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https://www.readbyqxmd.com/read/29219139/a-point-source-outbreak-of-acute-gastroenteritis-among-school-students-in-kerala-india
#1
P S Rakesh, Rajeswaran Thiagesan, Rakesh Ramachandran
An outbreak investigation was initiated following an outbreak of acute gastroenteritis among schoolchildren in Kottarakara. Steps included active search for cases at schools, describing the outbreak in terms of person, place, and time, generating hypothesis based on the findings from descriptive study, environmental observations, and testing the hypothesis using a case-control design. The final line list consisted of 871 children from different schools who attended a Republic Day parade. Having consumed the lemon juice near railway station (odds ratio [OR] 29...
October 2017: Indian Journal of Public Health
https://www.readbyqxmd.com/read/29207749/cirrhosis-of-liver-and-diabetes-mellitus-the-diabolic-duo
#2
Thazhath Mavali Ramachandran, Aninchent Harayil Rajan Rajneesh, George Sarin Zacharia, Rajendran P Adarsh
Introduction: Cirrhosis of the liver and diabetes mellitus are two chronic illnesses with significant impact on the quality of life. Studies from different part of the world have shown the combination to be associated with higher incidence of complications of cirrhosis and reduced survival. However, data on the impact of pre-cirrhotic and post-cirrhotic diabetes on cirrhosis is minimal. Aim: The aim of the study was to determine the complications of cirrhosis patients with and without co-existent DM and to compare the relation between cirrhosis patients with antecedent DM and hepatogenous DM...
September 2017: Journal of Clinical and Diagnostic Research: JCDR
https://www.readbyqxmd.com/read/29205199/seroprevalence-of-japanese-encephalitis-virus-west-nile-virus-in-alappuzha-district-kerala
#3
Anukumar Balakrishnan, Romy Jose Thekkekare, Gajanan Sapkal, Babasaheb V Tandale
BACKGROUND & OBJECTIVES: Several outbreaks of acute encephalitis syndrome (AES) have been reported in Alappuzha district, Kerala State, India, in the past. The aetiology of these outbreaks was either inconclusive or concluded as probable Japanese encephalitis virus (JEV) infection based on clinical presentation. The role of West Nile virus (WNV) in AES outbreaks was also determined. However, the extent of WNV infection has not been studied in this region previously. A population-based cross-sectional serosurvey study was undertaken to determine the seroprevalence of JEV and WNV in Alappuzha district...
July 2017: Indian Journal of Medical Research
https://www.readbyqxmd.com/read/29205194/analysis-of-beta-lactamases-blandm-1phylogeny-plasmid-replicons-in-multidrug-resistant-klebsiella-spp-from-a-tertiary-care-centre-in-south-india
#4
N Nithya, Rabindran Remitha, P R Jayasree, M Faisal, P R Manish Kumar
BACKGROUND & OBJECTIVES: β-lactamases play a predominant role in drug-resistance amongst Enterobacteriaceae. Presence of genes on transferable plasmids encoding these enzymes favours their dissemination across species and genera within and outside geographical boundaries. This study was aimed to understand the presence of β-lactamases and transferable plasmids in clinical isolates of Klebsiella spp. which can contribute to the spread of resistance determinants. METHODS: A total of 41 clinical isolates of Klebsiella spp...
July 2017: Indian Journal of Medical Research
https://www.readbyqxmd.com/read/29202074/examining-the-changing-health-care-seeking-behavior-in-the-era-of-health-sector-reforms-in-india-evidences-from-the-national-sample-surveys-2004-2014
#5
Arnab Jana, Rounaq Basu
Background: Health policy formulations in India have witnessed a shift from a reactive approach to a more proactive approach over the last decade. It is therefore important to understand the effectiveness of recent national health policies (such as the National Rural Health Mission and the National Urban Health Mission) in addressing the varied needs of the heterogeneous population of India. Methods: We use datasets from the National Sample Surveys carried out in 2004 and 2014 to understand the change in the health seeking behavior as a result of these policies...
