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1.
J Environ Manage ; 306: 114474, 2022 Mar 15.
Artigo em Inglês | MEDLINE | ID: mdl-35026717

RESUMO

Solvent extraction separation of molybdenum (Mo) from the sulphate mediated leach solution bearing Aluminium (Al) and Nickel (Ni) was carried out using N-Methyl-N, N, N-tri-octyl-ammonium chloride. Extensive investigation for extraction study molybdenum in the function of time, Eq.pH, extractant concentration, diluents, temperature, strip solution concentration and phase ratio(A:O) for both extraction and stripping was examined to attain a suitable condition on its selective and enriched extraction. As per the equilibrium study and increasing trend of Eq. pH (pHe) at the correspondence initial pH, it was apparent about association of 1 mol of H+ ion during extraction which with was further supported on extraction of Mo as HMO4- at the pHe of 3.48. The association of 1 mol of exrractant during the extraction of Mo was also well evident from the slope analysis study. This indicates about anion exchange phenomenon due to Cl- ion of the N-Methyl-N, N, N-tri-octyl-ammonium chloride (extractant) with HMo4- from aqueous phase during complex formation reaction. The FTIR of the organic sample before and after extraction further confirms in support of the complex formation of the molybdenum with the extractant during extraction. The extraction isotherm was constructed at optmum extraction condition: pHe of 3.48 with 0.08M N-Methyl-N, N, N-tri-octyl-ammonium chloride predicts on need of 2-counter current stages for quantitative extraction of Mo at A:O = 3:1. To investigate the regeneration behaviour of adopted extractant along with enriched stripping of molybdenum, ammoniacal reagents were used in stripping study. The stripping of Mo showed promising and efficient using the mixture of the ammoniacal reagents (NH4OH + NH4Cl) over the either of the solo reagents. The stripping Mc-Cabe Thiele diagram was plotted using 2M NH4OH + NH4Cl ensures on quantitative stripping of Mo at SO: SS = 2:1 at 2 no. of stages. Both extraction and stripping isotherm results are validated at predicted isotherm conditions by 6-cycles counter current simulation (CCS) study leading to obtain 6-fold enrichment of Mo in stripped solution phase. The subsequent enriched content of Mo (∼60 g/L) in stripped solution phase was precipitated out followed by calcinations 400 °C to obtain a high pure MoO3. The recovered calcined product as MoO3 resulted through the proposed processing approach was as ascertained from XRD analysis.


Assuntos
Molibdênio , Níquel , Alumínio , Catálise , Sulfatos
2.
Geophys Res Lett ; 48(20): e2021GL093796, 2021 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-34924636

RESUMO

Aerosols emitted in densely populated and industrialized Indo-Gangetic Plain, one of the most polluted regions in the world, modulate regional climate, monsoon, and Himalayan glacier retreat. Thus, this region is important for understanding aerosol perturbations and their resulting impacts on atmospheric changes during COVID-19 lockdown period, a natural experimental condition created by the pandemic. By analyzing 5 years (2016-2020) data of aerosols and performing a radiative transfer calculation, we found that columnar and near-surface aerosol loadings decreased, leading to reductions in radiative cooling at the surface and top of the atmosphere and atmospheric warming during lockdown period. Further, satellite data analyses showed increases in cloud optical thickness and cloud-particle effective radius and decrease in lower tropospheric air temperature during lockdown period. These results indicate critical influences of COVID-19 lockdown on regional climate and water cycle over Indo-Gangetic Plain, emphasizing need for further studies from modeling perspectives.

