Risk Factors of Diabetes Mellitus in Rural Puducherry

Purpose: Prevalence of type 2 diabetes is increasing in India. Rural area constitutes 80% of India. Hence it is essential to understand the epidemiology for appropriate interventions. Objectives: to identify risk factors of type 2 diabetes mellitus in rural Puducherry. Methodology: Cross sectional study in two villages of Puducherry, India. 1403 subjects above 25 years from 2 villages. Study measured demographic variables, Body Mass Index (BMI), physical activity, family history of Diabetes Mellitus, smoking and alcohol consumption. Fasting blood glucose was measured for study subjects. Further, those with >126 mg/dl were subjected for Oral Glucose Tolerance Test. Univariate and multivariate analysis was done. Receiver Operating characteristic Curve was plotted to find out cut off for Diabetic Risk Score. Findings: The prevalence of type 2 Diabetes Mellitus (DM) was 5.8%. The response rate was (88%). In univariate analysis age, occupation, Socio Economic Status, BMI, physical activity, family history were significant for DM. In multivariate analysis age, BMI, family history of diabetes and occupation were significant for type 2 DM. The ‘diabetes risk score’ generated by the study using age, BMI and family history of DM, had specificity, sensitivity and accuracy of 54%, 77% and 76.2% respectively. The area under curve for scoring system was 0.784 (<0.05). Conclusions: Identified risk factors are useful for early diagnosis by using ‘diabetes risk score’ – thus uncovering the iceberg of disease

Local Stellar Kinematics from RAVE data - VII. Metallicity Gradients from Red Clump Stars

We investigate the Milky Way Galaxy's radial and vertical metallicity gradients using a sample of 47,406 red clump stars from the RAVE DR4. This sample is more than twice the size of the largest sample in the literature investigating radial and vertical metallicity gradients. The absolute magnitude of Groenewegen (2008) is used to determine distances to our sample stars. The resulting distances agree with the RAVE DR4 distances Binney et al. (2014) of the same stars. Our photometric method also provides distances to 6185 stars that are not assigned a distance in RAVE DR4. The metallicity gradients are calculated with their current orbital positions ($R_{gc}$ and $Z$) and with their orbital properties (mean Galactocentric distance, $R_{m}$ and $z_{max}$), as a function of the distance to the Galactic plane: d[Fe/H]/d$R_{gc}=$-$0.047\pm0.003$ dex/kpc for $0\leq |Z|\leq0.5$ kpc and d[Fe/H]/d$R_m=$-$0.025\pm0.002$ dex/kpc for $0\leq z_{max}\leq0.5$ kpc. This reaffirms the radial metallicity gradient in the thin disc but highlights that gradients are sensitive to the selection effects caused by the difference between $R_{gc}$ and $R_{m}$. The radial gradient is flat in the distance interval 0.5-1 kpc from the plane and then becomes positive greater than 1 kpc from the plane. The radial metallicity gradients are also eccentricity dependent. We showed that d[Fe/H]/d$R_m=$-$0.089\pm0.010$, -$0.073\pm0.007$, -$0.053\pm0.004$ and -$0.044\pm0.002$ dex/kpc for $e_p\leq0.05$, $e_p\leq0.07$, $e_p\leq0.10$ and $e_p\leq0.20$ sub-samples, respectively, in the distance interval $0\leq z_{max}\leq0.5$ kpc. Similar trend is found for vertical metallicity gradients. Both the radial and vertical metallicity gradients are found to become shallower as the eccentricity of the sample increases. These findings can be used to constrain different formation scenarios of the thick and thin discs.Comment: 18 pages, including 16 figures and 6 tables, accepted for publication in PAS

The Royal Free Hospital score: a calibrated prognostic model for patients with cirrhosis admitted to intensive care unit. Comparison with current models and CLIF-SOFA score

Prognosis for patients with cirrhosis admitted to intensive care unit (ICU) is poor. ICU prognostic models are more accurate than liver-specific models. We identified predictors of mortality, developed a novel prognostic score (Royal Free Hospital (RFH) score), and tested it against established prognostic models and the yet unvalidated Chronic Liver Failure-Sequential Organ Failure Assessment (CLIF-SOFA) model

