Expressing Collective Voices on Children’s Health: Photovoice Exploration with Mothers of Young Children from the Indian Sundarbans

Background: The Indian Sundarbans is marked by inhospitable terrain and frequent climatic shocks which jointly hinder access to health care. Community members, and women in particular, have few means to communicate their concerns to local decision makers. Photovoice is one way in which communities can raise their local health challenges with decision makers. This study unlocks mothers’ voices on the determinants of their children’s health to inform local level decision-making on child health issues in the Indian Sundarbans. Methods: Photovoice action research was conducted in three blocks in the Sundarbans region of West Bengal, India. The project involved eight groups of eight to ten mothers who had at least one child below 6 years of age across four villages. The mothers received training on photo documentation and ethical concerns before taking two rounds of photographs within 6 months, interspersed by fortnightly group meetings facilitated by researchers. Photographs and key messages were communicated to local decision makers during block and village level interface sessions with the mothers and researchers. Results: Mothers’ photos focused on specific determinants of health, such as water and sanitation; health status, such as malnutrition and non-communicable diseases; service accessibility; climate conditions; and social issues such as early marriage and recurrent pregnancy. Some issues were not captured by photos but were discussed in group meetings, including domestic violence and the non-availability of medical practitioners. We found differences by mother’s educational status, livelihood and caste identity in the extent and nature of photographs taken. As a result of the mother’s interface with community decision makers, which included showcasing a selection of their photos, efforts to improve road infrastructure and human resource availability in the primary health centres and local government were realized. Conclusion: Photovoice has the potential to express the voices of vulnerable communities regarding their health needs and can help them dialogue with local decision makers to inform community health policy and planning. More needs to be done to understand how social differences among photovoice participants influences how they engage with the methodology

Nickel nanoparticles induces cytotoxicity, cell morphology and oxidative stress in bluegill sunfish (BF-2) cells

The rationale of the current study was to assess the suitability of BF-2 cell line as a model to assess nanotoxicity in the caudal fin cells of bluegill sunfish in vitro. The current study investigates the potential toxicity, morphological changes and oxidative stress of nickel nanoparticles (Ni NPs) in bluegill sunfish cells (BF-2) using mitochondrial, neutral red uptake and lactate dehydrogenase assays. Results indicated a concentration dependent cytotoxic effect after 24 h in mitochondrial, lysosomal and lactate dehydrogenase activities. BF-2 cells morphology was altered when exposed to 30 μg ml−1 concentrations of Ni NPs for 24 h. Dose dependent increase of oxidative stress was evidenced in BF-2 cells when exposed to Ni NPs, showed significant escalation in peroxidation of lipids (LPO), protein carbonyl (PC), glutathione sulfo-transferase (GST) and glutathione peroxidase (GPX) as compared to their experimental controls. However, the catalase (CAT) and total glutathione content (TGSH) was found to decrease dose dependently in BF-2 cells exposed to Ni NPs. The current study demonstrated that BF-2 cells may serve as a sensitive indicator for aquatic contaminant evaluations in toxicological research.publishe

Molecular markers for discriminating Streptococcus pyogenes and S. dysgalactiae subspecies equisimilis

Given the increasing aetiological importance of Streptococcus dysgalactiae subspecies equisimilis in diseases which are primarily attributed to S. pyogenes, molecular markers are essential to distinguish these species and delineate their epidemiology more precisely. Many clinical microbiology laboratories rely on agglutination reactivity and biochemical tests to distinguish them. These methods have limitations which are particularly exacerbated when isolates with mixed properties are encountered. In order to provide additional distinguishing parameters that could be used to unequivocally discriminate these two common pathogens, we assess here three molecular targets: the speB gene, intergenic region upstream of the scpG gene (IRSG) and virPCR. Of these, the former two respectively gave positive and negative results for S. pyogenes, and negative and positive results for S. dysgalactiae subsp. equisimilis. Thus, a concerted use of these nucleic acid-based methods is particularly helpful in epidemiological surveillance to accurately assess the relative contribution of these species to streptococcal infections and diseases

