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1.
Int J Biol Macromol ; 120(Pt A): 255-262, 2018 Dec.
Article in English | MEDLINE | ID: mdl-30134189

ABSTRACT

Tropical tasar silkworm Antheraea mylitta is a wild sericigenous insect which is distributed in different geographical regions and named as different ecoraces. In the present study, we investigated the molecular characterisation and cosmeceutical properties of sericin extracted from different ecoraces of tasar cocoons. The surface morphology and molecular weight of cocoons were determined by scanning electron microscope (SEM) and SDS-PAGE, respectively. Characterisation of sericin was performed by various methods such as FTIR, CHNS, TGA and amino acid analyzer. The anti-tyrosinase, anti-elastase, glutathione-S-transferase inhibition, free radical scavenging potential and inhibition of oxidative damages were measured in tasar ecoraces sericin. SEM images have revealed the removal of sericin from the surface of cocoons. SDS-PAGE of sericin depicted the presence of diverse molecular weight of proteins. Structural determination by FTIR revealed the presence of both α-helical and ß-sheet structures. Thermal properties of sericin were studied by TGA which showed a 50% weight loss at temperature 410 °C-430 °C. Additionally, ecoraces sericin contains 17 amino acids in which serine, aspartic acid and glycine are predominantly present (55.68-59.61%). Further, anti-tyrosinase, anti-elastase, inhibition of glutathione-S-transferase activity, free radical scavenging potential and inhibition of lipid peroxidation were also observed in ecoraces sericin. Our findings suggest that the present study appear to be helpful in exploiting sericin as potential biomaterial in cosmeceutical and allied field.


Subject(s)
Cosmetics/chemistry , Free Radical Scavengers/chemistry , Moths/chemistry , Sericins/chemistry , Animals , Hot Temperature , Protein Structure, Secondary
2.
Int J Biol Macromol ; 114: 1102-1108, 2018 Jul 15.
Article in English | MEDLINE | ID: mdl-29550421

ABSTRACT

The present study investigates the properties of sericin extracted from tasar silk fiber waste (TSFW). The surface morphology of TSFW was observed by scanning electron microscope (SEM). SEM images revealed the removal of residual sericin over the surface of TSFW. The molecular weight distribution of sericin was examined by sodium dodecyl sulfate-polyacrylamide gel electrophoresis (SDS-PAGE). The results suggested that TSFW sericin represented a family of proteins with wide-ranging molecular weight distribution (11-245 kDa). Structural determination by FTIR revealed the presence of both α-helical and ß-sheet structures. The colour was studied by colorimeter indicating less brightness, more red and yellow colour intensities. The carbon: nitrogen ratio (C:N) was studied by CHNS element analyzer and the ratio is 5.15-7.85. Thermal properties of TSFW sericin have been studied by thermogravimetric analysis (TGA) method. TGA curve showed higher thermal stability and variable degradation profiles. Furthermore, TSFW sericin contains 17 amino acids where serine, aspartic acid and glycine are the more significant compounds (54.34-60.49%). In addition, sericin was found to inhibit tyrosinase, elastase and glutathione-S-transferase activity, and had apparent radical scavenging impacts on 2.2­diphenyl­1­picryl­hydrazil (DPPH), hydrogen peroxide and inhibition of lipid peroxidation. Result suggested that TSFW sericins might be a valuable ingredient for cosmoceutical products.


Subject(s)
Antioxidants/chemistry , Enzyme Inhibitors/chemistry , Monophenol Monooxygenase/antagonists & inhibitors , Pancreatic Elastase/antagonists & inhibitors , Sericins/chemistry , Monophenol Monooxygenase/chemistry , Pancreatic Elastase/chemistry
5.
Epilepsy Res Treat ; 2012: 802747, 2012.
Article in English | MEDLINE | ID: mdl-22957243

ABSTRACT

Objective. To determine the contribution of neurocysticercosis as a cause for active epilepsy and to establish Neurocysticercosis as major definable risk of epilepsy in our setup. Methods. We conducted a door-to-door survey of 2,209 individuals of Bhore Pind and Bhore Kullian villages in Chattah zone of district Jammu (Jumma and Kashmir, Northwest India) to identify patients with symptomatic epilepsy. Patients with active epilepsy were investigated with neuroimaging techniques to establish diagnosis of NCC (neurocysticercosis). Results. Among 25 patients with epilepsy 10(40%) had CT/MR evidence of past or recent NCC infection. This gave us the point prevalence of 4.5/1000 for Neurocysticercosis in our study population. Interpretation. The study shows a high prevalence of NCC accounting for symptomatic epilepsy in our part of India.

