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
An energy production system consisting of a solar collector, biogas dry reforming reactor and solid oxide fuel cell (SOFC) was assumed to be installed in Kolkata, India. This study aims to understand the impact of cli...An energy production system consisting of a solar collector, biogas dry reforming reactor and solid oxide fuel cell (SOFC) was assumed to be installed in Kolkata, India. This study aims to understand the impact of climate conditions on the performance of solar collectors with different lengths of parabolic trough solar collector (dx) and mass flow rate of heat transfer fluid (m). In addition, this study has evaluated the amount of H2 produced by biogas dry reforming (GH2), the amount of power generated by SOFC (PSOFC) and the maximum number of possible households (N) whose electricity demand could be met by the energy system proposed, considering the performance of solar collector with the different dx and m. As a result, the optimum dx was found to be 4 m. This study revealed that the temperature of heat transfer fluid (Tfb) decreased with the increase in m. Tfb in March, April and May was higher than that in other months, while Tfb from June to December was the lowest. GH2, PSOFC and N in March, April and May were higher than those in other months, irrespective of m. The optimum m was 0.030 kg/s.展开更多
Higher education plays an important role in all aspects of sustainability.Infusing climate change and sustainability into the curriculum is important to prepare future health-care professionals for climate change and ...Higher education plays an important role in all aspects of sustainability.Infusing climate change and sustainability into the curriculum is important to prepare future health-care professionals for climate change and sustainability actions to build resilient health systems.In this study,we evaluated the preparedness,knowledge,and perception regarding climate change and its impact on human health among Indian nursing students.A quantitative descriptive survey was conducted among 644 undergraduate nursing students studying in three institutes in the southern,northern,and western parts of India.We used a structured online questionnaire with established validity and reliability to collect data.The data were analyzed using Statistical Package for the Social Sciences version 26 software.The results showed that more than half of the students reported experiencing excessive increase(362;56.2%)and decrease(374;58.1%)in temperature in recent years.Though more than three quarters of the students(494;76.7%)accepted the general truth that climate change is mainly caused by human activities,only less than half of the students(309;48.0%)perceived the impact of climate change to be high.Three quarters of the students(483;75.0%)had a high level of knowledge regarding climate change.The students who had a high level of knowledge about climate change exerted a high perceived impact of climate change(χ^(2)=75.47;P<0.01).More than half of the students(50.9%)felt that they needed information about climate change to be included in the nursing curriculum,and only one sixth of the students(16.1%)were highly confident about engaging in climate change-related conversation with patients.Most of the students who participated in the study had basic knowledge about climate change and its impact on human health.However,there is an observed gap between knowledge and their preparedness and confidence to engage in climate change actions.Hence,we propose to strengthen the nursing curriculum by integrating various curricular and co-curricular activities related to climate change,so that future nurses are empowered to become climate change advocates.展开更多
This study examines the transformative role of self-help groups(SHGs)in the socioeconomic development of rural women in Cooch Behar District,India,and their contribution toward achieving Sustainable Development Goals(...This study examines the transformative role of self-help groups(SHGs)in the socioeconomic development of rural women in Cooch Behar District,India,and their contribution toward achieving Sustainable Development Goals(SDGs)of the United Nations.In this study,we explored the effect of SHGs on rural women by specifically addressing SDGs,such as no poverty(SDG 1),zero hunger(SDG 2),good health and well-being(SDG 3),quality education(SDG 4),and gender equality(SDG 5).Given this issue,a cross-sectional survey and comparison analyses are needed to assess the socioeconomic development of rural women and their awareness level before and after the participation of rural women in SHGs.The survey conducted as part of this study was divided into three sections,namely,demographic characteristics,socioeconomic development,and awareness level,with each focusing on different aspects.A group of 400 individuals who were part of SHGs completed the questionnaire survey form.The results showed that the participation of rural women in SHGs significantly improved their socioeconomic development and awareness level,as supported by both mean values and t test results.Memberships in SHGs and microcredit programs were the major elements that boosted the socioeconomic development of rural women,which also achieves SDGs 1,2,3,4,and 5.This study revealed that participation in SHGs and related financial services significantly aided rural women in economically disadvantaged communities in accumulating savings and initiating entrepreneurial ventures.Moreover,participation in SHGs was instrumental in enhancing the self-confidence,self-efficacy,and overall self-esteem of rural women.Finally,doing so enabled them to move more freely for work and other activities and to make family and common decisions.展开更多
Objectives Understanding past trends and forecasting future changes in health spending is vital for planning and reducing reliance on out-of-pocket(OOP)expenses.The current study analyzed health expenditure patterns i...Objectives Understanding past trends and forecasting future changes in health spending is vital for planning and reducing reliance on out-of-pocket(OOP)expenses.The current study analyzed health expenditure patterns in India and forecasted future trends and patterns until 2035.Methods Data on health expenditure in India from 2000 to 2019 was collected from the Organisation for Economic Co-operation and Development(OECD)iLibrary and National Health Accounts 2019 databases.Gross domestic product(GDP)data from the World Bank was also utilized.Descriptive statistics analyzed the composition and pattern,while the exponential smoothing model forecasted future health expenditures.Results The findings revealed that expenditure made by OOP is the primary health financing source,followed by government and pre-paid private spending.The percentage of GDP allocated to total health expenditure remains stable,while the per capita health expenditure fluctuates.Variations in expenditure among states are observed,with Karnataka relying heavily on pre-paid private coverage.Future projections suggest a decline in per capita and total health expenditure as a share of GDP,with a slight increase in the government’s share.Pre-paid private expenditure per capita and OOP health expenditure as a share of the total is projected to remain relatively constant but still high in absolute terms.Conclusion The study highlights variations in health spending in India,characterized by high OOP spending,limited public coverage,and a need for investments,and reforms to improve healthcare access and equity.展开更多
