district of Kerala, India. In-depth interview was conducted, and content analysis was performed with the identification of themes based on the responses obtained. Results: There were 19 males and 11 females belonged to 25 to 55 years age group. About 70% (21) of them were graduates with MBBS qualification, and the rest were postgraduates. About 2/3rd of them (20) had experience of less than 5 years. They expressed difficulty in managing the work in stipulated time period. However, this had never affected their OP management in anyway. They told that higher authorities were supportive, but they faced some opposition from the public in implementation of national program. Few opined that the training received was grossly insufficient in running the administrative affairs of the health center. Most of them satisfied with physical infrastructure, but manpower including medical officers and supporting staff were not sufficient. Some opined that the age of retirement is too early and should be increased. They participated in Continuing Medical Education, but expressed that it's content should suit to primary health care level. Conclusion: This study highlighted their concern to patient care and time, field work, administrative work, infrastructure, professional development, and future prospects. Further large scale evaluation studies will explore the situational analysis of it. PMID:25161972

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…

Perceptions about Intellectual Disability: A Qualitative Study from Vellore, South India

ERIC Educational Resources Information Center

Edwardraj, S.; Mumtaj, K.; Prasad, J. H.; Kuruvilla, A.; Jacob, K. S.

2010-01-01

Background: Cultural and religious beliefs influence perceptions about health and illness. Data, from India, on perceptions about intellectual disability are scant. This study explored people's cultural beliefs and attitudes about intellectual disability, perceived needs and burden associated with care in Vellore, south India. Method: A…

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

Situation Report--Ghana, India, and South Africa.

ERIC Educational Resources Information Center

International Planned Parenthood Federation, London (England).

Data relating to population and family planning in three foreign countries are presented in these situation reports. Countries included are Ghana, India, and South Africa. Information is provided under two topics: general background and family planning situation, where appropriate and if it is available. General background covers ethnic groups,…

Protein malnutrition in South India

PubMed Central

Rao, K. Someswara; Swaminathan, M. C.; Swarup, S.; Patwardhan, V. N.

1959-01-01

A protein malnutrition survey was carried out in ten areas of four States of South India among children under 5 years of age in families with a monthly income of less than Rs 100, estimated to constitute 85% of the population. The agricultural situation and socio-economic conditions are described. The diets investigated consisted largely of cereals, with small quantities of pulses and green vegetables; milk, meat and eggs were little eaten. The survey covered investigation of infant care, feeding and weaning practices, clinical examinations, anthropometric measurements, determinations of haemoglobin and serum protein, and analysis of hospital records. Although infants were usually breast-fed for a long time, the quantity of breast milk was found to be low after 6 months, at which time supplementary foods were introduced, but these were usually inadequate. Extreme growth retardation was seen after weaning. Diarrhoea was complained of in some 20% of children. Such deficiency signs as dyschromotrichia, hepatomegaly, moon face, angular stomatitis and xerophthalmia were frequently seen. Frank cases of kwashiorkor and marasmus were observed in 1% and 1.7% respectively of children at home. These findings and others clearly show protein malnutrition to be a problem of very considerable magnitude in the poorer communities of South India. A comparison is made with the results of surveys conducted in Africa and in Central America. ImagesFIG. 6FIG. 7FIG. 2 PMID:14436226

Sexual Harassment and Abuse of Adolescent Schoolgirls in South India

ERIC Educational Resources Information Center

Leach, Fiona; Sitaram, Shashikala

2007-01-01

This article reports on a small exploratory study of adolescent girls' experiences of sexual harassment and abuse while attending secondary school in Karnataka State, South India. In South Asia, public discussion of sexual matters, especially relating to children, is largely taboo, and the study uncovers a hidden aspect of schooling, which…

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.

Human development and South East Asian countries: Special emphasis on India.

PubMed

Sharma, Kalpa

2013-08-31

'Development' is to improve the quality of people's lives by creating an environment for them to engage in a wide range of activities, to be healthy and well nourished, to be knowledgeable and to be able to participate in the community life. The Human Development Index (HDI) is a multi-dimensional index of development as it is the combination of three development indices- health index, education index and income index. This article attempts to compare the HDI and its components between various South East Asian countries. Secondary data is used. India's position on the HDI scale is equivalent to the South East Asian average and rank 134 out of more than 190 countries. In South East Asia, India stood fifth in HDI, behind Sri Lanka, Thailand, Maldives and Indonesia. Country has launched several schemes and programs to improve the health indicators, to provide elementary education to every child and to alleviate poverty. India's HDI value has improved with time but still country has a long way to go in achieving an acceptable HDI. Need is to strengthen the existing schemes and programs.

Learning from each other: cross-cultural insights on palliative care in Indian and Australian regions.

PubMed

McGrath, Pam; Holewa, Hamish; Koilparampil, Thomas; Koshy, Cherian; George, Shobha

2009-10-01

This article presents the findings of a cross-cultural research project that explored similarities and differences between palliative care service provision in Kerala, India and South-East Queensland, Australia, to inform a process of mutual learning for service development. Three major points of difference that can inform this process of mutual learning were identified: 1) an understanding of the significance of honesty in information-giving to the patient, 2) recognition of the importance of palliative care specialists providing education to mainstream health professionals, and 3) appreciation of the need for palliative care to be cognizant of the socio-economic impact of dying-especially for families experiencing poverty-by embracing strategies for financial and material support. The findings highlight the effectiveness of a cross-cultural collaboration between health professionals and researchers in South-East Queensland, Australia and Kerala, India.

Female autonomy as a contributing factor to women's HIV-related knowledge and behaviour in three culturally contrasting States in India.

PubMed

Bloom, Shelah S; Griffiths, Paula L

2007-07-01

Factors contributing to India's vulnerability to the AIDS epidemic include pervasive poverty, low levels of education and high gender stratification. This study uses data collected in the 1998-99 National Family Health Survey-2 (NFHS-2) to investigate the relationship between aspects of women's autonomy and four measures of HIV-related knowledge and behaviour--awareness and knowledge of HIV/AIDS, condom awareness and condom use--in three culturally contrasting states in India: Kerala (n=2884), Karnataka (n=4357) and Uttar Pradesh (n=8981). The NFHS-2 is a nationally representative survey of India, with a sampling scheme that was designed such that each state sample can be generalized back to represent ever-married women aged 15-49 living in the state. Kerala scores highest in the four health outcome measures, followed by Karnataka and then Uttar Pradesh, but condom use is lowest in Karnataka. Kerala also leads in the four dimensions of autonomy examined and in socio-demographic status, followed again by Karnataka and Uttar Pradesh. Despite these observed differences, in all three states, women with greater autonomy as measured by this study were more likely to be knowledgeable about AIDS and condoms and to use condoms, after controlling for socio-demographic factors. These results concur with other studies focusing on women's autonomy and health outcomes around the world, and point to the importance of incorporating a gender-based approach to AIDS prevention programmes in India.

Human development and South East Asian countries: Special emphasis on India

PubMed Central

Sharma, Kalpa

2013-01-01

‘Development’ is to improve the quality of people's lives by creating an environment for them to engage in a wide range of activities, to be healthy and well nourished, to be knowledgeable and to be able to participate in the community life. The Human Development Index (HDI) is a multi-dimensional index of development as it is the combination of three development indices- health index, education index and income index. This article attempts to compare the HDI and its components between various South East Asian countries. Secondary data is used. India's position on the HDI scale is equivalent to the South East Asian average and rank 134 out of more than 190 countries. In South East Asia, India stood fifth in HDI, behind Sri Lanka, Thailand, Maldives and Indonesia. Country has launched several schemes and programs to improve the health indicators, to provide elementary education to every child and to alleviate poverty. India's HDI value has improved with time but still country has a long way to go in achieving an acceptable HDI. Need is to strengthen the existing schemes and programs. PMID:24251281

Rationale and design of South Asian Birth Cohort (START): a Canada-India collaborative study.

PubMed

Anand, Sonia S; Vasudevan, Anil; Gupta, Milan; Morrison, Katherine; Kurpad, Anura; Teo, Koon K; Srinivasan, Krishnamachari

2013-01-28

People who originate from the Indian subcontinent (South Asians) suffer among the highest rates of type 2 diabetes in the world. Prior evidence suggests that metabolic risk factors develop early in life and are influenced by maternal and paternal behaviors, the intrauterine environment, and genetic factors. The South Asian Birth Cohort Study (START) will investigate the environmental and genetic basis of adiposity among 750 South Asian offspring recruited from highly divergent environments, namely, rural and urban India and urban Canada. Detailed information on health behaviors including diet and physical activity, and blood samples for metabolic parameters and DNA are collected from pregnant women of South Asian ancestry who are free of significant chronic disease. They also undergo a provocative test to diagnose impaired glucose tolerance and gestational diabetes. At delivery, cord blood and newborn anthropometric indices (i.e. birth weight, length, head circumference and skin fold thickness) are collected. The mother and growing offspring are followed prospectively and information on the growth trajectory, adiposity and health behaviors will be collected annually up to age 3 years. Our aim is to recruit a minimum of 750 mother-infant pairs equally divided between three divergent environments: rural India, urban India, and Canada. The START cohort will increase our understanding of the environmental and genetic determinants of adiposity and related metabolic abnormalities among South Asians living in India and Canada.

Molecular detection of Hepatozoon canis in dogs from Kerala.

PubMed

Lakshmanan, Bindu; Jose, K Jain; George, Arun; Usha, N P; Devada, K

2018-06-01

India has a wide range of agro-climatic zones which is highly conducive for a diverse range of vectors and canines are continuously exposed to the risk of spectrum of tick borne protozoan diseases. The brown dog tick, Rhipicephalus sanguineus is widely prevalent among dogs in Kerala and there is a high prevalence of this tick transmitted Babesia and Ehrlichia spp. infection. However, the incidence of Hepatozoon canis transmitted by the same tick species had not been reported in the state since 2004. Preliminary screening of client owned dogs revealed six dogs to be positive for typical gelatin capsule shaped gamonts of H. canis within neutrophils in blood smear by microscopic examination. A PCR assay was standardized to amplify a specific 737 bp fragment of 18S rRNA gene of H. canis. Phylogenetic analysis revealed closest relationship with West Indies isolate deposited at GenBank database. The present study records the molecular detection of this haemoparasite in the state, for the first time.

Cutaneous leishmaniasis: knowledge, attitude and practices of the inhabitants of the Kani forest tribal settlements of Tiruvananthapuram district, Kerala, India.

PubMed

Nandha, B; Srinivasan, R; Jambulingam, P

2014-12-01

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 control/prevention of CL is to create awareness among the community and ensure optimal utilization of interventions. First step in this direction would be to carry out a situation analysis on prevailing knowledge, attitude and practice (KAP) of inhabitants. A study among 103 respondents from 10 Kani tribal settlements showed that though 39.8% of respondents recognized pictures of CL shown to them, but did not have any lay perceptions. There was absolutely no awareness on vector, transmission, risk factors and control measures. The role of sandflies in CL causation was not known to the residents and this prevented them from using any personal protection and adhering to control measures which in turn pose risk of spread of infection within settlements and to newer areas. CL has emerged as a challenging infection in this area and an urgent need for designing appropriate preventive measures and health education strategies is addressed in this article. © The Author 2014. Published by Oxford University Press. All rights reserved. For permissions, please email: journals.permissions@oup.com.

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

Incidence of tuberculosis among school-going adolescents in South India.

PubMed

Uppada, Dharma Rao; Selvam, Sumithra; Jesuraj, Nelson; Lau, Esther L; Doherty, T Mark; Grewal, Harleen M S; Vaz, Mario; Lindtjørn, Bernt

2016-07-26

Tuberculosis (TB) incidence data in vaccine target populations, particularly adolescents, are important for designing and powering vaccine clinical trials. Little is known about the incidence of tuberculosis among adolescents in India. The objective of current study is to estimate the incidence of pulmonary tuberculosis (PTB) disease among adolescents attending school in South India using two different surveillance methods (active and passive) and to compare the incidence between the two groups. The study was a prospective cohort study with a 2-year follow-up period. The study was conducted in Palamaner, Chittoor District of Andhra Pradesh, South India from February 2007 to July 2010. A random sampling procedure was used to select a subset of schools to enable approximately 8000 subjects to be available for randomization in the study. A stratified randomization procedure was used to assign the selected schools to either active or passive surveillance. Participants who met the criteria for being exposed to TB were referred to the diagnostic ward for pulmonary tuberculosis confirmation. A total number of 3441 males and 3202 females between the ages 11 and less than 18 years were enrolled into the study. Of the 3102 participants in the active surveillance group, four subjects were diagnosed with definite tuberculosis, four subjects with probable tuberculosis, and 71 subjects had non-tuberculous Mycobacteria (NTM) isolated from their sputum. Of the 3541 participants in the passive surveillance group, four subjects were diagnosed with definite tuberculosis, two subjects with probable tuberculosis, and 48 subjects had non-tuberculosis Mycobacteria isolated from their sputum. The incidence of definite + probable TB was 147.60 / 100,000 person years in the active surveillance group and 87 / 100,000 person years in the passive surveillance group. The incidence of pulmonary tuberculosis among adolescents in our study is lower than similar studies conducted in South

Rationale and design of South Asian Birth Cohort (START): a Canada-India collaborative study

PubMed Central

2013-01-01

Background People who originate from the Indian subcontinent (South Asians) suffer among the highest rates of type 2 diabetes in the world. Prior evidence suggests that metabolic risk factors develop early in life and are influenced by maternal and paternal behaviors, the intrauterine environment, and genetic factors. The South Asian Birth Cohort Study (START) will investigate the environmental and genetic basis of adiposity among 750 South Asian offspring recruited from highly divergent environments, namely, rural and urban India and urban Canada. Methods Detailed information on health behaviors including diet and physical activity, and blood samples for metabolic parameters and DNA are collected from pregnant women of South Asian ancestry who are free of significant chronic disease. They also undergo a provocative test to diagnose impaired glucose tolerance and gestational diabetes. At delivery, cord blood and newborn anthropometric indices (i.e. birth weight, length, head circumference and skin fold thickness) are collected. The mother and growing offspring are followed prospectively and information on the growth trajectory, adiposity and health behaviors will be collected annually up to age 3 years. Our aim is to recruit a minimum of 750 mother-infant pairs equally divided between three divergent environments: rural India, urban India, and Canada. Summary The START cohort will increase our understanding of the environmental and genetic determinants of adiposity and related metabolic abnormalities among South Asians living in India and Canada. PMID:23356884

NATURAL RADIOACTIVITY IN SEDIMENTS AND RIVER BANK SOIL OF KALLADA RIVER OF KERALA, SOUTH INDIA AND ASSOCIATED RADIOLOGICAL RISK.

PubMed

Venunathan, N; Kaliprasad, C S; Narayana, Y

2016-10-01

The paper presents the activity concentrations of 232 Th, 226 Ra and 40 K in the sediments and river bank soil samples collected from the Kallada river environs of coastal Kerala. The radiological risks associated with these radionuclides were calculated. The samples were processed following standard procedure, and activity was counted using a high-efficiency 5″ × 5″ NaI (Tl) detector coupled to GSPEC gamma spectroscopy system. The mean values of measured activities of 232 Th, 226 Ra and 40 K in soil samples were found to be 98.1 ± 0.4, 60.3 ± 1.1 and 343.4 ± 1.8 Bq kg -1 , respectively, which results in an average absorbed dose rate of 103 nGy h -1 The corresponding values for sediment samples were found to be 88.0 ± 0.4, 48.6 ± 0.9 and 423.2 ± 2.0 Bq kg -1 , respectively, with a resulting absorbed dose rate of 95 nGy h -1 Radium equivalent activity, annual effective dose equivalent, the external and internal hazard indices were determined and compared with recommended limits. The results of the work provide background data on natural radioactive isotopes, which are useful in the assessment of human radiation exposure from natural environment. The accumulation of information on natural radiation is of great value for radiation protection. © The Author 2016. Published by Oxford University Press. All rights reserved. For Permissions, please email: journals.permissions@oup.com.

Completed suicide in adults of rural Kerala: rates and determinants.

PubMed

Sauvaget, C; Ramadas, K; Fayette, J M; Thomas, G; Thara, S; Sankaranarayanan, R

2009-01-01

India has witnessed a dramatic increase in suicide rates during the past few decades. The southern state of Kerala has been reporting the highest rates of suicide. Since suicide rates are estimated from death registries, they are likely to be under-reported because the civil registration system is incomplete and suicide deaths are poorly reported. A cohort of 132 000 participants (age 35 years and above) in Thiruvananthapuram (erstwhile Trivandrum) district, Kerala was followed up for mortality from 1996 to 2005, after having filled-in a lifestyle questionnaire at baseline. The cause of death was based on verbal autopsy. Suicide methods were recorded and rates were estimated, and suicide risks were calculated according to several socioeconomic factors. During the follow up period, a total of 11 608 deaths, of which 385 were suicides (3.3% of total deaths), were registered. The overall suicide rate was 39.3/100 000 person-years among adults 35-90 years of age (men: 78/ 100000; women: 16.5/100000). The predominant methods of suicide were hanging, followed by poisoning and drowning. The suicide determinants were male gender, middle-age (40-60 years), Hindu, alcohol drinkers and secondary education level (< or = 7 years). Neither low socioeconomic level, living alone, nor being a married woman was associated with suicide risk. Suicide rates were consistent with the official rates of Thiruvananthapuram district (37/100 000). However, our study population did not include the 14-34-year-old age-group which represents more than 37% of all suicides and hence it is more likely that the official rates are under-reported. Determinants of suicide were in line with previous studies.

Report of the Two-Day National Seminar on New Directions in Higher Education, Organized by the Kerala State Higher Education Council on 12th and 13th July 2010

ERIC Educational Resources Information Center

Praveen, C.

2010-01-01

This is a report of the Two-Day National Seminar on New Directions in Higher Education, organized by the Kerala State Higher Education Council on 12th and 13th July 2010. The objective of the seminar was to deliberate upon the reforms being undertaken by the Government of India in Higher Education. Reputed scholars from within and outside the…

Social analysis of sex imbalance in India: before and after the implementation of the Pre-Natal Diagnostic Techniques (PNDT) Act.

PubMed

Subramanian, S V; Selvaraj, S

2009-03-01

While the issue of sex imbalance in South Asia is well recognised, less is known about its social patterning. Social patterning in the proportion of sexes was investigated among infants in India before and after the implementation of the Pre-Natal Diagnostic Techniques (PNDT) Act in 1996. The act regulates the misuse of technologies for sex determination of fetuses and subsequent selective abortion. Multivariable regression analysis was performed on time series data from a nationally representative sample of households with infants. The outcome was log odds of having a male infant. Household income, parental education, social caste, a variable representing periods before and after the implementation of the PNDT Act and state of residence were the main predictors of interest. The odds of having a male infant increased with income quartiles. Heads of household with post-secondary education had a higher odds ratio of having a male infant than those with no formal education. The odds of having a male infant did not differ between high and low caste groups, and was not associated with the educational attainment of the spouse. Punjab had a higher odds ratio of having a male infant compared with Kerala. Kerala, meanwhile, was not particularly different from the remaining Indian states. The odds of having a male infant were similar in the pre- and post-PNDT periods. In the post-PNDT period, the income gradient in the odds of having a male infant was substantially weakened. Social analysis of the distribution of sexes among infants in India suggests that neither improvements in socioeconomic circumstances nor introducing policies that are not aligned with societal norms and preferences are likely to normalise the sex imbalance in India.

The One Laptop School: Equipping Rural Elementary Schools in South India through Public Private Partnerships

ERIC Educational Resources Information Center

Byker, Erik Jon

2015-01-01

This article reports on a Public Private Partnership (PPP) program in South India that provided information and communication technology (ICT) to rural elementary schools. The article examined the current status of rural, government-run elementary schools in India by reviewing reports like the Annual Status of Education Report (ASER) in India.…

Evaluation of prevalence and risk factors of gestational diabetes in a tertiary care hospital in Kerala.

PubMed

Mohan, Manju A; Chandrakumar, Abin

2016-01-01

The prospective study was conducted with the aim to evaluate the prevalence and risk factors of gestational diabetes mellitus in a tertiary care referral hospital in Kerala. A prospective observational study was conducted with the aim to study the prevalence, risk factors, complications, treatment pattern and cost analysis of GDM. The study was carried out in the Obstetrics & Gynecology dDepartment of Al Shifa hHospital located in northern Kerala. Over an eight-month period, 201 patients who met the inclusion criteria were enrolled for study from which prevalence of GDM was estimated at 15.9%. The study revealed higher prevalence of risk factors and complications such as age >25 years, BMI >26kg/m(2), family history of DM, past history GDM, history of big baby, gestational hypertension, vaginal candidiasis, premature rupture of membranes and hyperbilirubinemia in GDM group as compared to non-GDM group. The study also demonstrated that modern life-style was a major influencing factor for development of diabetes in the study population. The study reveals the necessity of proper screening diagnosis and management of GDM in pregnant women by the clinicians so as to prevent the future burden of type 2 diabetes. Copyright © 2015 Diabetes India. Published by Elsevier Ltd. All rights reserved.

One-year mortality outcomes and hospital readmissions of patients admitted with acute heart failure: Data from the Trivandrum Heart Failure Registry in Kerala, India.

PubMed

Harikrishnan, Sivadasanpillai; Sanjay, Ganapathi; Agarwal, Anubha; Kumar, N Pratap; Kumar, K Krishna; Bahuleyan, Charantharayil Gopalan; Vijayaraghavan, Govindan; Viswanathan, Sunitha; Sreedharan, Madhu; Biju, R; Rajalekshmi, N; Nair, Tiny; Suresh, Krishnan; Jeemon, Panniyammakal

2017-07-01

There are sparse data on outcomes of patients with heart failure (HF) from India. The objective was to evaluate hospital readmissions and 1-year mortality outcomes of patients with HF in Kerala, India. We followed 1,205 patients enrolled in the Trivandrum Heart Failure Registry for 1 year. A trained research nurse contacted each participant every 3 months using a structured questionnaire which included hospital readmission and mortality information. The mean (SD) age was 61.2 (13.7) years, and 31% were women. One out of 4 (26%) participants had HF with preserved ejection fraction. Only 25% of patients with HF with reduced ejection fraction received guideline-directed medical therapy at discharge. Cumulative all-cause mortality at 1 year was 30.8% (n = 371), but the greatest risk of mortality was in the first 3 months (18.1%). Most deaths (61%) occurred in patients younger than 70 years. One out of every 3 (30.2%) patients was readmitted at least once over 1 year. The hospital readmission rates were similar between HF with preserved ejection fraction and HF with reduced ejection fraction patients. New York Heart Association functional class IV status and lack of guideline-directed medical treatment after index hospitalization were associated with increased likelihood of readmission. Similarly, older age, lower education status, nonischemic etiology, history of stroke, higher serum creatinine, lack of adherence to guideline-directed medical therapy, and hospital readmissions were associated with increased 1-year mortality. In the Trivandrum Heart Failure Registry, 1 of 3 HF patients died within 1 year of follow-up during their productive life years. Suboptimal adherence to guideline-directed treatment is associated with increased propensity of readmission and death. Quality improvement programs aiming to improve adherence to guideline-based therapy and reducing readmission may result in significant survival benefits in the relatively younger cohort of HF patients in

Malformation risk of antiepileptic drug exposure during pregnancy in women with epilepsy: Results from a pregnancy registry in South India.

PubMed

Thomas, Sanjeev V; Jose, Manna; Divakaran, Srividya; Sankara Sarma, Prabhakaran

2017-02-01

Kerala Registry of Epilepsy and Pregnancy had been prospectively evaluating the reproductive issues of women with epilepsy since April 1998. This analysis aimed to estimate the relative risk of major congenital malformations (MCM) to the registrants. All pregnancies with known outcome in this register until December 2013 were included. Malformation status was evaluated by antenatal ultrasonography, physical examination at birth, echocardiography, and abdomen ultrasonography at 3 months of age and a final review at 1 year of age. There were 1,688 fetuses (singlets 1,643, twins 21, and triplet 1) resulting in 1,622 live births. All were born to women of Asian origin living in South India. The MCM rate for all live births was 6.84% (95% confidence interval [CI] 5.71-8.18) and for all pregnancy outcomes including fetal loss was 7.11% (95% CI 5.98-8.44). The MCM rates (mean with 95% CI) for exposed group were 6.4% (5.03-8.03) for monotherapy and 9.9% (7.37-13.13) for polytherapy; internal control group (women with epilepsy [WWE] not on antiepileptic drugs [AEDs] in first trimester) 5.6% (3.34-9.11), external control group (women without epilepsy or AED exposure in first trimester) 3.45% (1.94-6.07). Valproate monotherapy group had a dose-dependent relative risk for MCM of 2.6 (95% CI 1.30-5.20) compared to the external control group. The preliminary data on MCM rate for the nine total clobazam monotherapy (22.2%; 95% CI 6.2-54.7) signals increased risk that needs further validation on larger sample size. There was no association between MCM rate and maternal socioeconomic status, epilepsy syndrome, or use of folic acid in first trimester. This dataset from South India confirms the increased risk of MCM with exposure to AEDs, particularly polytherapy. A dose-dependent increased risk was observed with valproate. The increased risk associated with clobazam monotherapy is an important signal that needs to be confirmed in a larger sample. Wiley Periodicals, Inc. © 2017

Keeping the doctor in the loop: Ayurvedic pharmaceuticals in Kerala.

PubMed

Kudlu, Chithprabha

2016-12-01

Ethnographic inquiry into Ayurvedic commodification in Kerala revealed the prevalence of a distinct regional pharmaceutical market dominated by physician-manufacturers, oriented towards supplying classical medicines to Ayurvedic doctors. This stands in sharp contrast to mainstream Ayurveda that is observed to have undergone biomedicalization and pharmaceuticalization. This paper argues that Kerala's classical-medicine-centric pharmaceutical market constitutes an alternative modernity because it provided Kerala Ayurveda with a different route to modernization impervious to the biomedical regime, as well as endowing it with the institutional power to safeguard its regional identity. Although physician-entrepreneurs are its key architects, it is sustained by value regimes shaped by a unique regional medico-cultural milieu. Even when industrially produced, classical medicines remain embedded within Ayurveda's socio-technical network; unlike proprietary drugs sold as individual product-identities through non-Ayurvedic channels, they travel together as a pharmacopeia, distributed through exclusive doctor-mediated agencies. This clinic-centric distribution format is best conceptualized as an open-source business model as it made low-margin generics viable by packaging them with therapies and services. Besides ensuring better access and affordability, it provided resistance to pharmaceuticalization and intellectual property concentration. By keeping the doctor in the loop, it prevented medicines from degenerating into de-contextualized commodities; the service component of Ayurveda therein preserved went on become the unique selling point in the health-tourism market. The tourism-inspired proliferation of Brand Kerala eventually triggered a paradigm shift in mainstream Ayurveda - shifting focus from 'pharmaceuticals' to 'services' and from 'illness' to 'wellness'. Furthermore, interacting with hybrid Ayurvedas in transnational markets, Kerala Ayurveda co-produces new

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

Characterization of the non-polio enterovirus infections associated with acute flaccid paralysis in South-Western India.

PubMed

Laxmivandana, Rongala; Yergolkar, Prasanna; Gopalkrishna, Varanasi; Chitambar, Shobha D

2013-01-01

Non-polio enteroviruses (NPEVs) have been reported frequently in association with acute flaccid paralysis (AFP) cases during Polio Surveillance Programs (PSPs) worldwide. However, there is limited understanding on the attributes of their infections. This study reports characteristics of NPEVs isolated from AFP cases, investigated during PSPs held in 2009-2010, in Karnataka and Kerala states of south-western India having varied climatic conditions. NPEV cell culture isolates derived from stool specimens that were collected from 422 of 2186 AFP cases (<1-14 years age) and 17 of 41 asymptomatic contacts; and details of all AFP cases/contacts were obtained from National Polio Laboratory, Bangalore. The distribution of NPEV infections among AFP cases and circulation pattern of NPEV strains were determined by statistical analysis of the data. Genotyping of all NPEV isolates was carried out by partial VP1 gene sequencing and phylogenetic analysis. NPEV positive AFP cases were significantly higher in children aged <2 years; with residual paralysis; in summer months; and in regions with relatively hot climate. Genotyping of NPEVs identified predominance of human enteroviruses (HEV)-B species [81.9%-Echoviruses (E): 57.3%; coxsackieviruses (CV) B: 15%; numbered EVs: 8.9%; CVA9: 0.7%] and low levels of HEV-A [14.5%-CVA: 6%; numbered EVs: 8.5%] and HEV-C [3.6%-CVA: 2.6%; numbered EVs: 1%] species, encompassing 63 genotypes. EV76 (6.3%) and each of E3, CVB3 and E9 (4.97%) were found frequently during 2009 while E11 (6.7%), CVB1 (6.1%), E7 (5.1%) and E20 (5.1%) were detected commonly in 2010. A marked proportion of AFP cases from children aged <2 years; presenting with fever; and from north and south interior parts of Karnataka state was detected with E/numbered EVs than that found with CVA/CVB. This study highlights the extensive genetic diversity and diverse circulation patterns of NPEV strains in AFP cases from different populations and climatic conditions.

Quantitative ethnomedicinal study of plants used in the Nelliyampathy hills of Kerala, India.

PubMed

Vijayakumar, S; Morvin Yabesh, J E; Prabhu, S; Manikandan, R; Muralidharan, B

2015-02-23

Inspite of tremendous advances made in allopathic medical practices, medicinal plants have played an important role throughout the world in treating and preventing a variety of diseases and hence there is urgency in recording such data. This is the first ethnobotanical study in which statistical calculations about plants are done by the Pearson correlation coefficient (PCC) method. The present study was aimed to identify plants collected for medicinal purposes by the traditional healers of Nelliyampathy hills, located in Palakkad district of Kerala, India and to document the traditional names, preparation and uses of these plants. The field study was carried out over a period of 2 years (2011-2013) using semi-structured interviews with 66 informants (most of the informants belonged to an age between 50 and 70 years) in six remote locations in the hills. Ethnomedicinal data was analyzed using frequency citation (FC), relative frequency of citation (RFC) and use value (UV) along with a Pearson correlation coefficient (PCC). Demographic characteristics of participants, ethnobotanical inventory of plants and data on medicinal application and administration were recorded. A total of 85 medicinal plants belonging to 49 families were reported to be used against 19 different ailments in the hills. The maximum reported medicinal plant families were Cucurbitaceae with 6 species followed by Acanthaceae, Malvaceae and Fabaceae (each 5 species), Asteraceae, Lamiaceae, Moraceae and Myrtaceae (each 3 species), the most dominant life form of the species includes herbs (42) followed by tree (20), climber (15) and shrub (8), the most frequent used part was leaves (40%) followed by root (14%), seed and flowers (each12%), fruit (9%), bark (7%), stem (2%), latex (2%), rhizome and whole plant (each 1%), the most common preparation and administration methods were paste (32%), powder (22%), decoction and juice (each 20%) and raw (4%), infusion and inhalation (each1% ). The Pearson

Mental Health and Academic Achievement among M.Ed. Students in Kerala

ERIC Educational Resources Information Center

Moradi Sheykhjan, Tohid; K., Rajeswari; Jabari, Kamran

2017-01-01

The present research endeavor was aimed to assess relationship between Mental Health and Academic Achievement among M.Ed. students in Kerala. The sample of the study consisted of 314 M.Ed. students in Kerala. The method used for the present study was survey method. Mental Health Status Scale (M.H.S. Scale) was used and the study used the total…

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

PubMed

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.

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.

Remote sensing revealed drainage anomalies and related tectonics of South India

NASA Astrophysics Data System (ADS)

Ramasamy, SM.; Kumanan, C. J.; Selvakumar, R.; Saravanavel, J.

2011-03-01

Drainages have characteristic pattern and life histories with youthful stage in hilly areas, mature stage in plains and old stage in the coastal zones. The deviations from their normal life histories, especially aberrations in their flow pattern in the form of various drainage anomalies have been inferred to be the indications of dominantly the Eustatic and Isostatic changes. This, especially after the advent of Earth Observing Satellites, has attracted the geoscientists from all over the world, for studying such drainage anomalies. In this connection, a study has been undertaken in parts of South India falling south of 14° south latitude to comprehensively map some drainage anomalies like deflected drainages, eyed drainages and compressed meanders and to evolve the tectonic scenario therefrom. The mapping of such mega drainage anomalies and the related lineaments/faults from the satellite digital data and the integration of such lineaments/faults with the overall lineament map of South India showed that the study area is marked by active N-S block faults and NE-SW sinistral and NW-SE dextral strike slip faults. Such an architecture of active tectonic grains indicates that the northerly directed compressive force which has originally drifted the Indian plate towards northerly is still active and deforming the Indian plate.

High prevalence of undiagnosed diabetes among tuberculosis patients in peripheral health facilities in Kerala

PubMed Central

Kumari, A. K.; Subramonianpillai, J.; Shabna, D. S.; Kumar, S. M.; Balakrishnan, S.; Naik, B.; Kumar, A. M. V.; Isaakidis, P.; Satyanarayana, S.

2013-01-01

Setting: Two tertiary care hospitals and 12 peripheral health institutions (PHIs) in Trivandrum, Kerala, India. Objective: To determine factors associated with the prevalence of diabetes mellitus (DM) among tuberculosis (TB) patients and examine differences in the proportion of new DM cases among TB patients diagnosed at tertiary care centres and PHIs. Design: A descriptive study: TB patients diagnosed during March–September 2012 were screened for known DM. Those with unknown DM status were tested for random blood glucose and fasting blood glucose (FBG); FBG ≥ 126 mg/dl was diagnosed as new DM. Results: Of 920 TB patients, 689 (72%) were male and the mean (standard deviation) age was 47.6 (16.4) years. Of these, 298 (32.4%) were diabetic: 235 (26%) had previously known DM and 63 (7%) were newly diagnosed. During the screening at PHIs and tertiary care hospitals, respectively 30/183 (16.4%) and 33/737 (4.5%) were newly diagnosed with DM (OR 3.71; 95%CI 2.17–6.32). Overall, age >50 years and pulmonary tuberculosis were independently associated with a higher prevalence of diabetes. Conclusion: As nearly one in three TB patients had DM, we recommend that TB patients should be routinely screened for DM in Kerala. As the proportion of new DM was higher among TB patients diagnosed at PHIs, we would recommend that specific attention and investment be directed to PHIs. PMID:26393068

Evaluation of Genetic Diversity, Population Structure, and Relationship Between Legendary Vechur Cattle and Crossbred Cattle of Kerala State, India.

PubMed

Radhika, G; Aravindakshan, T V; Jinty, S; Ramya, K

2018-01-02

The legendary Vechur cattle of Kerala, described as a very short breed, and the crossbred (CB) Sunandini cattle population exhibited great phenotypic variation; hence, the present study attempted to analyze the genetic diversity existing between them. A set of 14 polymorphic microsatellites were chosen from FAO-ISAG panel and amplified from genomic DNA isolated from blood samples of 30 Vechur and 64 unrelated crossbred cattle, using fluorescent labeled primers. Both populations revealed high genetic diversity as evidenced from high observed number of alleles, Polymorphic Information Content and expected heterozygosity. Observed heterozygosity was lesser (0.699) than expected (0.752) in Vechur population which was further supported by positive F IS value of 0.1149, indicating slight level of inbreeding in Vechur population. Overall, F ST value was 0.065, which means genetic differentiation between crossbred and Vechur population was 6.5%, indicating that the crossbred cattle must have differentiated into a definite population that is different from the indigenous Vechur cows. Structure analysis indicated that the two populations showed distinct differences, with two underlying clusters. The present study supports the separation between Taurine and Zebu cattle and throws light onto the genetic diversity and relationship between native Vechur and crossbred cattle populations in Kerala state.

Teaching Hinduism through a Rural Homestay in South India

ERIC Educational Resources Information Center

Ulrich, Edward T.

2018-01-01

For the first time, in 2008, I offered a world religions study abroad course in South India. The special emphasis was meeting and befriending locals, and the centerpiece of the course was a six-night stay in rural homes. I considered this immersion in a Hindu context to be the best setting for learning Hindu thought. However, the environment was…

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. © 2015 UICC.

Active intraplate deformation in south India

NASA Astrophysics Data System (ADS)

Subrahmanya, K. R.

1996-09-01

Two characteristics of the Indian plate are the intraplate deformation of the oceanic crust to the south of Bay of Bengal and the ongoing uplift of the continental crust in the southern Indian peninsula. An irregular line connecting Mulki on the West Coast and Pulicat Lake on the East Coast (close to 13°N) constitutes a major drainage divide. Several large rivers of south India diverge from this line. This nearly east-west-trending ridge is characterised by gravity high, relatively thinner crust and microseismicity. The shoreline at either ends is convex towards sea. The coastal region particularly in the west is highly dissected. The coastal zone consists of series of beach ridges and swales indicating uplift of land. A close scrutiny of the river channels indicates that the rivers south of the major water divide have successively shifted southward leaving behind paleochannels on the Quaternary terrain. There is similar migration of streams to the north shifting northward. Even in areas where the gradient is low, the rivers have elevated terraces, resulting from valley deepending. The tide gauge records for Mangalore and Madras show a relative fall in sea-level. Occurrence of a dead oyster colony above the intertidal zone substantiates the tide gauge data. These observations indicate that the continental crust close to Mulki-Pulicat Lake axis is undergoing compression and uplift, related to the north-south oriented regional stress field.

Higher Education and MOOCS in India and the Global South

ERIC Educational Resources Information Center

Alcorn, Brandon; Christensen, Gayle; Kapur, Devesh

2015-01-01

Demographic surges and economic growth have created an exploding demand for higher education in the Global South--a demand that low- and middle-income countries cannot realistically meet with traditional institutions alone. In India, the demand increasingly is being met by online education. Recently, MOOCs--with their potential to scale up rapidly…

Tobacco use & social status in Kerala.

PubMed

Thankappan, K R; Thresia, C U

2007-10-01

Health indicators of Kerala State such as infant mortality rate (14/ 1000 live births) and life expectancy at birth (71 yr for men and 76 yr for women) are far ahead of the Indian averages (IMR 58, life expectancy men 62 and women 63) and closer to the developed countries. However, tobacco use prevalence is similar to the national average. Smoking is the commonest form of tobacco usage among men in the State whereas chewing tobacco is more common among women and children. Tobacco chewing among men is increasing in Kerala probably due to the smoking ban and industry strategy to focus on smokeless tobacco. Tobacco use is significantly more among the low socio-economic (SE) groups compared to the high SE group. Mortality and morbidity attributed to tobacco is higher among the poorest people in the State. Age adjusted cancer rate of oral cavity and lung cancer has been increasing in the State in recent years. Heart diseases among the young people are increasing in the State. Cancer and heart diseases are chronic illnesses which may pull the individual and the entire family below the poverty line. Tobacco control therefore should be a top priority not only as a health issue but as a poverty reduction issue. Poverty alleviation is one of the major goals of developing economies. No poverty alleviation programme can ignore the potential impoverishment associated with tobacco use. Kerala with a very strong decentralized government has a very good opportunity to address tobacco control as a priority at the grass root level and reduce the impoverishment due to tobacco use.

Epidemiological correlates of breast cancer in South India.

PubMed

Babu, Giridhara Rathnaiah; Lakshmi, Srikanthi Bodapati; Thiyagarajan, Jotheeswaran Amuthavalli

2013-01-01

Breast cancer is the most frequent cancer in women globally and represents the second leading cause of cancer death among women (after lung cancer). India is going through epidemiologic transition. It is reported that the incidence of breast cancer is rising rapidly as a result of changes in reproductive risk factors, dietary habits and increasing life expectancy, acting in concert with genetic factors. In order to understand the existing epidemiological correlates of breast cancer in South India, a systematic review of evidence available on epidemiologic correlates of breast cancer addressing incidence, prevalence, and associated factors like age, reproductive factors, cultural and religious factors was performed with specific focus on screening procedures in southern India. An increase in breast cancer incidence due to various modifiable risk factors was noted, especially in women over 40 years of age, with late stage of presentation, lack of awareness about screening, costs, fear and stigma associated with the disease serving as major barriers for early presentation. Educational strategies should be aimed at modifying the life style, early planning of pregnancy, promoting breast feeding and physical activity. It is very important to obtain reliable data for planning policies, decision-making and setting up the priorities.

The impact of mandatory helmet law on the outcome of maxillo facial trauma: a comparative study in kerala.

PubMed

Usha, M; Ravindran, V; Soumithran, C S; Ravindran Nair, K S

2014-06-01

Motorcyclists comprise the majority of road-traffic victims in low and middle income countries,and consequently, the majority of the road-traffic victims globally. Simple measures can be taken to make safer on the roads, which include enforcement of safety measures like seat belt and helmets. The compulsory Helmet law was enforced in Kerala on 18/06/07. Resistance to legislation on motorcycle helmets still coexists world wide with debate on the effectiveness of helmets. In an attempt to analyze the protective effect of helmets on facial injuries a comparative study was conducted in Government Dental College, Calicut, which is a major trauma centre in northern Kerala. Data for the present study was obtained from the patients who have reported to the Emergency Department of Oral and Maxillofacial Surgery, Government Dental College, Calicut, for a period of 6 months immediately after the implementation of strict helmet rule in Kerala. For the study all patients with a history of nonfatal motor cycle accident sustaining facial injuries were included. The results were compared with the study conducted in the same institution in the pre law period. The study demonstrates the protective effect of motorcycle helmets in decreasing the morbidity of maxillofacial trauma.There was a marked decrease in incidence of motorcycle-related injuries, remarkable increase in helmet usage and better outcome in helmeted individuals in the post law period. Road traffic injury control is a public health problem. Health and medical professionals have an ethical responsibility to educate and arrange for the safety of individuals. Helmets are effective in preventing or reducing the severity of motorcycle-related injuries and in a developing country like India, enforced mandatory motor cycle helmet law is potentially one of the most cost effective interventions available.

Tuberculosis control in postcolonial South India and Southeast Asia: Fractured sovereignties in international health, 1948-1960

PubMed Central

Neelakantan, Vivek

2018-01-01

Between 1948 and 1960, South India (Madras State) and Southeast Asia—with an emphasis on Indonesia, the Philippines, and Burma— emerged as global centres for tuberculosis control. This article attempts to situate tuberculosis control of these two regions within the broader context of transnational health. It investigates the unique ways in which tuberculosis control in South India and Southeast Asia reflected the inner tensions between the notional magic bullet approach, which focuses on specific cures to root out the cause of the disease, and a more holistic approach that relates disease prevention to overall well-being of the population. The implementation of tuberculosis control programs across South India and Southeast Asia shed light on the nature of the postcolonial state sovereignty in public health. Across India, as in Southeast Asia, the state sovereignty appertaining to the implementation of health policy was fractured, as evident in the opposition to the Bacillus Calmette–Guérin (BCG) vaccination. Based on a wide range of archival materials, this article situates tuberculosis control within the context of nationalist discourse and preventive medicine. In doing so, it adds not only to the historiography of tuberculosis in non-Western contexts, which has hitherto focused on India, Sri Lanka, or Africa but also to the relatively new field of Southeast Asian medical history. PMID:29770359

Accuracy of Assessment of Eligibility for Early Medical Abortion by Community Health Workers in Ethiopia, India and South Africa.

PubMed

Johnston, Heidi Bart; Ganatra, Bela; Nguyen, My Huong; Habib, Ndema; Afework, Mesganaw Fantahun; Harries, Jane; Iyengar, Kirti; Moodley, Jennifer; Lema, Hailu Yeneneh; Constant, Deborah; Sen, Swapnaleen

2016-01-01

To assess the accuracy of assessment of eligibility for early medical abortion by community health workers using a simple checklist toolkit. Diagnostic accuracy study. Ethiopia, India and South Africa. Two hundred seventeen women in Ethiopia, 258 in India and 236 in South Africa were enrolled into the study. A checklist toolkit to determine eligibility for early medical abortion was validated by comparing results of clinician and community health worker assessment of eligibility using the checklist toolkit with the reference standard exam. Accuracy was over 90% and the negative likelihood ratio <0.1 at all three sites when used by clinician assessors. Positive likelihood ratios were 4.3 in Ethiopia, 5.8 in India and 6.3 in South Africa. When used by community health workers the overall accuracy of the toolkit was 92% in Ethiopia, 80% in India and 77% in South Africa negative likelihood ratios were 0.08 in Ethiopia, 0.25 in India and 0.22 in South Africa and positive likelihood ratios were 5.9 in Ethiopia and 2.0 in India and South Africa. The checklist toolkit, as used by clinicians, was excellent at ruling out participants who were not eligible, and moderately effective at ruling in participants who were eligible for medical abortion. Results were promising when used by community health workers particularly in Ethiopia where they had more prior experience with use of diagnostic aids and longer professional training. The checklist toolkit assessments resulted in some participants being wrongly assessed as eligible for medical abortion which is an area of concern. Further research is needed to streamline the components of the tool, explore optimal duration and content of training for community health workers, and test feasibility and acceptability.

Sm-Nd isotopic data from Archean metavolcanic rocks at Holenarsipur, South India

DOE Office of Scientific and Technical Information (OSTI.GOV)

Drury, S.A.; Van Calsteren, P.C.; Reeves-Smith, G.J.

1987-11-01

Results of a Sm-Nd isotopic analysis of Archean metavolcanics in the Holenarsipur greenstone belt, Karnataka, South India, give a whole-rock isochron age of 2.62 Ga for lightly deformed metabasaltic amphibolites in the northern part of the belt. This is within error of the age of high-grade metamorphism and crustal thickening which affected areas further to the south during the late Archean. Together with the geochemical affinities of these and other metavolcanics in Karnataka, and results of regional structural analysis, this unexpected age supports a model relating volcanism and crustal thickening to northward subduction and crustal accretion during the late Archean.more » Data from basic and ultrabasic metavolcanics from the more strongly deformed and higher-grade southern arm of the Holenarsipur belt do not permit an age greater than 3.0 Ga. Previously, these rocks were regarded as part of an older supracrustal sequence that predated the local 3.0 to 3.3 Ga gneissic complex. The new dates therefore considerably simplify attempts at accounting for greenstone evolution in South India.« less

Perceived Benefits, Facilitators, Disadvantages, and Barriers for Physical Activity Amongst South Asian Adolescents in India and Canada.

PubMed

Rajaraman, Divya; Correa, Natasha; Punthakee, Zubin; Lear, Scott A; Jayachitra, Krishnaswamy G; Vaz, Mario; Swaminathan, Sumathi

2015-07-01

The purpose of this study was to understand perceived benefits, facilitators, disadvantages, and barriers for physical activity among South Asian adolescents in India and Canada. Thirteen focus group discussions with South Asian (origin) adolescent boys and girls of different nutritional status and socioeconomic status in rural and urban India and urban Canada. Across the groups, fitness and 'energy' were perceived to be major benefits of physical activity. In India, better academic performance was highlighted, while health benefits were well detailed in Canadian groups. In all settings, friends, family, and teachers were perceived as facilitators of as well as barriers to physical activity. Lack of a safe space to play was a major concern for urban adolescents, while academic pressures and preference for other sedentary recreational activities were common barriers across all groups. Girls were less likely than boys to be interested in physical activity, with girls' participation in India further limited by societal restrictions. The study suggests key areas for promotion of physical activity among South Asian adolescents: balance between academic pressure and opportunities for physical activity, especially in India; urban planning for a built environment conducive to physical activity; and gender-sensitive programming to promote girls' activity which also addresses culture-specific barriers.

Birth weight centiles by gestational age for twins born in south India.

PubMed

Premkumar, Prasanna; Antonisamy, Belavendra; Mathews, Jiji; Benjamin, Santhosh; Regi, Annie; Jose, Ruby; Kuruvilla, Anil; Mathai, Mathews

2016-03-24

Birth weight centile curves are commonly used as a screening tool and to assess the position of a newborn on a given reference distribution. Birth weight of twins are known to be less than those of comparable singletons and twin-specific birth weight centile curves are recommended for use. In this study, we aim to construct gestational age specific birth weight centile curves for twins born in south India. The study was conducted at the Christian Medical College, Vellore, south India. The birth records of all consecutive pregnancies resulting in twin births between 1991 and 2005 were reviewed. Only live twin births between 24 and 42 weeks of gestation were included. Birth weight centiles for gestational age were obtained using the methodology of generalized additive models for location, scale and shape (GAMLSS). Centiles curves were obtained separately for monochorionic and dichorionic twins. Of 1530 twin pregnancies delivered during the study period (1991-2005), 1304 were included in the analysis. The median gestational age at birth was 36 weeks (1st quartile 34, 3rd quartile 38 weeks). Smoothed percentile curves for birth weight by gestational age increased progressively till 38 weeks and levels off thereafter. Compared with dichorionic twins, monochorionic twins had lower birth weight for gestational age from after 27 weeks. We provide centile values of birth weight at 24 to 42 completed weeks of gestation for twins born in south India. These charts could be used both in routine clinical assessments and epidemiological studies.

India-U.S. Relations

DTIC Science & Technology

2006-07-31

military exercises. Discussions of possi- ble sales to India of major U.S.-built weapons systems are ongoing. Continuing U.S. interest in South Asia ...India and Pakistan. The United States also seeks to curtail the proliferation of nuclear weapons and ballistic missiles in South Asia . Both India and...RL33515, Combat Aircraft Sales to South Asia .) ! Rates of separatist-related violence in India-controlled Kashmir have spiked following a May massacre of

Geological indicators of a suspected seismic source from Peninsular India

NASA Astrophysics Data System (ADS)

Singh, Yogendra; John, Biju; P, Ganapathy G.; S, Divyalakshmi K.

