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1.
Artigo | IMSEAR | ID: sea-230880

RESUMO

Rice crop in Assam constitutes a significant portion of the cultivated area, covering around sixty percent of the total area. The state, like many others, confronts the repercussions of climate change, notably evident in recurrent floods that impact agricultural lands. The shifting climate, marked by rising temperatures and increased rainy days, poses threats to crop production. Despite witnessing overall productivity growth, the state grapples with persistent challenges related to flood-induced losses. In response to this, climate-resilient rice varieties were developed to withstand submergence. This study delves into the assessment of the impact of these climate-resilient rice varieties on yield, income, and adoption among farmers. Concentrating on Golaghat and Sivasagar districts, where 106 farmers were interviewed, the research addresses the prevalent challenges in rice cultivation due to changing rainfall patterns. The introduced varieties underwent demonstration in plots, and their effects on yield, income, and adoption were comprehensively evaluated. The study additionally scrutinized the technology and extension gaps in the area, utilizing various indices such as the technology gap, extension gap, technology index, and benefit-cost ratio to measure the efficacy of the introduced varieties. The findings of the study highlight disparities between recommended agricultural practices and the actual methods employed by farmers. Despite these challenges, the introduction of climate-resilient varieties resulted in a noteworthy increase in yield. Economic analysis revealed enhanced profitability from B:C ratio of 0.43 to1.06 and positive changes in economic indicators. The adoption and horizontal spread of these varieties were substantial, with a significant rise from 106 to 378 in the number of adopters and expanded cultivation areas. Overall, the study emphasizes the success of climate-resilient rice varieties in augmenting yield, income, and adoption among farmers. The positive economic changes, coupled with heightened awareness, underscore the importance of promoting such varieties. The study advocates for sustained efforts in disseminating climate-resilient varieties, emphasizing their pivotal role in enhancing farmers' climate resilience. Addressing the identified discrepancies in agricultural practices emerges as a crucial step toward fostering sustainability and optimizing crop yield in the region.

2.
Artigo | IMSEAR | ID: sea-229908

RESUMO

Shifting cultivation has a long history that predates the development of agriculture as a whole. Locally known as jhum farming in Northeast India, this system's farmers are referred to as jhummias. The strategy is based on crop planting during the wet season and cutting and burning vegetation during the dry season. After growing crops for two to three years, the land is left fallow for a number of years before being further cultivated. The locations and area under various jhum cycles are currently inadequate. This was the first attempt to use GIS and remote sensing tools to generate data on various shifting cultivation fellow cycle periods in Mokokchung district of Northeast India between 1991 and 2012. To locate moving farmed areas, IRS sensor data for the year 2002, 2005, 2008 and 2012 were used. While for the years 1991, 1993, 1994, 1996, 1997, 1999, and 2000, Land-sat TM satellite imagery was used. ERDAS envision and Arc GIS 10.0 software tool were used to determine the area under different jhum cycles, namely 20, 10, and 5 years, and to create the map. For the purpose of determining the spatial extent of the current shifting agricultural areas over the course of 20 years, visual interpretation of the images has been carried out and verified with field checking. Our findings indicate that the Northeast Indian district of Mokokchung's jhum lands declined from 8.99% to 6.31% of its overall geographic area. The highest jhum area in the research region was likewise estimated to be under 20 years cycle (817.23 ha), followed by 5 years cycle (783.02 ha), 10 years cycle (591.9 ha), and 15 years cycle (684.55 ha). A correct fallow cycle of shifting agriculture may help to increase watershed conservation while maximizing crop productivity, according to the fundamental concept of our work.