Limestone is one of the essential raw materials in the cement,paint,steel,ceramic,glass,chemical,pharmaceutical,paper,and fertilizer industries.In India,only 8%of the limestone resources are placed under the reserve c...Limestone is one of the essential raw materials in the cement,paint,steel,ceramic,glass,chemical,pharmaceutical,paper,and fertilizer industries.In India,only 8%of the limestone resources are placed under the reserve category,of which 97%is of cement grade.Thus,India depends on imports to bridge the demand‐supply gap of steel,blast furnace,and chemical‐grade limestone.Efforts of Geological Survey of India(GSI)to locate alternate sources for limestone led to the discovery of enormous quantities of carbonate minerals called limemud from the continental shelf margin of the west coast of India.GSI carried out systematic studies to explore the nature of the disposition,quality,quantity,and suitability of the offshore limemud for various industrial applications.A preliminary estimate of resources using high‐resolution subbottom profiling and sediment core sample studies established the occurrence of more than 172 billion tonnes of high‐grade(The content of CaCO3 is greater than 80 wt%)limemud in 0.4–28.0m thick stratified sediment layers spread over an area of 18000 km2.Chemical,physical,mineralogical,beneficiation,and agglomeration studies found the offshore limemud as a potential replacement for limestone in the cement,filler,blast furnace,steel melting shop,lime production,paint,and Grade‐I steel industries.An assessment of mining and transportation costs indicates that the offshore limemud(USD 5–6/ton)is more cost‐effective than that imported from other countries(USD16‐18/ton).With several advantageous factors like low impurity,mode of occurrence in overburden‐free stratified form,fine‐grained slurry nature,and shallow water depth,sustainable mining of offshore limemud could be a future reality with controllable technological,economic,and environmental challenges.展开更多
Forest resources play a vital role in supporting the livelihoods of rural communities residing in forest-rich areas.In India,a forest-rich country,a significant proportion of non-timber forest products(NTFPs)is consum...Forest resources play a vital role in supporting the livelihoods of rural communities residing in forest-rich areas.In India,a forest-rich country,a significant proportion of non-timber forest products(NTFPs)is consumed locally,supporting numerous rural communities relying on forests for essential resources,such as firewood,timber,and NTFPs.This study focuses on two forest-dominant districts in West Bengal of India,namely,Jhargram District and Paschim Medinipur District.Furthermore,this study aims to enhance the understanding of forest-dependent communities by comparing the standard of living among different village classes.Thus,we categorized villages into three classes based on the distance from home to forests,including inner villages,fringe villages,and outer villages.Through focus group discussions and household surveys,we explored the sources of local economy,income sources of household,and reasons for economic diversification in different village classes.The study findings confirm that substantial variations existed in the income sources and the standard of living in these villages.Forest income varied dramatically among the three village classes,with inner villages having greater forest income than fringe villages and outer villages.Meanwhile,households in outer villages depended on forests and engaged in diverse economic activities for their livelihoods.Compared with inner and fringe villages,households in outer villages derived a significant portion of their income from livestock.This discrepancy can be attributed to challenges,such as inadequate transportation,communication,and underdeveloped market chains in inner villages.Moreover,these findings emphasize the need to develop sustainable forest management practices,create alternative income-generation opportunities,and improve infrastructure and market access in inner villages,as well as promote economic diversification in outer villages.Through targeted policy measures,these forest-rich regions can achieve improved livelihoods,enhanced standard of living,and increased resilience for their communities.展开更多
Gallbladder cancer(GBC)is one of the commonest biliary malignancies seen in India,Argentina,and Japan.The disease has dismal outcome as it is detected quite late due to nonspecific symptoms and signs.Early detection i...Gallbladder cancer(GBC)is one of the commonest biliary malignancies seen in India,Argentina,and Japan.The disease has dismal outcome as it is detected quite late due to nonspecific symptoms and signs.Early detection is the only way to improve the outcome.There have been several advances in basic as well as clinical research in the hepatobiliary and pancreatic diseases in the West and other developed countries but not enough has been done in GBC.Therefore,it is imp-ortant and the responsibility of the countries with high burden of GBC to find solutions to the many unanswered questions like etiopathogenesis,early diagn-osis,treatment,and prognostication.As India being one of the largest hubs for GBC in the world,it is important to know how the country has progressed on GBC.In this review,we will discuss the outcome of the publications from India highlighting the work and the developments taken place in past several decades both in basic and clinical research.展开更多
BACKGROUND Liver transplantation(LT)for hepatocellular carcinoma(HCC)has been widely researched and is well established worldwide.The cornerstone of this treatment lies in the various criteria formulated by expert con...BACKGROUND Liver transplantation(LT)for hepatocellular carcinoma(HCC)has been widely researched and is well established worldwide.The cornerstone of this treatment lies in the various criteria formulated by expert consensus and experience.The variations among the criteria are staggering,and the short-and long-term outcomes are controversial.AIM To study the differences in the current practices of LT for HCC at different centers in India and discuss their clinical implications in the future.METHODS We conducted a survey of major centers in India that performed LT in December 2022.A total of 23 responses were received.The centers were classified as high-and low-volume,and the current trend of care for patients undergoing LT for HCC was noted.RESULTS Of the 23 centers,35%were high volume center(>500 Liver transplants)while 52%were high-volume centers that performed more than 50 transplants/year.Approximately 39%of centers had performed>50 LT for HCC while the percent distribution for HCC in LT patients was 5%–15%in approximately 73%of the patients.Barring a few,most centers were divided equally between University of California,San Francisco(UCSF)and center-specific criteria when choosing patients with HCC for LT,and most(65%)did not have separate transplant criteria for deceased donor LT and living donor LT(LDLT).Most centers(56%)preferred surgical resection over LT for a Child A cirrhosis patient with a resectable 4 cm HCC lesion.Positron-emission tomography-computed tomography(CT)was the modality of choice for metastatic workup in the majority of centers(74%).Downstaging was the preferred option for over 90%of the centers and included transarterial chemoembolization,transarterial radioembolization,stereotactic body radiotherapy and atezolizumab/bevacizumab with varied indications.The alphafetoprotein(AFP)cut-off was used by 74%of centers to decide on transplantation as well as to downstage tumors,even if they met the criteria.The criteria for successful downstaging varied,but most centers conformed to the UCSF or their center-specific criteria for LT,along with the AFP cutoff values.The wait time for LT from downstaging was at least 4–6 wk in all centers.Contrast-enhanced CT was the preferred imaging modality for post-LT surveillance in 52%of the centers.Approximately 65%of the centers preferred to start everolimus between 1 and 3 months post-LT.CONCLUSION The current predicted 5-year survival rate of HCC patients in India is less than 15%.The aim of transplantation is to achieve at least a 60%5-year disease free survival rate,which will provide relief to the prediction of an HCC surge over the next 20 years.The current worldwide criteria(Milan/UCSF)may have a higher 5-year survival(>70%);however,the majority of patients still do not fit these criteria and are dependent on other suboptimal modes of treatment,with much lower survival rates.To make predictions for 2040,we must prepare to arm ourselves with less stringent selection criteria to widen the pool of patients who may undergo transplantation and have a chance of a better outcome.With more advanced technology and better donor outcomes,LDLT will provide a cutting edge in the fight against liver cancer over the next two decades.展开更多