6.
J Assoc Physicians India ; 60: 11-6, 2012 Mar.
Article in English | MEDLINE | ID: mdl-22799108

ABSTRACT

BACKGROUND AND OBJECTIVE: Urban subjects have high burden of cardiovascular risk factors, therefore, to evaluate risk factors in middle socioeconomic subjects and to study secular trends we performed an epidemiological study. METHODS: The study was performed at urban middle class locations defined according to municipal records in years 2009-10. Stratified random sampling using house-to-house survey was performed. Details of medical history, anthropometry and clinical examination were recorded and biochemical tests performed for estimation of fasting glucose and lipids. Current definitions were used for risk factor classification. Descriptive statistics are provided. Trends were calculated using ANOVA or Mantel Haenszel chi-square. Univariate and multivariate logistic regression was performed to assess risk factor determinants. To determine secular trends we compared risk factors with previous cross-sectional studies performed in same locations in years 2002-3 and 2004-5 in subjects 20-59 years age. RESULTS: We evaluated 739 subjects (men 451, women 288, response 67%). Age-adjusted prevalence (%) of risk factors in men and women respectively was smoking 95 (21.1) and 12 (4.2), low physical activity 316 (69.6) and 147 (52.3), high fat intake > or = 20 gm/day 278 (73.4) and 171 (68.7), low fruits and vegetables intake < 3 helpings/day 249 (70.3) and 165 (76.4), overweight/obesity 205 (46.2) and 142 (50.7), high waist size 58 (12.9) and 76 (26.6), high waist:hip 143 (31.9) and 154 (53.9), hypertension 177 (39.5) and 71 (24.6), high total cholesterol > or = 200 mg/ dl 148 (33.0) and 93 (32.7), low HDL cholesterol < 40/50 mg/dl 113 (25.1) and 157 (55.3), diabetes 62 (15.5) and 25 (10.8) and metabolic syndrome 109 (25.1) and 61 (22.0). Age-associated increase was observed in body mass index, waist size, waist ratio:hip, systolic blood pressure and fasting and total cholesterol, non-HDL cholesterol and triglycerides in women (Ptrend < 0.01). Age related increase was also observed in prevalence of obesity, truncal obesity, hypertension, diabetes and metabolic syndrome (Ptrend < 0.01). On univariate analysis significant determinants of risk factors were low educational and socioeconomic status for smoking, high fat diet for obesity and hypertension, low fruits and vegetables intake for metabolic syndrome, and low physical activity or obesity but on age-and sex-adjusted multivariate analysis only association was high fat diet with obesity and hypertension (logistic regression analysis p < 0.05). Compared to studies performed at similar locations in years 2002-03 and 2005-06 there was increasing trend in prevalence of high non-HDL cholesterol and hypertriglyceridemia (Ptrend < 0.05) while other risk factors did not change significantly. CONCLUSIONS: There is a high prevalence of multiple cardiovascular risk factors in Indian middle class individuals. Secular trends demonstrate a persistent high prevalence and increasing non-HDL cholesterol and triglycerides over 8-year period.


Subject(s)
Cardiovascular Diseases/etiology , Metabolic Syndrome/epidemiology , Obesity/epidemiology , Adult , Aged , Anthropometry , Blood Pressure , Body Mass Index , Cardiovascular Diseases/epidemiology , Cross-Sectional Studies , Diet, High-Fat , Female , Humans , India/epidemiology , Life Style , Logistic Models , Male , Metabolic Syndrome/complications , Middle Aged , Obesity/complications , Population Surveillance , Prevalence , Risk Factors , Sex Distribution , Smoking/adverse effects , Smoking/epidemiology , Socioeconomic Factors , Urban Population , Young Adult
7.
Med Sci Law ; 52(4): 231-3, 2012 Oct.
Article in English | MEDLINE | ID: mdl-22623712

ABSTRACT

We report a case of a 52-year-old businessman who was allegedly injected with organochloro compound (OC) in his abdomen by his business rivals by means of a surgical needle and a syringe. Homicide by OC injection via an intraperitoneal route has not been reported in the literature. Postmortem findings along with the toxicology report have been discussed particularly in view of the mode of poison administration with a review of literature.


