Gender Perspectives in Ear Care: A Cross-Sectional Survey in Delhi

Background: Ear disease in children is a major public health problem in developing countries. There has been scarcity of evidence of any gender differentials, if any exists, with ear care in the Indian context.Objective: To study the gender perspectives in ear care with regard to attitude and health-seeking behavior of caregivers of children 1–10 years of age in Delhi.Materials and Methods: This was a cross-sectional study conducted in an urban health center situated in the north-east district of Delhi from January to March 2015. 160 caregivers of ill children aged 1–10 years who came to seek medical care in out-patient department (OPD) constituted the study population. Chi square test or Fisher’s Exact test (wherever required) was used to observe the differences between qualitative variables.Results: The study was conducted among 160 caregivers of 87 (54.4%) male children and 73 (45.6%) female children. Mean (±SD) monthly family income was INR 7637.5±1155.30. When inquired about the attitude of caregivers about playing of their child with another child who is suffering from hearing loss, 18 (20.7%) caregivers of male children perceived that their child will also suffer from hearing loss while 30 (41.1%) caregivers of female children, agreed for the same (χ2=7.87, df=1, p value=0.01).

Antibacterial Activity of Amchur (Dried Pulp of Unripe Mangifera indica) Extracts on Some Indigenous Oral Microbiota Causing Dental Caries

The antibacterial activity of amchur (dried pulp of unripe Mangifera indica) extract (50% ethanol) was tested against ten bacterial strains causing dental plaque by agar well diffusion method. The crude extract showed a broad spectrum of antibacterial activity inhibiting both the groups of Gram-positive & Gram-negative bacteria. The extract was most effective against Bacillus sp., followed by Staphylococcus mutans and Pseudomonas sp., whereas Halobacterium sp. was found to be the most resistant. Chlorhexidine (present in mouthwashes to prevent infection of dental caries) was used as a positive control. Natural extract of amchur was found to be more effective as compared to chlorhexidine. This study shows the potential of amchur in the treatment of dental caries

Growth of small scale industries in India: Some policy issues.

A major objective of planned economic development has been industrialisation and employment generation. The industrial policy resolutions had, from time to time, encouraged the growth of small scale industries in order to generate employment, promote balanced regional growth, have equitable distribution of wealth anf promote exports. The analysis in the paper is based on the data available from the ASI; Development Commissioner, Small Scale Industries; and the plan documents. A comparison is made between the performance of large industries, modern SSI and traditional industries. It is found that the smaller SSIs are growing not only numerically but also in terms of employment, investment and output. SSIs in the factory sector (synonymous with larger SSIs) have however, not been showing any growth in the number of factories and employment, through capital is being accumulated at a fast pace. It is felt that some of the policies of the government are making capital cheaper vis-a-vis labour and there has been a tendency to substitute capital for labour among the large scale units and SSIs in factory sector. In terms of size, the larger units among the SSIs are becoming larger and small are becoming smaller. As regards efficiency of the units, while labour productivity is higher in larger SSIs, smaller units have better utilization of scarce capital and are also more labour intensive. The traditional industries have also been performing well in terms of labour absorption and capacity to earn foreign exchange. In this context, it is important to review whether the current policies to set up new units be encouraged, or should the government policies be directed to promote the growth of existing SSIs. It is also important to examine the growth of SSIs in the context of more liberal economy and see what kind of technonology-flexible pecialisation or mass production-should be followed for further growth and to encourage employment generation.Small scale industries

Sociodemographic Profile and Treatment-Seeking Behavior of HIV Infected Children Accessing Care at Pediatric ART Clinic of a Tertiary Care Hospital in Delhi