2017: Global Health Research and Policy
https://www.readbyqxmd.com/read/29200921/new-species-and-new-records-of-earthworms-of-the-genus-drawida-from-kerala-part-of-the-western-ghats-biodiversity-hotspot-india-oligochaeta-moniligastridae
#6
S Prasanth Narayanan, S Sathrumithra, G Christopher, J M Julka
Two new species of Drawida Michaelsen, 1900, namely Drawida polydiverticulata Narayanan & Julka, sp. n. and Drawida thomasi Narayanan & Julka, sp. n., are described from material collected from the Indian state of Kerala, which lies in the Western Ghats biodiversity hotspot. Drawida elegans Rao, 1921, Drawida kanarensis Stephenson, 1917, Drawida modesta Rao, 1921, Drawida somavarpatana Rao, 1921, and Drawida thurstoni Gates, 1945 are recorded for the first time from the state.
2017: ZooKeys
https://www.readbyqxmd.com/read/29200505/early-miocene-reef-and-mudflat-associated-gastropods-from-makran-se-iran
#7
Mathias Harzhauser, Markus Reuter, Tayebeh Mohtat, Werner E Piller
A new gastropod fauna of Burdigalian (early Miocene) age is described from the Iranian part of Makran. The fauna comprises 19 species and represents three distinct assemblages from turbid water coral reef, shallow subtidal soft-bottom and mangrove-fringed mudflat environments in the northern Indian Ocean. Especially the reef-associated assemblage comprises largely new species. This is explained by the rare occurrence of reefs along the northern margin of the Miocene Indian Ocean and the low number of scientific studies dealing with the region...
2017: Paläontologische Zeitschrift
https://www.readbyqxmd.com/read/29199722/composite-lymphomas-experience-from-a-tertiary-cancer-center-in-kerala-south-india
#8
J A Vasudevan, R A Nair, R Sukumaran, S G Nair
OBJECTIVES: Composite tumors are defined as tumors in which there are two different intermixed histologic types. Our objective was to study the clinical and pathologic features of five cases of composite lymphoma. MATERIALS AND METHODS: Our study included five patients of composite lymphoma diagnosed over a period of 5 years. Clinical presentation, hematological parameters including peripheral smear, bone marrow aspirate, and histopathological examination of lymph node including immunohistochemistry (IHC) were studied...
January 2017: Indian Journal of Cancer
https://www.readbyqxmd.com/read/29184326/mapping-neonatal-mortality-in-india-a-closer-look
#9
Myron Anthony Godinho, Shruti Murthy, Theophilus Lakiang, Amitha Puranik, Sreekumaran N Nair
Introduction: Fifty-three percent of Indian under-5 deaths occur during the neonatal age group. Recognizing that there is a lack of illustrated district-level data on neonatal mortality in India, we mapped this to visually highlight districts where neonatal health issues require the most attention. Methods: District-level estimates of 596 Indian districts were used to generate maps and to illustrate neonatal mortality rates (NMRs), absolute numbers of neonatal deaths; the best and worst performing districts (positive and negative deviants) in each Indian state; the neonatal female/male death ratio; and district lag in NMR reductions...
October 2017: Indian Journal of Community Medicine
https://www.readbyqxmd.com/read/29181227/dengue-the-break-bone-fever-outbreak-in-kerala-india
#10
EDITORIAL
Indrajit Banerjee
No abstract text is available yet for this article.
June 2017: Nepal Journal of Epidemiology
https://www.readbyqxmd.com/read/29174258/the-design-and-rationale-of-the-primary-angioplasty-registry-of-kerala
#11
Jabir A, Anoop Mathew, Sunitha Viswanathan, Ashraf S M, Placid Sebastian, Prasannakumar C K, George Koshy A, Sunil Pisharody, Rony Mathew, L Jeyasheelan
BACKGROUND: ST-elevation myocardial infarction (STEMI) continues to be a major cause of cardiovascular mortality in Kerala, India. Timely primary percutaneous coronary intervention (PCI) is the recommended reperfusion strategy for STEMI. There is limited data on the safety, effectiveness, equity and efficiency of regional primary PCI services in India. METHODS/DESIGN: The primary angioplasty registry of Kerala is a clinician-initiated prospective state-wide longitudinal hospital-based registry of patients undergoing primary PCI for STEMI...
