Participatory Ranking of Fodders in the Western Hills of Nepal

Fodder is an important source of feed of the ruminants in Nepal. In the mid hills of Nepal, farmers generally practice integrated farming system that combines crop cultivation with livestock husbandry and agroforestry. Tree fodders are good sources of protein during the forage and green grass scarcity periods especially in dry season. Local communities possess indigenous knowledge for the selection of grasses and tree fodders at different seasons in mid hills of western Nepal. A study was conducted on the perception of farmers with respect to selection of fodder species in eight clusters in Kaski and Lumjung districts that range 900-2000 meter above sea level and receive average precipitation of 2000- 4500mm per annum. During the fodder preference ranking, farmers prepared the inventory of fodders found around the villages and nearby forests and selected top ten most important fodders in terms of their availability, palatability, fodder yield, milk yield and milk fat yield. In total, 23 top ranking fodders species were selected from the eight clusters. These fodder species were also ranked using pairwise ranking and weighted scoring methods and ranking was done on the basis of merit numbers obtained from weighted scores. The analysis revealed Artocarpus lakoocha as best tree fodder followed by Ficus semicordata, Thysanolena maxima and Ficus calvata. Similarly, the calendar of fodders trees for lopping season and the best feeding time was prepared on the basis of farmers\u27 local knowledge. This study suggests strategies for promotion of locally preferred tree fodder species and supplementing tree fodder with feed in different seasons depending on their availability and local preferences

Risk factors for malaria deaths in Jalpaiguri district, West Bengal, India: evidence for further action

BACKGROUND: In 2006, a cluster of malaria deaths in the highly endemic Jalpaiguri district, West Bengal, India, led to assignment of additional resources. Malaria deaths decreased, but continued to occur. A study was conducted to identify the risk factors for residual malaria deaths. METHODS: Malaria death was defined as a death from fever with microscopically confirmed Plasmodium falciparum among residents of Jalpaiguri during 2007–2008. For each case, three age-, sex- and locality-matched controls were recruited among microscopically confirmed falciparum malaria patients cured during the same period. Clinical and treatment information was abstracted from records. Information about knowledge about malaria, presence of bed nets and DDT spraying was collected through interviews of the close relatives of study subjects. Odds ratio (OR) were calculated using multivariate methods. RESULTS: 51 malaria deaths were matched with 153 controls, which did not differ by age (median: 35 versus 36 years) and proportion of males (63% versus 63%). On multiple logistic regression analysis, compared with survivors, malaria deaths were more likely to have been admitted with already existing complications [OR = 4.1, 95% confidence interval (CI) = 1.6–10)], treated at a private facility (OR = 3.7, 95% CI = 1.2–12), received treatment after 48 hours of fever onset (OR = 14, 95% CI = 2.9–64), received chloroquine (OR = 13.3, 95% CI = 3.7–47). Households of the deceased were also more likely to miss bed nets (OR = 6.3, 95% CI = 1.9–24) and DDT spraying (OR = 9.2, 95% CI = 2.8–31). CONCLUSION: Elimination of malaria deaths will require education of providers for prompt referral before complications, engagement of the private sector, community awareness for early treatment as well as scaled-up use of bed nets use and DDT. Use of newer generation anti-malarials must to be generalized

Management of a case of thromboembolism post spine surgery: a case report

Postoperative deep vein thrombosis (DVT) of lower limbs is often asymptomatic. In many patients, fatal pulmonary embolism (PE) is the first clinical manifestation of postoperative venous thromboembolism (VTE). Routine screening for asymptomatic DVT of the lower limbs has a low sensitivity and is quite impractical. For these reasons, routine and systematic prophylaxis in patients at risk, is the strategy of choice to reduce the burden of VTE after surgery. If used appropriately such prophylaxis is cost effective since it reduces the incidence of symptomatic thromboembolic events, which require costly diagnostic procedures and prolonged anticoagulation therapy. Here we report the post-operative course of a spine surgery patient, presenting with DVT in calf veins, which lodged into pulmonary artery and was managed successfully with low molecular weight heparin (LMWH), embolectomy, inferior vena cava (IVC) filter, and dabigatran

Performance of Garden Pea Genotypes in Eastern Hills of Nepal

Garden pea (Pisum sativum L) is an important winter legume used as fresh vegetables and other drier food products. Despite of its importance as cash crop in many parts of Nepal, much study on various aspects for enhancing production and productivity has yet to be done. Therefore, to evaluate the production performance different genotypes of garden pea in eastern hills agro-ecological conditions present experiments were carried out consecutively for two years (2015 and 2016) at Agricultural Research Station, Pakhribas. The experiment comprised of 11 different genotypes of garden pea including a check variety Arkel. The production performance was evaluated in a completely randomized block design with three replications. The seeds were sown at 50 × 10 cm spacing during first week of October for two years. The result showed that DGP-05 genotype had earliest 104 days after sowing. The DGP-08 genotype showed 13 which were the maximum numbers of pods per plant (13), while DGP-01 showed 8 numbers of seeds as the maximum per pod. The DGP-03 genotype had the longest pod of 9.78 cm among others. The highest fresh pod yield of 18.14 t/ha was achieved from genotype DGP-09 followed by Arkel with (16.32 t/ha).Journal of Nepal Agricultural Research Council Vol.3 2017: 15-1

