Professional Quality of Life and Mental Health among Doctors in Tamil Nadu during COVID19 Pandemic

Background: The pandemic COVID19, a serious global threat has led to elevated levels of pressure on medical professionals. The research shows that occupational stressors has been significantly associated with the pandemic.Objective: To estimate the professional quality of life of doctors in Tamil Nadu and their mental health during the COVID19 pandemic. Settings andDesign: Cross-sectional study in Tamil Nadu, South India. Method: Among 318 doctors from both private and government sectors in Tamil Nadu, South India during April 9th - May 10th 2021, the study was conducted to estimate the professional quality of life [Compassion Satisfaction (CS), Secondary Traumatization (ST) and burnout] using ProQOL-5 scale. Depression and Anxiety were estimated using PHQ-9 and GAD-7 scales respectively. Statistical analysis used: Association between the variables was found using Chi-square test. Results: Among the 318 respondents (170 males and 148 females), CS and ST levels were high in 77(24.2%), and 10(3.1%) respondents respectively. Severe depression and anxiety were among 36(11.3%) and 109(34.3%) respectively. Statistically significant association was found for Burnout (?2=55.671; OR=15.135; 95% CI=6.361-36.013 and ?2=57.518; OR=18.014; 95% CI=7.054-46.007) and ST (?2=56.701; OR=15.432; 95% CI=6.486-36.717 and ?2=26.281; OR=4.558; 95% CI=2.476-8.390) with both depression and anxiety (p<0.05). Conclusions: Doctors of Tamil Nadu, South India are challenged with adverse mental health outcomes during the COVID-19 pandemic with a significant association between the quality of life at work and psychological distress

Provision of antiretroviral treatment in conflict settings: the experience of Médecins Sans Frontières

ABSTRACT: INTRODUCTION: Many countries ravaged by conflict have substantial morbidity and mortality attributed to HIV/AIDS yet HIV treatment is uncommonly available. Universal access to HIV care cannot be achieved unless the needs of populations in conflict-affected areas are addressed. METHODS: From 2003 Médecins Sans Frontières introduced HIV care, including antiretroviral therapy, into 24 programmes in conflict or post-conflict settings, mainly in sub-Saharan Africa. HIV care and treatment activities were usually integrated within other medical activities. Project data collected in the Fuchia software system were analysed and outcomes compared with ART-LINC data. Programme reports and other relevant documents and interviews with local and headquarters staff were used to develop lessons learned. RESULTS: In the 22 programmes where ART was initiated, more than 10,500 people were diagnosed with HIV and received medical care, and 4555 commenced antiretroviral therapy, including 348 children. Complete data were available for adults in 20 programmes (n = 4145). At analysis, 2645 (64%) remained on ART, 422 (10%) had died, 466 (11%) lost to follow-up, 417 (10%) transferred to another programme, and 195 (5%) had an unclear outcome. Median 12-month mortality and loss to follow-up were 9% and 11% respectively, and median 6-month CD4 gain was 129 cells/mm 3.Patient outcomes on treatment were comparable to those in stable resource-limited settings, and individuals and communities obtained significant benefits from access to HIV treatment. Programme disruption through instability was uncommon with only one program experiencing interruption to services, and programs were adapted to allow for disruption and population movements. Integration of HIV activities strengthened other health activities contributing to health benefits for all victims of conflict and increasing the potential sustainability for implemented activities. CONCLUSIONS: With commitment, simplified treatment and monitoring, and adaptations for potential instability, HIV treatment can be feasibly and effectively provided in conflict or post-conflict settings

Inhibition of Orobanche crenata Seed Germination and Radicle Growth by Allelochemicals Identified in Cereals

Orobanche crenata is a parasitic weed that causes severe yield losses in important grain and forage legume crops. Cereals have been reported to inhibit O. crenata parasitism when grown intercropped with susceptible legumes, but the responsible metabolites have not been identified. A number of metabolites have been reported in cereals that have allelopathic properties against weeds, pests, and pathogens. We tested the effect of several allelochemicals identified in cereals on O. crenata seed germination and radicle development. We found that 2-benzoxazolinone, its derivative 6-chloroacetyl-2-benzoxazolinone, and scopoletin significantly inhibited O. crenata seed germination. Benzoxazolinones, l-tryptophan, and coumalic acid caused the stronger inhibition of radicle growth. Also, other metabolites reduced radicle length, this inhibition being dose-dependent. Only scopoletin caused cell necrotic-like darkening in the young radicles. Prospects for their application to parasitic weed management are discussed. © 2013 American Chemical Society.This research is supported by projects FP7-ARIMNet-MEDILEG and AGL2011-22524 (cofinanced by FEDER funds).Peer Reviewe

Mechanisms and efficacy of disinfection in ceramic water filters: A critical review

Diarrheal illnesses claim the lives of hundreds of thousands of children each year, most of whom liv

Spermidine-binding proteins. Purification and expression analysis in maize

Polyamine-binding proteins have been identified in a wide range of organisms, including mammals, yeasts, and bacteria. In this work, we have investigated specific spermidine binding to plant membrane proteins purified from microsomes of etiolated maize (Zea mays) coleoptiles. In the final purification step, specific spermidine-binding activity (Kd 6.02 10-7 M) was eluted from a HiTrapQ fast-protein liquid chromatography column at about 0.25 M NaCl, and sodium dodecyl sulfate-polyacrylamide gel electrophoresis of the most active fraction showed a major polypeptide of about 60 kD and another copurifying 18-kD protein. Competition experiments, performed on HiTrapQ active fractions, confirmed the specificity of the binding. Upon Sephadex G-100 gel filtration, spermidine binding was associated almost exclusively with the 18-kD protein. On the basis of the N-terminal sequences, degenerate oligonucleotide probes were designed and used to isolate, by reverse transcriptase-polymerase chain reaction and polymerase chain reaction, cDNA fragments of about 1 kb for the 60-kD protein, and 0.9 kb for the 18-kD protein. Northern-blot analysis performed on etiolated coleoptiles and different tissues from 10-d-old maize plants indicated the presence of two different mRNAs of 1.7 and 0.7 kb. Southern-blot analysis indicated that the genes encoding the 60- and 18-kD proteins are probably derived from differential processing of the same precursor mRNA. Using rabbit polyclonal antibodies raised against these proteins, affinity purification and dot-blot experiments detected analogous membrane proteins in monocot and dicot plants