3.
Artigo | IMSEAR | ID: sea-234483

RESUMO

Background: Hollow viscus perforation is suspected when radiographs show the presence of gas under diaphragm and is usually an indication for surgical abdominal exploration. This is significant because in cases of hollow viscous perforation, plain radiography may be used as the first line of diagnosis. Concerns regarding diagnosing those 30% cases of hollow viscus perforation which was not detected by the plain radiography. Methods: A bound prospective study of patients who were managed for perforated hollow abdominal viscus, when no abnormality was appreciated on radiographs, confirmation was done either on the basis of clinical examination, further investigations or by exploratory laparotomy performed on basis of selection of cases. Results: Based on the study, 15 patients were found with no gas under diaphragm on radiographs and perforation was confirmed on the grounds of clinical, physical examination, further investigations or by exploratory laparotomy on basis of cases. The results obtained in the present study shows male predominance, duodenal perforation being the most common perforation amongst hollow viscus perforations and age group of 20-40 years were affected mainly. Conclusions: It is important to note that not all the cases of pneumoperitoneum indicate perforated abdominal viscus or vice versa. This study highlights the difficulty in pre-operative diagnosing pneumoperitoneum with upright chest and abdominal X-rays provided its sensitivity varied from 50-98%.

4.
Artigo | IMSEAR | ID: sea-231059

RESUMO

Neoadjuvant therapy refers to the systemic treatment of breast cancer prior to definitive surgical from size reduction before conservation therapy. Response to neoadjuvant chemotherapy is evaluated by the change in tumor size from pretreatment clinical and or radiologic measurement to post-treatment status. The spectrum of response to neoadjuvant chemotherapy varies from complete response, partial response, to non-response. This concept is the same in breast tumors as well as axillary lymph nodes. The presented case is a known case of Triple Negative Invasive Ductal carcinoma with Axillary involvement Right Breast since November 2020 and had undergone NeoadjuvantChemotherapy till February 2021,followed by surgical intervention in October 2022.

5.
Indian J Med Microbiol ; 2018 Sep; 36(3): 435-438
Artigo | IMSEAR | ID: sea-198797

RESUMO

Nowadays, dengue infection creates a major problem across the country. The vector species carrying dengue infection has progressively started to developed resistance against most of the currently used insecticides. Hence, a study was carried out in dengue-endemic areas of Assam and Arunachal Pradesh to find the current situation of insecticide susceptibility status of dengue vectors. Based on the previous history of dengue incidence, Aedes mosquitoes were collected from Dibrugarh, Kamrup, Sivasagar, Tezpur and Tinsukia districts in Assam and Pasighat district in Arunachal Pradesh to test the insecticide resistance status through bioassay and molecular methods. The WHO standard bioassay test kits were used to detect insecticide susceptibility status among dengue vectors. In molecular study, allele-specific polymerase chain reaction (PCR) method was done for the detection of mutations in paratype voltage-gated sodium channel gene of Aedes aegypti and Aedes albopictus mosquitoes. In bioassay method, 100% A. aegypti mosquitoes were found to be resistant towards dichlorodiphenyltrichloroethane (DDT), 8% towards pyrethroid and 4% towards malathion. Similarly, 92% A. albopictus mosquitoes have shown resistance competency towards DDT, 12% towards pyrethroid and 8% towards malathion. In allele-specific PCR methods, V1016G heterozygous mutations were detected from the field collected A. aegypti and A. albopictus mosquitoes of Tinsukia, Dibrugarh and Sivasagar district. Similarly, F1534C heterozygous mutations were observed from A. aegypti mosquitoes of Tezpur, Tinsukia and Sivasagar district and A. albopictus mosquitoes of Tinsukia, Dibrugarh and Sivasagar district. From the study, it was concluded that the Aedes mosquitoes have progressively started to developed resistance towards commonly used insecticides.

