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The present investigation has been conducted in rice crop during Kharif 2021-22at Students’ Instructional Farm of Acharya Narendra Deva University of Agriculture and Technology, Kumarganj, Ayodhya (U.P.), India. The population of six major insect pests was recorded viz. Rice Yellow stem borer (Scirpophaga incertulus), Rice Leaf folder (Cnapholocrocis medinalis), Rice ear head bug (Leptocorisa acuta), Brown plant hopper (Nilaparvata lugens), White backed plant hopper (Sogatella furcifera)and Green leaf hopper (Nephotettix nigropictus) that cause most damage at different crop growth stages initiated after sowing till harvesting. The maximum population of yellow stemborer was observed on rice crop at 36th SMW (12.20 per cent dead heart). The infestation of dead heart was non-significant positively correlated with minimum, maximum temperature and RH% (0.433, 0.010 & 0.253 respectively) and negatively correlated with rain fall (0.081) whereas, significant negatively correlated with sunshine (0.552*). The maximum population white ear in 40th SMW (16.80 per cent). The infestation of white ear was non-significant negative correlation with minimum, maximum temperature (-0.062, -0.167) and positive correlation with RH & rain fall (0.244 & 0.173) whereas, significant positive correlation with sunshine (0.703*). Maximum leaf folder population was observed during 35th SMW (16.35 per cent). and infestation of leaf folder was non-significant positive correlation with minimum temperature & RH (0.427 & 0.505) and negative correlation with maximum temperature, rainfall and sunshine (-0.079, -0.030 & -0.291). The maximum population was recorded of ear head bug in 38th SMW i.e., (10.90 ear head bug/hill respectively.). The infestation of ear head bug was non-significant positive correlation with minimum temperature, RH, rainfall & sunshine (0.061, 0.176, 0.155 & 0.210) and negative correlation with maximum temperature (-0.407). The peak mean population of BPH was recorded in 37th SMW i.e., (11.25 brown plant hopper/hill respectively.) Itwas non-significant positive correlation with minimum temperature & RH (0.463 & 0.357) and negative correlation with maximum temperature & rainfall (-0.066 & -0.088) whereas, significant negative correlation with sunshine (-0.597*), The peak mean population of WBPH was recorded in 38th SMW i.e., (12.80 white backed plant hopper/hill respectively.) It was non-significant positive correlation with minimum temperature, RH & rainfall (0.300, 0.337 & 0.185) and negative correlation with maximum temperature (-0.300) whereas, significant negative correlation with sunshine (-0.094*) and the maximum population of green leaf hopper was recorded in 37th SMW i.e., (10.80 green leaf hopper/hill respectively.) with the infestation of green leaf hopperwas non-significant positive correlation with minimum temperature & RH (0.479 & 0.369) and negative correlation with maximum temperature & rainfall (-0.077 & -0.120) whereas, significant negative correlation with sunshine (-0.633*).
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Background: The true prevalence of both NAFLD and NASH are elusive but estimates based on imaging and autopsy studies suggest that about 20-30% of the adults in United States and western countries have excess fat accumulation in the liver. About 10% of these, strictly speaking about 2-3% of the adult population fulfils the criteria of NASH. True prevalence of NAFLD in Indian patients is not known. So, this study was planned to look for current trend of NAFLD in Indian patients.Methods: This prospective observational study was conducted in the Department of Medicine on 65 patients with ultra-sonography finding of fatty liver disease with no history of alcohol, in one year study duration.Results: It is observed that maximum patients are of middle age from age 31-60 years comprising 76% of patients. Out of total patients, 34% and 66% were males and females respectively. Out of 65 patients, 45(69%) had obesity and maximum number of the patients had waist hip ratio and neck circumference more than the cut off value. Out of 65 patients, 19(29%) had hypercholesterolemia and 42(65%) had hyper-triglyceridemia. Out of 65 patients, 32(49%) had higher alanine transaminase (ALT) level and 17(29%) patients had higher AST level. Out of 65 patients, 29(45%) had the homeostasis model assessment of insulin resistance (HOMA-IR) less than cut off value (less than 2.25) and remaining 36(55%) were having HOMA-IR more than 2.25. The sensitivity for the cut off value for HOMA-IR is 72.7% and specificity is 49.1%.Conclusions: Obesity, neck circumference, and waist hip ratio are higher than its cut off value for both sex, insulin resistance evaluated through HOMA- IR directly relates to the causation of NAFLD but at some extents higher triglyceride levels are also associated but the values of ALT and AST levels did not give any clue in these cases of NAFLD.
