Risk factors influencing the bone health in perimenopausal and postmenopausal women

Background: Bone loss is being increasingly identified in premenopausal and early postmenopausal women. The significance of low bone mineral density (BMD) in females needs to be addressed. Female reproductive system plays a major role in regulating the bone loss from menarche to senescence. The purpose of our study is to identify the menstrual and reproductive factors that may lead to decreased bone mass during the premenopausal period so that early intervention could lead to improved bone health.Methods: The study was conducted on 100 women aged 40 - 60 years attending the outpatient department in Pandit Bhagwat Dayal Sharma PGIMS, Rohtak, Haryana, India. Their age, parity, body mass index, age at menarche, age at first pregnancy, duration of breast feeding, use of combined oral contraceptive, interpregnancy interval and BMD values were recorded. BMD was measured by dual- energy x-ray absorptiometry. Pearson test was used for correlation analysis. Comparison between the groups was conducted using analysis of variance (ANOVA) and Tukey’s test.Results: A significant negative correlation was established between parity, age at menarche, duration of breast feeding and BMD values. On the other hand, BMI and duration of oral contraceptive use showed a significant positive correlation with BMD values.Conclusions: Identification of risk factors for low BMD will provide the opportunity for early intervention to preventosteoporosis and will reduce the burden of unnecessary BMD testing in elderly age group for screening of osteoporosis

Experience of hysteroscopy in a rural tertiary care center of Haryana, India

Background: During the last few decades hysteroscopy has become a tool of choice for evaluation of uterine cavity due to its “see and treat “benefits. It is more accurate and less invasive. Introduction of hysteroscopy in gynecological practice is the need of time. Aim of our study is to share the experience of hysteroscopy, its learning curve and limitations in a rural tertiary care center of Haryana.Methods: We retrospectively analyzed all the hysteroscopy procedure done from January 2016 to December 2018 from the hospital records.Results: Total 118 hysteroscopy were done but record of only 110 was available. Out of 110, 37(33%) were operative and 73(67%) were diagnostic. 36% were done for AUB, 33%  for infertility, 15% for misplaced cu t, 6% for amenorrhea, 2% in cases of RPL and rest for some less common indications. Out of operative hysteroscopy major procedures done were polypectomy and removal of misplaced Cu-T. Septal resection was also done in 3 cases. Number of operative hysteroscopy has increased over the time period of study.Conclusions: Hysteroscopic evaluation of uterine cavity is a reliable method for both diagnostic and treatment purpose. Proportion of hysteroscopy procedures and its learning curve will improve with persistent effort

Sustainable intensification influences soil quality, biota, and productivity in cereal-based agroecosystems

Monotonous rice-wheat cropping system with conventional management practices have resulted in declining soil quality and biota in addition to low input factor productivity and farmer’s profitability in western Indo-Gangetic plains (IGP) of India. Conservation agriculture (CA) based sustainable intensification (SI) is required to improve the soil quality while improving the productivity and profitability. A field experiment was conducted to evaluate the effects of CA based management practices such as zero tillage (ZT), direct seeding of rice (DSR), crop di- versification, residue recycling and legume integration for SI in comparison to conventional management on soil quality and biota in cereal (rice and maize) based cropping systems. Fourteen treatments were included in which four treatments (T1–T4) with rice–wheat and two treatments (T11–T12) with maize-wheat system were based on conventional management, while six treatments (T5–T10) with rice–wheat and two (T13–T14) with maize-wheat were based on CA management practices. Conservation agriculture based SI of maize-wheat-mungbean (T14) recorded lower soil bulk density (1.33 Mg m−3). Soil organic carbon (OC) was increased by 83% and 72% with CA based rice-wheat-mungbean (T10) and maize-wheat-mungbean (T14) system, respectively and it was at par with T9 and T12 compared to farmer’s practice (T1) (4.6 g kg−1). Mean microbial biomass carbon (MBC) and microbial biomass nitrogen (MBN) were 213% and 293% higher with T14 over T1 (646 and 201 μg g−1 dry soil), respectively. However, T10 recorded 117% and 171% higher MBC and MBN, respectively compared to T1. Dehydrogenase activity (DHA) and alkaline phosphatase activity (APA) were improved by 210% and 49% under T14; 140% and 42% under T10 compared to T1 (180 μg TPF g−1 soil 24 h−1 and 144 μg p-nitrophenol g−1h−1), respectively. Mean number of bacteria, fungi and actinomycetes were increased by 28%, 68%, 98% respectively, under T14 relative to T1, and at par with T12 and T10. Most abundant micro-arthropod group belonged to Collembola followed by Acari and Protura, irrespective of treatments. Higher soil quality index (SQI) was ob- served in T10 (0.82), followed by T14 and T6 treatment (0.76). Sustainable intensification of rice and maize based systems (T10 and T14) recorded 39% higher system yield compared to T1 (11.12 Mg ha−1). CA-based sustainable intensification of rice/maize systems improved soil quality and biota, hence resulted higher system yield in alluvial soils of IGP. Conservation agriculture based SI of maize-wheat-mungbean system was found to be the best alternative option than rice–wheat system to achieve sustainable productivity while improving the soil quality index (35%) and conservation of natural resources

Identifying optimum rates of fertilizer nitrogen application to maximize economic return and minimize nitrous oxide emission from rice–wheat systems in the Indo-Gangetic Plains of India