6.
Indian J Med Microbiol ; 2016 Apr-June; 34(2): 261-262
Artigo em Inglês | IMSEAR | ID: sea-176613
8.
Indian J Med Microbiol ; 2015 Jul-Sept; 33 (3): 401-405
Artigo em Inglês | IMSEAR | ID: sea-159620

RESUMO

Plasmodium falciparum malaria parasite had developed resistance to almost all the currently used antimalarial drugs. The purpose of the study was to come across the genetic distances in P. falciparum dhps gene sequences circulating in Assam. A partial fragment of P. falciparum dhps gene containing major single nucleotide polymorphisms associated with sulphadoxine resistance were amplified and sequenced. Thereafter specific bioinformatics tools like BioEdit v7.0.9, ClustalW in Mega 5, DnaSP version v.5.10.01 etc were used for the analysis. A total of 100 P. falciparum positive cases in different malaria endemic areas of Assam were included for the study. Based upon the mutation analysis, a total of seven different P. falciparum dhps genotypes were observed with five variable sites. Maximum five haplotypes were found in the P. falciparum isolates from Jorhat district of Assam. Four polymorphic sites were observed in the P. falciparum dhps gene sequences in Karbi Anglong, NC Hills, Chirang and Jorhat whereas the isolates from other study areas had three polymorphic sites. A statistically significant positive value of Tajima’s D were observed among the P. falciparum field isolates in Assam indicating that there is an excess of intermediate frequency alleles and can result from population bottlenecks, structure and/or balancing selection. Extensive gene flow took place among the P. falciparum population of Jorhat with Sivasagar, Chirang with Sivasagar and Chirang with Karbi Anglong. However, large genetic differentiation was observed among the P. falciparum isolates of NC Hills with Lakhimpur, Tinsukia, Dibrugarh and Golaghat and also the parasite population of Karbi Anglong with Lakhimpur and Tinsukia signifying little gene flow among the population. This finding has shown that mutant Pfdhps gene associated with sulphadoxine resistance is circulating in Assam. It is believed that, the parasite population may have undergone high level of breeding.

9.
Artigo em Inglês | IMSEAR | ID: sea-168097

RESUMO

Callosobruchus chinensis (L.) (Coleoptera: Bruchidae) is one of the major insect pest infesting stored pulses in India. Recourse of synthetic insecticides to protect stored pulses often lead to dangers of the development of resistant strains, toxic residue and users safety. Locally available and less toxic pest management alternatives such as the use of effective botanicals are important. Essential oils of two variants of Cinnamomum verum Presl. Syn. C. zelanicum Blume from North East India (RRL J 1620 and RRL J 1622) were characterized and tested for their biological activity in vapour form against Callosobruchus chinensis (L.). Choice and no-choice tests showed that leaf and bark oil of two variants of C. verum Presl. had significant repellent action and reduced the fecundity and decreased egg hatchability of C. chinenisis (L.). However, leaf oil with higher percentage of eugenol exhibited better activity than the bark oil in both the tests. Hence, the volatile essential oils of both the variants of C. verum Presl. can be used safely as fumigants.

10.
Artigo em Inglês | IMSEAR | ID: sea-167574

RESUMO

Proximal interruption of the unilateral pulmonary artery is a rare congenital anomaly, which is often associated with other cardiovascular abnormalities. It is usually diagnosed in children but rarely discovered in adulthood as an isolated phenomenon, occurring more frequently on the right side and is often associated with a contralateral aortic arch. We are presenting a rare case of a sixty year old male who was diagnosed with left lung hypoplasia due to proximal interruption of left pulmonary artery with left sided aortic arch without any associated cardiovascular anomalies.

11.
J Environ Biol ; 2013 Mar; 34(2): 191-195
Artigo em Inglês | IMSEAR | ID: sea-148512

RESUMO

A study on mosquitoes in parts of Meghalaya revealed the presence of 64 species of mosquitoes under 10 genera. In monsoon (June to October) and post-monsoon (November to May) survey, 42 and 48 species of mosquitoes were detected, respectivily. Higher species diversity was found at lower elevations (up to 1050 m). Anopheles peditaeniatus, An. sinensis, Aedes vexans, Ae. nigrostriatus, Ae. annandalei, Culex. fuscocephala, Cx. pseudovishnui, Cx. murrelli, Cx. brevipalpis, Coquillettidia novochracea, Lutzia halifaxii, Malaya genurostris, Ml. jacobsoni, Tripteroides aranoides, Toxorhynchites minimus, Uranotaenia campestris, Ur. edwardsi and Ur. testaceae which were never reported earlier from Meghalaya state were detected in the present study and the findings were discussed with previously published reports from the state.