2014-05-01

An increase in seismicity in Peninsular India during the last few decades has initiated various studies for identifying seismogenic structures and their behaviour. Even though few earthquakes occurred at well defined structures many of them occurred at unexpected locations where no previous seismicity reported. However, studies subsequent to the 1993 Latur earthquake as well as the studies at different parts of peninsular India, have led to the identification of pre-existing faults that have activated in the past. Studies elsewhere in the cratonic hinderland also show that the damaging earthquakes occur on pre-existing faults with a recurrence period of tens of thousands of year Studies subsequent to 1989 Wadakkancheri earthquake (M=4.3) identified Desamangalam fault which are capable of generating earthquakes. However, it is noted that a number of later events are occurring much south of the Desamangalam fault. We identified a set of NW-SE trending lineaments which are influencing the drainage pattern of the area. A network of paleochannels is also observed in the remote sensing analysis and field studies in this area. Regionally these lineaments meeting one of the major lineaments in central Kerala called Periyar lineament, in the south. Charnockite rocks constitutes the major rock type of the region. These rocks at places developed strong foliation similar to the lineament direction. Detailed field studies identified oblique movement (reverse and strike slip component) along NW-SE trending faults which are dipping south-west. The studies also find NNE-SSW trending vertical faults showing strike-slip movement. The damage zones of each of these faults bears different mineral precipitations and gouge injections of episodic nature. The presence of loose gouge may indicate the faulting is a much later development in the brittle regime. The sense of movement of the observed faults may indicate that the various river/drainage abandonment observed in the area are due to

Overview of Coronary Heart Disease Risk Initiatives in South Asia.

PubMed

Kalra, Ankur; Bhatt, Deepak L; Rajagopalan, Sanjay; Suri, Kunal; Mishra, Sundeep; Iqbal, Romaina; Virani, Salim S

2017-06-01

Cardiovascular disease (CVD) is now the leading cause of morbidity and mortality worldwide. Industrialization and economic growth have led to an unprecedented increment in the burden of CVD and their risk factors in less industrialized regions of the world. While there are abundant data on CVD and their risk factors from longitudinal cohort studies done in the West, good-quality data from South Asia are lacking. Several multi-institutional, observational, prospective registries, and epidemiologic cohorts in South Asia have been established to systematically evaluate the burden of CVD and their risk factors. The PINNACLE (Practice Innovation and Clinical Excellence) India Quality Improvement Program (PIQIP), the Kerala Acute Coronary Syndrome (ACS), and Trivandrum Heart Failure registries have focused on secondary prevention of CVD and performance measurement in both outpatient and inpatient settings, respectively. The Prospective Urban and Rural Epidemiology (PURE), Centre for Cardiometabolic Risk Reduction in South Asia (CARRS), and other epidemiologic and genetic studies have focused on primary prevention of CVD and evaluated variables such as environment, smoking, physical activity, health systems, food and nutrition policy, dietary consumption patterns, socioeconomic factors, and healthy neighborhoods. The international cardiovascular community has been responsive to a burgeoning cardiovascular disease burden in South Asia. Several collaborations have formed between the West (North America in particular) and South Asia to catalyze evidence-based and data-driven changes in the federal health policy in this part of the world to promote cardiovascular health and mitigate cardiovascular risk.

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

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

PubMed

Sathish, Thirunavukkarasu; Williams, Emily D; Pasricha, Naanki; Absetz, Pilvikki; Lorgelly, Paula; Wolfe, Rory; Mathews, Elezebeth; Aziz, Zahra; Thankappan, Kavumpurathu Raman; Zimmet, Paul; Fisher, Edwin; Tapp, Robyn; Hollingsworth, Bruce; Mahal, Ajay; Shaw, Jonathan; Jolley, Damien; Daivadanam, Meena; Oldenburg, Brian

2013-11-04

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. 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 booklet that is given to the control

Challenges and Concerns for Library and Information Science (LIS) Education in India and South Asia

ERIC Educational Resources Information Center

Kaur, Trishanjit

2015-01-01

This paper presents some of the challenges and concerns for library and information science (LIS) education in India. In order to provide context for these challenges, the paper begins with a brief overview of higher education in India in general and then discusses the beginning of LIS education. It briefly summarizes LIS education in South Asia…

India plans to land near moon's south pole

NASA Astrophysics Data System (ADS)

Bagla, Pallava

2018-02-01

Sometime this summer, an Indian spacecraft orbiting over the moon's far side will release a lander. The craft will ease to a soft landing just after lunar sunrise on an ancient, table-flat plain about 600 kilometers from the south pole. There, it will unleash a rover into territory never before explored at the surface. That's the ambitious vision for India's second voyage to the moon in a decade, due to launch in the coming weeks. If Chandrayaan-2 is successful, it will pave the way for even more ambitious Indian missions, such as landings on Mars and an asteroid, as well as a Venus probe. Lunar scientists have much at stake, too. Chandrayaan-2 will collect data on the moon's thin envelope of plasma, as well as isotopes such as helium-3, a potential fuel for future fusion energy reactors. And it will follow up on a stunning discovery by India's first lunar foray, which found water molecules on the moon in 2009.

Strategies to reduce infant mortality rate in India.

PubMed

Ghai, O P

1985-01-01

As a systems approach is needed to develop strategies to reduce the infant mortality rate (IMR), it is appropriate to analyze the present situation in India, reasons for low IMR in some Indian states vis-a-vis others, the status in some neighboring countries, and the cost effectiveness of various available technological interventions and their organizational constraints. A 1981 survey revealed 1) a low IMR for the state of Kerala, one which was comparable with Western nations, despite the fact that nearly half of the population in Kerala lived below the poverty line; 2) a very high IMR for the state of Uttar Pradesh, even though the number of people living below the poverty line was not significantly by different from the state of Kerala; and a moderate IMR reduction in the state of Punjab, even though only 15% of the population was below the poverty line. Favorable factors for low IMR appear to be a high female literacy rate, good medical and educational facilities close to the place of residence, and an excellent transportation and communication system. To significantly reduce IMR in a short period of time, it is necessary to adopt certain immediate measures. Nearly 55% of infant deaths occur in the 1st month of life, and these generally are not amenable to general measures and technological interventions. The problem is difficult, but a solution can be found by reaching a broad consensus among professionals and administrators. The major recommendations of a seminar on the Strategies for Reducing infant Mortality in India, held during January 1984, were: provide antenatal care to 100% of pregnant women; work for early registration of pregnancy and identification of high risk pregnancies; immunize 100% of pregnant women with tetanus toxoid; make available intrapartum care for all pregnant women; delineate anticipated job requirements, duties, and functions of village level health workers; make presterilized packaged delivery kits available to all female health

Characteristics of suicidal attempts among farmers in rural South India

PubMed Central

Kumar, Ravi S.; Hashim, Uzma

2017-01-01

Background: Globally, farming as an industry is considered a high-risk occupation for suicides. Certain states in India like Karnataka have a suicide rate higher than the national average, and this is generally attributed to the farmers’ suicide. Aims: The aim is to study the characteristics of suicidal attempts among the farmer community in South India, with special emphasis on gender differences, modes used, and the immediate precipitant causes. Materials and Methods: Retrospective, case register-based, explorative-descriptive study of 426 consecutive medicolegal case files of patients whose stated occupation was farming and who were admitted as cases of deliberate self-harm or suicide attempt to a rural tertiary care hospital in rural South India. Results: Out of the 426 farmers who attempted suicide, majority were male (355, 83.3%), in the age group of 21–40 years (318, 75%), married (358, 84%), and belonging to lower socioeconomic status (268, 62.9%). About 54% of them had attempted suicide by consuming pesticides (230). Surprisingly, 183 (43%) and 86 (20.2%) reported the immediate precipitant as being relationship issues and marital conflict, respectively, and only 100 (23.5%) attributed it to financial reasons. Females were significantly associated with a past history of suicidal attempt while males tended to abuse alcohol before an attempt more frequently. Conclusions: Pesticide poisoning was the most common mode for attempting suicide among the farmers. Contrary to public perception and other studies, relationship, and marital issues, not financial reasons were found to be the most common immediate precipitant for the attempters in our study. PMID:29456318

Gender inequality and structural violence among depressed women in South India.

PubMed

Rao, Deepa; Horton, Randall; Raguram, R

2012-12-01

While exploring experiences of psychological distress among psychiatric outpatients in Southern India, we set out to further understand interpersonal and socio-cultural factors that are associated with depressive symptoms. Using a grounded theory framework, we thematically coded narrative accounts of the women who sought treatment at the psychiatric clinic. In addition, we included author notes from participant observation and field work experiences in the South Indian psychiatric clinic. Of the 32 women who participated in the study, 75 % qualified for a diagnosis of a current major depressive episode. Depressive symptoms were associated with experiences of domestic violence and, in Farmer's terms, structural violence. Although only a partial response to gender-based suffering, allopathic psychiatric treatment seemed the best available means of coping with their circumstances. The paper moves beyond a medicalized model of disease and behavior to explore social and contextual factors that enabled these women to brave additional stigmas surrounding psychiatric treatment and seek a better outcome for themselves. It concludes by discussing the need for a multi-layered approach to addressing the suffering that women in South India experience.

Genomic diversity in Mycobacterium leprae isolates from leprosy cases in South India.

PubMed

Das, Madhusmita; Chaitanya, V Sundeep; Kanmani, K; Rajan, Lakshmi; Ebenezer, Mannam

2016-11-01

The Objective of this study was to identify the strain diversity of Mycobacterium leprae in terms of SNP types and subtypes stratified as per genomic single nucleotide polymorphisms, in clinical isolates of leprosy patients from a tertiary care leprosy center in South India. Further, the associations of SNP types with clinical outcomes in leprosy were also investigated. DNA was extracted from excisional skin biopsies of a total of 172 newly diagnosed untreated leprosy patients from a clinic in Tamil Nadu, in south India, that also serves patients from neighboring states. All the leprosy patients were those who voluntarily reported at the clinic during the study period of one year i.e., 2015. Clinical and histopathological details were collected at diagnosis and leprosy was confirmed through bacteriological smear examination and PCR for M. leprae specific RLEP region. SNP types and subtypes were determined by PCR amplification and Sanger sequencing of PCR products. M. leprae specific RLEP gene amplification was achieved in 160 out of 172 patients. Among 160 specimens 118(73.75%) were type 1 and 42 (26.25%) were type 2 and on subtyping it was noted that 88/160 (55.00%) were 1D, 25/160 (15.62%) 1C, 5/160 (3.12%) 1A, 33/160 (20.62%) 2G and 9/160 (5.62%) were 2H. Our results indicated that subtype 1D is predominant in the south Indian population. We also noted 2G, 1C and 1A in the patient sample tested. Additionally we identified subtype 2H for the first time in India. Copyright © 2016. Published by Elsevier B.V.

Combined effect of MJO, ENSO and IOD on the intraseasonal variability of northeast monsoon rainfall over south peninsular India

NASA Astrophysics Data System (ADS)

Sreekala, P. P.; Rao, S. Vijaya Bhaskara; Rajeevan, K.; Arunachalam, M. S.

2018-02-01

The present study has examined the combined effect of MJO, ENSO and IOD on the intraseasonal and interannual variability of northeast monsoon rainfall over south peninsular India. The study has revealed that the intraseasonal variation of daily rainfall over south peninsular India during NEM season is associated with various phases of eastward propagating MJO life cycle. Positive rainfall anomaly over south peninsular India and surrounding Indian Ocean (IO) is observed during the strong MJO phases 2, 3 and 4; and negative rainfall anomaly during the strong MJO phases 5,6,7,8 and 1. Above normal (below normal) convection over south peninsular India and suppressed convection over east Indian and West Pacific Ocean, high pressure (low pressure) anomaly over West Pacific Ocean, Positive (negative) SST anomalies over equatorial East and Central Pacific Ocean and easterly wind anomaly (westerly anomaly) over equatorial Indian Ocean are the observed features during the first three MJO (5, 6, 7) phases and all these features are observed in the excess (drought) NEMR composite. This suggests that a similar mode of physical mechanism is responsible for the intraseasonal and interannual variability of northeast monsoon rainfall. The number of days during the first three phases (last four phases) of MJO, where the enhanced convection and positive rainfall anomaly is over Indian Ocean (East Indian ocean and West Pacific Ocean), is more (less) during El Nino and IOD years and less during La Nina and NIOD years and vice versa. The observed excess (deficit) rainfall anomaly over west IO and south peninsular India and deficit (excess) rainfall anomaly over east IO including Bay of Bengal and West Pacific Ocean suggest that the more (less) number of first three phases during El Nino and IOD (La Nina and Negative IOD) is due to the interaction between eastward moving MJO and strong easterlies over equatorial IO present during El Nino and IOD years. This interaction would inhibit the

Essential medicines lists for children of WHO, India, South Africa, and EML of China: A comparative study.

PubMed

Liu, Dan; Cheng, Jing; Zhang, Ling-Li; Li, You-Ping; Zeng, Li-Nan; Zhang, Chuan; Gui, Ge

2017-11-01

Comparing the essential medicine lists for children and China national essential medicine list 2012, to provide the evidence for establishing essential medicine list for children in China. Search the official websites of WHO and some other countries' ministry of health to get essential medicine lists for children (EMLc) that have already established. Compare the situation of updating, the number and classification of medicines, and the dosage forms in essential medicine lists for children and China national essential medicine list 2012. By December 2013, the WHO, India, and South Africa have established EMLc. The list of China was for people in all ages, so the number of medicines ranked first in four lists. WHO, India, and China classified the medicines by pharmacologic action, South Africa classified by ATC classification. Except for WHO, India, South Africa, and China did not have specific medicines for neonatal care or medicines for diseases of joints. The main administration routes in these four lists were oral administration, injection, and topical application. There were medicine restrictions in lists of WHO and India, but there were no medicine restrictions in the lists of South Africa and China. Compared with EMLs for children, the 2012 National Essential Medicine List for China is not suitable for children in China. Development of Chinese EMLc should be based on the burden of diseases for children, and should select applicable dosage forms and specifications. © 2016 Chinese Cochrane Center, West China Hospital of Sichuan University and John Wiley & Sons Australia, Ltd.

Prevalence and risk factors for scrub typhus in South India.

PubMed

Trowbridge, Paul; P, Divya; Premkumar, Prasanna S; Varghese, George M

2017-05-01

To determine the prevalence and risk factors of scrub typhus in Tamil Nadu, South India. We performed a clustered seroprevalence study of the areas around Vellore. All participants completed a risk factor survey, with seropositive and seronegative participants acting as cases and controls, respectively, in a risk factor analysis. After univariate analysis, variables found to be significant underwent multivariate analysis. Of 721 people participating in this study, 31.8% tested seropositive. By univariate analysis, after accounting for clustering, having a house that was clustered with other houses, having a fewer rooms in a house, having fewer people living in a household, defecating outside, female sex, age >60 years, shorter height, lower weight, smaller body mass index and smaller mid-upper arm circumference were found to be significantly associated with seropositivity. After multivariate regression modelling, living in a house clustered with other houses, female sex and age >60 years were significantly associated with scrub typhus exposure. Overall, scrub typhus is much more common than previously thought. Previously described individual environmental and habitual risk factors seem to have less importance in South India, perhaps because of the overall scrub typhus-conducive nature of the environment in this region. © 2017 John Wiley & Sons Ltd.

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

Emerging moxifloxacin resistance in Pseudomonas aeruginosa keratitis isolates in South India.

PubMed

Oldenburg, Catherine E; Lalitha, Prajna; Srinivasan, Muthiah; Rajaraman, Revathi; Ravindran, Meenakshi; Mascarenhas, Jeena; Borkar, Durga S; Ray, Kathryn J; Zegans, Michael E; McLeod, Stephen D; Porco, Travis C; Lietman, Thomas M; Acharya, Nisha R

2013-06-01

To describe temporal trends in Pseudomonas aeruginosa resistance to moxifloxacin in keratitis isolates from South India. The Steroids for Corneal Ulcers Trial (SCUT) was a randomized, double-masked, placebo-controlled trial assessing outcomes in patients with culture positive bacterial corneal ulcers randomized to receive prednisolone phosphate or placebo. All patients received moxifloxacin, and susceptibility to moxifloxacin was measured at baseline using Etest. We investigated trends in moxifloxacin susceptibility of P. aeruginosa during 2007, 2008, and 2009 isolated in SCUT in South India. There were 89 P. aeruginosa isolates during 2007, 2008, and 2009 in SCUT that were eligible for this study. There was an increase in the proportion of resistant isolates from 19% in 2007 to 52% in 2009 (p = 0.02, χ(2) test for trend). Logistic regression showed that there was a 2-fold increase in odds of resistance per 1 year increase during the study period (odds ratio 2.16, 95% confidence interval 1.09-4.26, p = 0.027). We found a sharp increase in the proportion of isolates that were resistant to moxifloxacin from 2007 to 2009. Further work needs to be done to characterize the nature of this increase.

Parental attitudes towards influenza vaccination for children in South India.

PubMed

Ramprasad, Chethan; Zachariah, Rajeev; Steinhoff, Mark; Simon, Anna

2017-02-01

The rate of influenza vaccination is low for children in India. The purpose of this study is to assess parental attitudes towards influenza vaccination in South India. Participants were parents who brought their children to the Well Baby Clinic of Christian Medical College Hospital, Vellore, India for routine immunization. Participants answered questions by written survey while waiting for their children's vaccination. A total of 456 surveys were completed (403 parents did not opt for trivalent influenza vaccination and 53 opted for influenza vaccination). The majority (53.60%) of those parents who did not accept influenza vaccination identified the lack of a doctor's recommendation as the main reason. When asked separately, many non-acceptors (44.91%) indicated that they did not believe or were not sure that the influenza vaccine was effective. Nearly all non-acceptors (92.56%) stated that they would opt for influenza vaccination if a doctor recommended it. The most common reason that parents not opting for influenza vaccination for their children was the lack of recommendation by a doctor. The results of this study suggest that recommendation by a doctor is a more important factor than belief in efficacy, cost, or convenience in parental decision-making regarding childhood influenza vaccination in India, unlike the United States where parents are less likely to follow recommendations.

Background radiation and individual dosimetry in the costal area of Tamil Nadu, India.

PubMed

Matsuda, Naoki; Brahmanandhan, G M; Yoshida, Masahiro; Takamura, Noboru; Suyama, Akihiko; Koguchi, Yasuhiro; Juto, Norimichi; Raj, Y Lenin; Winsley, Godwin; Selvasekarapandian, S

2011-07-01

South coast of India is known as the high-level background radiation area (HBRA) mainly due to beach sands that contain natural radionuclides as components of the mineral monazite. The rich deposit of monazite is unevenly distributed along the coastal belt of Tamil Nadu and Kerala. An HBRA site that laid in 2×7 m along the sea was found in the beach of Chinnavillai, Tamil Nadu, where the maximum ambient dose equivalent reached as high as 162.7 mSv y(-1). From the sands collected at the HBRA spot, the high-purity germanium semi-conductor detector identified six nuclides of thorium series, four nuclides of uranium series and two nuclides belonging to actinium series. The highest radioactivity observed was 43.7 Bq g(-1) of Th-228. The individual dose of five inhabitants in Chinnavillai, as measured by the radiophotoluminescence glass dosimetry system, demonstrated the average dose of 7.17 mSv y(-1) ranging from 2.79 to 14.17 mSv y(-1).

The burden of iron-deficiency anaemia among women in India: how have iron and folic acid interventions fared?

PubMed

Rai, Rajesh Kumar; Fawzi, Wafaie W; Barik, Anamitra; Chowdhury, Abhijit

2018-04-01

Iron-deficiency anaemia (IDA) among women in India is a problem of major public health significance. Using data from three waves of the National Family Health Survey, this article discusses the burden of and trend in IDA among women in India, and discusses the level of iron and folic acid (IFA) supplementation and its potential role in reducing the burden of IDA. Between 2005-2006 and 2015-2016, IDA in India decreased by only 3.5 percentage points (from 56.5% in 2005-2006 to 53.0% in 2015-2016) for women aged 15-49 years. However, during the same period, of 27 states compared, IDA increased in eight: Delhi, Haryana, Himachal Pradesh, Kerala, Meghalaya, Tamil Nadu, Punjab and Uttar Pradesh; furthermore, some of these (e.g. Kerala) are states that rank among the highest on the state Human Development Index but had failed to contain the burden of IDA. Although there is a standard guideline for IFA supplementation in place, the IFA intervention appears to be ineffective in reducing the burden of IDA in India (nationally only 30.3 % of mothers consumed IFA for 100 days or more when they were pregnant), probably due to irregular consumption of IFA where the provision of screening under the National Iron+ Initiative scheme appears to be unsuccessful. To strengthen the IFA intervention and its uptake, a concerted effort of community-level health workers (accredited social health activists, auxiliary nurse midwives and anganwadi workers) is urgently needed. In addition, food-based strategies (dietary diversification and food fortification), food supplementation and improvement of health services are required to reduce the burden of anaemia among women in India.

Nonmetric traits of permanent posterior teeth in Kerala population: A forensic overview

PubMed Central

Baby, Tibin K; Sunil, S; Babu, Sharlene Sara

2017-01-01

Introduction: Dental morphology is a highly heritable characteristic which is stable with time and has a fairly high state of preservation. Nonmetric dental traits have crucial role in ethnic classifications of a population that helps in forensic racial identification purposes. Aims and Objectives: To determine the frequency and variability of possible nonmetric tooth traits using extracted permanent posterior teeth from Kerala population for discerning racial ethnicity. Materials and Methods: This qualitative, cross-sectional study was carried out using 1743 extracted intact permanent posterior teeth collected from different dental clinics situated all over Kerala. Results: The more common features on premolars were multiple lingual cusps (31.21%), distal accessary ridges (16.28%) and Tom's root (17.9%). In upper first molars, Carabelli trait expression was 17.78% and other common features included metaconulo, cusp 5 and enamel extensions. Conclusion: Posterior tooth traits had variable expression in the study population. Low prevalence rate of Carabelli trait in this study is characteristic of Asian population. This research explored new elements of invaluable tooth traits values to understand racial ethnicity of Kerala population. PMID:28932045

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

Austro-Asiatic tribes of Northeast India provide hitherto missing genetic link between South and Southeast Asia.

PubMed

Reddy, B Mohan; Langstieh, B T; Kumar, Vikrant; Nagaraja, T; Reddy, A N S; Meka, Aruna; Reddy, A G; Thangaraj, K; Singh, Lalji

2007-11-07

Northeast India, the only region which currently forms a land bridge between the Indian subcontinent and Southeast Asia, has been proposed as an important corridor for the initial peopling of East Asia. Given that the Austro-Asiatic linguistic family is considered to be the oldest and spoken by certain tribes in India, Northeast India and entire Southeast Asia, we expect that populations of this family from Northeast India should provide the signatures of genetic link between Indian and Southeast Asian populations. In order to test this hypothesis, we analyzed mtDNA and Y-Chromosome SNP and STR data of the eight groups of the Austro-Asiatic Khasi from Northeast India and the neighboring Garo and compared with that of other relevant Asian populations. The results suggest that the Austro-Asiatic Khasi tribes of Northeast India represent a genetic continuity between the populations of South and Southeast Asia, thereby advocating that northeast India could have been a major corridor for the movement of populations from India to East/Southeast Asia.

Austro-Asiatic Tribes of Northeast India Provide Hitherto Missing Genetic Link between South and Southeast Asia

PubMed Central

Reddy, B. Mohan; Langstieh, B. T.; Kumar, Vikrant; Nagaraja, T.; Reddy, A. N. S.; Meka, Aruna; Reddy, A. G.; Thangaraj, K.; Singh, Lalji

2007-01-01

Northeast India, the only region which currently forms a land bridge between the Indian subcontinent and Southeast Asia, has been proposed as an important corridor for the initial peopling of East Asia. Given that the Austro-Asiatic linguistic family is considered to be the oldest and spoken by certain tribes in India, Northeast India and entire Southeast Asia, we expect that populations of this family from Northeast India should provide the signatures of genetic link between Indian and Southeast Asian populations. In order to test this hypothesis, we analyzed mtDNA and Y-Chromosome SNP and STR data of the eight groups of the Austro-Asiatic Khasi from Northeast India and the neighboring Garo and compared with that of other relevant Asian populations. The results suggest that the Austro-Asiatic Khasi tribes of Northeast India represent a genetic continuity between the populations of South and Southeast Asia, thereby advocating that northeast India could have been a major corridor for the movement of populations from India to East/Southeast Asia. PMID:17989774

An Evaluation of Spatial Organization of the Church Architecture of Kerala during the Sixteenth to Seventeenth Centuries

NASA Astrophysics Data System (ADS)

Panjikaran, S.; Vedamuthu, R.

2013-05-01

The churches of Kerala of the sixteenth to seventeenth centuries exhibits an architectural character which is different from that of the indigenous Church Architecture of Kerala. Preliminary studies show that the spatial organization of these churches also varied from that of the indigenous churches of Kerala. Did these variations in spatial organization arise of any change in functional requirements of churches? How did the indigenous Architectural character adapt to these changes or did it give way to a new style? The objective of this study is to understand the spatial organization of the indigenous Church Architecture of Kerala and to evaluate the changes in spatial organization during the sixteenth to seventeenth centuries. This study is primarily based on field survey and documentation, evaluation is done by relying on the Rapoport's theory. It is concluded that the church architecture of this period is a fusion of the Western and Eastern ecclesiastical traditions in terms of spatial organization and planning.

Survey on the pesticide residues in tea in south India.

PubMed

Seenivasan, Subbiah; Muraleedharan, NarayananNair

2011-05-01

Tea is considered as a 'health beverage' due its antioxidant properties and resultant beneficial effects on human health. Such a beverage should be free from toxic elements such as pesticide residues and heavy metals. A large scale survey of teas produced in the tea factories of south India had been carried out for a period of three years from 2006 to 2008 and 912 tea samples were analysed for the residues of certain pesticides such as dicofol, ethion, quinalphos, hexaconazole, fenpropathrin, fenvalerate and propargite which are used for pest and disease control in tea in this part of the country. The analytical data proved that only less than 0.5 percentage of tea samples had residues of these pesticides. However, residues of pesticides were below their maximum limits in tea, stipulated by the European Union, Codex Alimentarius Commission of FAO/WHO and Prevention of Food Adulteration Act of Govt. of India.

The life history of Pleurogenoides malampuzhensis sp. nov. (Digenea: Pleurogenidae) from amphibious and aquatic hosts in Kerala, India.

PubMed

Brinesh, R; Janardanan, K P

2014-06-01

The life-cycle stages of Pleurogenoides malampuzhensis sp. nov. infecting the Indian bullfrog Hoplobatrachus tigerinus (Daudin) and the skipper frog Euphlyctis cyanophlyctis (Schneider) occurring in irrigation canals and paddy fields in Malampuzha, which forms part of the district of Palakkad, Kerala, are described. The species is described, its systematic position discussed and compared with the related species, P. gastroporus (Luhe, 1901) and P. orientalis (Srivastava, 1934). The life-cycle stages, from cercaria to egg-producing adult, were successfully established in the laboratory. Virgulate xiphidiocercariae emerged from the snail Digoniostoma pulchella (Benson). Metacercariae are found in muscle tissues of dragonfly nymphs and become infective to the frogs within 22 days. The pre-patent period is 20 days. Growth and development of both metacercariae and adults are described.

Constraints and Suggestions in Adopting Seasonal Climate Forecasts by Farmers in South India

ERIC Educational Resources Information Center

Shankar, K. Ravi; Nagasree, K.; Venkateswarlu, B.; Maraty, Pochaiah

2011-01-01

The main objective of this study was to determine constraints and suggestions of farmers towards adopting seasonal climate forecasts. It addresses the question: Which forms of providing forecasts will be helpful to farmers in agricultural decision making? For the study, farmers were selected from Andhra Pradesh state of South India. One hundred…

Emerging moxifloxacin resistance in Pseudomonas aeruginosa keratitis isolates in South India

PubMed Central

Oldenburg, Catherine E.; Lalitha, Prajna; Srinivasan, Muthiah; Rajaraman, Revathi; Ravindran, Meenakshi; Mascarenhas, Jeena; Borkar, Durga S.; Ray, Kathryn J; Zegans, Michael E.; McLeod, Stephen D.; Porco, Travis C.; Lietman, Thomas M.; Acharya, Nisha R.

2013-01-01

Purpose To describe temporal trends in Pseudomonas aeruginosa resistance to moxifloxacin in keratitis isolates from South India. Methods The Steroids for Corneal Ulcers Trial (SCUT) was a randomized, double-masked, placebo-controlled trial assessing outcomes in patients with culture positive bacterial corneal ulcers randomized to receive prednisolone phosphate or placebo. All patients received moxifloxacin, and susceptibility to moxifloxacin was measured at baseline using Etest. We investigated trends in moxifloxacin susceptibility of P. aeruginosa during 2007, 2008, and 2009 isolated in SCUT in South India. Results There were 89 P. aeruginosa isolates during 2007, 2008, and 2009 in SCUT that were eligible for this study. There was an increase in the proportion of resistant isolates from 19% in 2007 to 52% in 2009 (P=0.02, Chi-square test for trend). Logistic regression showed that there was a 2-fold increase in odds of resistance per one year increase during the study period (OR 2.16, 95% CI 1.09 to 4.26, P=0.027). Conclusions We found a sharp increase in the proportion of isolates that were resistant to moxifloxacin from 2007 to 2009. Further work needs to be done to characterize the nature of this increase. PMID:23662986

Clinical encounters and citizenship projects in South India.

PubMed

Ramberg, Lucinda

2014-01-01

Dedicated to a South Indian goddess, devadasis are priests in a healing cult, whose nonconjugal sexuality has been designated 'prostitution' and subjected to eradication by the state. Drawing on ethnographic research, I consider two ways in which they cross the threshold of the clinic, as 'vectors of disease' and as sex worker peer educators, in order to think about the bio-politics of citizenship in postcolonial India. If biopolitical citizenship describes the way the state takes hold of their bodies, dedication describes how their bodies are claimed by the Devi Yellamma. I juxtapose these different ways of embodying power as a means to mark the limits of secular social scientific terms of recognition.

Unravelling the Molecular Epidemiology and Genetic Diversity among Burkholderia pseudomallei Isolates from South India Using Multi-Locus Sequence Typing.

PubMed

Tellapragada, Chaitanya; Kamthan, Aayushi; Shaw, Tushar; Ke, Vandana; Kumar, Subodh; Bhat, Vinod; Mukhopadhyay, Chiranjay

2016-01-01

There is a slow but steady rise in the case detection rates of melioidosis from various parts of the Indian sub-continent in the past two decades. However, the epidemiology of the disease in India and the surrounding South Asian countries remains far from well elucidated. Multi-locus sequence typing (MLST) is a useful epidemiological tool to study the genetic relatedness of bacterial isolates both with-in and across the countries. With this background, we studied the molecular epidemiology of 32 Burkholderia pseudomallei isolates (31 clinical and 1 soil isolate) obtained during 2006-2015 from various parts of south India using multi-locus sequencing typing and analysis. Of the 32 isolates included in the analysis, 30 (93.7%) had novel allelic profiles that were not reported previously. Sequence type (ST) 1368 (n = 15, 46.8%) with allelic profile (1, 4, 6, 4, 1, 1, 3) was the most common genotype observed. We did not observe a genotypic association of STs with geographical location, type of infection and year of isolation in the present study. Measure of genetic differentiation (FST) between Indian and the rest of world isolates was 0.14413. Occurrence of the same ST across three adjacent states of south India suggest the dispersion of B.pseudomallei across the south western coastal part of India with limited geographical clustering. However, majority of the STs reported from the present study remained as "outliers" on the eBURST "Population snapshot", suggesting the genetic diversity of Indian isolates from the Australasian and Southeast Asian isolates.

India-U.S. Relations

DTIC Science & Technology

2007-02-13

U.S. Relations Summary Long considered a “strategic backwater”from Washington’s perspective, South Asia has emerged in the 21st century as...South Asia focuses on ongoing tensions between India and Pakistan, a problem rooted in unfinished business from the 1947 Partition, competing claims to...weapons and ballistic missiles in South Asia . Both India and Pakistan have resisted external pressure to sign the major nonproliferation treaties

Anaxibia folia spec. nov.-a new litter-dwelling dictynid spider from India (Araneae: Dictynidae: Dictyninae).

PubMed

Sankaran, Pradeep M; Sebastian, Pothalil A

2017-12-12

The dictynid genus Anaxibia Thorell, 1898 currently has six nominal species distributed in the Oriental and Ethiopian regions (World Spider Catalog 2017). The genus represents tiny to small spiders characterised by a reduced cribellum, long, cylindrical anterior and posterior spinnerets, cymbium with caudal modification, palpal patella with dorsal horn, sub-apically arising embolus, conductor with wide lamellar apex and simple female genitalia (Lehtinen 1967). The genus has one representative in India: Anaxibia rebai (Tikader, 1966), originally described under Dictyna Sundevall, 1833 (Tikader 1966; Lehtinen 1967). In this paper, we describe and illustrate a new litter-dwelling Anaxibia species collected from the Kerala state of southern India.

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…

Genetic variations in the Dravidian population of South West coast of India: Implications in designing case-control studies.

PubMed

D'Cunha, Anitha; Pandit, Lekha; Malli, Chaithra

2017-06-01

Indian data have been largely missing from genome-wide databases that provide information on genetic variations in different populations. This hinders association studies for complex disorders in India. This study was aimed to determine whether the complex genetic structure and endogamy among Indians could potentially influence the design of case-control studies for autoimmune disorders in the south Indian population. A total of 12 single nucleotide variations (SNVs) related to genes associated with autoimmune disorders were genotyped in 370 healthy individuals belonging to six different caste groups in southern India. Allele frequencies were estimated; genetic divergence and phylogenetic relationship within the various caste groups and other HapMap populations were ascertained. Allele frequencies for all genotyped SNVs did not vary significantly among the different groups studied. Wright's FSTwas 0.001 per cent among study population and 0.38 per cent when compared with Gujarati in Houston (GIH) population on HapMap data. The analysis of molecular variance results showed a 97 per cent variation attributable to differences within the study population and <1 per cent variation due to differences between castes. Phylogenetic analysis showed a separation of Dravidian population from other HapMap populations and particularly from GIH population. Despite the complex genetic origins of the Indian population, our study indicated a low level of genetic differentiation among Dravidian language-speaking people of south India. Case-control studies of association among Dravidians of south India may not require stratification based on language and caste.

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

How a New Health Intervention Affects the Health Systems? Learnings from Pentavalent Vaccine Introduction in India.

PubMed

Lahariya, Chandrakant; Paruthi, Renu; Bhattacharya, Madhulekha

2016-04-01

To summarize the findings from a Post Introduction Evaluation (PIE) of pentavalent vaccine in Tamil Nadu and Kerala state of India and to understand how the health systems could be prepared for (prior to) introducing a new intervention and how such introduction could affect the health systems (afterwards). A post introduction evaluation (PIE) of Haemophilus influenzae type b (Hib) as pentavalent (DPT + HepB + Hib) vaccine was conducted in Tamil Nadu and Kerala states of India in July-Aug 2012. The PIE was conducted as per World Health Organization PIE methods and tools specifically adapted for India. This PIE adopted a 'mixed method approach' with qualitative data focus. The planning for the introduction of pentavalent vaccine provided opportunities to strengthen various functions of the health system i.e., piloting of Open Vial Policy, strengthening surveillance system, improving Adverse Events Following Immunization (AEFI) reporting system and formation of the technical expert groups. It provided opportunity for bringing attention on the immunization programme in general as well. After the vaccine introduction, the beneficial effects were noted on stewardship (increased oversight by top level policy makers and programme managers), creating resources (investment and trainings of staff in immunization), service delivery (increased coverage with the vaccines and improved quality of services) and financing (increased financial allocation and reduced out of pocket expenditures as more people started attending public health facilities). The vaccine introduction was found to be associated with improvement in the health equity, efficiency and service utilization (effective coverage). New vaccine introduction provides opportunities (both before and after) for strengthening the health systems in setting such as India. Preparing the health system for new challenges has potential to strengthen the health systems, if done in well-coordinated and planned manner. Considering

Critical Zone Exploration in the Tropics: Clues from small experimental watersheds in South Cameroon and South India

NASA Astrophysics Data System (ADS)

Braun, J.-J.; Riotte, J.; Audry, S.; Boeglin, J. L.; Descloitres, M.; Deschamps, P.; Maréchal, J. C.; Viers, J.; Ndam, J.-R.; Sekhar, M.

2009-04-01

Critical Zone Exploration in the Tropics: Clues from small experimental watersheds in South Cameroon and South India J.-J. BRAUN1,2*, J. RIOTTE1,2, S. AUDRY2, J. L. BOEGLIN2, M. DESCLOITRES3, P. DESCHAMPS4, J. C. MARÉCHAL1,2, J. VIERS2, J.-R. NDAM5, M. SEKHAR6, B. DUPRÉ2 1IFCWS, Indian Institute of Science, 560012 Bangalore, India. (*Correspondence: braun@civil.iisc.ernet.in) 2LMTG, Univ. Toulouse, CNRS IRD OMP, 14, avenue E. Belin, F-31400 Toulouse, France 3LTHE, Univ. Grenoble, CNRS, IRD, INPG, BP53, F-38041 Grenoble, Cedex 09, France 4CEREGE, Univ. Aix-Marseille, CNRS, IRD, Europôle Méditerranéen de l'Arbois, BP80, 13545 Aix en Provence, France. 5Université de Yaoundé I, Faculté des Sciences, Département des Sciences de la Terre, BP80, 13545 Yaoundé, Cameroun. 6Deprtment of Civil Engineering, Indian Institute of Science, 560012 Bangalore, India Understanding the relative controls of forcing factors on the silicate chemical weathering rates and the associated atmospheric CO2 consumption is usually assessed through investigations based on small to medium granito-gneissic watersheds from 1 to100 km2 located in different climatic and tectonic settings. In addition to climate, the importance of the thickness and nature of the blanket of loose and transportable weathered material, namely regolith, which overlies the intact bedrocks, was also recently invoked, especially in tropical environment. We have conducted an integrated approach of the Critical Zone in two pristine forested small watersheds located in Cameroon and India. Both watersheds have developed on granito-gneissic bedrocks of stable Precambrian shields. Our approach is directed at (i) understanding the bio-geochemical, hydro-geological and hydrological processes and (ii) assessing the long-term and contemporary chemical weathering rates. The Nsimi watershed, South Cameroon, has been the first to be monitored since 1994. It belongs to the Nyong River basin and has a humid tropical climate. It is

The impact of cultural evolution on the ego ideal, depression, psychosis, and suicide: a South India community study of the widow.

PubMed

Ullrich, Helen E

2011-01-01

Cultural factors have a significant impact on the manifestation of psychiatric illness and the development of the ego ideal. The evolution of the widow's cultural role in a South India village provides insight on the ego ideal through several generations. As treatment of widows changed so that their appearance became indistinguishable from other women, they no longer became objects of revulsion. A case study approach documents the interrelationship of changes in the cultural ego ideal on psychiatric illness among widows in a South India village over a period of more than four decades.

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

Clinical profile and outcome of children with scrub typhus from Chennai, South India.

PubMed

Ganesh, Ramaswamy; Suresh, Natarajan; Pratyusha, L L; Janakiraman, Lalitha; Manickam, Mani; Andal, A

2018-06-01

Scrub typhus is an acute febrile illness caused by Orientia tsutsugamushi. We prospectively studied the clinico-laboratory profile and outcome of 358 children aged 1 day to 18 years diagnosed with scrub typhus from Chennai, South India. All children (100%) had fever. Eschar was seen in 67%. All children were treated with oral doxycycline and those with complications were treated with intravenous chloramphenicol/azithromycin. Rapid defervescence (within 48 h) after initiation of doxycline was seen in 306 (85%) and 52 (14.5%) developed complications. Multivariate logistic regression analysis revealed that children who had an elevated aspartate amino transferase (> 120 IU/L) and the presence of thrombocytopenia (platelet count less than 1 lac cells/mm 3 ) at admission had high risk of developing complications. The overall mortality rate in this series was 0.8%. Our 4-year study highlights the clinico-laboratory profile of Scrub typhus in children from Chennai, South India. Early recognition and prompt treatment reduces the complication and mortality. What is Known: • Scrub typhus is endemic to tsutsugamushi triangle, a geographical triangle extending from northern Japan in the east to Pakistan and Afghanistan in the west and northern Australia in the south. • There is paucity of data regarding its clinico-laboratory profile in neonates as well as its predictors of outcome. What is New: • Children who had an elevated AST and the presence of thrombocytopenia at admission had high risk of developing complications.

"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

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…

Emergence of the Asian genotype of DENV-1 in South India.

PubMed

Cecilia, D; Patil, J A; Kakade, M B; Walimbe, A; Alagarasu, K; Anukumar, B; Abraham, A

2017-10-01

A large outbreak of dengue occurred in Tamil Nadu, South India in 2012 with 12,000 cases and CFR of 0.5%. Molecular characterization of virus present in the sera of dengue patients was undertaken to determine if there were changes in the virus population. All four serotypes were circulating but DENV-1 was dominant, present in 52% of the serotyped samples. Furthermore, the genotype of only DENV-1 had changed; the Asian genotype had displaced the American/African. Phylogenetic analysis revealed that the Asian genotype was introduced from Singapore and shared 99% similarity with viruses, associated with large outbreaks in Singapore and Sri Lanka. We report for the first time the emergence of the Asian genotype of DENV-1 in southern India causing an extensive and severe outbreak. The study proves how movement of DENV can affect dengue outbreaks and underscores the need for close molecular monitoring of DENV. Copyright © 2017 Elsevier Inc. All rights reserved.

Health Risk Assessment of Indoor Air Quality, Socioeconomic and House Characteristics on Respiratory Health among Women and Children of Tirupur, South India.

PubMed

Rumchev, Krassi; Zhao, Yun; Spickett, Jeffery

2017-04-17

Background: Indoor air pollution is still considered as one of the leading causes of morbidity and mortality worldwide and especially in developing countries, including India. This study aims to assess social, housing, and indoor environmental factors associated with respiratory health among mothers and children. Methods: The study was conducted in the city of Tirupur, South India. We quantitatively assessed the indoor exposure to fine particulate matter (PM 2.5 ) and carbon monoxide in relation to respiratory health among women and children. Information on health status, household characteristics and socioeconomic factors was collected using a modified standardised questionnaire. Results: This study demonstrates the significant health impact of housing and socioeconomic characteristics on the burden of respiratory illness among women and children in urban South India. Increased respiratory symptoms were recorded among women and children from low income households, and those who allowed smoking inside. The mean PM 2.5 concentration measured in this study was 3.8 mg/m³ which exceeded the World Health Organization (WHO) 24 h guideline value of 0.025 mg/m³. Conclusions: This study is the first to our knowledge carried out in urban South India and the findings can be used for future intervention studies.

Belief models in first episode schizophrenia in South India.

PubMed

Saravanan, Balasubramanian; Jacob, K S; Johnson, Shanthi; Prince, Martin; Bhugra, Dinesh; David, Anthony S

2007-06-01

Existing evidence indicates that dissonance between patients' and professionals' explanatory models affects engagement of patients with psychiatric services in Western and non-Western countries. To assess qualitatively the explanatory models (EMs) of psychosis and their association with clinical variables in a representative sample of first episode patients with schizophrenia in South India. One hundred and thirty one patients with schizophrenia presenting consecutively were assessed. Measures included the patient's explanatory models, and clinician ratings of insight, symptoms of psychosis, and functioning on standard scales. The majority of patients (70%) considered spiritual and mystical factors as the cause of their predicament; 22% held multiple models of illness. Patients who held a biomedical concept of disease had significantly higher scores on the insight scale compared to those who held non-medical beliefs. Multivariate analyses identified three factors associated with holding of spiritual/mystical models (female sex, low education and visits to traditional healers); and a single factor (high level of insight) for the endorsement of biological model. Patients with schizophrenia in this region of India hold a variety of non-medical belief models, which influence patterns of health seeking. Those holding non-medical explanatory models are likey to be rated as having less insight.

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

India-U.S. Relations

DTIC Science & Technology

2007-01-03

Summary Long considered a “strategic backwater”from Washington’s perspective, South Asia has emerged in the 21st century as increasingly vital to... Asia focuses on ongoing tensions between India and Pakistan, a problem rooted in unfinished business from the 1947 Partition, competing claims to the...and ballistic missiles in South Asia . Both India and Pakistan have resisted external pressure to sign the major nonproliferation treaties. In 1998

India's population in transition.

PubMed

Visaria, L; Visaria, P

1995-10-01

This demographic profile of India addresses fertility, family planning, and economic issues. India is described as a country shifting from economic policies of self-reliance to active involvement in international trade. Wealth has increased, particularly at higher educational levels, yet 25% still live below the official poverty line and almost 66% of Indian women are illiterate. The government program in family planning, which was instituted during the early 1950s, did not change the rate of natural increase, which remained stable at 2.2% over the past 30 years. 1993 marked the first time the growth rate decline to under 2%. The growth rate in 1995 was 1.9%. The total population is expected double in 36 years. Only Nigeria, Pakistan, and Bangladesh had a higher growth rate and higher fertility in 1995. India is geographically diverse (with the northern Himalayan mountain zone, the central alluvial plains, the western desert region, and the southern peninsula with forest, mountains, and plains). There are regional differences in the fertility rates, which range from replacement level in Kerala and Goa to 5.5 children in Uttar Pradesh. Fertility is expected to decline throughout India due to the slower pace of childbearing among women over the age of 35 years, the increase in contraceptive use, and increases in marriage age. Increased educational levels in India and its state variations are related to lower fertility. Literacy campaigns are considered to be effective means of increasing the educational levels of women. Urbanization is not expected to markedly affect fertility levels. Urban population, which is concentrated in a few large cities, remains a small proportion of total population. Greater shifts are evident in the transition from agriculture to other wage labor. Fertility is expected to decline as women's share of labor force activity increases. The major determinant of fertility decline in India is use of family planning, which has improved in access

Effects of socio-economic and demographic factors in delayed reporting and late-stage presentation among patients with breast cancer in a major cancer hospital in South India.

PubMed

Ali, Rabia; Mathew, Aleyamma; Rajan, B

2008-01-01

We analyzed the distribution of socio-economic and demographic (SEDs) factors among breast cancer patients and assessed their impact on the stage at diagnosis of the disease and symptom duration. Data for the year 2006 was collected from the Hospital Based Cancer Registry, Regional Cancer Centre (RCC), Trivandrum, Kerala, India. Patients (n=522) were included if they were from native Kerala state or adjoining Tamil Nadu. SEDS factors included age, residing district, religion, marital status, income, education and occupation. Other study variables were menopausal status, parity, listed symptoms with duration and stage at diagnosis. Association between SEDs factors by stage at diagnosis and duration of symptoms was tested using chi-square statistics, with odds ratios (OR) estimated through logistic regression modeling. Forty-five percent were reported at early stages and 53% at late stages. Elevated risks for late stage reporting among breast cancer patients were observed for women who were unmarried (OR=3.31; 95%CI: 1.10-9.96), widowed/divorced (OR=1.46; 95%CI: 0.89-2.37), with lower education (OR=2.72; 95%CI: 1.06-7.03 for illiterate women and OR=2.32; 95%CI: 1.05-5.13 for women with primary school education and OR=2.07; 95%CI: 1.02-4.21 for women with middle school education) and post-menopausal women (OR=1.45; 95%CI: 0.97-2.19). This analysis helped to identify the target population group for receiving health education for early detection of breast cancer.

Genetic affinities of the Siddis of South India: an emigrant population of East Africa.

PubMed

Gauniyal, Mansi; Chahal, S M S; Kshatriya, Gautam K

2008-06-01

Historical records indicate that the Portuguese brought the African Siddis to Goa, India, as slaves about 500 years ago. Subsequently, the Siddis moved into the interior regions of the state of Karnataka, India, and have remained there ever since. Over time the Siddis have experienced considerable cultural changes because of their proximity to neighboring population groups. To understand the biological consequences of these changes, we studied the Siddis to determine the extent of genetic variation and the contributions from the African, European, and Indian ancestral populations. In the present study we typed the Siddis for 20 polymorphic serological, red cell, and Alu insertion-deletion loci. The overall pattern of phenotype (and genotype) distribution is in accordance with Hardy-Weinberg expectations. Considering the ethnohistorical records and the availability of secondary-source genetic data, we used two data sets in the analysis: one comprising eight serological and red cell enzyme markers with eight population groups and another comprising six Alu insertion-deletion markers with seven tribal groups of South India. The dendrograms generated from these two data sets on the basis of genetic distance analysis between the selected populations of African, European, and Indian descent reveals that the Siddis are closer to the Africans than they are to the South Indian populations. Genetic admixture analysis using a dihybrid model (19 loci) and a trihybrid model (10 loci and 8 loci) shows that the predominant influence comes from the Africans, a lesser contribution from the South Indians, and a slight contribution from the Portuguese. Thus the original composition of the African genes among the Siddis has been diluted to some extent by the contribution from southern Indian population groups. There is no nonrandom association of alleles among a set of 10 genetic marker systems considered in the present study. The demonstration of genetic homogeneity of the Siddis

India-U.S. Relations

DTIC Science & Technology

2006-11-09

Asia focuses on ongoing tensions between India and Pakistan, a problem rooted in unfinished business from the 1947 Partition and competing claims to the...between India and Pakistan. The United States also seeks to curtail the proliferation of nuclear weapons and ballistic missiles in South Asia . Both...qdr/fulltext/nss2002.pdf] and [http://www.comw.org/qdr/fulltext/nss2006.pdf]. President Bill Clinton’s March 2000 visit to South Asia seemed a major

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

Accumulation of rare earth elements by siderophore-forming Arthrobacter luteolus isolated from rare earth environment of Chavara, India.

