An epidemiological Study of Domestic Violence Against Women and its Association with Sexually Transmitted Infections in Bangalore Rural.

Background: Gender-based violence is universal, differing only in scope from one society to the other. The most common form of violence against women is domestic violence or violence within families. Objectives: 1. To study the prevalence and different forms of domestic violence perpetrated by intimate partner against married women. 2. To study socio economic and demographic factors which affect the victimization of woman for domestic violence. 3.To study prevalence of sexually transmitted infection and its association with domestic violence in the study group. Methods: Based on a pilot study results, a sample size of 257 was determined. Total 257 currently married women in the reproductive age group (15-49 yrs) were interviewed by systematic random sampling with prior consent using a well designed, pre- tested questionnaire . All the women were screened for sexually transmitted infections as per the WHO guidelines by syndromic approach. The data was analyzed by percentages and chi-square test. Results: Prevalence of domestic violence was found to be 29.57% in the study group. Verbal abuse was reported by 81.58% of the women, Physical abuse by 31.58% of the women ,Psychological abuse by 27.63% of the women and Sexual abuse by 10.53% of the women. Among the 76 victimized women none of them reported to the police. Interpretation and conclusions: The vulnerability to domestic violence was found significantly associated with age at marriage, duration of marriage and addiction of husband to alcohol. The association between domestic violence and sexually transmitted infections was also found significant

A Qualitative Study on Men’s Involvement in Reproductive Health of Women among Auto-rickshaw Drivers in Bangalore Rural

Background: Men’s reproductive health directly affects the partner’s reproductive health. Men also may serve as gatekeepers to women’s access to reproductive health services. “Male involvement” in reproductive health and family planning programmes is not just promoting the use of male methods of contraception, but men’s supportive roles in their families. Objectives: 1. To know the attitudes of men regarding the family planning and women’s health. 2. To know the involvement and participation of men in maternity, delivery, post-natal care and family planning. 3. To study the treatment seeking behaviour of men for the reproductive health. problems. Methods: The study was conducted on the auto-rickshaw drivers in the Hoskote town. Total 96 married men were interviewed using a well-designed and pretested questionnaire. The aspects covered are awareness and practices related to RTIs/STIs/HIV/AIDS, family planning, antenatal care and treatment seeking behaviour for the reproductive health problems. Results: Majority (62.50%) of the men did not help their wives seek antenatal care. Only few 7(7.29%) were aware of parameters of antenatal care. There were 44 (45.83%) men who reported the symptoms of reproductive tract infections (RTIs). Among the men suffering from RTIs, only 32(72.73%) took treatment. Only 6(6.25%) people were aware of the all family planning methods. There were 39 (40.63%) participants having extramarital sexual relations with prostitutes or other females, of which 25(64.10%) people do not use condoms while engaging in the high risk sexual encounters. There were 34 (35.42%) men not aware of HIV/AIDS. Conclusion: Antenatal care and family planning are considered the primary responsibility of the women. Also majority of the men in the study group have high risk sexual behaviour. The awareness regarding HIV/AIDS is low

Risk assessment for type 2 diabetes mellitus in Muttanallur village, Bangalore, India

Background: Diabetes is a major cause of morbidity and mortality worldwide. There are certain risk factors involved in the development of type 2 DM. Affordable, quick and easily available validated tools are required for assessment of risk factors for type 2 DM. Using one such questionnaire, Finnish Diabetes Risk Score [FINDRISK], we have conducted an observational study in a rural area to identify and assess the risks for the development of type 2 DM.Methods: This cross sectional, observational, community-based study was undertaken, in Muttanallur Village, Bangalore. After the application of inclusion and exclusion criteria, 487 subjects were included. According to the final score obtained with the FINDRISK questionnaire, the individuals were classified into mild, moderate, high and very high-risk groups.Results: After the analysis of the variables, 253 individuals (52%) came under moderate risk with a score of (7-14) and 6 (1.2%) were categorized as having very high risk. Females, subjects above the age group of 45 years, having BMI ≥30 kg/m2, waist circumference of ≥37 inches, not having 30 minutes of daily physical activity and consumption of vegetables and fruits, with history of hypertension, high blood glucose during pregnancy or in the past, were having higher moderate to high risk prevalence and had more chances of developing type 2 DM (p value <0.001).Conclusions: As per the results of this study authors concluded that there was a statistically significant association between certain clinical variables with the development of future type 2 DM

