Screening for sexually transmitted infections at a DeAddictions service in South India

Objectives To estimate the lifetime prevalence of four sexually transmitted infections (STIs) and to identify correlates of these infections among patients seeking care for a substance use disorder at a specialized DeAddictions Unit in southern India. Methods Consecutive inpatients (n = 361; 98% male; M age = 36.7 years) admitted to DeAddictions Unit of the National Institute of Mental Health and Neuro Sciences in Bangalore, India, participated in a structured interview to obtain demographic, psychiatric, sexual behavior, and substance use data; each patient also provided a blood sample for serologic testing for HIV, chlamydia, syphilis, and hepatitis B. Results One-quarter of all patients tested positive for at least one STI. Lifetime seroprevalence rates were 12.9% for syphilis, 10.3% for chlamydia, 3.1% for hepatitis B, and 1.1% for HIV. Analyses did not reveal any consistent pattern of associations between STI status and sociodemographic, psychiatric, and sexual behavioral characteristics. Conclusions All patients should receive a comprehensive sexual assessment during standard care; for those patients who report risky sexual practices, we recommend voluntary counseling and testing for STIs. Although we do not recommend universal testing for STIs at this time, this should be revisited based upon national surveillance data

Correction: Impact of cardiovascular magnetic resonance on management and clinical decision-making in heart failure patients

Background: Cardiovascular magnetic resonance (CMR) can provide important diagnostic and prognostic information in patients with heart failure. However, in the current health care environment, use of a new imaging modality like CMR requires evidence for direct additive impact on clinical management. We sought to evaluate the impact of CMR on clinical management and diagnosis in patients with heart failure. Methods: We prospectively studied 150 consecutive patients with heart failure and an ejection fraction ≤50% referred for CMR. Definitions for “significant clinical impact” of CMR were pre-defined and collected directly from medical records and/or from patients. Categories of significant clinical impact included: new diagnosis, medication change, hospital admission/discharge, as well as performance or avoidance of invasive procedures (angiography, revascularization, device therapy or biopsy). Results: Overall, CMR had a significant clinical impact in 65% of patients. This included an entirely new diagnosis in 30% of cases and a change in management in 52%. CMR results directly led to angiography in 9% and to the performance of percutaneous coronary intervention in 7%. In a multivariable model that included clinical and imaging parameters, presence of late gadolinium enhancement (LGE) was the only independent predictor of “significant clinical impact” (OR 6.72, 95% CI 2.56-17.60, p=0.0001). Conclusions: CMR made a significant additive clinical impact on management, decision-making and diagnosis in 65% of heart failure patients. This additive impact was seen despite universal use of prior echocardiography in this patient group. The presence of LGE was the best independent predictor of significant clinical impact following CMR

Evaluation of two commercially available ELISAs for the diagnosis of Japanese encephalitis applied to field samples

To compare two commercially available kits, Japanese Encephalitis-Dengue IgM Combo ELISA (Panbio Diagnostics) and JEV-CheX IgM capture ELISA (XCyton Diagnostics Limited), to a reference standard (Universiti Malaysia Sarawak – Venture Technologies VT ELISA). Methods Samples were obtained from 172 ⁄ 192 children presenting to a site in rural India with acute encephalitis syndrome

Fertilizer best management practices by SSNM and customized fertilizers for elephant foot yam (Amorphophallus paeoniifolius) cultivation in India

Elephant foot yam [Amorphophallus paeoniifolius (Dennst.) Nicolson] is an important tuber crop grown in many parts of India for its starchy corm and the average yield of this crop is far below the potential productivity of 100 tonnes/ha. One of the reasons attributed to the lower yield is the imbalanced application of essential plant nutrients. Site specific nutrient management (SSNM) is the application of plant nutrients based on the soil and crop need, yield target and developed with the aid of models such as QUEFTS. This paper gives the result of four year study conducted to calibrate and validate the QUEFTS model for elephant foot yam cultivation and the development of SSNM zonation maps and secondary and micronutrient fortified customised fertilizers for the crop in major growing environments of India. Data collected from different field experiments conducted in major elephant foot yam-production regions of India during 1968 to 2011 were used to calibrate the model. The derived parameters of minimum and maximum accumulation of N (130 and 460), P (900 and 2100) and K (100 and 170) are proposed as standard borderline values in the QUEFTS model for elephant foot yam. A linear increase in corm yield was suggested by the model with N, P and K uptakes of 3.97, 0.71, and 7.05 kg N, P and K/1 000 kg corm. The average NPK ratio in total plant dry matter was 5.56:1:9.88. Based on these results, the model was calibrated using historical data as well as by conducting field experiments. It can be observed that fertilizer best management practices by SSNM resulted in an average actual corm yield of 33.45 tonnes/ha, whereas, the model predicted a yield of 35 tonnes/ha. The results of the study showed good agreement between predicted and measured corm yields during the four years, which indicated that the calibrated model can be used to improve NPK fertilizer recommendations for elephant foot yam in India. Based on the results and using soil fertility maps and agro ecological unit maps, SSNM zonation maps and secondary and micronutrient fortified customised fertilizers were developed for major elephant foot yam growing environments of India