3.
J Postgrad Med ; 65(3): 134-140, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31169130

RESUMO

Introduction: Body adiposity measured by percentage of body fat (BF%) is found to be better predictor of cardiovascular morbidity and mortality than body mass index (BMI). Limited information exists showing relationship between BMI and BF% in North Indian population. Objectives: To study the relationship between BMI and BF% among North Indian adult females across various age strata and level of BMI. Materials and Methods: This was a cross-sectional study conducted at Ballabgarh Health and Demographic Surveillance Site (HDSS) among randomly selected females. BMI using standard techniques and BF% using bioelectrical impedance analysis was estimated. Linear regression was performed using general linear model with BF% as dependent variable and BMI as main independent variable. Results: Mean (±2 SD) age of participants was 41.3 ± 15.7 years. Mean BMI (±SD) was 23.3 (±4.6) kg/m2, whereas mean fat mass (±2 SD) and BF% (±95% CI) was 19.2 (±7.9) kg and 33.6 (±6.9) %. BMI and BF% were highly correlated among obese (r = 0.77), whereas least correlated (r = 0.32) in underweight females. Across age strata, correlation between BMI and BF% was maximum in 18-35 years age group (r = 0.95), whereas least in females ≥56 years (r = 0.67). Age and BMI together predicted 73% of variability in BF% in hierarchical linear regression model. Conclusions: In this population, we have found strong correlation between BMI and BF% particularly at higher level of BMI and in younger females. There is need to conduct more robust prospective longitudinal studies to assess BF%, which is a better predictor of cardiovascular morbidity and mortality.


Assuntos
Tecido Adiposo , Índice de Massa Corporal , Obesidade/epidemiologia , Vigilância da População , Magreza/epidemiologia , Adiposidade , Adolescente , Adulto , Estudos Transversais , Impedância Elétrica , Feminino , Humanos , Índia/epidemiologia , Modelos Lineares , Pessoa de Meia-Idade , População Rural/estatística & dados numéricos , Adulto Jovem
4.
Clin Exp Immunol ; 191(3): 318-327, 2018 03.
Artigo em Inglês | MEDLINE | ID: mdl-29058314

RESUMO

Visceral leishmaniasis (VL) is a disseminated and lethal disease of reticulo-endothelial system caused by protozoan parasites Leishmania donovani and L. infantum, which are known to induce host T cell suppression. To understand the impact of parasite load on T cell function, the present was focused on parasite load with T cell function in bone marrow of 26 VL patients. We observed significant enrichment of forkhead box protein 3 (FoxP3)+ (P = 0·0003) and interleukin (IL)-10+ FoxP3+ regulatory T cells (Treg ) (P = 0·004) in the bone marrow (BM) of patients with high parasite load (HPL) compared with low parasite load (LPL). Concordantly, T effector cells producing interferon (IFN)-γ (P = 0·005) and IL-17A (P = 0·002) were reduced in the BM of HPL. Blocking of Treg -cell derived suppressive cytokines [(IL-10 and transforming growth factor (TGF)-ß] rescued the effector T cells and their functions. However, it was observed that TGF-ß levels were dominant, favouring Treg cell differentiation. Furthermore, the low ratio of IL-6/TGF-ß favours the suppressive milieu in HPL patients. Here we show the change in levels of various cytokines with the parasitic load during active VL, which could be helpful in devising newer immunotherapeutic strategies against this disease.


Assuntos
Medula Óssea/patologia , Leishmania donovani/fisiologia , Leishmaniose Visceral/imunologia , Subpopulações de Linfócitos T/imunologia , Linfócitos T Reguladores/imunologia , Adolescente , Adulto , Anticorpos Bloqueadores/farmacologia , Células Cultivadas , Criança , Citocinas/metabolismo , Feminino , Fatores de Transcrição Forkhead/metabolismo , Humanos , Terapia de Imunossupressão , Leishmaniose Visceral/parasitologia , Ativação Linfocitária , Masculino , Pessoa de Meia-Idade , Carga Parasitária , Adulto Jovem
5.
Helminthologia ; 55(3): 230-239, 2018 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-31662651

RESUMO

Snakehead fishes are widely consumed throughout South East Asia, China and India because of their good taste of meat and high nutrient values such as presence of prostaglandins, thromboxane and Omega-6 fatty acid. Parasitic infection constitutes significant economic loss in fish production. The aim of this work was to study the seasonal variation of helminths in snakeheads. In the presented study, a three-year survey has been performed. A total of 1013 individuals of Channa punctatus and 247 individuals of Channa striatus were examined. A total of 3783 helminths were collected, with an average of 3.02 helminths/fish. 43.50 % individuals of C. punctatus and 59.10 % of C. striatus were found to be infected with acanthocephalans, trematodes, nematodes and cestodes per year. The prevalence and mean abundance of Pallisentis sp. was at its peak in summer. However the prevalence of trematodes, nematodes and cestodes was at peak during autumn. Mean abundance of nematodes was at peak in summer. Interestingly, the males were found more infected as compared to the females and the infection rate in males peaked in summer. In comparison to other weight groups, medium size hosts (21 - 40 g) were found more consistently infected. Thus the results indicate that there are seasonal variations in parasitic helminths infecting C. punctatus and C. striatus which also depend upon sex and weight. These variations may be attributed to various environmental and biological factors including parasite life cycle and immune level of host.

