Kerala

Electric vehicles (EVs) are the future of the automobile industry, as they produce zero emissions and address environmental and health concerns caused by traditional fuel-poared vehicles. As more people shift towards EVs, the demand for power consumption forecasting is increasing to manage the charging stations effectively. Predicting power consumption can help optimize operations, prevent grid overloading, and power outages, and assist companies in estimating the number of charging stations required to meet demand...

BACKGROUND: Due to the paucity of reliable data to determine the components of family-based comprehensive care for cancer in India, we explored the familial implications of gynaecological and breast cancer diagnosis and treatment through a mixed-method study. METHODS: The mixed method study included 130 women aged above 18 with a confirmed diagnosis of gynaecological or breast cancer recruited from three selected tertiary hospitals in Kerala, India. Information on quality of life (36-Item Short Form Survey (SF-36)), psychological distress (distress thermometer), and the familial, interpersonal, social, and community impacts of cancer (semi-structured interview guide) were elicited...

Chromoblastomycosis is an implantation mycosis of the skin caused by certain species of melanised fungi. A man in his 50s, born in Kerala but living in England for 14 years, presented with a nodular lesion on his left buttock, which had been present for 20 years. Biopsy revealed muriform cells and fungal culture isolated Fonsecaea spp , consistent with a diagnosis of chromoblastomycosis. Treatment with oral terbinafine was initiated and changed to itraconazole based on results of antifungal susceptibility. Drug intolerance and low drug levels of itraconazole necessitated change to voriconazole and topical terbinafine...

Lichens are (Permotrema parlatum) a symbiotic association of algae and fungus belonging to the family Parmeliaceae. Some of lichen species are consumable and used as an active ingredient for preparation exotic spices as well as folklore medicine to cure different kind of ailments. A specimen of lichen was collected from Munner in Kerala State of South India for its chemical profiling. Chemical analyses of diethyl extract of the defatted lichen led to the isolation of six phenols 1-6 with variation of relative abundance...

BACKGROUND: Accredited Social Health Activists (ASHA) are Community Health Workers (CHWs) employed by the National Health Mission of the Government of India to link the population to health facilities and improve maternal and child health outcomes in the country. The government of Kerala launched primary health reform measures in 2016 whereby Primary Health Centres (PHCs) were upgraded to Family Health Centres (FHCs). The COVID-19 pandemic in 2020 impacted essential health service delivery, including primary care services...

INTRODUCTION: For children aged 5-17 years, WHO recommends moderate-to-vigorous intensity physical activity for at least 60 minutes daily which would account for 420 minutes of physical activity per week regardless of working days or holidays. With the increasing prevalence of non-communicable diseases in Kerala, this study aimed to assess the level of physical activity among high school students in Ernakulam District, Kerala. MATERIALS AND METHODS: A school-based cross-sectional study was conducted among ninth and tenth standard students of two randomly selected schools in Ernakulam District...

BACKGROUND: Dengue shows high geographic heterogeneity within and across endemic countries. In the context of increasing burden and predicted outbreaks due to climate change, understanding the heterogeneity will enable us to develop region specific targeted interventions, including vaccination. World Health Organisation (WHO) suggests standard methodologies to study the burden and heterogeneity at national and subnational levels. Regional studies with robust and standard methodology to capture heterogeneity are scarce...

The paper describes six new species from three genera of Tettigoniidae. The paper evaluates the status of Hexacentrus Serville 1831, Phyllomimus Stl 1873 and Euconocephalus Karny 1907. Diagnostic characters for new members of each genus are described along with additional information about the ecology and distribution of species. Keys to all species of each genus is presented. Of the six, three namely H. sylavanus sp. nov., E.helleri sp. nov and E. brevicornis are recorded only from Assam. One species, E.latipennis is recorded from Arunachal Pradesh and one species P...

A new species of Taeniogonalos is described and illustrated from Western Ghats, Kerala, India. The male of Taeniogonalos eurysoma Chen & van Achterberg, 2020 is described for the first time along with its first distribution record from India. The new species and T. eurysoma are illustrated along with a distribution map of Indian Taeniogonalos.