Behavioral traits of species can play an important role in the functioning of the ecosystem and in evolving behavioural adaptations to survive according to environmental conditions.This note documents evidence of addi...Behavioral traits of species can play an important role in the functioning of the ecosystem and in evolving behavioural adaptations to survive according to environmental conditions.This note documents evidence of adding a rare observation by providing photographic evidence of the entanglement of a carcass of a juvenile Black Kite(Milvus migrans)from a nest and the use of nest by an adult individual,guarding the carcass.Documenting such behavior contributes to our understanding of the natural history and management of native species in an urban environment.Further,scientific studies/observations are needed to be conducted to reach some conclusion as to why species perform such behaviour.展开更多
On March 26th,CAFIU Vice-President Ai Ping met Secretary-General Mohammed Saqib of the India China Economic and Cultural Council.The two sides exchanged views on China-lndia relations and people-to-people exchanges.Vi...On March 26th,CAFIU Vice-President Ai Ping met Secretary-General Mohammed Saqib of the India China Economic and Cultural Council.The two sides exchanged views on China-lndia relations and people-to-people exchanges.Vice-President Ai Ping said that the development of relationship between two states is based on their peoples.Strengthening people-to-people exchanges between China and India and promoting mutual understanding between the peoples are important for the improvement of the relationship between the two countries.展开更多
The Ganges and Brahmaputra River system is in the plains of the northern Indian subcontinent. The river is a wide sluggish stream flowing through densely populated and fertile agricultural regions of the world. The Ga...The Ganges and Brahmaputra River system is in the plains of the northern Indian subcontinent. The river is a wide sluggish stream flowing through densely populated and fertile agricultural regions of the world. The Ganges is known as the Hinduism holy river. In Bangladesh, the Brahmaputra is joined by the Teesta River. The western branch of the Brahmaputra confluences with the Ganges and contains most of the river flow. The eastern branch joins the Meghna River near Dhaka. The basin covers parts of four countries including India, Nepal, China, and Bangladesh. Of greater concern, however, has been the degradation in quality of the river water itself. The primary objective of this research is to encourage the development of a multi-country clean-up, mitigation, and protection plan for the Ganges-Brahmaputra rivers. This article constitutes a real tool for the restoration, enhancement and protection of the Ganges-Brahmaputra River system and its environment. The Ganges and Brahmaputra rivers are known for stream bank erosion, shifting channels, and sandbars that continually emerge in their course. The Ganges and Brahmaputra watershed is home to hundreds of millions of people, with the result that the river’s water over much of its course is highly polluted. Arsenic contamination of groundwater in Bangladesh continues to be the largest case of human poisoning in history. Catastrophic floods have prompted the World Bank to prepare a long-term flood-control plan for the region. Scores of cities and towns contribute to treated sewage into the river and its main tributaries, and dozens of manufacturing facilities contribute industrial waste. Also contributing to high pollution levels are agricultural runoff, the remnants of partially burned or unburned bodies from funeral pyres, and animal carcasses. High levels of disease-causing bacteria, as well as such toxic substances as chromium, cadmium, and arsenic, have been found in the Ganges and Brahmaputra. External research and funding of adsorptive media systems to help mitigate the high arsenic levels in drinking water (river and groundwater) is needed. The Ganges-Brahmaputra River system is of colossal importance to its entire environment. Restoration and protection measures must be adopted appropriately and at the scale of the concerned countries.展开更多
Incipient charnockites represent granulite formation on a mesoscopic scale and have received considerable attention in understanding fluid processes in the deep crust. Here we report new petrological data from an inci...Incipient charnockites represent granulite formation on a mesoscopic scale and have received considerable attention in understanding fluid processes in the deep crust. Here we report new petrological data from an incipient charuockite locality at Rajapalaiyam in the Madurai Block, southern India, and discuss the petrogenesis based on mineral phase equilibrium modeling and pseudosection analysis. Rajapalaiyam is a key locality in southern India from where diagnostic mineral assemblages for ultrahigh-temperature (UHT) metamorphism have been reported. Proximal to the UHT rocks are patches and lenses of charnockite (Kfs+Qtz +Pl+ Bt + Opx+ Grt +Ilm) occurring within Opx-free Grt-Bt gneiss (Kfs +Pl + Qtz + Bt + Grt + Ilm + Mt) which we report in this study. The application of mineral equilibrium modeling on the charnockitic assemblage in NCKFMASHTO system yields a p-T range of 820 ℃ and -9 kbar. Modeling of the charnockite assemblage in the MnNCKFMASHTO system indicates a slight shift of the equilibrium condition toward lower p and T (- 760 ℃ and - 7.5 kbar), which is consistent with the results obtained fiom geothermobarometry (710--760 ℃, 6.7-7.5 kbar), but significantly lower than the peak temperatures (〉1000 ℃) recorded from the UHT rocks in this locality, suggesting that charnockitization is a post-peak event. The modeling of 7 versus molar H2O content in the rock (M(H2O)) demonstrates that the Opx-bearing assemblage in charnockite and Opx- free assemblage in Grt-Bt gneiss are both stable at M(H2O) = 0.3 mol%--0.6 mol%, and there is no significant difference in water activity between the two domains. Our finding is in contrast to the previous petrogenetic model of incipient charnockite formation which envisages lowering of water activity and stabilization of orthopyroxene through breakdown of biotite by dehydration caused by the infiltration of CO2-rich fluid. T-XFe3+ (= Fe2O3/(FeO + Fe2O3) in mole) pseudosections suggest that the oxidation condition of the rocks played a major role on the stability of orthopyroxene; Opx is stable at XFe3+〈0.03 in charnockite, while Opx-free assemblage in Grt-Bt gneiss is stabilized at XFe3+ 〉0.12. Such low oxygen fugacity conditions of XFe3+ 〈0.03 in the charnockite compared to Ort-Bt gneiss might be related to the infiltration of a reduced fluid (e.g., H2O + CH4) during the retrograde stage.展开更多
Glucose-6-Phosphate Dehydrogenase (G6PD) deficiency is the most common enzyme deficiency of human erythrocyte affecting more than 400 million people worldwide. In India, G6PD deficiency was first reported in 1963 and ...Glucose-6-Phosphate Dehydrogenase (G6PD) deficiency is the most common enzyme deficiency of human erythrocyte affecting more than 400 million people worldwide. In India, G6PD deficiency was first reported in 1963 and since then various investigations have been conducted across country. The objective of this work was to study the prevalence of G6PD deficiency in different ethnic, caste and linguistic groups of Indian population. A systematic search of published literature was undertaken and the wide variability of G6PD deficiency has been observed ranging from 0% - 30.7% among the different caste, ethnic, and linguistic groups of India. It was observed that the incidence of G6PD deficiency was found to be considerably higher among the tribes (9.86%) as compared to other ethnic groups (7.34%) and significantly higher in males as compared to females.展开更多