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Background: Migraine is characterized by recurrent attacks of disabling headache and autonomic nervous system dysfunction. Up to one third of patients also have neurological aura symptoms. It has been suggested that migraine can be a risk factor for stroke. Migraine affects three times the number of women than men. The incidence of stroke in men is two times that of women. It is shown in several studies that women aged 35 to 45 years old are at increased risk of ischemic stroke who had migraine with or without aura.Methods: The present cross sectional study was conducted in 350 consecutive patients of stroke who were attended OPD and admitted in wards of the Department of Medicine, M.G.M. Medical College and MY Hospital, Indore, MP, India, during period from December 2017 to December 2018.Results: The highest percentage of respondents i.e. 68% belonged to male group followed by 32% of respondents who were females. The highest percentage of respondents i.e. 66.6% had ischemic stroke while, 33.4% had hemorrhagic stroke. The highest percentage of respondents i.e. 90.9% had no Migraine while, 9.1% had Migraine. The highest percentage of respondents i.e. 31.2% had weekly reoccurrence, followed by forth nightly (25%) and lowest was 3.1% of daily recurrence. The association of type of stroke with sex group of patient’s history of headache which found to be significant (p ?0.05). The association of type of stroke with sex group of patient’s history of various cerebro-vascular risk factors which found to be significant (p<0.05). Patients having hemorrhagic and ischemic stroke also had HTN in 47% and 12.4% patients respectively.Conclusions: In this study it is concluded that migraine can be established as a risk factor for ischemic stroke. Early diagnosis and treatment with available medication can be helpful in prevention or decreasing risk for developing stroke.
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Background: The clinical manifestations of hypothyroidism are variable, depending upon its cause, duration and severity. The spectrum extends from subclinical to overt hypothyroidism to myxedema coma. A high degree of suspicion is thus required in order to appreciate the clinical manifestation of the disorder to reach a diagnosis. Purpose of this study was to correlate serum TSH level with severity of clinical manifestations and evaluate possible cause of delay in the diagnosis.Methods: A cross section observational and descriptive study for the assessment of severity of primary hypothyroidism at presentation and evaluation of the causes of delay in diagnosis in 86 patients was done from December 2012 to November 2013 in the Department of Medicine, MGM Medical College, Indore, MP, India.Results: Illiterate patients had significantly (p value 0.002) higher TSH values at presentation. 34.8% of patients presented as severe hypothyroidism with TSH value >100 mIU/L. Delay of as much as 7 years was noted. Majority of patients had a delay of around 1 to 3 years in diagnosis. Only 4.6% patients were diagnosed without any delay due to high level of suspicion at presentation.Conclusions: Due to non-specific symptomatology of hypothyroidism diagnosis is often delayed. Therefore, high index of suspicion is required at the physician抯 level and test of thyroid function is available at subsided cost therefore it should be offered to all such patients.
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Background: Anti-inflammatory effects of statins have generated maximum interest, as has been demonstrated in a number of studies showing rapid decrease in CRP levels in patients of acute coronary syndromes. This CRP lowering property of statins has also translated into clinical benefits as suggested by reduction in rate of recurrent angina, recurrent myocardial infarction, and mortality.Methods: This prospective, open, and controlled study was conducted on 160 indoor and outdoor patients, for total duration of two years (2005-2006), in GMC Bhopal, MP, India.Results: In all the four groups, baseline serum hs-CRP was statistically significant (p value <0.01) higher than normal hs-CRP level. Mean reduction (%) in hs-CRP after 3 months of statin therapy was 83.6% in group A and 62.4% in group C which is highly significant (p value <0.001). In group B also, 26% hs-CRP reduction was noticed which is statistically significant (p value <0.01). Baseline hs-CRP was statistically significant high (p value <0.01) in hypertensive patients. Percentages reduction in group A (87%) and group C (66%) was statistically significant (p value <0.01). Baseline hs-CRP was statistically significant higher (p value <0.01) than normal population. After 3 months of statin therapy percentage reduction in group A and group C was statistically significant (p value <0.01). Conclusions: Low dose atorvastatin can significantly reduce CRP level in patients with risk factors for cardiovascular disease. Early initiation of low dose atorvastatin can reduce this inflammatory marker in both ACS and high risk for ACS patients and can prevent major adverse cardiac events.