Angiotensin converting enzyme insertion allele in relation to high altitude adaptation

Angiotensin converting enzyme (ACE) gene I/D polymorphism has been associated with high altitude (HA) disorders as well as physical performance. We, however, envisage that the polymorphism may be associated with adaptation to the hypobaric hypoxia of altitude, thus facilitating physical performance. For this purpose, three unrelated adult male groups, namely (1) the Ladakhis (HLs), who reside at and above a height of 3600 m, (2) lowlanders, who migrated to Ladakh (MLLs), and (3) resident lowlanders (LLs), have been investigated. The HLs had significantly (p<0.001) greater numbers of the II homozygotes and the ID heterozygotes than the DD homozygotes, the genotype distribution being 0.46, 0.43 and 0.11 for II, ID and DD genotypes respectively. The MLLs comprised 60% II homozygotes, which was higher (p<0.001) than the HLs (46%). In the LLs, the heterozygotes were greater (p<0.001) in number than the II and DD homozygotes. The I allele frequency was 0.72 in the MLLs, 0.67 in the HLs and 0.55 in the LLs. Polymorphism study suggested that the II genotype could be associated with altitude adaptation, which might influence physical efficiency

Arterial oxygen saturation under hypoxic environment of high-altitude associates with routine physical activities of natives

Per cent oxygen saturation of arterial haemoglobin levels (SaO2), a measure of hypoxemia has been analysed in the permanent residents of Ladakh. The population recognized as high-altitude controls (HAC) and high-altitudemonks (HAM), resided at the same altitude of 3600 m but differed in their routines. SaO2 was measured with a Finger-Pulse Oximeter. The HAM had 3.08% higher SaO2 (P<0.001) compared to the HAC, with mean SaO2 of 91.8°6.1% and 89.0°2.6%, respectively. Furthermore, the younger HAM also revealed an elevation of 4.55% SaO2 than the HAC of identical age (P<0.001). The HAM, who are less hypoxemic than their counterparts are physically more active, which may be a selective advantage in the extreme environment of higher altitudes

Insight into eco-friendly fabrication of silver nanoparticles by Pseudomonas aeruginosa and its potential impacts

Although green synthesis of nanoparticles (NPs) has replaced conventional physicochemical methods owing to eco-friendly and cost effective nature but molecular mechanism is not known completely. Elucidation of the mechanism is needed to enhance the production of control size synthesis and for understanding the biomineralization process. Here we report the facile, extracellular biosynthesis of silver nanoparticles (AgNPs) by Pseudomonas aeruginosa JP1 through nitrate reductase mediated mechanism. AgNO3 was reduced to AgNPs by cell filtrate exposure. UV-visible spectrum of the reaction mixture depicted reduction of ionic silver (Ag+) to atomic silver (Ag0) by a progressive upsurge in surface plasmon resonance (SPR) band range 435-450 nm. X-ray diffraction analysis showed the 2θ values at 38.08°, 44.52°, 64.42° and 77.44° confirming the crystalline nature and mean diameter [6.5-27.88nm (Ave = 13.44 nm)] of AgNPs. Transmission electron microscopy analysis demonstrated the spherical AgNPs with size range 5-45 nm. Stabilizing proteins and rhamnolipids were recognized by Fourier transform infrared spectroscopy. Nitrate reductase was purified and characterized (molecular weight 65 kDa and specific activity = 5.6 U/mg). To probe the plausible mechanism purified enzyme was retreated with AgNO3. Characteristic SPR bands range (435-450 nm) and Particle-induced x-ray emission results also confirmed the synthesis of AgNPs (59679.5 ppm) in solution. These results demonstrated that, nitrate reductase as a principal reducing agent in the mechanistic pathway of AgNPs synthesis, which leads to the understanding of metal transformation and biomineralization processes for controlling the biogeochemical cycles of silver and other heavy metals