Flood Frequency Analysis for Burhi Gandak River Basin

The study is aimed at finding the best distribution to match the steam flow and calculation of magnitude and frequency of flow. In the current study, we have used several statistical distributions to find the best fit distribution for stream flow and used flood frequency analysis techniques to find the magnitude and frequency of stream flow and non-exceedance probability of peak discharge. The study has been performed at Sikandarpur and Rosera gauging sites of BurhiGandak River. Historical (50 years) maximum annual peak discharge data of each station are used for statistical analysis for estimating maximum peak discharge in 5, 10, 25, 50, 100 year return period. In this study, Lognormal distribution, Galton distribution, Gamma distribution, Log Pearson Type III distribution, Gumbell distribution, Generalised extreme values distribution have been considered to describe the annual maximum stream flow. Flood frequency analysis methods were used for estimating the magnitude of the extreme flow events and their associated return periods. For both Sikandarpur and Rosera stations, Log Pearson type III distributions showed the lowest value of K–S and Chi-square test statistic. The annual probable peak discharge for 5, 10, 25, 50, and 100 years return period is calculated for each distribution. The most suitable distribution for both the stations is found to be the log-Pearson type III distribution.

Knowledge, attitude and practice of emergency contraceptive pills among tertiary level students in Trinidad: a cross-sectional survey / Conocimientos, actitudes y práctica de las píldoras anticonceptivas de emergencia entre estudiantes de nivel terciario en Trinidad: un estudio transversal

OBJECTIVE: The objective of this study was to estimate the general knowledge, attitude and practice of Emergency Contraceptive pills (ECs) among tertiary level students in Trinidad. METHOD: A 32-item questionnaire was constructed to assess knowledge, attitudes and practice of EC. There were 76 medical and 160 non-medical students who volunteered to fill-up the questionnaire. This survey was conducted by graduate students under supervision of the Department of Mathematics and Computer Science, UWI, St Augustine. RESULTS: Eighty-four per cent of the students were less than 25 years of age, 64% were Christians and 92% were single. Sixty-three per cent were female and there were more females in the non-medical group than the medical students group but the numbers were not significant. Eighty-one per cent used condoms as the main type ofcontraception. Only 63% had heard of ECs before and only 9% had heard of ECs from medical sources. Among the factors that related to attitude towards EC, only two factors were significant. Sixty-two per cent of students felt that increased EC use would increase promiscuity (p = 0.013) but 59% also felt that ECs should be made more easily available (p = 0.014). CONCLUSION: The general level of their knowledge about ECs was poor. The general attitude of students towards ECs was positive. This study will help policy-makers by providing evidence-based knowledge to promote EC use among university students.

OBJETIVO: El objetivo de este estudio fue evaluar de manera general los conocimientos, actitudes y prácticas en relación con las píldoras anticonceptivas de emergencia (PAE) entre estudiantes de nivel terciario en Trinidad. MÉTODO: Se diseñó una encuesta de 32 puntos con el propósito de evaluar los conocimientos, actitudes y prácticas de la anticoncepción de emergencia (AE). Hubo 76 estudiantes de medicina y 160 de otras carreras que se ofrecieron voluntariamente para responder la encuesta. RESULTADOS: El 84 por ciento de los estudiantes tenían menos de 25 años de edad, el 64% eran cristianos, y el 92% eran solteros. El 63 por ciento eran hembras y había más hembras en el grupo de estudiantes no médicos que en el grupo de estudiantes de medicina, pero las cifras no fueron significativas. El 81 por ciento usaban condones como tipo principal de contracepción. Solamente un 63% había oído de las PAEs y sólo el 9% había oído de las PAEs a partir de fuentes médicas. Entre los factores relacionados con las actitudes hacia las PAEs, sólo dos factores fueron significativos. El 62 por ciento de los estudiantes sentían que un aumento en el uso de la AE equivaldría a un aumento de la promiscuidad (p = 0.013), pero el 59% también tenía la percepción de que las PAEs debían estar más fácilmente al alcance de todos (p = 0.014). CONCLUSIÓN: En términos generales, el nivel de los conocimientos de los estudiantes sobre las PAEs fue en términos generales pobre, Su actitud general hacia las PAEs fue positiva. Este estudio ayudará a quienes tienen a su cargo el trazar políticas, brindándole conocimientos basados en evidencias, a promover el uso de PAEs entre los estudiantes universitarios.

Evaluation of Og4C3 antigen ELISA as a tool for detection of bancroftian filariasis under lymphatic filariasis elimination programme.