November 2017: Indian Heart Journal
https://www.readbyqxmd.com/read/29172883/prevalence-correlates-of-chronic-perinatal-pain-a-study-from-india
#12
Geetha Desai, G Sunil Kumar, L Manoj, G R Gokul, K V Beena, K Thennarasu, T S Jaisoorya
OBJECTIVES: To study the prevalence of chronic perinatal pain among mothers who had infants between the ages of 13-25 months in the State of Kerala, India and to report its correlates in the socio-demographic, obstetric and psychological domains. METHODS: A total of 9305 mothers selected by cluster random sampling were assessed cross-sectionally for chronic perinatal pain using a questionnaire by Junior Public Health Nurses (JPHNs). In addition, information regarding socio-demographic profile, obstetric history, infant details and perinatal depression were collected...
November 27, 2017: Journal of Psychosomatic Obstetrics and Gynaecology
https://www.readbyqxmd.com/read/29161272/global-transcriptome-profile-reveals-abundance-of-dna-damage-response-and-repair-genes-in-individuals-from-high-level-natural-radiation-areas-of-kerala-coast
#13
Vinay Jain, Birajalaxmi Das
The high level natural radiation areas (HLNRA) of Kerala coast in south west India is unique for its wide variation in the background radiation dose (<1.0mGy to 45mGy/year) and vast population size. Several biological studies conducted in this area did not reveal any adverse effects of chronic low dose and low dose rate radiation on human population. In the present study, global transcriptome analysis was carried out in peripheral blood mono-nuclear cells of 36 individuals belonging to different background dose groups [NLNRA, (Group I, ≤1...
2017: PloS One
https://www.readbyqxmd.com/read/29152884/economic-impacts-of-avian-influenza-outbreaks-in-kerala-india
#14
G Govindaraj, R Sridevi, S N Nandakumar, R Vineet, P Rajeev, M K Binu, V Balamurugan, H Rahman
This study assessed the short-run impact to poultry farmers, duck hatcheries, control costs, compensation paid to stakeholders (transfer payments) and market reactions on own and substitute product prices and backwater tourism (boat operators) due to avian influenza (AI) outbreaks in Kuttanad region of Kerala, India, during 2014. The primary data from 91 poultry farms (duck farms, broiler chicken and backyard poultry), four hatcheries and 90 backwater boat owners were collected through pre-tested schedules...
November 19, 2017: Transboundary and Emerging Diseases
https://www.readbyqxmd.com/read/29150536/availability-sales-and-affordability-of-tobacco-cessation-medicines-in-kerala-india
#15
Smitha Sarma, Sivadasanpillai Harikrishnan, Abigail S Baldridge, Raji Devarajan, Aashna Mehta, Sakhtivel Selvaraj, Mohammed K Ali, Padinhare P Mohanan, Dorairaj Prabhakaran, Mark D Huffman
BACKGROUND: India is the world's second largest consumer of tobacco, but tobacco cessation remains uncommon due, at least in part, to underutilization of cessation pharmacotherapy. We evaluated the availability, sales, and affordability of nicotine replacement therapy, bupropion, and varenicline in the South Indian state of Kerala to understand potential reasons for underutilization. METHODS AND RESULTS: From November 2016 to April 2017, we collected data on availability, inventory, and pricing of cessation medication through a cross-sectional survey of 199 public, semiprivate (Karunya), and private pharmacies across 5 districts in Kerala using World Health Organization/Health Action International methodology...