PubMed

Emmanuel, E S Challaraj; Ananthi, T; Anandkumar, B; Maruthamuthu, S

2012-03-01

In this study, Arthrobacter luteolus, isolated from rare earth environment of Chavara (Quilon district, Kerala, India), were found to produce catechol-type siderophores. The bacterial strain accumulated rare earth elements such as samarium and scandium. The siderophores may play a role in the accumulation of rare earth elements. Catecholate siderophore and low-molecular-weight organic acids were found to be present in experiments with Arthrobacter luteolus. The influence of siderophore on the accumulation of rare earth elements by bacteria has been extensively discussed.

Results from the Survey of Antibiotic Resistance (SOAR) 2012-14 in Thailand, India, South Korea and Singapore.

PubMed

Torumkuney, D; Chaiwarith, R; Reechaipichitkul, W; Malatham, K; Chareonphaibul, V; Rodrigues, C; Chitins, D S; Dias, M; Anandan, S; Kanakapura, S; Park, Y J; Lee, K; Lee, H; Kim, J Y; Lee, Y; Lee, H K; Kim, J H; Tan, T Y; Heng, Y X; Mukherjee, P; Morrissey, I

2016-05-01

To provide susceptibility data for community-acquired respiratory tract isolates of Streptococcus pneumoniae, Streptococcus pyogenes, Haemophilus influenzae and Moraxella catarrhalis collected in 2012-14 from four Asian countries. MICs were determined using Etest(®) for all antibiotics except erythromycin, which was evaluated by disc diffusion. Susceptibility was assessed using CLSI, EUCAST and pharmacokinetic/pharmacodynamic (PK/PD) breakpoints. For macrolide/clindamycin interpretation, breakpoints were adjusted for incubation in CO2 where available. Susceptibility of S. pneumoniae was generally lower in South Korea than in other countries. Penicillin susceptibility assessed using CLSI oral or EUCAST breakpoints ranged from 21.2% in South Korea to 63.8% in Singapore. In contrast, susceptibility using CLSI intravenous breakpoints was much higher, at 79% in South Korea and ∼95% or higher elsewhere. Macrolide susceptibility was ∼20% in South Korea and ∼50%-60% elsewhere. Among S. pyogenes isolates (India only), erythromycin susceptibility (∼20%) was lowest of the antibiotics tested. In H. influenzae antibiotic susceptibility was high except for ampicillin, where susceptibility ranged from 16.7% in South Korea to 91.1% in India. South Korea also had a high percentage (18.1%) of β-lactamase-negative ampicillin-resistant isolates. Amoxicillin/clavulanic acid susceptibility for each pathogen (PK/PD high dose) was between 93% and 100% in all countries except for H. influenzae in South Korea (62.5%). Use of EUCAST versus CLSI breakpoints had profound differences for cefaclor, cefuroxime and ofloxacin, with EUCAST showing lower susceptibility. There was considerable variability in susceptibility among countries in the same region. Thus, continued surveillance is necessary to track future changes in antibiotic resistance. © The Author 2016. Published by Oxford University Press on behalf of the British Society for Antimicrobial Chemotherapy. All rights reserved

Structuring Roles and Gender Identities Within Families Explaining Suicidal Behavior in South India.

PubMed

Lasrado, Reena A; Chantler, Khatidja; Jasani, Rubina; Young, Alys

2016-05-01

This paper examines the social structures, culture, gendered roles, and their implications for suicidal behavior in South India. Exploring the cultural process within the structures of family and society to understand suicide and attempted suicide from the perspectives of survivors, mental health professionals, and traditional healers has not been achieved in the existing suicide-related research studies conducted in India to date. This study aimed to explore the cultural implications of attempted suicide by examining the survivors' life stories, their perceptions, and service providers' interpretations of problem situation. A qualitative design was used drawing on constant comparison method and thematic analysis. The analysis was underpinned by the theoretical concepts of Bourdieu's work. In-depth interviews were conducted with 15 survivors of attempted suicide, eight mental health professionals, and eight traditional healers from Southern India. The study found interactions among visible and invisible fields such as faith, power, control, culture, family, religion, and social systems to have strengthened the disparities in gender and role structures within families and societies and to have impacted survivors' dispositions to situations. The role of culture in causing suicide and attempted suicide is explained by unraveling the negative impact of interacting cultural and structural mechanisms.

Studies on geotechnical properties of subsoil in south east coastal region of India

NASA Astrophysics Data System (ADS)

Dutta, Susom; Barik, D. K.

2017-11-01

Soil testing and analysis has become essential before commencement of any activity or process on soil i.e. residential construction, road construction etc. It is the most important work particularly in coastal area as these areas are more vulnerable to the natural disastrous like tsunami and cyclone. In India, there is lack of facility to collect and analyse the soil from the field. Hence, to study the various characteristics of the coastal region sub soil, Old Mahabalipuram area, which is the South East region of India has been chosen in this study. The aim of this study is to collect and analyse the soil sample from various localities of the Old Mahabalipuram area. The analysed soil data will be helpful for the people who are working in the field of Geotechnical in coastal region of India to make decision. The soil sample collected from different boreholes have undergone various field and laboratory tests like Pressuremeter Test, Field Permeability Test, Electrical Resistivity Test, Standard Penetration Test, Shear Test, Atterberg Limits etc. are performed including rock tests to know the geotechnical properties of the soil samples for each and every stratum

Earthquake Hazard Assessment Based on Geological Data: An approach from Crystalline Terrain of Peninsular India

NASA Astrophysics Data System (ADS)

John, B.

2009-04-01

Earthquake Hazard Assessment Based on Geological Data: An approach from Crystalline Terrain of Peninsular India Biju John National Institute of Rock Mechanics b_johnp@yahoo.co.in Peninsular India was for long considered as seismically stable. But the recent earthquake sequence of Latur (1993), Jabalpur (1997), Bhuj (2001) suggests this region is among one of the active Stable Continental Regions (SCRs) of the world, where the recurrence intervals is of the order of tens of thousands of years. In such areas, earthquake may happen at unexpected locations, devoid of any previous seismicity or dramatic geomorphic features. Even moderate earthquakes will lead to heavy loss of life and property in the present scenario. So it is imperative to map suspected areas to identify active faults and evaluate its activities, which will be a vital input to seismic hazard assessment of SCR area. The region around Wadakkanchery, Kerala, South India has been experiencing micro seismic activities since 1989. Subsequent studies, by the author, identified a 30 km long WNW-ESE trending reverse fault, dipping south (45°), that influenced the drainage system of the area. The macroscopic and microscopic studies of the fault rocks from the exposures near Desamangalam show an episodic nature of faulting. Dislocations of pegmatitic veins across the fault indicate a cumulative dip displacement of 2.1m in the reverse direction. A minimum of four episodes of faulting were identified in this fault based on the cross cutting relations of different structural elements and from the mineralogic changes of different generations of gouge zones. This suggests that an average displacement of 52cm per event might have occurred for each event. A cyclic nature of faulting is identified in this fault zone in which the inter-seismic period is characterized by gouge induration and fracture sealing aided by the prevailing fluids. Available empirical relations connecting magnitude with displacement and rupture

Sociotechnical Narratives in Rural, High-Poverty Elementary Schools: Comparative Findings from East Texas and South India

ERIC Educational Resources Information Center

Byker, Erik J.

2014-01-01

The article's purpose is to compare case studies of computer technology use at two rural elementary schools across two international settings. This study uses the Social Construction of Technology (SCOT) theory to guide this comparative investigation of how elementary school teachers and students in East Texas and South India construct meaning for…

Diversity, Democracy, and Higher Education: A View from Three Nations--India, South Africa, the United States.

ERIC Educational Resources Information Center

Beckham, Edgar F., Ed.

This publication includes six essays that were presented at the first of three tri-national seminars on diversity issues in higher education. The seminars brought together representatives and observers of higher education from India, South Africa, and the United States to explore the role of higher education in promoting understanding of human…

Results from the Survey of Antibiotic Resistance (SOAR) 2012–14 in Thailand, India, South Korea and Singapore

PubMed Central

Torumkuney, D.; Chaiwarith, R.; Reechaipichitkul, W.; Malatham, K.; Chareonphaibul, V.; Rodrigues, C.; Chitins, D. S.; Dias, M.; Anandan, S.; Kanakapura, S.; Park, Y. J.; Lee, K.; Lee, H.; Kim, J. Y.; Lee, Y.; Lee, H. K.; Kim, J. H.; Tan, T. Y.; Heng, Y. X.; Mukherjee, P.; Morrissey, I.

2016-01-01

Objectives To provide susceptibility data for community-acquired respiratory tract isolates of Streptococcus pneumoniae, Streptococcus pyogenes, Haemophilus influenzae and Moraxella catarrhalis collected in 2012–14 from four Asian countries. Methods MICs were determined using Etest® for all antibiotics except erythromycin, which was evaluated by disc diffusion. Susceptibility was assessed using CLSI, EUCAST and pharmacokinetic/pharmacodynamic (PK/PD) breakpoints. For macrolide/clindamycin interpretation, breakpoints were adjusted for incubation in CO2 where available. Results Susceptibility of S. pneumoniae was generally lower in South Korea than in other countries. Penicillin susceptibility assessed using CLSI oral or EUCAST breakpoints ranged from 21.2% in South Korea to 63.8% in Singapore. In contrast, susceptibility using CLSI intravenous breakpoints was much higher, at 79% in South Korea and ∼95% or higher elsewhere. Macrolide susceptibility was ∼20% in South Korea and ∼50%–60% elsewhere. Among S. pyogenes isolates (India only), erythromycin susceptibility (∼20%) was lowest of the antibiotics tested. In H. influenzae antibiotic susceptibility was high except for ampicillin, where susceptibility ranged from 16.7% in South Korea to 91.1% in India. South Korea also had a high percentage (18.1%) of β-lactamase-negative ampicillin-resistant isolates. Amoxicillin/clavulanic acid susceptibility for each pathogen (PK/PD high dose) was between 93% and 100% in all countries except for H. influenzae in South Korea (62.5%). Conclusions Use of EUCAST versus CLSI breakpoints had profound differences for cefaclor, cefuroxime and ofloxacin, with EUCAST showing lower susceptibility. There was considerable variability in susceptibility among countries in the same region. Thus, continued surveillance is necessary to track future changes in antibiotic resistance. PMID:27048580

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.

Community level morbidity control of lymphoedema using self care and integrative treatment in two lymphatic filariasis endemic districts of South India: a non randomized interventional study.

PubMed

Narahari, Saravu R; Bose, Kuthaje S; Aggithaya, Madhur G; Swamy, Gaddam Kumara; Ryan, Terence J; Unnikrishnan, Bhaskaran; Washington, Reynold G; Rao, Balu Palicheralu Sreenivasa; Rajagopala, Shrikrishna; Manjula, Kadengodlu; Vandana, Usha; Sreemol, Thaivalath Anandan; Rojith, Mathew; Salimani, Shanappa Y; Shefuvan, Mohammed

2013-09-01

Currently there is no global program to manage lymphoedema as a result of lymphatic filariasis (LF). The primary aim of this study was to determine the efficacy of a previously proposed integrative treatment protocol, using locally available resources to address the morbidity, in a community village setting. Two LF endemic districts of south India, Gulbarga in Karnataka (GK) and Alleppey in Kerala (AK), were selected for the study. All known patients were invited to an LF camp. Patients with grade two late or three lymphoedema were enrolled. All patients were given training in the integrative procedure which involved patient education and the domiciliary protocol. A total of 730 patients (851 limbs) completed the three and half month follow up. There was a statistically significant (1%) reduction up to mid thigh level volume measurement for both small (0.7-1.1 liters) and large (1.8-5.0 liters) limbs, p < 0.000. In AK inflammatory episodes at the three months interval reduced from 37.5% (127 patients) to 28.3% (96 patients) and in GK from 37.6% (147 patients) to 10.2% (40 patients), p < 0.000. All patients had reduced bacterial entry points. There was an overall improvement in quality of life in all domains of LF specific quality of life questionnaire p < 0.000. Self care and integrative treatment is possible in resource poor Indian village settings. Further work is needed to explore factors leading to better compliance by randomizing the interventions such as washing and emollient compression vs Ayurvedic and yoga interventions before integrative treatment is considered for national health programmes in developing countries.

Medicine in South India.

PubMed

McHenry, M M

1978-10-01

A three-month sabbatical allowed a superficial overview of Indian medical history and practice. As in Western nations, cost is a major determinant of health care delivery in India; poverty and fiscal shortages, however, deny care to many. The education of Indian physicians is similar to that in Western nations and a high level of clinical competence is seen. However, physician compensation is woefully low by Western standards. India possesses its own indigenous medical systems, purported to be the oldest in the world and predating Hippocrates by several millenia. Most Indians are cared for by native practitioners whose medical techniques are intricately related to the Hindu and Islamic religions. Many of their herbal medicines have been assimilated into contemporary Western practice. Diseases unknown to us except by textbooks are commonly seen and effectively treated. On the other hand, Western diseases such as coronary arteriosclerosis are not uncommon in a land of massive overpopulation and malnutrition. The humbling aspect of this experience is the realization that medical practice dating back several millenia can be made more modern and carried out competently by contemporary physicians. A Western physician working in India finds an unparalleled variety of disease in a totally different medical-religious environment allowing him to reorganize his priorities and to rediscover himself in the world within which he lives.

Microplastic pollution in Vembanad Lake, Kerala, India: The first report of microplastics in lake and estuarine sediments in India.

PubMed

Sruthy, S; Ramasamy, E V

2017-03-01

We present the first study of microplastics in the sediments of Vembanad Lake, a Ramsar site in India. Microplastics are emerging pollutants of increasing environmental concern with a particle size of <5 mm, which originate from successive degradation of larger plastic debris or are manufactured as small granules and used in many applications. The impact of microplastics pollution on the environment and biota is not well known. Vast data exist in the literature on marine microplastics while reports on freshwater ecosystems are scarce. In this context, to examine the occurrence of microplastic particles (MPs) in the Vembanad Lake, samples were collected from ten sites and processed for microplastic extraction through density separation. Identification of the polymer components of MPs was done using micro Raman spectroscopy. MPs were recovered from all sediment samples, indicating their extensive distribution in the lake. The abundance of MPs recorded from the sediment samples is in the range of 96-496 particles m -2 with a mean abundance of 252.80 ± 25.76 particles m -2 . Low density polyethylene has been identified as the dominant type of polymer component of the MPs. As clams and fishes are the major source of protein to the local population, the presence of MPs in the lake becomes critically important, posing a severe threat of contaminating the food web of this lake. This study, being the first report from India on MPs in lake sediments, provide impetus for further research on the distribution and impact of this emerging pollutant on the biota of many aquatic systems spread across India. Copyright © 2016 Elsevier Ltd. All rights reserved.

Positive coping strategies and HIV-related stigma in south India.

PubMed

Kumar, Shuba; Mohanraj, Rani; Rao, Deepa; Murray, Katherine R; Manhart, Lisa E

2015-03-01

Whether perceived or enacted, HIV-related stigma is widespread in India, and has had a crippling effect on People Living with HIV/AIDS (PLHA). Research has shown that a positive attitude towards the illness sets a proactive framework for the individual to cope with his or her infection; therefore, healthy coping mechanisms are essential to combat HIV-related stigma. This qualitative study involving in-depth interviews and focus group discussions with PLHA affiliated with HIV support groups in South India explored positive coping strategies employed by PLHA to deal with HIV-related stigma. Interviews and focus group discussions were translated, transcribed, and analyzed for consistent themes. Taboos surrounding modes of transmission, perceiving sex workers as responsible for the spread of HIV, and avoiding associating with PLHA provided the context of HIV-related stigma. Despite these challenges, PLHA used several positive strategies, classified as Clear Knowledge and Understanding of HIV, Social Support and Family Well-Being, Selective Disclosure, Employment Building Confidence, and Participation in Positive Networks. Poor understanding of HIV and fears of being labeled immoral undermined healthy coping behavior, while improved understanding, affiliation with support groups, family support, presence of children, and financial independence enhanced PLHA confidence. Such positive coping behaviours could inform culturally relevant interventions.

Positive Coping Strategies and HIV-Related Stigma in South India

PubMed Central

Kumar, Shuba; Mohanraj, Rani; Rao, Deepa; Murray, Katherine R.

2015-01-01

Abstract Whether perceived or enacted, HIV-related stigma is widespread in India, and has had a crippling effect on People Living with HIV/AIDS (PLHA). Research has shown that a positive attitude towards the illness sets a proactive framework for the individual to cope with his or her infection; therefore, healthy coping mechanisms are essential to combat HIV-related stigma. This qualitative study involving in-depth interviews and focus group discussions with PLHA affiliated with HIV support groups in South India explored positive coping strategies employed by PLHA to deal with HIV-related stigma. Interviews and focus group discussions were translated, transcribed, and analyzed for consistent themes. Taboos surrounding modes of transmission, perceiving sex workers as responsible for the spread of HIV, and avoiding associating with PLHA provided the context of HIV-related stigma. Despite these challenges, PLHA used several positive strategies, classified as Clear Knowledge and Understanding of HIV, Social Support and Family Well-Being, Selective Disclosure, Employment Building Confidence, and Participation in Positive Networks. Poor understanding of HIV and fears of being labeled immoral undermined healthy coping behavior, while improved understanding, affiliation with support groups, family support, presence of children, and financial independence enhanced PLHA confidence. Such positive coping behaviours could inform culturally relevant interventions. PMID:25612135

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

2015-12-16

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.

Multiple Sclerosis in Keralite siblings after migration to the Middle East: a report of familial Multiple Sclerosis from India.

PubMed

Narayan, Sunil K; Kumar, Sudhir; Prabhakar, P; Elangovan, S; Baumann, Nicole; Verma, I C

2007-09-15

To report Multiple Sclerosis (MS) in two migrant Indian siblings in the Middle East. MS was thought to be rare in the Indian subcontinent, but, of late, with ready availability of Magnetic Resonance Imaging (MRI) scan, evoked potential studies and immunoglobulin estimation in this part of the developing world, there have been several reports of definite cases of MS from India. However familial MS remains hitherto unreported from the Indian subcontinent. A 39-year-old South Indian Hindu female presented with an episode of hemiparesis which remitted with treatment. Three months later she had a relapse in an acute disseminated form, with residual deficits in gait, vision and mental faculties. MRI revealed discrete and confluent plaques in the centrum semiovale. Four years later, her brother was diagnosed to have central demyelinating disease with discrete and confluent plaques in the cervical cord and corona radiata when he presented at age 39 with neck pain and episodic tonic spasms in the lower limbs. Leucodystrophies were ruled out through appropriate biochemical tests. Cases satisfied diagnostic criteria for MS and were confirmed by follow up. HLA associations were studied. Starting a decade after migration from the South Indian state of Kerala to the Middle East, the disease had slow secondary progression in the female but a stable benign course, so far, in the male sibling. This is the first case report of familial MS from the Indian subcontinent. Onset of MS in South Indian siblings after several years of stay in the Middle East may support aetiological postulations of gene-environment interactions.

Lead distribution in coastal and estuarine sediments around India.

PubMed

Chakraborty, Sucharita; Chakraborty, Parthasarathi; Nath, B Nagender

2015-08-15

This study describes the geochemical distribution of lead (Pb) and identifies the critical factors that significantly control Pb distribution and speciation in coastal and estuarine sediments around India by using published data from the literature. Crustal sources influence the abundance of Pb in coastal sediment from the south-east and central-west coast of India. Parts of north-east, north-west, and south-west coast of India were polluted by Pb. Distribution of Pb in sediments, from the north-east and north-west coasts of India, were controlled by Fe-Mn oxyhydroxide mineral phases of the sediments. However, organic carbon (OC) seemed to be a dominant factor in controlling the distribution of Pb in sediments from the central-east and south-west coasts of India. The outcome of this study may help in decision-making to predict the levels of Pb from natural and anthropogenic sources and to control Pb pollution in coastal and estuarine sediments around India. Copyright © 2015 Elsevier Ltd. All rights reserved.

The pattern of childhood blindness in Karnataka, South India.

PubMed

Gogate, Parikshit; Kishore, H; Dole, Kuldeep; Shetty, Jyoti; Gilbert, Clare; Ranade, Satish; Kumar, Mohan; Srihari; Deshpande, Madan

2009-01-01

To determine the causes of severe visual impairment and blindness in children in schools for the blind in southern Karnataka state of India. Children aged less than 16 years with a visual acuity of < 6/60 in the better eye, attending the residential schools for the blind were examined in 2005-2006, in the Karnataka state in the south of India. History taking, visual acuity estimation, external ocular examination, retinoscopy, and fundoscopy were done on all students. Refraction and low vision work-up done where indicated. The anatomical and etiological causes of severe visual impairment (< 6/60-3/60) and blindness (< 3/60 in the better eye) were classified using the World Health Organization's prevention of blindness programs' record system. A total of 1,179 students were examined, 891 of whom fulfilled the eligibility criteria. The major anatomical sites of visual loss were congenital anomalies (microphthalmos, anophthalmos) (321, 35.7%), corneal conditions (mainly scarring due to vitamin A deficiency, measles, trauma) (133, 14.9%), cataract or aphakia in 102 (11.4%), and retinal disorders (mainly dystrophies) in 177 children (19.9%). Nearly one-fourth of children were blind from conditions which could have been prevented or treated (27.8%), 87 of whom were referred for surgery. Low vision devices improved near acuity in 27 children (3%), and 43 (4.8%) benefited from refraction. Congenital anomalies, cataract, and retinal conditions account for most of the blindness in children.

American College of Cardiology (ACC)'s PINNACLE India Quality Improvement Program (PIQIP)-Inception, progress and future direction: A report from the PIQIP Investigators.

PubMed

Kalra, Ankur; Glusenkamp, Nathan; Anderson, Karen; Kalra, Ram N; Kerkar, Prafulla G; Kumar, Ganesh; Maddox, Thomas M; Oetgen, William J; Virani, Salim S

2016-12-01

Cardiovascular diseases have surpassed infectious disorders to become the leading cause of morbidity and mortality in India. 1 A national-level registry comprehensively documenting the current-day prevalence of cardiovascular risk factors and disease burden among patients seeking care in the outpatient setting in India is currently non-existent. With a burgeoning urban population, the cardiovascular disease burden in India is set to skyrocket, with an estimated 18 million productive years of life lost by 2030. 2 While there are limited quality improvement registries in India, for example, the Kerala acute coronary syndrome and Trivandrum heart failure registries, their focus is on in-patient care quality improvement, while the vast majority of patients with cardiovascular diseases worldwide, including India, interact with the health care system in the outpatient setting. 3,4 Recognizing this unmet need, the American College of Cardiology partnered with local stakeholders in India to establish India's first outpatient cardiovascular disease performance measurement initiative in 2011, the PINNACLE (Practice Innovation and Clinical Excellence) India Quality Improvement Program (PIQIP). 5 This manuscript discusses the inception of the PIQIP registry, the progress it has made and challenges thus far, and its future direction and the promise it holds for cardiovascular care quality improvement in India. Copyright © 2016. Published by Elsevier B.V.

Recent fertility declines in China and India: a comparative view.

PubMed

Kulkarni, P M; Rani, S

1995-12-01

This paper compares fertility transitions in China and parts of India. It is argued that China experienced a more rapid and more "impressive" decline than that of India. Socioeconomic conditions in China were more conducive to fertility decline. Kerala State in India experienced a similar decline as China but at a slower pace. The birth control campaign in China is credited with an important role in speeding the transition. It is posited that the political and administrative system and economic conditions in India are not compatible with the Chinese style program strategies. Both countries had similar fertility levels in the immediate post-revolutionary period. The most rapid decline occurred during the 1970s in China. The fertility transition was almost completed by 1981. In India, the total fertility rate (TFR) declined by only 1 point between the 1950s and 1981. In China TFR declined over 3 points during 1970-81. 76.7% of the decline in China during 1970-81 is attributed to a marked decline in marital fertility in all age groups, with the exception of ages 15-19 years. The decline in India is attributed to the decline in marital fertility. Female age at marriage rose in India, but less "impressively." In 1981 the mean age at marriage in India was 18.4 years, but it was 22.8 years in China. Marital fertility among women aged older than 30 years was considerably lower in China. Both countries experienced an increase in literacy, but in China the level of literacy was much greater. Both countries faced food shortages, but China improved food availability and calorie consumption per capita. Health services also improved in both countries, but the Chinese system of "barefoot" doctors brought services with easier reach of rural populations. Political structures differed in their dominance and organization. Family planning programs were introduced earlier in India, but prevalence was 64.4% in China in 1981 and about 22% in India.

Epidemiology and aetiological diagnosis of corneal ulceration in Madurai, south India

PubMed Central

Srinivasan, M; Gonzales, C.; George, C.; Cevallos, V.; Mascarenhas, J.; Asokan, B; Wilkins, J.; Smolin, G.; Whitcher, J.

1997-01-01

AIMS/BACKGROUND—To determine the epidemiological characteristics and risk factors predisposing to corneal ulceration in Madurai, south India, and to identify the specific pathogenic organisms responsible for infection.
METHODS—All patients with suspected infectious central corneal ulceration presenting to the ocular microbiology and cornea service at Aravind Eye Hospital, Madurai, from 1 January to 31 March 1994 were evaluated. Sociodemographic data and information pertaining to risk factors were recorded, all patients were examined, and corneal cultures and scrapings were performed.
RESULTS—In the 3 month period 434 patients with central corneal ulceration were evaluated. A history of previous corneal injury was present in 284 patients (65.4%). Cornea cultures were positive in 297 patients (68.4%). Of those individuals with positive cultures 140 (47.1%) had pure bacterial infections, 139 (46.8%) had pure fungal infections, 15 (5.1%) had mixed bacteria and fungi, and three (1.0%) grew pure cultures of Acanthamoeba. The most common bacterial pathogen isolated was Streptococcus pneumoniae, representing 44.3% of all positive bacterial cultures, followed by Pseudomonas spp (14.4%). The most common fungal pathogen isolated was Fusarium spp, representing 47.1% of all positive fungal cultures, followed by Aspergillus spp (16.1%).
CONCLUSIONS—Central corneal ulceration is a common problem in south India and most often occurs after a superficial corneal injury with organic material. Bacterial and fungal infections occur in equal numbers with Streptococcus pneumoniae accounting for the majority of bacterial ulcers and Fusarium spp responsible for most of the fungal infections. These findings have important public health implications for the treatment and prevention of corneal ulceration in the developing world.

 PMID:9505820

Health inequalities among urban children in India: a comparative assessment of Empowered Action Group (EAG) and South Indian states.

PubMed

Arokiasamy, P; Jain, Kshipra; Goli, Srinivas; Pradhan, Jalandhar

2013-03-01

As India rapidly urbanizes, within urban areas socioeconomic disparities are rising and health inequality among urban children is an emerging challenge. This paper assesses the relative contribution of socioeconomic factors to child health inequalities between the less developed Empowered Action Group (EAG) states and more developed South Indian states in urban India using data from the 2005-06 National Family Health Survey. Focusing on urban health from varying regional and developmental contexts, socioeconomic inequalities in child health are examined first using Concentration Indices (CIs) and then the contributions of socioeconomic factors to the CIs of health variables are derived. The results reveal, in order of importance, pronounced contributions of household economic status, parent's illiteracy and caste to urban child health inequalities in the South Indian states. In contrast, parent's illiteracy, poor economic status, being Muslim and child birth order 3 or more are major contributors to health inequalities among urban children in the EAG states. The results suggest the need to adopt different health policy interventions in accordance with the pattern of varying contributions of socioeconomic factors to child health inequalities between the more developed South Indian states and less developed EAG states.

The social construction of infertility: the case of the matrilineal Nayars in south India.

PubMed

Neff, D L

1994-08-01

This paper explores the relationship between central Kerala Nayar social constructions of fertility and gender, and the Nayar institution of matrilineality, one of the most extreme cases of matrilineality documented in the anthropological literature. The article shows that social responsibility and consequence are implicated in central Kerala Nayar constructions of infertility and that these are traced matrilineally. It is the duty of matrilineal kin to attend to the family god of fertility and to the needs of females of the matrilineage to see that they foster progeny in the kin group's best interests. When this responsibility is violated, powerful forms of negative consequences may transpire for all lineage members, in the idiom of curses of family fertility gods. In the ritual of pampin tullal performed to propitiate these gods, concepts of fertility are extended to include other, 'auspicious' forms of prosperity. In ritual, unattached Nayar women serve as proxy for the well-being of the matrilineage. These unattached women--infertile, unmarried, 'separated', and widowed--are, for the natal kin group, symbolic virgins (kanya), the life force (sákti) of which lineage members seek to harness for their well-being. The concept of fertility is thus extended to include marriage proposals, job offers, and other health and economic concerns of lineage members.

Aspiring and Aspiration Shaming: Primary Schooling, English, and Enduring Inequalities in Liberalizing Kerala (India)

ERIC Educational Resources Information Center

Mathew, Leya

2018-01-01

This paper analyzes narratives about the radical socio-economic changes accompanying liberalization in India to consider how English-medium schooling is becoming an aspirational resource for non-elite parents. I suggest that aspiring is a practice of ethics that marginalized mothers mobilize to negotiate memories of deprivation and yearnings for…

Gujarat, Western India

NASA Technical Reports Server (NTRS)

2002-01-01

Extremely high sediment loads are delivered to the Arabian Sea along the coast of Pakistan (upper left) and western India. In the case of the Indus River (far upper left) this sedimentation, containing large quantities of desert sand, combines with wave action to create a large sand-bar like delta. In the arid environment, the delta lacks much vegetation, but contains numerous mangrove-lined channels. This true-color image from May 2001 shows the transition from India's arid northwest to the wetter regions farther south along the coast. The increase in vegetation along the coast is brought about by the moisture trapping effect of the Western Ghats Mountain Range that runs north-south along the coast. Heavy sediment is visible in the Gulf of Kachchh (north) and the Gulf of Khambhat(south), which surround the Gujarat Peninsula.

Shoreline changes and Coastal Flooding impacts: South Gujarat coast (India)

NASA Astrophysics Data System (ADS)

Parihar, S. B.

2016-12-01

South Gujarat coast (India) is experiencing increased coastal inundation and erosion caused by sea-level rise affecting the population, infrastructure, and environment. The area falls under low elevation coastal zone (LEZ) and its topography of the area is also making coast highly susceptible to flooding, especially at high tides and during the rainy season. As part of studies on shoreline changes field trip carried on the coastal taluka's of South Gujarat coast i.e. Surat, Navsari and Valsad shows various temporal changes is taking place at coastal belt. There are ample of studies on coastal dynamics and impacts. The study focus on spatial temporal analysis shows the vulnerable zones covering various physical elements at risk. These coastal areas are attractive in nature for all kind of economic development and growth because of availability of the water & fertile land for house hold use, fishing and transportation. On the contrary, South Gujarat coast being tectonically active; makes this region high vulnerable for any kind of infrastructure development. The region had also witnessed loss of life and property, disruptions to transport & power and incidences of epidemics during the floods of 2006 in Surat. Coastal flooding would, under these scenarios, threaten region that are home of 370,000 approx (Census, 2011) people in seven coastal taluka's of Surat, Navsari and Valsad district. Among the people residing in the region, the most vulnerable communities are fishermen, farmer and industrial labours. The wide range of infrastructure such as roads, hospitals, schools, power plants, industries and port will also be at risk. Shoreline changes are inevitably changing the characteristics of south Gujarat coast; practices and policies should be put in place to mitigate the potentially adverse impacts on environment and human settlements. Key words: sea level rise, LEZ, vulnerable, erosion, inundation, spatial temporal analysis, landuse changes.

Diagnosis of Dementia by Machine learning methods in Epidemiological studies: a pilot exploratory study from south India.

PubMed

Bhagyashree, Sheshadri Iyengar Raghavan; Nagaraj, Kiran; Prince, Martin; Fall, Caroline H D; Krishna, Murali

2018-01-01

There are limited data on the use of artificial intelligence methods for the diagnosis of dementia in epidemiological studies in low- and middle-income country (LMIC) settings. A culture and education fair battery of cognitive tests was developed and validated for population based studies in low- and middle-income countries including India by the 10/66 Dementia Research Group. We explored the machine learning methods based on the 10/66 battery of cognitive tests for the diagnosis of dementia based in a birth cohort study in South India. The data sets for 466 men and women for this study were obtained from the on-going Mysore Studies of Natal effect of Health and Ageing (MYNAH), in south India. The data sets included: demographics, performance on the 10/66 cognitive function tests, the 10/66 diagnosis of mental disorders and population based normative data for the 10/66 battery of cognitive function tests. Diagnosis of dementia from the rule based approach was compared against the 10/66 diagnosis of dementia. We have applied machine learning techniques to identify minimal number of the 10/66 cognitive function tests required for diagnosing dementia and derived an algorithm to improve the accuracy of dementia diagnosis. Of 466 subjects, 27 had 10/66 diagnosis of dementia, 19 of whom were correctly identified as having dementia by Jrip classification with 100% accuracy. This pilot exploratory study indicates that machine learning methods can help identify community dwelling older adults with 10/66 criterion diagnosis of dementia with good accuracy in a LMIC setting such as India. This should reduce the duration of the diagnostic assessment and make the process easier and quicker for clinicians, patients and will be useful for 'case' ascertainment in population based epidemiological studies.

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

PubMed Central

Santhosh, SR; Dash, Paban Kumar; Parida, Manmohan; Khan, Mohasin; Rao, Putcha VL

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

Drug poisoning in the community among children: a nine years' experience from a tertiary care center in south India.

PubMed

Winston A, Blessed; Das Adhikari, Debasis; Das, Saibal; Vazhudhi, Kaysina; Kumar, Aniket; Shanthi Fx, Margaret; Agarwal, Indira

2017-02-01

This study was performed to determine the incidence, demographic distribution, types and outcomes across various drug poisonings among children from south India. This retrospective study included children less than 16 years who presented to the Pediatric Emergency Department with drug poisoning from the 1st of October 2004 to the 30th of September 2013. Out of the total 997 poisoning cases, 366 (36.71%) were contributed by drugs; mainly antiepileptics, central nervous system depressants, psychotropics, analgesic-antipyretics and natural drugs. Males and children of < 5 years were mostly affected. Although many children developed complications and required intensive care unit admissions, the total mortality rate was less than 1%. The incidence of drug poisoning showed a decreasing trend over the last 4 years. This study for the first time gives an elaborative insight into pediatric drug poisoning over a nine-year period from a Pediatric Emergency Department tertiary care center in south India.

Culturally Relevant Intervention Strategies for the Psycho-social Development of Children and Youth in Poverty. Workshop Report [of] the International Society for Study of Behavioural Development (India) South Asian Workshop (Chandigarh, India, November 20-23, 1995).

ERIC Educational Resources Information Center

Unnikrishnan, Namita, Comp.

A product of the South Asian Regional Workshop of the International Society for the Study of Behavioural Development (ISSBD), this report was intended to identify problems of low-income families in South Asia and create methods to serve their needs. The report begins with an introduction to the India chapter of the ISSBD; it then provides an…

Is There an Enabling Environment for Nutrition-Sensitive Agriculture in South Asia? Stakeholder Perspectives from India, Bangladesh, and Pakistan.

PubMed

van den Bold, Mara; Kohli, Neha; Gillespie, Stuart; Zuberi, Samar; Rajeesh, Sangeetha; Chakraborty, Barnali

2015-06-01

Almost half of all children in South Asia are stunted. Although agriculture has the potential to be a strong driver of undernutrition reduction and serves as the main source of livelihood for over half of South Asia's population, its potential to reduce undernutrition is currently not being realized. The Leveraging Agriculture for Nutrition in South Asia (LANSA) research consortium seeks to understand how agriculture and agrifood systems can be better designed to improve nutrition in South Asia. In 2013 and 2014, LANSA carried out interviews with stakeholders influential in, and/or knowledgeable of, agriculture-nutrition policy in India, Pakistan, and Bangladesh, to gain a better understanding of the institutional and political factors surrounding the nutrition sensitivity of agriculture in the region. Semistructured interviews were carried out in India, Bangladesh, and Pakistan with a total of 56 stakeholders representing international organizations, research, government, civil society, donors, and the private sector. The findings point to mixed perspectives on countries' policy sensitivity toward nutrition. There was consensus among stakeholders on the importance of political commitment to nutrition, improving nutrition literacy, strengthening capacities, and improving the use of financial resources. Although there are different ways in which South Asian agriculture can improve its impact on nutrition, sensitizing key influencers to the importance of nutrition for the health of a country's population appears as a critical issue. This should in turn serve as the premise for political commitment, intersectoral coordination to implement nutrition-relevant policies, adequately resourced nutrition-specific and nutrition-sensitive programs, and sufficient capacities at all levels. © The Author(s) 2015.

Plate tectonics 2.5 billion years ago: evidence at kolar, South India.

PubMed

Krogstad, E J; Balakrishnan, S; Mukhopadhyay, D K; Rajamani, V; Hanson, G N

1989-03-10

The Archean Kolar Schist Belt, south India, is a suture zone where two gneiss terranes and at least two amphibolite terranes with distinct histories were accrted. Amphibolites from the eastern and western sides of the schist belt have distinct incompatible element and isotopic characteristics sugesting that their volcanic protoliths were derived from dint mantle sources. The amphibolite and gneiss terranes were juxtaposed by horizontal compression and shearing between 2530 and 2420 million years ago (Ma) along a zone marked by the Kolar Schist Belt. This history of accretion of discrete crustal terranes resembles those of Phanerozoic convergent margins and thus suggests that plate tectonics operated on Earth by 2500 Ma.

Plate tectonics 2.5 billion years ago - Evidence at Kolar, south India

NASA Technical Reports Server (NTRS)

Krogstad, E. J.; Hanson, G. N.; Balakrishnan, S.; Rajamani, V.; Mukhopadhyay, D. K.

1989-01-01

The Archean Kolar Schist Belt, south India, is a suture zone where two gneiss terranes and at least two amphibolite terranes with distinct histories were accreted. Amphibolites from the eastern and western sides of the schist belt have distinct incompatible element and isotopic characteristics suggesting that their volcanic protoliths were derived from different mantle sources. The amphibolite and gneiss terranes were juxtaposed by horizontal compression and shearing between 2530 and 2420 million years ago (Ma) along a zone marked by the Kolar Schist Belt. This history of accretion of discrete crustal terranes resembles those of Phanerozoic convergent margins and thus suggests that plate tectonics operated on earth by 2500 Ma.

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

PubMed

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

2015-11-17

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. Qualitative, semistructured, individual interviews. 5 primary health centres in Ernakulam district, Kerala, India. 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. 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. 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 resources. Published by the BMJ Publishing Group Limited

Design and methodology of a community-based cluster-randomized controlled trial for dietary behaviour change in rural Kerala.

PubMed

Daivadanam, Meena; Wahlstrom, Rolf; Sundari Ravindran, T K; Sarma, P S; Sivasankaran, S; Thankappan, K R

2013-07-17

Interventions targeting lifestyle-related risk factors and non-communicable diseases have contributed to the mainstream knowledge necessary for action. However, there are gaps in how this knowledge can be translated for practical day-to-day use in complex multicultural settings like that in India. Here, we describe the design of the Behavioural Intervention for Diet study, which was developed as a community-based intervention to change dietary behaviour among middle-income households in rural Kerala. This was a cluster-randomized controlled trial to assess the effectiveness of a sequential stage-matched intervention to bring about dietary behaviour change by targeting the procurement and consumption of five dietary components: fruits, vegetables, salt, sugar, and oil. Following a step-wise process of pairing and exclusion of outliers, six out of 22 administrative units in the northern part of Trivandrum district, Kerala state were randomly selected and allocated to intervention or control arms. Trained community volunteers carried out the data collection and intervention delivery. An innovative tool was developed to assess household readiness-to-change, and a household measurement kit and easy formulas were introduced to facilitate the practical side of behaviour change. The 1-year intervention included a household component with sequential stage-matched intervention strategies at 0, 6, and 12 months along with counselling sessions, telephonic reminders, and home visits and a community component with general awareness sessions in the intervention arm. Households in the control arm received information on recommended levels of intake of the five dietary components and general dietary information leaflets. Formative research provided the knowledge to contextualise the design of the study in accordance with socio-cultural aspects, felt needs of the community, and the ground realities associated with existing dietary procurement, preparation, and consumption patterns

Design and methodology of a community-based cluster-randomized controlled trial for dietary behaviour change in rural Kerala

PubMed Central

Daivadanam, Meena; Wahlstrom, Rolf; Ravindran, T.K. Sundari; Sarma, P.S.; Sivasankaran, S.; Thankappan, K.R.

2013-01-01

Background Interventions targeting lifestyle-related risk factors and non-communicable diseases have contributed to the mainstream knowledge necessary for action. However, there are gaps in how this knowledge can be translated for practical day-to-day use in complex multicultural settings like that in India. Here, we describe the design of the Behavioural Intervention for Diet study, which was developed as a community-based intervention to change dietary behaviour among middle-income households in rural Kerala. Methods This was a cluster-randomized controlled trial to assess the effectiveness of a sequential stage-matched intervention to bring about dietary behaviour change by targeting the procurement and consumption of five dietary components: fruits, vegetables, salt, sugar, and oil. Following a step-wise process of pairing and exclusion of outliers, six out of 22 administrative units in the northern part of Trivandrum district, Kerala state were randomly selected and allocated to intervention or control arms. Trained community volunteers carried out the data collection and intervention delivery. An innovative tool was developed to assess household readiness-to-change, and a household measurement kit and easy formulas were introduced to facilitate the practical side of behaviour change. The 1-year intervention included a household component with sequential stage-matched intervention strategies at 0, 6, and 12 months along with counselling sessions, telephonic reminders, and home visits and a community component with general awareness sessions in the intervention arm. Households in the control arm received information on recommended levels of intake of the five dietary components and general dietary information leaflets. Discussion Formative research provided the knowledge to contextualise the design of the study in accordance with socio-cultural aspects, felt needs of the community, and the ground realities associated with existing dietary procurement

Fertility decline and gender preference--an experience of Kerala.

PubMed

Ramakumar, R; Devi, K S

1989-12-01

Using data from 1980 Fertility Survey from Kerala, India, researchers analyzed responses from 2242 women to ascertain if gender preference existed. Acceptance of contraception differed among the 3 districts from 70.33% in Ernakulam, 68.05% in Alleppey, and 24.45% in Palghat. The acceptance rate was higher among women who had only 1 son than among those who had only 1 daughter. Further, the rate for women in Palghat with only 1 son (13.12) was almost 2 times higher than that of those with only 1 daughter (6.9). The extent of son preference was lowest in Alleppey. Generally, couples who had the preferred number of sons were more likely to choose sterilization as their method of birth control while those who continued to have daughters without the desired number of sons chose nonterminal methods. The differences between the averages of sons and daughters in terms of total family size are not very wide, however, therefore the degree of son preference has not greatly changed either family size or its composition, especially in Alleppey and Ernakulam. Even though son preference is generally strong among Hindus, the Hindus in both Alleppey and Ernakulam do not demonstrate a strong preference for sons index. On the other hand, the Hindus in Palghat are quite conservative and do demonstrate a high son preference index. Mothers who have attended a formal school for at least 5 years show little discrimination against a daughter. Ernakulam has reached the stage in the transition from a noncontracepting society to a contracepting society when the number of children of the same sex outnumber the other, couples decide to have no more children to maintain small size norms. In Alleppey, the deisre for small size families was the primary consideration for contraceptive use and son preference was secondary.

Peer-to-Peer Consultations: Ancillary Services Peer Exchange with India: Experience from South Africa, Europe & the United States (Fact Sheet)

DOE Office of Scientific and Technical Information (OSTI.GOV)

Not Available

In support of national and subnational decision makers, the 21st Century Power Partnership regularly works with country partners to organize peer-to-peer consultations on critical issues. In March 2014, 21CPP collaborated with the Regulatory Assistance Project - India to host two peer-to-peer exchanges among experts from India, South Africa, Europe, and the United States to discuss the provision of ancillary services, particularly in the context of added variability and uncertainty from renewable energy. This factsheet provides a high level summary of the peer-to-peer consultation.

Prevalence of child abuse in school environment in Kerala, India: An ICAST-CI based survey.

PubMed

Kumar, Manoj Therayil; Kumar, Sebind; Singh, Surendra P; Kar, Nilamadhab

2017-08-01

Very few studies focus on childhood abuse in developing countries and only a small fraction of such studies explicitly deal with abuse in a school environment. The purpose of this study was to estimate the prevalence of sexual, physical, and emotional abuse in a school environment in a developing country. Abuse history was collected using the International Society for the Prevention of Child Abuse and Neglect (ISPCAN) Child Abuse Screening Tool - Children's Institutional Version (ICAST-CI). Demographic variables were also collected. Student supportive measures were provided both during and after the survey. 6682 school attending adolescents in Thrissur, Kerala participated in this cross sectional self report study. One year and lifetime prevalence of physical (75.5%, 78.5%), emotional (84.5%, 85.7%) and sexual (21.0%, 23.8%) abuse was high. Abuse was considered to be present even if an individual item from these three categories was reported. Most abuse was reported as occurring 'sometimes' rather than 'many times'. More males than females reported being victims of abuse; figures for one-year prevalence were: physical abuse (83.4% vs. 61.7%), emotional abuse (89.5% vs. 75.7%), and sexual abuse (29.5% vs. 6.2%). Various factors significantly increase the likelihood of abuse-male gender, low socioeconomic status, regular use of alcohol and drugs by family member at home, and having other difficulties at school. Children tended to report abuse less frequently if they liked attending school and if they always felt safe at school. The results highlight the urgent need to address the issue of abuse in the school environment and minimize its impact. Copyright © 2017 Elsevier Ltd. All rights reserved.

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

Epidemiology of Oral Lichen Planus in a Cohort of South Indian Population: A Retrospective Study

PubMed Central

Varghese, Soma Susan; George, Giju Baby; Sarojini, Sreenivasan Bargavan; Vinod, Sankar; Mathew, Philips; Mathew, Deepu George; Sebastian, Joseph; George, Arun

2016-01-01

Background: Oral lichen planus (OLP) is an immune-mediated potentially malignant disorder of the oral cavity. Dysplastic OLP has an altered cytogenic profile and can progress into oral squamous cell carcinoma. The epidemiology of OLP is well-described in several relatively large series from various geographic locations, whereas such series from southern India is rare. The aim of the present study was to determine the epidemiology of OLP in a cohort of South Indian population. Methods: All the case data records of 29,606 patients who visited Mar Baselios Dental College and Hospital, Kerala, India from 2014 to 2015 were retrospectively reviewed. For data review, 122 patients of OLP were selected Estimated were type, number, and location of lesions, clinical manifestation, age of the patient, gender, onset and duration of lesion, stressful life style, habits, skin involvement and associated systemic illness, and presence/absence of dysplasia. Results: When the distribution of OLP among the gender was considered, we found more prevalence in females than males. Fifty-seven percent of patients were associated with stressful lifestyle. Reticular lichen planus was the most common clinical subtype found. Bilateral buccal mucosal was the common site, when the distribution of sites of OLP were compared (P < 0.05). Hypersensitivity reaction was frequently associated with systemic illness with OLP (P < 0.05). Anaplasia was found among 5% of lichen planus lesions. Conclusions: OLP patients had high incidence of hypersensitivity reactions and 5% of OLP lesions showed anaplasia. Long term follow-up is necessary to monitor the recurrence, prognosis, and malignant transformation of OLP. PMID:27051650

Estimation of work capacity and work ability among plantation workers in South India.

PubMed

Anbazhagan, Suguna; Ramesh, Naveen; Surekha, A; Fathima, Farah N; Melina; Anjali

2016-01-01

Work capacity is the ability to perform real physical work, and work ability is a result of interaction of worker to his or her work that is how good a worker is at present, in near future, and how able is he or she to do his or her work with respect to work demands and health and mental resources. To assess the work capacity and work ability and to study the factors associated with work capacity and work ability of workers at a tea plantation in South India. A cross-sectional study was conducted at a tea plantation in Annamalai, South India, from March to May 2015. Data were collected using a structured interview schedule comprising of three parts as follows: sociodemographic data, work ability questionnaire, and work capacity assessment. Of the 199 subjects participated in the study, majority [90 (45.3%)] were in the age group of 46-55 years, and 128 (64.3%) were females. Of the 199 workers, 12.6% had poor aerobic capacity (by Harvard Step test), 88.4% had an endurance of more than 1 h, 70.9% had better work productivity and energetic efficiency, and the voluntary activity workers spent most time on household chores. Of the 199 workers assessed, only 9.6% had good work ability. There is negative correlation between work ability and body mass index (BMI). Our study found 12.6% workers with poor aerobic capacity and 9.6% of workers with good work ability. Periodic health examinations and other screening procedures should be made as routine in workplace to improve work ability and capacity.

Predictors of Daily Mobility of Adults in Peri-Urban South India.