6.
Bioorg Med Chem ; 25(6): 1725-1736, 2017 03 15.
Artigo em Inglês | MEDLINE | ID: mdl-28202315

RESUMO

Mycobacterium tuberculosis chorismate mutase (MtbCM) catalyzes the rearrangement of chorismate to prephenate in the shikimate biosynthetic pathway to form the essential amino acids, phenylalanine and tyrosine. Two genes encoding chorismate mutase have been identified in Mtb. The secretory form,∗MtbCM (encoded by Rv1885c) is assumed to play a key role in pathogenesis of tuberculosis. Also, the inhibition of MtbCM may hinder the supply of nutrients to the organism. Indeed, the existence of chorismate mutase (CM) in bacteria, fungi and higher plants but not in human and low sequence homology among known CM makes it an interesting target for the discovery of anti-tubercular agents. The present article mainly focuses on the recent developments in the structure, function and inhibition of MtbCM. The understanding of various aspects of MtbCM as presented in the current article may facilitate the design and subsequent chemical synthesis of new inhibitors against ∗MtbCM, that could lead to the discovery and development of novel and potent anti-tubercular agents in future.


Assuntos
Corismato Mutase/metabolismo , Mycobacterium tuberculosis/enzimologia , Sequência de Aminoácidos , Antituberculosos/farmacologia , Corismato Mutase/antagonistas & inibidores , Corismato Mutase/química , Inibidores Enzimáticos/farmacologia , Modelos Moleculares , Conformação Proteica , Homologia de Sequência de Aminoácidos
7.
Parasite Immunol ; 37(7): 368-75, 2015 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-25824598

RESUMO

Isolation of the soluble exogenous antigens (SEAgs), its immune response study and proteome profiling is an essential prerequisite for understanding the molecular pathogenesis of Leishmania donovani. The immunostimulatory potential of L. donovani SEAgs, purified from culture of L. donovani clinical isolate, was evaluated for their ability to induce cellular responses in treated/cured hamsters. SEAgs induced significant proliferative responses in lymphocytes (SI 5.6 ± 2.3; P < 0.01) isolated from cured hamster. In addition, significant NO production in response to SEAgs was also noticed in macrophages of hamsters, mouse and human cell lines (J774A-1 and THP1). Western blot analyses with antibodies against proteophosphoglycan (PPG; surface-expressed and secreted molecule) of L. donovani revealed that PPG molecules are also present in L. donovani SEAgs. Mass spectrometry (MS)-based proteome analysis of 12 protein bands of SEAgs through MALDI-TOF/TOF endorsed the identification of some Th1-stimulatory immunogenic proteins. These immunogenic proteins may offer increased hope for the discovery of new promising vaccine candidates against visceral leishmaniasis (VL). The overall results suggest that immunostimulatory molecules are present in the SEAgs, which may be further exploited, for developing a subunit vaccine against VL a fatal human disease.


Assuntos
Antígenos de Protozoários/imunologia , Leishmania donovani/imunologia , Leishmaniose Visceral/imunologia , Macrófagos/imunologia , Animais , Anticorpos/imunologia , Antígenos de Protozoários/isolamento & purificação , Linhagem Celular , Proliferação de Células , Cricetinae , Humanos , Imunização , Ativação Linfocitária/imunologia , Linfócitos/imunologia , Ativação de Macrófagos/imunologia , Masculino , Camundongos , Proteoma/imunologia
8.
J Postgrad Med ; 60(3): 276-81, 2014.
Artigo em Inglês | MEDLINE | ID: mdl-25121367