Subject(s)
Homicide , Insecticides/administration & dosage , Insecticides/poisoning , Forensic Pathology , Humans , Injections, Intraperitoneal , Male , Middle Aged , Stomach/pathology
8.
Nepal J Ophthalmol ; 4(1): 73-9, 2012.
Article in English | MEDLINE | ID: mdl-22344001

ABSTRACT

INTRODUCTION: Surgical treatment for cataract blindness in India is increasing apace; however, sight restoration after surgery is not always satisfactory. OBJECTIVE: To evaluate visual outcome after cataract surgery and causes of sub-optimal outcome, if any. MATERIALS AND METHODS: A cross-sectional study including the patients who had undergone cataract surgery six months to ten years ago was carried out. The variables studied were visual acuity, demographic and surgical factors and ocular findings. The causes of subnormal outcome were categorized into cataract surgery-related or unrelated. STATISTICAL ANALYSIS: SPSS-17 was used; the Chi-square test was used to determine the association between good outcome and categorical variables; the t-test was used for continuous variables. Multivariate analysis using step-wise logistic regression was done. RESULTS: Among 644 patients (644 eyes), good outcome (presenting visual acuity 6/18 or better) after surgery was seen in 266 (41.3 %) eyes. Good outcome was significantly related to urban residence, presence of an intraocular lens and absence of ocular co-morbidities or posterior capsule opacification. Borderline and poor outcomes were mainly due to surgery related causes; treatable causes included uncorrected refractive errors, and posterior capsule opacification. Intra-operative complications resulting in a pulled-up pupil were frequent. CONCLUSIONS: Surgical factors are responsible most often for sub-optimal visual outcome; some, like induced astigmatism and vitreous loss, can be modified with training; actively encouraging follow-up visits can allow treatment of residual refractive errors and capsular opacification..


Subject(s)
Blindness/etiology , Cataract Extraction/methods , Hospitals, Teaching , Lenses, Intraocular/adverse effects , Refractive Errors/etiology , Aged , Aged, 80 and over , Blindness/epidemiology , Cataract Extraction/adverse effects , Cross-Sectional Studies , Female , Follow-Up Studies , Humans , India/epidemiology , Male , Middle Aged , Refractive Errors/epidemiology , Refractive Errors/physiopathology , Retrospective Studies , Treatment Outcome , Visual Acuity
9.
Article in English | MEDLINE | ID: mdl-22245939

ABSTRACT

The results of structural studies and detailed harmonic and anharmonic vibrational analysis on two hydrogen cyanide (HCN) tetramers diaminomaleonitrile (DAMN) and diaminofumaronitrile (DAFN), which are important molecules for understanding the chemistry of interstellar space and nitrile rich environments, are being reported on the basis of density functional theory using second-order perturbation theory. Both the molecules are found to have C1 symmetry. While all the heavy atoms of DAMN lie in the same plane (maximum deviation 6°), the two nitrogen atoms in DAFN are out of plane by about 15°. The two amino groups are tetrahedral and do not have significant bond angle anisotropy. Detailed conformational studies are reported on the two molecules and their possible rotational isomers are identified. Complete vibrational analysis based on harmonic and anharmonic frequencies, intensity of infrared and activity of Raman bands and potential energy distribution over the internal coordinates has been provided for the two molecules. Affect of hydrogen bonding on molecular geometry and frequencies of the NH stretch modes has been studied by calculations on the dimers of the two molecules. A close agreement has been observed between the experimental and calculated frequencies. Vibrational-rotational constants such as rotational constants in the ground vibrational state (A0, B0, C0) and the effective rotational constants (Ae, Be and Ce), including terms due to quartic centrifugal distortion constants, rotation-vibration coupling constants, Wilson and Nielsen's centrifugal distortion constants have been calculated using B3LYP and B97-1 functionals and 6-31G**, 6-311+G** and TZVP basis sets.