12.
Artigo em Inglês | IMSEAR | ID: sea-167493

RESUMO

Pulmonary Lymphangitis carcinomatosis is an unusual metastatic manifestation of Oesophagogastric carcinoma and it occurs due to diffuse spread of the tumour to the pulmonary lymphatic system. We described a case of a 28 year old woman, presenting with gradually progressive dyspnoea and cough where results of Chest X-ray and HRCT thorax were consistent with features of Lymphangitis carcinomatosis. Upper GI endoscopic evaluation showed a tumour originating from oesophagogastric junction and extending to cardia of stomach. Biopsy from tumour revealed adenocarcinoma. As there is no definitive therapy to this condition, patient was managed conservatively only to succumb few days after hospitalisation.

13.
J Environ Biol ; 2010 Sept; 31(5): 781-785
Artigo em Inglês | IMSEAR | ID: sea-146495

RESUMO

In an entomological study conducted during monsoon and post- monsoon season in the hilly state of Nagaland, a total number of 58 mosquito species under 11 genera were recorded. Out of these, 21 species viz., Aedes aegypti, Ae. nigrostriatus, Ae. annandalei, Ae. vittatus, Ae.caecus, Ae. vexans, Armigeres kuchingensis, Culex fuscocephala, Cx. pseudovishnui, Cx. murrelli, Cx. brevipalpis, Cx. epidesmus, Cx. minor, Cx. whitmorei, Coquilittidae crassipes, Malaya jacobsoni, Ml. genurostris, Toxorhynchites splendens, Uranotaenia campestris, Mansonia dives and Ma. annulifera were recorded for the first time from this state. Eleven mosquito species recorded earlier were not detected in the present study. Thus, with the addition these 11 species, the total mosquito fauna of the state goes up to 69. All the recognized vectors of malaria in the northeast and the vectors of Japanese encephalitis and dengue are recorded in the present study.

14.
J Environ Biol ; 2010 Sept; 31(5): 695-699
Artigo em Inglês | IMSEAR | ID: sea-146482

RESUMO

Entomological surveys were conducted for three consecutive years in core and buffer zone of the Dibru-Saikhowa biosphere reserve in pre monsoon, monsoon and post-monsoon seasons. A total of 52 species of mosquitoes under eleven genera have been detected. The genus Anopheles (18 species) was the predominant followed by Culex, Aedes, Mansonia, Armigeres, Mimomyia, Ochlerostatus, Malaya, Toxorhynchites, Ficalbia and Aedeomyia. The buffer zone of the forest reserve where human habitations are there exhibited the presence of maximum number of species (49 species under 10 genera) in comparison to core zone (42 species under 10 genera). In buffer zone, maximum numbers of species (38) were recorded in monsoon season followed by post- monsoon (35 species) and Pre-monsoon season (34 species). Whereas in core zone, maximum number of species were collected in post monsoon season followed by pre monsoon season and monsoon season. In Core and buffer zone, the maximum species were recorded from the ground pool habitat and slow flowing stream respectively. Among the disease vectors, the potential Japanese encephalitis vectors incriminated in India were very much prevalent. This study provides the list of available mosquito species recorded for the first time in the Dibru-Saikhowa biosphere reserve.

