Community voices in attaining health and wellness: Narratives from Assam

Background: A healthy community is often seen to be the outcome of an effective and accessible health service delivery model, but factors like informed community, equal and adequate access to services as well as social and economic context, significantly contribute to this goal. An explorative research study is conducted across 15 locations in Assam, to capture the need-based narratives of the communities on the subject of health and wellness. Objective: The objective of the study is to understand community experiences and expectations within the context of the social determinants of health. Methodology: The study is qualitative in nature and uses Focused Group Discussions and Key Informant Interviews on a sample size of 294 respondents. The holistic viewing of health and wellness, encompassing social, cultural, economic, and environmental factors through active community engagement, not only helps to contextualize the issues of health as faced by the communities but also to bridge the gap of access and outreach, thereby fostering health equity. Discussion: Issues stemming from gender, livelihood, and economic disparity largely shape the health-seeking behaviours of individuals and can drive or constrict them from attaining desired levels of well-being. Conclusion: With the idea of universal health coverage as promoted by Govt. of India’s Ayushman Bharat Initiative; an opportunity thus opens up to incorporate these voices from the ground in developing targeted policy interventions.

Alterations in the systemic acid-base status and blood gas dynamics during progressive hypocalcaemia in cow calves.

Hypocalcaemia, induced in cow calves by slow infusion of Na2EDTA for 6 hr, led to biphasic changes in acid-base status. Decrease in ionized plasma Ca2+ concentration upto 0.82 +/- 0.06 mmole 1(-1) was associated with metabolic alkalosis. Further decrease in ionized plasma Ca2+ concentration (0.61 +/- 0.09 mmole 1(-1)) led to metabolic acidosis, superimposed by a respiratory component. There was significant decrease in oxygen tension and saturation of arterial blood as well as impaired uptake of oxygen by peripheral tissues and pulmonary blood.

Mutagenicity of systemic organophosphate pesticides metasystox and rogor.

Mutagenicity of metasystox and rogor could not be detected on the basis of tests employing Ames Salmonella/microsome assay even in the presence of wheat seedling or rat liver microsomal activation systems.