Economic analysis of different diversified rotational cropping systems under Farmers' package/practices and improved package/practices was conducted in Birbhum district, West Bengal, located in the red and lateritic ...Economic analysis of different diversified rotational cropping systems under Farmers' package/practices and improved package/practices was conducted in Birbhum district, West Bengal, located in the red and lateritic belt of lower Gangetic plain of eastern lndia. Diversified triple cropping systems (peanut-brinjal+brinjal, rice-potato-pumpkin, and cucumber-cabbage-basella) required higher cost for cultivation, but also produced higher rice equivalent yield, higher net return and higher return rupee1 invested in both management practices. Considering the resource-ability and risk-bearing capacity, and net return and return rupee^-1 (RPR) invested, these cropping systems can be recommended for resource-rich farmers. Rice-rapeseed-cowpea, rice-wheat-green gram and radish-tomato-amaranthus systems profitable. These cropping systems can be required less inputs for cultivation, were less risky, and economically viable and recommended for resource-poor farmers. Peanut-brinjal + brinjal-okra-chilli + chilli-cucumber-cabbage-basella system was the best among all the 3-year rotational systems in respect to RPR in both management practices. This rotational system will be suitable for resource-rich farmers. Vegetable-based rotational systems (ridge gourd-marigold-okra-black gram-pointed gourd + pointed gourd-radish-tomato-amaranthus) or rice-based rotational system (rice-wheat-green gram-rice-rapeseed-cowpea-rice-potato-pumpkin) also found to be suitable to increase the profitability and system sustainability. These cropping systems can be recommended for all groups of farmers.展开更多
The unprecedented healthcare demand due to sudden outbreak of coronavirus disease 2019 (COVID-19) pandemic has almost collapsed the health care systems especially in the developing world. Given the disastrous outbreak...The unprecedented healthcare demand due to sudden outbreak of coronavirus disease 2019 (COVID-19) pandemic has almost collapsed the health care systems especially in the developing world. Given the disastrous outbreak of COVID-19 second wave in India, the health system of country was virtually at the brink of collapse. Therefore, to identify the factors that resulted into breakdown and the challenges, Indian healthcare system faced during the second wave of COVID-19 pandemic, this paper analysed the health system challenges in India and the way forward in accordance with the six building blocks of world health organization (WHO). Applying integrated review approach, we found that the factors such as poor infrastructure, inadequate financing, lack of transparency and poor healthcare management resulted into the overstretching of healthcare system in India. Although health system in India faced these challenges from the very beginning, but early lessons from first wave should have been capitalized to avert the much deeper crisis in the second wave of the pandemic. To sum-up given the likely future challenges of pandemic, while healthcare should be prioritized with adequate financing, strong capacity-building measures and integration of public and private sectors in India. Likewise fiscal stimulus, risk assessment, data availability and building of human resources chain are other key factors to be strengthened for mitigating the future healthcare crisis in country.展开更多
BACKGROUND The coronavirus disease 2019(COVID-19)pandemic has brought fundamental changes to our problems and priorities,especially those related to the healthcare sector.India was one of the countries severely affect...BACKGROUND The coronavirus disease 2019(COVID-19)pandemic has brought fundamental changes to our problems and priorities,especially those related to the healthcare sector.India was one of the countries severely affected by the harsh consequences of the COVID-19 pandemic.AIM To understand the challenges faced by the healthcare system during a pandemic.METHODS The literature search for this review was conducted using PubMed,EMBASE,Scopus,Web of Science,and Google Scholar.We also used Reference Citation Analysis(RCA)to search and improve the results.We focused on the published scientific articles concerned with two major vital areas:(1)The Indian healthcare system;and(2)COVID-19 pandemic effects on the Indian healthcare system.RESULTS The Indian healthcare system was suffering even before the pandemic.The pandemic has further stretched the healthcare services in India.The main obstacle in the healthcare system was to combat the rising number of communicable as well as noncommunicable diseases.Besides the pandemic measures,there was a diversion of focus of the already established healthcare services away from the chronic conditions and vaccinations.The disruption of the vaccination services may have more severe short and long-term consequences than the pandemic’s adverse effects.CONCLUSION Severely restricted resources limited the interaction of the Indian healthcare system with the COVID-19 pandemic.Re-establishment of primary healthcare services,maternal and child health services,noncommunicable diseases programs,National Tuberculosis Elimination Program,etc.are important to prevent serious long-term consequences of this pandemic.展开更多
Extremely heavy rainfall occurred over both Northwest India and North China in September 2021.The precipitation anomalies were 4.1 and 6.2 times interannual standard deviation over the two regions,respectively,and bro...Extremely heavy rainfall occurred over both Northwest India and North China in September 2021.The precipitation anomalies were 4.1 and 6.2 times interannual standard deviation over the two regions,respectively,and broke the record since the observational data were available,i.e.,1901 for India and 1951 for China.In this month,the Asian uppertropospheric westerly jet was greatly displaced poleward over West Asia,and correspondingly,an anomalous cyclone appeared over India.The anomalous cyclone transported abundant water vapor into Northwest India,leading to the heavy rainfall there.In addition,the Silk Road pattern,a teleconnection pattern of upper-level meridional wind over the Eurasian continent and fueled by the heavy rainfall in Northwest India,contributed to the heavy rainfall in North China.Our study emphasizes the roles of atmospheric teleconnection patterns in concurrent rainfall extremes in the two regions far away from each other,and the occurrence of rainfall extremes during the post-or pre-monsoon period in the northern margins of monsoon regions.展开更多
Detailed mineralogical, bulk-rock geochemical and Sr-Nd isotopic data for the recently discovered Ahobil kimberlite(Pipe-16) from the Wajrakarur kimberlite field(WKF), Eastern Dharwar craton(EDC),southern India, are p...Detailed mineralogical, bulk-rock geochemical and Sr-Nd isotopic data for the recently discovered Ahobil kimberlite(Pipe-16) from the Wajrakarur kimberlite field(WKF), Eastern Dharwar craton(EDC),southern India, are presented. Two generations of compositionally distinct olivine, Ti-poor phlogopite showing orangeitic evolutionary trends, spinel displaying magmatic trend-1, abundant perovskite, Tirich hydrogarnet, calcite and serpentine are the various mineral constituents. On the basis of(i) liquidus mineral composition,(ii) bulk-rock chemistry, and(iii) Sr-Nd isotopic composition, we show that Ahobil kimberlite shares several characteristic features of archetypal kimberlites than orangeites and lamproites. Geochemical modelling indicate Ahobil kimberlite magma derivation from small-degree melting of a carbonated peridotite source having higher Gd/Yb and lower La/Sm in contrast to those of orangeites from the Eastern Dharwar and Bastar cratons of Indian shield. The T_(Dm) Nd model age(~2.0 Ga) of the Ahobil kimberlite is(i) significantly older than those(1.5~1.3 Ga) reported for Wajrakarur and Narayanpet kimberlites of EDC,(ii) indistinguishable from those of the Mesoproterozoic EDC lamproites,and(iii) strikingly coincides with the timing of the amalgamation of the Columbia supercontinent. High bulk-rock Fe-Ti contents and wide variation in oxygen fugacity fO_2, as inferred from perovskite oxybarometry, suggest non-prospective nature of the Ahobil kimberlite for diamond.展开更多
