RESUMO
Objectives: To understand the perceptions of the private HIV physicians regarding HIV case management and reporting practices followed by the National AIDS Control Programme, India. Methods: We conducted this cross-sectional study among 142 private practitioners attending Chennai ART Symposium 2017, from five south Indian states. We used a pre-structured questionnaire to collect information on demography, qualification, the number of HIV patients treated, ART regimen, and the reporting practices. EpiInfo 7.2 was used for data analysis. Results: Out of the 142 private practitioners, 89 (63%) responded. All respondents had diagnosed and/or treated at least 10 HIV patients in the past 12 months. About 42% of respondents reported attending an orientation program on ART by the State AIDS Control Society (SACS). Seventy percent of respondents were aware of the National AIDS Control Organization's (NACO) Public Private Partnership (PPP) initiative for private clinics, and 44% (39) reported sharing monthly reports with SACS. However, 77% of physicians were not interested to enroll due to increased paperwork and complicated reporting mechanisms. Conclusion: Private sector physicians treating People Living with HIV (PLHIV) are aware of NACO guidelines and reporting mechanisms. A simplified reporting process and an engaging platform are needed to facilitate reporting.
RESUMO
Young stage neem leaf (Azadirachta indica) was collected at Thiruvallur district in Tamil Nadu, South India. Multi-elemental analysis of neem leaf was carried out using non-destructive techniques (NDT) of proton-induced X-ray emission (PIXE, 2.5 MeV) which is one of the well-known surface chemical sophisticated analytical methods of ion beam analyses (IBA). From the emitted X-ray output of the target specimen specimen fingerprint multi-elements such as, aluminium (Al), silicon (Si), phosphorus (P), sulphur (S), chloride (Cl), potassium (K), calcium (Ca), titanium (Ti), manganese (Mn), iron (Fe), copper (Cu), zinc (Zn) and strontium (Sr) are found to be present in the leaf in different ppm levels. Among the elements, silicon (Si, 42034 + 1198.0 ppm) and potassium (K, 28985 + 747.8 ppm) showed the highest concentration. Minor elements (Mn, Sr, Fe, Zn, Cu and Ti) are observed in the neem plant. The variation in elemental concentration in the leaf may be due to soil, water, etc. However, there are no toxic elements observed like arsenic and lead in the leaf. Further, though the presence of different medicinal values in the target specimen chemical multi-elements observed in ppm level. However, there are more chemical analysis to be required for the functionalization of active biomedical applications for these kinds of medicinal species.
