Ending Neglect of older people in the response to Humanitarian Emergencies

Older people make up a significant and growing number of those affected by humanitarian crises, yet they are often not sought out or prioritised within the humanitarian response. Humanitarian agencies, donors, and international bodies neglect older people's health and nutrition. The gaps in knowledge and research about the needs of older people in emergencies are considerable. Older people are not monitored in emergencies and they are not prioritised despite evidence of disproportionate mortality and morbidity in this group. We call for policy changes by humanitarian agencies and donors to ensure that the needs of this vulnerable group are met

DRUG UTILIZATION PATTERN IN CHRONIC OBSTRUCTIVE PULMONARY DISEASE INPATIENTS AT A TERTIARY CARE HOSPITAL

Objective: Drug utilization studies provide useful insights into the current prescribing practices. In view of this, the present study was designed to establish the drug utilization pattern in hospitalized chronic obstructive pulmonary disease (COPD) patients.Methods: In this retrospective study, all patient data relevant to the study were obtained by examination of patient's medical records and hospital information system.Results: A total of 237 patients with acute exacerbation were evaluated. The population predominantly consisted of males (92.4%) and most of the patients were in the age group of 61 to 70 y (39.7%). Cough, sputum production and dyspnea were observed in 88.2%, 80.6% and 37.6% patients, respectively. Hypertension (49.4%) was the most common co-morbidity. Candida albicans (16%) and Pseudomonas aeruginosa (4.6%) were the most common microorganisms isolated from sputum samples. Majority of the patients were on multidrug therapy during both hospital stay (98.7%) and at the time of discharge (99.6%). During hospital stay, the most commonly prescribed drugs were ipratropium (91.6%) and levosalbutamol (88.2%); antibiotics and systemic corticosteroids were received by 96.2% and 83.1% patients, respectively. At discharge, antibiotics, inhaled corticosteroids, methyl xanthines, long acting beta-2 agonist and tiotropium were received by 94.1%, 93.7%, 92.4%, 86.1% and 56.5% patients, respectively.Conclusion: The prescribing trend observed at our hospital appears to be in concordance with the current guidelines for the management of COPD patients.Â

Developing procedures for assessment of ecological status of Indian River basins in the context of environmental water requirements

River basins / Ecology / Indicators / Environmental flows / Environmental management / Habitats / Biota / Fish / Ecosystems / India / Krishna River Basin / Chauvery River Basin / Narmada River Basin / Periyar River Basin / Ganga River Basin

Chemical Properties of Water Hyancinth Plant Ash

In ponds, water hyacinth expands rapidly and doubles in size in just two weeks. The significance of integrated and adaptable management strategies that take into account the ecological, economic, and social aspects of water hyacinth reduction is emphasized in this abstract. To successfully handle the water hyacinth issue and encourage the sustainable use of this problematic plant, cooperation among governments, communities, researchers, and environmental groups is essential. We can improve the quality of life for individuals impacted by the existence of water hyacinth by putting these measures into practice and working to restore the health of aquatic ecosystems. The dense mats of water hyacinth on the water's surface can block sunlight, reduce oxygen levels, and obstruct natural water movement, which can have a negative impact on native aquatic species and ecological balance. Additionally, its presence in water bodies can hinder fishing, transportation, and irrigation, which can result in losses for people who depend on these resources economically

Patient’s Perception of Community Pharmacist in North Malabar region of Kerala, India: A questionnaire based study

Pharmacists as vital healthcare professionals play significant role in effective medication management and their use among the patients. However the perception of community pharmacist  among the public needs to be assessed for effective role and further patient care. This questionnaire based study was aimed to identify the perception of patients towards the community pharmacist in north Malabar region of Kerala, India. The questionnaire consisted of 16 questions with sections evaluating the demographic details (age, sex, marital status, education level & occupation) and the perception of patients towards the community pharmacist. The results were prepared based upon the responses obtained from 110 patients. The study respondents consisted of 51 (46.36%) adults (18-59 years) and 59 (53.63%) geriatrics (above 60 years). Based on their education level, 9 (8.18%), 35 (31.81%) and 66 (60%) participants were illiterate, secondary school and graduate holders respectively. The respondents of the study informed that the pharmacist enquired about their past medication history (58, 52.73%), any allergic reactions (21, 19.1%) and use of any herbal medication (31, 28.18%) prior to the dispensing process. The patients also responded that proper advice regarding dosage (90%), side effects (25%), storage (12%), healthy eating & exercise (10%) were also provided by the concerned pharmacist. As a matter of fact, 91 out of 110 patients thought the pharmacist service were good, 17 thought they were fairly good and 2 were of the opinion that it was poor. The pharmacy rating was evaluated as good by 32 (29.09%), fairly good by 78 (70.90%) and no respondents were of opinion that the pharmacy was poor in its service. Through this study, we found that the overall perception of patients towards the pharmacist in concerned community pharmacy setting was good. To further improvise their role, continued pharmacy education programmes, better communication skills and good professional training must be imparted among the community pharmacists

Assessment of respiratory morbidity among loading and unloading workers exposed to cement dust