Traditional Devadasi system based sex work (dhandha) is practiced inIndia. The communities that practice this system are affected severely by AIDS epidemic. Through this paper we present the views of gharwalis (brothe...Traditional Devadasi system based sex work (dhandha) is practiced inIndia. The communities that practice this system are affected severely by AIDS epidemic. Through this paper we present the views of gharwalis (brothel madams) regarding the impact of AIDS on the traditional system (Devadasi system) of initiating girls as sex workers (Devadasis) and on the practice of sex work (dhandha) associated with that system. Qualitative in-depth interviews were conducted with twelve gharwalis as a follow-up of a cohort study, which investigated the patterns and determinants of sex worker migration from northern Karnataka to southern Maharashtra, in India. According to gharwalis, the disease (AIDS) consequences;death, fear and stigma affected dhandha operations, changed the attitude of the Devadasi community against the practice of dhandha and the Devadasi system, besides, influenced the community to take actions to stop the practice of dhandha and the Devadasi system. The findings suggest that the interplay between the disease consequences and the community’s response to those consequences contribute to transition dhandha and the Devadasi system. We discuss our findings, describe the transition and the consequent risk enhancing conditions. Finally, highlight the need to address these conditions to reduce Devadasis risk and vulnerability to HIV infection.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An energy production system consisting of a solar collector, biogas dry reforming reactor and solid oxide fuel cell (SOFC) was assumed to be installed in Kolkata, India. This study aims to understand the impact of climate conditions on the performance of solar collectors with different lengths of parabolic trough solar collector (dx) and mass flow rate of heat transfer fluid (m). In addition, this study has evaluated the amount of H2 produced by biogas dry reforming (GH2), the amount of power generated by SOFC (PSOFC) and the maximum number of possible households (N) whose electricity demand could be met by the energy system proposed, considering the performance of solar collector with the different dx and m. As a result, the optimum dx was found to be 4 m. This study revealed that the temperature of heat transfer fluid (Tfb) decreased with the increase in m. Tfb in March, April and May was higher than that in other months, while Tfb from June to December was the lowest. GH2, PSOFC and N in March, April and May were higher than those in other months, irrespective of m. The optimum m was 0.030 kg/s.
文摘Higher education plays an important role in all aspects of sustainability.Infusing climate change and sustainability into the curriculum is important to prepare future health-care professionals for climate change and sustainability actions to build resilient health systems.In this study,we evaluated the preparedness,knowledge,and perception regarding climate change and its impact on human health among Indian nursing students.A quantitative descriptive survey was conducted among 644 undergraduate nursing students studying in three institutes in the southern,northern,and western parts of India.We used a structured online questionnaire with established validity and reliability to collect data.The data were analyzed using Statistical Package for the Social Sciences version 26 software.The results showed that more than half of the students reported experiencing excessive increase(362;56.2%)and decrease(374;58.1%)in temperature in recent years.Though more than three quarters of the students(494;76.7%)accepted the general truth that climate change is mainly caused by human activities,only less than half of the students(309;48.0%)perceived the impact of climate change to be high.Three quarters of the students(483;75.0%)had a high level of knowledge regarding climate change.The students who had a high level of knowledge about climate change exerted a high perceived impact of climate change(χ^(2)=75.47;P<0.01).More than half of the students(50.9%)felt that they needed information about climate change to be included in the nursing curriculum,and only one sixth of the students(16.1%)were highly confident about engaging in climate change-related conversation with patients.Most of the students who participated in the study had basic knowledge about climate change and its impact on human health.However,there is an observed gap between knowledge and their preparedness and confidence to engage in climate change actions.Hence,we propose to strengthen the nursing curriculum by integrating various curricular and co-curricular activities related to climate change,so that future nurses are empowered to become climate change advocates.
文摘This study examines the transformative role of self-help groups(SHGs)in the socioeconomic development of rural women in Cooch Behar District,India,and their contribution toward achieving Sustainable Development Goals(SDGs)of the United Nations.In this study,we explored the effect of SHGs on rural women by specifically addressing SDGs,such as no poverty(SDG 1),zero hunger(SDG 2),good health and well-being(SDG 3),quality education(SDG 4),and gender equality(SDG 5).Given this issue,a cross-sectional survey and comparison analyses are needed to assess the socioeconomic development of rural women and their awareness level before and after the participation of rural women in SHGs.The survey conducted as part of this study was divided into three sections,namely,demographic characteristics,socioeconomic development,and awareness level,with each focusing on different aspects.A group of 400 individuals who were part of SHGs completed the questionnaire survey form.The results showed that the participation of rural women in SHGs significantly improved their socioeconomic development and awareness level,as supported by both mean values and t test results.Memberships in SHGs and microcredit programs were the major elements that boosted the socioeconomic development of rural women,which also achieves SDGs 1,2,3,4,and 5.This study revealed that participation in SHGs and related financial services significantly aided rural women in economically disadvantaged communities in accumulating savings and initiating entrepreneurial ventures.Moreover,participation in SHGs was instrumental in enhancing the self-confidence,self-efficacy,and overall self-esteem of rural women.Finally,doing so enabled them to move more freely for work and other activities and to make family and common decisions.
文摘Objectives Understanding past trends and forecasting future changes in health spending is vital for planning and reducing reliance on out-of-pocket(OOP)expenses.The current study analyzed health expenditure patterns in India and forecasted future trends and patterns until 2035.Methods Data on health expenditure in India from 2000 to 2019 was collected from the Organisation for Economic Co-operation and Development(OECD)iLibrary and National Health Accounts 2019 databases.Gross domestic product(GDP)data from the World Bank was also utilized.Descriptive statistics analyzed the composition and pattern,while the exponential smoothing model forecasted future health expenditures.Results The findings revealed that expenditure made by OOP is the primary health financing source,followed by government and pre-paid private spending.The percentage of GDP allocated to total health expenditure remains stable,while the per capita health expenditure fluctuates.Variations in expenditure among states are observed,with Karnataka relying heavily on pre-paid private coverage.Future projections suggest a decline in per capita and total health expenditure as a share of GDP,with a slight increase in the government’s share.Pre-paid private expenditure per capita and OOP health expenditure as a share of the total is projected to remain relatively constant but still high in absolute terms.Conclusion The study highlights variations in health spending in India,characterized by high OOP spending,limited public coverage,and a need for investments,and reforms to improve healthcare access and equity.
