Green supply chain performance measurement using fuzzy ANP-based balanced scorecard:a collaborative decision-making approach

The purpose of this paper is to delineate a green supply chain (GSC) performance measurement framework using an intra-organisational collaborative decision-making (CDM) approach. A fuzzy analytic network process (ANP)-based green-balanced scorecard (GrBSc) has been used within the CDM approach to assist in arriving at a consistent, accurate and timely data flow across all cross-functional areas of a business. A green causal relationship is established and linked to the fuzzy ANP approach. The causal relationship involves organisational commitment, eco-design, GSC process, social performance and sustainable performance constructs. Sub-constructs and sub-sub-constructs are also identified and linked to the causal relationship to form a network. The fuzzy ANP approach suitably handles the vagueness of the linguistics information of the CDM approach. The CDM approach is implemented in a UK-based carpet-manufacturing firm. The performance measurement approach, in addition to the traditional financial performance and accounting measures, aids in firms decision-making with regard to the overall organisational goals. The implemented approach assists the firm in identifying further requirements of the collaborative data across the supply-cain and information about customers and markets. Overall, the CDM-based GrBSc approach assists managers in deciding if the suppliers performances meet the industry and environment standards with effective human resource

Post-traumatic stress disorder in children and adolescents one year after a super-cyclone in Orissa, India: exploring cross-cultural validity and vulnerability factors

BACKGROUND: It has been asserted that psychological responses to disasters in children and adolescents vary widely across cultures, but this has rarely been investigated. The objectives of the study were to clinically evaluate the construct of traumatic stress symptoms and disorder in children and adolescents after a super-cyclone in Orissa, India; to find out the prevalence at one year; compare the effect in high and low exposure areas and study the factors associated with it. METHODS: Clinical examination of children and adolescents (n = 447) was done, supplemented by a symptoms checklist based on International Classification of Mental and Behavioural Disorders, Diagnostic Criteria for Research and a semi-structured questionnaire for disaster related experiences. RESULTS: A majority of children had post-traumatic symptoms. Post-traumatic stress disorder (PTSD) was present in 30.6% (95% confidence interval: 26.4 to 34.9), and an additional 13.6% had sub-syndromal PTSD. Parents or teachers reported mental health concerns in 7.2% subjects, who were a minor proportion (12.8%) of subjects with any syndromal diagnosis (n = 196). Significantly more (43.7%) children in high exposure areas had PTSD than that (11.2%) in low exposure areas (p < 0.001). Depression was significantly associated with PTSD. Binary logistic regression analysis indicated that high exposure, lower educational level and middle socioeconomic status significantly predicted the outcome of PTSD. Extreme fear and perceived threat to life during the disaster, death in family, damage to home, or staying in shelters were not significantly associated with PTSD. CONCLUSION: Following natural disaster PTSD is a valid clinical construct in children and adolescents in Indian set up; and though highly prevalent it may be missed without clinical screening. Its manifestation and associated factors resembled those in other cultures

Burden of melioidosis in India and South Asia: Challenges and ways forward

Summary: Melioidosis is caused by the environmental bacterium Burkholderia pseudomallei. South Asia is estimated to have 44% of the global disease burden. Among South Asian countries, Bangladesh and Sri Lanka are considered endemic for melioidosis; a few cases have been reported from Nepal, and a few imported cases from Pakistan have also been reported. India has experienced an increase in numbers of melioidosis cases in the recent years. The bacteria is inherently present in the soil and enters the human body via skin abrasions, inhalation, or ingestion. As clinicians are often ignorant about the similar characteristics of this disease and several other common tropical diseases, it causes a major delay in the timely diagnosis and management. The organism is easily mistaken as Pseudomonas spp in microbiology laboratories and may be dismissed as a common laboratory contaminant. The poor diagnostic sensitivity of blood culture also leads to missed diagnosis. Hence, both clinical ignorance and missed laboratory diagnosis have misrepresented melioidosis as a rare entity. The key preventive interventions are avoiding contact with loose and muddy soils of meliodosis-endemic areas, and provision of safe drinking water. The present article describes the various possible attributes for melioidosis underdiagnosis and the challenges of improving the diagnosis in conjunction with viable solutions. Funding: None