15.
Artigo em Inglês | IMSEAR | ID: sea-135477

RESUMO

Background & objectives: Since cabergoline has a long half-life and sustained occupancy of dopamine (D2) receptors in lactotrophs, its doses are slowly built up either monthly or two monthly. This possibly results in delayed normalization of serum prolactin and slow reduction in tumour size. This study was planned to assess the efficacy and safety of rapid escalation of cabergoline doses in men with macroprolactinomas. Materials: Fifteen consecutive men with macroprolactinomas underwent evaluation for anterior pituitary functions, visual fields, quality of life (QOL) score and magnetic resonance imaging (MRI), at baseline and after 6 months of cabergoline therapy. Serum prolactin and testosterone levels were assessed at monthly intervals. Cabergoline was started at a dosage of 0.5 mg twice per week and increased to 1.5 mg twice per week (3 mg ) by the third week, as 3 mg is usually considered as effective dose. Subsequent increase in doses was done as per protocol. Results: The mean age of patients at presentation was 31.7 ± 3.3 yr and duration of symptoms was 25.0 ± 3.6 months. Serum prolactin at baseline was 6249.3 ± 3259.2 μg/l with a tumour volume of 28.9 ± 8.3 cm3. Eighty six per cent of the patients had visual field defects while 53 per cent had decreased visual acuity. The mean dose of cabergoline required was 3.2 mg/wk. Symptoms improved in majority (93%) of patients after four weeks of cabergoline therapy with a dramatic fall in serum prolactin by 99 per cent from 6249.3 ± 3259.2 to 46.9 ± 14.9 μg/l and it was normalized in 93 per cent of the patients by 8.2 wk. Improvement in visual field defects was noted in all but one, after one month and there was further improvement at 6 months. All patients had >25 per cent reduction in tumour size, and 73 per cent had > 50 per cent reduction after six months of cabergoline therapy. Basal circulating testosterone levels were low in 11 (73%) patients and started improving from first month of cabergoline therapy and became normal in around half of the patients after 6 months. No major side effects were observed requiring discontinuation of cabergoline therapy. Interpretation & conclusions: Our preliminary findings show that rapid build-up of cabergoline doses increases its efficacy as well as rapidity of response in terms clinical improvement, normalization of serum prolactin and gonadal functions and reduction in tumour size, without compromising its safety in men with macroprolactinomas. Further studies with a larger sample size and control group for comparison need to be done to confirm these findings.


Assuntos
Adulto , Agonistas de Dopamina/administração & dosagem , Agonistas de Dopamina/uso terapêutico , Relação Dose-Resposta a Droga , Ergolinas/administração & dosagem , Ergolinas/uso terapêutico , Humanos , Masculino , Pessoa de Meia-Idade , Prolactinoma/tratamento farmacológico , Qualidade de Vida
16.
Artigo em Inglês | IMSEAR | ID: sea-135451

RESUMO

Background & objectives: Hypophosphataemic rickets/osteomalacia (HRO) is an uncommon metabolic bone disorder which affects all ages and either sex. It is characterized by low concentration of serum phosphate levels leading to impairment of mineralization of bone matrix with variable aetiology. We present clinical profile and treatment outcome of 17 patients of HRO. Methods: Seventeen consecutive patients (8 were < 18 yr of age, with median age of presentation being 27.5 yr) of HRO who came to the department of Endocrinology in a tertiary care hospital in north India from January 2000 to December 2006 were included in the present study. Their aetiology, clinical features, biochemical parameters, radiographic features, treatment and outcome were analyzed. Results: HRO was commoner in females (70.5%) with positive family history observed in 6 (35.3%) patients. Common presenting features were short stature (58.8%), backache (58.8%), bony deformities (58.8%), joint pain (52.9%), fractures (29.4%) and dental abnormalities (23.5%). Radiological abnormalities noted were generalized bony deformities (58.8%), fractures (29.4%), and pseudo fractures (17.6%). Mesenchymal tumours were localized in the pelvis in one patient and in the right jaw in another. The patients were treated with calcium (elemental calcium 1 g/d) and oral phosphate supplements (dose 30 – 50mg/kg/day in divided doses) along with active vitamin D supplements (dose 1- 3 μg/day) and followed up for a mean of 2 yr. Two patients also received growth hormone (GH) therapy in the dose of 2U/day for 6 and 18 months respectively. Symptomatic well being was reported by all the patients and improvement was noted in the levels of phosphate (P<0.005) and alkaline phosphatase (P<0.05) after treatment. Interpretation & Conclusions: A diagnosis of HRO should be considered in all patients presenting with short stature, deformities or musculoskeletal pains along with low serum phosphate with normal iPTH and 25 – hydroxy vitamin D.


