Studies reporting the Indian prevalence of Epidermal Growth Factor Receptor (EGFR) mutation are mostly single centers with small sample sizes. This systematic review and meta-analysis summarized the available evidence...Studies reporting the Indian prevalence of Epidermal Growth Factor Receptor (EGFR) mutation are mostly single centers with small sample sizes. This systematic review and meta-analysis summarized the available evidence of EGFR mutation epidemiology in Indian patients with adenocarcinoma (ADC) Non-Small Cell Lung Cancer (NSCLC). We conducted a structured literature search in PubMed, and EMBASE databases from January 2004 through October 2019. The primary outcome of interest was prevalence of EGFR mutation by gender, smoking status, and mutation subtype. The review included 34 studies. EGFR mutation prevalence was 39.5% in patients with ADC, and significantly higher in females, non-smokers, and patients with exon 19 deletions. The EGFR mutation frequency in Indian patients with ADC was higher than reported in Caucasians but at a lower range of that reported in East Asians. These findings support the use of EGFR mutation testing to guide choice of treatment.展开更多
Background: Tuberculosis (TB) is one of the top 10 causes of death worldwide. India is still the highest TB burden country. There is a scarcity of data on TB knowledge from Rajasthan state of India. Objective: The obj...Background: Tuberculosis (TB) is one of the top 10 causes of death worldwide. India is still the highest TB burden country. There is a scarcity of data on TB knowledge from Rajasthan state of India. Objective: The objective of this study was to estimate the prevalence of knowledge about TB and services of TB control programme and to determine its correlates among rural population of Jaipur, Rajasthan. Methods: Cross-sectional community based study was carried out at Model Rural Health Research Unit, Jaipur, a unit of Department of Health Research, Ministry of Health & Family Welfare, Government of India. Results: Study reports the result from 1993 adult participants from 10 villages of 2 sub-districts of district Jaipur. About 88.9% of studied participants knew that TB is an infectious disease and it spreads from TB patient to healthy person in close contact. Only 22.3% of participants knew “DOTS is the treatment for TB”. While, only 58.9% knew “sputum is used for diagnosis of TB” at health centers. Scheduled castes, scheduled tribes and backward classes social groups knew less than the mainstream “General” social group. The observed difference was statistically significant (p 0.05). Logistic regression analysis estimated the relative contribution to knowledge status. Conclusion: The knowledge of study participants on transmission of tuberculosis was similar to knowledge of population in country wide study. They poorly knew sputum is used for diagnosing tuberculosis disease;socio-demographic inequity exists in this knowledge too. People from older age groups, underprivileged social groups and minority need extra educational activities.展开更多
Background: A balanced diet with a low glycemic index (GI) plays an important role in controlling and managing type 2 diabetes mellitus (T2DM). Here, we compared the GI of 2 flavors (vanilla and chocolate) of diabetes...Background: A balanced diet with a low glycemic index (GI) plays an important role in controlling and managing type 2 diabetes mellitus (T2DM). Here, we compared the GI of 2 flavors (vanilla and chocolate) of diabetes-specific nutritional (DSN) supplements to its comparator in healthy Indian adults under fasting conditions. Methods: This study was a 39-day open-label, non-comparative, single-center trial involving healthy adults aged between 18 to 45 years. The subjects received equal doses of 2 DSN powder (Treatments A and B), the comparator product (Treatment C), and dextrose monohydrate as a reference (Treatment R). Doses were administered as per the dosing schedule, after an overnight fast for 10 hours, with 2 intervening non-dosing days. Blood samples were collected on the dosing days to assess changes in capillary blood glucose levels. The primary endpoint of the study was the mean GI of Treatments A, B, and C (Defined as low: GI ≤ 55;medium: 55 GI ≤ 70;High: GI > 70), generated using the incremental area under the curve (AUC<sub>i</sub>) methodology. Safety was assessed throughout the study. Values of all study parameters were represented in ±SD or standard deviation. Results: Fourteen adult male subjects with a mean age of 29.42 ± 4.46 years, and a body mass index of 22.0 ± 1.95 Kg/m<sup>2</sup>, were enrolled in the study. The mean AUC<sub>i</sub> for treatments A, B, and C were 104 ± 10, 111 ± 12, and 87 ± 12 mmol min/L, respectively and for Treatment R it was 276 ± 16, 319 ± 28 and 338 ± 25 mmol min/L for Days 1, 6 and 8, respectively. The mean GI of Treatment A was 33 ± 3, Treatment B was 35 ± 3 and Treatment C was 29 ± 5;all GI means were ≤55. Mild adverse events were reported in 2 (14.3%) subjects. No serious adverse events or deaths were reported in the study. All treatments were well tolerated by the subjects. Conclusion: The glycemic index of both test products and comparator was low (i.e., GI 55) as per ISO 26642:2010 standard.展开更多
