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1.
J Xray Sci Technol ; 2024 May 27.
Artículo en Inglés | MEDLINE | ID: mdl-38820059

RESUMEN

BACKGROUND: An efficient deep convolutional neural network (DeepCNN) is proposed in this article for the classification of Covid-19 disease. OBJECTIVE: A novel structure known as the Pointwise-Temporal-pointwise convolution unit is developed incorporated with the varying kernel-based depth wise temporal convolution before and after the pointwise convolution operations. METHODS: The outcome is optimized by the Slap Swarm algorithm (SSA). The proposed Deep CNN is composed of depth wise temporal convolution and end-to-end automatic detection of disease. First, the datasets SARS-COV-2 Ct-Scan Dataset and CT scan COVID Prediction dataset are preprocessed using the min-max approach and the features are extracted for further processing. RESULTS: The experimental analysis is conducted between the proposed and some state-of-art works and stated that the proposed work effectively classifies the disease than the other approaches. CONCLUSION: The proposed structural unit is used to design the deep CNN with the increasing kernel sizes. The classification process is improved by the inclusion of depth wise temporal convolutions along with the kernel variation. The computational complexity is reduced by the introduction of stride convolutions are used in the residual linkage among the adjacent structural units.

2.
Sci Rep ; 13(1): 13207, 2023 08 14.
Artículo en Inglés | MEDLINE | ID: mdl-37580373

RESUMEN

Quantifiable decline in the maternal body temperature during the pre-calving offers the possibilities for predicting the calving that can improve the calving management. As infrared thermography (IRT) is a simple non-contact tool for precise measurement of surface temperature, we investigated the use of IRT to establish thermal signatures around calving in the Murrah buffalo. The IRT of eye, right lateral, left lateral and rear side of udder skin surface temperature (USST) were recorded at 6 h interval from 96 h before the expected date of calving, at the time of calving and 24 h post-calving in Murrah buffaloes (n = 28). In parallel, blood samples were collected for progesterone (P4) assay. The results revealed that the IRT of the eye, right and left lateral and rear side of USST showed a significant decrease in the temperature from 48 h pre-calving till the onset of calving with a ΔT (°C) of 0.56, 0.91, 0.70, and 0.90, respectively. Mean USST significantly declined from 48 h pre-calving with a ΔT of 0.85 °C. The residual temperature of both eye and various ROI of the udder also followed a similar and significant declining trend from 48 to 0 h of calving indicating that circadian influence on the USST was minimum. Plasma P4 concentration significantly decreased from 72 h pre-calving till calving. It is concluded that a marked reduction in the IRT of the USST at 6-12 h pre-calving would be useful in predicting the onset of calving in the Murrah buffalo.


Asunto(s)
Bison , Búfalos , Animales , Temperatura , Glándulas Mamarias Animales/diagnóstico por imagen , Temperatura Cutánea , Termografía/métodos
3.
J Dairy Sci ; 106(12): 8847-8860, 2023 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-37641313

RESUMEN

Indian dairy enterprise is dominated by smallholder dairy farms that contribute 72% of the country's total milk production. These smallholder dairy farms are often considered to emit substantial greenhouse gases (GHG) but are poor in productive performances. Therefore, it is crucial to estimate the carbon footprint (CF) of milk production of the smallholder Indian dairy farms. The primary objectives of the study were (1) Assessing the CF of milk production of smallholder dairy farms through life cycle analysis in south-interior Karnataka, India; (2) Identifying the hotspots of GHG emissions and significant factors influencing the CF of milk production in smallholder dairy production system. The study accounted GHG emissions from different sources and considered multiple functions of the smallholder production system. Estimations were made based on primary data collected from 47 farms and associated secondary data. For estimating the CF of milk production, the emissions of carbon dioxide (CO2), methane (CH4), and nitrous oxide (N2O) on a CO2-equivalent (CO2-eq) basis from feed production, enteric fermentation, manure management, transport and energy usage were allocated to fat- and protein-corrected milk (FPCM) based on mass balance, price (crop byproducts and residues) and feed digestibility. Principal component analysis and stepwise linear regression analysis were performed to identify the major factors influencing the CF. The average total GHG emissions (kg CO2-eq yr-1 farm-1) attributable to milk production based on mass, economic, and digestibility allocations were 8,936, 8,641, and 8,759, respectively. The contributions of CH4, N2O, and CO2 to the total farm GHG emission were 70.6%, 20.5%, and 7.69%, respectively. The major emission hotspots were CH4 emission from enteric fermentation (66.8%) and GHG emission from feed production (23.0%). The average CF of cradle-to-dairy cooperative milk production varied from 1.45 to 1.81 kg CO2-eq kg FPCM-1. The CF of milk production was more than 2-fold greater, when milk yield was below 3,500 kg lactating cow-1 yr-1. The FPCM yield 100 kg body weight-1, dry matter intake, and CH4 emission from manure management were the strongest determinants of the CF and explained 83.4% of the observed variation. The study emphasized the importance of considering multiple functions of a mixed crop-livestock-based dairy production system for estimating CF per unit of product. The results suggest that maintaining high-yielding dairy animals and adopting appropriate feeding strategies for better feed utilization are the possible effective interventions for reducing the CF of milk production.


