Correlation and path analysis between yield and different morphological characters in Kinnow Mandarin (C. Noballis × C. Deliciosa)

A study of interrelationship and cause-effect analysis of yield of Kinnow Mandarin (C. Noballis × C. deliciosa) and its component traits for 104 and 96 trees from Indora (Location L-1) and Indpur (Location L-2) blocks of Kangra district respectively had been done in 2014-15. F-test suggested that there was significant (1.47) variation among yield characteristics between these two locations except for fruit weight (gm) and LD ratio. Results obtained from path coefficient analysis, showed that for location L-1, number of fruits per branch (0.229), plant height (0.215) and tree girth (0.212) had highest and direct effect on yield per tree whereas for location L-2, fruit weight (0.38), number of flowers per branch (0.176) and plant girth (0.161) had highest direct effect on yield per plant. Thus, number of fruits per branch, number of flowers per branch and tree girth were the most important yield components of kinnow crop which should be exploited through a breeding programme for improving its yield potential

Statistical investigation through stratified random sampling for apple production in Himachal Pradesh

The present study focuses on standardization of sampling technique and comparison of different types of sample allocation methods in combination with various stratification tools (optimum strata boundaries, number of strata and optimum sample size etc.) for obtaining efficient estimators of area and production of apple in Himachal Pradesh. Forth is purpose, various aspects involved in optimum stratification with reference todata collected from the selected or chardists in district Shimla, during the year 2011-12 have been analyzed. The variable "Area under Apple" was chosen as the stratification variable as it had high correlation(r=0.96) with the estimation variable "Production of Apple". Four methods of construction of strata viz., equalization of strata total, equalization of cumulative of ?f(y) , equalization of cumulative of ½{r(y)+f(y)} and equalization of cumulative of were used and their relative efficiencies for estimating total production of apple in the study district of the state have been analyzed. The critical examination of the result revealed that with the increase in number of strata from 2 to 4 and sample size from 10 to 40, equalization of cumulative of method along with Neyman allocation resulted in least variance (0.89) and maximum percentage gain in efficiency (20418.16). Thus, equalization of cumulative of method with L>2 can profitably be applied for the estimation of apple production in the study district of the state Himachal Pradesh, India

Introducing and assessment of FAIR principles of education in teaching biochemistry to I year MBBS students

Background: Recent curriculum is theory based where students just mug up and reproduce in exam with less understanding. It is Exam and marks oriented education. Students show less interest in classes. Presently FAIR (Feedback, Active learning, Individual learning and Relevance) principles of application are practically missing, according to this model students will be naturally motivated to learn. Students will take more responsibility for their own learning. By applying these principles we will improve the effectiveness and efficiency of learning and enhancing learning among students. The objective was to design an effective educational strategy using certain principles of education such as FAIR.Methods: The first batch of the Integrated Curriculum students of the I MBBS program formed the study population. Certain principles of education such as Feedback, Active learning, Individualization of learning and relevance that have been advocated for use to enhance learning, were applied in educational strategies for the implementation of the Integrated Curriculum.Results: By Implementing the FAIR model of integrated curriculum the scores obtained during evaluation and the positive student response validated the enhancement of learning objectively and subjectively.Conclusions: Our collective experience convinced us that designing a curriculum with FAIR model was well worth. 95% students felt it is advantageous with negative perception 35% of students, they felt lengthy and time consuming

Management of non-tubal ectopic pregnancies: rural tertiary care centre experience

Non-tubal ectopic pregnancies are rare but potentially life-threatening conditions. Nearly 95% of ectopic pregnancies are implanted in the various segments of fallopian tube. The remaining 5% implant in non-tubal sites like ovary, cervix, rudimentary horn, cesarean scar, abdominal and even heterotopic. Seven patients with non-tubal ectopic pregnancy at rural tertiary institute at Dr. RPGMC Tanda, from February 2020 to January 2021 were included in the study. Demographic details, symptoms, beta human chorionic gonadotrophin (β-hCG) levels, ultrasound findings, management and treatment outcomes were presented. Medical treatment and surgical procedure, alone or combined, resulted in effective treatment in women with early diagnosis of non-tubal ectopic pregnancy and two patients had live birth (heterotopic and abdominal pregnancy). In our study, we report two cases of ovarian pregnancy, one case of rudimentary horn successfully managed surgically, one case of LSCS scar pregnancy managed medically with methotrexate followed by suction and evacuation, one case of cervical pregnancy managed by D&C, one case of heterotopic pregnancy managed surgically and abdominal pregnancy managed surgically. In this paper we report a single centre experience in the management of non-tubal ectopic pregnancy Early diagnosis of ectopic pregnancy especially non tubal ectopic, requires a high index of suspicion and availability of point of care, transvaginal USG. Accurate diagnosis and timely intervention will help reduce maternal morbidity, mortality and preserve future fertility

Pregnancy outcome in pre-gestational and gestational diabetic women: a prospective observational study