Assuntos
Adolescente , Adulto , Fosfatase Alcalina/metabolismo , Criança , Feminino , Hormônio do Crescimento/metabolismo , Humanos , Hipofosfatemia/diagnóstico , Masculino , Pessoa de Meia-Idade , Modelos Biológicos , Osteomalacia/diagnóstico , Raquitismo/diagnóstico , Resultado do Tratamento , Vitamina D/análogos & derivados , Vitamina D/metabolismo
17.
Artigo em Inglês | IMSEAR | ID: sea-22596

RESUMO

BACKGROUND & OBJECTIVE: Ectopic secretion of adrenocorticotropic hormone (ACTH) is rare, contributing to 10 per cent cases of endogenous Cushing's syndrome. We describe our experience of about two decades of patients with ectopic Cushing's syndrome (ECS) seen at a tertiary care centre from north India. METHODS: Records of patients with ECS from 1985 to 2006 were retrospectively reviewed that included the presenting manifestations, clinical symptoms and signs, biochemical investigations including plasma cortisol, ACTH and high dose dexamethasone suppression test (HDDST), imaging modalities to localize the non pituitary source of ACTH production, management and follow up of these patients. RESULTS: The study group included 12 patients (7 men) with mean (+/-SD) age at presentation 27.6 +/- 9.5 yr (range 13 to 48 yr) and the mean lag period between onset of symptoms and the diagnosis was 18.3 +/- 12.9 months with a range of 3 to 48 months. The weight loss (41.7%) followed by hyperpigmentation (25%) and infections (16.7%) were the common presenting manifestations. Cuticular atrophy (100%), hypertension (100%), bruise (92%) and proximal myopathy (83%) were the commonest signs. Plasma cortisol at 0800 h was 1267.3 +/- 483.3 nmol/l and at 2200 h was 1214.9 +/- 442.6 nmol/l indicating loss of circadian rhythm. The mean plasma ACTH was 221.1 +/- 55.9 (range 21.7 to 950 pg/ml). All but 2 patients had non-suppressibility of 0800 h plasma cortisol with HDDST. Five patients had thymic carcinoid, 3 had bronchial and one each had islet, hepatic and gut carcinoid and one had medullary thyroid carcinoma as a cause of ectopic ACTH secretion. The mean duration of follow up of these patients was 42.6 months and only two could sustain cure while remaining had either residual or recurrence. INTERPRETATION & CONCLUSION: Ectopic Cushing's syndrome is a rare disease with varied manifestations and associated with increased morbidity and mortality. It presents with clinical features quite similar to classical Cushing's. Surgery with removal of primary tumour was found to be treatment of choice.


Assuntos
Síndrome de ACTH Ectópico/complicações , Síndrome de ACTH Ectópico/fisiopatologia , Síndrome de ACTH Ectópico/diagnóstico por imagem , Síndrome de ACTH Ectópico/terapia , Adolescente , Hormônio Adrenocorticotrópico/sangue , Adulto , Síndrome de Cushing/etiologia , Síndrome de Cushing/fisiopatologia , Dexametasona , Feminino , Humanos , Hidrocortisona/sangue , Índia , Masculino , Pessoa de Meia-Idade , Radioimunoensaio , Estudos Retrospectivos , Tomografia Computadorizada por Raios X , Redução de Peso , Síndrome de ACTH Ectópico/complicações , Síndrome de ACTH Ectópico/fisiopatologia , Síndrome de ACTH Ectópico/diagnóstico por imagem , Síndrome de ACTH Ectópico/terapia , Adolescente , Hormônio Adrenocorticotrópico/sangue , Adulto , Síndrome de Cushing/etiologia , Síndrome de Cushing/fisiopatologia , Dexametasona , Feminino , Humanos , Hidrocortisona/sangue , Índia , Masculino , Pessoa de Meia-Idade , Radioimunoensaio , Estudos Retrospectivos , Tomografia Computadorizada por Raios X , Redução de Peso
18.
Artigo em Inglês | IMSEAR | ID: sea-1129