Asunto(s)
Huella de Carbono , Gases de Efecto Invernadero , Bovinos , Femenino , Animales , Leche/química , Granjas , Lactancia , Dióxido de Carbono/análisis , Estiércol , Industria Lechera/métodos , India , Gases de Efecto Invernadero/análisis , Metano/análisis , Efecto Invernadero
4.
J Food Sci Technol ; 56(4): 2320-2325, 2019 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-30996466

RESUMEN

The present study was undertaken to develop a protocol for acquisition and analysis of images of ghee samples to derive mathematical parameters related to adulteration of cow ghee with vegetable fat and to develop a model to predict the adulteration levels. The images acquired using a flatbed scanner were quantified in terms of their pixel intensity, colour, morphological, textural and skeleton parameters using ImageJ software. The selected parameters were measured for images of pure cow ghee and compared with that obtained for ghee adulterated with 5%, 10%, 15% and 20% vegetable fat. The parameters were assessed for their ability to detect the fixed adulteration levels on a discrete scale was assessed using discriminant analysis and the adulteration levels of the samples were correctly classified to the extent of 92.2%. An equation for predicting adulteration levels on a continuous scale using regression analysis (adjusted R 2 value 0.94) was developed, tested and further validated using a fresh data set including a commercially popular market sample of ghee giving a good fit (R 2 value of 0.85).

5.
J Therm Biol ; 78: 10-21, 2018 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-30509624

RESUMEN

Detection of lameness early in cows is important from the animal welfare point of view and for reducing economic losses. Currently, many studies are being conducted for assessment of hoof health status by measuring the surface temperature of skin in cattle and other animal species in different parts of the world. Infrared Thermography (IRT) is able to detect lesions of hooves associated with lameness by measuring the changes in coronary band and hoof skin surface temperature. The surface temperature of a lame limb will be increased when the hoof has lesion(s). IRT has been used as a non-invasive diagnostic tool for early detection of hoof lesions based on the temperature difference between affected and non-affected hoof and maximum foot temperature on the regions of interest. In spite of having many potential applications in cattle production, factors affecting the temperature readings in thermograms must also are considered while taking images. Standard operating procedures must be established before taking thermographs under different circumstances, by considering all the factors that affect its normal function. IRT may help in minimising the cost of veterinary services, low yield, compromised fertility and culling expenses, where lameness cannot be resolved in early stages.


Asunto(s)
Enfermedades de los Bovinos/diagnóstico , Pezuñas y Garras/fisiología , Cojera Animal/diagnóstico , Termografía/veterinaria , Animales , Temperatura Corporal , Bovinos , Pezuñas y Garras/fisiopatología , Rayos Infrarrojos , Termografía/métodos
6.
Vet World ; 10(5): 485-492, 2017 May.
Artículo en Inglés | MEDLINE | ID: mdl-28620250