Subject(s)
Fumarates/chemistry , Hydrogen Cyanide/chemistry , Nitriles/chemistry , Isomerism , Models, Molecular , Molecular Conformation , Quantum Theory , Spectrophotometry, Infrared , Spectrum Analysis, Raman
10.
Eur J Prev Cardiol ; 19(6): 1258-71, 2012 Dec.
Article in English | MEDLINE | ID: mdl-21947630

ABSTRACT

BACKGROUND: Urban middle-socioeconomic status (SES) subjects have high burden of cardiovascular risk factors in low-income countries. To determine secular trends in risk factors among this population and to correlate risks with educational status we performed epidemiological studies in India. METHODS: Five cross-sectional studies were performed in middle-SES urban locations in Jaipur, India from years 1992 to 2010. Cluster sampling was performed. Subjects (men, women) aged 20-59 years evaluated were 712 (459, 253) in 1992-94, 558 (286, 272) in 1999-2001, 374 (179, 195) in 2002-03, 887 (414, 473) in 2004-05, and 530 (324, 206) in 2009-10. Data were obtained by history, anthropometry, and fasting blood glucose and lipids estimation. Response rates varied from 55 to 75%. Mean values and risk factor prevalence were determined. Secular trends were identified using quadratic and log-linear regression and chi-squared for trend. RESULTS: Across the studies, there was high prevalence of overweight, hypertension, and lipid abnormalities. Age- and sex-adjusted trends showed significant increases in mean body mass index (BMI), fasting glucose, total cholesterol, high-density lipoprotein (HDL) cholesterol, and triglycerides (quadratic and log-linear regression, p < 0.001). Systolic blood pressure (BP) decreased while insignificant changes were observed for waist-hip ratio and low-density lipoprotein (LDL) cholesterol. Categorical trends showed increase in overweight and decrease in smoking (p < 0.05); insignificant changes were observed in truncal obesity, hypertension, hypercholesterolaemia, and diabetes. Adjustment for educational status attenuated linear trends in BMI and total and LDL cholesterol and accentuated trends in systolic BP, glucose, and HDL cholesterol. There was significant association of an increase in education with decline in smoking and an increase in overweight (two-line regression p < 0.05). CONCLUSION: In Indian urban middle-SES subjects there is high prevalence of cardiovascular risk factors. Over a 20-year period BMI and overweight increased, smoking and systolic BP decreased, and truncal obesity, hypercholesterolaemia, and diabetes remained stable. Increasing educational status attenuated trends for systolic BP, glucose and HDL cholesterol, and BMI.


Subject(s)
Cardiovascular Diseases/epidemiology , Educational Status , Urban Health/trends , Adult , Biomarkers/blood , Blood Glucose/analysis , Blood Pressure , Body Mass Index , Cardiovascular Diseases/blood , Cardiovascular Diseases/diagnosis , Cardiovascular Diseases/physiopathology , Cardiovascular Diseases/prevention & control , Chi-Square Distribution , Cross-Sectional Studies , Dyslipidemias/blood , Dyslipidemias/epidemiology , Female , Glucose Metabolism Disorders/epidemiology , Health Literacy , Humans , Hypertension/diagnosis , Hypertension/epidemiology , Hypertension/physiopathology , India/epidemiology , Linear Models , Lipids/blood , Male , Middle Aged , Multivariate Analysis , Overweight/diagnosis , Overweight/epidemiology , Prevalence , Residence Characteristics , Risk Assessment , Risk Factors , Smoking/epidemiology , Social Class , Time Factors , Waist-Hip Ratio , Young Adult
12.
Cont Lens Anterior Eye ; 34(3): 147-8, 2011 Jun.
Article in English | MEDLINE | ID: mdl-21256075

ABSTRACT

Congenital ectropion uveae (CEU) is a rare, non progressive anomaly characterised by the presence of iris pigment epithelium on the anterior surface and is frequently associated with anterior iris insertion, dysgenesis of the drainage angle and glaucoma. This paper describes an unusual case of bilateral congenital ectropion uveae with iris coloboma and telecanthus. The anterior chamber angle was normal and there was no evidence of glaucoma. To the best of our knowledge, this association has not been reported previously.


