Health facility utilization and Healthcare-seeking behaviour of the elderly population in India.

Background: The increasing elderly population in India has generated an unmet need for healthcare services concerning them. To address some of those needs, the study aims to provide the current status of health facility utilization, health-seeking behaviour (HSB), and factors influencing them. Methodology: Data from the Longitudinal Ageing Study in India (LASI)-Wave I was used to conduct multivariate analysis to assess the association between health facility utilization (inpatient and outpatient) and HSB across all age groups of the elderly. Results: The likelihood of utilizing public health facilities increased with age for OPD and decreased with age for IPD. HSB was 23% less in the 80 years and above elderly as compared to other age groups. Healthcare service uptake was higher in the elderly with health insurance in a public health facility. Conclusion: Improving health insurance coverage among the Indian elderly may potentially improve healthcare service uptake in public health facilities.

Molecular characterization of chitinase from polyphagous pest Helicoverpa armigera.

Chitinase from a polyphagous pest, Helicoverpa armigera, has been cloned and expressed. The Helicoverpa chitinase cDNA is 2870 bp in length and contains an open reading frame of 1767 bp. The cDNA encodes a polypeptide of 588 residues with a predicted molecular weight of 66 kDa and a pI of 5.99. The polypeptide has distinct catalytic and substrate binding domains at the N- and the C termini, respectively. The two domains are held together by a proline, threonine rich linker region. The catalytic and the substrate binding domains shared a high level of homology with other lepidopteran chitinases, but the proline and threonine rich region is longer in H. armigera chitinase than in other lepidopteran chitinases. The transcription of chitinase at different developmental stages and in different tissues was analysed by RT-PCR. Chitinase transcript was found in the integument, gut, and fat bodies but was absent in the haemocytes. The levels of chitinase mRNA were abundant at the moulting stages and a basal level of transcript was maintained throughout the development of the insect. Interestingly, Western blot analysis of total proteins from the integument and the gut showed the presence of chitinase in the moulting stages but was absent in the intermoult periods, suggesting post-transcriptional control. The chitinase cDNA was expressed in bacteria and in insect cells. The insect cell expressed chitinase was glycosylated and catalytically active against the simple and complex substrates. The chitinase gene spans about 6.8 kb of genomic DNA and is organized into 10 exons and 9 introns. The 6.8 kb genomic clone of chitinase revealed a high degree of conservation in the position and size of the exons with other lepidopteran insects.

A constitutively expressed 36 kDa exochitinase from Bacillus thuringiensis HD-1.

A 36 kDa chitinase was purified by ion exchange and gel filtration chromatography from the culture supernatant of Bacillus thuringiensis HD-1. The chitinase production was independent of the presence of chitin in the growth medium and was produced even in the presence of glucose. The purified chitinase was active at acidic pH, had an optimal activity at pH 6.5, and showed maximum activity at 65 degrees C. Of the various substrates, the enzyme catalyzed the hydrolysis of the disaccharide 4-MU(GlnAc)(2) most efficiently and was therefore classified as an exochitinase. The sequence of the tryptic peptides showed extensive homology with Bacillus cereus 36 kDa exochitinase. The 1083 bp open reading frame encoding 36 kDa chitinase was amplified with primers based on the gene sequence of B. cereus 36 kDa exochitinase. The deduced amino-acid sequence showed that the protein contained an N-terminal signal peptide and consisted of a single catalytic domain. The two conserved signature sequences characteristic of family 18 chitinases were mapped at positions 105-109 and 138-145 of Chi36. The recombinant chitinase was expressed in a catalytically active form in Escherichia coli in the vector pQE-32. The expressed 36 kDa chitinase potentiated the insecticidal effect of the vegetative insecticidal protein (Vip) when used against neonate larvae of Spodoptera litura.