PubMed

Sanchez, Margaux; Ambros, Albert; Salmon, Maëlle; Bhogadi, Santhi; Wilson, Robin T; Kinra, Sanjay; Marshall, Julian D; Tonne, Cathryn

2017-07-14

Daily mobility, an important aspect of environmental exposures and health behavior, has mainly been investigated in high-income countries. We aimed to identify the main dimensions of mobility and investigate their individual, contextual, and external predictors among men and women living in a peri-urban area of South India. We used 192 global positioning system (GPS)-recorded mobility tracks from 47 participants (24 women, 23 men) from the Cardiovascular Health effects of Air pollution in Telangana, India (CHAI) project (mean: 4.1 days/person). The mean age was 44 (standard deviation: 14) years. Half of the population was illiterate and 55% was in unskilled manual employment, mostly agriculture-related. Sex was the largest determinant of mobility. During daytime, time spent at home averaged 13.4 (3.7) h for women and 9.4 (4.2) h for men. Women's activity spaces were smaller and more circular than men's. A principal component analysis identified three main mobility dimensions related to the size of the activity space, the mobility in/around the residence, and mobility inside the village, explaining 86% (women) and 61% (men) of the total variability in mobility. Age, socioeconomic status, and urbanicity were associated with all three dimensions. Our results have multiple potential applications for improved assessment of environmental exposures and their effects on health.

Predictors of Daily Mobility of Adults in Peri-Urban South India

PubMed Central

Kinra, Sanjay; Marshall, Julian D.; Tonne, Cathryn

2017-01-01

Daily mobility, an important aspect of environmental exposures and health behavior, has mainly been investigated in high-income countries. We aimed to identify the main dimensions of mobility and investigate their individual, contextual, and external predictors among men and women living in a peri-urban area of South India. We used 192 global positioning system (GPS)-recorded mobility tracks from 47 participants (24 women, 23 men) from the Cardiovascular Health effects of Air pollution in Telangana, India (CHAI) project (mean: 4.1 days/person). The mean age was 44 (standard deviation: 14) years. Half of the population was illiterate and 55% was in unskilled manual employment, mostly agriculture-related. Sex was the largest determinant of mobility. During daytime, time spent at home averaged 13.4 (3.7) h for women and 9.4 (4.2) h for men. Women’s activity spaces were smaller and more circular than men’s. A principal component analysis identified three main mobility dimensions related to the size of the activity space, the mobility in/around the residence, and mobility inside the village, explaining 86% (women) and 61% (men) of the total variability in mobility. Age, socioeconomic status, and urbanicity were associated with all three dimensions. Our results have multiple potential applications for improved assessment of environmental exposures and their effects on health. PMID:28708095

Common risk factors for chronic non-communicable diseases among older adults in China, Ghana, Mexico, India, Russia and South Africa: the study on global AGEing and adult health (SAGE) wave 1.

PubMed

Wu, Fan; Guo, Yanfei; Chatterji, Somnath; Zheng, Yang; Naidoo, Nirmala; Jiang, Yong; Biritwum, Richard; Yawson, Alfred; Minicuci, Nadia; Salinas-Rodriguez, Aaron; Manrique-Espinoza, Betty; Maximova, Tamara; Peltzer, Karl; Phaswanamafuya, Nancy; Snodgrass, James J; Thiele, Elizabeth; Ng, Nawi; Kowal, Paul

2015-02-06

Behavioral risk factors such as tobacco use, unhealthy diet, insufficient physical activity and the harmful use of alcohol are known and modifiable contributors to a number of NCDs and health mediators. The purpose of this paper is to describe the distribution of main risk factors for NCDs by socioeconomic status (SES) among adults aged 50 years and older within a country and compare these risk factors across six lower- and upper-middle income countries. The study population in this paper draw from SAGE Wave 1 and consisted of adults aged 50-plus from China (N=13,157), Ghana (N=4,305), India (N=6,560), Mexico (N=2,318), the Russian Federation (N=3,938) and South Africa (N=3,836). Seven main common risk factors for NCDs were identified: daily tobacco use, frequent heavy drinking, low level physical activity, insufficient vegetable and fruit intake, high risk waist-hip ratio, obesity and hypertension. Multiple risk factors were also calculated by summing all these risk factors. The prevalence of daily tobacco use ranged from 7.7% (Ghana) to 46.9% (India), frequent heavy drinker was the highest in China (6.3%) and lowest in India (0.2%), and the highest prevalence of low physical activity was in South Africa (59.7%). The highest prevalence of respondents with high waist-to-hip ratio risk was 84.5% in Mexico, and the prevalence of self-reported hypertension ranging from 33% (India) to 78% (South Africa). Obesity was more common in South Africa, the Russia Federation and Mexico (45.2%, 36% and 28.6%, respectively) compared with China, India and Ghana (15.3%, 9.7% and 6.4%, respectively). China, Ghana and India had a higher prevalence of respondents with multiple risk factors than Mexico, the Russia Federation and South Africa. The occurrence of three and four risk factors was more prevalent in Mexico, the Russia Federation and South Africa. There were substantial variations across countries and settings, even between upper-middle income countries and lower-middle income

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

PubMed

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

2016-10-01

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

A study on traditional medicinal plants of Uthapuram, Madurai District, Tamilnadu, South India

PubMed Central

Sivasankari, Balayogan; Pitchaimani, Subburaj; Anandharaj, Marimuthu

2013-01-01

Objective To record the medicinal plants of Uthapuram Village, Madurai district, Tamilnadu, South India for the first time and the usage of these medicinal plants to remediate the diseases among the peoples. Methods Explorative field trips were made to the village for about twelve months from April 2012 to May 2013 to survey the medicinal plants and collect the information from the villagers. Results From this study 52 species of valuable medicinal plants belonging to 36 families were recorded and their ethnomedicinal values were collected from the village peoples. Conclusion This study focuses the importance, utilization and conservation of the medicinal plants among the people. PMID:24093789

78 FR 22268 - Disease, Disability, and Injury Prevention and Control Special Emphasis Panels (SEP): Initial Review

Federal Register 2010, 2011, 2012, 2013, 2014

2013-04-15

...; Strengthening Surveillance for Japanese Encephalitis in India, FOA GH13-004; and Research and Technical... GH13-003; Strengthening Surveillance for Japanese Encephalitis in India, FOA GH13-004; and Research and... of Karnataka and Kerala, India, FOA GH13-003; Strengthening Surveillance for Japanese Encephalitis in...

Geographical Information System based assessment of spatiotemporal characteristics of groundwater quality of upland sub-watersheds of Meenachil River, parts of Western Ghats, Kottayam District, Kerala, India

NASA Astrophysics Data System (ADS)

Vijith, H.; Satheesh, R.

2007-09-01

Hydrogeochemistry of groundwater in upland sub-watersheds of Meenachil river, parts of Western Ghats, Kottayam, Kerala, India was used to assess the quality of groundwater for determining its suitability for drinking and agricultural purposes. The study area is dominated by rocks of Archaean age, and Charnonckite is dominated over other rocks. Rubber plantation dominated over other types of the vegetation in the area. Though the study area receives heavy rainfall, it frequently faces water scarcity as well as water quality problems. Hence, a Geographical Information System (GIS) based assessment of spatiotemporal behaviour of groundwater quality has been carried out in the region. Twenty-eight water samples were collected from different wells and analysed for major chemical constituents both in monsoon and post-monsoon seasons to determine the quality variation. Physical and chemical parameters of groundwater such as pH, dissolved oxygen (DO), total hardness (TH), chloride (Cl), nitrate (NO3) and phosphate (PO4) were determined. A surface map was prepared in the ArcGIS 8.3 (spatial analyst module) to assess the quality in terms of spatial variation, and it showed that the high and low regions of water quality varied spatially during the study period. The influence of lithology over the quality of groundwater is negligible in this region because majority of the area comes under single lithology, i.e. charnockite, and it was found that the extensive use of fertilizers and pesticides in the rubber, tea and other agricultural practices influenced the groundwater quality of the region. According to the overall assessment of the basin, all the parameters analysed are below the desirable limits of WHO and Indian standards for drinking water. Hence, considering the pH, the groundwater in the study area is not suitable for drinking but can be used for irrigation, industrial and domestic purposes. The spatial analysis of groundwater quality patterns of the study area shows

The Benefits of the E-Learning Agricultural Project Kissankerala to Digital Immigrants and Digital Natives

ERIC Educational Resources Information Center

Roy V., Manoj; Ghosh, Chimoy Kumar

2013-01-01

In recent times Information and Communication Technology (ICT) has been able to make inroads into the ways information is disseminated among those involved in direct farming and farming related enterprises. This paper arose from a two-year study of the KissanKerala, the e-learning project underway in Kerala, a small state in India. It is more…

Early Precambrian crustal evolution of south India

NASA Technical Reports Server (NTRS)

Srinivasan, R.

1986-01-01

The Early Precambrian sequence in Karnataka, South India provides evidences for a distinct trend of evolution which differs from trends exhibited in many other Early Precambrian regions of the world. The supracrustal rock associations preserved in greenstone belts and as inclusions in gneisses and granulites suggest the evolution of the terrain from a stable to a mobile regime. The stable regime is represented by (1) layered ultramafic-mafic complexes, (2) orthoquartzite-basalt-rhyodacite-iron formation, and (30 ortho-quartzite-carbonate-Mn-Fe formation. The mobile regime, which can be shown on sedimentological grounds to have succeeded the stable regime, witnessed the accumulation of a greywacke-pillow basalt-dacite-rhyolite-iron formation association. Detrital sediments of the stable zone accumulated dominantly in fluvial environment and the associated volcanics are ubaerial. The volcanics of the stable regime are tholeiites derived from a zirconium and LREE-enriched sources. The greywackes of the mobile regime are turbidities, and the volcanic rocks possess continental margin (island-arc or back-arc) affinity; they show a LREE depleted to slightly LREE-enriched pattern. The evolution from a stable to a mobile regime is in contrast to the trend seen in most other regions of the world, where an early dominantly volcanic association of a mobile regime gives way upward in the sequence to sediments characteristic of a stable regime.

The India and South China cratons at the margin of Rodinia — Synchronous Neoproterozoic magmatism revealed by LA-ICP-MS zircon analyses

NASA Astrophysics Data System (ADS)

Hofmann, M.; Linnemann, U.; Rai, V.; Becker, S.; Gärtner, A.; Sagawe, A.

2011-04-01

The palaeogeographic position of South China in relation to India in the Neoproterozoic is controversial. Resolution of this controversy constrains the reconstruction of Rodinia during its breakup and contributes to our understanding of Snowball Earth. This work compares the Neoproterozoic histories of the Lesser Himalaya in northern India and the Yangtze block in southern China. We present U-Pb LA-ICP-MS ages of detrital zircon grains from six Indian and three Chinese siliciclastic sedimentary rocks, such as sandstones or diamictites/tillites. In total, 1148 grains were analysed from which 833 measurements gave ages with a degree of concordance between 90 and 110%. The correlation of the Indian and the Chinese sections is possible using the tillites of both areas purportedly deposited during the Snowball Earth time interval: the Blaini tillite from India and the Nantuo tillite from China. The U-Pb ages confirm the Marinoan age of the Chinese Liantuo tillite. Although the youngest zircon age for the Indian Blaini tillite is about 678 Ma, the Marinoan age is indicated by the presence of a typical Marinoan white to bright yellowish overlying cap carbonate. In addition to the tillites, representative detrital zircon ages from over- and underlying clastic rocks were determined. The Chinese samples are dominated by zircons with Neoproterozoic ages with a main peak between ca. 750 Ma and ca. 950 Ma and are characterised by the absence of Archaean ages. The Indian samples contain abundant Neoproterozoic zircon grains, but also contain Mesoproterozoic to Archaean zircons. For all samples, a local source area that provided the Neoproterozoic zircons is likely. A synchronous Neoproterozoic magmatic event in both cratons probably reflects the breakup of the supercontinent Rodinia and therefore the same tectono-magmatic event. Our results indicate a similar history for India and South China which both underwent at least one synchronous episode of crustal growth during the

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

PubMed Central

HAYASHI, Kei; MOHANTA, Uday K.; NEERAJA, Tambireddy; ITAGAKI, Tadashi

2016-01-01

The aim of this study was to phylogenetically analyze Fasciola gigantica (F. gigantica) from mainland India and to reveal the expansion history of F. gigantica in the Indian subcontinent. We analyzed 40 Fasciola flukes that were collected from Delhi, in the Indian mainland, and identified them as F. gigantica by using nucleotide analyses of the nuclear phosphoenolpyruvate carboxykinase (pepck) and DNA polymerase delta (pold) genes. Based on the nucleotide sequence of mitochondrial NADH dehydrogenase subunit 1 (nad1) gene, the flukes had 18 haplotypes. The haplotypes were classified under haplogroup A, which is predominant in the F. gigantica of South Asia. The population genetics of haplogroup A revealed that Delhi population showed higher π value than eastern India population. These results suggest that F. gigantica of haplogroup A might have spread from the west to the east in India along with the artificial migration of the domestic Zebu cattle, Bos indicus. PMID:27301703

Living in the epilepsy treatment gap in rural South India: A focused ethnography of women and problems associated with stigma.

PubMed

von Gaudecker, Jane R; Taylor, Ann Gill; Keeling, Arlene W; Buelow, Janice M; Benjamin, Sailas

2017-07-01

In India, women with epilepsy face unique challenges. A focused ethnography of six women within the epilepsy treatment gap was conducted in rural South India. Women were asked to describe their day-to-day lives. Data were collected through open-ended, semistructured interview questions, participant observation, and field notes. Thematic analysis was done. The disease-related stigma contributed to the women's physical, psychological, and emotional struggles; the women and their family members made every effort to conceal the disease. Educational interventions to create awareness could help women seek effective treatments for their seizures, thereby reducing the stigma and improving the quality of their lives.

Coverage gap in maternal and child health services in India: assessing trends and regional deprivation during 1992-2006.

PubMed

Kumar, Chandan; Singh, Prashant Kumar; Rai, Rajesh Kumar

2013-12-01

Increasing the coverage of key maternal, newborn and child health interventions is essential, if India has to attain Millennium Development Goals 4 and 5. This study assesses the coverage gap in maternal and child health services across states in India during 1992-2006 emphasizing the rural-urban disparities. Additionally, association between the coverage gap and under-5 mortality rate across states are illustrated. The three waves of National Family Health Survey (NFHS) conducted during 1992-1993 (NFHS-1), 1998-1999 (NFHS-2) and 2005-2006 (NFHS-3) were used to construct a composite index of coverage gap in four areas of health-care interventions: family planning, maternal and newborn care, immunization and treatment of sick children. The central, eastern and northeastern regions of India reported a higher coverage gap in maternal and child health care services during 1992-2006, while the rural-urban difference in the coverage gap has increased in Gujarat, Haryana, Rajasthan and Kerala over the period. The analysis also shows a significant positive relationship between the coverage gap index and under-five mortality rate across states. Region or area-specific focus in order to increase the coverage of maternal and child health care services in India should be the priority of the policy-makers and programme executors.

Documentary reconstruction of monsoon rainfall variability over western India, 1781-1860

NASA Astrophysics Data System (ADS)

Adamson, George C. D.; Nash, David J.

2014-02-01

Investigations into the climatic forcings that affect the long-term variability of the Indian summer monsoon are constrained by a lack of reliable rainfall data prior to the late nineteenth century. Extensive qualitative and quantitative meteorological information for the pre-instrumental period exists within historical documents, although these materials have been largely unexplored. This paper presents the first reconstruction of monsoon variability using documentary sources, focussing on western India for the period 1781-1860. Three separate reconstructions are generated, for (1) Mumbai, (2) Pune and (3) the area of Gujarat bordering the Gulf of Khambat. A composite chronology is then produced from the three reconstructions, termed the Western India Monsoon Rainfall reconstruction (WIMR). The WIMR exhibits four periods of generally deficient monsoon rainfall (1780-1785, 1799-1806, 1830-1838 and 1845-1857) and three of above-normal rainfall (1788-1794, 1813-1828 and 1839-1844). The WIMR shows good correspondence with a dendroclimatic drought reconstruction for Kerala, although agreement with the western Indian portion of the tree-ring derived Monsoon Asia Drought Atlas is less strong. The reconstruction is used to examine the long-term relationship between the El Nino-Southern Oscillation (ENSO) and monsoon rainfall over western India. This exhibits peaks and troughs in correlation over time, suggesting a regular long-term fluctuation. This may be an internal oscillation in the ENSO-monsoon system or may be related to volcanic aerosol forcings. Further reconstructions of monsoon rainfall are necessary to validate this. The study highlights uncertainties in existing published rainfall records for 1817-1846 for western India.

REJECTION OF CHRONIC SCHIZOPHRENIC PATIENTS : SOME PRELIMINARY OBSERVATIONS FROM KERALA

PubMed Central

Manickam, L. Sam S.; Chandran, Satheesh R.

1998-01-01

A study was conducted on 57 relatives (34 male and 23 female) of 57 (32 male and 25 female) schizophrenic patients in Kerala. The rejection response was found to be related to gender of patients and relatives, being significantly higher in males. The test reliability alpha of the Patient Rejection Scale was found to be 0.93 and it is higher than English and German version of the scale. Compared to the German and New York sample, the present sample tend to have high rejection feeling. PMID:21494484

HIV in India: the Jogini culture

PubMed Central

Borick, Joseph

2014-01-01

Jogini is the name for a female sexually exploited temple attendant and is used interchangeably with Devadasi in the state of Andhra Pradesh, India. Jogini are twice more likely than other women who are used for sexual intercourse in India to be HIV positive, and their rate of mortality from HIV is 10 times the total mortality rate for all women in India. The four states in India with the most Jogini also have the highest prevalence of HIV. The following case is unfortunately typical of the Jogini and sheds light on a potentially disastrous public health problem in rural South India. PMID:25015167

Upper Mantle Responses to India-Eurasia Collision in Indochina, Malaysia, and the South China Sea

NASA Astrophysics Data System (ADS)

Hongsresawat, S.; Russo, R. M.

2016-12-01

We present new shear wave splitting and splitting intensity measurements from SK(K)S phases recorded at seismic stations of the Malaysian National Seismic Network. These results, in conjunction with results from Tibet and Yunnan provide a basis for testing the degree to which Indochina and South China Sea upper mantle fabrics are responses to India-Eurasia collision. Upper mantle fabrics derived from shear wave splitting measurements in Yunnan and eastern Tibet parallel geodetic surface motions north of 26°N, requiring transmission of tractions from upper mantle depths to surface, or consistent deformation boundary conditions throughout the upper 200 km of crust and mantle. Shear wave splitting fast trends and surface velocities diverge in eastern Yunnan and south of 26°N, indicating development of an asthenospheric layer that decouples crust and upper mantle, or corner flow above the subducted Indo-Burma slab. E-W fast shear wave splitting trends southwest of 26°N/104°E indicate strong gradients in any asthenospheric infiltration. Possible upper mantle flow regimes beneath Indochina include development of olivine b-axis anisotropic symmetry due to high strain and hydrous conditions in the syntaxis/Indo-Burma mantle wedge (i.e., southward flow), development of strong upper mantle corner flow in the Indo-Burma wedge with olivine a-axis anisotropic symmetry (i.e., westward flow), and simple asthenospheric flow due to eastward motion of Sundaland shearing underlying asthenosphere. Further south, shear-wave splitting delay times at Malaysian stations vary from 0.5 seconds on the Malay Peninsula to over 2 seconds at stations on Borneo. Splitting fast trends at Borneo stations and Singapore trend NE-SW, but in northern Peninsular Malaysia, the splitting fast polarization direction is NW-SE, parallel to the trend of the Peninsula. Thus, there is a sharp transition from low delay time and NW-SE fast polarization to high delay times and fast polarization directions that

A combined chemical and biological assessment of industrial contamination in an estuarine system in Kerala, India.

PubMed

Dsikowitzky, Larissa; Nordhaus, Inga; Sujatha, C H; Akhil, P S; Soman, Kunjupilai; Schwarzbauer, Jan

2014-07-01

The Cochin Backwaters in India are part of the Vembanad-Kol system, which is a protected wetland and one of the largest estuarine ecosystems in South Asia. The backwaters are a major supplier of fisheries resources and are developed as tourist destination. Periyar River discharges into the northern arm of the system and receives effluents from chemical, petrochemical and metal processing industries which release huge amounts of wastewaters after little treatment. We investigated water and sediment contamination in the industrial vicinity and at one station further away including organic and inorganic contaminants. In total 83 organic contaminants were found, e.g. well known priority pollutants such as endosulfan, hexachlorobenzene, DDT, hexachlorocyclohexane and their metabolites, which likely stem from the industrial manufacturing of organochlorine pesticides. Furthermore, several benzothiazole, dibenzylamine and dicyclohexylamine derivatives were detected, which indicated inputs from rubber producing facilities. Several of these compounds have not been reported as environmental contaminants so far. A comparison of organic contaminant and trace hazardous element concentrations in sediments with reported sediment quality guidelines revealed that adverse effects on benthic species are likely at all stations. The chemical assessment was combined with an investigation of macrobenthic diversity and community composition. Benthic organisms were completely lacking at the site with the highest trace hazardous element concentrations. Highest species numbers, diversity indices and abundances were recorded at the station with the greatest distance to the industrial area. Filter feeders were nearly completely lacking, probably leading to an impairment of the filter function in this area. This study shows that a combination of chemical and biological methods is an innovative approach to achieve a comprehensive characterization of industrial contamination, to evaluate

The peripatetic cultural psychiatrist: reflections on a forty-five year longitudinal study of a South India village.

PubMed

Ullrich, Helen E

2011-04-01

This article presents one woman's odyssey, which began with a career in linguistics and later incorporated cultural psychiatry. While engaged in fieldwork as a linguist, studying the syntactic structure of Havyaka Kannada and dialectal accommodation among the castes in a South India village, I developed language skills and rapport with the village residents. Then I transferred my community-wide rapport to research on depression as a cultural psychiatrist. The articles I wrote on depression and its relationship to socialized passivity and endorsed assertiveness in progressive generations of South Indian women, illustrate the impact of change on mental health. The cultural background from my community-based longitudinal study of more than forty-five years has contributed to my understanding disorders in Indian patients living in a globalized world.

Low-δ18O Rhyolites From the Malani Igneous Suite: A Positive Test for South China and NW India Linkage in Rodinia

NASA Astrophysics Data System (ADS)

Wang, Wei; Cawood, Peter A.; Zhou, Mei-Fu; Pandit, Manoj K.; Xia, Xiao-Ping; Zhao, Jun-Hong

2017-10-01

The Malani igneous suite (MIS) in NW India represents one of the best preserved silicic large igneous provinces. Voluminous silicic lavas of the MIS erupted between 780-750 Ma. Zircon grains from rhyolite and dacite lavas have oxygen isotopic compositions that include depleted (δ18O = 4.12 to -1.11‰) and enriched (δ18O = 8.23-5.12‰) signatures. The low-δ18O zircon grains have highly radiogenic Hf isotopic compositions (ƐHf(t) = +13.0 to +3.6), suggesting high-temperature bulk cannibalization of upper level juvenile mafic crust as an essential mechanism to produce the low-δ18O felsic magma. Xenocrystic zircon grains in dacites have high δ18O and low ƐHf(t) values for magmas older than 800 Ma, reflecting a dramatic transition in tectono-thermal regime in NW India during 800-780 Ma. A synchronous transition also occurred in south China and Madagascar, suggesting a spatially linked geodynamic system. NW India and south China together with Madagascar and the Seychelles lay either along the periphery of Rodinia or outboards of the supercontinent with the age of convergent plate margin magmatism coinciding with breakup of the supercontinent.

Seven new species of Night Frogs (Anura, Nyctibatrachidae) from the Western Ghats Biodiversity Hotspot of India, with remarkably high diversity of diminutive forms

PubMed Central

Garg, Sonali; Suyesh, Robin; Sukesan, Sandeep

2017-01-01

The Night Frog genus Nyctibatrachus (Family Nyctibatrachidae) represents an endemic anuran lineage of the Western Ghats Biodiversity Hotspot, India. Until now, it included 28 recognised species, of which more than half were described recently over the last five years. Our amphibian explorations have further revealed the presence of undescribed species of Nights Frogs in the southern Western Ghats. Based on integrated molecular, morphological and bioacoustic evidence, seven new species are formally described here as Nyctibatrachus athirappillyensis sp. nov., Nyctibatrachus manalari sp. nov., Nyctibatrachus pulivijayani sp. nov., Nyctibatrachus radcliffei sp. nov., Nyctibatrachus robinmoorei sp. nov., Nyctibatrachus sabarimalai sp. nov. and Nyctibatrachus webilla sp. nov., thereby bringing the total number of valid Nyctibatrachus species to 35 and increasing the former diversity estimates by a quarter. Detailed morphological descriptions, comparisons with other members of the genus, natural history notes, and genetic relationships inferred from phylogenetic analyses of a mitochondrial dataset are presented for all the new species. Additionally, characteristics of male advertisement calls are described for four new and three previously known species. Among the new species, six are currently known to be geographically restricted to low and mid elevation regions south of Palghat gap in the states of Kerala and Tamil Nadu, and one is probably endemic to high-elevation mountain streams slightly northward of the gap in Tamil Nadu. Interestingly, four new species are also among the smallest known Indian frogs. Hence, our discovery of several new species, particularly of easily overlooked miniaturized forms, reiterates that the known amphibian diversity of the Western Ghats of India still remains underestimated. PMID:28243532

Lower tropospheric ozone over India and its linkage to the South Asian monsoon

NASA Astrophysics Data System (ADS)

Lu, Xiao; Zhang, Lin; Liu, Xiong; Gao, Meng; Zhao, Yuanhong; Shao, Jingyuan

2018-03-01

Lower tropospheric (surface to 600 hPa) ozone over India poses serious risks to both human health and crops, and potentially affects global ozone distribution through frequent deep convection in tropical regions. Our current understanding of the processes controlling seasonal and long-term variations in lower tropospheric ozone over this region is rather limited due to spatially and temporally sparse observations. Here we present an integrated process analysis of the seasonal cycle, interannual variability, and long-term trends of lower tropospheric ozone over India and its linkage to the South Asian monsoon using the Ozone Monitoring Instrument (OMI) satellite observations for years 2006-2014 interpreted with a global chemical transport model (GEOS-Chem) simulation for 1990-2010. OMI observed lower tropospheric ozone over India averaged for 2006-2010, showing the highest concentrations (54.1 ppbv) in the pre-summer monsoon season (May) and the lowest concentrations (40.5 ppbv) in the summer monsoon season (August). Process analyses in GEOS-Chem show that hot and dry meteorological conditions and active biomass burning together contribute to 5.8 Tg more ozone being produced in the lower troposphere in India in May than January. The onset of the summer monsoon brings ozone-unfavorable meteorological conditions and strong upward transport, which all lead to large decreases in the lower tropospheric ozone burden. Interannually, we find that both OMI and GEOS-Chem indicate strong positive correlations (r = 0.55-0.58) between ozone and surface temperature in pre-summer monsoon seasons, with larger correlations found in high NOx emission regions reflecting NOx-limited production conditions. Summer monsoon seasonal mean ozone levels are strongly controlled by monsoon strengths. Lower ozone concentrations are found in stronger monsoon seasons mainly due to less ozone net chemical production. Furthermore, model simulations over 1990-2010 estimate a mean annual trend of 0

India-U.S. Relations

DTIC Science & Technology

2007-10-02

still widely used — or Dalits .161 Although these categories are understood throughout India , they describe reality only in the most general terms...extent of sexual violence against Dalit women . That U.N. committee itself issued a March 2007 report which criticized the “frequent failure” of Indian law...Order Code RL33529 India -U.S. Relations Updated October 2, 2007 K. Alan Kronstadt Specialist in South Asian Affairs Foreign Affairs, Defense, and

Biomarker evidence for increasing aridity in south-central India over the Holocene

NASA Astrophysics Data System (ADS)

Sarkar, S.; Wilkes, H.; Prasad, S.; Brauer, A.; Basavaiah, N.; Strecker, M. R.; Sachse, D.

2012-12-01

Summer monsoonal rainfall has played an important role in the development and sustenance of the largely agro-based economy in the Indian subcontinent in the recent past. A better understanding of past variations in monsoonal rainfall can therefore lead to an assessment of its potential impact on early human societies. However, our knowledge of spatiotemporal patterns of past monsoon strength, as inferred from proxy records, is limited due to the lack of high-resolution paleo-hydrological records from continental archives. Here, we reconstruct centennial-scale hydrological variability associated with changes in the intensity of the Indian Summer Monsoon based on a record of lipid biomarker abundances and compound-specific stable isotopic composition of a 10-m-long sediment core from saline-alkaline Lonar Lake, situated in the core 'monsoon zone' of south-central India. We identified three periods of distinct hydrology over the Holocene in south-central India. The period between 10.4 and 6.5 ka BP was characterized by a relatively high abundance of land-plant biomarkers, such as long-chain n-alkanes. The composition of these leaf-wax n-alkanes (weighted average of concentration of different chain-length n-alkanes, expressed as the ACL index) and their negative δ13C (-30‰ to -33 ‰) indicate the dominance of woody C3 vegetation in the catchment, and negative δD (-170‰ to -175‰) values argue for a wet period due to an intensified monsoon. Rapid fluctuations in abundance of both terrestrial and aquatic biomarkers between 6.5 and 4 ka BP indicate an unstable lake ecosystem, culminating in a transition to arid conditions. Higher ACL values and a pronounced shift to more positive δ13C values (up to -22‰) of leaf-wax n-alkanes over this period indicate a change of dominant vegetation to C4 grasses. Along with a 40‰ increase in leaf wax n-alkane δD values, which likely resulted from less rainfall and/or higher plant evapotranspiration, we interpret this period

Nuclear programs in India and Pakistan

DOE Office of Scientific and Technical Information (OSTI.GOV)

Mian, Zia

India and Pakistan launched their respective nuclear programs in the 1940s and 1950s with considerable foreign technical support, especially from the United States Atoms for Peace Program. The technology and training that was acquired served as the platform for later nuclear weapon development efforts that included nuclear weapon testing in 1974 and in 1998 by India, and also in 1998 by Pakistan - which had illicitly acquired uranium enrichment technology especially from Europe and received assistance from China. As of 2013, both India and Pakistan were continuing to produce fissile material for weapons, in the case of India also formore » nuclear naval fuel, and were developing a diverse array of ballistic and cruise missiles. International efforts to restrain the South Asian nuclear build-up have been largely set aside over the past decade as Pakistani support became central for the U.S. war in Afghanistan and as U.S. geopolitical and economic interests in supporting the rise of India, in part as a counter to China, led to India being exempted both from U.S non-proliferation laws and international nuclear trade guidelines. In the absence of determined international action and with Pakistan blocking the start of talks on a fissile material cutoff treaty, nuclear weapon programs in South Asia are likely to keep growing for the foreseeable future.« less

Nuclear programs in India and Pakistan

NASA Astrophysics Data System (ADS)

Mian, Zia

2014-05-01

India and Pakistan launched their respective nuclear programs in the 1940s and 1950s with considerable foreign technical support, especially from the United States Atoms for Peace Program. The technology and training that was acquired served as the platform for later nuclear weapon development efforts that included nuclear weapon testing in 1974 and in 1998 by India, and also in 1998 by Pakistan - which had illicitly acquired uranium enrichment technology especially from Europe and received assistance from China. As of 2013, both India and Pakistan were continuing to produce fissile material for weapons, in the case of India also for nuclear naval fuel, and were developing a diverse array of ballistic and cruise missiles. International efforts to restrain the South Asian nuclear build-up have been largely set aside over the past decade as Pakistani support became central for the U.S. war in Afghanistan and as U.S. geopolitical and economic interests in supporting the rise of India, in part as a counter to China, led to India being exempted both from U.S non-proliferation laws and international nuclear trade guidelines. In the absence of determined international action and with Pakistan blocking the start of talks on a fissile material cutoff treaty, nuclear weapon programs in South Asia are likely to keep growing for the foreseeable future.

Diabetic retinopathy in patients with diabetic foot syndrome in South India

PubMed Central

Karam, Thoiba; Kamath, Yogish Subraya; Rao, Lavanya G; Rao, Krishna Addoor; Shenoy, Shailaja Bhat; Bhandary, Sulatha V

2018-01-01

Purpose: The purpose was to study the retinopathy status in diabetic patients with a risk of diabetic foot (DF) syndrome visiting a tertiary care hospital in South India. Methods: In this cross sectional study all patients with diabetes mellitus (DM) with a risk of DF syndrome, visiting a tertiary care hospital during the study period, underwent an ophthalmological evaluation for documentation of their retinopathy status. Results: One hundred and eighty-two patients diagnosed to have a risk profile for DF syndrome were included in the study. Their mean age was 59.28 years and 75.27% were males. The mean duration of Type 1 and Type 2 variants of DM was 14.9 years and 10.9 years, respectively. Of the 182 patients, 67.58% had retinopathy changes. Proliferative diabetic retinopathy (DR) constituted 17.88% of the total patients with retinopathy. An increased presence of retinopathy in patients with an increased risk grade of DF was found significant by the Chi-square test (P < 0.001). Conclusion: Our study found an increased presence of DR in a South Indian cohort with DF syndrome. The severity of retinopathy was greater in patients with higher grades of risk for DF. The establishment of an association between DR and DF syndrome will help in developing an integrated management strategy for these two debilitating consequences of diabetes. PMID:29582817

Diabetic retinopathy in patients with diabetic foot syndrome in South India.

PubMed

Karam, Thoiba; Kamath, Yogish Subraya; Rao, Lavanya G; Rao, Krishna Addoor; Shenoy, Shailaja Bhat; Bhandary, Sulatha V

2018-04-01

The purpose was to study the retinopathy status in diabetic patients with a risk of diabetic foot (DF) syndrome visiting a tertiary care hospital in South India. In this cross sectional study all patients with diabetes mellitus (DM) with a risk of DF syndrome, visiting a tertiary care hospital during the study period, underwent an ophthalmological evaluation for documentation of their retinopathy status. One hundred and eighty-two patients diagnosed to have a risk profile for DF syndrome were included in the study. Their mean age was 59.28 years and 75.27% were males. The mean duration of Type 1 and Type 2 variants of DM was 14.9 years and 10.9 years, respectively. Of the 182 patients, 67.58% had retinopathy changes. Proliferative diabetic retinopathy (DR) constituted 17.88% of the total patients with retinopathy. An increased presence of retinopathy in patients with an increased risk grade of DF was found significant by the Chi-square test (P < 0.001). Our study found an increased presence of DR in a South Indian cohort with DF syndrome. The severity of retinopathy was greater in patients with higher grades of risk for DF. The establishment of an association between DR and DF syndrome will help in developing an integrated management strategy for these two debilitating consequences of diabetes.

Periodontal diseases and risk of oral cancer in Southern India: Results from the HeNCe Life study.

PubMed

Laprise, Claudie; Shahul, Hameed Puthiyannal; Madathil, Sreenath Arekunnath; Thekkepurakkal, Akhil Soman; Castonguay, Geneviève; Varghese, Ipe; Shiraz, Shameena; Allison, Paul; Schlecht, Nicolas F; Rousseau, Marie-Claude; Franco, Eduardo L; Nicolau, Belinda

2016-10-01

Some studies suggest that periodontal diseases increase the risk of oral cancer, but contradictory results also exist. Inadequate control of confounders, including life course exposures, may have influenced prior findings. We estimate the extent to which high levels of periodontal diseases, measured by gingival inflammation and recession, are associated with oral cancer risk using a comprehensive subset of potential confounders and applying a stringent adjustment approach. In a hospital-based case-control study, incident oral cancer cases (N = 350) were recruited from two major referral hospitals in Kerala, South India, from 2008 to 2012. Controls (N = 371), frequency-matched by age and sex, were recruited from clinics at the same hospitals. Structured interviews collected information on several domains of exposure via a detailed life course questionnaire. Periodontal diseases, as measured by gingival inflammation and gingival recession, were evaluated visually by qualified dentists following a detailed protocol. The relationship between periodontal diseases and oral cancer risk was assessed by unconditional logistic regression using a stringent empirical selection of potential confounders corresponding to a 1% change-in-estimates. Generalized gingival recession was significantly associated with oral cancer risk (Odds Ratio = 1.83, 95% Confidence Interval: 1.10-3.04). No significant association was observed between gingival inflammation and oral cancer. Our findings support the hypothesis that high levels of periodontal diseases increase the risk of oral cancer. © 2016 UICC.

Mobile phones and sex work in South India: the emerging role of mobile phones in condom use by female sex workers in two Indian states.

PubMed

Navani-Vazirani, Sonia; Solomon, Davidson; Gopalakrishnan; Heylen, Elsa; Srikrishnan, Aylur Kailasom; Vasudevan, Canjeevaram K; Ekstrand, Maria L

2015-01-01

The aim of this study was to examine female sex workers' solicitation of clients using mobile phones and the association between this and condom use with clients. Cross-sectional data were utilised to address the study's aim, drawing on data collected from female sex workers in Calicut, Kerala, and Chirala, Andhra Pradesh. Use of mobile phone solicitation was reported by 46.3% (n = 255) of Kerala participants and 78.7% (n = 464) of those in Andhra Pradesh. Kerala participants reporting exclusive solicitation using mobile phones demonstrated 1.67 times higher odds (95% CI: 1.01-2.79) of inconsistent condom use than those reporting non-use of mobile phones for solicitation. However, those reporting exclusive solicitation through mobile phones in Andhra Pradesh reported lower odds of inconsistent condom use (OR: 0.03; 95% CI: 0.01-0.26) than those not using mobile phones for solicitation. Findings indicate that solicitation of clients using mobile phones facilitates or hampers consistency in condom use with clients depending on the context, and how mobile phones are incorporated into solicitation practices. Variations in sex work environments, including economic dependence on sex work or lack thereof may partially account for the different effects found.

Mobile phones and sex work in South India: The emerging role of mobile phones in condom use by female sex workers in two Indian states

PubMed Central

Navani-Vazirani, S; Solomon, D; Krishnan, G; Heylen, E; Srikrishnan, AK; Vasudevan, CK; Ekstrand, ML

2014-01-01

The aim of this study was to examine female sex workers’ solicitation of clients using mobile phones and the association between this and condom use with clients. Cross-sectional data were utilised to address the study's aim, drawing on data collected from female sex workers in Calicut, Kerala and Chirala, Andhra Pradesh. Use of mobile phone solicitation was reported by 46.3% (n = 255) of Kerala participants and 78.7% (n = 464) of those in Andhra Pradesh. Kerala participants reporting exclusive solicitation using mobile phones demonstrated 1.67 times higher odds (95% CI: 1.01–2.79) of inconsistent condom use than those reporting non-use of mobile phones for solicitation. However, those reporting exclusive solicitation through mobile phones in Andhra Pradesh reported lower odds of inconsistent condom use (OR: 0.03; 95% CI: 0.01–0.26) than those not using mobile phones for solicitation. Findings indicate that solicitation of clients using mobile phones facilitates or hampers consistency in condom use with clients depending on the context, and how mobile phones are incorporated into solicitation practices. Variations in sex work environments, including economic dependence on sex work or lack thereof may partially account for the different effects found. PMID:25301669

International trends in health science librarianship part 12: South Asia (India, Pakistan and Sri Lanka).

PubMed

Joshi, Medha; Ali Anwar, Mumtaz; Ullah, Midrar; Kuruppu, Chandrani

2014-12-01

This is the 12th in a series of articles exploring international trends in health science librarianship. This issue describes developments in health science librarianship in the first decade of the 21st century in South Asia. The three contributors report on challenges facing health science librarians in India, Pakistan and Sri Lanka. There is consensus as to the need for education, training and professional development. Starting in the next issue, the focus will turn to Africa, starting with countries in southern Africa. JM. © 2014 The authors. Health Information and Libraries Journal © 2014 Health Libraries Journal.

Development of a Tool to Stage Households' Readiness to Change Dietary Behaviours in Kerala, India.

PubMed

Daivadanam, Meena; Ravindran, T K Sundari; Thankappan, K R; Sarma, P S; Wahlström, Rolf

2016-01-01

Dietary interventions and existing health behaviour theories are centred on individuals; therefore, none of the available tools are applicable to households for changing dietary behaviour. The objective of this pilot study was to develop a practical tool that could be administered by community volunteers to stage households in rural Kerala based on readiness to change dietary behaviour. Such a staging tool, comprising a questionnaire and its algorithm, focusing five dietary components (fruits, vegetables, salt, sugar and oil) and households (rather than individuals), was finalised through three consecutive pilot validation sessions, conducted over a four-month period. Each revised version was tested with a total of 80 households (n = 30, 35 and 15 respectively in the three sessions). The tool and its comparator, Motivational Interviewing (MI), assessed the stage-of-change for a household pertaining to their: 1) fruit and vegetable consumption behaviour; 2) salt, sugar and oil consumption behaviour; 3) overall readiness to change. The level of agreement between the two was tested using Kappa statistics to assess concurrent validity. A value of 0.7 or above was considered as good agreement. The final version was found to have good face and content validity, and also a high level of agreement with MI (87%; weighted kappa statistic: 0.85). Internal consistency testing was performed using Cronbach's Alpha, with a value between 0.80 and 0.90 considered to be good. The instrument had good correlation between the items in each section (Cronbach's Alpha: 0.84 (fruit and vegetables), 0.85 (salt, sugar and oil) and 0.83 (Overall)). Pre-contemplation was the most difficult stage to identify; for which efficacy and perceived cooperation at the household level were important. To the best of our knowledge, this is the first staging tool for households. This tool represents a new concept in community-based dietary interventions. The tool can be easily administered by lay community

Incremental costs of introducing jet injection technology for delivery of routine childhood vaccinations: comparative analysis from Brazil, India, and South Africa.

PubMed

Griffiths, Ulla K; Santos, Andreia C; Nundy, Neeti; Jacoby, Erica; Matthias, Dipika

2011-01-29

Disposable-syringe jet injectors (DSJIs) have the potential to deliver vaccines safely and affordably to millions of children around the world. We estimated the incremental costs of transitioning from needles and syringes to delivering childhood vaccines with DSJIs in Brazil, India, and South Africa. Two scenarios were assessed: (1) DSJI delivery of all vaccines at current dose and depth; (2) a change to intradermal (ID) delivery with DSJIs for hepatitis B and yellow fever vaccines, while the other vaccines are delivered by DSJIs at current dose and depth. The main advantage of ID delivery is that only a small fraction of the standard dose may be needed to obtain an immune response similar to that of subcutaneous or intramuscular injection. Cost categories included were vaccines, injection equipment, waste management, and vaccine transport. Some delivery cost items, such as training and personnel were excluded as were treatment cost savings caused by a reduction in diseases transmitted due to unsafe injections. In the standard dose and depth scenario, the incremental costs of introducing DSJIs per fully vaccinated child amount to US$ 0.57 in Brazil, US$ 0.65 in India and US$ 1.24 in South Africa. In the ID scenario, there are cost savings of US$ 0.11 per child in Brazil, and added costs of US$ 0.45 and US$ 0.76 per child in India and South Africa, respectively. The most important incremental cost item is jet injector disposable syringes. The incremental costs should be evaluated against other vaccine delivery technologies that can deliver the same benefits to patients, health care workers, and the community. DSJIs deserve consideration by global and national decision-makers as a means to expand access to ID delivery and to enhance safety at marginal additional cost. Copyright © 2010 Elsevier Ltd. All rights reserved.

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. Copyright © 2015 Elsevier Ltd. All rights reserved.

Estimating the future burden of multidrug-resistant and extensively drug-resistant tuberculosis in India, the Philippines, Russia, and South Africa: a mathematical modelling study.

PubMed

Sharma, Aditya; Hill, Andrew; Kurbatova, Ekaterina; van der Walt, Martie; Kvasnovsky, Charlotte; Tupasi, Thelma E; Caoili, Janice C; Gler, Maria Tarcela; Volchenkov, Grigory V; Kazennyy, Boris Y; Demikhova, Olga V; Bayona, Jaime; Contreras, Carmen; Yagui, Martin; Leimane, Vaira; Cho, Sang Nae; Kim, Hee Jin; Kliiman, Kai; Akksilp, Somsak; Jou, Ruwen; Ershova, Julia; Dalton, Tracy; Cegielski, Peter

2017-07-01

Multidrug-resistant (MDR) and extensively drug-resistant (XDR) tuberculosis are emerging worldwide. The Green Light Committee initiative supported programmatic management of drug-resistant tuberculosis in 90 countries. We used estimates from the Preserving Effective TB Treatment Study to predict MDR and XDR tuberculosis trends in four countries with a high burden of MDR tuberculosis: India, the Philippines, Russia, and South Africa. We calibrated a compartmental model to data from drug resistance surveys and WHO tuberculosis reports to forecast estimates of incident MDR and XDR tuberculosis and the percentage of incident MDR and XDR tuberculosis caused by acquired drug resistance, assuming no fitness cost of resistance from 2000 to 2040 in India, the Philippines, Russia, and South Africa. The model forecasted the percentage of MDR tuberculosis among incident cases of tuberculosis to increase, reaching 12·4% (95% prediction interval 9·4-16·2) in India, 8·9% (4·5-11·7) in the Philippines, 32·5% (27·0-35·8) in Russia, and 5·7% (3·0-7·6) in South Africa in 2040. It also predicted the percentage of XDR tuberculosis among incident MDR tuberculosis to increase, reaching 8·9% (95% prediction interval 5·1-12·9) in India, 9·0% (4·0-14·7) in the Philippines, 9·0% (4·8-14·2) in Russia, and 8·5% (2·5-14·7) in South Africa in 2040. Acquired drug resistance would cause less than 30% of incident MDR tuberculosis during 2000-40. Acquired drug resistance caused 80% of incident XDR tuberculosis in 2000, but this estimate would decrease to less than 50% by 2040. MDR and XDR tuberculosis were forecast to increase in all four countries despite improvements in acquired drug resistance shown by the Green Light Committee-supported programmatic management of drug-resistant tuberculosis. Additional control efforts beyond improving acquired drug resistance rates are needed to stop the spread of MDR and XDR tuberculosis in countries with a high burden of MDR

Assessment of Water Sustainability Index Using Reliability-Resilience-Vulnerability Criteria Considering Climatic Variation over India

NASA Astrophysics Data System (ADS)

Lakshmi, V.; Mondal, A.; Kundu, S.

2016-12-01

Abstract:Precipitation can be considered as a key factor in Water Resources Sustainability (WRS). In India, WRS varies with widely varying distribution of precipitation. The economy of the India is based on agricultural production which mainly depends on rainfall. The main focus of the paper is assessment of Water Sustainability based on Standardized Precipitation Index (SPI) method for evaluating drought and non-drought conditionsin India using a precipitation data of a long time period (1871-2014). The study area has been divided into thirty sub-regions on the basis homogeneity pattern of rainfall distribution. The performance criteria such as, Reliability, Resilience, Vulnerability and Relative Vulnerability (RV) have been applied in this study. The ranges of water sustainably (WS), vulnerability, relative vulnerability and drought resilience are 0.26 to 0.67, 0.52 to 1.06, 0.22 to 0.61 and 0.72 to 1 respectively. Specifically, WS of Gangetic West Bengal, Naga-Mani-Mizo-trip, Konkan-Goa, Chattisgarh and Kerala are less (0.26, 0.31, 0.35, 0.38 and 0.38 respectively) while Punjab, Marathwada, West Rajasthan and Vidarbha are more (0.57, 0.60, 0.67 and 0.57 respectively).Finally, WS and RV have shown negative correlation (R2=0.86) while WS and drought resilience have shown positive correlation (R2=0.60). The results have clearly illustrated a scenario of entire India, which can be helpful in agricultural management in future. Key Words: Sustainability, SPI, Reliability, Resilience, Vulnerability

"India Population Projects" in Karnataka.

PubMed

Reddy, P H; Badari, V S

1991-12-01

An overview, objectives, implementation, and research and evaluation studies of 2 India Population Projects in Karnataka are presented. The India Population Project I (IPP-I) was conducted in Karnataka and Uttar Pradesh. India Population Project III (IPP-III) took place between 1984-92 in 6 districts of Karnataka: Belgaum, Bijapur, Dharwad, Bidar, Gulbarga, and Raichur, and 4 districts in Kerala. The 6 districts in Karnataka accounted for 36% (13.2 million) of the total national population. The project cost was Rs. 713.1 million which was shared by the World Bank, and the Indian national and regional government. Due to poor past performance, these projects were undertaken to improve health and family welfare status. Specific project objectives are outlined. IPP-I included an urban component, and optimal Government of India program, and an intensive rural initiative. The urban program aimed to improved pre- and postnatal services and facilities, and the family planning (FP) in Bangalore city. The rural program was primarily to provide auxiliary nurse-midwives and hospitals and clinics, and also supplemental feeding program for pregnant and nursing mothers and children up to 2 years. The government program provided FP staff and facilities. IPP-I had 3 units to oversee building construction, to recruit staff and provide supplies and equipment, and to establish a Population Center. IPP-III was concerned with service delivery; information, education, and communication efforts (IEC) and population education; research and evaluation; and project management. Both projects contributed significantly to improving the infrastructure. A brief account of the types and kinds of studies undertaken is given. Studies were grouped into longitudinal studies of fertility, mortality, and FP; management information and evaluation systems for health and family welfare programs; experimental strategies; and other studies. Research and evaluation studies in IPP-III encompassed studies in

Prevalence of anaemia in pregnant & lactating women in India.