November 2017: Circulation. Cardiovascular Quality and Outcomes
https://www.readbyqxmd.com/read/29142382/capillary-leak-syndrome-following-snakebite-envenomation
#16
REVIEW
V Udayabhaskaran, E T Arun Thomas, Bhagya Shaji
Capillary leak syndrome is a unique complication that follows Russell's viper envenomation. This syndrome has a very high fatality rate and is characterized by parotid swelling, chemosis, periorbital edema, hypotension, albuminuria, hypoalbuminemia, and hemoconcentration. This syndrome is frequently recognized from the southern parts of India, especially from the state of Kerala. It has been postulated that a vascular apoptosis inducing component of Russell's viper venom that is not neutralized by the commercially available anti-snake venom (ASV) is responsible for this complication as it occurs even after adequate doses of ASV administration in most cases...
October 2017: Indian Journal of Critical Care Medicine
https://www.readbyqxmd.com/read/29124669/shunt-occlusion-for-portosystemic-shunt-syndrome-related-refractory-hepatic-encephalopathy-a-single-center-experience-in-21-patients-from-kerala
#17
Cyriac Abby Philips, Lijesh Kumar, Philip Augustine
INTRODUCTION: Large spontaneous portosystemic shunts (SPSS) are seen in a subset of patients with liver disease and medically refractory recurrent/persistent hepatic encephalopathy (MRHE). Shunt occlusion has been shown to improve clinical outcomes. METHODS: We retrospectively analyzed patient characteristics, SPSS attributes, procedural features, baseline clinical and investigational parameters, neurological outcomes, adverse effects (procedure and portal hypertension related), and risk factors predicting outcomes in liver disease patients undergoing shunt occlusion procedure for MRHE...
November 10, 2017: Indian Journal of Gastroenterology: Official Journal of the Indian Society of Gastroenterology
https://www.readbyqxmd.com/read/29114156/two-new-species-of-furcocercous-cercariae-infecting-the-fresh-water-snail-thiara-tuberculata-m%C3%A3-ller-in-kozhikode-and-malappuram-districts-of-kerala
#18
N K Sanil, K P Janardanan
Two new species of furcocercous cercariae, Cercaria sp. XVI Malabar n. sp. and Cercaria sp. XVII Malabar n. sp. were recovered from the freshwater snail, Thiara tuberculata in the Malabar region of Kerala. Cercaria sp. XVI Malabar n. sp., a pharyngeate, longifurcate furcocercous cercaria with two pairs of penetration glands and 10 pairs of flame cells was recovered from T. tuberculata collected from Kundayithode in Kozhikode district and Nilambur in Malappuram district of Kerala. Cercaria sp. XVII Malabar n...
December 2017: Journal of Parasitic Diseases: Official Organ of the Indian Society for Parasitology
https://www.readbyqxmd.com/read/29076187/the-association-of-hla-b-15-02-allele-and-stevens-johnson-syndrome-toxic-epidermal-necrolysis-induced-by-aromatic-anticonvulsant-drugs-in-a-south-indian-population
#19
Keerankulangara Devi
BACKGROUND: The presence of HLA-B*15:02 allele is considered a risk factor for development of Stevens-Johnson syndrome/toxic epidermal necrolysis (SJS/TEN) in patients taking aromatic anticonvulsant drugs like carbamazepine and phenytoin. The genetic association is ethnicity specific. Testing for HLA-B*15:02 allele is suggested as a prerequisite before starting carbamazepine in certain ethnic groups. There are only a few/no studies from south India on HLA association of SJS/TEN. AIMS: To identify any association between HLA-B*15:02 allele and SJS/TEN induced by carbamazepine/phenytoin among native population...
October 26, 2017: International Journal of Dermatology
https://www.readbyqxmd.com/read/29061615/elder-abuse-as-a-risk-factor-for-psychological-distress-among-older-adults-in-india-a-cross-sectional-study
#20
Maria Evandrou, Jane C Falkingham, Min Qin, Athina Vlachantoni
OBJECTIVES: This study examines the association between elder abuse and psychological distress among older adults in India and explores whether this association varies by the level of psychosocial and material resources. DESIGN: The study uses a cross-sectional survey design. SETTING: The data are drawn from a representative sample of 9589 adults aged 60 and above in seven Indian states-Himachal Pradesh, Punjab, West Bengal, Odisha, Maharashtra, Kerala and Tamil Nadu-in 2011...
October 22, 2017: BMJ Open
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