RESUMO

CONTEXT: Migrant workers constitute an important risk group for Human Immunodeficiency Virus/Acquired Immuno-Deficiency Syndrome transmission in India. Alcohol consumption before sexual intercourse has been postulated to influence condom use practices. This study aimed to assess this association with regard to non-spousal sexual encounters among male migrant workers in northern India. MATERIALS AND METHODS: A cross-sectional facility-based survey was conducted in 2011. Male migrant workers aged ≥18 years, who were born outside Haryana, who had moved to the current location after 15 years of age,had worked in the current factory for at least 1 year, who were willing to participate and were able to give written, informed consent were included in the study. A consecutive sampling was performed. Descriptive, bivariate and multiple logistic regression analyses were carried out. RESULTS: A total of 162 participants reported having experienced non-spousal sexual encounters in the last 1 year. The proportion of men who reported not having used a condom at their last non-spousal sexual encounter was 59.3%, and 78.4% of the men reported having consumed alcohol in the last 1 year. About 48.1% of men reported having consumed alcohol before their last non-spousal sexual encounter. Men who consumed alcohol were three times more likely to not use a condom at their last non-spousal sexual encounter (OR = 3.1, 95% CI: 1.5-6.4). This association persisted even after adjusting for relevant confounders. CONCLUSION: Alcohol consumption had a negative influence on condom use during non-spousal sexual encounter among male migrant workers. An integrated approach to promote condom use and reduce alcohol consumption among migrant men needs to be undertaken through targeted intervention strategies.


Assuntos
Preservativos/estatística & dados numéricos , Comportamento Sexual/estatística & dados numéricos , Migrantes/estatística & dados numéricos , Adulto , Consumo de Bebidas Alcoólicas/epidemiologia , Estudos Transversais , Conhecimentos, Atitudes e Prática em Saúde , Humanos , Índia , Entrevistas como Assunto , Modelos Logísticos , Masculino , Pessoa de Meia-Idade , Comportamento Sexual/etnologia , População Urbana
9.
Natl Med J India ; 27(3): 152-8, 2014.
Artigo em Inglês | MEDLINE | ID: mdl-25668088

RESUMO

BACKGROUND: The goal of medical education is to ensure that the medical graduate has acquired broad public health competencies needed to solve the health problems of the community. We present the current teaching of community medicine to medical students of the All India Institute of Medical Sciences (AIIMS), New Delhi during their 5-week posting at the rural centre at Ballabgarh, Haryana. METHODS: The teaching activities consist of field visits to different levels of health facilities and meeting with health workers, epidemiological exercises, a community-based exercise, posting in inpatient and outpatient departments of a secondary hospital, and domiciliary visits to families of patients. These are spread over 80 sessions of about 200 hours. There is very little didactic teaching and the assessment is broad-based. The evaluation of the posting was based on comparison of blinded pre- and post-posting assessments as well as anonymous feedback of the posting by the students. RESULTS: There was a significant increase in the mean scores of all components of the posting-epidemiology (5.1 to 8.4), health systems (6.8 to 9.3) and clinical (8.0 to 10.8). The posting did not result in a better understanding of a public health approach as compared to a clinical approach. The feedback provided by students was generally positive for all activities with 94% of them rating it as good or very good. CONCLUSION: The teaching of community medicine can be made more practical and interesting without compromising on learning. However, despite such a programme, getting medical students to develop a public health approach is a daunting task.


Assuntos
Estágio Clínico , Medicina Comunitária/educação , Educação de Graduação em Medicina , Serviços de Saúde Rural , Humanos , Índia , Faculdades de Medicina
10.
Indian J Clin Biochem ; 29(2): 213-20, 2014 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-24757305

RESUMO

Cancer cells generally exhibit increased glycolysis for ATP generation (the Warburg effect). Compounds that inhibit glycolysis have potential applications in cancer treatment. dl-glyceraldehyde (DLG) and 2-Deoxyglucose (2-DG) have been proven effective in the inhibition of glucose metabolism. Ehrlich ascites carcinoma (EAC) cells were injected intraperitoneally (i.p) in 10-12 weeks old Swiss albino mice, weighing between 20 and 30 g. The anticancer activity of DLG and 2-DG were determined by tumor volume, tumor weight, viable and nonviable tumor cell count, average survival time, percentage increase in life span and tumor inhibition ratio. The blood samples were obtained for biochemical analysis after 9 days of treatment to study the effect on liver, kidney and haematological parameters. Histopathological examination of liver and kidney was also performed. One-way ANOVA test and Dunnett's test were used for comparisons of parameters in study groups. Both DLG and 2-DG individually decreased the tumor weight, tumor volume, viable tumor cell count and significantly increased the life span of treated mice, however the combination was found to be better. The biochemical parameters of liver and kidney functions and haematological parameters were restored close to control group as compared with the EAC bearing mice. Histopathological examination of liver and kidney in EAC control group showed large areas of necrosis, congestion and mononuclear cell infiltration but such changes were not observed in liver and kidney sections observed after i.p injection of DLG and 2-DG for 9 days. Improvement was much better in the group where combination of these two drugs were used.