PubMed

Agarwal, K N; Agarwal, D K; Sharma, A; Sharma, K; Prasad, K; Kalita, M C; Khetarpaul, N; Kapoor, A C; Vijayalekshmi, L; Govilla, A K; Panda, S M; Kumari, P

2006-08-01

The prevalence of anaemia during pregnancy and lactation was significantly lower in the National Family Health Survey 1998-1999 (NFHS-2), using the hemocue method for haemoglobin estimation compared to earlier surveys. The present study selected seven States and used the same districts and villages studied in the NFHS-2, to see if the reported reduction in prevalence of anaemia was due to health and nutrition inputs and/or due to a different method for haemoglobin estimation. A total of 1,751 women (1,148 pregnant and 603 lactating- exclusively breastfeeding up to 3 months of age), from seven States- Himachal Pradesh and Haryana in north; Assam and Orissa in east; Kerala and Tamil Nadu in south and Madhya Pradesh in central India, were selected. Haemoglobin was estimated by the cyanmethaemoglobin method, so that comparison was possible with earlier studies. Data on socio-demographic characteristics, pregnancy, nutritional status and dietary intakes were collected. Prevalence as well as severity of anaemia was significantly higher in the present study as compared to the NFHS-2 study data. The difference could be due to haemocue method, which gives higher haemoglobin values. The contributing factors found on multiple regression analysis for anaemia in pregnancy and lactation were: literacy, occupation and standard living index of the study women; their awareness about anaemia, its prevention by regular consumption of ironfolate tablets and increase in food intake. Maternal height, age of marriage, parity and foetal loss also contributed to haemoglobin level. There were interstate differences; lower fertility, higher literacy and better diet was observed in Himachal Pradesh as compared to Haryana. The literacy and nutritional status of women in Tamil Nadu was lower than Kerala. The remaining 3 states had poor fertility, lower social living index and nutritional status with >90 per cent women being anaemic in pregnancy and lactation. Low prevalence of severe anaemia in

Projected impacts of climate change on farmers' extraction of groundwater from crystalline aquifers in South India

NASA Astrophysics Data System (ADS)

Ferrant, Sylvain; Caballero, Yvan; Perrin, Jérome; Gascoin, Simon; Dewandel, Benoit; Aulong, Stéphanie; Dazin, Fabrice; Ahmed, Shakeel; Maréchal, Jean-Christophe

2014-01-01

Local groundwater levels in South India are falling alarmingly. In the semi-arid crystalline Deccan plateau area, agricultural production relies on groundwater resources. Downscaled Global Climate Model (GCM) data are used to force a spatially distributed agro-hydrological model in order to evaluate Climate Change (CC) effects on local groundwater extraction (GWE). The slight increase of precipitation may alleviate current groundwater depletion on average, despite the increased evaporation due to warming. Nevertheless, projected climatic extremes create worse GWE shortages than for present climate. Local conditions may lead to opposing impacts on GWE, from increases to decreases (+/-20 mm/year), for a given spatially homogeneous CC forcing. Areas vulnerable to CC in terms of irrigation apportionment are thus identified. Our results emphasize the importance of accounting for local characteristics (water harvesting systems and maximal aquifer capacity versus GWE) in developing measures to cope with CC impacts in the South Indian region.

Projected impacts of climate change on farmers' extraction of groundwater from crystalline aquifers in South India.

PubMed

Ferrant, Sylvain; Caballero, Yvan; Perrin, Jérome; Gascoin, Simon; Dewandel, Benoit; Aulong, Stéphanie; Dazin, Fabrice; Ahmed, Shakeel; Maréchal, Jean-Christophe

2014-01-15

Local groundwater levels in South India are falling alarmingly. In the semi-arid crystalline Deccan plateau area, agricultural production relies on groundwater resources. Downscaled Global Climate Model (GCM) data are used to force a spatially distributed agro-hydrological model in order to evaluate Climate Change (CC) effects on local groundwater extraction (GWE). The slight increase of precipitation may alleviate current groundwater depletion on average, despite the increased evaporation due to warming. Nevertheless, projected climatic extremes create worse GWE shortages than for present climate. Local conditions may lead to opposing impacts on GWE, from increases to decreases (+/-20 mm/year), for a given spatially homogeneous CC forcing. Areas vulnerable to CC in terms of irrigation apportionment are thus identified. Our results emphasize the importance of accounting for local characteristics (water harvesting systems and maximal aquifer capacity versus GWE) in developing measures to cope with CC impacts in the South Indian region.

Access to health care and employment status of people with disabilities in South India, the SIDE (South India Disability Evidence) study.

PubMed

Gudlavalleti, Murthy Venkata S; John, Neena; Allagh, Komal; Sagar, Jayanthi; Kamalakannan, Sureshkumar; Ramachandra, Srikrishna S

2014-11-01

Data shows that people with disability are more disadvantaged in accessing health, education and employment opportunities compared to people without a disability. There is a lack of credible documented evidence on health care access and barriers to access from India. The South India Disability Evidence (SIDE) Study was undertaken to understand the health needs of people with disabilities, and barriers to accessing health services. The study was conducted in one district each in two States (Andhra Pradesh and Karnataka) in 2012. Appropriate age and sex-matched people without a disability were recruited to compare with people with disability who were identified through a population-based survey and available government disability records by trained key informants. These people were then examined by a medical team to confirm the diagnosis. Investigators administered questionnaire schedules to people with and without a disability to harness information on employment and health service access, utilization and barriers. A total of 839 people with disabilities and 1153 age and sex matched people without a disability, aged 18 years or more were included. People with disability had significantly lower employment rates. On univariate analysis, people with disability (18.4%) needed to visit a hospital significantly more often in the preceding year compared to people without a disability (8.8%) (X2- 40.0562; P < =0.001). However adjusted odds ratios did not show a statistically significant difference. Significant differences were also observed with respect to past hospitalization. People with disabilities had 4.6 times higher risk of suffering from diabetes and 5.8 times higher risk of suffering from depression compared to people without a disability and the risk was significantly higher in males compared to females with disability. People with disability faced significantly more barriers to accessing health services compared to people without a disability. Barriers

Politics and Health at the WHO Regional Office for South East Asia: The Case of Portuguese India, 1949-61.

PubMed

Saavedra, Monica

2017-07-01

This paper analyses how the 1950-61 conflict between Portugal and India over the territories that constituted Portuguese India (Goa, Daman and Diu) informed Portugal's relations with the World Health Organization's Regional Office for South East Asia (SEARO). The 'Goa question' determined the way international health policies were actually put into place locally and the meaning with which they were invested. This case study thus reveals the political production of SEARO as a dynamic space for disputes and negotiations between nation-states in decolonising Asia. In this context, health often came second in the face of contrasting nationalistic projects, both colonial and post-colonial.

Constraints faced by urban poor in managing diabetes care: patients' perspectives from South India.

PubMed

Bhojani, Upendra; Mishra, Arima; Amruthavalli, Subramani; Devadasan, Narayanan; Kolsteren, Patrick; De Henauw, Stefaan; Criel, Bart

2013-10-03

Four out of five adults with diabetes live in low- and middle-income countries (LMIC). India has the second highest number of diabetes patients in the world. Despite a huge burden, diabetes care remains suboptimal. While patients (and families) play an important role in managing chronic conditions, there is a dearth of studies in LMIC and virtually none in India capturing perspectives and experiences of patients in regard to diabetes care. The objective of this study was to better understand constraints faced by patients from urban slums in managing care for type 2 diabetes in India. We conducted in-depth interviews, using a phenomenological approach, with 16 type 2- diabetes patients from a poor urban neighbourhood in South India. These patients were selected with the help of four community health workers (CHWs) and were interviewed by two trained researchers exploring patients' experiences of living with and seeking care for diabetes. The sampling followed the principle of saturation. Data were initially coded using the NVivo software. Emerging themes were periodically discussed among the researchers and were refined over time through an iterative process using a mind-mapping tool. Despite an abundance of healthcare facilities in the vicinity, diabetes patients faced several constraints in accessing healthcare such as financial hardship, negative attitudes and inadequate communication by healthcare providers and a fragmented healthcare service system offering inadequate care. Strongly defined gender-based family roles disadvantaged women by restricting their mobility and autonomy to access healthcare. The prevailing nuclear family structure and inter-generational conflicts limited support and care for elderly adults. There is a need to strengthen primary care services with a special focus on improving the availability and integration of health services for diabetes at the community level, enhancing patient centredness and continuity in delivery of care. Our

Barriers to accessing eye care services among visually impaired populations in rural Andhra Pradesh, South India

PubMed Central

Krishnaiah, Sannapaneni; Shamanna, Bindiganavale Ramaswamy; Thomas, Ravi; Rao, Gullapalli N

2007-01-01

Purpose: To understand the reasons why people in rural south India with visual impairment arising from various ocular diseases do not seek eye care. Materials and Methods: A total of 5,573 persons above the age of 15 were interviewed and examined in the South Indian state of Andhra Pradesh covering the districts of Adilabad, West Godavari and Mahaboobnagar. A pre-tested structured questionnaire on barriers to eye care was administered by trained field investigators. Results: Of the eligible subjects, 1234 (22.1%, N=5573)) presented with distant visual acuity < 20/60 or equivalent visual field loss in the better eye. Of these, 898 (72.7%, N=1234) subjects had not sought treatment despite noticing a decrease in vision citing personal, economic and social reasons. The analysis also showed that the odds of seeking treatment was significantly higher for literates [odds ratio (OR) 1.91, 95% confidence interval (CI) 1.38 to 2.65], for those who would be defined as blind by visual acuity category (OR 1.35, 95% CI 0.96 to 1.90) and for those with cataract and other causes of visual impairment (OR 1.50, 95% CI 1.11 to 2.03). Barriers to seeking treatment among those who had not sought treatment despite noticing a decrease in vision over the past five years were personal in 52% of the respondents, economic in 37% and social in 21%. Conclusion: Routine planning for eye care services in rural areas of India must address the barriers to eye care perceived by communities to increase the utilization of services. PMID:17699946

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

PubMed

Bharati, Susmita; Pal, Manoranjan; Bharati, Premananda

2008-11-01

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

Severity of suicidal intent, method and behaviour antecedent to an act of self-harm: a cross sectional study of survivors of self-harm referred to a tertiary hospital in Mysore, south India.

PubMed

Krishna, Murali; Rajendra, Rajagopal; Majgi, Sumanth M; Heggere, Narendra; Parimoo, Shruti; Robinson, Catherine; Poole, Rob

2014-12-01

Rates of self harm are high in south India, but little is known about the relationship between antecedent behaviour, suicidal intent and method. Aims: To identify clinical, social and behavioural antecedents preceding an act of self-harm. 200 participants, consecutively presenting with deliberate self harm to a hospital in south India,were interviewed. Socio-demographic and clinical characteristics were recorded, together with behaviours preceding self-harm. The Pierce Suicidal Intent Scale and Mini International Neuropsychiatric Inventory were administered. Pesticide poisoning was the most common method, especially amongst men, in rural areas, and amongst professionals. No particular antecedent behaviour or activity appears to be associated with higher levels of suicidal intent. Absenteeism from work was the most commonly reported change of behaviour in the month preceding an act of self-harm. Unskilled labourers and professionals had significantly greater suicidal intent (adjusted for age, gender and method) than skilled labourers and the unemployed. There were no differences in suicidal intent between different methods. Rural dwellers had significantly greater suicidal intent compared to urban dwellers, irrespective of the method. Major Depressive Disorder was associated with significantly greater suicidal intent compared with other diagnoses and no diagnosis. Amongst people who harm themselves in south India, professionals and unskilled labourers, rural residents, and people with current major depressive disorder have higher levels of suicidal intent. Severity of suicidal intent does not appear to influence choice of method of self-harm. Behaviours predictive of self-harm in the west may not be relevant in south India.

Prevalence and Risk Factors for Vitamin C Deficiency in North and South India: A Two Centre Population Based Study in People Aged 60 Years and Over

PubMed Central

Ravindran, Ravilla D.; Vashist, Praveen; K. Gupta, Sanjeev; S. Young, Ian; Maraini, Giovanni; Camparini, Monica; Jayanthi, R.; John, Neena; Fitzpatrick, Kathryn E.; Chakravarthy, Usha; Ravilla, Thulasiraj D.; Fletcher, Astrid E.

2011-01-01

Background Studies from the UK and North America have reported vitamin C deficiency in around 1 in 5 men and 1 in 9 women in low income groups. There are few data on vitamin C deficiency in resource poor countries. Objectives To investigate the prevalence of vitamin C deficiency in India. Design We carried out a population-based cross-sectional survey in two areas of north and south India. Randomly sampled clusters were enumerated to identify people aged 60 and over. Participants (75% response rate) were interviewed for tobacco, alcohol, cooking fuel use, 24 hour diet recall and underwent anthropometry and blood collection. Vitamin C was measured using an enzyme-based assay in plasma stabilized with metaphosphoric acid. We categorised vitamin C status as deficient (<11 µmol/L), sub-optimal (11–28 µmol/L) and adequate (>28 µmol/L). We investigated factors associated with vitamin C deficiency using multivariable Poisson regression. Results The age, sex and season standardized prevalence of vitamin C deficiency was 73.9% (95% confidence Interval, CI 70.4,77.5) in 2668 people in north India and 45.7% (95% CI 42.5,48.9) in 2970 from south India. Only 10.8% in the north and 25.9% in the south met the criteria for adequate levels. Vitamin C deficiency varied by season, and was more prevalent in men, with increasing age, users of tobacco and biomass fuels, in those with anthropometric indicators of poor nutrition and with lower intakes of dietary vitamin C. Conclusions In poor communities, such as in our study, consideration needs to be given to measures to improve the consumption of vitamin C rich foods and to discourage the use of tobacco. PMID:22163038

Online Bullying among High-School Students in India

ERIC Educational Resources Information Center

Bhat, Christine Suniti; Ragan, Moira A.; Selvaraj, Priscilla R.; Shultz, Benjamin J.

2017-01-01

Six hundred and forty high-school students (Grades 7-12) from a large central government school in South India participated in this exploratory study of online bullying (cyberbullying) in India. Participants responded to the Survey on Social Use of Information and Communications Technology (SSUICT; Bhat and Ragan 2013). Findings indicated that…

Projected impacts of climate change on farmers' extraction of groundwater from crystalline aquifers in South India

PubMed Central

Ferrant, Sylvain; Caballero, Yvan; Perrin, Jérome; Gascoin, Simon; Dewandel, Benoit; Aulong, Stéphanie; Dazin, Fabrice; Ahmed, Shakeel; Maréchal, Jean-Christophe

2014-01-01

Local groundwater levels in South India are falling alarmingly. In the semi-arid crystalline Deccan plateau area, agricultural production relies on groundwater resources. Downscaled Global Climate Model (GCM) data are used to force a spatially distributed agro-hydrological model in order to evaluate Climate Change (CC) effects on local groundwater extraction (GWE). The slight increase of precipitation may alleviate current groundwater depletion on average, despite the increased evaporation due to warming. Nevertheless, projected climatic extremes create worse GWE shortages than for present climate. Local conditions may lead to opposing impacts on GWE, from increases to decreases (+/−20 mm/year), for a given spatially homogeneous CC forcing. Areas vulnerable to CC in terms of irrigation apportionment are thus identified. Our results emphasize the importance of accounting for local characteristics (water harvesting systems and maximal aquifer capacity versus GWE) in developing measures to cope with CC impacts in the South Indian region. PMID:24424295

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…

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

Development of a Tool to Stage Households’ Readiness to Change Dietary Behaviours in Kerala, India

PubMed Central

Daivadanam, Meena; Ravindran, T. K. Sundari; Thankappan, K. R.; Sarma, P. S.; Wahlström, Rolf

2016-01-01

Dietary interventions and existing health behaviour theories are centred on individuals; therefore, none of the available tools are applicable to households for changing dietary behaviour. The objective of this pilot study was to develop a practical tool that could be administered by community volunteers to stage households in rural Kerala based on readiness to change dietary behaviour. Such a staging tool, comprising a questionnaire and its algorithm, focusing five dietary components (fruits, vegetables, salt, sugar and oil) and households (rather than individuals), was finalised through three consecutive pilot validation sessions, conducted over a four-month period. Each revised version was tested with a total of 80 households (n = 30, 35 and 15 respectively in the three sessions). The tool and its comparator, Motivational Interviewing (MI), assessed the stage-of-change for a household pertaining to their: 1) fruit and vegetable consumption behaviour; 2) salt, sugar and oil consumption behaviour; 3) overall readiness to change. The level of agreement between the two was tested using Kappa statistics to assess concurrent validity. A value of 0.7 or above was considered as good agreement. The final version was found to have good face and content validity, and also a high level of agreement with MI (87%; weighted kappa statistic: 0.85). Internal consistency testing was performed using Cronbach’s Alpha, with a value between 0.80 and 0.90 considered to be good. The instrument had good correlation between the items in each section (Cronbach’s Alpha: 0.84 (fruit and vegetables), 0.85 (salt, sugar and oil) and 0.83 (Overall)). Pre-contemplation was the most difficult stage to identify; for which efficacy and perceived cooperation at the household level were important. To the best of our knowledge, this is the first staging tool for households. This tool represents a new concept in community-based dietary interventions. The tool can be easily administered by lay

Prevalence and Identification of Burkholderia pseudomallei and Near-Neighbor Species in the Malabar Coastal Region of India

PubMed Central

Peddayelachagiri, Bhavani V.; Paul, Soumya; Nagaraj, Sowmya; Gogoi, Madhurjya; Sripathy, Murali H.; Batra, Harsh V.

2016-01-01

Accurate identification of pathogens with biowarfare importance requires detection tools that specifically differentiate them from near-neighbor species. Burkholderia pseudomallei, the causative agent of a fatal disease melioidosis, is one such biothreat agent whose differentiation from its near-neighbor species is always a challenge. This is because of its phenotypic similarity with other Burkholderia species which have a wide spread geographical distribution with shared environmental niches. Melioidosis is a major public health concern in endemic regions including Southeast Asia and northern Australia. In India, the disease is still considered to be emerging. Prevalence surveys of this saprophytic bacterium in environment are under-reported in the country. A major challenge in this case is the specific identification and differentiation of B. pseudomallei from the growing list of species of Burkholderia genus. The objectives of this study included examining the prevalence of B. pseudomallei and near-neighbor species in coastal region of South India and development of a novel detection tool for specific identification and differentiation of Burkholderia species. Briefly, we analyzed soil and water samples collected from Malabar coastal region of Kerala, South India for prevalence of B. pseudomallei. The presumptive Burkholderia isolates were identified using recA PCR assay. The recA PCR assay identified 22 of the total 40 presumptive isolates as Burkholderia strains (22.72% and 77.27% B. pseudomallei and non-pseudomallei Burkholderia respectively). In order to identify each isolate screened, we performed recA and 16S rDNA sequencing. This two genes sequencing revealed that the presumptive isolates included B. pseudomallei, non-pseudomallei Burkholderia as well as non-Burkholderia strains. Furthermore, a gene termed D-beta hydroxybutyrate dehydrogenase (bdha) was studied both in silico and in vitro for accurate detection of Burkholderia genus. The optimized bdha

First record of the spider genus Wolongia Zhu, Kim Song, 1997 from India with the description of a new species (Araneae, Tetragnathidae).

PubMed

Malamel, Jobi J; Nafin, Karunnappilli Shamsudheen; Sankaran, Pradeep M; Sebastian, Pothalil A

2018-04-09

Zhu et al. (1997) erected the tetragnathid genus Wolongia to accommodate Wolongia guoi Zhu, Kim Song, 1997 and Wolongia wangi Zhu, Kim Song, 1997 collected from the Sichuan and Shaanxi Provinces in China. In 2009, Ping et al. described Wolongia odontodes from the Gaoligong Mountains and remained with a nominal representation after the erection of the genus. This situation was somewhat rectified by Jin-long Wan Xian-jin Peng (2013) reporting seven new species from the Gaoligong Mountains (Yunnan Province, southwest China). The genus currently with ten nominal species; three are known only from females, while seven are from both sexes (World Spider Catalog 2017). During our survey in Pathiramanal Island we found an undescribed Wolongia species. This is one of the most diverse areas of the Kerala state of Southern India, situated in the Vembanad Lake, a Ramsar Convention (2013) site (wetland of international importance). In this paper, we describe this new species and provide the first report of Wolongia from India.

Politics and Health at the WHO Regional Office for South East Asia: The Case of Portuguese India, 1949–61

PubMed Central

Saavedra, Monica

2017-01-01

This paper analyses how the 1950–61 conflict between Portugal and India over the territories that constituted Portuguese India (Goa, Daman and Diu) informed Portugal’s relations with the World Health Organization’s Regional Office for South East Asia (SEARO). The ‘Goa question’ determined the way international health policies were actually put into place locally and the meaning with which they were invested. This case study thus reveals the political production of SEARO as a dynamic space for disputes and negotiations between nation-states in decolonising Asia. In this context, health often came second in the face of contrasting nationalistic projects, both colonial and post-colonial. PMID:28604290

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…

Microhyla laterite sp. nov., A New Species of Microhyla Tschudi, 1838 (Amphibia: Anura: Microhylidae) from a Laterite Rock Formation in South West India

PubMed Central

Ravikanth, G.; Vidisha, M. K.; Saurabh, S.; Pratik, M.

2016-01-01

In recent times, several new species of amphibians have been described from India. Many of these discoveries are from biodiversity hotspots or from within protected areas. We undertook amphibian surveys in human dominated landscapes outside of protected areas in south western region of India between years 2013–2015. We encountered a new species of Microhyla which is described here as Microhyla laterite sp. nov. It was delimited using molecular, morphometric and bioacoustics comparisons. Microhyla laterite sp. nov. appears to be restricted to areas of the West coast of India dominated by laterite rock formations. The laterite rock formations date as far back as the Cretaceous-Tertiary boundary and are considered to be wastelands in-spite of their intriguing geological history. We identify knowledge gaps in our understanding of the genus Microhyla from the Indian subcontinent and suggest ways to bridge them. PMID:26960208

Cerebral Small Vessel Disease and Motoric Cognitive Risk Syndrome: Results from the Kerala-Einstein Study.

PubMed

Wang, Nan; Allali, Gilles; Kesavadas, Chandrasekharan; Noone, Mohan L; Pradeep, Vayyattu G; Blumen, Helena M; Verghese, Joe

2016-01-01

The contribution of cerebral small vessel disease to cognitive decline, especially in non-Caucasian populations, is not well established. We examined the relationship between cerebral small vessel disease and motoric cognitive risk syndrome (MCR), a recently described pre-dementia syndrome, in Indian seniors. 139 participants (mean age 66.6 ± 5.4 y, 33.1% female) participating in the Kerala-Einstein study in Southern India were examined in a cross-sectional study. The presence of cerebral small vessel disease (lacunar infarcts and cerebral microbleeds (CMB)) and white matter hyperintensities on MRI was ascertained by raters blinded to clinical information. MCR was defined by the presence of cognitive complaints and slow gait in older adults without dementia or mobility disability. Thirty-eight (27.3%) participants met MCR criteria. The overall prevalence of lacunar infarcts and CMB was 49.6% and 9.4% , respectively. Lacunar infarcts in the frontal lobe, but no other brain regions, were associated with MCR even after adjusting for vascular risk factors and presence of white matter hyperintensities (adjusted Odds Ratio (aOR): 4.67, 95% CI: 1.69-12.94). Frontal lacunar infarcts were associated with slow gait (aOR: 3.98, 95% CI: 1.46-10.79) and poor performance on memory test (β: -1.24, 95% CI: -2.42 to -0.05), but not with cognitive complaints or non-memory tests. No association of CMB was found with MCR, individual MCR criterion or cognitive tests. Frontal lacunar infarcts are associated with MCR in Indian seniors, perhaps, by contributing to slow gait and poor memory function.

Magmatic record of India-Asia collision

PubMed Central

Zhu, Di-Cheng; Wang, Qing; Zhao, Zhi-Dan; Chung, Sun-Lin; Cawood, Peter A.; Niu, Yaoling; Liu, Sheng-Ao; Wu, Fu-Yuan; Mo, Xuan-Xue

2015-01-01

New geochronological and geochemical data on magmatic activity from the India-Asia collision zone enables recognition of a distinct magmatic flare-up event that we ascribe to slab breakoff. This tie-point in the collisional record can be used to back-date to the time of initial impingement of the Indian continent with the Asian margin. Continental arc magmatism in southern Tibet during 80–40 Ma migrated from south to north and then back to south with significant mantle input at 70–43 Ma. A pronounced flare up in magmatic intensity (including ignimbrite and mafic rock) at ca. 52–51 Ma corresponds to a sudden decrease in the India-Asia convergence rate. Geological and geochemical data are consistent with mantle input controlled by slab rollback from ca. 70 Ma and slab breakoff at ca. 53 Ma. We propose that the slowdown of the Indian plate at ca. 51 Ma is largely the consequence of slab breakoff of the subducting Neo-Tethyan oceanic lithosphere, rather than the onset of the India-Asia collision as traditionally interpreted, implying that the initial India-Asia collision commenced earlier, likely at ca. 55 Ma. PMID:26395973

Structural mapping based on potential field and remote sensing data, South Rewa Gondwana Basin, India

NASA Astrophysics Data System (ADS)

Chowdari, Swarnapriya; Singh, Bijendra; Rao, B. Nageswara; Kumar, Niraj; Singh, A. P.; Chandrasekhar, D. V.

2017-08-01

Intracratonic South Rewa Gondwana Basin occupies the northern part of NW-SE trending Son-Mahanadi rift basin of India. The new gravity data acquired over the northern part of the basin depicts WNW-ESE and ENE-WSW anomaly trends in the southern and northern part of the study area respectively. 3D inversion of residual gravity anomalies has brought out undulations in the basement delineating two major depressions (i) near Tihki in the north and (ii) near Shahdol in the south, which divided into two sub-basins by an ENE-WSW trending basement ridge near Sidi. Maximum depth to the basement is about 5.5 km within the northern depression. The new magnetic data acquired over the basin has brought out ENE-WSW to E-W trending short wavelength magnetic anomalies which are attributed to volcanic dykes and intrusive having remanent magnetization corresponding to upper normal and reverse polarity (29N and 29R) of the Deccan basalt magnetostratigrahy. Analysis of remote sensing and geological data also reveals the predominance of ENE-WSW structural faults. Integration of remote sensing, geological and potential field data suggest reactivation of ENE-WSW trending basement faults during Deccan volcanism through emplacement of mafic dykes and sills. Therefore, it is suggested that South Rewa Gondwana basin has witnessed post rift tectonic event due to Deccan volcanism.

Effort-Reward Imbalance and its Association with Health among Pluckers in a Tea Plantation in South India.

PubMed

Tomy, Chitra; Ramesh, Naveen; Fathima, Farah N; D'cunha, Rodney L; Chakravathi, Kote A

2017-01-01

Work-related stress is associated with cardiovascular diseases, musculoskeletal disorders, psychological ailments, and work-related injuries. Imbalance between high effort and low reward at work can lead to work stress among plantation workers. To assess the effort-reward imbalance (ERI) among pluckers in tea plantations in South India and its association on chronic health problems, substance abuses, and workplace injuries. A cross-sectional study was conducted among 346 tea pluckers from May to June 2015 in six selected tea plantations in Anamalai, South India. A short version of ERI questionnaire was used to assess the work-related stress among them. Along with ERI questionnaire, sociodemographic details, chronic diseases, substance abuses, and workplace injuries were ascertained. Sociodemographic variables were described as frequency and measures of central tendency. Tests of association, such as Chi-square test, were applied. Among the study population, 322 (93.1%) reported more effort, 23 (6.6%) reported more reward, and one (0.3%) had no imbalance between effort and reward. Those in older age group (≥51 years) experienced more effort compared to those in younger age group (≤50 years) (Fisher's exact = 21.905, P = 0.001). Educational status (Fisher's exact = 15.639, P = 0.027) and work experience (Fisher's exact = 23.122, P = 0.003) increased the effort rather than increasing the reward associated with work. No significant association was found between ERI and any chronic diseases, substance abuses, or injuries. Majority of pluckers in tea plantation experienced more effort compared to reward.

Attitudes of General Hospital Staff Toward Patients Who Self-harm in South India: A Cross-Sectional Study.

PubMed

Kumar, Narendra; Rajendra, Rajagopal; Majgi, Sumanth Mallikarjuna; Krishna, Murali; Keenan, Paul; Jones, Steve

2016-01-01

There is growing global interest into the attitudes and clinical management of persons who deliberately self-harm. People who self-harm experience many problems and typically have many needs related to management of their psychological wellbeing. A positive attitude amongst general hospital staff should prevail with people who self-harm. The principal purpose was to determine student staff attitudes towards patients who self-harmed from a professional and cultural perspective, which might influence patient treatment following hospital admission. The focus concentrated upon staff knowledge, attitudes and beliefs regarding self-harm. A cross sectional survey of the hospital staff using a validated questionnaire was carried out. This paper reports on interdisciplinary staff from two large general hospitals in Mysuru, South India (n=773). Findings suggest that within a general hospital setting there is wide variation in staff attitudes and knowledge levels related to self-harm. Whilst there is attitudinal evidence for staff attitudes, this study investigates interprofessional differences in an attempt to progress treatment approaches to a vulnerable societal group. Very few staff had any training in assessment of self harm survivors. There is an urgent need for training general hospital staff in self harm assessment and prevention in south India. The results allow a series of recommendations for educational and skills initiatives before progressing to patient assessment and treatment projects and opens potential for cross cultural comparison studies. In addition, interventions must focus on current resources and contexts to move the evidence base and approaches to patient care forward.

Prevalence and determinants of caesarean section in private and public health facilities in underserved South Asian communities: cross-sectional analysis of data from Bangladesh, India and Nepal

PubMed Central

Neuman, Melissa; Alcock, Glyn; Azad, Kishwar; Kuddus, Abdul; Osrin, David; More, Neena Shah; Nair, Nirmala; Tripathy, Prasanta; Sikorski, Catherine; Saville, Naomi; Sen, Aman; Colbourn, Tim; Houweling, Tanja A J; Seward, Nadine; Manandhar, Dharma S; Shrestha, Bhim P; Costello, Anthony; Prost, Audrey

2014-01-01

Objectives To describe the prevalence and determinants of births by caesarean section in private and public health facilities in underserved communities in South Asia. Design Cross-sectional study. Setting 81 community-based geographical clusters in four locations in Bangladesh, India and Nepal (three rural, one urban). Participants 45 327 births occurring in the study areas between 2005 and 2012. Outcome measures Proportion of caesarean section deliveries by location and type of facility; determinants of caesarean section delivery by location. Results Institutional delivery rates varied widely between settings, from 21% in rural India to 90% in urban India. The proportion of private and charitable facility births delivered by caesarean section was 73% in Bangladesh, 30% in rural Nepal, 18% in urban India and 5% in rural India. The odds of caesarean section were greater in private and charitable health facilities than in public facilities in three of four study locations, even when adjusted for pregnancy and delivery characteristics, maternal characteristics and year of delivery (Bangladesh: adjusted OR (AOR) 5.91, 95% CI 5.15 to 6.78; Nepal: AOR 2.37, 95% CI 1.62 to 3.44; urban India: AOR 1.22, 95% CI 1.09 to 1.38). We found that highly educated women were particularly likely to deliver by caesarean in private facilities in urban India (AOR 2.10; 95% CI 1.61 to 2.75) and also in rural Bangladesh (AOR 11.09, 95% CI 6.28 to 19.57). Conclusions Our results lend support to the hypothesis that increased caesarean section rates in these South Asian countries may be driven in part by the private sector. They also suggest that preferences for caesarean delivery may be higher among highly educated women, and that individual-level and provider-level factors interact in driving caesarean rates higher. Rates of caesarean section in the private sector, and their maternal and neonatal health outcomes, require close monitoring. PMID:25550293

Caregiving experiences of family members of persons with dementia in south India.

PubMed

Narayan, Suzanne M; Varghese, Mathew; Hepburn, Kenneth; Lewis, Marsha; Paul, Isabel; Bhimani, Rozina

2015-08-01

This study reports on the first phase of an investigation aimed at adapting The Savvy Caregiver program, a successful family caregiving curriculum developed in the United States, for application in South India. Thirty family members caring for a person with dementia were interviewed regarding their experiences as caregivers (CGs). Qualitative interviews were conducted with the family member at a geriatric clinic, while other diagnostic procedures were being carried out with the person with dementia. Findings from the study revealed that although family members understood the term CG, none could identify a word for CG in his or her language. There was little understanding of dementia as an illness. Family CGs reported feeling distressed, overwhelmed, and frustrated with caregiving. Caregivers were interested in an educational program, but many had unrealistic expectations for what they wanted to learn. The findings provide directions for adapting The Savvy Caregiver curriculum for Indian family CGs. © The Author(s) 2015.

Emigration dynamics in South Asia, IOM / UNFPA workshop, 2-3 September 1996, IOM headquarters, Geneva, Switzerland.

PubMed

Appleyard, R

1996-01-01

This paper describes the six research monographs that were presented at the Emigration Dynamic Workshops in South Asia in September 1996. Research reports were presented by Associate Professor Nasra Shah on an overview of emigration dynamics, Dr. Godfrey Gunatilleke on the role of networks and community structures in migration from Sri Lanka, Dr. Raisul Awal Mahmood on illegal migration from Bangladesh to Singapore, Kuala Lumpur, Bangkok, and Delhi due to desperate poverty, Dr. Farooq-i-Azam on high and low labor-sending migration districts in Pakistan, Dr. Mahendra K. Premi on the impact of internal Indian migration on international migration, and Dr. P.R. Gopinathan Nair on emigration from Kerala, India, to the Middle East. Representatives of South Asian governments discussed the implications of the research findings. Pakistan's representative urged cooperation and joint strategies among labor-sending countries. He cautioned that income and remittance estimates were unstable and unrealistic for inclusion in economic development plans. The Indian representative noted that, although Indian emigration is low, it is highly visible in the press. He agreed with the suggestion for greater cooperation between sending countries. The Bangladesh representative stated that the country needed to locate new markets for Bangladeshi emigrants, to guarantee the rights of emigrant workers, and to prevent trafficking in illegal migrant workers. Three major topics were discussed in the workshop session on the implementation of programs based on research findings. Workshop participants recommended updated information on migration trends, updated information on labor markets in receiving countries, formal and regular policy dialogue between sending countries, and promotion of continuing research by the International Organization on Migration.

Effect of a Quality Improvement Intervention on Clinical Outcomes in Patients in India With Acute Myocardial Infarction: The ACS QUIK Randomized Clinical Trial.

PubMed

Huffman, Mark D; Mohanan, Padinhare P; Devarajan, Raji; Baldridge, Abigail S; Kondal, Dimple; Zhao, Lihui; Ali, Mumtaj; Krishnan, Mangalath N; Natesan, Syam; Gopinath, Rajesh; Viswanathan, Sunitha; Stigi, Joseph; Joseph, Johny; Chozhakkat, Somanathan; Lloyd-Jones, Donald M; Prabhakaran, Dorairaj

2018-02-13

Wide heterogeneity exists in acute myocardial infarction treatment and outcomes in India. To evaluate the effect of a locally adapted quality improvement tool kit on clinical outcomes and process measures in Kerala, a southern Indian state. Cluster randomized, stepped-wedge clinical trial conducted between November 10, 2014, and November 9, 2016, in 63 hospitals in Kerala, India, with a last date of follow-up of December 31, 2016. During 5 predefined steps over the study period, hospitals were randomly selected to move in a 1-way crossover from the control group to the intervention group. Consecutively presenting patients with acute myocardial infarction were offered participation. Hospitals provided either usual care (control group; n = 10 066 participants [step 0: n = 2915; step 1: n = 2649; step 2: n = 2251; step 3: n = 1422; step 4; n = 829; step 5: n = 0]) or care using a quality improvement tool kit (intervention group; n = 11 308 participants [step 0: n = 0; step 1: n = 662; step 2: n = 1265; step 3: n = 2432; step 4: n = 3214; step 5: n = 3735]) that consisted of audit and feedback, checklists, patient education materials, and linkage to emergency cardiovascular care and quality improvement training. The primary outcome was the composite of all-cause death, reinfarction, stroke, or major bleeding using standardized definitions at 30 days. Secondary outcomes included the primary outcome's individual components, 30-day cardiovascular death, medication use, and tobacco cessation counseling. Mixed-effects logistic regression models were used to account for clustering and temporal trends. Among 21 374 eligible randomized participants (mean age, 60.6 [SD, 12.0] years; n = 16 183 men [76%] ; n = 13 689 [64%] with ST-segment elevation myocardial infarction), 21 079 (99%) completed the trial. The primary composite outcome was observed in 5.3% of the intervention participants and 6.4% of the

JPRS Report, Near East & South Asia

DTIC Science & Technology

1989-04-20

AL-SIYASAH 19 Jan] 45 UNITED ARAB EMIRATES Iran-EEC Dispute May Affect Dubayy Trading [GULF NEWS 22 Fcb] 46 SOUTH ASIA INDIA Gandhi Meets...Newsmen, Discusses Election Plans [THE STATESMAN 23 Fcb] 48 Gandhi Addresses Scheduled Tribes Meeting [THE TIMES OF INDIA 26 Fcb] 48 Congress Seeks...Contacts With Foreign Political Parties [PATRIOT 27 Fcb] 49 India Reported Making Overtures Toward Saudi Arabia [THE HINDU 13 Fcb] 50 Reports on

Genetic deviation in geographically close populations of the dengue vector Aedes aegypti (Diptera: Culicidae): influence of environmental barriers in South India.

PubMed

Vadivalagan, Chithravel; Karthika, Pushparaj; Murugan, Kadarkarai; Panneerselvam, Chellasamy; Paulpandi, Manickam; Madhiyazhagan, Pari; Wei, Hui; Aziz, Al Thabiani; Alsalhi, Mohamad Saleh; Devanesan, Sandhanasamy; Nicoletti, Marcello; Paramasivan, Rajaiah; Dinesh, Devakumar; Benelli, Giovanni

2016-03-01

Mosquitoes are vectors of devastating pathogens and parasites, causing millions of deaths every year. Dengue is a mosquito-borne viral infection found in tropical and subtropical regions around the world. Recently, dengue transmission has strongly increased in urban and semiurban areas, becoming a major international public health concern. Aedes aegypti (Diptera: Culicidae) is a primary vector of dengue. Shedding light on genetic deviation in A. aegypti populations is of crucial importance to fully understand their molecular ecology and evolution. In this research, haplotype and genetic analyses were conducted using individuals of A. aegypti from 31 localities in the north, southeast, northeast and central regions of Tamil Nadu (South India). The mitochondrial DNA region of cytochrome c oxidase 1 (CO1) gene was used as marker for the analyses. Thirty-one haplotypes sequences were submitted to GenBank and authenticated. The complete haplotype set included 64 haplotypes from various geographical regions clustered into three groups (lineages) separated by three fixed mutational steps, suggesting that the South Indian Ae. aegypti populations were pooled and are linked with West Africa, Columbian and Southeast Asian lineages. The genetic and haplotype diversity was low, indicating reduced gene flow among close populations of the vector, due to geographical barriers such as water bodies. Lastly, the negative values for neutrality tests indicated a bottle-neck effect and supported for low frequency of polymorphism among the haplotypes. Overall, our results add basic knowledge to molecular ecology of the dengue vector A. aegypti, providing the first evidence for multiple introductions of Ae. aegypti populations from Columbia and West Africa in South India.

Productivity losses due to premature mortality from cancer in Brazil, Russia, India, China, and South Africa (BRICS): A population-based comparison.

PubMed

Pearce, Alison; Sharp, Linda; Hanly, Paul; Barchuk, Anton; Bray, Freddie; de Camargo Cancela, Marianna; Gupta, Prakash; Meheus, Filip; Qiao, You-Lin; Sitas, Freddy; Wang, Shao-Ming; Soerjomataram, Isabelle

2018-04-01

Over two-thirds of the world's cancer deaths occur in economically developing countries; however, the societal costs of cancer have rarely been assessed in these settings. Our aim was to estimate the value of productivity lost in 2012 due to cancer-related premature mortality in the major developing economies of Brazil, the Russian Federation, India, China and South Africa (BRICS). We applied an incidence-based method using the human capital approach. We used annual adult cancer deaths from GLOBOCAN2012 to estimate the years of productive life lost between cancer death and pensionable age in each country, valued using national and international data for wages, and workforce statistics. Sensitivity analyses examined various methodological assumptions. The total cost of lost productivity due to premature cancer mortality in the BRICS countries in 2012 was $46·3 billion, representing 0·33% of their combined gross domestic product. The largest total productivity loss was in China ($28 billion), while South Africa had the highest cost per cancer death ($101,000). Total productivity losses were greatest for lung cancer in Brazil, the Russian Federation and South Africa; liver cancer in China; and lip and oral cavity cancers in India. Locally-tailored strategies are required to reduce the economic burden of cancer in developing economies. Focussing on tobacco control, vaccination programs and cancer screening, combined with access to adequate treatment, could yield significant gains for both public health and economic performance of the BRICS countries. Copyright © 2017 Elsevier Ltd. All rights reserved.

Prevalence of and factors associated with frailty and disability in older adults from China, Ghana, India, Mexico, Russia and South Africa.

PubMed

Biritwum, R B; Minicuci, N; Yawson, A E; Theou, O; Mensah, G P; Naidoo, N; Wu, F; Guo, Y; Zheng, Y; Jiang, Y; Maximova, T; Kalula, S; Arokiasamy, P; Salinas-Rodríguez, A; Manrique-Espinoza, B; Snodgrass, J J; Sterner, K N; Eick, G; Liebert, M A; Schrock, J; Afshar, S; Thiele, E; Vollmer, S; Harttgen, K; Strulik, H; Byles, J E; Rockwood, K; Mitnitski, A; Chatterji, S; Kowal, P

2016-09-01

The severe burden imposed by frailty and disability in old age is a major challenge for healthcare systems in low- and middle-income countries alike. The current study aimed to provide estimates of the prevalence of frailty and disability in older adult populations and to examine their relationship with socioeconomic factors in six countries. Focusing on adults aged 50+ years, a frailty index was constructed as the proportion of deficits in 40 variables, and disability was assessed using the World Health Organization Disability Assessment Schedule (WHODAS 2.0), as part of the Study on global AGEing and adult health (SAGE) Wave 1 in China, Ghana, India, Mexico, Russia and South Africa. This study included a total of 34,123 respondents. China had the lowest percentages of older adults with frailty (13.1%) and with disability (69.6%), whereas India had the highest percentages (55.5% and 93.3%, respectively). Both frailty and disability increased with age for all countries, and were more frequent in women, although the sex gap varied across countries. Lower levels of both frailty and disability were observed at higher levels of education and wealth. Both education and income were protective factors for frailty and disability in China, India and Russia, whereas only income was protective in Mexico, and only education in South Africa. Age-related frailty and disability are increasing concerns for older adult populations in low- and middle-income countries. The results indicate that lower levels of frailty and disability can be achieved for older people, and the study highlights the need for targeted preventive approaches and support programs. Copyright © 2016 Elsevier Ireland Ltd. All rights reserved.

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

Dubey, Manisha; Ram, Usha; Ram, Faujdar

2015-01-01

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. 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. 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). 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.

Loss to follow-up among children in pre-ART care under the National AIDS Programme, Tamil Nadu, South India

PubMed Central

Kumar, A. M. V.; Chinnakali, P.; Rajendran, M.; Valan, A. S.; Rewari, B. B.; Swaminathan, S.

2017-01-01

Setting: Children aged <15 years constitute 7% of all people living with the human immunodeficiency virus (HIV) in India. A previous study from an antiretroviral therapy (ART) centre in south India reported 82% loss to follow-up (LTFU) among children in pre-ART care (2006–2011). Objective: To assess the proportion of LTFU within 1 year of registration among HIV-infected children (aged < 15 years) registered in all 43 ART centres in the state of Tamil Nadu, India, during the year 2012. Design: This was a retrospective cohort study involving a review of programme records. Results: Of 656 children registered for HIV care, 20 (3%) were not assessed for ART eligibility. Of those remaining, 226 (36%) were not ART eligible and entered pre-ART care. Among these, at 1 year of registration, 50 (22%) were LTFU, 40 (18%) were transferred out and 136 (60%) were retained in care at the same centre. The child's age, sex, World Health Organization stage or occurrence of opportunistic infection were not associated with LTFU. Conclusion: One in five children registered under pre-ART care were lost to follow-up. Stronger measures to prevent LTFU and reinforce retrieval actions are necessary in the existing National HIV Programme. PMID:28695080

Loss to follow-up among children in pre-ART care under the National AIDS Programme, Tamil Nadu, South India.

PubMed

Devi, N P; Kumar, A M V; Chinnakali, P; Rajendran, M; Valan, A S; Rewari, B B; Swaminathan, S

2017-06-21

Setting: Children aged <15 years constitute 7% of all people living with the human immunodeficiency virus (HIV) in India. A previous study from an antiretroviral therapy (ART) centre in south India reported 82% loss to follow-up (LTFU) among children in pre-ART care (2006-2011). Objective: To assess the proportion of LTFU within 1 year of registration among HIV-infected children (aged < 15 years) registered in all 43 ART centres in the state of Tamil Nadu, India, during the year 2012. Design: This was a retrospective cohort study involving a review of programme records. Results: Of 656 children registered for HIV care, 20 (3%) were not assessed for ART eligibility. Of those remaining, 226 (36%) were not ART eligible and entered pre-ART care. Among these, at 1 year of registration, 50 (22%) were LTFU, 40 (18%) were transferred out and 136 (60%) were retained in care at the same centre. The child's age, sex, World Health Organization stage or occurrence of opportunistic infection were not associated with LTFU. Conclusion: One in five children registered under pre-ART care were lost to follow-up. Stronger measures to prevent LTFU and reinforce retrieval actions are necessary in the existing National HIV Programme.

Initial Teacher Training: South Asian Approaches. Quality in Basic Education: Professional Development of Teachers. Papers Prepared for a South Asian Colloquium on Teacher Training in Bangladesh, India, Pakistan, and Sri Lanka (Colombo, Sri Lanka, April 1992).

ERIC Educational Resources Information Center

Commonwealth Secretariat, London (England).

This publication is one of two prepared for a South Asian Colloquium on issues related to teacher training in Bangladesh, India, Pakistan, and Sri Lanka. The papers in this volume focus on innovations and alternative strategies designed to improve quality in teacher education at preservice phase. The publication is in five sections. The first four…

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.

JPRS Report. Near East & South Asia.

DTIC Science & Technology

1990-11-02

Discussed [YEDI’OT AHARONOT17 Sep] 7 Economic Forecasts for New Year Given [MA’ARJV(Business Supplement) 18 Sep] 9 SOUTH ASIA INDIA Report...November Polls [THE TIMES OF INDIA 20 Sep] 18 Reservation Policy Seen Creating Discord, Divisions [ANANDA BAZAR PATRIKA 18 Aug] 18 Congress-BJP...8217Unrealistic’ [THE HINDU 20 Sep] 28 Officials Predict Record Foodgrain Production [THE TIMES OF INDIA 14 Sep] 29 Commentary Questions State

Studies on uptake and retention of trace elements by medicinal plants in the environs of Hassan of South India

NASA Astrophysics Data System (ADS)

Jagadeesha, B. G.; Narayana, Y.; Sudarshan, M.; Banerjee, Shamayita

2018-03-01

The transfer factors of trace elements from soil to medicinal plants were determined in the region of Hassan district of south India. The trace element concentration was determined using the Energy Dispersive X-ray Fluorescence (ED-XRF) spectrometer. The transfer factors were found in the order Rb > Sr > Ca > K > Zn > Cu > Mn. The transfer factors were found to be high, for most of the plants. The concentration of Rb and Sr was found to be high in medicinal plants, which can be attributed to the mineralogy of the region and plant morphology.

JPRS Report, Near East & South Asia, India

DTIC Science & Technology

1991-08-06

country will suffer from economic recession and Clutches of Debt"] future developmental plans will be effected if welfare programs are cut instead of... Effects of Rupee Devaluation Pondered [INDIAN EXPRESS 6 Jun] ....................................................... 12 Papers Report ’Routine’ Rupee...Devaluations .............................................................................................. 13 Expected Effects [THE TIMES OF INDIA 2

A literature review: the role of the private sector in the production of nurses in India, Kenya, South Africa and Thailand.

PubMed

Reynolds, Jaratdao; Wisaijohn, Thunthita; Pudpong, Nareerut; Watthayu, Nantiya; Dalliston, Alex; Suphanchaimat, Rapeepong; Putthasri, Weerasak; Sawaengdee, Krisada

2013-04-12

The demand for nurses is growing and has not yet been met in most developing countries, including India, Kenya, South Africa, and Thailand. Efforts to increase the capacity for production of professional nurses, equitable distribution and better retention have been given high strategic priority. This study examines the supply of, demand for, and policy environment of private nurse production in four selected countries. A scoping systematic review was undertaken to assess the evidence for the role of private sector involvement in the production of nurses in India, Kenya, South Africa, and Thailand. An electronic database search was performed, and grey literature was also captured from the websites of Human Resources for Health (HRH)-related organizations and networks. The articles were reviewed and selected according to relevancy. The review found that despite very different ratios of nurses to population ratios and differing degrees of international migration, there was a nursing shortage in all four countries which were struggling to meet growing demand. All four countries saw the private sector play an increasing role in nurse production. Policy responses varied from modifying regulation and accreditation schemes in Thailand, to easing regulation to speed up nurse production and recruitment in India. There were concerns about the quality of nurses being produced in private institutions. Strategies must be devised to ensure that private nursing graduates serve public health needs of their populations. There must be policy coherence between producing nurses for export and ensuring sufficient supply to meet domestic needs, in particular in under-served areas. This study points to the need for further research in particular assessing the contributions made by the private sector to nurse production, and to examine the variance in quality of nurses produced.