Understanding implementation and feasibility of tobacco cessation in routine primary care in Nepal: a mixed methods study

Background: By 2030, 80 % of the annual 8.3 million deaths attributable to tobacco will be in low-income countries (LICs). Yet, services to support people to quit tobacco are not part of routine primary care in LICs. This study explored the challenges to implementing a behavioural support (BS) intervention to promote tobacco cessation within primary care in Nepal. Methods: The study used qualitative and quantitative methods within an action research approach in three primary health care centres (PHCCs) in two districts of Nepal. Before implementation, 21 patient interviews and two focus groups with health workers informed intervention design. Over a 6-month period, two researchers facilitated action research meetings with staff and observed implementation, recording the process and their reflections in diaries. Patients were followed up 3 months after BS to determine tobacco use (verified biochemically) and gain feedback on the intervention. A further five interviews with managers provided reflections on the process. The qualitative analysis used Normalisation Process Theory (NPT) to understand implementation. Results: Only 2 % of out-patient appointments identified the patient as a smoker. Qualitative findings highlight patients' unwillingness to admit their smoking status and limited motivation among health workers to offer the intervention. Patient-centred skills needed for BS were new to staff, who found them challenging particularly with low-literacy patients (skill set workability). Heath workers saw cessation advice and BS as an addition to their existing workload (relational integration). While there was strong policy buy-in, operationalising this through reporting and supervision was limited (contextual integration). Of the 44 patients receiving the intervention, 27 were successfully followed up after 3 months; 37 % of these had quit (verified biochemically). Conclusions: Traditionally, primary health care in LICs has focused on acute care; with increasing recognition of the need for lifestyle change, health workers must develop new skills and relationships with patients. Appropriate and regular recording, reporting, supervision and clear leadership are needed if health workers are to take responsibility for smoking cessation. The consistent implementation of these health system activities is a requirement if cessation services are to be normalised within routine primary care

Public Health Risks in Urban Slums : Findings of the Qualitative 'Healthy Kitchens Healthy Cities' Study in Kathmandu, Nepal

BACKGROUND: Communities in urban slums face multiple risks to their health. These are shaped by intermediary and structural determinants. Gaining a clear understanding of these determinants is a prerequisite for developing interventions to reduce the health consequences of urban poverty. With 828 million people living in slum conditions, the need to find ways to reduce risks to health has never been greater. In many low income settings, the kitchen is the epicentre of activities and behaviours which either undermine or enhance health. METHODS: We used qualitative methods of semi-structured interviews, observation and participatory workshops in two slum areas in Kathmandu, Nepal to gain women's perspectives on the health risks they faced in and around their kitchens. Twenty one women were interviewed and four participatory workshops with a total of 69 women were held. The women took photographs of their kitchens to trigger discussions. FINDINGS: The main health conditions identified by the women were respiratory disease, gastrointestinal disease and burn injuries. Women clearly understood intermediary (psychosocial, material and behavioural) determinants to these health conditions such as poor ventilation, cooking on open fires, over-crowding, lack of adequate child supervision. Women articulated the stress they experienced and clearly linked this to health conditions such as heart disease and uptake of smoking. They were also able to identify protective factors, particularly social capital. Subsequent analysis highlighted how female headed-households and those with disabilities had to contend with greater risks to health. CONCLUSIONS: Women living in slums are very aware of the intermediary determinants-material, behavioural and psycho-social, that increase their vulnerability to ill health. They are also able to identify protective factors, particularly social capital. It is only by understanding the determinants at all levels, not just the behavioural, that we will be able to identify appropriate interventions

Altered bile acid profile associates with cognitive impairment in Alzheimer's disease—An emerging role for gut microbiome