基金Geological Survey of India(Data collected as part of annual field programme of Geological Survey of India,Ministry of Mines,Government of India)。
文摘Limestone is one of the essential raw materials in the cement,paint,steel,ceramic,glass,chemical,pharmaceutical,paper,and fertilizer industries.In India,only 8%of the limestone resources are placed under the reserve category,of which 97%is of cement grade.Thus,India depends on imports to bridge the demand‐supply gap of steel,blast furnace,and chemical‐grade limestone.Efforts of Geological Survey of India(GSI)to locate alternate sources for limestone led to the discovery of enormous quantities of carbonate minerals called limemud from the continental shelf margin of the west coast of India.GSI carried out systematic studies to explore the nature of the disposition,quality,quantity,and suitability of the offshore limemud for various industrial applications.A preliminary estimate of resources using high‐resolution subbottom profiling and sediment core sample studies established the occurrence of more than 172 billion tonnes of high‐grade(The content of CaCO3 is greater than 80 wt%)limemud in 0.4–28.0m thick stratified sediment layers spread over an area of 18000 km2.Chemical,physical,mineralogical,beneficiation,and agglomeration studies found the offshore limemud as a potential replacement for limestone in the cement,filler,blast furnace,steel melting shop,lime production,paint,and Grade‐I steel industries.An assessment of mining and transportation costs indicates that the offshore limemud(USD 5–6/ton)is more cost‐effective than that imported from other countries(USD16‐18/ton).With several advantageous factors like low impurity,mode of occurrence in overburden‐free stratified form,fine‐grained slurry nature,and shallow water depth,sustainable mining of offshore limemud could be a future reality with controllable technological,economic,and environmental challenges.
基金the Department of Science and Technology and Biotechnology,West Bengal,India(1433(Sanc.)/STBT-11012(20)/8/2021-ST SEC).
文摘Forest resources play a vital role in supporting the livelihoods of rural communities residing in forest-rich areas.In India,a forest-rich country,a significant proportion of non-timber forest products(NTFPs)is consumed locally,supporting numerous rural communities relying on forests for essential resources,such as firewood,timber,and NTFPs.This study focuses on two forest-dominant districts in West Bengal of India,namely,Jhargram District and Paschim Medinipur District.Furthermore,this study aims to enhance the understanding of forest-dependent communities by comparing the standard of living among different village classes.Thus,we categorized villages into three classes based on the distance from home to forests,including inner villages,fringe villages,and outer villages.Through focus group discussions and household surveys,we explored the sources of local economy,income sources of household,and reasons for economic diversification in different village classes.The study findings confirm that substantial variations existed in the income sources and the standard of living in these villages.Forest income varied dramatically among the three village classes,with inner villages having greater forest income than fringe villages and outer villages.Meanwhile,households in outer villages depended on forests and engaged in diverse economic activities for their livelihoods.Compared with inner and fringe villages,households in outer villages derived a significant portion of their income from livestock.This discrepancy can be attributed to challenges,such as inadequate transportation,communication,and underdeveloped market chains in inner villages.Moreover,these findings emphasize the need to develop sustainable forest management practices,create alternative income-generation opportunities,and improve infrastructure and market access in inner villages,as well as promote economic diversification in outer villages.Through targeted policy measures,these forest-rich regions can achieve improved livelihoods,enhanced standard of living,and increased resilience for their communities.
文摘Gallbladder cancer(GBC)is one of the commonest biliary malignancies seen in India,Argentina,and Japan.The disease has dismal outcome as it is detected quite late due to nonspecific symptoms and signs.Early detection is the only way to improve the outcome.There have been several advances in basic as well as clinical research in the hepatobiliary and pancreatic diseases in the West and other developed countries but not enough has been done in GBC.Therefore,it is imp-ortant and the responsibility of the countries with high burden of GBC to find solutions to the many unanswered questions like etiopathogenesis,early diagn-osis,treatment,and prognostication.As India being one of the largest hubs for GBC in the world,it is important to know how the country has progressed on GBC.In this review,we will discuss the outcome of the publications from India highlighting the work and the developments taken place in past several decades both in basic and clinical research.
文摘BACKGROUND Liver transplantation(LT)for hepatocellular carcinoma(HCC)has been widely researched and is well established worldwide.The cornerstone of this treatment lies in the various criteria formulated by expert consensus and experience.The variations among the criteria are staggering,and the short-and long-term outcomes are controversial.AIM To study the differences in the current practices of LT for HCC at different centers in India and discuss their clinical implications in the future.METHODS We conducted a survey of major centers in India that performed LT in December 2022.A total of 23 responses were received.The centers were classified as high-and low-volume,and the current trend of care for patients undergoing LT for HCC was noted.RESULTS Of the 23 centers,35%were high volume center(>500 Liver transplants)while 52%were high-volume centers that performed more than 50 transplants/year.Approximately 39%of centers had performed>50 LT for HCC while the percent distribution for HCC in LT patients was 5%–15%in approximately 73%of the patients.Barring a few,most centers were divided equally between University of California,San Francisco(UCSF)and center-specific criteria when choosing patients with HCC for LT,and most(65%)did not have separate transplant criteria for deceased donor LT and living donor LT(LDLT).Most centers(56%)preferred surgical resection over LT for a Child A cirrhosis patient with a resectable 4 cm HCC lesion.Positron-emission tomography-computed tomography(CT)was the modality of choice for metastatic workup in the majority of centers(74%).Downstaging was the preferred option for over 90%of the centers and included transarterial chemoembolization,transarterial radioembolization,stereotactic body radiotherapy and atezolizumab/bevacizumab with varied indications.The alphafetoprotein(AFP)cut-off was used by 74%of centers to decide on transplantation as well as to downstage tumors,even if they met the criteria.The criteria for successful downstaging varied,but most centers conformed to the UCSF or their center-specific criteria for LT,along with the AFP cutoff values.The wait time for LT from downstaging was at least 4–6 wk in all centers.Contrast-enhanced CT was the preferred imaging modality for post-LT surveillance in 52%of the centers.Approximately 65%of the centers preferred to start everolimus between 1 and 3 months post-LT.CONCLUSION The current predicted 5-year survival rate of HCC patients in India is less than 15%.The aim of transplantation is to achieve at least a 60%5-year disease free survival rate,which will provide relief to the prediction of an HCC surge over the next 20 years.The current worldwide criteria(Milan/UCSF)may have a higher 5-year survival(>70%);however,the majority of patients still do not fit these criteria and are dependent on other suboptimal modes of treatment,with much lower survival rates.To make predictions for 2040,we must prepare to arm ourselves with less stringent selection criteria to widen the pool of patients who may undergo transplantation and have a chance of a better outcome.With more advanced technology and better donor outcomes,LDLT will provide a cutting edge in the fight against liver cancer over the next two decades.
文摘Behavioral traits of species can play an important role in the functioning of the ecosystem and in evolving behavioural adaptations to survive according to environmental conditions.This note documents evidence of adding a rare observation by providing photographic evidence of the entanglement of a carcass of a juvenile Black Kite(Milvus migrans)from a nest and the use of nest by an adult individual,guarding the carcass.Documenting such behavior contributes to our understanding of the natural history and management of native species in an urban environment.Further,scientific studies/observations are needed to be conducted to reach some conclusion as to why species perform such behaviour.