Background: A higher incidence of occupational diseases has been reported recently compared to the past years. One of the industries where workers are remarkably exposed to dust is cement industry. Several studies have been conducted to evaluate pulmonary functions and biochemical parameters of workers exposed to cement dust in factories and construction sites, but few were concentrated among loading and unloading workers of warehouses. Hence the present study was undertaken to find out the effect of cement dust among loading and unloading workers of cement warehouses.Methods: This study was conducted among 82 exposed (cement dust) and 82 non-exposed individuals. Frequency of symptoms, biochemical parameters and spirometric values were taken from all subjects. Spirometric parameters recorded were, forced vital capacity (FVC), Forced expiratory volume (FEV1), FEV1/FVC% and Peak expiratory flow rate (PEFR).Results: Out of exposed group, 51.2% had cough, 46.3% had rhinitis 45.2% had breathlessness. FEV1 and FVC showed significant reduction while FEV1/FVC values were normal. No significant changes were seen in renal function tests or liver function tests. Mean value of erythrocyte sedimentation rate (ESR) was found to be significantly increased.Conclusions: Compared to normal healthy adults the loading and unloading workers in cement warehouses showed restrictive lung disease and an increase in ESR representing a non-specific inflammatory change. A continuous bio monitoring of health status must be initiated for these employees and awareness campaigns regarding the exposure and use of standardized protective devices must be mandated

Age distribution of exoplanet host stars: Chemical and Kinematics age proxies from GAIA DR3

The GAIA space mission is impacting astronomy in many significant ways by providing a uniform, homogeneous and precise data set for over 1 billion stars and other celestial objects in the Milky Way and beyond. Exoplanet science has greatly benefited from the unprecedented accuracy of stellar parameters obtained from GAIA. In this study, we combine photometric, astrometric, and spectroscopic data from the most recent Gaia DR3 to examine the kinematic and chemical age proxies for a large sample of 2611 exoplanets hosting stars whose parameters have been determined uniformly. Using spectroscopic data from the Radial Velocity Spectrometer (RVS) onboard GAIA, we show that stars hosting massive planets are metal-rich and $\alpha$-poor in comparison to stars hosting small planets. The kinematic analysis of the sample reveals that the stellar systems with small planets and those with giant planets differ in key aspects of galactic space velocity and orbital parameters, which are indicative of age. We find that the galactic orbital parameters have a statistically significant difference of 0.06 kpc for $Z_{max}$ and 0.03 for eccentricity respectively. Furthermore, we estimated the stellar ages of the sample using the MIST-MESA isochrone models. The ages and its proxies for the planet-hosting stars indicate that the hosts of giant planetary systems are younger compared to the population of stars harboring small planets. These age trends are also consistent with the chemical evolution of the galaxy and the formation of giant planets from the core-accretion process.Comment: Accepted for Publication in The Astronomical Journa

Alpha 1 antitrypsin gene: A case-control study in chronic obstructive pulmonary disease

Alpha-1 antitrypsin (AAT) deficiency is an inherited disorder that causes low levels of, or no AAT in the blood. The most common illness in adults with AAT deficiency is lung disease during the third and fourth decades of life. Most commonly, it is associated with chronic obstructive pulmonary disease (COPD). Mutations in the protease inhibitor (PI) gene, located on chromosome 14, are associated with this genetic disorder. The Z protein is due to a single amino acid substitution of 342 glutamine lysine. Although cigarette smoking is the main environmental risk factor, only about 15% of smokers develop clinically significant disease suggesting other influences on disease expression. The study included hospital based age and sex matched 100 cases of COPD and 100 controls without COPD recruited from Christian Medical Centre, Jorhat, Assam. These cases were recruited from February 2009 to December 2009. Subjects were included in the COPD group on the basis of lung function test. DNA extraction was done by DNA extraction kit and amplification for AAT gene was done by site directed mutagenesis polymerase chain reaction (PCR) method as described by Tazellar et al. (1992). We found that smoking was the prior cause of COPD. A1AT deficiency is not prevalent in our population subset but certain other genes could be the attributable factor for COPD.Key words: Alpha 1-antitrypsin, chronic obstructive pulmonary disorder (COPD)

Influence of post-synthetic modifications on the composition, acidity and textural properties of ZSM-22 zeolite

[EN] In this work, an extensive investigation of the preparation of a large body of desilicated ZSM-22 zeolites and their basic characterization is presented. We investigate the effects of the properties of the starting zeolite, and we employ mixtures of NaOH with CTAB or TBAOH as well as subsequent acid washings to create mesoporous zeolites. Scanning and transmission electron microscopy and nitrogen adsorption revealed that the cristal morphology of the starting zeolite appears to be the dominant parameter which influences the mesopore generation. Mesopores were effectively created within the rod-like commercial crystallites, whereas the thinner dimensions of the needle-shaped particles of the lab-made zeolite represent an obstacle for an intra-mesopore creation. The alkaline, surfactant-assisted or combined NaOH/TBAOH desilication methods resulted in mesopores with different shape and size from the commercial zeolite. The sequential acid washing generally resulted in increased micropore volume with respect to the desilicated samples. Elemental analysis showed that extra-framework Al species were generated upon the desilication treatments, which are eventually removed by the acid treatment. The acidity studied by FTIR demonstrated that this occurs without a marked modification of the Brønsted acidity, whereas the concentration of surface silanol hydroxyl groups is increased. The comparison between the total Al concentration and the amount of Al in acidic sites quantified by pyridine adsorption shows that the acidity was recovered after the acid washing and suggests that original non-acidic Al species in the starting materials may have a role in the formation of both Lewis and extra-framework species upon desilication.This publication is a part of the inGAP Centre of research-based Innovation, which receives financial support from the Norwegian Research Council under contract no. 174893. F.R and M.T.N thank to MINECO for financial support through projects MAT2015-71842-P and SEV-2012-0267. All the authors thank the Electron Microscopy Service of the Universitat Politecnica de Valencia.Del Campo Huertas, P.; Beato, P.; Rey Garcia, F.; Navarro, MT.; Olsbye, U.; Lillerud, K.; Svelle, S. (2018). Influence of post-synthetic modifications on the composition, acidity and textural properties of ZSM-22 zeolite. Catalysis Today. 299:120-134. https://doi.org/10.1016/j.cattod.2017.04.042S12013429