Pulmonary alveolar microlithiasis

Pulmonary alveolar microlithiasis (PAM) is a rare, chronic lung disease with bilateral intra-alveolar calcium and phosphate deposition throughout the lung parenchyma with predominance to lower and midzone. Although, etiology and pathogenesis of PAM is not fully understood, the mutation in SLC34A2 gene that encodes a sodium-phosphate co-transporter in alveolar type II cells resulting in the accumulation and forming of microliths rich in calcium phosphate (due to impaired clearance) are considered to be the cause of the disease. Chest radiograph and high-resolution CT of thorax are nearly pathognomonic for diagnosing PAM. HRCT demonstrates diffuse micronodules showing slight perilobular predominance resulting in calcification of interlobular septa. Patients with PAM are asymptomatic till development of hypoxemia and cor-pulmonale. No therapy has been proven to be beneficial except lung transplantation

The impact of “World Health Organization - Government of India guidelines on chronic obstructive pulmonary diseases-2003” on quality of life

<b>Background:</b> The World Health Organization-Government of India (WHO-GOI) Guidelines - 2003 for management of chronic obstructive pulmonary diseases (COPD) is a consensus statement. However, the outcome and impact of its implementation on quality of life (QOL) among COPD patients has not been studied so far. <b> Materials and</b> <b> Methods:</b> The patients were randomized to intervention group (n = 50) and control group (n = 40). All were treated and followed up for 6 months. A pulmonary physician reviewed patients of both the groups, at least 3 times in 6 months period. St. George&#x2032;s Respiratory Questionnaire was measured at baseline and at 6 months. Patients in control group visited the center on a "need to" basis and were prescribed conventional treatment by the doctor on duty. <b> Results:</b> Forty-two patients in the intervention group and 32 in the control group completed 3 visits over the period of 6 months and were included in analysis. The severity as per the guidelines was moderate in 74&#x0025; and severe in 26&#x0025; in intervention group while it was moderate in 64&#x0025; and severe in 36&#x0025; cases in control group. Follow-up QOL scores were significantly better as compared with baseline values (<i> P</i>&lt; 0.001).The QOL of the patients treated according to the guidelines were significantly better (<i> P</i>&lt; 0.001) than those in the control group with conventional treatment. <b> Conclusion:</b> The consensus derived recommendations of WHO-GOI Guidelines for COPD-2003 are beneficial for management of COPD patients over conventional management

URBAN SOLID WASTE MANAGEMENT OF GUWAHATI CITY IN NORTH-EAST INDIA

In recent years municipal solid waste (MSW) management has been one of the most environmental concerns for all urban areas of India. Most of the urban centers have neither adequate land nor any facility for MSW disposal. In view of scarcity of lands for making landfill sites, solid wastes can be used for energy recovery resulting in volume reduction, thus requires less area for its disposal. Guwahati is one such city of North-East India, having the potential to recover the energy from solid wastes and at the same time the waste management system of the city can be improved. This paper attempts to characterize the urban solid waste of the city as well as its energy potential for various uses. Results showed that the average generation rate of MSW was 0.7 kg/capita/day and the city has the potential to generate the power of 30 MW from the solid waste

Complexation thermodynamics of UO22+/diglycolamide complex in a room temperature ionic liquid: A study by optical spectroscopy and microcalorimetry

Complexation thermodynamics of UO22+ and a series of N,N,N’,N’-tetraalkyl diglycolamide (TRDGA) ligands having alkyl chains –CH3 to –C6H13 were investigated in an ionic liquid (IL). The complexation constant for UO22+/DGA complex increased linearly with increasing alkyl chain length of DGA from tetramethyl (logβ1 = 4.52, logβ2 = 8.01) to tetrahexyl (logβ1 = 5.62, logβ2 = 10.3). There were two types of species recorded in the calorimetric titration for all the four ligands, one having endothermic complexation, and other exothermic. This observation was in contrast with those observed for aqueous medium, where both the stepwise complexation enthalpies were endothermic. The structural feature indicated the formation of [UO2L2]2+ type of complex without water or Tf2N− anion in the primary coordination sphere of the uranyl cation