文摘On March 26th,CAFIU Vice-President Ai Ping met Secretary-General Mohammed Saqib of the India China Economic and Cultural Council.The two sides exchanged views on China-lndia relations and people-to-people exchanges.Vice-President Ai Ping said that the development of relationship between two states is based on their peoples.Strengthening people-to-people exchanges between China and India and promoting mutual understanding between the peoples are important for the improvement of the relationship between the two countries.
文摘The Ganges and Brahmaputra River system is in the plains of the northern Indian subcontinent. The river is a wide sluggish stream flowing through densely populated and fertile agricultural regions of the world. The Ganges is known as the Hinduism holy river. In Bangladesh, the Brahmaputra is joined by the Teesta River. The western branch of the Brahmaputra confluences with the Ganges and contains most of the river flow. The eastern branch joins the Meghna River near Dhaka. The basin covers parts of four countries including India, Nepal, China, and Bangladesh. Of greater concern, however, has been the degradation in quality of the river water itself. The primary objective of this research is to encourage the development of a multi-country clean-up, mitigation, and protection plan for the Ganges-Brahmaputra rivers. This article constitutes a real tool for the restoration, enhancement and protection of the Ganges-Brahmaputra River system and its environment. The Ganges and Brahmaputra rivers are known for stream bank erosion, shifting channels, and sandbars that continually emerge in their course. The Ganges and Brahmaputra watershed is home to hundreds of millions of people, with the result that the river’s water over much of its course is highly polluted. Arsenic contamination of groundwater in Bangladesh continues to be the largest case of human poisoning in history. Catastrophic floods have prompted the World Bank to prepare a long-term flood-control plan for the region. Scores of cities and towns contribute to treated sewage into the river and its main tributaries, and dozens of manufacturing facilities contribute industrial waste. Also contributing to high pollution levels are agricultural runoff, the remnants of partially burned or unburned bodies from funeral pyres, and animal carcasses. High levels of disease-causing bacteria, as well as such toxic substances as chromium, cadmium, and arsenic, have been found in the Ganges and Brahmaputra. External research and funding of adsorptive media systems to help mitigate the high arsenic levels in drinking water (river and groundwater) is needed. The Ganges-Brahmaputra River system is of colossal importance to its entire environment. Restoration and protection measures must be adopted appropriately and at the scale of the concerned countries.
基金funding for this project was produced by a Grant-in-Aid for Scientific Research(B) from Japan Society for the Promotion of Science(JSPS) to Tsunogae(Nos.20340148, 22403017)
文摘Incipient charnockites represent granulite formation on a mesoscopic scale and have received considerable attention in understanding fluid processes in the deep crust. Here we report new petrological data from an incipient charuockite locality at Rajapalaiyam in the Madurai Block, southern India, and discuss the petrogenesis based on mineral phase equilibrium modeling and pseudosection analysis. Rajapalaiyam is a key locality in southern India from where diagnostic mineral assemblages for ultrahigh-temperature (UHT) metamorphism have been reported. Proximal to the UHT rocks are patches and lenses of charnockite (Kfs+Qtz +Pl+ Bt + Opx+ Grt +Ilm) occurring within Opx-free Grt-Bt gneiss (Kfs +Pl + Qtz + Bt + Grt + Ilm + Mt) which we report in this study. The application of mineral equilibrium modeling on the charnockitic assemblage in NCKFMASHTO system yields a p-T range of 820 ℃ and -9 kbar. Modeling of the charnockite assemblage in the MnNCKFMASHTO system indicates a slight shift of the equilibrium condition toward lower p and T (- 760 ℃ and - 7.5 kbar), which is consistent with the results obtained fiom geothermobarometry (710--760 ℃, 6.7-7.5 kbar), but significantly lower than the peak temperatures (〉1000 ℃) recorded from the UHT rocks in this locality, suggesting that charnockitization is a post-peak event. The modeling of 7 versus molar H2O content in the rock (M(H2O)) demonstrates that the Opx-bearing assemblage in charnockite and Opx- free assemblage in Grt-Bt gneiss are both stable at M(H2O) = 0.3 mol%--0.6 mol%, and there is no significant difference in water activity between the two domains. Our finding is in contrast to the previous petrogenetic model of incipient charnockite formation which envisages lowering of water activity and stabilization of orthopyroxene through breakdown of biotite by dehydration caused by the infiltration of CO2-rich fluid. T-XFe3+ (= Fe2O3/(FeO + Fe2O3) in mole) pseudosections suggest that the oxidation condition of the rocks played a major role on the stability of orthopyroxene; Opx is stable at XFe3+〈0.03 in charnockite, while Opx-free assemblage in Grt-Bt gneiss is stabilized at XFe3+ 〉0.12. Such low oxygen fugacity conditions of XFe3+ 〈0.03 in the charnockite compared to Ort-Bt gneiss might be related to the infiltration of a reduced fluid (e.g., H2O + CH4) during the retrograde stage.
文摘Glucose-6-Phosphate Dehydrogenase (G6PD) deficiency is the most common enzyme deficiency of human erythrocyte affecting more than 400 million people worldwide. In India, G6PD deficiency was first reported in 1963 and since then various investigations have been conducted across country. The objective of this work was to study the prevalence of G6PD deficiency in different ethnic, caste and linguistic groups of Indian population. A systematic search of published literature was undertaken and the wide variability of G6PD deficiency has been observed ranging from 0% - 30.7% among the different caste, ethnic, and linguistic groups of India. It was observed that the incidence of G6PD deficiency was found to be considerably higher among the tribes (9.86%) as compared to other ethnic groups (7.34%) and significantly higher in males as compared to females.
文摘Economic analysis of different diversified rotational cropping systems under Farmers' package/practices and improved package/practices was conducted in Birbhum district, West Bengal, located in the red and lateritic belt of lower Gangetic plain of eastern lndia. Diversified triple cropping systems (peanut-brinjal+brinjal, rice-potato-pumpkin, and cucumber-cabbage-basella) required higher cost for cultivation, but also produced higher rice equivalent yield, higher net return and higher return rupee1 invested in both management practices. Considering the resource-ability and risk-bearing capacity, and net return and return rupee^-1 (RPR) invested, these cropping systems can be recommended for resource-rich farmers. Rice-rapeseed-cowpea, rice-wheat-green gram and radish-tomato-amaranthus systems profitable. These cropping systems can be required less inputs for cultivation, were less risky, and economically viable and recommended for resource-poor farmers. Peanut-brinjal + brinjal-okra-chilli + chilli-cucumber-cabbage-basella system was the best among all the 3-year rotational systems in respect to RPR in both management practices. This rotational system will be suitable for resource-rich farmers. Vegetable-based rotational systems (ridge gourd-marigold-okra-black gram-pointed gourd + pointed gourd-radish-tomato-amaranthus) or rice-based rotational system (rice-wheat-green gram-rice-rapeseed-cowpea-rice-potato-pumpkin) also found to be suitable to increase the profitability and system sustainability. These cropping systems can be recommended for all groups of farmers.