Background: Acquired immunodeficiency syndrome (AIDS) has emerged as one of the most serious public health problems in India. The parents of HIV-infected children are more likely to die and thus render the children orphan. The sociodemographic characteristics of children with HIV infection are different than the other children of the same age group. With the diverse range of manifestations, the symptoms of HIV/AIDS can appear in children at any time during the course of infection. After appearance of various signs/symptoms, the parents wander to various health agencies for relief and thus lose their vital time.Aims: The present study was conducted (1) to study the sociodemographic profile of children living with HIV/AIDS and (2) to know the treatment-seeking behavior of HIV/AIDS patients before coming to the tertiary hospital.Materials and Methods: The study was a hospital-based cross-sectional study where 216 children registered at the pediatric ART clinic of a tertiary care hospital in Delhi and their caregivers were included in the study. Semi-structured, pretested interview schedule was used for data collection through face-to-face interviews.Results: Out of the 216 children, males outnumbered females in the ratio of 2.48:1. Most of the children were in the age group of 10–14 years (48.1%) and the majority belonged to urban areas (63.4%). Most of the children were going to school. Majority of children (46.3%) belonged to social class-4. Hospitals (62.5%) were consulted first followed by private practitioners (33.3%) by these patients after appearance of earliest symptoms. Presenting symptoms of HIV in children were not specific and the most common symptom was fever (79.1%) followed by not gaining weight (69.4%), recurrent diarrhea (65.3%), cough (41.7%) and vomiting (30.6%). The average number of consultations sought by these patients before coming to this hospital was 2.34 per patients. Hospitals (39.8%) and prior experience at same hospital (33.3%) were the most common source of information about the ART center.

An observational study of the healing time, associated factors, and complications during non-operative management of patients with blunt abdominal trauma

Background: Non-operative management (NOM) has shown success in the management of cases of blunt abdominal trauma (BAT), especially in hemodynamically stable patients, even if there is a higher grade of injury.Objectives: The aim of this study was to determine the healing rate with NOM and associated risk factors of non-healing in patients with BAT.Methods: This prospective study was conducted on 20 hemodynamically stable patients of BAT who were treated in a tertiary care hospital by NOM. Clinical monitoring and biochemical investigations were done. The patients were followed-up for three months. The outcome measures were the average time of healing and complications. A p-value less than 0.05 was considered statistically significant.Results: The mean age of the patients was 24.5 years with 18 (90%) males and 2(10%) females. Nine patients (45%) had isolated liver injury, 8 (40%) had isolated splenic injury, 1 (5%) had isolated left renal injury, 1 (5%) had combined liver and splenic injury and 1 (5%) had combined liver and right renal injury. At 3 months of follow-up, 16 (80%) cases showed complete healing, 3(15%) showed incomplete healing and 1 (5%) patient with grade 4 splenic injury had failure of NOM. On performing univariate regression analysis, grade 3/4 was an independent risk factor of non-healing with an odds ratio of 5.667.Conclusion: In conclusion, NOM appears to be a safe and effective management protocol for patients with BAT, provided regular follow-ups and monitoring are done

Colossal magnetoresistance in EuZn2_2P2_2 and its electronic and magnetic structure

We investigate single crystals of the trigonal antiferromagnet EuZn$_2$P$_2$ ($P\overline{3}m1$) by means of electrical transport, magnetization measurements, X-ray magnetic scattering, optical reflectivity, angle-resolved photoemission spectroscopy (ARPES) and ab-initio band structure calculations (DFT+U). We find that the electrical resistivity of EuZn$_2$P$_2$ increases strongly upon cooling and can be suppressed in magnetic fields by several orders of magnitude (CMR effect). Resonant magnetic scattering reveals a magnetic ordering vector of $q = (0\, 0\, \frac{1}{2})$, corresponding to an $A$-type antiferromagnetic (AFM) order, below $T_{\rm N} = 23.7\,\rm K$. We find that the moments are canted out of the $a-a$ plane by an angle of about $40^{\circ}\pm 10^{\circ}$ degrees and tilted away from the [100] - direction by $30^{\circ}\pm 5^{\circ}$. We observe nearly isotropic magnetization behavior for low fields and low temperatures which is consistent with the magnetic scattering results. The magnetization measurements show a deviation from the Curie-Weiss behavior below $\approx 150\,\rm K$, the temperature below which also the field dependence of the material's resistivity starts to increase. An analysis of the infrared reflectivity spectrum at $T=295\,\rm K$ allows us to resolve the main phonon bands and intra-/interband transitions, and estimate indirect and direct band gaps of $E_i^{\mathrm{opt}}=0.09\,\rm{eV}$ and $E_d^{\mathrm{opt}}=0.33\,\rm{eV}$, respectively, which are in good agreement with the theoretically predicted ones. The experimental band structure obtained by ARPES is nearly $T$-independent above and below $T_{\rm N}$. The comparison of the theoretical and experimental data shows a weak intermixing of the Eu 4$f$ states close to the $\Gamma$ point with the bands formed by the phosphorous 3$p$ orbitals leading to an induction of a small magnetic moment at the P sites