A literature review: the role of the private sector in the production of nurses in India, Kenya, South Africa and Thailand

PubMed Central

2013-01-01

Background The demand for nurses is growing and has not yet been met in most developing countries, including India, Kenya, South Africa, and Thailand. Efforts to increase the capacity for production of professional nurses, equitable distribution and better retention have been given high strategic priority. This study examines the supply of, demand for, and policy environment of private nurse production in four selected countries. Methods A scoping systematic review was undertaken to assess the evidence for the role of private sector involvement in the production of nurses in India, Kenya, South Africa, and Thailand. An electronic database search was performed, and grey literature was also captured from the websites of Human Resources for Health (HRH)-related organizations and networks. The articles were reviewed and selected according to relevancy. Results The review found that despite very different ratios of nurses to population ratios and differing degrees of international migration, there was a nursing shortage in all four countries which were struggling to meet growing demand. All four countries saw the private sector play an increasing role in nurse production. Policy responses varied from modifying regulation and accreditation schemes in Thailand, to easing regulation to speed up nurse production and recruitment in India. There were concerns about the quality of nurses being produced in private institutions. Conclusion Strategies must be devised to ensure that private nursing graduates serve public health needs of their populations. There must be policy coherence between producing nurses for export and ensuring sufficient supply to meet domestic needs, in particular in under-served areas. This study points to the need for further research in particular assessing the contributions made by the private sector to nurse production, and to examine the variance in quality of nurses produced. PMID:23587128

CYP2C9 and CYP2C19 genetic polymorphisms: frequencies in the south Indian population.

PubMed

Jose, Rosemary; Chandrasekaran, Adithan; Sam, Soya Sisy; Gerard, Nathalie; Chanolean, Shashindran; Abraham, Benny K; Satyanarayanamoorthy, K; Peter, Anitha; Rajagopal, Krishnamoorthy

2005-02-01

The aim of the study was to establish the frequencies of CYP2C9*1, *2, *3 and CYP2C19*1, *2 and *3 in the south Indian population and to compare them with the inter-racial distribution of the CYP2C9 and CYP2C19 genetic polymorphisms. Genotyping analyses of CYP2C9 and CYP2C19 were conducted in unrelated, healthy volunteers from the three south Indian states of Andhra Pradesh, Karnataka and Kerala, by the polymerase chain reaction-restriction fragment-length polymorphism (PCR-RFLP). The allele frequencies of the populations of these three states were then pooled with our previous genotyping data of Tamilians (also in south India), to arrive at the distribution of CYP2C9 and CYP2C19 alleles in the south Indian population. Frequencies of CYP2C9 and CYP2C19 alleles and genotypes among various populations were compared using the two-tailed Fisher's exact test. The frequencies of CYP2C9*1, *2 and *3 in the south Indian population were 0.88 (95% CI 0.85-0.91), 0.04 (95% CI 0.02-0.06) and 0.08 (95% CI 0.06-0.11), respectively. The frequencies of CYP2C9 genotypes *1/*1, *1/*2, *1/*3, *2/*2, *2/*3 and *3/*3 were 0.78 (95% CI 0.74-0.82), 0.05 (95% CI 0.03-0.07), 0.15 (95% CI 0.12-0.18), 0.01 (95% CI 0.0-0.02), 0.01 (95% CI 0.0-0.02) and 0.0, respectively. CYP2C19*1, *2 and *3 frequencies were 0.64 (95% CI 0.60-0.68), 0.35 (95% CI 0.31-0.39) and 0.01 (95% CI 0.0-0.03), respectively. As a result of a significant heterogeneity, the data on CYP2C19 genotype frequencies were not pooled. The frequency of CYP2C9*2 mutant alleles in south Indians was higher than in Chinese and Caucasians, while CYP2C9*3 was similar to Caucasians. CYP2C19*2 was higher than in other major populations reported so far. The relatively high CYP2C19 poor-metabolizer genotype frequency of 12.6% indicates that over 28 million south Indians are poor metabolizers of CYP2C19 substrates.

Temporal Trends and Future Prediction of Breast Cancer Incidence Across Age Groups in Trivandrum, South India.

PubMed

Mathew, Aleyamma; George, Preethi Sara; Arjunan, Asha; Augustine, Paul; Kalavathy, Mc; Padmakumari, G; Mathew, Beela Sarah

2016-01-01

Increasing breast cancer (BC) incidence rates have been reported from India; causal factors for this increased incidence are not understood and diagnosis is mostly in advanced stages. Trivandrum exhibits the highest BC incidence rates in India. This study aimed to estimate trends in incidence by age from 2005- 2014, to predict rates through 2020 and to assess the stage at diagnosis of BC in Trivandrum. BC cases were obtained from the Population Based Cancer Registry, Trivandrum. Distribution of stage at diagnosis and incidence rates of BC [Age-specific (ASpR), crude (CR) and age-standardized (ASR)] are described and employed with a joinpoint regression model to estimate average annual percent changes (AAPC) and a Bayesian model to estimate predictive rates. BC accounts for 31% (2681/8737) of all female cancers in Trivandrum. Thirty-five percent (944/2681) are <50 years of age and only 9% present with stage I disease. Average age increased from 53 to 56.4 years (p=0.0001), CR (per 105 women) increased from 39 (ASR: 35.2) to 55.4 (ASR: 43.4), AAPC for CR was 5.0 (p=0.001) and ASR was 3.1 (p=0.001). Rates increased from 50 years. Predicted ASpR is 174 in 50-59 years, 231 in > 60 years and overall CR is 80 (ASR: 57) for 2019- 20. BC, mostly diagnosed in advanced stages, is rising rapidly in South India with large increases likely in the future; particularly among post-menopausal women. This increase might be due to aging and/or changes in lifestyle factors. Reasons for the increased incidence and late stage diagnosis need to be studied.

International activity in the Cochrane Collaboration with particular reference to India.

PubMed

Allen, Claire; Clarke, Mike; Tharyan, Prathap

2007-01-01

The Cochrane Collaboration is the world's largest organization dedicated to preparing, maintaining and promoting the accessibility of systematic reviews of the effects of healthcare interventions. It is an international organization with participants in more than 100 countries. Since the year 2000, a periodic audit has been done to count the number of active members in Cochrane Review Groups, categorized by the countries in which these people are based. At the beginning of 2007, there were more than 15 800 people involved, an increase from about 5500 in 2000. The South Asian Cochrane Network was formed in 2005 to raise awareness about the Cochrane Collaboration and evidence-based practice in South Asia, support review authors and contributors from countries within the region, promote access to The Cochrane Library and advocate high quality research in South Asia. The growth of activity in India has been dramatic, particularly authors of Cochrane reviews and protocols--from just 19 (with 11 authors) in 2000 to 126 (with 78 authors) in 2007. Increasing the uptake of relevant and reliable evidence in healthcare decisions in India and the South Asian region forms the core of the network's strategic plan. The continued growth of contributors from India and South Asia will help ensure that decisions regarding healthcare in the region are informed by reliable and relevant evidence.

On the Predictability of Northeast Monsoon Rainfall over South Peninsular India in General Circulation Models

NASA Astrophysics Data System (ADS)

Nair, Archana; Acharya, Nachiketa; Singh, Ankita; Mohanty, U. C.; Panda, T. C.

2013-11-01

In this study the predictability of northeast monsoon (Oct-Nov-Dec) rainfall over peninsular India by eight general circulation model (GCM) outputs was analyzed. These GCM outputs (forecasts for the whole season issued in September) were compared with high-resolution observed gridded rainfall data obtained from the India Meteorological Department for the period 1982-2010. Rainfall, interannual variability (IAV), correlation coefficients, and index of agreement were examined for the outputs of eight GCMs and compared with observation. It was found that the models are able to reproduce rainfall and IAV to different extents. The predictive power of GCMs was also judged by determining the signal-to-noise ratio and the external error variance; it was noted that the predictive power of the models was usually very low. To examine dominant modes of interannual variability, empirical orthogonal function (EOF) analysis was also conducted. EOF analysis of the models revealed they were capable of representing the observed precipitation variability to some extent. The teleconnection between the sea surface temperature (SST) and northeast monsoon rainfall was also investigated and results suggest that during OND the SST over the equatorial Indian Ocean, the Bay of Bengal, the central Pacific Ocean (over Nino3 region), and the north and south Atlantic Ocean enhances northeast monsoon rainfall. This observed phenomenon is only predicted by the CCM3v6 model.

Climate change, zoonoses and India.

PubMed

Singh, B B; Sharma, R; Gill, J P S; Aulakh, R S; Banga, H S

2011-12-01

Economic trends have shaped our growth and the growth of the livestock sector, but atthe expense of altering natural resources and systems in ways that are not always obvious. Now, however, the reverse is beginning to happen, i.e. environmental trends are beginning to shape our economy and health status. In addition to water, air and food, animals and birds play a pivotal role in the maintenance and transmission of important zoonotic diseases in nature. It is generally considered that the prevalence of vector-borne and waterborne zoonoses is likely to increase in the coming years due to the effects of global warming in India. In recent years, vector-borne diseases have emerged as a serious public health problem in countries of the South-East Asia region, including India. Vector-borne zoonoses now occur in epidemic form almost on an annual basis, causing considerable morbidity and mortality. New reservoir areas of cutaneous leishmaniosis in South India have been recognised, and the role of climate change in its re-emergence warrants further research, as does the role of climate change in the ascendancy of waterborne and foodborne illness. Similarly, climate change that leads to warmer and more humid conditions may increase the risk of transmission of airborne zoonoses, and hot and drier conditions may lead to a decline in the incidence of disease(s). The prevalence of these zoonotic diseases and their vectors and the effect of climate change on important zoonoses in India are discussed in this review.

Kinship Institutions and Sex Ratios in India

PubMed Central

CHAKRABORTY, TANIKA; KIM, SUKKOO

2010-01-01

This article explores the relationship between kinship institutions and sex ratios in India at the turn of the twentieth century. Because kinship rules vary by caste, language, religion, and region, we construct sex ratios by these categories at the district level by using data from the 1901 Census of India for Punjab (North), Bengal (East), and Madras (South). We find that the male-to-female sex ratio varied positively with caste rank, fell as one moved from the North to the East and then to the South, was higher for Hindus than for Muslims, and was higher for northern Indo-Aryan speakers than for the southern Dravidian-speaking people. We argue that these systematic patterns in the data are consistent with variations in the institution of family, kinship, and inheritance. PMID:21308567

Association of impairments of older persons with caregiver burden among family caregivers: Findings from rural South India.

PubMed

Ajay, Shweta; Kasthuri, Arvind; Kiran, Pretesh; Malhotra, Rahul

In India, owing to cultural norms and a lack of formal long-term care facilities, responsibility for care of the older person falls primarily on the family. Based on the stress process model, we assessed the association of type and number of impairments of older persons (∼primary stressors) with caregiver burden among their family caregivers in rural South India. All impaired older persons (aged ≥60, with impairment in activities of daily living (ADL) or cognition or vision or hearing) residing in 8 villages in Bangalore district, Karnataka, India, and their primary informal caregivers were interviewed. Caregiver burden was measured using the Zarit Burden Interview (ZBI; higher score indicating greater perceived burden). Linear regression models, adjusting for background characteristics of older persons and caregivers, assessed the association of type of impairment (physical [Yes/No], cognitive [Yes/No], vision [Yes/No] and hearing [Yes/No]) and number (1 or 2 or 3 or 4) of older person impairments with caregiver burden. A total of 140 caregivers, caring for 149 older persons, were interviewed. The mean (standard deviation) ZBI score was 21.2 (12.9). Of the various older person impairments, ZBI score was associated only with physical impairment (β=6.6; 95% CI: 2.1-11.1). Relative to caregivers of older person with one impairment, those caring for an older person with all 4 impairments had significantly higher ZBI score (β=13.9; CI: 2.5-25.4). Caregivers of older persons with multiple impairments, especially physical impairment, are vulnerable. Copyright © 2016 Elsevier Ireland Ltd. All rights reserved.

Microphysical parameters of cirrus clouds using lidar at a tropical station, Gadanki, Tirupati (13.5° N, 79.2°E), India

NASA Astrophysics Data System (ADS)

Satyanarayana, M.; Radhakrishnan, S.-R.; Krishnakumar, V.; Mahadevan Pillai, V. P.; Raghunath, K.

2008-12-01

Cirrus clouds have been identified as one of the most uncertain component in the atmospheric research. It is known that cirrus clouds modulate the earth's climate through direct and indirect modification of radiation. The role of cirrus clouds depends mainly on their microphysical properties. To understand cirrus clouds better, we must observe and characterize their properties. In-situ observation of such clouds is a challenging experiment, as the clouds are located at high altitudes. Active remote sensing method based on lidar can detect high and thin cirrus clouds with good spatial and temporal resolution. We present the result obtained on the microphysical properties of the cirrus clouds at two Tropical stations namely Gadhanki, Tirupati (13.50 N, 79.20 E), India and Trivandrum (13.50 N, 770 E) Kerala, India from the ground based pulsed Nd: YAG lidar systems installed at the stations. A variant of the widely used Klett's lidar inversion method with range dependent scattering ratio is used for the present study for the retrieval of aerosol extinction and microphysical parameters of cirrus cloud.

Prevalence of Loss of All Teeth (Edentulism) and Associated Factors in Older Adults in China, Ghana, India, Mexico, Russia and South Africa †

PubMed Central

Peltzer, Karl; Hewlett, Sandra; Yawson, Alfred E.; Moynihan, Paula; Preet, Raman; Wu, Fan; Guo, Godfrey; Arokiasamy, Perianayagam; Snodgrass, James J.; Chatterji, Somnath; Engelstad, Mark E.; Kowal, Paul

2014-01-01

Little information exists about the loss of all one’s teeth (edentulism) among older adults in low- and middle-income countries. This study examines the prevalence of edentulism and associated factors among older adults in a cross-sectional study across six such countries. Data from the World Health Organization (WHO’s) Study on global AGEing and adult health (SAGE) Wave 1 was used for this study with adults aged 50-plus from China (N = 13,367), Ghana (N = 4724), India (N = 7150), Mexico (N = 2315), Russian Federation (N = 3938) and South Africa (N = 3840). Multivariate regression was used to assess predictors of edentulism. The overall prevalence of edentulism was 11.7% in the six countries, with India, Mexico, and Russia has higher prevalence rates (16.3%–21.7%) than China, Ghana, and South Africa (3.0%–9.0%). In multivariate logistic analysis sociodemographic factors (older age, lower education), chronic conditions (arthritis, asthma), health risk behaviour (former daily tobacco use, inadequate fruits and vegetable consumption) and other health related variables (functional disability and low social cohesion) were associated with edentulism. The national estimates and identified factors associated with edentulism among older adults across the six countries helps to identify areas for further exploration and targets for intervention. PMID:25361046

Heavy metal concentration in groundwater from Besant Nagar to Sathankuppam, South Chennai, Tamil Nadu, India

NASA Astrophysics Data System (ADS)

Sridhar, S. G. D.; Sakthivel, A. M.; Sangunathan, U.; Balasubramanian, M.; Jenefer, S.; Mohamed Rafik, M.; Kanagaraj, G.

2017-12-01

The assessment of groundwater quality is an obligatory pre-requisite to developing countries like India with rural-based economy. Heavy metal concentration in groundwater from Besant Nagar to Sathankuppam, South Chennai was analyzed to assess the acquisition process. The study area has rapid urbanization since few decades, which deteriorated the condition of the aquifer of the area. Totally 30 groundwater samples were collected during pre-monsoon (June 2014) and post-monsoon (January 2015) from the same aquifer to assess the heavy metal concentration in groundwater. Groundwater samples were analyzed for heavy metals such as Fe, Pb, Zn, Cu, Ni, Cr, Co and Mn using atomic absorption spectrophotometry (AAS). Correlation matrix revealed that there is no significant correlation between heavy metals and other parameters during pre-monsoon except EC with Cr but Fe and Zn have good positive correlation during post-monsoon.

A Multidisciplinary Approach to Open Access Village Telecenter Initiatives: The Case of Akshaya

ERIC Educational Resources Information Center

Pal, Joyojeet; Nedevschi, Sergiu; Patra, Rabin K.; Brewer, Eric A.

2006-01-01

The Akshaya project in the rural Malappuram district of Kerala, India is home to the first and largest district-wide e-literacy project in India, and one of the largest known Internet Protocol-based networks. Through a network of 600 kiosks, the project has been designed to reach computer literacy into over 600,000 households, and bring 3.6…

Determinants of job stress in chemical process industry: A factor analysis approach.

PubMed

Menon, Balagopal G; Praveensal, C J; Madhu, G

2015-01-01

Job stress is one of the active research domains in industrial safety research. The job stress can result in accidents and health related issues in workers in chemical process industries. Hence it is important to measure the level of job stress in workers so as to mitigate the same to avoid the worker's safety related problems in the industries. The objective of this study is to determine the job stress factors in the chemical process industry in Kerala state, India. This study also aims to propose a comprehensive model and an instrument framework for measuring job stress levels in the chemical process industries in Kerala, India. The data is collected through a questionnaire survey conducted in chemical process industries in Kerala. The collected data out of 1197 surveys is subjected to principal component and confirmatory factor analysis to develop the job stress factor structure. The factor analysis revealed 8 factors that influence the job stress in process industries. It is also found that the job stress in employees is most influenced by role ambiguity and the least by work environment. The study has developed an instrument framework towards measuring job stress utilizing exploratory factor analysis and structural equation modeling.

Sandstone provenance and tectonic evolution of the Xiukang Mélange from Neotethyan subduction to India-Asia collision (Yarlung-Zangbo suture, south Tibet)

NASA Astrophysics Data System (ADS)

An, Wei; Hu, Xiumian; Garzanti, Eduardo

2016-04-01

The Xiukang Mélange of the Yarlung-Zangbo suture zone in south Tibet documents low efficiency of accretion along the southern active margin of Asia during Cretaceous Neotethyan subduction, followed by final development during the early Paleogene stages of the India-Asia collision. Here we investigate four transverses in the Xigaze area (Jiding, Cuola Pass, Riwuqi and Saga), inquiry the composition in each transverse, and present integrated petrologic, U-Pb detrital-zircon geochronology and Hf isotope data on sandstone blocks. In fault contact with the Yarlung-Zangbo Ophiolite to the north and the Tethyan Himalaya to the south, the Xiukang mélange can be divided into three types: serpentinite-matrix mélange composed by broken Yarlung-Zangbo Ophiolite, thrust-sheets consisting mainly chert, quartzose or limestone sheets(>100m) with little intervening marix, and mudstone-matrix mélange displaying typical blocks-in-matrix texture. While serpentinite-matrix mélange is exposed adjacent to the ophiolite, distributions of thrust-sheets and blocks in mudstone-matrix mélange show along-strike diversities. For example, Jiding transverse is dominant by chert sheets and basalt blocks with scarcely sandstone blocks, while Cuola Pass and Saga transverses expose large amounts of limestone/quartzarenite sheets in the north and volcaniclastic blocks in the south. However, turbidite sheets and volcaniclastic blocks are outcropped in the north Riwuqi transverse with quartzarenite blocks preserved in the south. Three groups of sandstone blocks/sheets with different provenance and depositional setting are distinguished by their petrographic, geochronological and isotopic fingerprints. Sheets of turbiditic quartzarenite originally sourced from the Indian continent were deposited in pre-Cretaceous time on the northernmost edge of the Indian passive margin and eventually involved into the mélange at the early stage of the India-Asia collision. Two distinct groups of volcaniclastic

An epidemological study of obsessive compulsive disorder in adolescents from India.

PubMed

Jaisoorya, T S; Janardhan Reddy, Y C; Thennarasu, K; Beena, K V; Beena, M; Jose, Dalia C

2015-08-01

There is scarce data on the prevalence of OCD among adolescents in India. This study reports point prevalence of OCD among school students (age 12-18years) in the Kerala state of India and examines its association with ADHD, psychological distress, tobacco/alcohol abuse, suicide risk and history of sexual abuse. 7560 students of 73 schools were self-administered the OCD subsection of Clinical Interview Schedule-Revised, the Composite International Diagnostic Interview (CIDI) for obsessive compulsive symptoms and other relevant instruments to identify OCD and related clinical measures. A diagnosis of ICD-10 OCD was derived through the CIS-R algorithm which required duration of at least 2weeks and at least a thought/behavior to be resisted along with a cut-off score for severity and impairment. In the sample, 50.3% were males with a mean age of 15.2years (range of 12-18years). The response rate was 97.3% (7380 valid responses). 0.8% (n=61) fulfilled criteria for OCD with a male predominance (1.1 vs. 0.5%, p=0.005). Prevalence was higher among Muslims and increased with age. Taboo thoughts (62.3%) and mental rituals (45.9%) were the commonest symptoms. Those with OCD had significantly higher suicidal thoughts (59 vs. 16.3%, p<0.01) suicide attempts (24.6 vs. 3.8%, p<0.01), ADHD (28 vs. 4%, p<0.001), sexual abuse (24.6 vs. 4.2%, p<0.01), and tobacco use (23 vs. 6.8%, p=0.01). They also reported greater psychological distress and poorer academic performance. OCD is common among adolescents in India. Its associations with ADHD, sexual abuse, psychological distress, poorer academic performance and suicidal behavior are additional reasons for it to be recognized and treated early. Copyright © 2015 Elsevier Inc. All rights reserved.

Nutritional and anti-nutritional composition of velvet bean: an under-utilized food legume in south India.

PubMed

Vadivel, V; Janardhanan, K

2000-07-01

Four accessions of the under-utilized legume, velvet bean (Mucuna pruriens var. utilis (Wall. ex Wight) Bak. ex Burck), collected from three different locations of Western Ghats, South India were analysed for proximate composition, mineral profiles, the protein fractions, amino acid profiles of total seed protein, in vitro protein digestibility and certain anti-nutritional factors to determine their potential as an alternative source to alleviate protein-energy-malnutrition among the people of South India. The major findings of the study were as follows: crude protein ranged from 20.2-29.3%, crude lipid 6.3-7.4%, total dietary fibre 8.7-10.5%, ash 3.3-5.5% and carbohydrates 49.9-61.2%. The energy level of the seed (1562-1597 kJ 100 g-1 DM) was comparable with commonly consumed Indian pulses. Mineral profiles, viz. sodium, potassium, calcium, magnesium, phosphorus, iron, copper, zinc and manganese ranged from 43.1-150.1, 778.1-1846.0, 393.4-717.7, 174.9-387.6, 98.4-592.1, 10.8-15.0, 0.9-2.2, 5.0-10.9, 3.9-4.3 mg 100(-1) seed flour, respectively. The data on seed protein fractions revealed that the globulins constitute the major bulk of the seed protein as in most legumes. Profiles of amino acids of total seed proteins detected in the present study revealed that they contain relatively higher levels of all essential amino acids except threonine, leucine and lysine in black-coloured seed coat accessions and phenylalanine and tyrosine in white-coloured seed coat accession compared with the FAO/WHO (1991) requirement pattern. The in vitro protein digestibility of the legumes under study ranged from 72.4-76.9%. Anti-nutritional substances like total free phenolics, tannins, L-DOPA, trypsin inhibitor activity and phytohaemagglutinating activity also were investigated. The detected anti-nutritional factors probably have little nutritional significance if the beans are properly processed.

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

Prevalence and Correlates of Self-Reported ADHD Symptoms in Children Attending School in India.

PubMed

Jaisoorya, T S; Beena, K V; Beena, M; Ellangovan, K; George, Sanju; Thennarasu, K; Srinath, Shoba

2016-09-02

To study the prevalence and correlates of self-reported ADHD symptoms among school-going adolescents from Kerala, India. Seven thousand five hundred sixty students from Classes 8, 10, and 12, aged 12 to 19 years, across 73 schools selected by cluster random sampling, were invited to participate, but only 7,150 successfully completed the questionnaire incorporating standardized instruments. Three hundred five (4.3%) self-reported symptoms for ADHD combined type, 131 (1.8%) for ADHD hyperactive-impulsive type, and 102 (1.4%) for ADHD inattentive type with a male predominance. Binary logistic regression analysis showed that those with symptoms of ADHD (combined type) compared with the non-ADHD group had poorer academic performance, significantly higher substance use, psychological distress, suicidality, and sexual abuse. The high prevalence of self-reported ADHD symptoms and its association with negative correlates previously reported in literature in those with a diagnosis of ADHD suggests that clinically significant self-reported ADHD symptoms could be as disabling as ADHD. © The Author(s) 2016.

Compliance with iron-folic acid (IFA) therapy among pregnant women in an urban area of south India.

PubMed

Mithra, P; Unnikrishnan, B; Rekha, T; Nithin, K; Mohan, K; Kulkarni, V; Kulkarni, V; Agarwal, D

2013-12-01

Anaemia is highly prevalent among pregnant women and iron deficiency is the most important cause. Like many other countries, India has policies to give pregnant women iron supplements. Non-compliance is one important challenging factor in combating anaemia. To estimate the compliance for IFA tablets among pregnant women and to study the social factors influencing it. This study included 190 pregnant women seeking ante-natal care in tertiary health centres in the Mangalore city in south India. After Institutional Ethics Committee (IEC) approval, data was collected by personal interview. Missing >2 doses consecutively was considered non-compliance. The data was analyzed using SPSS (Statistical Package for Social Sciences) version 11.5. The mean age of the study population was 25.8 years (SD: 4.1). Most of the subjects consumed mixed diet and 72.1% belonged to lower socioeconomic status. Overall, compliance with IFA tablets was 64.7%. Compliance increased with the increase in age, birth order and single daily dose. Forgetfulness and both perceived as well as experienced side effects of IFA therapy were the important factors for non-compliance. There was a moderate level of compliance towards IFA tablets with key social and demographic factors playing an important role.

Abuse against elderly in India--the role of education.

PubMed

Skirbekk, Vegard; James, K S

2014-04-09

Abuse against the elderly is recognized as an important challenge to elderly health, but its determinants are not yet well understood. We present findings from a new dataset which covers a representative sample of the population aged 60 years and above from seven Indian states across India - all of which have a higher proportion aged 60 plus compared to the national average. Earlier studies suggest that schooling levels can be relevant in determining the level of abuse against seniors. This study focuses on the role of education on the prevalence of elderly abuse in India. We conduct an analysis of cross sectional primary data that contains information on elderly abuse. The households in the sample were randomly selected from the seven demographically oldest states in India. These states are Himachal Pradesh, Kerala, Maharashtra, Odisha, Punjab, Tamil Nadu and West Bengal. A total of 9852 elderly from 8329 households were interviewed. The statistical analysis is based on logistic regression to understand the independent relation of education with abuse against the elderly. Our findings reveal that 11% of 60+ year olds have experienced at least one type of elderly abuse (Physical 5.3%, Verbal 10.2%, Economic 5.4%, Disrespect 6%, Neglect 5.2%). The most common perpetrator is the son, who is reported to be responsible for the abuse among 41% of male victims and 43% of female victims. Formal education among elderly beyond a certain level (8 years) has a strong relation with reduced violence against elderly. Our findings suggest that level of schooling among elderly is strongly negatively related to abuse against them. More members in the household reduces the chance of abuse while having a greater number of children increases the chance of abuse (neglect and verbal abuse). We find that education even after controlling for wealth and other relevant variables is the factor that most consistently lowers elderly abuse. However, the relation of education to abuse is

Nuclear nonproliferation: India Pakistan. Research report

DOE Office of Scientific and Technical Information (OSTI.GOV)

Fallon, J.S.

1997-04-01

As most of the world continues to seek ways to reduce or eliminate the spread of nuclear weapons, two countries seem intent on pursuing a path which is contradictory. India and Pakistan, two neighboring and frequently warring nations, condemn the use of nuclear weapons as they continue to develop the capability to deliver a nuclear payload. Additionally, India has stood against the Non-Proliferation Treaty, insisting that all nations must agree to eliminate nuclear weapons. It is against this seemingly hopeless situation that this report is focused. How can nuclear proliferation in South Asia be diffused while answering the security concernsmore » of both India and Pakistan. What I offer here is a review of the history, the current situation for the area, and a proposed solution to this nuclear stalemate.« less

Genotype-phenotype correlations of dyshormonogenetic goiter in children and adolescents from South India

PubMed Central

Ramesh, Bangaraiah Gari; Bhargav, Panchangam Ramakanth; Rajesh, Bangaraiah Gari; Devi, Nangedda Vimala; Vijayaraghavan, Rajagopalan; Varma, Bhongir Aparna

2016-01-01

Background: Dyshormonogenetic goiter is one of the most common causes of hypothyroidism in children and adolescents in iodine nonendemic areas. The exact genotype-phenotypic correlations (GPCs) and risk categorization of hypothyroid phenotypes of dyshormonogenetic mutations are largely speculative. The genetic studies in pediatric dyshormonogenesis are very sparse from Indian sub-continent. In this context, we analyzed the implications of TPO, NIS, and DUOX2 gene mutations in hypothyroid children with dyshormonogenetic hypothyroidism (DH) from South India. Materials and Methods: This is interdisciplinary prospective study, we employed eight sets of primers and screened for 142 known single nucleotide polymorphisms in TPO, NIS, and DUOX2 genes. The subjects were children and adolescents with hypothyroidism due to dyshormonogenetic goiter. Congenital hypothyroidism, iodine deficiency, and Hashimoto's thyroiditis cases were excluded. Results: We detected nine mutations in 8/22 (36%) children. All the mutations were observed in the intronic regions of NIS gene and none in TPO or DUOX2 genes. Except for bi-allelic, synonymous polymorphism of TPO gene in child number 14, all other mutations were heterozygous in nature. GPCs show that our mutations significantly expressed the phenotypic traits such as overt hypothyroidism, goiter, and existence of family history. Other phenotypic characters such as sex predilection, the age of onset and transitory nature of hypothyroidism were not significantly affected by these mutations. Conclusion: NIS gene mutations alone appears to be most prevalent mutations in DH among South Indian children and these mutations significantly influenced phenotypic expressions such as severity of hypothyroidism, goiter rates, and familial clustering. PMID:27867886

Application of SAR remote sensing and crop modeling for operational rice crop monitoring in South and South East Asian Countries

NASA Astrophysics Data System (ADS)

Setiyono, T. D.; Holecz, F.; Khan, N. I.; Barbieri, M.; Maunahan, A. A.; Gatti, L.; Quicho, E. D.; Pazhanivelan, S.; Campos-Taberner, M.; Collivignarelli, F.; Haro, J. G.; Intrman, A.; Phuong, D.; Boschetti, M.; Prasadini, P.; Busetto, L.; Minh, V. Q.; Tuan, V. Q.

2017-12-01

This study uses multi-temporal SAR imagery, automated image processing, rule-based classification and field observations to classify rice in multiple locations in South and South Asian countries and assimilate the information into ORYZA Crop Growth Simulation Model (CGSM) to monitor rice yield. The study demonstrates examples of operational application of this rice monitoring system in: (1) detecting drought impact on rice planting in Central Thailand and Tamil Nadu, India, (2) mapping heat stress impact on rice yield in Andhra Pradesh, India, and (3) generating historical rice yield data for districts in Red River Delta, Vietnam.

Magical hair as dirt: Ecstatic bodies and postcolonial reform in South India.

PubMed

Ramberg, Lucinda

2009-12-01

This paper offers an ethnography of the medicalization of matted locks of hair (jade) worn by female ecstatics in a South Indian devi (goddess) cult. These jade are taken by devotees of the devi Yellamma to be a manifestation of her presence in the bodies of women who enter possession states and give oracles. At her temples across the central Deccan Plateau, Yellamma women can be seen wearing heavy locks of matted hair anointed with turmeric, the color and healing properties of which are identified with this devi. Under a recent government-sponsored campaign, reformers cut jade and hand out packets of shampoo as a means of reforming the extended and illicit sexuality of these women. Associations between sexuality and hair practices have long preoccupied anthropologists interested in the relationship between the body and culture. In this paper, I draw on this literature and more than 2 years of field research to consider the encounter between biomedical and Shakta epistemologies of the body dramatized in these jade cutting campaigns. This effort to remake the body as a fit site and sign of modernity elaborates the postcolonial politics of sexuality, gender and religiosity in India.

Spectroscopic and statistical approach of archaeological artifacts recently excavated from Tamilnadu, South India

NASA Astrophysics Data System (ADS)

Seetha, D.; Velraj, G.

2015-10-01

The ancient materials characterization will bring back the more evidence of the ancient people life styles. In this study, the archaeological pottery shards recently excavated from Kodumanal, Erode District in Tamilnadu, South India were investigated. The experimental results enlighten us to the elemental and the mineral composition of the pottery shards. The FT-IR technique tells that the mineralogy and the firing temperature of the samples are less than 800 °C, in the oxidizing/reducing atmosphere and the XRD was used as a complementary technique for the mineralogy. A thorough scientific study of SEM-EDS with the help of statistical approach done to find the provenance of the selected pot shards has not yet been performed. EDS and XRF results revealed that the investigated samples have the elements O, Si, Al, Fe, Mn, Mg, Ca, Ti, K and Na are in different compositions. For establishing the provenance (same or different origin) of pottery samples, Al and Si concentration ratio as well as hierarchical cluster analysis (HCA) was used and the results are correlated.

Geochemical signatures of groundwater in the coastal aquifers of Thiruvallur district, south India

NASA Astrophysics Data System (ADS)

Senthilkumar, S.; Balasubramanian, N.; Gowtham, B.; Lawrence, J. F.

2017-03-01

An attempt has been made to identify the chemical processes that control the hydrochemistry of groundwater in the coastal aquifers of Thiruvallur coastal village of Thiruvallur district, Tamil Nadu, south India. The parameters such as pH, EC, TDS and major ion concentrations of Na, K, Ca, Mg, Cl, HCO3, SO4 and NO3 of the groundwater were analyzed. Abundances of these ions are in the following order Na > Ca > Mg > K and HCO3 > Cl > SO4 > NO3. The dominant water types are in the order of NaCl> mixed CaMgCl > CaHCO3 > CaNaHCO3. Water types (mixed CaHCO3, mixed CaMgCl and NaCl) suggest that the mixing of high salinity water caused from surface contamination sources such as irrigation return flow, domestic wastewater and septic tank effluents with existing water followed by ion exchange reaction processes, silicate weathering and evaporation are responsible for the groundwater chemistry of the study area. The above statement is further supported by Gibbs plot where most of the samples fall within the evaporation zone.

Palaeomagnetism of the Palaeoproterozoic Boonadgin Dyke Suite, Yilgarn Craton: Possible connection with India

NASA Astrophysics Data System (ADS)

Liu, Y.; Li, Z. X.; Pisarevsky, S.; Kirscher, U.; Mitchell, R.; Stark, J. C.

2017-12-01

A palaeomagnetic study was carried out on the newly identified 1.9 Ga Boonadgin dyke swarm in the Yilgarn Craton, Western Australia. Ten dykes revealed a high-temperature characteristic remanent magnetisation (ChRM) with dual polarities, directing either SW shallow downward (4 sites) or NE shallow upward (6 sites). Our results reveal that the Yilgarn Craton was at an equatorial palaeolatitude at 1.9 Ga. Meanwhile, a paleopole from the ca. 1.9 Ga Dharwar dykes of South India, supported by a positive baked-contact test, puts India at a similar paleolatitude. The Boonadgin dyke swarm can be interpreted to represent an arm of a radiating dyke swarm that shared the same plume centre with coeval mafic dykes in the Dharwar and Bastar cratons of southern India. We therefore propose that the Western Australia Craton (WAC, consisting of the the Yilgarn and Pilbara cratons) and South India were connected at ca. 1.89 Ga.

JPRS Report, Near East & South Asia India.

DTIC Science & Technology

1992-11-12

Pressure [THE HINDU 25 Oct] 19 ECONOMIC Frontier With China Slated for Opening to Tourism [TIMES OF INDIA 19 Oct] 21 Trade Protocol With CIS...extensive promotion of bilateral trade , develop- ment of civil project cooperation and consolidation of defence cooperation with adequate financing. It...three million tonnes of crude next year. Also, Indian exports to Russia outside the 1992 trade protocol registered $471 millions in the first six

Drinking habits in ancient India

PubMed Central

Somasundaram, Ottilingam; Raghavan, D. Vijaya; Murthy, A. G. Tejus

2016-01-01

Consumption of one or other form of intoxicating substances has been present throughout the history of the world. This article traces such use in the Indian subcontinent, both in North and South India. References to the use of intoxicants are to be found in the Vedas, the Great Epics, and the ancient Tamil literature. PMID:26985113

Molecular Characterization of Geographically Different Banana bunchy top virus Isolates in India.

PubMed

Selvarajan, R; Mary Sheeba, M; Balasubramanian, V; Rajmohan, R; Dhevi, N Lakshmi; Sasireka, T

2010-10-01

Banana bunchy top disease (BBTD) caused by Banana bunchy top virus (BBTV) is one of the most devastating diseases of banana and poses a serious threat for cultivars like Hill Banana (Syn: Virupakshi) and Grand Naine in India. In this study, we have cloned and sequenced the complete genome comprised of six DNA components of BBTV infecting Hill Banana grown in lower Pulney hills, Tamil Nadu State, India. The complete genome sequence of this hill banana isolate showed high degree of similarity with the corresponding sequences of BBTV isolates originating from Lucknow, Uttar Pradesh State, India, and from Fiji, Egypt, Pakistan, and Australia. In addition, sixteen coat protein (CP) and thirteen replicase genes (Rep) sequences of BBTV isolates collected from different banana growing states of India were cloned and sequenced. The replicase sequences of 13 isolates showed high degree of similarity with that of South Pacific group of BBTV isolates. However, the CP gene of BBTV isolates from Shervroy and Kodaikanal hills of Tamil Nadu showed higher amino acid sequence variability compared to other isolates. Another hill banana isolate from Meghalaya state had 23 nucleotide substitutions in the CP gene but the amino acid sequence was conserved. This is the first report of the characterization of a complete genome of BBTV occurring in the high altitudes of India. Our study revealed that the Indian BBTV isolates with distinct geographical origins belongs to the South Pacific group, except Shervroy and Kodaikanal hill isolates which neither belong to the South Pacific nor the Asian group.

‘AMRITHAPALA’ (Janakia arayalpatra, Joseph & Chandrasekharan), A NEW DRUG FROM THE KANI TRIBE OF KERALA

PubMed Central

Pushpagadan, P.; Rajasekharan, A.; Ratheeshkumar, P.K.; Jawahar, C.R.; Radhakrishnan, K.; Nair, C.P.R.; Amma, L. Sarada; Bhatt Aicrpe, A. V.

1990-01-01

Amrithapala (Janakia arayalpatra), a rare and endemic plant species found in the Southern forests of Western Ghat region of kerala, is used by the local ‘Kani’ tribe as an effective remedy for peptic ulcer, cancer-like afflictions and as a rejuvenating tonic. Search made in Ayurvedic literature indicates that the plant may be the divine drug named variously as MRITHA SANJEEVINI (the drug that can revive unconscious or dead) or SANJEEVINI, THAMPRA RASAYANI in the Oushadha Nighantu (Dictionary of Medicinal Drugs) of Tayyil Kumaran Krishnan (1906) PMID:22557701

Development and Implementation of South Asia’s First Heat-Health Action Plan in Ahmedabad (Gujarat, India)

PubMed Central

Knowlton, Kim; Kulkarni, Suhas P.; Azhar, Gulrez Shah; Mavalankar, Dileep; Jaiswal, Anjali; Connolly, Meredith; Nori-Sarma, Amruta; Rajiva, Ajit; Dutta, Priya; Deol, Bhaskar; Sanchez, Lauren; Khosla, Radhika; Webster, Peter J.; Toma, Violeta E.; Sheffield, Perry; Hess, Jeremy J.

2014-01-01

Recurrent heat waves, already a concern in rapidly growing and urbanizing South Asia, will very likely worsen in a warming world. Coordinated adaptation efforts can reduce heat’s adverse health impacts, however. To address this concern in Ahmedabad (Gujarat, India), a coalition has been formed to develop an evidence-based heat preparedness plan and early warning system. This paper describes the group and initial steps in the plan’s development and implementation. Evidence accumulation included extensive literature review, analysis of local temperature and mortality data, surveys with heat-vulnerable populations, focus groups with health care professionals, and expert consultation. The findings and recommendations were encapsulated in policy briefs for key government agencies, health care professionals, outdoor workers, and slum communities, and synthesized in the heat preparedness plan. A 7-day probabilistic weather forecast was also developed and is used to trigger the plan in advance of dangerous heat waves. The pilot plan was implemented in 2013, and public outreach was done through training workshops, hoardings/billboards, pamphlets, and print advertisements. Evaluation activities and continuous improvement efforts are ongoing, along with plans to explore the program’s scalability to other Indian cities, as Ahmedabad is the first South Asian city to address heat-health threats comprehensively. PMID:24670386

Psychosocial Care for Adult and Child Survivors of the 2004 Tsunami Disaster in India

PubMed Central

Becker, Susan M.

2006-01-01

The tsunami disaster in South Asia affected the mental health of thousands of survivors, but psychological aspects of rehabilitation are frequently overlooked in public health initiatives. From January to March 2005, teams from the National Institute of Mental Health and Neurosciences in Bangalore, India, traveled to south India and implemented a “train the trainer” community-based mental health program of psychosocial care to facilitate the recovery of child and adult survivors. Psychosocial care has applications to natural and man-made disasters in developing countries. PMID:16809599

Validation of the Malayalam version of the Internalized Stigma of Mental Illness (ISMI) scale.

PubMed

James, Tintu; Kutty, V Raman; Boyd, Jennifer; Brzoska, Patrick

2016-04-01

Little is known about internalized stigma of mental illness in India. A reason for this could be the lack of valid assessment instruments adapted for the diverse cultures and languages of the country. One of the most widely used and accepted questionnaires to assess internalized stigma is the 29-item Internalized Stigma of Mental Illness (ISMI) scale. The aim of the present study was to translate and adapt the ISMI to the Malayalam-speaking population of Kerala, India and to assess its content and factorial validity. The content validity of the Malayalam-language ISMI was studied through interviews with 7 experts on stigma in India. Factorial validity was examined by means of a confirmatory factor analysis (CFA) based on a cross-sectional survey among 290 patients with mental illness attending follow-up outpatient and primary care clinics in Kerala, India. The expert panel concluded that the items of the translated questionnaire adequately represent internalized stigma in the Malayalam-speaking population of Kerala. The theorized factor structure of the ISMI consisting of five factors showed a suboptimal model fit (WRMR=0.940; TLI=0.971, CFI=0.948; RMSEA=0.059) which improved considerably after removal of the stigma resistance factor and three items with poor factor loadings (WRMR=0.819; TLI=0.982, CFI=0.966; RMSEA=0.051). Although our study identifies some sources of model ill-fit, it shows that a reduced version of the Malayalam-language ISMI can be a valuable tool for the study of internalized stigma in this cultural setting. Copyright © 2016 Elsevier B.V. All rights reserved.

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.

Epidemiological situation of malaria in South East Asia with focus on India.

PubMed

Garg, B S

1997-12-01

Malaria contributes a most stimulating chapter in the annals of biological parasitism. At present the disease is endemic in 91 countries with about 40% of world population at risk. Among all infections malaria continues to be one of the biggest contributors to disease burden in terms of morbidity, suffering and deaths specially in Africa. By lowering the productivity it is closely linked to poverty and contributes significantly to stunting social and economic development.We, in South East Asia, are living in paradoxical situation, on one side we spent large sums and energy to control/eradicate malaria and on the other hand we simultaneously create malariogenic conditions in the process of development efforts eg. irrigation canals, water supply scheme and urbanisation.The disease is endemic in all the seven countries of South East Asia with P.f.% ranging from 2.47% in Nepaa to 55% in Pakistan. In India although the total number of cases are almost static in last 10 years however the P.f. cases are on increasing trend.The malaria in tribal area is further posing a great threat. Annually 0.2% of the population suffers with malaria. However it is 1.5% in tribal area and 60% of deaths due to malaria are reported from tribal area. In 1984 there were 24% cases ofP. falciparum malaria out of them 57% were in tribal area however in 1995 the total cases increased to 36% and P.f. proportion to 75%. Technical side the chloroquine resistance and insecticidal resistance are also spreading in new area which also complicate the disease epidemiology.The migration of population, deforestation, inadequate resources increase in epidemic potential and neglect of epidemiology are other important factors responsible for changing epidemiological pattern of malaria.

Metabolic syndrome in South Asians

PubMed Central

Pandit, Kaushik; Goswami, Soumik; Ghosh, Sujoy; Mukhopadhyay, Pradip; Chowdhury, Subhankar

2012-01-01

South Asia is home to one of the largest population of people with metabolic syndrome (MetS). The prevalence of MetS in South Asians varies according to region, extent of urbanization, lifestyle patterns, and socioeconomic/cultural factors. Recent data show that about one-third of the urban population in large cities in India has the MetS. All classical risk factors comprising the MetS are prevalent in Asian Indians residing in India. The higher risk in this ethnic population necessitated a lowering of the cut-off values of the risk factors to identify and intervene for the MetS to prevent diabetes and cardiovascular disease. Some pharmacological and nonpharmacological interventions are underway in MetS to assess the efficacy in preventing the diabetes and cardiovascular disease in this ethnic population. PMID:22276252

Utilization of alternative systems of medicine as health care services in India: Evidence on AYUSH care from NSS 2014.

PubMed

Rudra, Shalini; Kalra, Aakshi; Kumar, Abhishek; Joe, William

2017-01-01

AYUSH, an acronym for Ayurveda, Yoga and Naturopathy, Unani, Siddha, Sowa-Rigpa and Homeopathy represents the alternative systems of medicine recognized by the Government of India. Understanding the patterns of utilization of AYUSH care has been important for various reasons including an increased focus on its mainstreaming and integration with biomedicine-based health care system. Based on a nationally representative health survey 2014, we present an analysis to understand utilization of AYUSH care across socioeconomic and demographic groups in India. Overall, 6.9% of all patients seeking outpatient care in the reference period of last two weeks have used AYUSH services without any significant differentials across rural and urban India. Importantly, public health facilities play a key role in provisioning of AYUSH care in rural areas with higher utilization in Chhattisgarh, Kerala and West Bengal. Use of AYUSH among middle-income households is lower when compared with poorer and richer households. We also find that low-income households display a greater tendency for AYUSH self-medication. AYUSH care utilization is higher among patients with chronic diseases and also for treating skin-related and musculo-skeletal ailments. Although the overall share of AYUSH prescription drugs in total medical expenditure is only about 6% but the average expenditure for drugs on AYUSH and allopathy did not differ hugely. The discussion compares our estimates and findings with other studies and also highlights major policy issues around mainstreaming of AYUSH care.

Utilization of alternative systems of medicine as health care services in India: Evidence on AYUSH care from NSS 2014

PubMed Central

2017-01-01

AYUSH, an acronym for Ayurveda, Yoga and Naturopathy, Unani, Siddha, Sowa-Rigpa and Homeopathy represents the alternative systems of medicine recognized by the Government of India. Understanding the patterns of utilization of AYUSH care has been important for various reasons including an increased focus on its mainstreaming and integration with biomedicine-based health care system. Based on a nationally representative health survey 2014, we present an analysis to understand utilization of AYUSH care across socioeconomic and demographic groups in India. Overall, 6.9% of all patients seeking outpatient care in the reference period of last two weeks have used AYUSH services without any significant differentials across rural and urban India. Importantly, public health facilities play a key role in provisioning of AYUSH care in rural areas with higher utilization in Chhattisgarh, Kerala and West Bengal. Use of AYUSH among middle-income households is lower when compared with poorer and richer households. We also find that low-income households display a greater tendency for AYUSH self-medication. AYUSH care utilization is higher among patients with chronic diseases and also for treating skin-related and musculo-skeletal ailments. Although the overall share of AYUSH prescription drugs in total medical expenditure is only about 6% but the average expenditure for drugs on AYUSH and allopathy did not differ hugely. The discussion compares our estimates and findings with other studies and also highlights major policy issues around mainstreaming of AYUSH care. PMID:28472197

Abuse against elderly in India – The role of education

PubMed Central

2014-01-01

Background Abuse against the elderly is recognized as an important challenge to elderly health, but its determinants are not yet well understood. We present findings from a new dataset which covers a representative sample of the population aged 60 years and above from seven Indian states across India – all of which have a higher proportion aged 60 plus compared to the national average. Earlier studies suggest that schooling levels can be relevant in determining the level of abuse against seniors. This study focuses on the role of education on the prevalence of elderly abuse in India. Methods We conduct an analysis of cross sectional primary data that contains information on elderly abuse. The households in the sample were randomly selected from the seven demographically oldest states in India. These states are Himachal Pradesh, Kerala, Maharashtra, Odisha, Punjab, Tamil Nadu and West Bengal. A total of 9852 elderly from 8329 households were interviewed. The statistical analysis is based on logistic regression to understand the independent relation of education with abuse against the elderly. Results Our findings reveal that 11% of 60+ year olds have experienced at least one type of elderly abuse (Physical 5.3%, Verbal 10.2%, Economic 5.4%, Disrespect 6%, Neglect 5.2%). The most common perpetrator is the son, who is reported to be responsible for the abuse among 41% of male victims and 43% of female victims. Formal education among elderly beyond a certain level (8 years) has a strong relation with reduced violence against elderly. Conclusions Our findings suggest that level of schooling among elderly is strongly negatively related to abuse against them. More members in the household reduces the chance of abuse while having a greater number of children increases the chance of abuse (neglect and verbal abuse). We find that education even after controlling for wealth and other relevant variables is the factor that most consistently lowers elderly abuse. However

The Relationship between India’s Geographic Element of Power and its Military Element of Power

DTIC Science & Technology

1991-06-07

provided the background knowledge necessary to begin this project. The Cambridge Encyclopedia of India, Pakistan, BanAladesh and Srilanka , by Francis...and Burma and in the west, by Pakistan. Just south of India’s southern tip lies Srilanka . Location. The bulk of India’s land mass lies between 70...Affairs, (Rand McNally & Co., 1963), 319. 2. Francis Robinson, The Cambridge Encyclopedia of India, Pakistan, Bangladesh, Srilanka , Nepal, Bhutan and

Perforated peptic ulcer in South India: an institutional perspective.