RESUMO

A 55 years old lady with advanced rheumatoid arthritis (RA) presented with severe acute renal failure with significant proteinuria preceded by fever for 14 days. She had no history of taking drugs usually responsible for glomerulonephritis, neither had she any clinico-biochemical evidence of peri-infectious glomerulonephritis. Acute interstitial nephritis (AIN) was excluded by absence of eosinophilia and eosinophils in urine. Renal biopsy reveled absence of amyloidosis and showed Focal segmental proliferative glomerulonephritis (FSGN). Patient was successfully managed with methyl-prednisolone followed by steroid and immunosuppressive and patient came over renal failure. So FSGN should be considered as one of the causes of acute renal failure in a patient with seronegative RA which may respond to immune-therapy like rapidly progressive glomerulonephritis.

19.
Artigo em Inglês | IMSEAR | ID: sea-143511

RESUMO

Background: Osteogenesis imperfecta (OI) is a rare metabolic bone disorder characterized by increased bone fragility, low bone mass, recurrent fractures and numerous extra-osseus features. Many patients remain undiagnosed and unattended particularly in developed countries. Presently, medical management with bisphosphonates has changed the scenario. Materials and Methods: Twenty consecutive patients of OI were enrolled over a period of four years. Their clinical features, radiology, and biochemical parameters and treatment outcome were analysed. Results: Of the 20 patients, 16 (80%) were male and 4 (20%) were female. Mean age (SD) of the patients was 20.8 (13.8) years. All the patients had presented with fractures, the number of fractures per person varying from 1 to 20. Long bones were predominantly involved and thirteen (65%) had deformities of long bones. Ten (50%) had a positive family history of fractures after trivial traum. Eleven (55%) patients had dentiginous imperfecta (DI) and ten (50%) had blue sclerae at presentation. Impaired hearing was present in 1 patient only. Calcium profile was normal. Nine patients received pamidronate. Fracture frequency and pain decreased remarkably in these patients. Conclusion: Patients with OI presented late, predominantly with fracture of long bones, deformities and blue sclerae. Pamidronate therapy remarkably decreased fractures and pain in these patients. ©


Assuntos
Adolescente , Adulto , Densidade Óssea , Conservadores da Densidade Óssea/uso terapêutico , Criança , Pré-Escolar , Difosfonatos/uso terapêutico , Feminino , Fraturas Ósseas/diagnóstico , Fraturas Ósseas/tratamento farmacológico , Fraturas Ósseas/etiologia , Humanos , Índia/epidemiologia , Masculino , Osteogênese Imperfeita/complicações , Osteogênese Imperfeita/diagnóstico , Osteogênese Imperfeita/tratamento farmacológico , Osteogênese Imperfeita/epidemiologia , Resultado do Tratamento , Adulto Jovem
20.
Artigo em Inglês | IMSEAR | ID: sea-148294

RESUMO

Continuous wild poliovirus transmission despite 12 years of intensive surveillance has raised serious questions about the feasibility of polio eradication programme with current strategy in near future. At present most of the cases are confined to four endemic countries, which are causing sporadic outbreaks in non-endemic areas. India has experienced a significant increase in number of cases reported in 2006 compared to previous year. Outbreaks originated in western UP which was due to the accumulation of susceptibles between the last outbreak in 2002 and early 2006. Substantial improvement has been observed in strategies of polio eradication but still there are gaps in the programme implementation which needs immediate attention so that goal of polio eradication can be achieved at the earliest opportunity. Even though there are many issues but there are also many factors, which favour polio eradication. These factors include new tool in form of m OPV, natural immunity due to recent outbreak, limiting international spread of polio, new researches to guide programme in right direction, political commitments from endemic countries, etc. 2008 presents the best opportunity ever to interrupt wild polio virus transmission which will lead to global eradication of Polio. Since global eradication is within sight, it is scientifically possible to eradicate the disease in near future.

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