RESUMEN

AIM: Evaluation of the effect of clinical mastitis (CM) and its treatment outcome on the reproductive performance in crossbred cows retrospectively. MATERIALS AND METHODS: Datasets of 835 lactating cows affected with CM during a period of 12 years (2001-2012) were considered for this study. Mastitis treatment related data and reproductive parameters such as days to first detected heat (DTFDH), days to first insemination (DTFI), days open (DO), and number of services per conception (SC) were collected from mastitis treatment and artificial insemination registers, respectively. Data were analyzed by ANOVA using SPSS 20 software. The means were compared with the Duncan's multiple comparison post-hoc test. RESULTS: CM affected cows had significantly (p<0.05) higher DTFDH, DTFI, DO and SC compared to clinically healthy cows. Cows diagnosed with a single episode of CM had significantly (p<0.05) delayed DTFDH while, DO and SC were significantly higher (p<0.05) in cows diagnosed by multiple episodes of CM. SC was significantly (p<0.05) higher in cows diagnosed with both relapse and recurrence. Severe CM affected cows had significantly (p<0.05) altered reproductive parameters. The reproductive parameters were altered to high extent when CM occurred during the breeding period. CONCLUSION: CM-affected cows had higher DTFDH, DTFI, DO and SC compared to clinically healthy cows. The negative effects of CM on reproduction parameters were higher when CM occurred during the breeding period.

7.
Trop Anim Health Prod ; 49(4): 663-673, 2017 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-28283873

RESUMEN

The reproductive performance of dairy animals is influenced by several factors, and accumulating lines of evidence indicate that mastitis is one of the determinants. Most of the published information relating mastitis with reproduction has evolved based on retrospective approach rather than controlled clinical studies. The complex nature of both mastitis and reproduction could be a limiting factor for understanding their relationship in detail. In this review, we analyzed the available retrospective studies on the effects of clinical mastitis on reproductive function and explained the possible mechanisms by which mastitis affects reproduction in dairy animals.


Asunto(s)
Mastitis Bovina/fisiopatología , Reproducción , Animales , Bovinos , Ciclo Estral , Femenino , Lactancia , Estudios Retrospectivos
8.
Vet World ; 9(10): 1075-1081, 2016 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-27847416

RESUMEN

The animal husbandry and livestock sectors play a major role in the rural economy, especially for the small and marginal farmers. India has the largest livestock population in the world and ranks first in the milk production. Mastitis is the most common and expensive infectious disease in dairy cattle. The global economic losses per year due to mastitis amounts to USD 35 billion and for Indian dairy industry ₹6000 crores per year. Early detection of mastitis is very important to reduce the economic loss to the dairy farmers and dairy industry. Automated methods for early and reliable detection of mastitis are currently in focus under precision dairying. Skin surface temperature is an important indicator for the diagnosis of cow's illnesses and for the estimation of their physiological status. Infrared thermography (IRT) is a simple, effective, on-site, and noninvasive method that detects surface heat, which is emitted as infrared radiation and generates pictorial images without causing radiation exposure. In human and bovine medicine, IRT is used as a diagnostic tool for assessment of normal and physiological status.

9.
Vet World ; 9(12): 1386-1391, 2016 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-28096610

RESUMEN

AIM: The objective of this study was to investigate the ability of infrared thermography (IRT) technique and its interrelationship with conventional mastitis indicators for the early detection of mastitis in Holstein Friesian (HF) crossbred cows. MATERIALS AND METHODS: A total of 76 quarters of lactating HF crossbred (Bos indicus × Bos taurus) cows (n=19) were monitored for body temperature (i.e., eye temperature) and udder skin surface temperature (USST) before milking using forward-looking infrared (FLIR) i5 camera. Milk samples were collected from each quarter and screened for mastitis using Somatic Cell Count (SCC), Electrical Conductivity (EC), and California mastitis test. Thermographic images were analyzed using FLIR Quick Report 1.2 image analysis software. Data on body and USST were compiled and analyzed statistically using SPSS 16.0 and Sigmaplot 11. RESULTS: The mean±standard deviation (SD) body (37.23±0.08°C) and USST (37.22±0.04°C) of non-mastitic cow did not differ significantly; however, the mean USST of the mastitis-affected quarters were significantly higher than the body temperature and USST of unaffected quarters (p<0.001). The mean±SD USST of the subclinical mastitis (SCM) and clinical mastitis-affected quarters were 38.08±0.17 °C and 38.25±0.33 °C, respectively, which is 0.72 and 1.05 °C higher than the USST temperature of unaffected quarters. The USST was positively correlated with EC (r=0.95) and SCC (r=0.93). The receiver operating characteristic curve analysis revealed a higher sensitivity for USST in early prediction of SCM with a cut-off value of >37.61°C. CONCLUSION: It is concluded that infrared thermal imaging technique could be used as a potential noninvasive, quick cow-side diagnostic technique for screening and early detection of SCM and clinical mastitis in crossbred cows.