11.
Science ; 176(4042): 1425-7, 1972 Jun 30.
Artigo em Inglês | MEDLINE | ID: mdl-17834650

RESUMO

The endosperm proteins of the maize mutants, opaque-2, opaque-7, floury-2, brittle-2, and the double mutant of opaque-2 and brittle-2, were separated into five soluble fractions by the Landry-Moureaux method. As compared to their isogenic normal counterparts, the mutant endosperms had higher concentrations of albumins, globulins, and glutelin-3, and lower concentrations of prolamines. The combination of the opaque-2 and brittle-2 genes enhanced this difference. Although the four mutant genes are located on three different chromosomes, they exert a similar effect on endosperm protein composition. Five other starchmodifying mutants with high lysine content resemble the brittle-2 mutant in endosperm protein composition, when the gene is present either singly or combined with opaque-2. Therefore, the pattern of protein synthesis in all maize mutants with high lysine concentrations may be either identical or very similar. Because no synergistic effect on lysine concentration is obtained when floury-2 is combined with opaque-2, different pathways leading to reduced zein synthesis may exist in the floury and starch-modifying mutants with high lysine concentrations.

12.
J Nanosci Nanotechnol ; 9(9): 5687-91, 2009 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-19928289

RESUMO

We report the use of non-magnetic Al2O3 nano particles deposited between two ferromagnetic La0.5Pr0.2Sr0.3MnO3 (LPSMO) manganite layers with an aim to improve the electronic and magnetotransport properties of the layered supper lattice grown on single crystal STO(100) substrate using Pulsed Laser Deposition (PLD) technique. We studied the electronic-transport and magnetotransport properties of this system wherein Al2O3 particles are expected to act as insulating scattering centers between two ferromagnetic LPSMO layers. The scattering due to additional scattering centers (insulating Al2O3 nano particles) could be controlled by application of external field, resulting in high magnetoresistance (MR) approximately 72% as compared to pristine LPSMO film (MR approximately 51%) at temperature close to their T(M) values. In addition, incorporation of nanostructured Al2O3 barrier between the two ferromagnetic LPSMO layers results in a 2-3 fold increase in the values of temperature coefficient of resistance (TCR) and the field coefficient of resistance (FCR) as compared to pristine LPSMO film, suggesting the use of such nanoengineered manganite layered structure for better device application.

14.
Comp Immunol Microbiol Infect Dis ; 31(5): 419-33, 2008 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-17854892

