The effectiveness of extended postpartum comprehensive health care bundle selected outcomes of women with preeclampsia at 6 months: protocol of a randomized controlled trial

Background: Women who have experienced pre-eclampsia (PE) may also face additional health problems in later life, as the condition is associated with an increased risk of death from 2-fold increased risk of long-term cardiovascular disease (CVD), hypertension, stroke, an approximate 5-12-fold increased risk of end-stage renal disease (ESRD), metabolic syndrome, and diabetes. Methods: Method was randomized controlled trial. Women with PE who delivered in PGIMER will be enrolled and will be allocated into experimental ad control group using a computer random table with allocation concealment. Enrolment will be done at the time of discharge; baseline assessment will be done 6 weeks and the intervention bundle will be implemented to the women in experimental group. The women in control group will receive routine care. Women in both the groups will be followed up at 6 months. Conclusions: This study aims to determine the effectiveness of “extended postpartum comprehensive health care bundle (EP CHC bundle)” on selected outcomes of women with preeclampsia at 6 months. The comprehensive health care bundle will be designed with the inputs from all stakeholders, has the potential to suit the dynamic nature of management of women with preeclampsia after delivery. CTRI registration number: CTRI/2021/04/032749 ON 12/4/2021

Household Food Security through Wetland Resources with Adaptation to Climate Change: An Empirical Analysis of Ranikor, Meghalaya, India

Wetland ecosystems are the most diverse and productive ecosystems on Earth and include marshes, lakes, rivers, flood basins, estuarine deltas, ponds, rice fields, and marine water areas where the depth at low tide does not exceed 6 m. Tangible and intangible diverse resources and products of wetland functions have historically provided a source of income and livelihood for human beings. The present study investigated the different causes and the perceived indicators of food insecurity among the wetland dwellers, determined the wetland contribution to household food security and assessed the determinants of wetland based income with a view on the adaptive strategies adopted by the households residing around Ranikor, Meghalaya. Data was collected from 70 wetland resource-user households which was analyzed using simple percentage, t-test, regression analysis and Garrett ranking technique. The wetland resources contributed significantly to the household food security in the study area. It was found that climate change and limited labour were the major causes of food insecurity. Factors like household size, agricultural land area and age of the respondent determined the extraction of resources. Moreover, the study revealed crop diversification, re-digging of canal, construction of embankments and poultry rearing as the adaptive measures in the face of climate change having merits. The study recommends the need to design appropriate food production technologies that ensure sustainable use of wetland resources for food security as increasing population coupled with climate change will have drastic impact on the households relying on wetland for food security and income.

Environmental Sustainability through Soil Conservation: An Imperative for Future Generations

Environmental sustainability is a critical concern for the well-being of future generations. Within the realm of sustainability, soil conservation plays a crucial role in preserving Earth's vital resource and maintaining the balance of ecosystems and agricultural productivity. This review explores the importance of environmental sustainability and the significance of soil conservation in achieving this objective. It examines the detrimental impacts of soil degradation on ecosystems and agriculture, emphasizing the need for effective conservation strategies. Various strategies for soil conservation and sustainable land management are discussed, including erosion control, soil restoration, agroforestry, and precision agriculture. The review also highlights the benefits and challenges associated with implementing soil conservation measures. By embracing these strategies, we can ensure the long-term health and productivity of our planet's soil, securing a sustainable future for generations to come.

Evaluation Of Relationship Between Cognitive And Emotional Deficits In Patients With Parkinson's Disease

AIM:The objective of the study is to evaluate the relationship between cognitive and emotional deficit in patients with Parkinson's disease (PD). METHODS: Asample of 30 patients with PD and 32 healthy control was recruited out of which 22 of them are matched on gender, age and education. NIMHANS Emotion Perception Test (NEPT) was used to assess emotion from facial and prosody expression. Neuropsychological tests to measure attention and executive functions were chosen. RESULTS:Chi-square, student t-test, Pearson's product moment correlation, Mann- Whitney U test, z-score of cumulative proportion (Van der Waerden's formula) and Multivariate Analysis were used for analysis of the data. PD shows significant impairment in cognitive function and emotional perception. CONCLUSION:PD shows significant impairment in recognizing and discrimination of emotion which is correlated with cognitive deficits

Efficacy of naturopathy and yoga in bronchial asthma.