Estimation of foetal birth weight clinically and sonographically and its correlation with its actual birth weight: a prospective and comparative study

Background: Knowledge of fetal weight in utero is vital for the obstetrician in deciding whether to deliver the fetus as well as in fixing the mode of delivery. Both low birth weight and excessive fetal weight at delivery are associated with increased risk of newborn complications during labor and the puerperium.  During the last decade, estimated fetal weight has been incorporated into the standard routine antepartum evaluation of high-risk pregnancies and deliveries. Objective of present study was to assess the fetal weight in term pregnancies by Clinical and Sonographic and to compare the methods after knowing the actual weight of the baby after birth.Methods: It is a prospective and comparative study of 200 women at term pregnancy at Sir T. Hospital, Bhavnagar, India from 2015 to 2016. Patients within 7 days from their Expected Date of Delivery were included in the study. The formulas used in this study are: Johnson's formula, Dare’s formula and Hadlock's formula using ultrasound.Results: Results vary in terms of accuracy with various methods employed for estimating the fetal weight. This study showed that Dare’s Formula was the best indicator among all other methods assessed followed by Hadlock's formula by ultrasonographic method.Conclusions: SFH measurement continues to be used in many countries on large scale because of its low cost, ease of use and need for little training as the setup for ultrasonographic evaluation is not readily available in rural setups

Fruit Characterization of Different Avocado (Persea Americana Mill.) Genotypes in Eastern Mid-hills of Nepal

The total of thirteen different avocado (Persea americana Mill.) genotypes were collected for evaluating the fruit characteristics in the laboratory of Agricultural Research Station, Pakhribas during November 2017. The fully matured fruits from the farmer's field at Patle, Dhankuta were collected. The criteria for selecting the genotypes were fruit weight, fruit length, fruit diameter, seed weight, pulp weight, pulp to fruit ratio and the seed weight percentage. The result suggests the potentiality of the genotypes PAKAV002 and PAKAV010 in most of the evaluated characters as compared to the tested genotypes. The genotypes PAKAV008 and PAKAV007 were disliked as they have 32.59% and 28.39% of seed weight to the total fruit weight. The genotypes PAKAV002 and PAKAV010 had the average fruit weight ranging (307.1 g and 346.8 g), maximum of pulp to fruit ratio 62.34% and 56.97%. Similarly, genotypes PAKAV010 (11.425%), PAKAV013 (11.96%) and PAKAV002 (14.47%) had low seed weight to the total fruit weight which is regarded important factor for avocado selection and evaluation. This result shows that the genotypes PAKAV002 and PAKAV010 should be further evaluated for fruit characteristics and the quality

Incidence, management, and reporting of severe and fatal Plasmodium falciparum malaria in secondary and tertiary health facilities of Alipurduar, India in 2009

Background & objectives: The proportion of malaria cases that are complicated and fatal are not well describedin India. Alipurduar sub-division of Jalpaiguri district in West Bengal is highly endemic for malaria. We constructeda retrospective cohort of severe malaria patients admitted in the secondary and tertiary care facilities in Alipurduarto determine the incidence, assess the management, and evaluate the reporting of severe and fatal malaria.Methods: We reviewed routine surveillance data and the case records of all the malaria patients admitted in allsecondary and tertiary care facilities, both public and private. We defined severe malaria cases as Plasmodiumfalciparum infection with clinical signs and symptoms of organ involvement in a resident of Alipurduar admittedduring January to December 2009. We compared clinical and demographic characteristics of severe malariacases that died with those who survived. We also reviewed human resources and laboratory facilities availablefor the treatment of severe malaria in these health facilities.Results: During 2009, 6191 cases of P. falciparum in Alipurduar were reported to the malaria surveillancesystem. We identified 336 (5.4%) cases of severe malaria among which 33 (9.8%) patients died. Four malariadeaths were also recorded from primary health centres. Only 17 of the 37 (46%) total deaths recorded werereported to the routine surveillance system. Most severe cases were males (65%), aged >15 years (72%), andnearly half were admitted to secondary care hospitals (48%). In multivariate analysis, the risk factors associatedwith death included increased delay fever onset and hospitalization, treatment in a secondary level hospital,younger age, and multi-organ involvement. The secondary level public hospital had too few physicians andnurses for supporting severe malaria patients as well as inadequate laboratory facilities for monitoring suchpatients.Conclusions: Severe and fatal malaria continue to burden Alipurduar and record keeping in health facilities waspoor. Many malaria deaths were not routinely reported even in the public sector. Improved surveillance andincreased human and laboratory resources are needed to reduce malaria mortalit