Introduction Increasing evidence suggests a role for the gut microbiome in central nervous system disorders and a specific role for the gut‐brain axis in neurodegeneration. Bile acids (BAs), products of cholesterol metabolism and clearance, are produced in the liver and are further metabolized by gut bacteria. They have major regulatory and signaling functions and seem dysregulated in Alzheimer's disease (AD). Methods Serum levels of 15 primary and secondary BAs and their conjugated forms were measured in 1464 subjects including 370 cognitively normal older adults, 284 with early mild cognitive impairment, 505 with late mild cognitive impairment, and 305 AD cases enrolled in the AD Neuroimaging Initiative. We assessed associations of BA profiles including selected ratios with diagnosis, cognition, and AD‐related genetic variants, adjusting for confounders and multiple testing. Results In AD compared to cognitively normal older adults, we observed significantly lower serum concentrations of a primary BA (cholic acid [CA]) and increased levels of the bacterially produced, secondary BA, deoxycholic acid, and its glycine and taurine conjugated forms. An increased ratio of deoxycholic acid:CA, which reflects 7α‐dehydroxylation of CA by gut bacteria, strongly associated with cognitive decline, a finding replicated in serum and brain samples in the Rush Religious Orders and Memory and Aging Project. Several genetic variants in immune response–related genes implicated in AD showed associations with BA profiles. Discussion We report for the first time an association between altered BA profile, genetic variants implicated in AD, and cognitive changes in disease using a large multicenter study. These findings warrant further investigation of gut dysbiosis and possible role of gut‐liver‐brain axis in the pathogenesis of AD

A Survey Study on Leech Storage Practices in Ayurveda Hospitals

Leech therapy is one of the popular treatment method adopted in Ayurveda hospitals. We have conducted a survey study to evaluate the method of collection; storage and maintenance of leeches. Data regarding the leech storage were collected from 31 Ayurveda hospitals, on the basis of a standardized questionnaire. All the responding hospitals practiced leech therapy, mostly with a storage setup in the minor OT. 68% procured leeches during rainy season from the leech suppliers. 42% responders used tap water and plastic jars for storage. 94% of Ayurveda hospitals did not subject the water used for storage of medicinal leeches for physiochemical and microbial parameters periodically. There is a need for breeding centers in order to supply of medicinal leeches throughout the year. There is a need for establishing national guidelines for good storage and maintenance of medicinal leeches in India

Design of Low–power 4-bit Flash ADC Using Multiplexer Based Encoder in 90nm CMOS Process

This work describes a 4-bit Flash ADC with low power consumption. The performance metrics of a Flash ADC depend on the kind of comparator and encoder used. Hence openloop comparator and mux-based encoder are used to obtain improved performance. Simulation results show that the simulated design consumes 0.265mW of power in 90nm CMOS technology using cadence-virtuoso software. The circuit operates with an operating frequency of 100MHz and a supply voltage of 1V

Targeted metabolomic profiling indicates structure-based perturbations in serum phospholipids in children with acetaminophen overdose

Phospholipids are an important class of lipids that act as building blocks of biological cell membranes and participate in a variety of vital cellular functions including cell signaling. Previous studies have reported alterations in phosphatidylcholine (PC) and lysophosphatidylcholine (lysoPC) metabolism in acetaminophen (APAP)-treated animals or cell cultures. However, little is known about phospholipid perturbations in humans with APAP toxicity. In the current study, targeted metabolomic analysis of 180 different metabolites including 14 lysoPCs and 73 PCs was performed in serum samples from children and adolescents hospitalized for APAP overdose. Metabolite profiles in the overdose group were compared to those of healthy controls and hospitalized children receiving low dose APAP for treatment of pain or fever (therapeutic group). PCs and lysoPCs with very long chain fatty acids (VLCFAs) were significantly decreased in the overdose group, while those with comparatively shorter chain lengths were increased in the overdose group compared to the therapeutic and control groups. All ether linked PCs were decreased in the overdose group compared to the controls. LysoPC-C26:1 was highly reduced in the overdose group and could discriminate between the overdose and control groups with 100% sensitivity and specificity. The PCs and lysoPCs with VLCFAs showed significant associations with changes in clinical indicators of drug metabolism (APAP protein adducts) and liver injury (alanine aminotransferase, or ALT). Thus, a structure-dependent reduction in PCs and lysoPCs was observed in the APAP-overdose group, which may suggest a structure-activity relationship in inhibition of enzymes involved in phospholipid metabolism in APAP toxicity. Keywords: Metabolomics, Phospholipids, Acetaminophen, Hepatotoxicity, Dru