The aim of the study was to test the efficacy of a one month in-patient naturopathy and yoga programme for patients with asthma. Retrospective data of 159 bronchial asthma patients, undergoing the naturopathy and yoga programme, was analyzed for Forced Vital Capacity, Forced Expiratory Volume at the end of 1 second, Maximum Voluntary Ventilation and Peak Expiratory Flow Rate on admission, 11th day, on discharge and once in three months for three years. The paired sample t test results showed significant increase in the Forced Vital Capacity and Forced Expiratory Volume from the date of admission up to 6th month (P<0.0035) post Bonferroni correction. Maximum Voluntary Ventilation significantly increased from admission till the date of discharge (P<0.0035) and Peak Expiratory Flow Rate significantly increased from admission till the 36th month of follow-up (P<0.0035), post Bonferroni correction. This validated the beneficial effect of combining naturopathy and yoga for the management of bronchial asthma.

Amniotic Fluid Embolism.

Amniotic Fluid Embolism (AFE) is a potentially fatal rare obstetric complication. In this paper, the death of a 30-year old apparently healthy parturient due to AFE is reported. She underwent Lower Segment Caesarean Section (LSCS) under spinal anaesthesia but after about half an hour of the operative procedure, she developed features of Acute Respiratory Distress Syndrome (ARDS) and shock, and died within five hours of the onset of the symptoms. The sudden death of an apparently healthy parturient may lead to medical negligence claims by the relatives. In developing countries, it still remains a post-mortem diagnosis and in the present case, histopathological examination findings helped in coming to a conclusive opinion of AFE.

Histopathological evaluation of colorectal carcinomas status in Manipur, India

To study the distribution of colorectal carcinomas [CRC] with special emphasis on age, sex, site and histological grading. Retrospective study. Department of Pathology, Regional Institute of Medical Sciences [RIMS], Imphal, Manipur, India, from January 2004 to December 2009. Materials were collected from subjects first diagnosed as colorectal carcinomas in histopathology section and then the medical files were reviewed. Variables like age, sex, religion, relevant past / family history, tumor location, disease stage [Dukes' staging] were assessed. The findings were then analysed. There were 54 patients with colorectal carcinomas during this 6 year period. 29 cases [53.71%] were males while 25 cases [46.29%] were females with a male to female ratio of 1.16:1. The disease was most commonly seen between 60-69 years age group. The rectum was the most common affected site contributing to 53.71% [29 cases] followed by ascending colon with 12 cases [22.22%]. 38.88% of lesions [21 cases] were stage C and above i.e. involvement of local lymph nodes and distant metastasis. When we compared patients above 50 years of age to those under 50 years of age, we found that the disease usually presented with poorer grades of differentiation and more advanced stage in those below 50 years compared to those above 50 years. This study showed that bowel cancers are not rare as previously believed. Routine screening for bowel cancer in all risk patients should be carried out regularly so as to detect cancer early

Fine needle aspiration cytology of liver: a study of 202 cases.

From January 1990 to December 2000, 202 patients with clinical evidence of liver disease underwent fine needle aspiration cytology of the liver. Of these, 102 patients were diagnosed as non-neoplastic lesions. These include diffuse parenchymal disease of liver, liver abscess, hepatitis, and granulomas. There were 100 patients with malignancies of the liver. Out of the above, 64 were due to metastatic carcinoma, 31 were primary hepatocellular carcinoma, 1 hepatoblastoma and in 4 patients the diagnosis of non-Hodgkin's lymphoma was made. By comparing with clinical and biochemical parameters, the diagnostic accuracy of the fine needle aspiration cytology, in this study, was found to be more accurate in malignant nodules of the liver as compared to other pathological lesion. The findings of fine needle aspiration cytology of the liver reported by other authors are discussed and it is concluded that this diagnostic method is a safe, useful and economic procedure with minimum complication and can be routinely done for assisting diagnosis of liver diseases in our clinical set up.