265 research outputs found

    Assessment of Aspect Based Multidimensional Poverty in Urban Haryana

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    Purely monetary approach to poverty measurement does not provide a true picture of deprivations or wellbeingness of households. Aspects based poverty measurement using multiple dimensions of deprivation gives a more complete picture of poverty. In this investigation, the Multidimensional Poverty Index (MPI) has been used to study deprivations experienced in multiple dimensions of drinking water, sanitation and housing facilities in urban Haryana. For estimation of the poverty across the urban areas of Haryana, household level secondary data from 69th round of NSSO survey on selected indicators of drinking water, sanitation and housing facilities have been used. Based on MPI estimates the urban households in the district of Mewat have been found to be most deprived in reference to drinking water, sanitation and housing facilities in urban Haryana followed by Fatehabad, Rohtak, Mahendragarh, Jhajjar and Ambala

    Optimal package pricing in healthcare services

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    This is the final version. Available on open access from Taylor & Francis via the DOI in this recordFixed pricing for healthcare services is emerging as an attractive business model for private healthcare service providers. Under fixed pricing (or flat rate) contract, the patient is charged a fixed price for the healthcare services irrespective of the actual cost incurred by the hospital. Such contracts increase the risks for the healthcare service provider, thus making pricing decision crucial.In this paper, we study uncertainty and analyse the flat rate pricing contractfor a profit maximising hospital to find the optimal price of treatmen tand examined Valueā€“at-Risk (VaR) associated with such contracts for a risk minimising hospital. Bounds on price were derived to support healthcare providers with price negotiations. We extended the basic models by adding constraints to obtain risk-adjusted optimal price. We proved analytically that the optimal price lies between profit maximisation value and risk minimisation value of price, which we refer to as the efficient pricing interval. Our models and insights provide practical support to private healthcare service providers for optimal pricing and keep them informed about their risk position

    Pulmonary Echinococcal Cyst with a Filamentous Fungus Co-Infection

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    Fungal infections are known to colonize the preexisting lung cavities formed as a result of diseases like tuberculosis, sarcoidosis, bronchiectasis and cavitatary neoplasia, mostly encountered in immunocompromised patients. Pulmonary echinococcal cysts have been reported coexistent with cryptococcosis and other saprophytic mycosis, but the coexistence of aspergillosis and echinococcal cyst is extremely rare and occasionally been reported in English literature. Active invasion and proliferation of the fungi in the laminated ectocyst of the echinococcal cyst is very unusual. We report a case of 60 years old immunocompetent female, presented with cough, chest pain and shortness of breath. The chest X- ray showed a large thick walled cavity in the lower and mid zone of right lung with positive water lily sign. Surgical enucleation of the echinococcal cyst revealed aspergilloma involving the cavity with massive invasion of laminated ectocyst by filamentous fungus, morphologically resembling an Aspergillus species and was further treated with Itraconazole for 3 months. This unique coexistence of active pulmonary echinococcosis and aspergillosis is being reported because of its rarity and clinical importance for its management.Keywords: Aspergillosis, echinococcosis, echinococcal cyst, pulmonary, mycosis

    Genetic regulation of diapause and associated traits in Chilo partellus (Swinhoe)

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    Diapause is an endocrine controlled arrested metabolic state to delay development or reproduction under unfavorable conditions. To gain an understanding of importance of diapause for ecological adaptation, it is important to study regulation of diapause in insects. We examined genetics of diapause in Chilo partellus by crossing the hibernating (HD), aestivating (AD), post-hibernating (PHD), post-aestivating (PAD), and nondiapause (ND) strains. Reciprocal crosses were also made to gain full understanding of diapause regulation and the maternal effects, if any. Data were recorded on fecundity, egg hatching, larval survival, diapause induction and termination, adult emergence, and morphometrics of larvae, pupae and adults in the parents (P1, P2), F1 hybrids, and the reciprocal crosses. Genetic analysis showed that AD strain is general combiner, which also improved egg hatching, larval survival, diapause termination, adult emergence and proportion of females in the progenies. Incidence of diapause was highest in HD Ɨ AD, whereas termination was greatest in PHD Ɨ AD. However, ND strain and its reciprocal crosses with other strains did not exhibit any noticeable developmental response associated with diapause. Specific combining ability analysis suggested that where PHD and AD strains exist together there will be likely reduction in diapause incidence, increased survival with greater fitness and faster multiplication of their progenies resulting in outbreak of C. partellus. Degree of dominance estimates revealed that diapause, developmental and morphometric traits in C. partellus are governed by over dominance gene effects, and mainly depend on parental diapause history