Introduction: The Indian state of Uttar Pradesh (UP) for the past many years has been reported to have many cities with highly polluted air quality. The state has been taking meticulous steps in combating air pollutio...Introduction: The Indian state of Uttar Pradesh (UP) for the past many years has been reported to have many cities with highly polluted air quality. The state has been taking meticulous steps in combating air pollution in the form of action plans, introduced especially in its 17 non-attainment cities (NAC). To assess the progress and development of these action plans in UP, the present study has done an in-depth analysis and review of the state’s action plans and city micro action plans. Materials and Methods: In this research study, the analysis of the latest action plan reports, micro action plan reports as well as the recommendations for combating air pollution-related issues in the 17 NAC of the UP state has been well documented. Uttar Pradesh Pollution Control Board (UPPCB) has prepared these reports to highlight the progress of the plans in response to the growing air pollution in these cities. The information present in the reports has been used to further study sector-specific, category-specific action plans, institutional responsibility, and the present status of the action plans. Results: On average, the highest weightage in action plans was given to sector-specific categories such as Road dust and construction activities (24%). It was also observed that Urban local bodies (~50%) were majorly responsible to implement the action points and 56% of the action points were jointly implemented by multiple agencies.展开更多
The Khetri copper belt is a well-known metallotect in northern part of Delhi fold belt in Rajasthan. On the eastern margin of the Khetri sub basin of North Delhi basin separated by a basement high, another sub basin A...The Khetri copper belt is a well-known metallotect in northern part of Delhi fold belt in Rajasthan. On the eastern margin of the Khetri sub basin of North Delhi basin separated by a basement high, another sub basin Alwar-Ajabgarh sub basin exposes that a thick sequence of Ajabgarh group of rocks overlies a thick arenaceous sequence of Alwar group of Delhi Super Group of rocks. The Ajabgarh meta sediments here in the Neem Ka thana area are characterized by presence of Bornite dominated copper mineralization with silver association and minor presence of Pb. The mineralization has been described by various workers as strata-bound, hypogene and IOCG. But these inferences are based on part information and the inference drawn is sectorial in nature. The current study includes a holistic study based on exploration over a period of more than two decades and the data generated suggest thereof, that this syngenetic sulphide mineralization associated with the sedimentation of marl and carbonate rocks. Subsequently it has been relocated during 2<sup>nd</sup> deformation accompanied by epigenetic component of mineralization depicted in terms of vein filled coarse grained aggregates of bornite and chalcopyrite disposed across the general disposition of litho-package. The EPMA and fluid inclusion data generated from the area indicate association of typical hydrothermal environment minerals like, Perkrite, Wittchenite, Aguilarite, Molybdnite etc. The mineralizing fluids have been trapped between the temperature ranges of 130°C to 375°C with average being 250°C to 300°C. The fluid salinity also varies from near pure hot water to moderately saline fluid indicative of multi-episodic mineralization of syngenetic nature coupled with epigenetic component. The ore textures indicate 500°C temperature range;certain intergrowths of minerals like specular hematite and bornite suggest the occurrence of hypogene environment induced due to emplacement of granite/pegmatite on the eastern and southern margins of the belt. The strata bound nature suggests the euxogenic environment facilitated by carbonate facies of rocks. The parallelism of sulphide with the rock fabric was attained during first deformation and the epigenetic component coupled with the hypogene assemblage was deposited during the D<sub>2</sub> deformation in the brittle ductile shear zones and limb shears, between the temperature ranges of 130°C to 570°C as deduced from petrochemical data. Hence a comprehensive model is suggested here on evolution of process of mineralization in the Neem Ka Thana belt.展开更多
Various published data show the amount of crop residue available annually in India may range from a low of 90 to a high of 180 million tonnes. Different types of crop residue are collected from farmers depending on th...Various published data show the amount of crop residue available annually in India may range from a low of 90 to a high of 180 million tonnes. Different types of crop residue are collected from farmers depending on the geography and crop pattern for instance, in north India rice straw and cotton stalks are collected while in central India soya husk and sugarcane tops are collected. Baling and transporting straw from the field, though appear to be an option for safe disposal, will be feasible only when alternate, effective and economically viable usage methods are identified and facilities and infrastructure for ex-situ management methods are created. One immediate short term use of the residue is to replace 5% - 7% of the 670 million tonnes of coal India currently consumes to generate power. The farmers will benefit from the sale of their excess crop residue. The scheme will reduce pollution due to residue