Subject(s)
Coloboma/etiology , Ectropion/congenital , Eyelids/abnormalities , Iris/abnormalities , Pigment Epithelium of Eye/abnormalities , Uveal Diseases/congenital , Child , Female , Glaucoma/congenital , Humans , Visual Acuity/physiology
13.
Article in English | MEDLINE | ID: mdl-21227743

ABSTRACT

A systematic study has been conducted on the geometrical and electronic structure, heliomeric conformations of a series of 8-oxa[5]helicenes based on density functional theory (DFT) computations. A complete vibrational analysis has also been attempted for one of the 8-oxa[5]helicenes (molecule 5) on the basis of experimental infrared spectra in the far and mid infrared regions (60-3100 cm(-1)) and density functional theory computations using B3LYP/6-31G** method characteristic bands of the molecule identified. The approximate mean plane angle between the terminal rings A and E in the presently studied molecules are found to have values between 48.64° and 59.46°. This angle is much larger than the corresponding angle between the terminal rings in benzo[c]phenanthrene (∼27°) and partially reduced benzo[c]phenanthrene (34.6-46.0°) and indicates that the presence of oxygen-containing six-membered ring provides a greater helicity to the molecules. Detailed quantum chemical study on molecule 4 shows the existence of two enantiomeric forms M- and P- of almost equal energy separated by a potential barrier of 15.55 kcal/mol. It is expected that similar 8-oxa[5]helicines (molecules 3, 5 and 6) may also exist in two enantiomeric forms.


Subject(s)
Polycyclic Compounds/chemistry , Spectrum Analysis, Raman/methods , Molecular Structure , Vibration
14.
Prev Med ; 51(5): 408-11, 2010 Nov.
Article in English | MEDLINE | ID: mdl-20817021

ABSTRACT

OBJECTIVE: Influence of socioeconomic status on cardiovascular risk has not been well studied in low income countries. To determine risks in various educational status (ES) subjects we performed a study in India. METHODS: Epidemiological study was performed in years 1999-2003 in Jaipur (India) for coronary risk factors among 1280 adults 20-59 years (men 619, women 661). ES was categorized into low (education ≤5 years); middle (6-12 years) and high (>12 years). Prevalence of risk factors and Framingham risk scores were determined. RESULTS: Low ES was in 306, middle in 436 and high in 538. In low, middle and high ES respectively age-adjusted prevalence (%) of smoking was 19.0, 19.3, and 11.7; obesity 9.5, 16.7, and 22.1, hypertension 15.3, 30.5, and 44.0; hypercholesterolemia ≥200mg/dl 46.0, 48.4, and 54.6; low HDL cholesterol <40mg/dl 46.4, 56.4, and 38.3; metabolic syndrome 20.9, 25.7, and 28.6; and diabetes 6.9, 5.5, and 26.4. Framingham risk score was 5.7±4.8, 6.3±5.7 and 4.7±5.1 and calculated cardiovascular risk probability 5.2±5.7, 6.8±7.8 and 5.2±6.0 (P(trend)<0.05). Framingham risk score was significantly greater in low and middle ES (6.1±5.3) compared to high (4.7±5.1) (p<0.001). Adjustment for smoking attenuated the risk. CONCLUSION: Low and middle educational status urban subjects in India have greater cardiovascular risk.


Subject(s)
Cardiovascular Diseases/epidemiology , Educational Status , Adult , Female , Humans , India/epidemiology , Male , Middle Aged , Risk Factors , Social Class , Socioeconomic Factors , Urban Population/statistics & numerical data , Young Adult
16.
Article in English | MEDLINE | ID: mdl-19939727

ABSTRACT

Experimental methods of infrared, Raman and electronic absorption spectroscopy and DFT calculations using B3LYP functionals and 6-31G** and 6-311++G** basis sets have been used to understand the structural and spectral characteristics of 2-pyranones, 6-phenyl-4-methylsulfanyl-2-oxo-2H-pyran and 6-phenyl-4-methylsulfanyl-2-oxo-2H-pyran-3-carbonitrile in the electronic ground (S(0)) and first excited (S(1)) states. Information about the size, shape, charge density distribution and site of chemical reactivity of the molecules has been obtained by mapping electron density isosurface with electrostatic potential surfaces (ESP). Based on TD-DFT calculations using 6-31+G**5D basis set, an assignment of absorption peaks in the UV-VIS region has been suggested. The S(1) state is found to be a (1)(pi,pi*) state. A complete vibrational analysis has been attempted on the basis of experimental infrared and Raman spectra and calculated frequency and intensity of the vibrational bands and potential energy distribution over the internal coordinates. Characteristic vibrational bands of the 2-pyranone ring and methylsulfanyl and carbonyl groups have been identified.