10.
Int J STD AIDS ; 23(9): 635-8, 2012 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-23033516

RESUMEN

This study was conducted to determine the relationship between eosinophilia and parasitic infection in HIV-infected individuals. HIV-positive patients attending an HIV clinic in Birmingham were recruited and classified as either eosinophilic (>400 eosinophils/mm(3)) or non-eosinophilic. A demographic and parasitic risk history was taken and clinical examination was performed. Urine and stool were examined for parasites, and blood samples taken for parasite serology. A total of 266 patients (96 eosinophilic and 170 non-eosinophilic) were recruited. Of 64 eosinophilic patients who had a stool examination, one (1.6%) was positive for both Strongyloides larvae and schistosomal eggs. Urine microscopy was negative in the 245 patients (88 eosinophilic, 157 non-eosinophilic) from whom a sample was available. Two hundred and sixty-three patients underwent serological investigation (96 eosinophilic and 167 non-eosinophilic): 13 (4.9%) were positive for schistosomiasis and three (1.1%) positive for Strongyloides. A significant association between eosinophilia and positive schistosomal serology was found (P = 0.003): 11 (10.5%) were eosinophilic patients, while only four (2.3%) were non-eosinophilic patients. Eosinophilia was associated with a low nadir CD4 count (P = 0.021) and prior AIDS-defining illness (P = 0.041). In all, 7.8% of patients from a developing country and 5.3% of patients from a developed country with a travel history had positive parasitic serology. Eosinophilia in HIV-infected patients was significantly associated with positive serology for schistosomiasis, low nadir CD4 count and prior AIDS-defining illness. Geographical exposure is also an important determinant of positive parasitic serology.


Asunto(s)
Eosinofilia/virología , Infecciones por VIH/sangre , Adulto , Recuento de Linfocito CD4 , Estudios de Casos y Controles , Distribución de Chi-Cuadrado , Eosinofilia/parasitología , Eosinofilia/orina , Femenino , Infecciones por VIH/orina , Humanos , Masculino , Esquistosomiasis/sangre , Esquistosomiasis/orina , Esquistosomiasis/virología , Estrongiloidiasis/sangre , Estrongiloidiasis/orina , Estrongiloidiasis/virología
11.
Int J STD AIDS ; 18(6): 429-30, 2007 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-17609040

RESUMEN

A heterosexual man with acquired syphilis had an uncommon presentation in the form of acute visual loss. The unusual clinical presentation and a high cerebrospinal fluid lymphocyte count led to delayed diagnosis and treatment. Recognition of uncommon presentation of syphilis in the current epidemic is essential for the interruption of transmission.


Asunto(s)
Infecciones Bacterianas del Ojo/diagnóstico , Sífilis/complicaciones , Baja Visión/diagnóstico , Diagnóstico Diferencial , Infecciones Bacterianas del Ojo/microbiología , Humanos , Masculino , Persona de Mediana Edad , Baja Visión/microbiología
12.
J Biol Chem ; 276(21): 18209-15, 2001 May 25.
Artículo en Inglés | MEDLINE | ID: mdl-11259442

RESUMEN

A cluster of amino acid residues located in the AB-GH region of the alpha-chain are shown in intra-double strand axial interactions of the hemoglobin S (HbS) polymer. However, alphaLeu-113 (GH1) located in the periphery is not implicated in any interactions by either crystal structure or models of the fiber, and its role in HbS polymerization has not been explored by solution experiments. We have constructed HbS Twin Peaks (betaGlu-6-->Val, alphaLeu-113-->His) to ascertain the hitherto unknown role of the alpha113 site in the polymerization process. The structural and functional behavior of HbS Twin Peaks was comparable with HbS. HbS Twin Peaks polymerized with a slower rate compared with HbS, and its polymer solubility (C(sat)) was found to be about 1.8-fold higher than HbS. To further authenticate the participation of the alpha113 site in the polymerization process as well as to evaluate its relative inhibitory strength, we constructed HbS tetramers in which the alpha113 mutation was coupled individually with two established fiber contact sites (alpha16 and alpha23) located in the AB region of the alpha-chain: HbS(alphaLys-16-->Gln, alphaLeu-113-->His), HbS(alphaGlu-23-->Gln, alphaLeu-113-->His). The single mutants at alpha16/alpha23 sites were also engineered as controls. The C(sat) values of the HbS point mutants involving sites alpha16 or alpha23 were higher than HbS but markedly lower as compared with HbS Twin Peaks. In contrast, C(sat) values of both double mutants were comparable with or higher than that of HbS Twin Peaks. The demonstration of the inhibitory effect of alpha113 mutation alone or in combination with other sites, in quantitative terms, unequivocally establishes a role for this site in HbS gelation. These results have implications for development of a more accurate model of the fiber that could serve as a blueprint for therapeutic intervention.


