Spatial assessment of flood vulnerability and waterlogging extent in agricultural lands using RS-GIS and AHP technique-a case study of Patan district Gujarat, India.

Assessing and mapping flood risks are fundamental tools that significantly contribute to the enhancement of flood management strategies. Identifying areas that are susceptible to floods and devising strategies to reduce the risk of waterlogging is of utmost importance. In the present study, an integrated approach, combining advanced remote sensing technologies, Geographic Information Systems (GIS), and analytic hierarchy process (AHP), was adopted in the Patan district of Gujarat, India, with a coastline spanning over 1600 km, to evaluate the numerous variables that contribute to the risk of flooding and waterlogging. After evaluating the flood conditioning factors and their respective weights using the analytic hierarchy process (AHP), the results were processed in GIS to accurately delineate areas that are prone to flooding. The results highlighted exceptional precision in identifying vulnerable areas, allowing for a thorough evaluation of the impact severity. The integrated approach yields valuable insights for multi-criteria assessments. The findings indicate that a significant portion of the district's land, precisely 8.94%, was susceptible to very high- risk of flooding, while 27.76% were classified as high-risk areas. Notably, 35.17% of the region was identified as having a moderate level of risk. Additionally, 20.96% and 7.15% were categorized as low-risk and very low-risk areas, respectively. Overall, the study highlights the need for proactive measures to mitigate the impact of floods on vulnerable communities. The research findings were verified by conducting ground truth and visual assessments using microwave satellite imagery (Sentinel-1). The aim of this validation was to test the accuracy of the study in identifying waterlogged agricultural areas and their extent based on AHP analysis. The ground verification and analysis of satellite images confirmed that the model accurately identified approximately 74% of the area categorized under high and very high flood vulnerability to be waterlogged and flooded. This research can provide valuable assistance to policymakers and authorities responsible for flood management by gathering necessary information about floods, including their intensity and the regions that are most susceptible to their impact. Additionally, it is crucial to implement corrective measures to improve soil drainage in vulnerable areas during heavy rainfall events. Prioritizing the adoption of sustainable agricultural practices and improving land use are also crucial for environmental conservation.

Low risk of relapse and deformity among leprosy patients who completed multi-drug therapy regimen from 2005 to 2010: A cohort study from four districts in South India.

INTRODUCTION: Relapse of leprosy among patients released from treatment (RFT) is an indicator of the success of anti-leprosy treatment. Due to inadequate follow-up, relapse in leprosy patients after RFT is not systematically documented in India. Relapsed leprosy patients pose a risk in the transmission of leprosy bacilli. We determined the incidence of relapse and deformity among the patients RFT from the leprosy control programme in four districts in South India. METHODS: We conducted two follow-up surveys in 2012 and 2014 among the leprosy patients RFT between 2005 and 2010. We assessed them for any symptoms or signs of relapse, persistence and deformity. We collected slit skin samples (SSS) for smear examination. We calculated overall incidence of relapse and deformity per 1000 person-years (PY) with 95% confidence intervals (CI) and cumulative risk of relapse. RESULTS: Overall, we identified 69 relapse events, 58 and 11, during the first and second follow-up surveys, respectively. The incidence of relapse was 5.42 per 1000 PY, which declined over the years after RFT. The cumulative risk of relapse was 2.24%. The rate of deformity among the relapsed patients was 30.9%. The overall incidence of deformity was 1.65 per 1000 person years. The duration of M. leprae detection in smears ranged between 2.38 and 7.67 years. CONCLUSIONS: Low relapse and deformity rates in leprosy RFT patients are indicative of treatment effectiveness. However, a higher proportion of detection of deformity among relapsed cases is a cause for concern. Periodic follow-up of RFT patients for up to 3 years to detect relapses early and ensure appropriate treatment will minimize the development of deformity among relapsed patients.

Clinical relevance of cagA and vacA and association with mucosal findings in Helicobacter pylori-infected individuals from Chennai, South India.

Helicobacter pylori is associated with a spectrum of severe gastrointestinal conditions. In this study, an attempt was made to correlate endoscopic mucosal patterns with H. pylori infection and examine the pathogenic potential of the strains. Among the 147 dyspeptic individuals studied, 42.2% were H. pylori infected. Association of H. pylori with type 3 and 4 mucosal patterns (P = 0.001) and intestinal metaplasia (P = 0.012) was seen. vacA was associated with histological (P = 0.014) and endoscopy findings (P = 0.009). Association of mucosal patterns with H. pylori infection could be useful for clinicians to decide on the need for eradication therapy.