RESUMO

Present pilot study is the first attempt in the country to estimate sero-prevalence of Bovine Johne's disease (BJD) by screening cattle and buffaloes representing large population belonging to farmer's and farm herds in the home tracts (Uttar Pradesh (UP) and Punjab) of Hariana cattle and Murrah buffaloes in North India. Indigenous and in-house plate ELISA kit (using protoplasmic antigen from native Mycobacterium avium subsp. paratuberculosis 'Bison type' strain of goat origin), originally developed for goats and sheep was standardized in bovines and used for screening. For this study, 33 villages of south and west UP were randomly selected and surveyed from 2001 to 2003. There were 7943 farmer's families having 38,251 livestock, including cattle, buffaloes, goats and sheep (per family 4.8% livestock). Numerically, buffaloes and cattle were 54.7% and 22.1%, respectively. Serum samples were collected from 726 animals (4.2% of 16, 981 livestock with 4375 farmer's families) located in 33 randomly surveyed villages. Serum samples (699), submitted to Epidemiology Department of Veterinary College (Punjab Agricultural University, Ludhiana), in the year 2004 by farmer's and organized farm herds (Buffaloes, 372, Cattle, 327), were screened by this ELISA kit. Soluble protoplasmic antigen was prepared from Map (S 5) 'Bison type' strain isolated from a terminally sick goat with Johne's disease. Of the total 1425 bovine (Buffaloes and cattle) serum samples screened using indigenous ELISA kit, sero-prevalence of Johne's disease was 29.0% (28.6% in buffalo and 29.8% in cattle) in Northern India. State-wise sero-prevalence was 31.9% and 23.3% in UP and Punjab, respectively. In UP, of the 601 randomly sampled buffaloes, sero-prevalence was 40.3% (16.6% in young and 40.9% adults) and 25.5% (10.5% in young and 26.3% adults) in south and west UP, respectively. Of the 125 cattle screened, sero-prevalence was 42.6% (nil in young and 44.4% adults) and 30.0% (nil in young and 30.6% adults) in south and west UP, respectively. Of the 699 serum samples screened from Ludhiana, Punjab, sero-prevalence of BJD was 23.0%. Sero-prevalence was 23.3% (12.1% in young and 24.4% in adults) and 26.9% (27.2% in young and 26.8% in adults) in buffaloes and cattle, respectively. High prevalence of BJD in buffaloes in native tract of Murrah breed, and Hariana breed of cattle correlated with poor per-animal productivity and BJD may be the major cause. Indigenous ELISA kit was rapid, economic and sensitive test for large-scale screening of buffaloes and cattle population against incurable BJD.


Assuntos
Búfalos , Doenças dos Bovinos/epidemiologia , Ensaio de Imunoadsorção Enzimática/veterinária , Mycobacterium avium subsp. paratuberculosis/genética , Paratuberculose/epidemiologia , Kit de Reagentes para Diagnóstico/veterinária , Animais , Anticorpos Antibacterianos/sangue , Bovinos , Doenças dos Bovinos/sangue , Genótipo , Doenças das Cabras/microbiologia , Cabras , Índia/epidemiologia , Mycobacterium avium subsp. paratuberculosis/classificação , Mycobacterium avium subsp. paratuberculosis/imunologia , Paratuberculose/sangue , Projetos Piloto , Reprodutibilidade dos Testes , Estudos Soroepidemiológicos
15.
Indian J Public Health ; 52(1): 28-32, 2008.
Artigo em Inglês | MEDLINE | ID: mdl-18700718

RESUMO

Under graduate medical education aims at producing doctors who are competent in preventive, promotive and curative knowledge and skills. The community medicine curriculum in All India Institute of Medical Sciences, New Delhi has been designed with this objective in view. Students are given community oriented training in urban and rural settings whereby students are taught to carry out various activities under the guidance of faculty members. This curriculum has evolved over many years and provides ample exposure to the students to understand the health problems, and health system of the country especially at the primary and secondary level. There is a sequential teaching of community medicine, which starts from fourth semester through internship. Successful training in community medicine lies outside the walls of the department and the involvement of other partners like the community, health systems etc contribute largely.


Assuntos
Estágio Clínico , Medicina Comunitária/educação , Currículo , Humanos , Índia , Internato e Residência
16.
J Toxicol Environ Health A ; 70(3-4): 295-310, 2007 Feb 01.
Artigo em Inglês | MEDLINE | ID: mdl-17365592

RESUMO

Atmospheric models constitute the best tools available for the setting of policy, and may, in some cases, be the only tools that are available. The best examples of their kind bring together all current knowledge of pollutant behavior in the atmosphere, making it possible to unravel the often complex interactions between pollutants and atmospheric dynamics. They also allow the possibility of evaluating hypothetical changes in emissions and other conditions to evaluate potential abatement strategies, or to assess the impact of proposed new emission sources. This paper provides an overview of mathematical atmospheric models and their application to the development of air quality policy. The paper discusses the types of atmospheric models currently in use, categorized by spatial scale, and the requirements for credible modeling. Issues associated with model validity and accuracy are described and case studies are reviewed to illustrate atmospheric model use in policy development and the need for careful analysis in interpreting model predictions.