Subject(s)
Pyrans/chemistry , Spectrum Analysis/methods , Electrons , Models, Molecular , Molecular Structure , Static Electricity , Vibration
17.
Article in English | MEDLINE | ID: mdl-18930437

ABSTRACT

A systematic study has been conducted on the conformation, electronic structure and vibrational spectra of benzo[c]phenanthrene and some of its partially reduced derivatives by experimental infrared spectroscopic and quantum chemical techniques. Electrostatic potential surfaces have been mapped over the electron density isosurfaces to obtain information about the size, shape, charge density distribution and chemical reactivity of the molecules. Possibility of hydrogen-hydrogen bonding has been explored in all the molecules. Partial reduction of the aromatic rings in benzo[c]phenanthrene leads to considerable molecular distortion with the approximate mean angle between the terminal rings increasing from 27.3 degrees to 46.0 degrees . The distortion is unequally distributed near the aromatic and saturated rings; the latter absorbs most of strain due to flexibility of the rings. A complete vibrational analysis of the experimental infrared spectra has been reported on the basis of frequency and intensity of the vibrational bands and potential energy distribution over the internal coordinates and characteristic bands have been identified.


Subject(s)
Models, Chemical , Phenanthrenes/chemistry , Vibration , Hydrogen Bonding , Models, Molecular , Oxidation-Reduction , Spectrophotometry, Infrared , Static Electricity
18.
J Phys Chem A ; 113(1): 273-81, 2009 Jan 08.
Article in English | MEDLINE | ID: mdl-19072620

ABSTRACT

Secnidazole (alpha,2-dimethyl-5-nitro-1H-imidazole-1-ethanol) is an antimicrobical drug, and it is particularly effective in the treatment of amebiasis, giardiasis, trichomoniasis, and bacterial vaginosis. Secnidazole crystallizes as a hemihydrate, which belongs to a monoclinic system having space group P2(1)/c, with a = 12.424 A, b = 12.187 A, c = 6.662 A, and beta = 100.9 degrees. The optimized geometries and total energies of different conformers of the secnidazole molecule have been determined by the method of density functional theory (DFT). For both geometry and total energy, it has been combined with B3LYP functionals having extended basis sets 4-31G, 6-31G, and 6-311++G(d,p) for each of the three stable conformers of secnidazole. Using this optimized structure, we have calculated the infrared and Raman wavenumbers and compared them with the experimental data. The calculated wavenumbers are in an excellent agreement with the experimental values. Based on these results, we have discussed the correlation between the vibrational modes and the crystalline structure of the most stable conformer of secnidazole. A complete assignment is provided for the observed Raman and IR spectra.


Subject(s)
Metronidazole/analogs & derivatives , Quantum Theory , Antiprotozoal Agents/chemistry , Metronidazole/chemistry , Molecular Structure , Spectrum Analysis , Spectrum Analysis, Raman , Thermodynamics , Vibration
19.
Indian J Otolaryngol Head Neck Surg ; 61(3): 173-8, 2009 Sep.
Article in English | MEDLINE | ID: mdl-23120630

