Depression, Sexual Dysfunction, and Medical Comorbidities in Young Adults Having Nicotine Dependence.

BACKGROUND: Nicotine dependence, depression, diabetes mellitus, hypertension, and hypothyroidism are risk factors of sexual dysfunction. AIMS AND OBJECTIVES: The present study aims to find the prevalence of sexual dysfunction and the various sexual response cycle domains in individuals with nicotine dependence with and without comorbidities. MATERIALS AND METHODS: A total of 52 individuals attending the tobacco cessation clinic were included in the study. To assess the primary outcome, Fagerstrom test for nicotine dependence, Arizona Sexual Experiences Scale, and Hamilton's Depression Rating Scale 17had been administered after validation in local vernacular. RESULTS: In the sample, 32 (61.5%) were male and 20 (38.5) were female. The 17 participants (32.7%) met the criteria of low nicotine dependence, 5 (9.6%) participants met low to moderate, 11 participants (21.2%) had moderate dependence, and 19 (36.5%) participants met the criteria of high nicotine dependence. CONCLUSIONS: The nicotine dependence is directly related to sexual dysfunction, and it affects various stages of the sexual response cycle. One-quarter of individuals of nicotine dependence also met the threshold criteria of depression. The interventions as primary and primordial preventions with awareness building and health education may be a cost-effective measure to prevent tobacco-related deaths.

Agriculture, dairy and fishery farming practices and greenhouse gas emission footprint: a strategic appraisal for mitigation.

Rising global population would force farmers to amplify food production substantially in upcoming 3-4 decades. The easiest way to increase grain production is through expanding cropping area by clearing uncultivated land. This is attained by permitting deadly loss of carbon (C) stocks, jeopardizing ecosystem biodiversity and deteriorating environmental quality. We aim to propose key agronomical tactics, livestock management strategy and advance approaches for aquaculture to increase productivity and simultaneously reduce the environmental impacts of farming sector. For this, we considered three major sectors of farming, i.e. agriculture, fishery and dairy. We collected literatures stating approaches or technologies that could reduce GHG emission from these sectors. Thereafter, we synthesized strategies or options that are more feasible and accessible for inclusion in farm sector to reduce GHG emission. Having comprehensively reviewed several publications, we propose potential strategies to reduce GHG emission. Agronomic practices like crop diversification, reducing summer fallow, soil organic carbon sequestration, tillage and crop residue management and inclusion of N2-fixing pulses in crop rotations are some of those. Livestock management through changing animals' diets, optimal use of the gas produced from manures, frequent and complete manure removal from animal housing and aquaculture management strategies to improve fish health and improve feed conversion efficiency could reduce their GHG emission footprint too. Adapting of effective and economic practices GHG emission footprint reduction potential of farming sector could make farming sector a C neutral enterprise. To overcome the ecological, technological and institutional barriers, policy on trade, tax, grazing practice and GHG pricing should be implemented properly.

Cerebral malignancy presenting with post stroke depression.

The following case report highlights about a Glioblastoma presenting with features of post stroke depression. The neuropsychological findings though initially was normal but on subsequent follow up showed gross abnormalities. The imaging studies revealed the tumor, involving the right parietal and temporal lobes with midline shift and high vascularity. The patient exhibited rapid downhill course and died within 4 weeks of initial presentation.