Quantum biology on the edge of quantum chaos

We give a new explanation for why some biological systems can stay quantum coherent for long times at room temperatures, one of the fundamental puzzles of quantum biology. We show that systems with the right level of complexity between chaos and regularity can increase their coherence time by orders of magnitude. Systems near Critical Quantum Chaos or Metal-Insulator Transition (MIT) can have long coherence times and coherent transport at the same time. The new theory tested in a realistic light harvesting system model can reproduce the scaling of critical fluctuations reported in recent experiments. Scaling of return probability in the FMO light harvesting complex shows the signs of universal return probability decay observed at critical MIT. The results may open up new possibilities to design low loss energy and information transport systems in this Poised Realm hovering reversibly between quantum coherence and classicality

Impact of Educational Intervention Measures on Knowledge regarding HIV/ Occupational Exposure and Post Exposure Prophylaxis among Final Year Nursing Students of a Tertiary Care Hospital in Central India

Amongst the different Health Care Personnel nurses are at a greater risk of being accidentally exposed to HIV and other Blood Borne Pathogens. The present study was conducted among 50 final year nursing students of a Medical College Hospital to assess the knowledge regarding HIV, occupational exposure and Post Exposure Prophylaxis (PEP) among the students and analyses the impact of educational intervention measures on the issues amongst the study subjects. A Pre-designed and Pre-tested semi-structured questionnaire was used to evaluate the level of knowledge before and after educational intervention sessions. Knowledge regarding risk of transmission of HIV by needle-stick injury and body fluids against which universal precautions were mandatory increased by 72% following the intervention sessions (χ2 = 53.202, p <0.001). 72% and 36% respondents correctly knew the duration within which to start PEP and the drugs available for PEP, post educational sessions 98% and 96% students were aware of it: the difference being statistically significant (χ2 = 11.294, p <0.001) and (χ2 = 37.748, p <0.001) respectively. The mean pre-intervention score was 8.32; mean post-intervention score was 14.40: statistical analysis showed the results to be significant (t= 13.857, p< 0.001). The study reflects that there is a dearth of knowledge among the study group. Incorporating the concerned issues in the academic curriculum to provide the students with adequate knowledge and information during their formative years is needed

Detecting time-fragmented cache attacks against AES using Performance Monitoring Counters

Cache timing attacks use shared caches in multi-core processors as side channels to extract information from victim processes. These attacks are particularly dangerous in cloud infrastructures, in which the deployed countermeasures cause collateral effects in terms of performance loss and increase in energy consumption. We propose to monitor the victim process using an independent monitoring (detector) process, that continuously measures selected Performance Monitoring Counters (PMC) to detect the presence of an attack. Ad-hoc countermeasures can be applied only when such a risky situation arises. In our case, the victim process is the AES encryption algorithm and the attack is performed by means of random encryption requests. We demonstrate that PMCs are a feasible tool to detect the attack and that sampling PMCs at high frequencies is worse than sampling at lower frequencies in terms of detection capabilities, particularly when the attack is fragmented in time to try to be hidden from detection

Natural Notation for the Domestic Internet of Things

This study explores the use of natural language to give instructions that might be interpreted by Internet of Things (IoT) devices in a domestic `smart home' environment. We start from the proposition that reminders can be considered as a type of end-user programming, in which the executed actions might be performed either by an automated agent or by the author of the reminder. We conducted an experiment in which people wrote sticky notes specifying future actions in their home. In different conditions, these notes were addressed to themselves, to others, or to a computer agent.We analyse the linguistic features and strategies that are used to achieve these tasks, including the use of graphical resources as an informal visual language. The findings provide a basis for design guidance related to end-user development for the Internet of Things.Comment: Proceedings of the 5th International symposium on End-User Development (IS-EUD), Madrid, Spain, May, 201

Vector-borne protozoal infections of the CNS: cerebral malaria, sleeping sickness and Chagas disease