Diagnosis of Lymphatic Filariasis by microscopic examination of thick blood films (TBF) collected between 8.30 pm to 12 midnight, though highly specific is operationally problematic. We evaluated the TropBio Og4C3 serum ELISA as a tool for detection of W. bancrofti microfilaria carriers using Dried Blood Spots (DBS). The study was carried out in two parts (i) to test the sensitivity and specificity of the ELISA test for detection of circulating filarial antigen (CFA) in microfilaria (Mf) carriers vis-à-vis the conventional thick blood film (TBF) microscopy and its persistence in different categories of individuals during the course of disease viz., Endemic normals (n=51), microfilaria (Mf) carriers (n=27), acute cases (n=27), chronic cases (n=50) and a control group of non-endemic normals (n=48) using sera samples and ii) to study the utility of finger prick Dried Blood Spots (DBS) collected on filter paper for detection of Mf carriers and its comparison with another antigen detection assay, the Immunochromatographic test (ICT).Considering the non-endemic normals and microfilaria carriers, the ELISA test was found to have 100% sensitivity and 94.12% specificity for detection of Mf carriers in sera samples. The CFA was absent in majority of the subjects tested under other categories with a positivity of 7.8% among endemic normals, 11.12% among acute cases, 7.84% among chronic cases and 6.25% among nonendemic normals. Comparison of finger prick DBS and sera samples by ELISA vis-à-vis the ICT, carried out on Mf carriers (n=91) and endemic normals (n=97), showed a positivity of 88 (96.7%) in DBS as against 86 (94.5%) in sera samples and 88 (96.7%) by ICT, amongst Mf carriers, with a statistically significant correlation in antigen units between sera and DBS samples (r = 0.959, p = 0.000) amongst the microfilaria carriers. Out of 97 endemic normals, 19 (19.6%) sera and 17 (17.5%) DBS samples tested positive by ELISA while as 12(12.4%) tested positive by ICT, again with a statistically significant correlation between the antigen units in sera and DBS samples (r = 0.942, p = 0.000). DBS prepared from 25 microl of blood were found to be as sensitive as 50 microl for antigen detection. Antigen positivity detected from DBS collected during day and night from known microfilaria carriers (n=27) showed a statistically insignificant difference (p = 0.125) and a significant correlation in antigen units (r = 0.820 and p = 0.013).In view of the comparable results of ELISA, ICT and TBF microscopy, it is concluded that the TropBio Og4C3 ELISA using finger prick DBS can be used as an alternate to TBF microscopy for detection of bancroftian Filariasis under the LFE programme.

Ni2+-uptake in Pseudomonas putida strain S4: a possible role of Mg2+-uptake pump.

Essential metal ion homeostasis is based on regulated uptake of metal ions, both during its scarcity and abundance. Pseudomonas putida strain S4, a multimetal resistant bacterium, was employed to investigate Ni(2+) entry into cells. It was observed that Mg(2+) regulates the entry of Ni(2+) and by this plays a protective role to minimize Ni(2+) toxicity in this strain. This protection was evident in both growth as well as viability. Intracellular accumulation of Ni(2+) varied in accordance with Mg(2+) concentrations in the medium. It was hypothesized that Ni(2+) enters the cell using a broad Mg(2+) pump, i.e. the CorA system, as the CorA inhibitor, i.e. Co(III) Hex, also inhibits Ni 2+ uptake. This led to the inference that Mg(2+)-based protection was basically due to competitive inhibition of Ni(2+) uptake. We also show that Zn(2+) can further regulate the entry of Ni(2+).

Malignant nasal paraganglioma: a case report and review of the literature.

A rare case of malignant nasal paraganglioma is described. A 30 year old female patient presented with a one year history of bilateralnasal obstruction, nasal deformity and recurrent epistaxis. CT scan demonstrated an enhancing mass occupying both nasal cavities, right maxillary antrum and anterior ethmoid sinus. Histopathologic diagnosis was malignant paraganglioma. A total maxillectomy with excision of growth was performed. Post-operative radiotherapy and chemotherapy was given but patient expired before the completion of therapy. Nose being a rare site for paragangliomas, these lesions present a diagnostic challenge to histopathologists and clinicians alike. A review of the four previously described malignant nasal paragangliomas is also presented.

Modified Levinson's test in rapid diagnosis of tuberculous meningitis.