文摘The unprecedented healthcare demand due to sudden outbreak of coronavirus disease 2019 (COVID-19) pandemic has almost collapsed the health care systems especially in the developing world. Given the disastrous outbreak of COVID-19 second wave in India, the health system of country was virtually at the brink of collapse. Therefore, to identify the factors that resulted into breakdown and the challenges, Indian healthcare system faced during the second wave of COVID-19 pandemic, this paper analysed the health system challenges in India and the way forward in accordance with the six building blocks of world health organization (WHO). Applying integrated review approach, we found that the factors such as poor infrastructure, inadequate financing, lack of transparency and poor healthcare management resulted into the overstretching of healthcare system in India. Although health system in India faced these challenges from the very beginning, but early lessons from first wave should have been capitalized to avert the much deeper crisis in the second wave of the pandemic. To sum-up given the likely future challenges of pandemic, while healthcare should be prioritized with adequate financing, strong capacity-building measures and integration of public and private sectors in India. Likewise fiscal stimulus, risk assessment, data availability and building of human resources chain are other key factors to be strengthened for mitigating the future healthcare crisis in country.
文摘BACKGROUND The coronavirus disease 2019(COVID-19)pandemic has brought fundamental changes to our problems and priorities,especially those related to the healthcare sector.India was one of the countries severely affected by the harsh consequences of the COVID-19 pandemic.AIM To understand the challenges faced by the healthcare system during a pandemic.METHODS The literature search for this review was conducted using PubMed,EMBASE,Scopus,Web of Science,and Google Scholar.We also used Reference Citation Analysis(RCA)to search and improve the results.We focused on the published scientific articles concerned with two major vital areas:(1)The Indian healthcare system;and(2)COVID-19 pandemic effects on the Indian healthcare system.RESULTS The Indian healthcare system was suffering even before the pandemic.The pandemic has further stretched the healthcare services in India.The main obstacle in the healthcare system was to combat the rising number of communicable as well as noncommunicable diseases.Besides the pandemic measures,there was a diversion of focus of the already established healthcare services away from the chronic conditions and vaccinations.The disruption of the vaccination services may have more severe short and long-term consequences than the pandemic’s adverse effects.CONCLUSION Severely restricted resources limited the interaction of the Indian healthcare system with the COVID-19 pandemic.Re-establishment of primary healthcare services,maternal and child health services,noncommunicable diseases programs,National Tuberculosis Elimination Program,etc.are important to prevent serious long-term consequences of this pandemic.
基金supported by the National Natural Science Foundation of China(Grant No.42105064)the Second Tibetan Plateau Scientific Expedition and Research(STEP)program(Grant No.2019QZKK0102)China Meteorological Administration program(Grant No.CXFZ2021J030)。
文摘Extremely heavy rainfall occurred over both Northwest India and North China in September 2021.The precipitation anomalies were 4.1 and 6.2 times interannual standard deviation over the two regions,respectively,and broke the record since the observational data were available,i.e.,1901 for India and 1951 for China.In this month,the Asian uppertropospheric westerly jet was greatly displaced poleward over West Asia,and correspondingly,an anomalous cyclone appeared over India.The anomalous cyclone transported abundant water vapor into Northwest India,leading to the heavy rainfall there.In addition,the Silk Road pattern,a teleconnection pattern of upper-level meridional wind over the Eurasian continent and fueled by the heavy rainfall in Northwest India,contributed to the heavy rainfall in North China.Our study emphasizes the roles of atmospheric teleconnection patterns in concurrent rainfall extremes in the two regions far away from each other,and the occurrence of rainfall extremes during the post-or pre-monsoon period in the northern margins of monsoon regions.
基金New Delhi sanctioned a major research project(IR/S4/ESF-18/2011 dated 12.11.2013)to NVCR which made this research possibleDST-SERB for financial assistance in the form of a research scientist. AS acknowledges CSIR for awarding JRF(NET)
文摘Detailed mineralogical, bulk-rock geochemical and Sr-Nd isotopic data for the recently discovered Ahobil kimberlite(Pipe-16) from the Wajrakarur kimberlite field(WKF), Eastern Dharwar craton(EDC),southern India, are presented. Two generations of compositionally distinct olivine, Ti-poor phlogopite showing orangeitic evolutionary trends, spinel displaying magmatic trend-1, abundant perovskite, Tirich hydrogarnet, calcite and serpentine are the various mineral constituents. On the basis of(i) liquidus mineral composition,(ii) bulk-rock chemistry, and(iii) Sr-Nd isotopic composition, we show that Ahobil kimberlite shares several characteristic features of archetypal kimberlites than orangeites and lamproites. Geochemical modelling indicate Ahobil kimberlite magma derivation from small-degree melting of a carbonated peridotite source having higher Gd/Yb and lower La/Sm in contrast to those of orangeites from the Eastern Dharwar and Bastar cratons of Indian shield. The T_(Dm) Nd model age(~2.0 Ga) of the Ahobil kimberlite is(i) significantly older than those(1.5~1.3 Ga) reported for Wajrakarur and Narayanpet kimberlites of EDC,(ii) indistinguishable from those of the Mesoproterozoic EDC lamproites,and(iii) strikingly coincides with the timing of the amalgamation of the Columbia supercontinent. High bulk-rock Fe-Ti contents and wide variation in oxygen fugacity fO_2, as inferred from perovskite oxybarometry, suggest non-prospective nature of the Ahobil kimberlite for diamond.
文摘Traditional Devadasi system based sex work (dhandha) is practiced inIndia. The communities that practice this system are affected severely by AIDS epidemic. Through this paper we present the views of gharwalis (brothel madams) regarding the impact of AIDS on the traditional system (Devadasi system) of initiating girls as sex workers (Devadasis) and on the practice of sex work (dhandha) associated with that system. Qualitative in-depth interviews were conducted with twelve gharwalis as a follow-up of a cohort study, which investigated the patterns and determinants of sex worker migration from northern Karnataka to southern Maharashtra, in India. According to gharwalis, the disease (AIDS) consequences;death, fear and stigma affected dhandha operations, changed the attitude of the Devadasi community against the practice of dhandha and the Devadasi system, besides, influenced the community to take actions to stop the practice of dhandha and the Devadasi system. The findings suggest that the interplay between the disease consequences and the community’s response to those consequences contribute to transition dhandha and the Devadasi system. We discuss our findings, describe the transition and the consequent risk enhancing conditions. Finally, highlight the need to address these conditions to reduce Devadasis risk and vulnerability to HIV infection.