PURPOSE OF THE REVIEW: Malaria, Chagas Disease and Human African Trypanosomiasis are vector-borne protozoan illnesses, frequently associated with neurological manifestations. Intriguing but ignored, limited mainly to resource-limited, tropical settings, these disorders are now coming to light because of globalisation and improved diagnosis and treatment. Enhanced understanding of these illnesses has prompted this review. RECENT FINDINGS: Methods of diagnosis have currently transitioned from blood smear examinations to immunological assays and molecular methods. Tools to assess neurological involvement, such as magnetic resonance imaging, are now increasingly available in regions and countries with high infection loads. Sleep and other electrophysiological technologies (electroencephalography, actigraphy) are also promising diagnostic tools but requiring field-validation. Access to treatments was formerly limited, even as limitations of agents used in the treatment are increasingly recognised. Newer agents are now being developed and trialled, encouraged by improved understanding of the disorders' molecular underpinnings. SUMMARY: Prompt diagnosis and treatment are crucial in ensuring cure from the infections. Attention should also be due to the development of globally applicable treatment guidelines, the burden of neurological sequelae and elimination of the zoonoses from currently endemic regions

The importance of nutrient hotspots for grazing ungulates in a Miombo ecosystem, Tanzania

While movement patterns of grazing ungulates are strongly dependent on forage quality their use of nutrient hotspots such as termite mounds or grazing lawns has rarely been quantified, especially in savanna ecosystems where soil-nutrient quality is low. Additionally, few experiments have been conducted to determine the role of termite mound- and grazing lawn-derived soils in improving forage quality in the field. We studied wild ungulate grazing activities around ten termite mounds, six grazing lawns and their respective control sites in a Miombo system of Issa Valley, western Tanzania, in the same system. We used indirect observations (i.e., dung, tracks) to identify seasonal and spatial variations in habitat use of various wild mammalian grazers. Grazer visitation rates were nine and three times higher on termite mounds and grazing lawns, respectively, compared to control sites. During the rainy season, termite mounds were more frequently used than grazing lawns while the latter were used more often during the dry season. In an additional pot experiment with soils derived from different areas, we found that Cynodon dactylon in termite mound-derived soils had twice as high Nitrogen and Phosphorous contents and biomass compared to grasses planted in grazing lawn soils and control site soils. We highlight that both termite mounds and grazing lawns play a significant role in influencing seasonal nutrient dynamics, forage nutrient quality, habitat selectivity, and, hence, grazing activities and movement patterns of wild ungulate grazers in savannas. We conclude that termite mounds and grazing lawns are important for habitat heterogeneity in otherwise nutrient–poor savanna systems

Formulation and Evaluation of Chitosan-Based Ampicillin Trihydrate Nanoparticles

Purpose: To develop ampicillin trihydrate-loaded chitosan nanoparticles by modified ionic gelation method and evaluate their antimicrobial activity. Methods: Ampicillin trihydrate-loaded chitosan nanoparticles were prepared by ionic gelation method with the aid of sonication. Parameters such as the zeta potential, polydispersity, particle size, entrapment efficiency and in vitro drug release of the nanoparticles were assessed for optimization. The antibacterial properties of the nanoparticle formulation were evaluated and compared with that of a commercial formulation (reference). Results: Scanning electron microscopy revealed that the nanoparticles were in the nanosize range but irregular in shape. Concentrations of 0.35 %w/v of chitosan and 0.40 %w/v sodium tripolyphosphate (TPP) and a sonication time of 20 min constituted the optimum conditions for the preparation of the nanoparticles. In vitro release data showed an initial burst followed by slow sustained drug release. The nanoparticles demonstrated superior antimicrobial activity to plain nanoparticles and the reference, due probably to the synergistic effect of chitosan and ampicillin trihydrate. Conclusion: Modified ionic gelation method can be utilized for the development of chitosan nanoparticles of ampicillin trihydrate. Polymer and crosslinking agent concentrations and sonication time are rate-limiting factors for the development of the optimized formulation. The chitosan nanoparticles developed would be capable of sustained delivery of ampicillin trihydrate.Keywords: Ampicillin trihydrate; Chitosan; Nanoparticles; Ionic gelation method; Antibacterial activit