ABSTRACT

BACKGROUND: Otorhinolaryngological (ENT) diseases are major health problem in India but the trends in occurrence of various disorders in clinical practice have not been well studied. To assess the types of such diseases and to determine changing trends in their incidence we performed this study. METHODS: The study was done at a non-government ENT center at Jaipur. From 1975 to 2005, >125000 patients of different diseases were evaluated here. The study includes randomly selected patients (n = 11454) from years 1980 to 2000 at an interval of 5 years to evaluate disease trends. Significance of trends was evaluated using least squares regression. RESULTS: In the years 1980, 1985, 1990, 1995 and 2000 mean age of patients was 26.60 ± 17.81 (range 0.16 to 85), 27.07 ± 16.91 (0.08 to 90), 28.30 ± 17.73 (0.25 to 90), 28.79 ± 17.8 (0.25 to 90) and 28.74 ± 17.81 (0.25 to 85) years respectively. 51 types of ENT diseases were observed of which 19 contributed to 76.8% (8807) patients and analysis was restricted to them. Chronic suppurative otitis media (2203, 19.2%), otitis externa (859, 7.5%), deviated nasal septum with nasal obstruction (717, 6.3%) and chronic tonsillitis (695, 6.1%) were the most common, followed by ear wax (569, 4.9%), sensorineural hearing loss (545, 4.7%), chronic rhinosinusitis (428, 3.7%) and epistaxis (320, 2.8%). There was increasing trend for stomatitis (b = 0.0014), deviated nasal septum (b = 0.0290), allergic rhinitis (b = 0.0023), epistaxis (b = 0.0002), acute tonsillitis (b = 0.0003), hoarseness (b = 0.0017), deaf mutism (b = 0.0005), sensorineural hearing loss (b = 0.0038), tinnitus (b = 0.0006) and ear wax (b = 0.0050). Declining trend was observed for chronic rhinosinusitis (b = -0.0155), otitis externa (b = -0.0063), chronic suppurative otitis media (b = -0.0001), acute otitis media ( = -0.0007), secretory otitis media (b = -0.0013), otosclerosis (b = -0.0007), vertigo (b = -0.0007), neck swelling (b = -0.0005) and chronic tonsillitis (b = -0.0194). CONCLUSION: This study from an Indian urban ENT center shows a significantly increasing trend in chronic and degenerative ear diseases and decline in infection related diseases.

20.
Indian Heart J ; 60(1): 26-33, 2008.
Article in English | MEDLINE | ID: mdl-19212018

ABSTRACT

OBJECTIVE: The impact of rising population-wide obesity on cardiovascular risk factors has not been well studied in low-income countries. To correlate the prevalence of obesity with risk factors we performed epidemiological studies in India. METHODS: Multiple cross-sectional epidemiological studies, Jaipur Heart Watch (JHW), were performed in India in rural and urban locations. From these cohorts, subjects aged 20-59 years (men 4102, women 2872) were included. Prevalence of various risk factors: smoking/tobacco use, overweight/obesity (body mass index > or = 25 kg/m2) truncal obesity (waist:hip > or = 0.95 men, > or = 0.85 women), hypertension, dyslipidemias, metabolic syndrome and diabetes was determined. Trends were examined using least squares regression. RESULTS: Smoking/tobacco use was more in rural men (50.0% vs 40.6%) and urban women (8.9% vs 4.5%, p < 0.01). Obesity, truncal obesity, hypertension, hypercholesterolemia, diabetes, and metabolic syndrome were more in urban cohorts (p < 0.001). Age-adjusted prevalence (%) of obesity in various cohorts, rural JHW, and urban JHW-1, JHW-2, JHW-3, and JHW-4 respectively, in men was 9.4, 21.1, 35.6, 54.0, and 50.9 (r2 = 0.92, p = 0.009) and in women 8.9, 15.7, 45.1, 61.5, and 57.7 (r2 = 0.88, p = 0.018). Prevalence of truncal obesity in men was 3.2, 19.6, 39.6, 41.4, and 31.1 (r2 = 0.60, p = 0.124) and in women 10.1, 49.5, 42.1, 51.7, and 50.5 (r2 = 0.56, p = 0.1467). In successive cohorts increasing trends were observed in the prevalence of hypertension (r2 = 0.93, p = 0.008) and metabolic syndrome (r2 = 0.99, p = 0.005) with weaker trends for hypercholesterolemia (r2 = 0.41, p = 0.241) and diabetes (r2 = 0.79, p = 0.299) in men. In women, significant trends were observed for hypertension (r2 = 0.98, p = 0.001) and weaker trends for others. Increase in generalized obesity correlated significantly with hypertension (two-line regression r2, men 0.91, women 0.88), hypercholesterolemia (0.53, 0.44), metabolic syndrome (0.87, 0.94) and diabetes (0.84, 0.93). Truncal obesity correlated less strongly with the risk factors like hypertension (0.50, 0.57), hypercholesterolemia (0.88, 0.61), metabolic syndrome (0.76, 0.33), and diabetes (0.75, 0.33). CONCLUSIONS: In Asian Indian subjects, escalating population-wide generalized obesity correlates strongly with increasing cardiovascular risk factors.


Subject(s)
Cardiovascular Diseases/epidemiology , Obesity/complications , Adult , Body Mass Index , Cohort Studies , Cross-Sectional Studies , Female , Health Surveys , Humans , India , Male , Middle Aged , Prevalence , Risk Factors , Young Adult
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