Asunto(s)
Hemoglobina Falciforme/química , Dimerización , Hemoglobina Falciforme/genética , Humanos , Mutación Puntual , Relación Estructura-Actividad
14.
J Trop Pediatr ; 42(6): 339-41, 1996 12.
Artículo en Inglés | MEDLINE | ID: mdl-9009559

RESUMEN

Trends in intra-uterine growth (IUG) of newborns from 1969-1973 to 1989-1993 were studied among rural and urban communities. Yerushalmy's five group classification of IUG was used. The percent preterm low birthweight (LBW) declined from 7 to 3 in rural and from 5 to 2 in urban areas. The percent of newborns with retardation of IUG declined from 20 to 11 in rural and from 13 to 8 in urban areas. Possible factors contributing to such changes are discussed.


Asunto(s)
Peso al Nacer , Retardo del Crecimiento Fetal/epidemiología , Distribución de Chi-Cuadrado , Femenino , Edad Gestacional , Humanos , India/epidemiología , Recién Nacido de Bajo Peso , Recién Nacido , Recien Nacido Prematuro , Embarazo , Factores de Tiempo
15.
Gene ; 172(2): 191-7, 1996 Jun 26.
Artículo en Inglés | MEDLINE | ID: mdl-8682302

RESUMEN

A set of synthetic oligodeoxyribonucleotide (oligo) probes, OAT18, OMS1 and OAT24 carrying the (TGG)6, (GGAT)4 and (GACA)6 repeat motifs, respectively, was used to analyze the variable number tandem repeat (VNTR) loci in the genomes of Oncorhyncus mykiss (rainbow trout; family Salmonidae), Oreochromis mossambicus and Oreochromis niloticus (both tilapia belonging to family Cichlidae). Of all the oligos and enzymes (AluI, MboI, HaeIII and HinfI) used, the OAT18/HaeIII combination was found to be most informative for detecting DNA fingerprinting in rainbow trout, while the OMS1/MboI combination gave the most informative pattern for the Or. niloticus genome. In the rainbow trout genome, all three repeat loci were hypervariable, revealing varying degrees of polymorphism as compared to tilapia genomes. Startlingly, the OAT24 probe did not cross-hybridize with Or. mossambicus and lamprey salmon (Lampertra japonica) although GACA repeats have been reported to be evolutionarily conserved in all eukaryotes studied thus far. Cluster analysis with respect to GGAT repeat loci revealed that Or. niloticus diverged from Or. mossambicus before the separation of On. mykiss, suggesting the relatively recent evolution of these loci in rainbow trout, compared to the tilapia genomes. These highly informative probes will find application in various genetic studies of fishes.


Asunto(s)
Peces/genética , Repeticiones de Minisatélite , Sondas de Oligonucleótidos , Animales , Evolución Biológica , Secuencia Conservada , Femenino , Peces/clasificación , Variación Genética , Humanos , Masculino , Oncorhynchus mykiss/genética , Filogenia , Tilapia/genética
16.
Biochim Biophys Acta ; 1307(2): 178-86, 1996 Jun 07.
Artículo en Inglés | MEDLINE | ID: mdl-8679703

RESUMEN

Two individual amino acid substitutions were engineered at a selected site in the 5' --> 3' exonuclease domain of the cloned Bacillus stearothermophilus DNA polymerase I gene. These mutations resulted in the expression of enzymes lacking the 5' --> 3' exonuclease activity while maintaining normal polymerizing activity. The mutated and non-mutated enzymes were each constitutively expressed in an Escherichia coli host without the use of an exogenous or inducible promoter, and the mutated enzymes were demonstrated to be equivalent to the subtilisin large fragment of the native holoenzyme in sequencing reactions.