Rice–wheat (RW) cropping system in India is a major source of N2O emissions. In such system, defining N rates that deliver minimal N2O emissions and economically optimum yield would benefit both food production and the environment. We measured yield and N2O fluxes from RW systems in Northwest IGP under two tillage systems and five N rates (0, 75, 150, 225 and 300 kg N ha−1) for both rice and wheat using static chamber method. Seasonal pattern of N2O emission was mainly influenced by fertilizer and water application events with no significant effect of tillage systems. Mean annual N2O emission from RW system was 1.49 kg N ha−1 in N75 plot and 2.97–3.04 in the plots receiving ≥150 kg N ha−1. On average, the yield-scaled N2O emissions of rice and wheat were 0.25 and 0.52 kg N2O–N mg−1, respectively. Our finding suggests that N rates between 120–200 kg N ha−1 in rice and 50–185 kg ha−1 in wheat provide the most economical returns and application rates beyond these ranges would be both economically and environmentally unsustainable. Within the range of N rate studied, fertilizer-induced N2O-EF for rice and wheat were 0.41% and 0.79%, respectively

Changes in soil biology under conservation agriculture based sustainable intensification of cereal systems in Indo-Gangetic Plains

Continuous rice-wheat (RW) rotation with conventional agronomic practices has resulted in declining factor productivity and degrading soil resources. A farmer's participatory research trial was conducted in Karnal, India to evaluate 8 combinations of cropping systems, tillage, crop establishment method and residue management effects on key soil physico-chemical and biological properties. Treatments (T) 1–4 involved RW and 5–8 maize- wheat (MW) with conventional tillage (CT) and zero tillage (ZT) with (+R) and without (−R) residue recycling. Residue was either incorporated (Ri) or mulched (Rm). Treatment 1 (RW/CT − R) had the highest bulk density (BD) (1.47 Mg m−3) and T8 (MW/ZT + Rm), the lowest (1.34 Mg m−3). After 3 years of cropping, soil accu- mulated more organic C in (a) MW (9.33 Mg ha−1) than RW (8.5 Mg ha−1), (b) ZT (9.25 Mg ha−1) than CT (8.58 Mg ha−1), and (c) + R (10.18 Mg ha−1) than –R (7.65 Mg ha−1). MW system with ZT and residue (T8: MW/ZT + Rm) registered 208, 263, 210 and 48% improvement in soil microbial biomass C (MBC) and N, dehydrogenase activity (DHA) and alkaline phosphatase activity (APA), whereas RW system in T4 (RW/ ZT + Rm) registered 83, 81, 44 and 13%, respectively as compared with T1 (RW/CT − R), the business as usual scenario. Treatment 8 (MW/ZT + Rm) recorded the highest microbial population viz. bacteria, fungi and acti- nomycetes. The most abundant micro-arthropods present in the soil of experimental plot were Collembola, Acari and Protura which varied with treatments. Soil MBC, APA, BD and micro-arthropod population were identified as the key indicators and contributed significantly towards soil quality index (SQI). MW system with ZT and Rm (T8) recorded the highest SQI (1.45) followed by T6 (1.34) and the lowest score (0.29) being in T1 (RW/ CT − R). The SQI was higher by 90% in MW compared to RW, 22% in ZT compared to CT, and 100% in residue recycling compared with residue removal. System yield was strongly related to key soil quality indicators and also positively correlated with SQI. Longer-term studies are essential to realize maximal effects of improvements in soil health on crop yields

Response and resilience of Asian agrifood systems to COVID-19: an assessment across twenty-five countries and four regional farming and food systems

Context: The COVID-19 pandemic has been affecting health and economies across the world, although the nature of direct and indirect effects on Asian agrifood systems and food security has not yet been well understood. Objectives: This paper assesses the initial responses of major farming and food systems to COVID-19 in 25 Asian countries, and considers the implications for resilience, food and nutrition security and recovery policies by the governments. Methods: A conceptual systems model was specified including key pathways linking the direct and indirect effects of COVID-19 to the resilience and performance of the four principal Asian farming and food systems, viz, lowland rice based; irrigated wheat based; hill mixed; and dryland mixed systems. Based on this framework, a systematic survey of 2504 key informants (4% policy makers, 6% researchers or University staff, 6% extension workers, 65% farmers, and 19% others) in 20 Asian countries was conducted and the results assessed and analysed. Results and conclusion: The principal Asian farming and food systems were moderately resilient to COVID-19, reinforced by government policies in many countries that prioritized food availability and affordability. Rural livelihoods and food security were affected primarily because of disruptions to local labour markets (especially for off-farm work), farm produce markets (notably for perishable foods) and input supply chains (i.e., seeds and fertilisers). The overall effects on system performance were most severe in the irrigated wheat based system and least severe in the hill mixed system, associated in the latter case with greater resilience and diversification and less dependence on external inputs and long market chains. Farming and food systems' resilience and sustain-ability are critical considerations for recovery policies and programmes, especially in relation to economic performance that initially recovered more slowly than productivity, natural resources status and social capital. Overall, the resilience of Asian farming and food systems was strong because of inherent systems characteristics reinforced by public policies that prioritized staple food production and distribution as well as complementary welfare programmes. With the substantial risks to plant- and animal-sourced food supplies from future zoonoses and the institutional vulnerabilities revealed by COVID-19, efforts to improve resilience should be central to recovery programmes. Significance: This study was the first Asia-wide systems assessment of the effects of COVID-19 on agriculture and food systems, differentiating the effects of the pandemic across the four principal regional farming and food systems in the region