PubMed

Arveen, Sankar; Jagdish, Sadasivan; Kadambari, Dharanipragada

2009-08-01

Perforated peptic ulcer is one of the most common surgical emergencies in South India. The advent of medical therapy for peptic ulcer has remarkably decreased the number of elective surgical procedures. The incidence of perforated peptic ulcer on the contrary, is increasing. The high incidence of complications necessitates the identification of factors associated with the morbidity and mortality of patients undergoing surgery for perforated peptic ulcer. Three hundred twenty-eight consecutive patients (299 men and 29 women) who underwent surgery for perforated peptic ulcer in our institute between November 2006 and June 2008 were studied prospectively. The mean age was 43.4 +/- 14.4 years. The mean hospital stay was 10.9 +/- 6.8 days. Of the 328 patients, 58 presented with shock, 159 presented with delay more than 24 h, and 24 had co-morbid illness. Wound infection and intra-abdominal abscess were encountered in 12.5% and 13.4% of the patients, respectively. Altogether, 85 patients had postoperative complications. Twenty-eight (8.5%) patients died. The mortality rate among men and women was 7.9% and 20.7%, respectively. Age > or = 60 years, lag period longer than 24 h, presence of co-morbid illness, and shock at presentation were identified as independent predictors of postoperative complications. Shock at presentation, presence of co-morbid illness, American Society of Anesthesiologists (ASA) grade III or more, and renal failure were identified as independent predictors of mortality. Decreasing the delay in intervention and improving access to medical care may improve the outcome of patients undergoing surgery for perforated peptic ulcer. High-risk patients are those who present with shock and co-morbid illness.

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.

Organizing an NGO-Sponsored English-Medium School in South India: Lessons Learned

ERIC Educational Resources Information Center

Gibb, Gordon S.

2012-01-01

This paper describes lessons learned from the first-year education efforts of Rising Star Outreach of India, a U.S.-based nongovernmental charitable organization (NGO) working with leprosy colonies in Tamil Nadu, India. In 2008, Rising Star Outreach established a residential school to provide English-medium schooling for 180 colony children in…

Dental caries experience in high risk soft drinks factory workers of South India: a comparative study.

PubMed

Kumar, Sandeep; Acharya, Shashidhar; Vasthare, Ramprasad; Singh, Siddharth Kumar; Gupta, Anjali; Debnath, Nitai

2014-01-01

The consumption of soft-drinks has been associated with dental caries development. The aim was to evaluate dental caries experience amongst the workers working in soft-drink industries located in South India and compare it with other factory workers. To evaluate the validity of specific caries index (SCI), which is newer index for caries diagnosis. This was a cross-sectional study carried out among 420 workers (210 in soft-drinks factory and 210 in other factories), in the age group of 20-45 years of Udupi district, Karnataka, India. Index used for clinical examination was decayed, missing, filled surfaces (DMFS) index and SCI. The mean and standard deviation (SD) of decayed surface (5.8 ± 1.8), missing surface (4.3 ± 2) and filled surface (1.94 ± 1.95) and total DMFS score (12.11 ± 3.8) in soft-drinks factory workers were found to be significantly higher than the other factory workers. The total SCI score (mean and SD) was found to be significantly higher in soft-drinks factory workers (5.83 ± 1.80) compared with other factory workers (4.56 ± 1.45). There was a high correlation obtained between SCI score and DMFS score. The regression equation given by DMFS = 1.178 + 1.866 (SCI scores). The caries experience was higher in workers working in soft-drinks factory and this study also showed that specific caries index can be used as a valid index for assessing dental caries experience.

Migratory ducks and protected wetlands in India

USGS Publications Warehouse

Namgail, Tsewang; Takekawa, John Y.; Balachandran, Sivananinthaperumal; Mundkur, Taej; Sathiyaselvam, Ponnusamy; Prosser, Diann J.; McCracken, Tracy; Newman, Scott H.

2017-01-01

India is the most important wintering ground for migratory ducks in the Central Asian Flyway. Because of its latitudinal and climatic extent, the country provides a diversity of wetland habitats for migratory ducks (Ali & Ripley 1978). India is the seventh largest country in the world with an area of about 3.3 million km2 or 2.4% of the world’s land-area. Mainland India stretches nearly 3200 km from north to south (6° to 36° N), and 3000 km from west to east (68° to 98° E). Given this huge geographical extent, migratory ducks wintering in the southern part of the country need to refuel at several wetlands before they cross the Himalayas on their way to the breeding areas in Central Asia and Siberia.

'Stratified Contraception': Emergency Contraceptive Pills and Women's Differential Experiences in Contemporary India.

PubMed

Sheoran, Nayantara

2015-01-01

Available without prescriptions in India since 2005, emergency contraceptive pills (ECPs) and their advertisements have provided women with increased contraceptive options and a vocabulary to talk about their reproductive lives. I draw on long-term fieldwork with women in urban India about ECPs, demonstrating a new form of 'stratified contraception' enabled by these pills and their advertisements. I posit that there are within India spaces that replicate the luxuries and privileges of the global North. These material conditions, I suggest, are replicated when it comes to contraception as there are hubs of women consumers of contraception and contraceptive advertising that participate in an 'imagined cosmopolitanism' within the global South in close proximity to 'contraceptive ghettos.' Moving beyond simplistic binaries, I outline three major stratifications along which women experience this medical technology and outline the implications for women and their contraceptive choices when notions of northern privilege exist in the 'South.'

Intra-seasonal sea level variability along the west coast of India

NASA Astrophysics Data System (ADS)

Dhage, Laxmikant; Strub, P. Ted

2016-11-01

The importance of local versus distant forcing is studied for the wind-driven intra-seasonal (30-120 day) sea level anomaly (SLA) variations along the west coast of India. Significant correlations of altimeter-derived SLA on the west coast are found with the mid-basin SLA east of Sri Lanka and SLA as far as Sumatra and the equator, with increased lags, connecting with the remote forcing from the equator in the form of reflected Rossby waves. The highest correlations between SLA on the west coast and winds are found with the winds at the southern tip of India. Coherence calculations help to identify the importance of a narrow band (40-60 day) for the interactions of winds with the intra-seasonal SLA variations. A multivariate regression model, along with the coherences within this narrower band, suggest the lags of SLA on the west coast with winds to range from 0 to 2 days with the local forcing to 11-13 days with the forcing along south east coast of India. Hovmöller diagrams illustrate the propagation of signals by estimating phase speed for Rossby waves (57 cm/s) across the Indian Ocean from Sumatra and Coastal Trapped Waves (CTWs) along the west coast of India (178 cm/s). Propagation from the south-east coast of India is not as robust as Rossby waves from Sumatra.

Enlightenment for Children: Community Schools in South India.

ERIC Educational Resources Information Center

Fischer, Stephanie

2001-01-01

Describes the work of one educator and advocate for children's rights in Hyderabad, India, who founded a system of community-run schools in the slums to offer access to education to all children in the area, none of whom had previously attended school. The schools are funded by government sources and the community. Parent empowerment and community…

A systematic review of air pollution as a risk factor for cardiovascular disease in South Asia: limited evidence from India and Pakistan.

PubMed

Yamamoto, S S; Phalkey, R; Malik, A A

2014-03-01

Cardiovascular diseases (CVD) are major contributors to mortality and morbidity in South Asia. Chronic exposure to air pollution is an important risk factor for cardiovascular diseases, although the majority of studies to date have been conducted in developed countries. Both indoor and outdoor air pollution are growing problems in developing countries in South Asia yet the impact on rising rates of CVD in these regions has largely been ignored. We aimed to assess the evidence available regarding air pollution effects on CVD and CVD risk factors in lower income countries in South Asia. A literature search was conducted in PubMed and Web of Science. Our inclusion criteria included peer-reviewed, original, empirical articles published in English between the years 1990 and 2012, conducted in the World Bank South Asia region (Afghanistan, Bangladesh, Bhutan, India, Maldives, Nepal, Pakistan and Sri Lanka). This resulted in 30 articles. Nine articles met our inclusion criteria and were assessed for this systematic review. Most of the studies were cross-sectional and examined measured particulate matter effects on CVD outcomes and indicators. We observed a bias as nearly all of the studies were from India. Hypertension and CVD deaths were positively associated with higher particulate matter levels. Biomarkers of oxidative stress such as increased levels of P-selection expressing platelets, depleted superoxide dismutase and reactive oxygen species generation as well as elevated levels of inflammatory-related C-reactive protein, interleukin-6 and interleukin-8 were also positively associated with biomass use or elevated particulate matter levels. An important outcome of this investigation was the evidence suggesting important air pollution effects regarding CVD risk in South Asia. However, too few studies have been conducted. There is as an urgent need for longer term investigations using robust measures of air pollution with different population groups that include a wider

Environmental monitoring and assessment of antibacterial metabolite producing actinobacteria screened from marine sediments in south coastal regions of Karnataka, India.

PubMed

Skariyachan, Sinosh; Garka, Shruthi; Puttaswamy, Sushmitha; Shanbhogue, Shobitha; Devaraju, Raksha; Narayanappa, Rajeswari

2017-06-01

Assessment of the therapeutic potential of secondary metabolite producing microorganisms from the marine coastal areas imparts scope and application in the field of environmental monitoring. The present study aims to screen metabolites with antibacterial potential from actionbacteria associated with marine sediments collected from south coastal regions of Karnataka, India. The actinobacteria were isolated and characterized from marine sediments by standard protocol. The metabolites were extracted, and antibacterial potential was analyzed against eight hospital associated bacteria. The selected metabolites were partially characterized by proximate analysis, SDS-PAGE, and FTIR-spectroscopy. The antibiogram of the test clinical isolates revealed that they were emerged as multidrug-resistant strains (P ≤ 0.05). Among six actinobacteria (IS1-1S6) screened, 100 μl -1 metabolite from IS1 showed significant antibacterial activities against all the clinical isolates except Pseudomonas aeruginosa. IS2 demonstrated antimicrobial potential towards Proteus mirabilis, Streptococcus pyogenes, and Escherichia coli. The metabolite from IS3 showed activity against Strep. pyogenes and E. coli. The metabolites from IS4, IS5, and IS6 exhibited antimicrobial activities against Ps. aeruginosa (P ≤ 0.05). The two metabolites that depicted highest antibacterial activities against the test strains were suggested to be antimicrobial peptides with low molecular weight. These isolates were characterized and designated as Streptomyces sp. strain mangaluru01 and Streptomyces sp. mangaloreK01 by 16S ribosomal DNA (rDNA) sequencing. This study suggests that south coastal regions of Karnataka, India, are one of the richest sources of antibacterial metabolites producing actinobacteria and monitoring of these regions for therapeutic intervention plays profound role in healthcare management.

The High Deccan duricrusts of India and their significance for the `laterite' issue

NASA Astrophysics Data System (ADS)

Ollier, Cliff D.; Sheth, Hetu C.

2008-10-01

In the Deccan region of western India ferricrete duricrusts, usually described as laterites, cap some basalt summits east of the Western Ghats escarpment, basalts of the low-lying Konkan Plain to its west, as well as some sizeable isolated basalt plateaus rising from the Plain. The duricrusts are iron-cemented saprolite with vermiform hollows, but apart from that have little in common with the common descriptions of laterite. The classical laterite profile is not present. In particular there are no pisolitic concretions, no or minimal development of concretionary crust, and the pallid zone, commonly assumed to be typical of laterites, is absent. A relatively thin, non-indurated saprolite usually lies between the duricrust and fresh basalt. The duricrust resembles the classical laterite of Angadippuram in Kerala (southwestern India), but is much harder. The High Deccan duricrusts capping the basalt summits in the Western Ghats have been interpreted as residuals from a continuous (but now largely destroyed) laterite blanket that represents in situ transformation of the uppermost lavas, and thereby as marking the original top of the lava pile. But the unusual pattern of the duricrusts on the map and other evidence suggest instead that the duricrusts formed along a palaeoriver system, and are now in inverted relief. The two interpretations lead to different tectonic histories. Duricrust formation involved lateral material input besides vertical elemental exchange. We may have reached the stage when the very concepts of laterite and lateritization are hindering progress in regolith research.

CDC Kerala 5: Developmental therapy clinic experience--use of Child Development Centre grading for motor milestones.

PubMed

Nair, M K C; Resmi, V R; Krishnan, Rajee; Harikumaran Nair, G S; Leena, M L; Bhaskaran, Deepa; George, Babu; Russell, Paul Swamidhas Sudhakar

2014-12-01

To document the experiences of the intervention given to children who attended the developmental therapy clinic of Child Development Centre (CDC) Kerala, a specialized clinic for providing developmental intervention/therapy for babies less than two years with developmental delay/disability. All the babies referred to this speciality clinic from developmental screening/evaluation clinics of CDC were registered in the clinic and re-evaluation was done using CDC grading for head holding, sitting, standing, Amiel Tison passive angles, and Trivandrum Developmental Screening Chart (TDSC) 0-2 y. Out of a total of 600 consecutive babies below 2 y with developmental delay/disability referred to developmental therapy clinic, on comparing the test results at enrollment and after 6 mo of intervention, a statistically significant reduction was observed (i) in the 2-4 mo age group with regard to abnormal TDSC (25.5%), (ii) in the 4-8 mo age group with regard to abnormal head holding grade (87.1%) and abnormal TDSC (19.4%), (iii) in the 8-12 mo age group, with regard to abnormal sitting grade (71.7%) and (iv) in the above 12 mo age group with regard to abnormal sitting grade (35.3%) and abnormal standing grade (78.8%). The experience of organizing the developmental intervention/therapy clinic at CDC Kerala has shown that therapy services by developmental therapists in a centre and supportive therapy by mother at home is useful in improving the developmental status of children with developmental delay.

JPRS Report, Near East & South Asia, India.

DTIC Science & Technology

1991-10-03

Delhi, 28 Aug-The first high-level contacts LTTE is "essentially India’s creation" and that in Tamil [et] new D el 2 ue ft hgleve l contactsb tween the...mindedness about police forces have become useless. The separatist ele - philosophy, ments have, of course, divided the Hindus and the Muslims and now are...old Ramayana has stopped. The Manusmirity is referred to Saudi Arabian "once again raises the issue of a modern only in antihuman contexts. The West

Assessment of water quality index of bore well water samples from some selected locations of South Gujarat, India.

PubMed

Tripathi, S; Patel, H M; Srivastava, P K; Bafna, A M

2013-10-01

The present study calculates the water quality index (WQI) of some selected sites from South Gujarat (India) and assesses the impact of industries, agriculture and human activities. Chemical parameters were monitored for the calculation of WQI of some selected bore well samples. The results revealed that the WQI of the some bore well samples exceeded acceptable levels due to the dumping of wastes from municipal, industrial and domestic sources and agricultural runoff as well. Inverse Distance Weighting (IDW) was implemented for interpolation of each water quality parameter (pH, EC, alkalinity, total hardness, chloride, nitrate and sulphate) for the entire sampled area. The bore water is unsuitable for drinking and if the present state of affairs continues for long, it may soon become an ecologically dead bore.

Removal rates of antibiotics in four sewage treatment plants in South India.

PubMed

Prabhasankar, Valiparambil Prabhakaranunni; Joshua, Derrick Ian; Balakrishna, Keshava; Siddiqui, Iyanee Faroza; Taniyasu, Sachi; Yamashita, Nobuyoshi; Kannan, Kurunthachalam; Akiba, Masato; Praveenkumarreddy, Yerabham; Guruge, Keerthi S

2016-05-01

The occurrence and removal of seven selected pharmaceutical compounds (PCs) in sewage treatment plants (STPs) in South India were investigated. The PCs selected for this study were sulfamethoxazole (SMX), trimethoprim (TMP), chloramphenicol (CAP), erythromycin (ERY), naproxen (NPX), bezafibrate (BZF), and ampicillin (AMP). Wastewater samples were collected from inlet and outlet of the STPs during pre-monsoon, monsoon, and post-monsoon seasons to investigate the seasonal influences in occurrence and removal rates. The analytical method was based on simultaneous extraction of all target compounds by solid phase extraction (SPE), using a hydrophilic-lipophilic-balanced (HLB) sorbent followed by high performance liquid chromatography tandem mass spectrometry (HPLC-MS/MS). The STP that catered exclusively to domestic wastewater had lesser concentrations of PCs compared to the STPs serving the combined hospital and domestic effluents. SMX was the dominant compound in all effluents with the highest concentration at 3.2 μg/L in the outlet of an STP. TMP and ERY were the other PCs present at higher concentrations in STP outlets (1 μg/L and 0-0.13 μg/L, respectively). Removal rates varied from 100 % for BZF to 60-100 % for SMX, CTX, and AMP.

Transits of Venus and Colonial India

NASA Astrophysics Data System (ADS)

Kochhar, Rajesh

2012-09-01

Astronomical expeditions during the colonial period had a political and national significance also. Measuring the earth and mapping the sky were activities worthy of powerful and power- seeking nations. Such was the sanctity of global astronomical activity that many other agendas could be hidden under it. An early astronomy-related expedition turned out to be extremely beneficial, to botany. The expedition sent by the French Government in 1735 to South America under the leadership of Charles Marie de la Condamine (1701--1774) ostensibly for the measurement of an arc of the meridian at Quito in Ecuador surreptitiously collected data that enabled Linnaeus to describe the genus cinchona in 1742. When the pair of transits of Venus occurred in 1761 and 1769, France and England were engaged in a bitter rivalry for control of India. The observation of the transits became a part of the rivalry. A telescope presented by the British to a South Indian King as a decorative toy was borrowed back for actual use. Scientifically the transit observations were a wash out, but the exercise introduced Europe to details of living Indian tradition of eclipse calculations. More significantly, it led to the institutionalization of modern astronomy in India under the auspices of the English East India Company (1787). The transits of Venus of 1874 and 1882 were important not so much for the study of the events as for initiating systematic photography of the Sun. By this, Britain owned most of the world's sunshine, and was expected to help European solar physicists get data from its vast Empire on a regular basis. This and the then genuinely held belief that a study of the sun would help predict failure of monsoons led to the institutionalization of solar physics studies in India (1899). Of course, when the solar physicists learnt that solar activity did not quite determine rainfall in India, they forgot to inform the Government.

Suppressing geo-facts in landslide-affected areas

NASA Astrophysics Data System (ADS)

Sajinkumar, Ks; Pradeepkumar, Ap; Rani, Vr; Di Capua, Giuseppe

2014-05-01

The Western Ghats, the bold westerly escarpment of India and which borders the eastern portion of Kerala State (India), bears the testimony of frequent landslides, especially during the monsoon season, and they cause widespread damage to life and property. The natural hazards can turn into disasters in this hilly state, due to the high density of population (~800 per km2). The elements at landslide risk in any area include human population, livestock, land and its resources, environmental values, buildings and economic activities. The loss of lives is the most heart breaking side of the story and cannot be compensated in pecuniary terms. The role of the geoscientist comes into picture to protect the life and property from imminent landslides. But the unbiased role of a geoscientist is blocked by several societal issues like fear of disapproval by the public, political interference, false information propagated through the fourth estate and last but not the least the lack of confidence in her/himself as the profession is now mainly non-societal. This paper aims at looking into these issues in a landslide-prone area of the state. The deontological vs consequential ethical behaviours that characterise the responses by the official machinery and the common man conspire to create disastrous situations, which ultimately brings suffering to the common man, while straining the resources of the state through recurrent payment of damages, every year. The "moral vs monetary" values of society and its government is laid bare in Kerala, especially during landslide disasters and the state's social contract obligations sometimes become ambiguous. Another aspect that has to be addressed is the impact on the marginalized during landslide disasters in Kerala. Does the newly instituted 'Disaster Insurance' scheme adequately cover them? What is the ethical dimensions that such schemes address? The Kerala state is the most socially, educationally, and demographically advanced one in

Investigation of work-related musculoskeletal disorders among male kitchen workers in South India.

PubMed

Subramaniam, Shankar; Murugesan, Shanmugam

2015-01-01

This study aims to quantify the prevalence of work-related musculoskeletal disorders (MSDs) and risks among male kitchen workers in the catering industry. Data were collected with the help of the Nordic musculoskeletal questionnaire and by direct observations. In total, 114 male kitchen workers from various hostels of a college in South India were considered for this study. The average age and mean years of employment of the workers are 26.4 (SD 7.7) and 7.8 respectively. The statistical analysis carried out reveals that 67.5% of male kitchen workers reported MSDs during the past 12 months. The highest prevalence rate has been found in the lower back (65.8%) and shoulder region (62.3%). Among different categories of kitchen work analyzed, it is evident that chief cooks suffer more from MSDs (79.2%) than assistant cooks (74.3%) and kitchen aides (30.0%). Workers in the older group, i.e., ≥ 41 years, and workers with 6-10 years of experience suffer with higher risk of MSDs, i.e., 93.9% and 87.5%, respectively. The male kitchen workers who participated in this research were found to possess both MSDs and ergonomic hazards.

Social determinants of cataract surgery utilization in south India. The Operations Research Group.

PubMed

Brilliant, G E; Lepkowski, J M; Zurita, B; Thulasiraj, R D

1991-04-01

A field trial was conducted to compare the effects of eight health education and economic incentive interventions on the awareness and acceptance of cataract surgery. Cataract screening and follow-up surgery were offered to more than 19,000 residents age 40 years and older in a probability sample of 90 villages in south India. Eight months after intervention, an evaluation was conducted to identify those in need of surgery who had been operated on. Two principal measures of program effectiveness are examined: awareness of cataract surgery and acceptance of the surgery. The type of intervention had a negligible effect on awareness of cataract surgery. A multiple logistic regression analysis revealed that individuals who were aware of surgery tended to be male, literate, and more affluent than those who were unaware of that option. Interventions that covered the complete costs of surgery had higher surgery acceptance rates. One health education strategy, house-to-house visits by a subject with aphakia, increased acceptance of the procedure more than others. In a multiple logistic regression analysis of acceptance rates, persons accepting surgery tended to be male; other factors were not important in explaining variation in acceptance rates.

Bone Status of Adolescent Girls in Pune (India) Compared to Age Matched South Asian & White Caucasian UK Girls

PubMed Central

Khadilkar, A; Crabtree, N J; Ward, K A; Khadilkar, V; Shaw, N J; Mughal, M Z

2014-01-01

Purpose To determine whether adolescent girls from a low socioeconomic group in Pune, India, who had low dietary calcium intake (449 mg/day; range 356-538) and hypovitaminosis D (median serum 25-hydroxyvitamin D 23.4 nmol/l; range 13.5-31.9), would have lower lumbar spine (LS) bone mineral apparent density (BMAD), and total body (TB) bone mineral content (BMC) adjusted for lean body mass (LBM). Methods Dual energy X-ray absorptiometry was used to measure TB and LS BMC, bone area (BA) and TBLBM in 50 post menarcheal girls from Pune. These variables were compared with data from 34 South Asian and 82 White Caucasian age matched girls from the UK. Results Pune girls were shorter, lighter and had less LBM for height, compared to both UK groups; they had later age of menarche than UK Asians. The mean (SE) BA adjusted TB BMC and LSBMAD were reduced for Pune girls [1778g (17); 0.335g/cm3(0.006)], compared to the UK South Asians [1864g (18); 0.332 g/cm3 (0.005)] and UK White Caucasians [1864g (13); 0.345 g/cm3 (0.004)]. In contrast both LS and TBBMC adjusted for TBLBM were not significantly different between the groups. Conclusions Pune girls had low bone mass for projected bone area relative to UK South Asian & White Caucasian girls but had the appropriate amount of BMC for their LBM. PMID:19727907

A note on the new species of the genus Isopsera (Orthoptera: Phaneropteridae: Phaneropterinae) from India.

PubMed

Nagar, Rajendra; Mal, Jhabar; Swaminathan, R

2015-05-29

A new species of the genus, Isopsera: Isopsera arcuata Nagar, Mal, Swaminathan sp. nov. (Orthoptera:Phaneropteridae Burmeister, 1838; Phaneropterinae Burmeister, 1838) is described. The holotype (♂) was collected from South India: Coimbatore (Tamil Nadu). The geographical location had the following specifications: 12⁰58 N 77⁰35E 930MSL South India. The described species differs from the two closely related species, I. caligula Ingrisch and I. spinosa Ingrisch, based on the structure of the male sub-genital plate, cerci and stridulatory file on the left tegmen.

Institutional Climate Perception of Post Graduate Students in Relation to Their Information Literacy

ERIC Educational Resources Information Center

Kumar, Amruth G.; Rajesh, K.

2010-01-01

In this paper the investigators focus on the relationship between "Information Literacy" and "Institutional Climate Perception" of post graduate students. The study was conducted on four hundred Post Graduate Students' from four districts of Kerala, India. Instruments used were; "Information Literacy Inventory" and…

Terrestrial Macrofungal Diversity from the Tropical Dry Evergreen Biome of Southern India and Its Potential Role in Aerobiology.

PubMed

Priyamvada, Hema; Akila, M; Singh, Raj Kamal; Ravikrishna, R; Verma, R S; Philip, Ligy; Marathe, R R; Sahu, L K; Sudheer, K P; Gunthe, S S

2017-01-01

Macrofungi have long been investigated for various scientific purposes including their food and medicinal characteristics. Their role in aerobiology as a fraction of the primary biological aerosol particles (PBAPs), however, has been poorly studied. In this study, we present a source of macrofungi with two different but interdependent objectives: (i) to characterize the macrofungi from a tropical dry evergreen biome in southern India using advanced molecular techniques to enrich the database from this region, and (ii) to assess whether identified species of macrofungi are a potential source of atmospheric PBAPs. From the DNA analysis, we report the diversity of the terrestrial macrofungi from a tropical dry evergreen biome robustly supported by the statistical analyses for diversity conclusions. A total of 113 macrofungal species belonging to 54 genera and 23 families were recorded, with Basidiomycota and Ascomycota constituting 96% and 4% of the species, respectively. The highest species richness was found in the family Agaricaceae (25.3%) followed by Polyporaceae (15.3%) and Marasmiaceae (10.8%). The difference in the distribution of commonly observed macrofungal families over this location was compared with other locations in India (Karnataka, Kerala, Maharashtra, and West Bengal) using two statistical tests. The distributions of the terrestrial macrofungi were distinctly different in each ecosystem. We further attempted to demonstrate the potential role of terrestrial macrofungi as a source of PBAPs in ambient air. In our opinion, the findings from this ecosystem of India will enhance our understanding of the distribution, diversity, ecology, and biological prospects of terrestrial macrofungi as well as their potential to contribute to airborne fungal aerosols.

Molecular epidemiology and genetic diversity of Orientia tsutsugamushi from patients with scrub typhus in 3 regions of India.

PubMed

Varghese, George M; Janardhanan, Jeshina; Mahajan, Sanjay K; Tariang, David; Trowbridge, Paul; Prakash, John A J; David, Thambu; Sathendra, Sowmya; Abraham, O C

2015-01-01

Scrub typhus, an acute febrile illness that is widespread in the Asia-Pacific region, is caused by the bacterium Orientia tsutsugamushi, which displays high levels of antigenic variation. We conducted an investigation to identify the circulating genotypes of O. tsutsugamushi in 3 scrub typhus-endemic geographic regions of India: South India, Northern India, and Northeast India. Eschar samples collected during September 2010-August 2012 from patients with scrub typhus were subjected to 56-kDa type-specific PCR and sequencing to identify their genotypes. Kato-like strains predominated (61.5%), especially in the South and Northeast, followed by Karp-like strains (27.7%) and Gilliam and Ikeda strains (2.3% each). Neimeng-65 genotype strains were also observed in the Northeast. Clarifying the genotypic diversity of O. tsutsugamushi in India enhances knowledge of the regional diversity among circulating strains and provides potential resources for future region-specific diagnostic studies and vaccine development.

JPRS Report, Near East and South Asia, India

DTIC Science & Technology

1992-05-13

withdrawal of the RBI import policy for capital goods, raw materials, compo- nents and industrial consumables . Also, the licensing of host of industrial ...fully capable of establishing consumer production industries and providing raw materials for it. This would also benefit India, because a huge market...which two- thirds of population depends for their livelihood, demand base for the industrial sector, especially essen- tial consumer goods is likely

How can community health programmes build enabling environments for transformative communication? Experiences from India and South Africa.

PubMed

Campbell, Catherine; Cornish, Flora

2012-05-01

Much research has examined how to empower the poor to articulate demands for health-enabling living conditions. Less is known about creating receptive social environments where the powerful heed the voices of the poor. We explore the potential for 'transformative communication' between the poor and the powerful, through comparing two well-documented case studies of HIV/AIDS management. The Entabeni Project in South Africa sought to empower impoverished women to deliver home-based nursing to people with AIDS. It successfully provided short-term welfare, but did not achieve local leadership or sustainability. The Sonagachi Project in India, an HIV-prevention programme targeting female sex workers, became locally led and sustainable. We highlight the strategies through which Sonagachi, but not Entabeni, altered the material, symbolic and relational contexts of participants' lives, enabling transformative communication and opportunities for sexual health-enabling social change.

E-W strike slip shearing of Kinwat granitoid at South East Deccan Volcanic Province, Kinwat, Maharashtra, India

NASA Astrophysics Data System (ADS)

Kaplay, R. D.; Kumar, T. Vijay; Mukherjee, Soumyajit; Wesanekar, P. R.; Babar, Md; Chavan, Sumeet

2017-07-01

We study the margin of South East Deccan Volcanic Province around Kinwat lineament, Maharashtra, India, which is NW extension of the Kaddam Fault. Structural field studies document ˜ E-W strike-slip mostly brittle faults from the basement granite. We designate this as `Western boundary East Dharwar Craton Strike-slip Zone' (WBEDCSZ). At local level, the deformation regime from Kinwat, Kaddam Fault, micro-seismically active Nanded and seismically active Killari corroborate with the nearby lineaments. Morphometric analyses suggest that the region is moderately tectonically active. The region of intense strike-slip deformation lies between seismically active fault along Tapi in NW and Bhadrachalam in the SE part of the Kaddam Fault/lineament. The WBEDCSZ with the surface evidences of faulting, presence of a major lineaments and intersection of faults could be a zone of intraplate earthquake.

Regional Aerosol Forcing over India: Preliminary Results from the South West Asian Aerosol-Monsoon Interactions (SWAAMI) Aircraft Experiment

NASA Astrophysics Data System (ADS)

Morgan, W.; Brooks, J.; Fox, C.; Haslett, S.; Liu, D.; Kompalli, S. K.; Pathak, H.; Manoj, M. R.; Allan, J. D.; Haywood, J. M.; Highwood, E.; Langridge, J.; Nanjundaiah, R. S.; Krishnamoorthy, K.; Babu, S. S.; Satheesh, S. K.; Turner, A. G.; Coe, H.

2016-12-01

Aerosol particles from multiple sources across the Indian subcontinent build up to form a dense and extensive haze across the region in advance of the monsoon. These aerosols are thought to perturb the regional radiative balance and hydrological cycle, which may have a significant impact on the monsoon circulation, as well as influencing the associated cloud and rainfall of the system. However the nature and magnitude of such impacts are poorly understood or constrained. Major uncertainties relevant to the regional aerosol burden include its vertical distribution, the relative contribution of different pollution sources and natural emissions and the role of absorbing aerosol species (black carbon and mineral dust). The South West Asian Aerosol-Monsoon Interactions (SWAAMI) project sought to address these major uncertainties by conducting an airborne experiment during June/July 2016 on-board the UK Facility for Airborne Atmospheric Measurement (FAAM) BAe-146 research aircraft. Based out of Lucknow in the), The aircraft conducted multiple flights from Lucknow in the heart of the Indo-Gangetic Plain (IGP) in advance of the monsoon and during the onset phase. The spatial and vertical distribution of aerosol was evaluated across northern India, encompassing drier desert-like regions to the west, heavily populated urban and industrial centres over the IGP and air masses in outflow regions to the south-east towards the Bay of Bengal. Principal measurements included aerosol chemical composition using an Aerodyne Aerosol Mass Spectrometer and a DMT Single Particle Soot Photometer, alongside a Leosphere backscatter LIDAR. Sulphate was a major contributor to the aerosol burden across India, while the organic aerosol was elevated and more dominant over the most polluted regions of the IGP. Substantial aerosol concentrations were frequently observed up to altitudes of approximately 6km, with notable changes in aerosol chemical and physical properties when comparing different

Cost-effectiveness of HIV prevention for high-risk groups at scale: an economic evaluation of the Avahan programme in south India.

PubMed

Vassall, Anna; Pickles, Michael; Chandrashekar, Sudhashree; Boily, Marie-Claude; Shetty, Govindraj; Guinness, Lorna; Lowndes, Catherine M; Bradley, Janet; Moses, Stephen; Alary, Michel; Vickerman, Peter

2014-09-01

Avahan is a large-scale, HIV preventive intervention, targeting high-risk populations in south India. We assessed the cost-effectiveness of Avahan to inform global and national funding institutions who are considering investing in worldwide HIV prevention in concentrated epidemics. We estimated cost effectiveness from a programme perspective in 22 districts in four high-prevalence states. We used the UNAIDS Costing Guidelines for HIV Prevention Strategies as the basis for our costing method, and calculated effect estimates using a dynamic transmission model of HIV and sexually transmitted disease transmission that was parameterised and fitted to locally observed behavioural and prevalence trends. We calculated incremental cost-effective ratios (ICERs), comparing the incremental cost of Avahan per disability-adjusted life-year (DALY) averted versus a no-Avahan counterfactual scenario. We also estimated incremental cost per HIV infection averted and incremental cost per person reached. Avahan reached roughly 150 000 high-risk individuals between 2004 and 2008 in the 22 districts studied, at a mean cost per person reached of US$327 during the 4 years. This reach resulted in an estimated 61 000 HIV infections averted, with roughly 11 000 HIV infections averted in the general population, at a mean incremental cost per HIV infection averted of $785 (SD 166). We estimate that roughly 1 million DALYs were averted across the 22 districts, at a mean incremental cost per DALY averted of $46 (SD 10). Future antiretroviral treatment (ART) cost savings during the lifetime of the cohort exposed to HIV prevention were estimated to be more than $77 million (compared with the slightly more than $50 million spent on Avahan in the 22 districts during the 4 years of the study). This study provides evidence that the investment in targeted HIV prevention programmes in south India has been cost effective, and is likely to be cost saving if a commitment is made to provide ART to all

India-Asia convergence: Insights from burial and exhumation of the Xigaze fore-arc basin, south Tibet

NASA Astrophysics Data System (ADS)

Li, Guangwei; Kohn, Barry; Sandiford, Mike; Xu, Zhiqin

2017-05-01

The composite fore-arc/syncollisional Xigaze basin in south Tibet preserves a key record of India-Asia collision. New apatite fission track and zircon (U-Th)/He data from an N-S transect across the preserved fore-arc basin sequence near Xigaze show a consistent northward Late Cretaceous to middle Miocene younging trend, while coexisting apatite (U-Th-Sm)/He ages are all Miocene. Corresponding detrital zircon U-Pb data are also reported for constraining the Cretaceous depositional ages of the Xigaze basin sequence in the region. Thermal history modeling indicates that the basin experienced northward propagating episodic exhumation, along with a northward migration of the depocenter and a pre-existing Cenozoic syncollisional basin sequence which had been removed. In the southern part, fore-arc exhumation commenced in the Late Cretaceous ( 89 ± 2 Ma). Following transition to a syncollisional basin in the Paleocene, sedimentation in the central and northern Xigaze basin continued until the latest Eocene ( 34 ± 4 Ma). Ongoing folding and thrusting (e.g., Great Counter Thrusts) caused by progressive plate convergence during late Oligocene-early Miocene time resulted in regional uplift and considerable basin denudation, which fed two fluvial basins along its northern and southern flanks and exposed the basement ophiolite. Subsequent incision of the Yarlung River resulted in Miocene cooling in the region. Different episodes in the exhumation history of the Xigaze basin, caused by thrusting of an accretionary wedge and ophiolitic basement, can be linked to changes in India-Asia convergence rates and the changing subduction pattern of the Indian and Neo-Tethyan slabs.

Comprehensive genomic analysis identifies pathogenic variants in maturity-onset diabetes of the young (MODY) patients in South India.

PubMed

Mohan, Viswanathan; Radha, Venkatesan; Nguyen, Thong T; Stawiski, Eric W; Pahuja, Kanika Bajaj; Goldstein, Leonard D; Tom, Jennifer; Anjana, Ranjit Mohan; Kong-Beltran, Monica; Bhangale, Tushar; Jahnavi, Suresh; Chandni, Radhakrishnan; Gayathri, Vijay; George, Paul; Zhang, Na; Murugan, Sakthivel; Phalke, Sameer; Chaudhuri, Subhra; Gupta, Ravi; Zhang, Jingli; Santhosh, Sam; Stinson, Jeremy; Modrusan, Zora; Ramprasad, V L; Seshagiri, Somasekar; Peterson, Andrew S

2018-02-13

Maturity-onset diabetes of the young (MODY) is an early-onset, autosomal dominant form of non-insulin dependent diabetes. Genetic diagnosis of MODY can transform patient management. Earlier data on the genetic predisposition to MODY have come primarily from familial studies in populations of European origin. In this study, we carried out a comprehensive genomic analysis of 289 individuals from India that included 152 clinically diagnosed MODY cases to identify variants in known MODY genes. Further, we have analyzed exome data to identify putative MODY relevant variants in genes previously not implicated in MODY. Functional validation of MODY relevant variants was also performed. We found MODY 3 (HNF1A; 7.2%) to be most frequently mutated followed by MODY 12 (ABCC8; 3.3%). They together account for ~ 11% of the cases. In addition to known MODY genes, we report the identification of variants in RFX6, WFS1, AKT2, NKX6-1 that may contribute to development of MODY. Functional assessment of the NKX6-1 variants showed that they are functionally impaired. Our findings showed HNF1A and ABCC8 to be the most frequently mutated MODY genes in south India. Further we provide evidence for additional MODY relevant genes, such as NKX6-1, and these require further validation.

Genetic admixture studies on four in situ evolved, two migrant and twenty-one ethnic populations of Tamil Nadu, south India.

PubMed

Suhasini, G; Sonaa, E; Shila, S; Srikumari, C R; Jayaraman, G; Ramesh, A

2011-08-01

We analysed the genetic structure of ≈ 1000 samples representing 27 ethnic groups settled in Tamil Nadu, south India, derived from two linguistic families (Dravidians and Indo-Europeans) representing four religious groups (Hinduism, Islam, Christianity and Jainism) using 11 mtDNA markers. Out of 27 ethnic groups, four are in situ populations (Anglo-Indian, Labbai Muslim, Nadar Christian and south Indian Jain) and two are migrants (Gypsy and north Indian Jain) from north India to Tamil Nadu, and 21 are native ethnic groups. Six of the markers we used were monomorphic (HaeIII663, HpaI3592, AluI5176, AluI7025, AluI13262, 9-bp deletion) and five markers were polymorphic (DdeI10394, AluI10397, HinfI12308, HincII13259 and HaeIII16517). Haplogroup frequencies, genetic affinities and admixture analysis are based on the genotype data of polymorphic markers observed in these populations. Haplogroup frequencies indicate that various ethnic groups entered Tamil Nadu during different time periods. Genetic affinities and admixture estimates revealed that the ethnic groups possessing advanced knowledge of farming cluster in a branch (C), and could be the late arrived settlers as agriculture, was introduced to this region at about 5 to 3 thousand years ago. In situ ethnic groups appear to have arisen at various times as a result of the prevailing dominant socio-cultural forces. Hierarchical Hindu caste system created many ethnic groups in the history of its existence; some of them became isolated for considerable period of time. Over all, among Tamil ethnic groups, in spite of caste systems' rigidity, built in flexibility in the system in the form of hypergamy and hypogamy had allowed maternal gene flow between them.

Influence of Out-of-School Experiences and Learning Styles on Interest in Biology, Chemistry and Physics among Higher Secondary Boys and Girls in Kerala

ERIC Educational Resources Information Center

Gafoor, K. Abdul

2017-01-01

Adopting an experiential learning explanation for varying student interest in the three sciences, out-of-school experience questionnaire, scale of interest in science and Kolb's learning style inventory were administered on 775 higher secondary students in Kerala. Despite their similar achievement levels, boys had higher interest in physics, and…

Population structure and phylogeography of Toda buffalo in Nilgiris throw light on possible origin of aboriginal Toda tribe of South India.

PubMed

Kathiravan, P; Kataria, R S; Mishra, B P; Dubey, P K; Sadana, D K; Joshi, B K

2011-08-01

We report the genetic structure and evolutionary relationship of the endangered Toda buffalo of Nilgiris in South India with Kanarese and two other riverine buffalo breeds. The upgma phylogeny drawn using Nei's distance grouped South Kanara and Toda buffaloes at a single node while Marathwada and Murrah together formed a separate node. Principal component analysis was performed with pairwise interindividual chord distances which revealed clustering of Murrah and Marathwada buffaloes distinctly, while individuals of Toda and South Kanara breeds completely intermingled with each other. Furthermore, there were highly significant group variances (p < 0.01) when the breeds were grouped based on phylogeny, thus revealing the existence of cryptic genetic structure within these buffalo breeds. To know the evolutionary relationship among these breeds, 537-bp D-loop region of mitochondrial DNA was analysed. The phylogenetic analysis of mtDNA haplotypes following NJ algorithm with Chinese swamp buffalo as outgroup revealed a major cluster that included haplotypes from all the four investigated breeds and two minor clusters formed by South Kanara and Toda haplotypes. Reduced median network analysis revealed haplotypes of South Kanara and Toda to be quite distinct from the commonly found haplotypes indicating that these might have been ancestral to all the present-day haplotypes. Few mutations in two of the haplotypes of South Kanara buffalo were found to have contributed to ancestral haplotypes of Toda buffalo suggesting the possible migration of buffaloes from Kanarese region towards Nilgiris along the Western Ghats. Considering the close social, economic and cultural association of Todas with their buffaloes, the present study supports the theory of migration of Toda tribe from Kanarese/Mysore region along with their buffaloes. © 2011 Blackwell Verlag GmbH.

Spirituality of South Asian Women: Implications for Adult Learning.

ERIC Educational Resources Information Center

Marshall, Jody L.

The implications of the spirituality of South Asian women for adult learning were examined through semistructured interviews of five South Asian women who resided in Canada. The women, who included students, working professionals, mothers, and single women, originated from Nepal, India, Pakistan, and Sri Lanka and were from Hindu, Moslem, and…

Integration of leprosy in general health system vis-à-vis leprosy endemicity, health situation and socioeconomic development: observations from Chhattisgarh & Kerala.

PubMed

Pandey, Aparna; Rathod, Harish

2010-06-01

This study looked at the integration of leprosy services in the GHS in context of health and socioeconomic situations using predefined indicators. It also looked at clients' perception of MDT services. The Indian states of Chhattisgarh and Kerala, which are at two extremes in leprosy endemicity, health situation and socioeconomic development, have been compared using predefined integration indicators related to the training of health workers, availability of MDT services, maintenance of MDT stock and involvement of Sub-centres in leprosy care. Data was collected by surveys of health facilities, sub-centres and communities in the two states, during 2006-2007. Information was collected by interviewing health personnel and clients, checking of records and on the spot observations using specifically designed formats. Results showed that integration is more inclusive in Chhattisgarh and has reached up to Sub-centre level. Both the community and health systems are sensitive and responsive to leprosy as it is perceived to be a major public health threat. But in Kerala, despite integration, it continues as a vertical programme with dependence on specialists and districts hospitals for diagnosis and treatment. MDT stock management is even poorer. Clients' perception towards MDT services are similar in both states.

Recent deformation in the Turan and South Kazakh platforms, western central Asia, and its relation to Arabia-Asia and India-Asia collisions

NASA Astrophysics Data System (ADS)

Thomas, Jean-Charles; Grasso, Jean-Robert; Bossu, RéMy; Martinod, Joseph; Nurtaev, Bakhthiar

1999-04-01

In this study, we investigate the recent and active tectonics of the Turan and South Kazakh platforms in western central Asia. This area, which has been considered stable during the Tertiary, was struck in its eastern part (Gazli and Kyzyl-Kum) by three earthquakes of magnitude Ms ˜7.0 between 1976 and 1984. From structural observations we show that in the Kyzyl-Kum, Cenozoic deformation on structures oriented NW-SE is dominated by dextral strike-slip motion on a flower structure involving reactivated Late Paleozoic faults. This deformation is compatible with the stress pattern induced by the Pamir/Tien Shan collision zone. At the scale of the Turan-South Kazakh platform, comparison of repeated leveling measurements gives mean uplift rates of 5 mm yr-1 for most of the area south of the 44° latitude including the Kyzyl-Kum. These observations indicate that the Turan-South Kazakh platform has been actively deforming since recent times (Pleistocene) in response to the collision of both India and Arabia with Asia. Earthquake data also reveal that propagation of deformation from the Kopet Dagh and the Pamir/Tien Shan collision zones into the Turan-South Kazakh platform is accommodated aseismically except in the Kyzyl-Kum. This might reflect differences in the deformation style and nature of the upper crust in the Kyzyl-Kum and north of the Kopet Dagh respectively. We propose that the Gazli earthquakes highlight the northwestward continuation, within the Turan-South Kazakh platform and along reactivated older structures, of the deformation related to the Pamir indentation and to a lesser degree to the Arabia-Asia convergence.

A brief and critical review on hydrofluorosis in diverse species of domestic animals in India.

PubMed

Choubisa, Shanti Lal

2018-02-01

India is one of the fluoride-endemic countries where the maximum numbers of ground or drinking water sources are naturally fluoridated. In India, a total of 23, out of 36 states and union territories have drinking water contaminated with fluoride in varying concentration. In the present scenario, especially in rural India, besides the surface waters (perennial ponds, dams, rivers, etc.), bore wells and hand pumps are the principal drinking water sources for domestic animals such as cattle (Bos taurus), water buffaloes (Bubalus bubalis), sheep (Ovis aries), goats (Capra hircus), horses (Equus caballus), donkeys (Equus asinus) and dromedary camels (Camelus dromedarius). Out of 23 states, 17 states, namely Andhra Pradesh, Assam, Bihar, Chhattisgarh, Gujarat, Haryana, Jharkhand, Karnataka, Kerala, Madhya Pradesh, Maharashtra, Odisha (Orissa), Punjab, Rajasthan, Telangana, Uttar Pradesh and West Bengal, have fluoride beyond the maximum permissible limit of 1.0 or 1.5 ppm in drinking water. This situation is a great concern for the animal health because fluoride is a slow toxicant and causes chronic diverse serious health hazards or toxic effects. Despite the fact that domestic animals are the basic income sources in rural areas and possess a significant contributory role not only in the agriculture sector but also in the strengthening of economy as well as in sustainable development of the country, research work on chronic fluoride intoxication (hydrofluorosis) due to drinking of fluoridated water in domestic animals rearing in various fluoride-endemic states is not enough as compared to work done in humans. However, some interesting and excellent research works conducted on different aspects of hydrofluorosis in domesticated animals rearing in different states are briefly and critically reviewed in the present communication. Author believes that this review paper not only will be more useful for researchers to do some more advance research work on fluoride

Sexual orientation and quality of life among university students from Cuba, Norway, India, and South Africa.

PubMed

Traeen, Bente; Martinussen, Monica; Vittersø, Joar; Saini, Sunil

2009-01-01

This article explores quality-of-life aspects among gay, lesbian, bisexual, and straight male and female students in Havana (Cuba), Tromsø (Norway), Hisar (India), and Cape Town (South Africa). In the period 2004-2005, a questionnaire survey on sexuality, happiness, and life satisfaction was undertaken among 339 students from the University of Havana, 144 students from the University of Tromsø, 200 students from Guru Jambheswar University, and 189 students from the University of the Western Cape. The majority of the participants were straight and, in Hisar and Cape Town, few of those who regarded themselves as gay/lesbian/bisexual had engaged in sex with a person of the same gender. In all cities, straight men and women scored higher than gay, lesbian, and bisexual persons on the quality-of-life measures. Quality of life among gay/bisexual men and lesbian/bisexual women was higher in cultures with accepting attitudes toward homosexuality than in cultures with restrictive attitudes.

HPLC profiling of antimicrobial and antioxidant phyco sugars isolated from the South West coast of India.