Asunto(s)
Aminoácidos/genética , ADN Polimerasa I/genética , Exodesoxirribonucleasas/metabolismo , Geobacillus stearothermophilus/enzimología , Clonación Molecular , ADN Polimerasa I/aislamiento & purificación , ADN Recombinante , Exodesoxirribonucleasa V , Datos de Secuencia Molecular , Mutagénesis Sitio-Dirigida , Homología de Secuencia de Aminoácido , Subtilisinas/genética
17.
J Biosoc Sci ; 27(3): 325-31, 1995 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-7650049

RESUMEN

Data on 2972 marriages in rural areas and 1180 marriages in urban areas of North Arcot Ambedkar district of South India, during 1982-88, were analysed. The mean age at marriage of females was 18.6 in the rural and 19.6 in the urban area. The proportion of females married before attaining the legal age of 18 years was higher among the rural community (36.8%) than in the urban community (28.9%). Univariate analysis revealed an association between early age at marriage and the socioeconomic variables religion, caste, consanguinity, marital distance, spousal age difference, education and occupation of both bride and bridegroom, and socioeconomic status of the family. Multivariate analysis showed an independent relationship of marital distance and bridegroom's occupation with early age at marriage of females in the rural area alone and the bridegroom's education in the urban area alone. Consanguinity, spousal age difference and bride's education were found to be independently related with early age at marriage of females in both rural and urban areas.


PIP: The research was carried out in the representative segments of KV Kuppam block, a rural area, and Vellore town, an urban area of North Arcot Ambedkar district of Tamil Nadu, India, during 1982-88. 2972 marriages were studied in the rural area and 1180 marriages in the urban area. In the rural community the mean age at marriage was 18.56 +or- 2.86 years compared to 19.55 +or- 3.44 years for the urban community (p 0.001). In the rural community 36.8% of women married before the legal age of 18 years compared to 28.9% in the urban area (p 0.001). Univariate analysis revealed that socioeconomic variables had a significant association with early age at marriage (p 0.001). 42.4% of those who married early in the rural area were among Muslims, 36.9% among Hindus, and only 9.1% among Christians. Similarly, in the urban area these respective figures were 39.9%, 24.2%, and 12%. Early marriage was also related to caste: 36.7% of scheduled caste and tribal women, 37% of backward caste women, and 32% of forward caste women in the rural areas married early. The respective urban figures were 37.8%, 23.6%, and 20.9%. In rural areas 44.1% of early marriages were consanguineous vs. 40.6% in urban areas. The spousal age difference of 10 years or more was also a significant factor: it was 58.7% in rural areas and 42.4% in the urban areas. The marital distance of less than 10 km was 40.5% in rural areas vs. 31.8% in urban areas. When the distance was over 51 km, 32.3% of rural women and 23.2% of urban women married early. Early age at marriage was negatively related to the educational status of both bride and bridegroom. In both areas secondary education and above (10 or more years) significantly reduced early marriage. In rural areas 23.6% and in urban areas 12.8% of women married early. When the bridegroom's occupational status was low, then early marriage was higher, 39.5% in rural areas and 35.6% in urban areas vs. 33.4% and 24.5%, respectively, for high status occupation. In general, low socioeconomic status favored early marriage.


Asunto(s)
Matrimonio , Población Rural , Población Urbana , Adolescente , Adulto , Factores de Edad , Consanguinidad , Escolaridad , Femenino , Humanos , India , Factores Socioeconómicos
18.
Indian J Lepr ; 67(2): 133-52, 1995.
Artículo en Inglés | MEDLINE | ID: mdl-8537702

RESUMEN

Deformity in leprosy is a major problem causing serious socio-economic and psychological consequences to the patients and their families, as well as for the programmers. This paper examines the nature and extent of social and economic problems of leprosy-affected families having patients with and without deformities and their strategy to cope with those problems. The data were collected from 500 sampled families in two monotherapy districts in Tamilnadu in 1989-1990. About 20% of the families reported facing socioeconomic problems. The proportion of families having patients with deformities facing problems was ten times higher (57.3%) than those having patients with no deformities (5.7%). Majority of the problems of the affected families were economic. The major strategy adopted to deal with economic problems was to adjust within the earnings of other family members to make up the loss or reduction in income from the patient. The major social problem faced was denial of participation in the community. While families with deformed patients adopted "acceptance of their existing situation," families with non-deformed patients adopted "avoidance" as their coping strategy. Appropriate rehabilitation programmes to restore economic security to the patients and their families is called for. There is also the need to educate the community about the disease in order to dispel the myths and fears associated with leprosy.