burning practices. Replacing coal will cut the GHG emissions. The challenge is to mobilize the crop residue collection and timely delivery to power plants. The data and calculations in this monogram show that it is economical for the farmer to remove the crop residue from the field quickly by using modern balers, to pelletize the biomass in small-scale distributed pellet plants, to store pellets in the modern steel bins and finally to deliver the pellets to coal plants by using rail transport. The delivered cost is estimated at around Rp 6.78/kg. The Government of India encourages the power plants to pay at least Rp 10/kg for the delivered biomass in the form of pellets. The current monogram analyzes the organization of an efficient supply chain in the State of Haryana India to ensure a sustainable modern enterprise.展开更多
文摘Studies reporting the Indian prevalence of Epidermal Growth Factor Receptor (EGFR) mutation are mostly single centers with small sample sizes. This systematic review and meta-analysis summarized the available evidence of EGFR mutation epidemiology in Indian patients with adenocarcinoma (ADC) Non-Small Cell Lung Cancer (NSCLC). We conducted a structured literature search in PubMed, and EMBASE databases from January 2004 through October 2019. The primary outcome of interest was prevalence of EGFR mutation by gender, smoking status, and mutation subtype. The review included 34 studies. EGFR mutation prevalence was 39.5% in patients with ADC, and significantly higher in females, non-smokers, and patients with exon 19 deletions. The EGFR mutation frequency in Indian patients with ADC was higher than reported in Caucasians but at a lower range of that reported in East Asians. These findings support the use of EGFR mutation testing to guide choice of treatment.
文摘Background: Tuberculosis (TB) is one of the top 10 causes of death worldwide. India is still the highest TB burden country. There is a scarcity of data on TB knowledge from Rajasthan state of India. Objective: The objective of this study was to estimate the prevalence of knowledge about TB and services of TB control programme and to determine its correlates among rural population of Jaipur, Rajasthan. Methods: Cross-sectional community based study was carried out at Model Rural Health Research Unit, Jaipur, a unit of Department of Health Research, Ministry of Health & Family Welfare, Government of India. Results: Study reports the result from 1993 adult participants from 10 villages of 2 sub-districts of district Jaipur. About 88.9% of studied participants knew that TB is an infectious disease and it spreads from TB patient to healthy person in close contact. Only 22.3% of participants knew “DOTS is the treatment for TB”. While, only 58.9% knew “sputum is used for diagnosis of TB” at health centers. Scheduled castes, scheduled tribes and backward classes social groups knew less than the mainstream “General” social group. The observed difference was statistically significant (p 0.05). Logistic regression analysis estimated the relative contribution to knowledge status. Conclusion: The knowledge of study participants on transmission of tuberculosis was similar to knowledge of population in country wide study. They poorly knew sputum is used for diagnosing tuberculosis disease;socio-demographic inequity exists in this knowledge too. People from older age groups, underprivileged social groups and minority need extra educational activities.
文摘Background: A balanced diet with a low glycemic index (GI) plays an important role in controlling and managing type 2 diabetes mellitus (T2DM). Here, we compared the GI of 2 flavors (vanilla and chocolate) of diabetes-specific nutritional (DSN) supplements to its comparator in healthy Indian adults under fasting conditions. Methods: This study was a 39-day open-label, non-comparative, single-center trial involving healthy adults aged between 18 to 45 years. The subjects received equal doses of 2 DSN powder (Treatments A and B), the comparator product (Treatment C), and dextrose monohydrate as a reference (Treatment R). Doses were administered as per the dosing schedule, after an overnight fast for 10 hours, with 2 intervening non-dosing days. Blood samples were collected on the dosing days to assess changes in capillary blood glucose levels. The primary endpoint of the study was the mean GI of Treatments A, B, and C (Defined as low: GI ≤ 55;medium: 55 GI ≤ 70;High: GI > 70), generated using the incremental area under the curve (AUC<sub>i</sub>) methodology. Safety was assessed throughout the study. Values of all study parameters were represented in ±SD or standard deviation. Results: Fourteen adult male subjects with a mean age of 29.42 ± 4.46 years, and a body mass index of 22.0 ± 1.95 Kg/m<sup>2</sup>, were enrolled in the study. The mean AUC<sub>i</sub> for treatments A, B, and C were 104 ± 10, 111 ± 12, and 87 ± 12 mmol min/L, respectively and for Treatment R it was 276 ± 16, 319 ± 28 and 338 ± 25 mmol min/L for Days 1, 6 and 8, respectively. The mean GI of Treatment A was 33 ± 3, Treatment B was 35 ± 3 and Treatment C was 29 ± 5;all GI means were ≤55. Mild adverse events were reported in 2 (14.3%) subjects. No serious adverse events or deaths were reported in the study. All treatments were well tolerated by the subjects. Conclusion: The glycemic index of both test products and comparator was low (i.e., GI 55) as per ISO 26642:2010 standard.