Antibacterial Evaluation of Plant Extracts: an insight into Phytomedicine

This study was carried out to evaluate the antibacterial activity of petroleum ether, methanol and aqueous extract of the two plant Ocimum sanctum and pepper nigrum extract using agar well diffusion and broth dilution method against gram-positive bacterial strains (B. firmus, B. megaterium and B. cereus) and gram-negative bacterial strains (Escherichia coli, Enterobacter sp. and Klebsiella pneumoniae). The results indicate that petroleum ether extract compare to methanol and aqueous extract of O. sanctum and P. nigrum exhibited significant antibacterial activity against gram-positive bacteria with minimum inhibitory concentration (MIC) ranging from 0.13 to 0.21x 10-4 mg/well concentration. Moreover, gram-negative bacteria were less susceptible against petroleum ether, methanol and aqueous extract of O. sanctum and P. nigrum and their MIC ranging from 0.13 to 0.21x 10-2. The most susceptible organism to the organic extracts from both studied plants was B. firmus and the most resistant organism was Enterobacter sp. The result obtained with B. cereus and K. pneumoniae were particularly interesting, since it was inhibited by antibiotic ampicillin used and susceptibility was observed with the individual extracts, where higher antibacterial activity with petroleum ether and aqueous extracts of O. sanctum and P. nigrum respectively.  The presence of phytochemicals such as alkaloids, tannins, saponin, triterpenoids, steroids and glycosides in the extracts of these plants supports their traditional uses as medicinal plants for the treatment of various ailments. The present study reveals potential use of these plants for developing new antibacterial herbal drugs against pathogenic microorganisms

Antibacterial Evaluation of Plant Extracts: an insight into Phytomedicine

This study was carried out to evaluate the antibacterial activity of petroleum ether, methanol and aqueous extract of the two plant Ocimum sanctum and pepper nigrum extract using agar well diffusion and broth dilution method against gram-positive bacterial strains (B. firmus, B. megaterium and B. cereus) and gram-negative bacterial strains (Escherichia coli, Enterobacter sp. and Klebsiella pneumoniae). The results indicate that petroleum ether extract compare to methanol and aqueous extract of O. sanctum and P. nigrum exhibited significant antibacterial activity against gram-positive bacteria with minimum inhibitory concentration (MIC) ranging from 0.13 to 0.21x 10-4 mg/well concentration. Moreover, gram-negative bacteria were less susceptible against petroleum ether, methanol and aqueous extract of O. sanctum and P. nigrum and their MIC ranging from 0.13 to 0.21x 10-2. The most susceptible organism to the organic extracts from both studied plants was B. firmus and the most resistant organism was Enterobacter sp. The result obtained with B. cereus and K. pneumoniae were particularly interesting, since it was inhibited by antibiotic ampicillin used and susceptibility was observed with the individual extracts, where higher antibacterial activity with petroleum ether and aqueous extracts of O. sanctum and P. nigrum respectively.  The presence of phytochemicals such as alkaloids, tannins, saponin, triterpenoids, steroids and glycosides in the extracts of these plants supports their traditional uses as medicinal plants for the treatment of various ailments. The present study reveals potential use of these plants for developing new antibacterial herbal drugs against pathogenic microorganisms

Histopathological study of soft tissue tumours in a tertiary health centre in southern part of Assam

Background: Soft tissue tumors are defined as mesenchymal proliferations which occur in the extraskeletal non-epithelial tissues of the body, excluding the viscera, coverings of brain and   lymphoreticular system. The objective of this study was to study the histopathological features of soft tissue tumors and to study the occurrence of soft tissue tumors in relation to age, sex and anatomical site.Methods: This study comprised of 89 cases studied over a period of two years. All soft tissue tumors, their gross features, microscopic findings were analysed in detail. Soft tissue tumors were divided into benign and malignant categories and further sub typing were done according to World Health Organization (WHO) classification. The distribution of soft tissue tumors according to the age, sex and site of occurrence was studied.Results: Out of 89 cases of soft tissue tumors, 76 cases were benign, 4 cases belonged to intermediate category and 9 cases were malignant. Adipocytic tumors formed the largest group constituting 39 cases. Vascular tumors were the second commonest (26 cases) followed by peripheral nerve sheath tumors (11 cases). The benign tumors were seen in younger age as compared to malignant tumors. Malignant soft tissue tumors was seen to be more common in male than female and pleomorphic sarcoma and liposarcoma was commonest (3 cases each).Conclusions: Benign tumors were more common than malignant. The most common benign tumors were lipoma followed by hemangioma and schwannoma. The most common malignant tumor was pleomorphic sarcoma. The benign tumors were seen in younger age as compared to malignant tumors