Background: India is considered the world capital of diabetes, proper care and management of the same is the demand of society. The present study is carried out to identify the disease burden of GDM/ overt DM among antenatal cases. The main objective was to study the maternal and fetal outcome of diabetes complicating pregnancy.Methods: The present study was conducted at Dr. Rajendra Prasad Government Medical College at Tanda, District KangraHP from October 2015 to September 2016. All antenatal cases were screened for diabetes by OGTT 75 gm, 2-hour blood glucose level as per DIPSI guidelines and labelled as GDM/ overt DM. Those who fulfilled selection criteria were enrolled in the study. A total of 6452 cases who attended antenatal clinic during the study duration and were screened were selected for the study. 116 cases were found to have GDM / overt DM. Seventy-nine had GDM with OGTT>140 mg/dl (DIPSI guidelines) and 37 had overt DM with 2 hours PP >200 mg/dl (WHO criteria). Total 100 cases comprised of study group were followed till delivery to study maternal and fetal outcome.Results: The prevalence of diabetes in pregnancy was found to be low 1.79%. GDM was found to be more prevalent than overt diabetes in pregnant women (66% versus 34%). Among the antenatal maternal complications observed missed abortion (11.8% versus 1.55; p=0.026), polyhydraminos (26.4% versus 10.6%; p=0.04) and preterm labour (17.6% versus 4.5%; p=0.003) were significantly more common in overt diabetics than GDM cases. IUFD (8.8% versus 0; p=0.014) was also significantly more common in overt diabetics than GDM case. RDS was found significantly higher in neonates of overt diabetics as compared to GDM mothers (14.7 % versus 1.5%; p=0.009).Conclusions: Early detection and good glycemia control by MNT and insulin, regular antenatal check-ups, patient counselling and compliance, intrapartum fetal monitoring and early neonatal care are keys to improved outcome.

Heterotopic pregnancy: a case report

Heterotopic pregnancy is defined as the coexistence of intrauterine and extrauterine gestation. The incidence is low and estimated to be 1 in 30,000 of spontaneous pregnancies though it is becoming commoner with assisted reproductive technique. It can be a life-threatening condition and can be easily missed with the diagnosis being overlooked. We present a rare case of spontaneous heterotopic pregnancy with live intrauterine gestation and ruptured left adnexal gestation

Maternal and fetal outcome among pregnant women presenting with thrombocytopenia

Background: Thrombocytopenia complicates about 7-8% of all pregnancies. It is an under-explored condition in Indian women during pregnancy, so the study was planned to find out the prevalence and causative factors of thrombocytopenia during pregnancy and to review management strategies for the best feto-maternal outcome.Methods: This prospective study was conducted in the department of obstetrics and gynecology at Dr. Rajendra Prasad Government Medical College Kangra at Tanda, Himachal Pradesh. 546 antenatal women were screened, 65 women who were diagnosed with thrombocytopenia, were included in the study.Results: The incidence of maternal thrombocytopenia in our study was 8.4%. 63% of the women had mild thrombocytopenia while 35.4% and 1.5% of women were moderate and severe thrombocytopenic respectively. The mean maternal platelet count was 106907±30136.52/µL whereas the mean neonatal platelet count was 175307.7±33834.87/µL. The incidence of fetal thrombocytopenia was 3.1%. Amongst 65 thrombocytopenic women 1.5% had HELLP Syndrome, 26.3% had PIH and 68.2% had gestational thrombocytopenia. 27.7% were delivered by LSCS and 72.3% were delivered vaginally. The most common indication of LSCS was acute fetal distress with MSL (55%) followed by breech (25%), failed induction (10%), and the rest (10%) for other obstetrical indications. 30% women required induction of labor with misoprostol for various obstetrical indications. The most common indication for induction was mild pre-eclampsia (45%) followed by IUGR (25%), PROM (15%) and post-date (15%).The mean baby weight in our study was 2.84±0.32 kg. Out of 65 neonates, 6.15% neonates required NICU admission. One neonate died at first post - op day because of respiratory distress syndrome. APGAR score <7 in 1 and 5 min were seen in 6.15% of neonates. Only 8% neonates were small for gestational age.Conclusions: In pregnancy with thrombocytopenia, gestational thrombocytopenia is the commonest and benign condition which does not alter the obstetrical management. Still a vigil should be kept on maternal platelet count in antenatal period to prevent unfavorable outcome in serious conditions that may require specific and urgent management (HELLP syndrome, severe pre-eclampsia, TTP, HUS and acute fatty liver of pregnancy)

Ovarian stromal tumor with minor sex-cord element with virilizing menifestations: a rare case report

Sex cord stromal tumor is a rare variety of ovarian tumor. These tumor have association with testosterone production which lead to virilisation in females. Here we report a case of 40yrs old female P2 L2 who presented with clinical signs and symptoms of virilisation: deepening of voice, hirsutism (Ferriman Gallwey score24), clitoromegaly, and breast atrophy. In this patient, serum testosterone and TSH levels were raised.  An ovarian mass was detected on ultrasonography. Exploratory laparotomy proceeds, total abdominal hysterectomy with bilateral salpingo-opherectomy was done. On histopathological examination the ovarian mass turned out a sex-cord stromal tumor of fibroma thecoma group-cellular fibroma with minor sex-cord like elements. Post-operatively her serum testosterone level declined and signs and symptoms of virilisation started regressing.

Genetic divergence evaluation of apple germplasm by D2 multivariate analysis

Genetic divergence was worked out in the new germplasm of apple (Malus × domestica Borkh.) including 42 genotypes. Mahalanobis's D2 statistics was applied for identifying the potential parents to be involved in the hybridization programme for trait specific improvement or selecting better segregants. On the basis of performance for various traits, genotypes were grouped into three clusters and maximum numbers of genotypes i.e. 28 were accommodated in cluster I , while 10 and 4 genotypes were arranged in cluster II and III respectively. The average intra cluster distance was maximum in cluster II (2.214) and minimum in cluster III (1.212). Inter cluster distance was maximum between cluster II and III (5.077) indicating that hybridization between genotypes from cluster II and III can be utilized for getting the superior recombinants in segregating generations. On the basis of cluster means for various characters , cluster II was found superior for shoot thickness (0.34cm), inter - nodal length (2.38cm), number of lenticels (62.10) and leaf blade length (8.79cm) whereas cluster III was found superior for leaf blade width (5.10cm), petiole length (2.64cm) and leaf blade ratio (3.62). Hence, hybridization between parents from cluster II and cluster III for these characters can produce better recombinants in segregating generations