Assuntos
Poluentes Atmosféricos/análise , Poluentes Atmosféricos/normas , Atmosfera/química , Simulação por Computador , Modelos Teóricos , Política Pública , Poluentes Atmosféricos/efeitos adversos , Poluição do Ar/efeitos adversos , Poluição do Ar/prevenção & controle , Austrália , California , Ontário , Ozônio/efeitos adversos , Material Particulado/efeitos adversos , Reprodutibilidade dos Testes , Estações do Ano , Espanha , Emissões de Veículos , Tempo (Meteorologia)
17.
Indian J Public Health ; 51(1): 28-32, 2007.
Artigo em Inglês | MEDLINE | ID: mdl-18232137

RESUMO

National AIDS Control Organisation (NACO) identified five regional institutes (RIs) to monitor and supervise the 2006 round of annual HIV sentinel surveillance. The task mandated was quality control of both epidemiological data collection and HIV testing. The team at RI consisted of epidemiologist and microbiologist. We describe here the process of quality control and the quality of surveillance in the states of Uttar Pradesh, Uttarakhand, Bihar, Jharkand, and Delhi. The supervisors visited almost 90% of the sentinel sites. Performance of vast majority of the sentinel sites (92%) was satisfactory. The testing laboratories were found to be adhering to standard operating procedures. Concordance rate of test results between testing laboratory and the designated reference laboratory was high. Overall, the quality of sentinel surveillance was good. The lacunae found during the visit have been enumerated along with the recommendations for future surveillance round.


Assuntos
Infecções por HIV/epidemiologia , Vigilância de Evento Sentinela , Coleta de Dados/métodos , Humanos , Índia/epidemiologia , Auditoria Administrativa , Avaliação de Programas e Projetos de Saúde , Controle de Qualidade
18.
Kathmandu Univ Med J (KUMJ) ; 5(1): 105-7, 2007.
Artigo em Inglês | MEDLINE | ID: mdl-18603996

RESUMO

Warfarin is a commonly used anticoagulant with documented reports of drug interactions. Tamoxifen is used in the adjuvant hormonal treatment of women with oestrogen-receptor- positive breast cancer. Warfarin and tamoxifen are known to interact with each other with a resultant increase in the bleeding tendency. These reports are mainly from the white population. We report a case of drug interaction between warfarin and tamoxifen with an acute onset. This report suggests that when these drugs are co administered, careful monitoring of the coagulation profile is needed.


Assuntos
Anticoagulantes/efeitos adversos , Antineoplásicos Hormonais/efeitos adversos , Tamoxifeno/efeitos adversos , Varfarina/efeitos adversos , Interações Medicamentosas , Evolução Fatal , Feminino , Humanos , Pessoa de Meia-Idade
19.
Artigo | IMSEAR | ID: sea-217754

RESUMO

Background: Antimicrobial resistance is defined as the ability of microorganism (bacteria, fungus, virus, or parasite) to resist the effects of a drug to inhibit microorganism growth, which is becoming a major concern worldwide particularly in developing country like India. Aim and Objectives: The aim of this study was to identify, compare, and assess the appropriateness of antimicrobials prescribed in a rural tertiary care hospital and those prescribed by rural private practitioners and to assess the average cost of antimicrobials per prescription. Materials and Methods: A cross-sectional study was conducted, in which a total of 2003 prescriptions were analyzed from outpatient department (OPD) of rural tertiary and prescriptions from nearby chemist shops for prescription pattern, cost, and appropriateness. Results: It was identified that most of the antimicrobial containing prescriptions in both private and public health sector were prescribed by MBBS doctors (56.33%). In Government Medical College (GMC) OPDs, antimicrobials were prescribed mostly for gastrointestinal infection (25.75%) and beta lactams (45.23%) followed by fluoroquinolones (27.10%) were the most commonly prescribed. While among rural private practitioners, gastrointestinal infections (33.50%) followed by fever (27.70%) were the most common clinical conditions, for which antimicrobials were prescribed and 13.40% prescriptions contained more than one antimicrobial. About 43.37% of antimicrobials prescribed in OPDs of GMC and 56.20% antimicrobials prescribed by private practitioners were found to be inappropriate which was statistically significant. Conclusion: The study concluded that around half of the prescriptions analyzed were inappropriate and so there is a strict need of supervising the antimicrobials prescribing patterns, consumption, and it’s dispensing from the pharmacy shops.

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