Asunto(s)
Lepra/psicología , Adaptación Psicológica , Adolescente , Adulto , Anomalías Congénitas/economía , Anomalías Congénitas/psicología , Familia , Femenino , Humanos , Institucionalización , Lepra/economía , Lepra/fisiopatología , Masculino , Persona de Mediana Edad , Conducta Social
19.
Indian Pediatr ; 31(8): 931-7, 1994 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-7883345

RESUMEN

Reducing incidence of low birthweight and increasing mean birthweights are now considered seriously in the national action plans. Comparison of birthweights obtained over two decades from the representative random segments of rural and urban areas of North Arcot Ambedkar district, Tamil Nadu, India, were studied. Although statistically significant (p < 0.001), the mean birthweight shows only a marginal increase of 70 g from 2774.5 g (+/- 500.2) in 1969-73 to 2845.4 g (+/- 451.0) in 1989-93. The mean birthweight stratified by area and gender also revealed similar increase. On the other hand, the proportion of low birthweight (< 2500 g) newborns reduced significantly from 27.2% to 15.9% in rural and 19.1% to 10.8% in urban area over the decades (p < 0.001). The increase in the mean birthweight and the decline in the percentage of low birthweight newborns over the years was greater in rural than the urban community, but the rural newborns continued to weigh lesser than their urban counterparts.


PIP: Biostatisticians compared birth weight data of 2782 live singletons in the rural area of K.V. Kuppam and 2302 live singletons in the town of Vellore born during 1969-1973 with birth weight data of 2377 and 2407 singletons, respectively, born during 1989-1993 to examine changes in birth weight distributions in these rural and urban areas of North Arcot Ambedkar district in Tamil Nadu State, India. Between the two study periods, the mean birth weight increased in the rural area from 2717 g to 2794.74 g and in the urban area from 2843.93 g to 2895.74 g (p 0.001). It was lower in the rural area than in the urban area in 1989-1993 (2794 vs. 2895 g). Rural males gained the most (78.56 g vs. 59.49 g for urban males, 69.69 g for rural females, and 44.58 g for urban females). Nevertheless, the mean birth weight of all gender/residence groups increased significantly (p 0.001 for rural males and females; p 0.01 for urban males; and p 0.05 for urban females). Low birth weight (LBW: 2500 g) was less common in 1989-1993 than in 1969-1973 (15.9% vs. 27.2%; p 0.001). It was also less common in urban areas in 1989-1993 than in 1969-1973 (10.8% vs. 19.1%; p 0.001). Infants born weighing 2500-3249 g increased by 12% in the rural area and by 9% in the urban area (p 0.001). The percentage of infants weighing at least 3250 g in both areas did not change. During both periods, this group of infants was more common in the urban area than in the rural area (18.3% and 12.4%). Another study observed that the percentage of hospital deliveries in the rural and urban areas increased significantly between 1969-1973 and 1989-1993 (18.3-57.4% in the rural area and 53-84.2% in the urban area; p 0.001). These findings suggest that the minimal, yet significant, increase in birth weight over 20 years was mainly due to the reduction in the proportion of LBW infants.


Asunto(s)
Peso al Nacer , Recién Nacido de Bajo Peso , Adolescente , Adulto , Femenino , Humanos , Incidencia , India/epidemiología , Recién Nacido , Masculino , Edad Materna , Persona de Mediana Edad , Población Rural , Población Urbana
20.
Indian J Lepr ; 64(4): 505-11, 1992.
Artículo en Inglés | MEDLINE | ID: mdl-1308527

RESUMEN

Regularity in attending clinics as well as taking drugs assume a very significant place in leprosy control programme since irregularity of leprosy patients can lead to poor disease control, drug resistant disease, and development of physical deformities and disabilities thus leading to programme failure. Further, these complications also create socio-economic and psychological problems to the victims as well as their families in myriad ways. This paper reports a study aimed at identifying the variables, among a set of 29 selected demographic, socio-economic and disease-related variables, having significant association with regularity of leprosy patients in attending treatment clinics. It was found that age of the patients, type of family, duration of the disease, time lag between diagnosis of the disease and starting treatment and knowledge of patients and their families about the disease were significantly associated with treatment regularity.


Asunto(s)
Lepra/terapia , Cooperación del Paciente , Adulto , Factores de Edad , Anciano , Humanos , Persona de Mediana Edad
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