文摘Introduction: The Indian state of Uttar Pradesh (UP) for the past many years has been reported to have many cities with highly polluted air quality. The state has been taking meticulous steps in combating air pollution in the form of action plans, introduced especially in its 17 non-attainment cities (NAC). To assess the progress and development of these action plans in UP, the present study has done an in-depth analysis and review of the state’s action plans and city micro action plans. Materials and Methods: In this research study, the analysis of the latest action plan reports, micro action plan reports as well as the recommendations for combating air pollution-related issues in the 17 NAC of the UP state has been well documented. Uttar Pradesh Pollution Control Board (UPPCB) has prepared these reports to highlight the progress of the plans in response to the growing air pollution in these cities. The information present in the reports has been used to further study sector-specific, category-specific action plans, institutional responsibility, and the present status of the action plans. Results: On average, the highest weightage in action plans was given to sector-specific categories such as Road dust and construction activities (24%). It was also observed that Urban local bodies (~50%) were majorly responsible to implement the action points and 56% of the action points were jointly implemented by multiple agencies.
文摘The Khetri copper belt is a well-known metallotect in northern part of Delhi fold belt in Rajasthan. On the eastern margin of the Khetri sub basin of North Delhi basin separated by a basement high, another sub basin Alwar-Ajabgarh sub basin exposes that a thick sequence of Ajabgarh group of rocks overlies a thick arenaceous sequence of Alwar group of Delhi Super Group of rocks. The Ajabgarh meta sediments here in the Neem Ka thana area are characterized by presence of Bornite dominated copper mineralization with silver association and minor presence of Pb. The mineralization has been described by various workers as strata-bound, hypogene and IOCG. But these inferences are based on part information and the inference drawn is sectorial in nature. The current study includes a holistic study based on exploration over a period of more than two decades and the data generated suggest thereof, that this syngenetic sulphide mineralization associated with the sedimentation of marl and carbonate rocks. Subsequently it has been relocated during 2<sup>nd</sup> deformation accompanied by epigenetic component of mineralization depicted in terms of vein filled coarse grained aggregates of bornite and chalcopyrite disposed across the general disposition of litho-package. The EPMA and fluid inclusion data generated from the area indicate association of typical hydrothermal environment minerals like, Perkrite, Wittchenite, Aguilarite, Molybdnite etc. The mineralizing fluids have been trapped between the temperature ranges of 130°C to 375°C with average being 250°C to 300°C. The fluid salinity also varies from near pure hot water to moderately saline fluid indicative of multi-episodic mineralization of syngenetic nature coupled with epigenetic component. The ore textures indicate 500°C temperature range;certain intergrowths of minerals like specular hematite and bornite suggest the occurrence of hypogene environment induced due to emplacement of granite/pegmatite on the eastern and southern margins of the belt. The strata bound nature suggests the euxogenic environment facilitated by carbonate facies of rocks. The parallelism of sulphide with the rock fabric was attained during first deformation and the epigenetic component coupled with the hypogene assemblage was deposited during the D<sub>2</sub> deformation in the brittle ductile shear zones and limb shears, between the temperature ranges of 130°C to 570°C as deduced from petrochemical data. Hence a comprehensive model is suggested here on evolution of process of mineralization in the Neem Ka Thana belt.
文摘Various published data show the amount of crop residue available annually in India may range from a low of 90 to a high of 180 million tonnes. Different types of crop residue are collected from farmers depending on the geography and crop pattern for instance, in north India rice straw and cotton stalks are collected while in central India soya husk and sugarcane tops are collected. Baling and transporting straw from the field, though appear to be an option for safe disposal, will be feasible only when alternate, effective and economically viable usage methods are identified and facilities and infrastructure for ex-situ management methods are created. One immediate short term use of the residue is to replace 5% - 7% of the 670 million tonnes of coal India currently consumes to generate power. The farmers will benefit from the sale of their excess crop residue. The scheme will reduce pollution due to residue burning practices. Replacing coal will cut the GHG emissions. The challenge is to mobilize the crop residue collection and timely delivery to power plants. The data and calculations in this monogram show that it is economical for the farmer to remove the crop residue from the field quickly by using modern balers, to pelletize the biomass in small-scale distributed pellet plants, to store pellets in the modern steel bins and finally to deliver the pellets to coal plants by using rail transport. The delivered cost is estimated at around Rp 6.78/kg. The Government of India encourages the power plants to pay at least Rp 10/kg for the delivered biomass in the form of pellets. The current monogram analyzes the organization of an efficient supply chain in the State of Haryana India to ensure a sustainable modern enterprise.