    Mammalian Target of Rapamycin Is a Therapeutic Target for Murine Ovarian Endometrioid Adenocarcinomas with Dysregulated Wnt/Ī²-Catenin and PTEN

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    Despite the fact that epithelial ovarian cancers are the leading cause of death from gynecological cancer, very little is known about the pathophysiology of the disease. Mutations in the WNT and PI3K pathways are frequently observed in the human ovarian endometrioid adenocarcinomas (OEAs). However, the role of WNT/Ī²-catenin and PTEN/AKT signaling in the etiology and/or progression of this disease is currently unclear. In this report we show that mice with a gain-of-function mutation in Ī²-catenin that leads to dysregulated nuclear accumulation of Ī²-catenin expression in the ovarian surface epithelium (OSE) cells develop indolent, undifferentiated tumors with both mesenchymal and epithelial characteristics. Combining dysregulated Ī²-catenin with homozygous deletion of PTEN in the OSE resulted in development of significantly more aggressive tumors, which was correlated with inhibition of p53 expression and cellular senescence. Induced expression of both mTOR kinase, a master regulator of proliferation, and phosphorylation of its downstream target, S6Kinase was also observed in both the indolent and aggressive mouse tumors, as well as in human OEA with nuclear Ī²-catenin accumulation. Ectopic allotransplants of the mouse ovarian tumor cells with a gain-of-function mutation in Ī²-catenin and PTEN deletion developed into tumors with OEA histology, the growth of which were significantly inhibited by oral rapamycin treatment. These studies demonstrate that rapamycin might be an effective therapeutic for human ovarian endometrioid patients with dysregulated Wnt/Ī²-catenin and Pten/PI3K signaling

    A Unique Combination of Male Germ Cell miRNAs Coordinates Gonocyte Differentiation

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    The last 100 years have seen a concerning decline in male reproductive health associated with decreased sperm production, sperm function and male fertility. Concomitantly, the incidence of defects in reproductive development, such as undescended testes, hypospadias and testicular cancer has increased. Indeed testicular cancer is now recognised as the most common malignancy in young men. Such cancers develop from the pre-invasive lesion Carcinoma in Situ (CIS), a dysfunctional precursor germ cell or gonocyte which has failed to successfully differentiate into a spermatogonium. It is therefore essential to understand the cellular transition from gonocytes to spermatogonia, in order to gain a better understanding of the aetiology of testicular germ cell tumours. MicroRNA (miRNA) are important regulators of gene expression in differentiation and development and thus highly likely to play a role in the differentiation of gonocytes. In this study we have examined the miRNA profiles of highly enriched populations of gonocytes and spermatogonia, using microarray technology. We identified seven differentially expressed miRNAs between gonocytes and spermatogonia (down-regulated: miR-293, 291a-5p, 290-5p and 294*, up-regulated: miR-136, 743a and 463*). Target prediction software identified many potential targets of several differentially expressed miRNA implicated in germ cell development, including members of the PTEN, and Wnt signalling pathways. These targets converge on the key downstream cell cycle regulator Cyclin D1, indicating that a unique combination of male germ cell miRNAs coordinate the differentiation and maintenance of pluripotency in germ cells

    Identification of diagnostic serum protein profiles of glioblastoma patients

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    Diagnosis of a glioblastoma (GBM) is triggered by the onset of symptoms and is based on cerebral imaging and histological examination. Serum-based biomarkers may support detection of GBM. Here, we explored serum protein concentrations of GBM patients and used data mining to explore profiles of biomarkers and determine whether these are associated with the clinical status of the patients. Gene and protein expression data for astrocytoma and GBM were used to identify secreted proteins differently expressed in tumors and in normal brain tissues. Tumor expression and serum concentrations of 14 candidate proteins were analyzed for 23 GBM patients and nine healthy subjects. Data-mining methods involving all 14 proteins were used as an initial evaluation step to find clinically informative profiles. Data mining identified a serum protein profile formed by BMP2, HSP70, and CXCL10 that enabled correct assignment to the GBM group with specificity and sensitivity of 89 and 96%, respectively (pĀ <Ā 0.0001, Fischerā€™s exact test). Survival for more than 15Ā months after tumor resection was associated with a profile formed by TSP1, HSP70, and IGFBP3, enabling correct assignment in all cases (pĀ <Ā 0.0001, Fischerā€™s exact test). No correlation was found with tumor size or age of the patient. This study shows that robust serum profiles for GBM may be identified by data mining on the basis of a relatively small study cohort. Profiles of more than one biomarker enable more specific assignment to the GBM and survival group than those based on single proteins, confirming earlier attempts to correlate single markers with cancer. These conceptual findings will be a basis for validation in a larger sample size
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