Modified Levinson's precipitation test was done in 64 cases of TBM, 54 cases of TBM with inconsistent CSF finding, and 32 cases of pyogenic meningitis. The test was positive in 93.7% cases of TBM (sensitivity, 93.7%), 85.5% cases of TBM with doubtful diagnosis and in 9.4% cases of pyogenic meningitis (specificity 90.6%) compared to 79.7%, 72.2% and 18.8% in original Levinson's test, respectively. With CSF examination only 66% cases of TBM could be diagnosed while with modified Levinson's test and CSF analysis 89% cases could be diagnosed (p < 0.001). So modified Levinson's test for diagnosis of TBM is better than Levinson's test (p < 0.05) with an added advantage of time saving.

Anterior fontanel size.

Anterior fontanel size was determined in a cross-sectional study of 445 infants ranging in age from newborn period to 2 years. The mean anterior fontanel size in neonates was 3.37 +/- 0.61 cm which decreased to 0.37 +/- 0.06 cm in 24 months age group. The age of closure of anterior fontanel was 12, 18 and 24 months in 40%, 70.4% and 91.3%, respectively.

Status of lymphatic filariasis in some select slum clusters of Delhi.

Filaria surveys conducted in some select slum clusters namely Hari Nagar, Yamuna pusht near Vijaya Ghat along the Ring Road and Timarpur in Delhi during 1989, 1991 and 1992 respectively, covering a population of approximately 5000 slum dwellers revealed the presence of bancroftian microfilaria (mf) carriers and disease cases. The mf and disease rates (per cent) in these three slum areas were in the order of 6.3, 2.2, 3.7 and 1.4, 0.5 and 0.1 respectively. The mf density varied from 3.1 to 12.3 per 20 cumm. blood. High ten man hour densities of Culex quinquefasciatus (581) in Yamuna pusht followed by (355) in Timarpur were recorded during entomological investigations. Hari Nagar accounted for least ten man hour density of Cx. quinquefasciatus (160), because collection was made during winter months (November-December). The dissection of Cx. quinquefasciatus did not reveal any human filarial infection except in Yamuna pusht where out of 139 only one Cx. quinquefasciatus was found infective.

Poliomyelitis with special reference to immunization status.

One hundred ninety one children below 5 years of age suffering from poliomyelitis were analyzed to find out the immunization status and its correlation with the incidence of poliomyelitis. Effects of age, sex, immunization status and seasonal variation on the morbidity and mortality status were studied. The maximum number of cases were admitted during the months of July (23.6%) and August (23.1%). Of 191 cases, 143 (74.9%) had no immunization and 48 (25.1%) were partially immunized. A total of 155 (81.2%) cases had spinal polio, 23 (12.01%) bulbo-spinal polio, and 13 had (6.8%) bulbar polio. Serious illness (bulbospinal and bulbar type) was more in partially immunized children (25%) as compared to unimmunized children (16.8%). The mortality rate was more than two times higher in the partially immunized (29.6%) as compared to unimmunized children (11.2%). The possible explanation for high mortality in partially immunized children could be due to the adverse effect of OPV which has not been studied so far.

Persistence of Vibrio cholerae in inter epidemic period--preliminary observations on analysis of water.

Out of the 61 water samples collected from hand pumps and wells from cholera endemic areas of Varanasi City, Vibrio cholerae non 01 was detected in only one sample. However, seven (18.9 per cent) samples out of 37 samples of river water were positive for V. cholerae non 01. None of the samples showed Vibrio cholerae. These observations indicate transmission and dilution of Vibrio cholerae bacillus in environment.

Prothrombin time in first week of life with special reference to vitamin K administration.

Prothrombin time was estimated in 100 neonates (80 full term and 20 preterm). Among the full term infants 50 were healthy and 30 sick. Prothrombin time was altered in neonates with birth hypoxia and prematurity (p less than 0.001). Vitamin K administration to anoxic babies resulted in improvement in prothrombin time after 48-72 hours (p less than 0.001). Four newborns has bleeding, 2 had anoxia and 2 were only in preterms who did not receive vitamin K after birth. It is concluded that vitamin K should be given to all preterms and those with difficult deliveries; term, healthy newborns do not need it.

Clinico-epidemiological profiles of post-kala-azar dermal leishmaniasis in Varanasi.

Twenty-seven cases of Post Kala-Azar Dermal Leishmaniasis (P. K. D. L.) were detected in an endemic focus of Kala-azar in Sujabad village in Varanasi Distt. Male-Female ratio of cases was 4.4:1. Majority (66.6 per cent) of cases had macular lesions. Histopathology of one case showed Leishmania donovani (L. D.) bodies. Densities of sand fly were more in pockets where P. K. D. L. cases were detected. All the 13 cases, which were treated with sodium antimony gluconate, responded well to therapy.