PubMed

Kailas, Abhilash Parameswaran; Nair, Sukumaran Muraleedharan

2016-10-20

Phyco sugars isolated from the South West coast of India are commercially and therapeutically interesting due to their various biological activities. These sugars were isolated from six (three red and three green) seaweed species using water at 100°C followed by precipitation using ethanol. The physical, chemical and biological characteristics were explored with specific highlights onto the specific rotation, HPLC-RI sugar speciation, antioxidant and antimicrobial activities. The biological properties were evaluated based on multiple methods and standards, such that the actual nature of the sugar is understood. G. corticata var. cylindrica (31.66%) had the highest sugar content. All the sugars had levo rotatory specific rotation and interesting chemical characteristics. Sugars isolated had competitive biological activities and had the presence of seven monosaccharides and one disaccharide. The results highlighted the socio-economic importance of seaweeds which could be developed as a potential source of bioactive compounds in the upcoming future. Copyright © 2016 Elsevier Ltd. All rights reserved.

Clinical features and histological patterns of lupus nephritis in a single center of South India.

PubMed

Devadass, Clement Wilfred; Mysorekar, Vijaya Viswanath; Eshwarappa, Mahesh; Mekala, Lakshminarayanan; Siddaiah, M Gireesh; Channabasappa, K Gurudev

2016-01-01

Renal involvement occurs in up to 60% of patients with systemic lupus erythematosus (SLE) and signifies a poor prognosis. The class of lupus nephritis (LN), determined on renal biopsy evaluation, guides the therapeutic management and has prognostic connotations. Our aim is to determine the clinicolaboratory features and histopathological patterns of LN at presentation in our local (South Indian) population. The study was conducted in a tertiary care hospital in South India between 2009 and 2014 on SLE patients with clinical evidence of LN. The renal biopsies were examined by light and immunofluorescence microscopy and were classified according to the International Society of Nephrology/Renal Pathology Society Classification of LN. A total of 46 patients were included, with age range of 12-60 years and a female to male ratio of 8.2:1. Arthritis, dermatological manifestations, and fever occurred, respectively, in 43.5%, 39.1%, and 30.4% of the cases. Class IV LN was present in 17 (37.1%), Class III LN in ten (21.7%), Class II LN in nine (19.5%), Class V LN in eight (17.4%), Class I LN in one (2.2%), and Class VI LN in one (2.2%) patients. Antinuclear antibody (ANA) and dsDNA positivity were present, respectively, in 82.6% and 65.2% of the patients. The most common pattern of LN was Class IV LN followed by Class III LN. Relatively higher proportions of ANA and anti-dsDNA positivity were present in proliferative LN, and there was a high frequency of arthritis at presentation in our LN patients.

Risk factors for maternal night blindness in rural South India

PubMed Central

Katz, Joanne; Tielsch, James M.; Thulasiraj, R. D.; Coles, Christian; Sheeladevi, S.; Yanik, Elizabeth L.; Rahmathullah, Lakshmi

2009-01-01

Purpose This study aimed to identify risk factors associated with maternal night blindness in rural South India. Methods At delivery, women enrolled in a population-based trial of newborn vitamin A supplementation were asked whether they were night blind at any time during the pregnancy. Multivariate logistic regression was used to identify socioeconomic, demographic, and pregnancy related factors associated with maternal night blindness. Results Women reported night blindness in 687 (5.2%) of 13,171 pregnancies. In a multivariate model, having a concrete roof (Odds Ratio (OR): 0.60, 95% Confidence Interval (CI): 0.47, 0.78), religion other than Hindu (OR: 0.46, 95% CI: 0.27, 0.76), maternal literacy (OR: 0.58, 95% CI: 0.49, 0.69), and maternal age from 25 to 29 years (OR: 0.68, 95%CI: 0.50, 0.93) were associated with a lower risk of night blindness in pregnancy. The odds of night blindness were higher for those leasing rather than owning land (OR: 1.78, 95%CI: 1.08, 2.93), parity 6 or more compared to 0 (OR: 2.11, 95% CI: 1.09, 4.08), and with twin pregnancies (OR: 3.23, 95% CI: 1.93, 5.41). Factors not associated with night blindness in the multivariate model were other markers of socioeconomic status such as electricity in the house, radio and television ownership, type of cooking fuel, and household transportation, and number of children under 5 years of age in the household. Conclusions Maternal night blindness was prevalent in this population. Being pregnant with twins and of higher parity put women at higher risk. Maternal literacy and higher socioeconomic status lowered the risk. PMID:19437315

Risk factors for maternal night blindness in rural South India.

PubMed

Katz, Joanne; Tielsch, James M; Thulasiraj, Ravilla D; Coles, Christian; Sheeladevi, Sheela; Yanik, Elizabeth L; Rahmathullah, Lakshmi

2009-01-01

This study aimed to identify risk factors associated with maternal night blindness in rural South India. At delivery, women enrolled in a population-based trial of newborn vitamin A supplementation were asked whether they were night blind at any time during the pregnancy. Multivariate logistic regression was used to identify socioeconomic, demographic, and pregnancy-related factors associated with maternal night blindness. Women reported night blindness in 687 (5.2%) of 13,171 pregnancies. In a multivariate model, having a concrete roof (Odds Ratio (OR): 0.60, 95% Confidence Interval (CI): 0.47, 0.78), religion other than Hindu (OR: 0.46, 95% CI: 0.27, 0.76), maternal literacy (OR: 0.58, 95% CI: 0.49, 0.69), and maternal age from 25 to 29 years (OR: 0.68, 95% CI: 0.50, 0.93) were associated with a lower risk of night blindness in pregnancy. The odds of night blindness were higher for those leasing rather than owning land (OR: 1.78, 95%CI: 1.08, 2.93), parity 6 or more compared to 0 (OR: 2.11, 95% CI: 1.09, 4.08), and with twin pregnancies (OR: 3.23, 95% CI: 1.93, 5.41). Factors not associated with night blindness in the multivariate model were other markers of socioeconomic status such as electricity in the house, radio and television ownership, type of cooking fuel and household transportation, and number of children under 5 years of age in the household. Maternal night blindness was prevalent in this population. Being pregnant with twins and of higher parity put women at higher risk. Maternal literacy and higher socioeconomic status lowered the risk.

Education and Inequality in India: A Classroom View. Routledge Contemporary South Asia Series

ERIC Educational Resources Information Center

Majumdar, Manabi; Mooij, Jos

2011-01-01

Universalization of primary education has been high on the policy agenda in India. This book looks at the reproduction of social inequalities within the educational system in India, and how this is contested in different ways. It examines whether the concept of "education for all" is just a mechanically conceived policy target to chasing…

Non Formal Education for Agricultural Workers & Fishermen. A Case Study.

ERIC Educational Resources Information Center

Pillai, K. Sivadasan

An attempt to integrate socioeconomic development with literacy through nonformal education programs in Kerala, India, involved illiterate and semi-literate adults (1050 men, 450 women) in two pilot literacy projects organized by the Sanghom (library organization), Mitraniketan, and state government. Two literacy primers were developed, using an…

Demand and supply factors affecting the rising overmedicalization of birth in India.

PubMed

Leone, Tiziana

2014-11-01

To understand the interaction between health systems and individual factors in determining the probability of a cesarean delivery in India. In a retrospective study, data from the 2007-2008 District Level Household and Facility Survey was used to determine the risk of cesarean delivery in six states (Punjab, Delhi, Maharashtra, Andhra Pradesh, Kerala, and Tamil Nadu). Multilevel modeling was used to account for district and community effects. After controlling for key risk factors, the analysis showed that cesareans were more likely at private than public institutions (P<0.001). In terms of demand, higher education levels rather than wealth seemed to increase the likelihood of a cesarean delivery. District-level effects were significant in almost all states (P<0.001), demonstrating the need to control for health system factors. Supply factors might contribute more to the rise in cesarean delivery than does demand. Further research is needed to understand whether the quest for increased institutional deliveries in a country with high maternal mortality might be compromised by pressures for overmedicalization. Copyright © 2014 International Federation of Gynecology and Obstetrics. Published by Elsevier Ireland Ltd. All rights reserved.

Awareness regarding risk factors, symptoms and treatment facilities for cancer in selected states of India.

PubMed

Raj, Sherin; Piang, Lam Khan; Nair, K S; Tiwari, V K; Kaur, H; Singh, Bacchu

2012-01-01

To study the level of awareness and knowledge about cancers and associated risk factors among households in selected states of India. In the study 3070 households were interviewed from six states viz, West Bengal, Kerala, Madhya Pradesh, Rajasthan and Mizoram. Knowledge of cancers other than those related to tobacco was very low (prostate 8%, colon 11% ) among the communities, with a poor awareness of warning signs and symptoms. The knowledge varied from state to state. It is found that the major source of information related to cancers was television (38%) followed by friends and relatives (36%). Only about 15 % of respondents had knowledge about cancer awareness camps organized in their districts but they did not have knowledge about the organizers of the camp. Findings suggested a strong need for strengthening of DCCP. It is important to create awareness among community through educational programs on cancer prevention, preventable cancer risk factors, benefits of early diagnosis, and availability of screening facilities. Integration of District Cancer Control activities with NRHM could be the most cost-effective strategy to prevent cancers and rural population.

Russia`s Great Game in a nuclear South Asia

DOE Office of Scientific and Technical Information (OSTI.GOV)

Pilat, J.F.; Taylor, T.T.

1998-12-31

Lost in the noise of Pakistan`s nuclear weapon tests in the western Baluchistan desert on 28 and 30 May was a surprising diplomatic move by Russia. On 23 May, Russia became the first state to express its willingness to recognize India as a nuclear-weapon state, provided that India commits itself to the international nonproliferation regime. Russia`s Ambassador to India, Albert Chernyshev, stated in the days after the Indian but before the Pakistani nuclear tests that ``India proclaimed itself a nuclear weapons power. One now hopes that India will behave as a nuclear weapons power by acting responsibly. Every nuclear weaponsmore » state has some rights. But for getting recognition it must have some obligations. Once it is ready to show these obligations by joining the nonproliferation regime, its recognition as a nuclear weapons power will follow.`` Russia`s Great Game in South Asia in pursuit of short-term economic and other interests appears to be a serious obstacle on the path to dealing effectively with the South Asian nuclear crisis. Grave damage to security, stability and nonproliferation has already resulted from India`s and Pakistan`s actions, but the situation does not have to spiral out of control. It is imperative that the international community respond appropriately to this challenge. The international community is at a crossroads and Russia`s actions will be critical. Will it be willing to go beyond the narrow economic and political calculations reflected in its diplomatic posturing, and take actions that will serve its long-term interests by bridging differences with other great powers in order to demonstrate to India that it has not chosen the right path. If Russia decides it can gain from India`s current, perilous path and blocks or otherwise frustrates appropriate responses, the nuclear danger on the subcontinent will escalate and the global regimes to promote nonproliferation and to ban testing will be seriously, perhaps fatally, weakened with

Delineation of ground water potential zones using GIS and remote sensing - A case study from midland region of Vamanapuram river basin, Kerala, India

NASA Astrophysics Data System (ADS)

Prasad, Geena; Vinod P., G.; John, Shaleena Elizabeth

2018-04-01

In a highly rugged terrain, shielded by hard crystalline rocks like that of Kerala, locating potential zones of groundwater is found to be an unenviable task. Remote sensing and Geographical information system technologies have been attempted widely to delineate the potential regions in such terrain. Geographical information system tool has been used for delineation of groundwater prospect zones in midland physiographic zone (30-200m) of Vamanapuram river basin. The terrain variables are generated using satellite imageries, SRTM DEM data of 30m resolution and SOI toposheets. The groundwater prospect zones were delineated through the integration of the reclassified raster map layers of geomorphology, slope percent, geology, land use / land cover and soil texture using the weighted overlay analysis in the GIS platform. The groundwater prospects in the study area were grouped into five classes and their distribution are; `very high/high' (8.79%), `moderate' (39.08%), and `very low / low' (52.01%). The study result of the area has been validated with water level data of dug wells and bore wells of the area. The spatial distribution map of the water level of the region is overlaid on groundwater prospect map and shows a positive correlation i.e., the water level at shallow depth in higher prospect zones and at deeper depth in poor to very poor zones. The Groundwater prospect map of midland region of Vamanapuram river basin can be used as base level information which can be further investigated with geophysical methods to locate potential well sites for the execution of water supply schemes.

Improving management of type 2 diabetes in South Asian patients: a systematic review of intervention studies

PubMed Central

Bhurji, N; Javer, J; Gasevic, D; Khan, N A

2016-01-01

Objectives Optimal control of type 2 diabetes is challenging in many patient populations including in South Asian patients. We systematically reviewed studies on the effect of diabetes management interventions targeted at South Asian patients with type 2 diabetes on glycaemic control. Design Systematic review of MEDLINE, EMBASE and CINAHL databases for randomised controlled trials (RCTs) and pre-post-test studies (January 1990 to February 2014). Studies were stratified by where interventions were conducted (South Asia vs Western countries). Participants Patients originating from Pakistan, Bangladesh or India with type 2 diabetes. Primary outcome Change in glycated haemoglobin (HbA1c). Secondary end points included change in blood pressure, lipid levels, anthropomorphics and knowledge. Results 23 studies (15 RCTs) met criteria for analysis with 7 from Western countries (n=2532) and 16 from South Asia (n=1081). Interventions in Western countries included translated diabetes education, additional clinical care, written materials, visual aids, and bilingual community-based peers and/or health professionals. Interventions conducted in South Asia included yoga, meditation or exercise, community-based peers, health professionals and dietary education (cooking exercises). Among RCTs in India (5 trials; n=390), 4 demonstrated significant reductions in HbA1c in the intervention group compared with usual care (yoga and exercise interventions). Among the 4 RCTs conducted in Europe (n=2161), only 1 study, an education intervention of 113 patients, reported a significant reduction in HbA1c with the intervention. Lipids, blood pressure and knowledge improved in both groups with studies from India more often reporting reductions in body mass index and waist circumference. Conclusions Overall, there was little improvement in HbA1c level in diabetes management interventions targeted at South Asians living in Europe compared with usual care, although other outcomes did improve. The

Reducing inequalities in health and access to health care in a rural Indian community: an India-Canada collaborative action research project.

PubMed

Haddad, Slim; Narayana, Delampady; Mohindra, Ks

2011-11-08

Inadequate public action in vulnerable communities is a major constraint for the health of poor and marginalized groups in low and middle-income countries (LMICs). The south Indian state of Kerala, known for relatively equitable provision of public resources, is no exception to the marginalization of vulnerable communities. In Kerala, women's lives are constrained by gender-based inequalities and certain indigenous groups are marginalized such that their health and welfare lag behind other social groups. The goal of this socially-engaged, action-research initiative was to reduce social inequalities in access to health care in a rural community. Specific objectives were: 1) design and implement a community-based health insurance scheme to reduce financial barriers to health care, 2) strengthen local governance in monitoring and evidence-based decision-making, and 3) develop an evidence base for appropriate health interventions. Health and social inequities have been masked by Kerala's overall progress. Key findings illustrated large inequalities between different social groups. Particularly disadvantaged are lower-caste women and Paniyas (a marginalized indigenous group), for whom inequalities exist across education, employment status, landholdings, and health. The most vulnerable populations are the least likely to receive state support, which has broader implications for the entire country. A community based health solidarity scheme (SNEHA), under the leadership of local women, was developed and implemented yielding some benefits to health equity in the community-although inclusion of the Paniyas has been a challenge. The Canadian-Indian action research team has worked collaboratively for over a decade. An initial focus on surveys and data analysis has transformed into a focus on socially engaged, participatory action research. Adapting to unanticipated external forces, maintaining a strong team in the rural village, retaining human resources capable of analyzing

Switching Logic for Converting Off-grid PV Customers to On-grid by Utilizing Off-grid Inverter and Battery

NASA Astrophysics Data System (ADS)

Anishkumar, A. R.; Sreejaya, P.

2016-12-01

Kerala is a state in India having a very good potential for solar PV energy production. The domestic customers in Kerala using PV system are approximately 15 % and almost all of them are using the off-grid PV system. When these off grid customers move to on-grid system, off grid system accessories such as inverter and batteries become redundant. In this paper, a switching logic has been developed for the effective utilization of off grid accessories and reducing islanding power loss for on grid customers. An algorithm is proposed for the switching logic and it is verified using simulation results and hardware implementation.

A Battle Lost? Report on Two Centuries of Invasion and Management of Lantana camara L. in Australia, India and South Africa

PubMed Central

Bhagwat, Shonil A.; Breman, Elinor; Thekaekara, Tarsh; Thornton, Thomas F.; Willis, Katherine J.

2012-01-01

Recent discussion on invasive species has invigorated the debate on strategies to manage these species. Lantana camara L., a shrub native to the American tropics, has become one of the worst weeds in recorded history. In Australia, India and South Africa, Lantana has become very widespread occupying millions of hectares of land. Here, we examine historical records to reconstruct invasion and management of Lantana over two centuries and ask: Can we fight the spread of invasive species or do we need to develop strategies for their adaptive management? We carried out extensive research of historical records constituting over 75% of records on invasion and management of this species in the three countries. The records indicate that governments in Australia, India and South Africa have taken aggressive measures to eradicate Lantana over the last two centuries, but these efforts have been largely unsuccessful. We found that despite control measures, the invasion trajectory of Lantana has continued upwards and that post-war land-use change might have been a possible trigger for this spread. A large majority of studies on invasive species address timescales of less than one year; and even fewer address timescales of >10 years. An understanding of species invasions over long time-scales is of paramount importance. While archival records may give only a partial picture of the spread and management of invasive species, in the absence of any other long-term dataset on the ecology of Lantana, our study provides an important insight into its invasion, spread and management over two centuries and across three continents. While the established paradigm is to expend available resources on attempting to eradicate invasive species, our findings suggest that in the future, conservationists will need to develop strategies for their adaptive management rather than fighting a losing battle. PMID:22403653

Chinese Infrastructure in South Asia: A Realist and Liberal Perspective

DTIC Science & Technology

2015-12-01

ADB Asia Development Bank AIIB Asian Infrastructure Investment Bank APEC Asia Pacific Economic Cooperation BCIM Bangladesh-China-India- Myanmar ...a challenge to India’s South Asian sphere of influence.6 Nevertheless, a recent proposal for a Bangladesh-China-India- Myanmar Economic Cooperation...Pakistan, Sri Lanka, Bangladesh, and Myanmar —the arrival of Chinese wealth and construction capacity means the elimination

Terrestrial Macrofungal Diversity from the Tropical Dry Evergreen Biome of Southern India and Its Potential Role in Aerobiology

PubMed Central

Priyamvada, Hema; Akila, M.; Singh, Raj Kamal; Ravikrishna, R.; Verma, R. S.; Philip, Ligy; Marathe, R. R.; Sahu, L. K.; Sudheer, K. P.; Gunthe, S. S.

2017-01-01

Macrofungi have long been investigated for various scientific purposes including their food and medicinal characteristics. Their role in aerobiology as a fraction of the primary biological aerosol particles (PBAPs), however, has been poorly studied. In this study, we present a source of macrofungi with two different but interdependent objectives: (i) to characterize the macrofungi from a tropical dry evergreen biome in southern India using advanced molecular techniques to enrich the database from this region, and (ii) to assess whether identified species of macrofungi are a potential source of atmospheric PBAPs. From the DNA analysis, we report the diversity of the terrestrial macrofungi from a tropical dry evergreen biome robustly supported by the statistical analyses for diversity conclusions. A total of 113 macrofungal species belonging to 54 genera and 23 families were recorded, with Basidiomycota and Ascomycota constituting 96% and 4% of the species, respectively. The highest species richness was found in the family Agaricaceae (25.3%) followed by Polyporaceae (15.3%) and Marasmiaceae (10.8%). The difference in the distribution of commonly observed macrofungal families over this location was compared with other locations in India (Karnataka, Kerala, Maharashtra, and West Bengal) using two statistical tests. The distributions of the terrestrial macrofungi were distinctly different in each ecosystem. We further attempted to demonstrate the potential role of terrestrial macrofungi as a source of PBAPs in ambient air. In our opinion, the findings from this ecosystem of India will enhance our understanding of the distribution, diversity, ecology, and biological prospects of terrestrial macrofungi as well as their potential to contribute to airborne fungal aerosols. PMID:28072853

Correlates of Intimate Partner Physical Violence Among Young Reproductive Age Women in Mysore, India

PubMed Central

Madhivanan, Purnima; Krupp, Karl; Reingold, Arthur

2013-01-01

Few studies have examined intimate partner physical violence (IPPV) in south India. This article examines the frequency and correlates of IPPV among 898 young married women from urban, rural, and periurban areas of Mysore, India. Most (69.2%) of the participants were Hindus and 28.7% were Muslims. Overall, 50% of participants reported some type of IPPV. Factors that were independently associated with IPPV included being younger than 18 years at the time of marriage, contributing some household income, having anal sex, reporting sexual violence, and having a sex partner who drinks alcohol and smokes cigarettes. Women with skilled occupation were at reduced odds of experiencing IPPV compared with women who did not work. These findings suggest that IPPV is highly prevalent in this setting and that additional interventions are needed to reduce morbidity particularly among young women. These data also suggest that more studies are needed among men who perpetrate IPPV in south India. PMID:22186382

Discovery of the first ichthyosaur from the Jurassic of India: Implications for Gondwanan palaeobiogeography

PubMed Central

Pandey, Dhirendra K.; Alberti, Matthias; Fürsich, Franz T.; Thakkar, Mahesh G.; Chauhan, Gaurav D.

2017-01-01

An articulated and partially preserved skeleton of an ichthyosaur was found in the Upper Jurassic (Upper Kimmeridgian) Katrol Formation exposed at a site south of the village Lodai in Kachchh district, Gujarat (western India). Here we present a detailed description and inferred taxonomic relationship of the specimen. The present study revealed that the articulated skeleton belongs to the family Ophthalmosauridae. The new discovery from India further improves the depauperate fossil record of ichthyosaurs from the former Gondwanan continents. Based on the preserved length of the axial skeleton and anterior part of the snout and taking into account the missing parts of the skull and postflexural region, it is suggested that the specimen may represent an adult possibly reaching a length of 5.0–5.5 m. The widespread occurrence of ophthalmosaurids in the Upper Jurassic deposits of western Tethys, Madagascar, South America and India points to possible faunal exchanges between the western Tethys and Gondwanan continents through a southern seaway. PMID:29069082

Mapping of coastal aquifer vulnerable zone in the south west coast of Kanyakumari, South India, using GIS-based DRASTIC model.

PubMed

Kaliraj, S; Chandrasekar, N; Peter, T Simon; Selvakumar, S; Magesh, N S

2015-01-01

The south west coast of Kanyakumari district in Tamil Nadu, India, is significantly affected by seawater intrusion and diffusion of pollutants into the aquifers due to unregulated beach placer mining and other anthropogenic activities. The present study investigates the vulnerability of the coastal aquifers using Geographic Information System (GIS)-based DRASTIC model. The seven DRASTIC parameters have been analyzed using the statistical equation of this model to demarcate the vulnerable zones for aquifer contamination. The vulnerability index map is prepared from the weighted spatial parameters, and an accounting of total index value ranged from 85 to 213. Based on the categorization of vulnerability classes, the high vulnerable zones are found near the beach placer mining areas between Manavalakurichi and Kodimanal coastal stretches. The aquifers associated with settlements and agricultural lands in the middle-eastern part have experienced high vulnerability due to contaminated water bodies. Similarly, the coastal areas of Thengapattinam and Manakudi estuary and around the South Tamaraikulam have also been falling under high vulnerability condition due to backwater and saltpan. In general, the nearshore region except the placer mining zone and the backwater has a moderately vulnerable condition, and the vulnerability index values range from 149 to180. Significantly, the northern and northeastern uplands and some parts of deposition zones in the middle-south coast have been identified as low to no vulnerable conditions. They are structurally controlled by various geological features such as charnockite, garnet biotite gneiss and granites, and sand dunes, respectively. The aquifer vulnerability assessment has been cross-verified by geochemical indicators such as total dissolved solids (TDS), Cl(-), HCO₃(-), and Cl(-)/HCO₃(-) ratio. The high ranges of TDS (1,842--3,736 mg/l) and Cl(-) (1,412--2,112 mg/l) values are well correlated with the observed high

Herpes simplex keratitis in South India: clinico-virological correlation.

PubMed

Pramod, N P; Rajendran, P; Kannan, K A; Thyagarajan, S P

1999-01-01

A retrospective cross-section study to analyze the prevalence of herpes simplex virus-induced keratitis (HSK) among 3,000 patients attending a corneal clinic in South India between 1995 and 1997, and to evaluate laboratory techniques for detecting HSK. The clinico-virological correlation was studied using herpes simplex virus (HSV) isolation on the Vero cell line, HSV-specific antigen detection by indirect immunofluorescence (IF) microscopy, and serum anti-HSV IgG quantitation, IgM estimation, and tear secretory IgA (sIgA) detection by ELISA. HSK had a prevalence of 7.8% (234 patients) in this study. A virological correlation could be obtained in 44.4% of the cases that had epithelial manifestations and in 14.8% of the cases that had only stromal disease. In 161 cases where both culture and IF microscopy were used, IF detected 27 cases (26.8%) more than cell culture. The difference in sensitivity between cell culture and IF was found to be statistically significant (McNemar's test, P < .05). An elevation in IgG titer was seen in 17 (30.4%) cases. IgM was detected in only 2 cases of the 62 (3.2%) analyzed. Of the 138 cases analyzed, sIgA was positive in 28 (20.3%) cases. A proved diagnosis could be made in 58% of cases when the specimen was collected during the first week after disease onset, and in only 5% when the time interval increased to 4 weeks. HSV antigen detection by indirect IF is a rapid and sensitive diagnostic tool for HSK. Tear secretory IgA (sIgA) is a specific marker for acute herpetic keratitis, and the detection of HSV-specific tear sIgA is a valuable adjunct to virus isolation and antigen detection in the laboratory diagnosis of HSK. For a successful diagnosis, the specimen should be collected as soon as possible after HSK onset.

Alcohol Consumption Patterns and Sexual Risk Behavior among Female Sex Workers in two South Indian Communities

PubMed Central

Heravian, Anisa; Solomon, Raja; Krishnan, Gopal; Vasudevan, CK; Krishnan, AK; Osmand, Thomas; Ekstrand, Maria L.

2012-01-01

Background HIV transmission in India is primarily heterosexual and there is a concentrated HIV epidemic among female sex workers (FSWs). Earlier reports demonstrate that many FSWs consume alcohol regularly before sexual encounters. This qualitative study is part of a larger quantitative study designed to assess alcohol consumption patterns among female sex workers and their association with sexual risk taking. Here we investigate the environmental influence, reasons for and consequences of consuming alcohol in the FSW population. Methods Trained staff from two Non-Governmental Organizations in Andhra Pradesh and Kerala conducted semi-structured interviews with 63 FSWs in Chirala, Andhra Pradesh (n=35) and Calicut, Kerala (n=28) following extensive formative research, including social mapping and key informant interviews, to assess drinking patterns and sexual risk behaviors. Results FSWs reported consuming alcohol in multiple contexts: sexual, social, mental health and self-medication. Alcohol consumption during sexual encounters with clients was usually forced, but some women drank voluntarily. Social drinking took place in public locations such as bars and in private locations including deserted buildings, roads and inside autorickshaws (motorcycle taxis). Consequences of alcohol consumption included failure to use condoms and to collect payments from clients, violence, legal problems, gastrointestinal side effects, economic loss and interference with family responsibilities. Conclusion FSWs consume alcohol in multilevel contexts. Alcohol consumption during transactional sex is often forced and can lead to failure to use condoms. Social drinkers consume alcohol with other trusted FSWs for entertainment and to help cope with psychosocial stressors. There are multiple reasons for and consequences of alcohol consumption in this population and future interventions should target each specific aspect of alcohol use. PMID:22608567

Alcohol consumption patterns and sexual risk behavior among female sex workers in two South Indian communities.

PubMed

Heravian, Anisa; Solomon, Raja; Krishnan, Gopal; Vasudevan, C K; Krishnan, A K; Osmand, Thomas; Ekstrand, Maria L

2012-11-01

HIV transmission in India is primarily heterosexual and there is a concentrated HIV epidemic among female sex workers (FSWs). Earlier reports demonstrate that many FSWs consume alcohol regularly before sexual encounters. This qualitative study is part of a larger quantitative study designed to assess alcohol consumption patterns among female sex workers and their association with sexual risk taking. Here we investigate the environmental influence, reasons for and consequences of consuming alcohol in the FSW population. Trained staff from two Non-Governmental Organizations in Andhra Pradesh and Kerala conducted semi-structured interviews with 63 FSWs in Chirala, Andhra Pradesh (n = 35) and Calicut, Kerala (n = 28) following extensive formative research, including social mapping and key informant interviews, to assess drinking patterns and sexual risk behaviors. FSWs reported consuming alcohol in multiple contexts: sexual, social, mental health and self-medication. Alcohol consumption during sexual encounters with clients was usually forced, but some women drank voluntarily. Social drinking took place in public locations such as bars and in private locations including deserted buildings, roads and inside autorickshaws (motorcycle taxis). Consequences of alcohol consumption included failure to use condoms and to collect payments from clients, violence, legal problems, gastrointestinal side effects, economic loss and interference with family responsibilities. FSWs consume alcohol in multilevel contexts. Alcohol consumption during transactional sex is often forced and can lead to failure to use condoms. Social drinkers consume alcohol with other trusted FSWs for entertainment and to help cope with psychosocial stressors. There are multiple reasons for and consequences of alcohol consumption in this population and future interventions should target each specific aspect of alcohol use. Copyright © 2012 Elsevier B.V. All rights reserved.

Recent crustal movements and seismicity in the western coastal region of peninsular India

NASA Astrophysics Data System (ADS)

Kailasam, L. N.

1983-09-01

Recent crustal movements, tectonics and seismicity of the western coastal region of peninsular India have been studied in detail in the very recent past. Prominent geomorphic features and large-scale manifestation of Holocene deformation and crustal movements have been noticed and studied over this coastal region from the Gulf of Cambay to the southernmost parts of Kerala, evidence for which is afforded in the form of Recent and sub-Recent raised beaches, sandbars, raised old terraces, pebble beds, etc. The sedimentary formations in this narrow coastal belt include Neogene and Quaternary sediments. The Bouguer gravity map of the western coastal tract shows some prominent gravity features extending into the offshore regions, suggestive of some significant tectonic and structural features. The seismic data in the offshore regions bring out some prominent roughly northwest-southeast as well as east-west faults and shears, in addition to prominent structural "highs" off the Bombay and Ratnagiri coast which have proved oil. The seismicity in this coastal tract as well as the faulted western margin of the western continental shelf in the Arabian Sea is generally of magnitude 3-6.

Holocene aridification of India

USGS Publications Warehouse

Ponton, C.; Giosan, L.; Eglinton, T.I.; Fuller, D.Q.; Johnson, J.E.; Kumar, P.; Collett, T.S.

2012-01-01

Spanning a latitudinal range typical for deserts, the Indian peninsula is fertile instead and sustains over a billion people through monsoonal rains. Despite the strong link between climate and society, our knowledge of the long-term monsoon variability is incomplete over the Indian subcontinent. Here we reconstruct the Holocene paleoclimate in the core monsoon zone (CMZ) of the Indian peninsula using a sediment core recovered offshore from the mouth of Godavari River. Carbon isotopes of sedimentary leaf waxes provide an integrated and regionally extensive record of the flora in the CMZ and document a gradual increase in aridity-adapted vegetation from ???4,000 until 1,700 years ago followed by the persistence of aridity-adapted plants after that. The oxygen isotopic composition of planktonic foraminifer Globigerinoides ruber detects unprecedented high salinity events in the Bay of Bengal over the last 3,000 years, and especially after 1,700 years ago, which suggest that the CMZ aridification intensified in the late Holocene through a series of sub-millennial dry episodes. Cultural changes occurred across the Indian subcontinent as the climate became more arid after ???4,000 years. Sedentary agriculture took hold in the drying central and south India, while the urban Harappan civilization collapsed in the already arid Indus basin. The establishment of a more variable hydroclimate over the last ca. 1,700 years may have led to the rapid proliferation of water-conservation technology in south India. Copyright 2012 by the American Geophysical Union.

Anorectal melanoma: experience from a tertiary cancer care centre in South India.

PubMed

Ranjith, S; Muralee, M; Sajeed, A; Arun, P M; Cherian, K; Nair, C K; Augustine, P; Ahamed, I

2018-03-01

Introduction Mucosal malignant melanoma of the anorectum is a rare and aggressive disease, in which early diagnosis is difficult. The prognosis remains extremely poor, irrespective of the treatment. We share our experience in treating this malignancy at our centre in South India. Methods This study describes a retrospective analysis of 31 cases of anorectal melanoma presented to our centre between January 2001 and December 2013. Results Twenty-two patients (71%) presented with metastasis and had a median overall survival of nine months. None of the 22 patients survived for two years. Nine patients (29%) had curative surgery, in the form of abdominoperineal resection (six patients), abdominoperineal resection with bilateral inguinal node dissection (one patient), abdominoperineal resection with liver resection (one patient) and posterior exenteration (one patient). In patients who underwent curative surgery, the median overall survival was 15 months and disease-free survival was nine months, with a two-year overall survival of 22%. Conclusions Anorectal melanoma is an aggressive disease with a poor prognosis. The majority of patients present with distant metastases. Prognosis depends on stage at presentation. Early diagnosis and surgical resection may improve the overall outcome. Newer modalities such as immunotherapy and targeted therapies such as anti-CTLA4 monoclonal antibody and anti-programmed cell death protein 1 monoclonal antibodies have radically changed the management of mucosal melanoma and may, in the future, improve the overall prognosis of anorectal melanoma.

Literacy Acquisition in Indian Students: A Descriptive Study of Reading Achievement in One English Medium School

ERIC Educational Resources Information Center

Paige, David D.; Spagnoli, Victoria; Wood, Holly

2013-01-01

This study investigates the literacy skills of 193 students across grades three, five, seven, and nine in one private English medium school in Kerala, India. Students were assessed on their ability to read phonologically regular and irregular words, fluency with grade-level text, vocabulary knowledge, and comprehension skill. Results showed that…

STS-56 Earth observation of Karakorum Range of north India

NASA Image and Video Library

1993-04-17

STS-56 Earth observation shows of some of the highest mountain peaks in the world taken from Discovery, Orbiter Vehicle (OV) 103, as it passed over India and China. The top of the view shows one of the snow and ice-covered massifs in the great Karakorum Range of north India. A star-shaped peak at top left reaches 23,850 feet. Glaciers can be seen in valleys at these high elevations. The international border between India to the south (top) and China (bottom) snakes left to right along a river near the top of the scene, then veers into the muntains at top left. Larger valleys, despite their elevation (all in excess of 14,000 feet), are occupied by transport routes joining points in India, China and the southern republics of the CIS. The ancient Silk Route between China and the Middle East lies not far to the north (outside the bottom of the frame).

A crowdsourced valuation of recreational ecosystem services using social media data: An application to a tropical wetland in India.

PubMed

Sinclair, Michael; Ghermandi, Andrea; Sheela, Albert M

2018-06-12

Online social media represent an extensive, opportunistic source of behavioral data and revealed preferences for ecosystem services (ES) analysis. Such data may allow to advance the approach, scale and timespan to which ES are assessed, mapping and valued. This is especially relevant in the context of developing regions whose decision support tools are often limited by a lack of resources and funding. This research presents an economic valuation tool for recreational ES, suitable at wide spatial scales, relying on crowdsourced metadata from social media with a proof of concept tested on an Indian tropical Ramsar wetland. We demonstrate how geotagged photographs from Flickr can be used in the context of a developing country to (i) map nature-based recreation patterns, (ii) value recreational ecosystem services, and (iii) investigate how recreational benefits are affected by changes in ecosystem quality. The case-study application is the Vembanad Lake in Kerala, India, and the adjacent backwaters. Geographic Information Systems are implemented to extract 4328 Flickr photographs that are used to map hot spots of recreation and infer the home location of wetland visitors from within Kerala state with good accuracy. An individual, single-site travel cost demand function is generated and estimated using both Poisson and Negative Binomial regressions, which results in mean consumer surplus estimates between Rs. 2227-3953 ($34-$62) per visit and annual domestic recreation benefits of Rs. 7.53-13.37 billion ($115.5-$205 million) in the investigated wetlands. Improvement in water quality to a level that supports wildlife and fisheries is projected to result in a Rs. 260 million ($4 million) annual increase in recreational benefits, while restoring previously encroached lake area would result in almost Rs. 50 million ($760,000) in yearly value increase. Copyright © 2018. Published by Elsevier B.V.

Corneal ulceration in south-east Asia III: prevention of fungal keratitis at the village level in south India using topical antibiotics.

PubMed

Srinivasan, M; Upadhyay, M P; Priyadarsini, B; Mahalakshmi, R; Whitcher, J P

2006-12-01

To determine whether topical antifungal prophylaxis distributed by paid village health workers (VHWs) in south India is necessary after corneal abrasion to prevent fungal keratitis in a population where half of the ulcers are fungal. Two panchayaths (village administrative units in Madurai district with a combined population of 48 039 were followed prospectively for 18 months by 15 VHWs who were trained to identify post-traumatic corneal abrasions. Patients fulfilling the eligibility criteria were randomised into two groups and treated with either 1% chloramphenicol and 1% clotrimazole ointment or 1% chloramphenicol and a placebo ointment three times a day for 3 days. Patients, doctors and VHWs were blinded to treatment. During the 18-month period, 1365 people reported to VHWs with ocular injuries, of whom 374 with corneal abrasions were eligible for treatment. Of these, 368 (98.5%) abrasions healed without complications. Two patients had mild localised allergic reactions to the ointment, two dropped out and two patients in the placebo group developed microscopic culture-negative corneal stromal infiltrates that healed in 1 week with natamycin drops. Both fungal and bacterial ulcers that occur after traumatic corneal abrasions seem to be effectively prevented in a village setting using only antibiotic prophylaxis.

Emergence of biopharmaceutical innovators in China, India, Brazil, and South Africa as global competitors and collaborators

PubMed Central

2012-01-01

Biopharmaceutical innovation has had a profound health and economic impact globally. Developed countries have traditionally been the source of most innovations as well as the destination for the resulting economic and health benefits. As a result, most prior research on this sector has focused on developed countries. This paper seeks to fill the gap in research on emerging markets by analyzing factors that influence innovative activity in the indigenous biopharmaceutical sectors of China, India, Brazil, and South Africa. Using qualitative research methodologies, this paper a) shows how biopharmaceutical innovation is taking place within the entrepreneurial sectors of these emerging markets, b) identifies common challenges that indigenous entrepreneurs face, c) highlights the key role played by the state, and d) reveals that the transition to innovation by companies in the emerging markets is characterized by increased global integration. It suggests that biopharmaceutical innovators in emerging markets are capitalizing on opportunities to participate in the drug development value chain and thus developing capabilities and relationships for competing globally both with and against established companies headquartered in developed countries. PMID:22672351

Emergence of biopharmaceutical innovators in China, India, Brazil, and South Africa as global competitors and collaborators.

PubMed

Rezaie, Rahim; McGahan, Anita M; Frew, Sarah E; Daar, Abdallah S; Singer, Peter A

2012-06-06

Biopharmaceutical innovation has had a profound health and economic impact globally. Developed countries have traditionally been the source of most innovations as well as the destination for the resulting economic and health benefits. As a result, most prior research on this sector has focused on developed countries. This paper seeks to fill the gap in research on emerging markets by analyzing factors that influence innovative activity in the indigenous biopharmaceutical sectors of China, India, Brazil, and South Africa. Using qualitative research methodologies, this paper a) shows how biopharmaceutical innovation is taking place within the entrepreneurial sectors of these emerging markets, b) identifies common challenges that indigenous entrepreneurs face, c) highlights the key role played by the state, and d) reveals that the transition to innovation by companies in the emerging markets is characterized by increased global integration. It suggests that biopharmaceutical innovators in emerging markets are capitalizing on opportunities to participate in the drug development value chain and thus developing capabilities and relationships for competing globally both with and against established companies headquartered in developed countries.

Feasibility of achieving the 2025 WHO global tuberculosis targets in South Africa, China, and India: a combined analysis of 11 mathematical models.

PubMed

Houben, Rein M G J; Menzies, Nicolas A; Sumner, Tom; Huynh, Grace H; Arinaminpathy, Nimalan; Goldhaber-Fiebert, Jeremy D; Lin, Hsien-Ho; Wu, Chieh-Yin; Mandal, Sandip; Pandey, Surabhi; Suen, Sze-Chuan; Bendavid, Eran; Azman, Andrew S; Dowdy, David W; Bacaër, Nicolas; Rhines, Allison S; Feldman, Marcus W; Handel, Andreas; Whalen, Christopher C; Chang, Stewart T; Wagner, Bradley G; Eckhoff, Philip A; Trauer, James M; Denholm, Justin T; McBryde, Emma S; Cohen, Ted; Salomon, Joshua A; Pretorius, Carel; Lalli, Marek; Eaton, Jeffrey W; Boccia, Delia; Hosseini, Mehran; Gomez, Gabriela B; Sahu, Suvanand; Daniels, Colleen; Ditiu, Lucica; Chin, Daniel P; Wang, Lixia; Chadha, Vineet K; Rade, Kiran; Dewan, Puneet; Hippner, Piotr; Charalambous, Salome; Grant, Alison D; Churchyard, Gavin; Pillay, Yogan; Mametja, L David; Kimerling, Michael E; Vassall, Anna; White, Richard G

2016-11-01

The post-2015 End TB Strategy proposes targets of 50% reduction in tuberculosis incidence and 75% reduction in mortality from tuberculosis by 2025. We aimed to assess whether these targets are feasible in three high-burden countries with contrasting epidemiology and previous programmatic achievements. 11 independently developed mathematical models of tuberculosis transmission projected the epidemiological impact of currently available tuberculosis interventions for prevention, diagnosis, and treatment in China, India, and South Africa. Models were calibrated with data on tuberculosis incidence and mortality in 2012. Representatives from national tuberculosis programmes and the advocacy community provided distinct country-specific intervention scenarios, which included screening for symptoms, active case finding, and preventive therapy. Aggressive scale-up of any single intervention scenario could not achieve the post-2015 End TB Strategy targets in any country. However, the models projected that, in the South Africa national tuberculosis programme scenario, a combination of continuous isoniazid preventive therapy for individuals on antiretroviral therapy, expanded facility-based screening for symptoms of tuberculosis at health centres, and improved tuberculosis care could achieve a 55% reduction in incidence (range 31-62%) and a 72% reduction in mortality (range 64-82%) compared with 2015 levels. For India, and particularly for China, full scale-up of all interventions in tuberculosis-programme performance fell short of the 2025 targets, despite preventing a cumulative 3·4 million cases. The advocacy scenarios illustrated the high impact of detecting and treating latent tuberculosis. Major reductions in tuberculosis burden seem possible with current interventions. However, additional interventions, adapted to country-specific tuberculosis epidemiology and health systems, are needed to reach the post-2015 End TB Strategy targets at country level. Bill and Melinda

"Women's autonomy and pregnancy care in rural India: a contextual analysis".

PubMed

Mistry, Ritesh; Galal, Osman; Lu, Michael

2009-09-01

Studies in low-income countries have shown that women's autonomy (i.e. the freedom of women to exercise their judgment in order to act for their own interests) influences a number of reproductive and child health outcomes, including the use of pregnancy care services. However, studies have not examined the full spectrum of pregnancy care services needed for safe motherhood and have not accounted for community context. This study analyzed data on women and their villages from the cross-sectional population-based National Family Health Survey-2 (1998-1999) of rural India to investigate whether women's autonomy (measured in the 3 dimensions of decision-making autonomy, permission to go out, and financial autonomy) was associated with the use of adequate prenatal, delivery and postnatal care. The findings indicate women's autonomy was associated with greater use of pregnancy care services, particularly prenatal and postnatal care. The effect of women's autonomy on pregnancy care use varied according to the region of India examined (North, East and South) such that it was most consistently associated with pregnancy care use in south India, which also had the highest level of self-reported women's autonomy. The results regarding village level factors suggest that public investment in rural economic development, primary health care access, social cohesion and basic infrastructure such as electrification and paved roads were associated with pregnancy care use. Improvements in women's autonomy and these village factors may improve healthier child bearing in rural India.

Autism Spectrum disorders (ASD) in South Asia: a systematic review.

PubMed

Hossain, Mohammad Didar; Ahmed, Helal Uddin; Jalal Uddin, M M; Chowdhury, Waziul Alam; Iqbal, Mohd S; Kabir, Razin Iqbal; Chowdhury, Imran Ahmed; Aftab, Afzal; Datta, Pran Gopal; Rabbani, Golam; Hossain, Saima Wazed; Sarker, Malabika

2017-08-01

Autism spectrum disorders (ASD) are a group of complex neurodevelopmental disorders. The prevalence of ASD in many South Asian countries is still unknown. The aim of this study was to systematically review available epidemiological studies of ASD in this region to identify gaps in our current knowledge. We searched, collected and evaluated articles published between January 1962 and July 2016 which reported the prevalence of ASD in eight South Asian countries. The search was conducted in line with the PRISMA guidelines. We identified six articles from Bangladesh, India, and Sri Lanka which met our predefined inclusion criteria. The reported prevalence of ASD in South Asia ranged from 0.09% in India to 1.07% in Sri Lanka that indicates up to one in 93 children have ASD in this region. Alarmingly high prevalence (3%) was reported in Dhaka city. Study sample sizes ranged from 374 in Sri Lanka to 18,480 in India. The age range varied between 1 and 30 years. No studies were found which reported the prevalence of ASD in Pakistan, Nepal, Bhutan, Maldives and Afghanistan. This review identifies methodological differences in case definition, screening instruments and diagnostic criteria among reported three countries which make it very difficult to compare the studies. Our study is an attempt at understanding the scale of the problem and scarcity of information regarding ASD in the South Asia. This study will contribute to the evidence base needed to design further research and make policy decisions on addressing this issue in this region. Knowing the prevalence of ASD in South Asia is vital to ensure the effective allocation of resources and services.

Prevalence of food allergies in South Asia.

PubMed

Arakali, Schweta R; Green, Todd D; Dinakar, Chitra

2017-01-01

To evaluate the published medical literature on the prevalence and types of food allergies in South Asia. A PubMed search was performed using the keywords India and food allergy, Asia and food allergy, and South Asia and food allergy for any period. Articles cited in selected studies were reviewed for their appropriateness of inclusion into this review. Publications were included that were original research and fit the topic of food allergy and South Asia. South Asia is defined as region inclusive of India, Pakistan, Bangladesh, and Sri Lanka. A total of 169 articles were initially identified, and 47 were reviewed in detail for inclusion in this review. The primary focus was placed on 10 studies that consisted of case reports of newly reported or documented food allergy, survey studies that investigated food allergy prevalence in specific demographics, and prospective and cross-sectional studies with case controls, all of which investigated food allergy prevalence by allergy testing in a selected population. The medical literature on the prevalence and types of food allergy in South Asia indicates that there is a variety of unusual and unique allergens and an overall low incidence of food allergy. There is also an association of increased food allergy prevalence in individuals who live in metropolitan regions or who migrate to communities that have adopted westernization. Copyright © 2016 American College of Allergy, Asthma & Immunology. Published by Elsevier Inc. All rights reserved.

The Development of Modern Astronomy and Emergence of Astrophysics in India

NASA Astrophysics Data System (ADS)

Kochhar, Rajesh; Orchiston, Wayne

Modern astronomy came to India in tow with the Europeans and was institutionalized by the English East India Company as a geographical and navigational aid. Madras Observatory, set up in 1787, became the first modern astronomical facility outside the Western World. However, once observatories were opened in South Africa and Australia, the British lost interest in Madras. British India's astronomical fortunes revived with the advent of physical astronomy. Of the various initiatives following the 1874 transit of Venus, the one that has stood the test of time was the Kodaikanal Observatory, which is now a field station of the Indian Institute of Astrophysics. Other astronomical facilities created in British India turned out to be short-lived, and either they closed down or became meteorological/magnetic observatories. It is only since Independence, in 1947, that India has supported astronomy and space sciences for pleasure and prestige. This chapter is a revised version of Kochhar (Vistas in Astronomy, 34, 69-105, 1991c), and it also builds, in places, on Kochhar (Historical perspective, Astronomy in India: Past, Present and Future, IUCAA, Pune, 1993) and other earlier works.

Differential female mortality and health care in South Asia.

PubMed

Harriss, B

1989-04-01

This report examines differential female mortality in South Asia--India, Sri Lanka, Bangladesh, and Pakistan. Under conditions of mortality decline and an aggregate trend toward convergence of life expectancy, disequilibria which are comparatively unusual, persist. The converging life expectancies are a product of changes unique to each sex. Female mortality gains after the reproductive period conceal excess female mortality from the post-neonatal period to 5 years and in most regions of South Asia during the reproductive years as well. These imbalances appear to be most exaggerated on the upper Gangetic plain and among communities such as the Jats and Rajputs. The most marked imbalances do not bear a consistent relationship to economic conditions. They may, however, be declining over time. In certain regions of India, most notably in the peripheral south, discrimination against women is not seen in demographic data and has not been for several decades. Male life expectancy is being affected by only slow improvement in male mortality from age 35. Major social changes are accompanying these changes in gender differences in vital statistics, including changes in the technology of agricultural production, falling female participation rates, the education of girls, the increasing practice of dowry, and fertility decision making changes. It is not clear whether child mortality or maternal mortality is the key to the political economy of Indian demography, whether maldistribution of food or health care is the prime determinant of excess female child mortality, whether excess female mortality is the result of being neglect or conscious selection, whether regional contrasts result from differences in the religious roles of sons between north and south India, whether the female sex is culturally inferior and the male sex superior, whether food scarcity is more important than food availability in the determination of sex bias, whether poverty results in greater