The spider wasp genus Episyron Schidte, 1837 is reviewed, with five species recorded from various parts of India along with three new species described and illustrated from Kerala: E. keralaensis Anju, Girish Kumar & Thejass, sp. nov., E. nigrocalcarius Anju, Girish Kumar & Thejass, sp. nov., and E. rufotibius Anju, Girish Kumar & Thejass, sp. nov. Diagnosis of species occurring in India, comparisons of new species with congeners and a key to the Indian species also are provided.

INTRODUCTION: Overlap syndrome is the association of obstructive sleep apnea (OSA) with chronic obstructive pulmonary disorder and with other chronic respiratory diseases. Patients with overlap syndrome have a worse prognosis compared with chronic obstructive pulmonary disorder or OSA alone. Additionally, patients with combined chronic obstructive pulmonary disorder and OSA are more likely to develop pulmonary hypertension and right heart failure much earlier than those without overlap...

Rhinosporidiosis is a rarely encountered granulomatous infection caused by Rhinosporidium seeberi affecting both humans and animals. Although the disease has been reported worldwide, it is mainly endemic in tropical and subtropical countries. In the Indian subcontinent, it is endemic in some parts like Orissa, Tamil Nadu, Kerala, eastern Madhya Pradesh, and Chhattisgarh. It is a chronic granulomatous disease with varied controversial taxonomical history, but recently based on genetic sequencing and the nature of aquatics, it was later identified as an aquatic eukaryote...

BACKGROUND: The People's Planning Campaign (PPC) in the southern Indian state of Kerala started in 1996, following which the state devolved functions, finances, and functionaries to Local Self-Governments (LSGs). The erstwhile National Rural Health Mission (NRHM), subsequently renamed the National Health Mission (NHM) was a large-scale, national architectural health reform launched in 2005. How decentralisation and NRHM interacted and played out at the ground level is understudied. Our study aimed to fill this gap, privileging the voices and perspectives of those directly involved with this history...

Amblyomma integrum is a large gooseberry sized longirostrate tick (when fully repleted) found in India and Sri Lanka. In Kerala (India), this tick is commonly found in the forest and its fringe areas frequently infesting deer and hence it is locally known as "maan chellu / maanunny" (deer tick). In the present study, molecular characterisation and phylogenetic analysis of A. integrum collected from the area grazed by the sambar deer (Rusa unicolor) of Kerala, south India was performed using three molecular markers viz...

OBJECTIVES: In postmenopausal states, women may not maintain blood pressure (BP) in the same way as men, even though most women follow their treatment plans and prescriptions more consistently than men. Biological and lifestyle factors influence the progression of hypertension in postmenopausal women (PMW). This study aimed to determine biosocial predictors associated with achieving the target BP in PMW with hypertension. METHODS: A prospective observational study was conducted in the General Medicine Department at Karuna Medical College Hospital, Kerala, India...

Infections caused due to zoonotic hookworms are rare and are often under reported. Here we report a case of diarrheal disease caused by Ancylostoma ceylanicum, an important emerging zoonotic hookworm. There is limited knowledge about the epidemiology and disease burden of A. ceylanicum infections in Kerala. A 50-year-old male patient presented with complaints of loose stools for past five weeks. The laboratory investigations revealed a high total WBC count and eosinophil count. Diagnostic colonoscopy showed numerous worms which were identified as A...

BACKGROUND: Gestational diabetes mellitus (GDM) is a type of diabetes with its first recognition during pregnancy. GDM is a high-risk maternal and neonatal condition which increases the risk of Type 2 diabetes in mothers and their infants. It is essential to detect and treat GDM since its inception when mothers suffer from Type 1 diabetes while carrying the foetus during the gestational period. METHODS: The study analysed individual data from the National Family Health Survey (NFHS) surveyed in 2015-2016 (4th round) and 2019-2021 (5th round) covering a total of approximately 6 lakhs and 7 lakhs women, respectively...

OBJECTIVE: To estimate the proportion of healthy under-fives whose physical activity, sedentary behavior, sleep and screen time adhered to WHO 2019 recommendations and to identify risk factors for non-adherence. METHODS: A cross-sectional study was conducted among 480 healthy children (6 mo - 4 years) who attended 20 selected urban anganwadis or immunization clinics in South Kerala, India. Sociodemographic, anthropometric and outcome variables (duration of physical activity, sedentary behavior, sleep and screen time) were collected for all participants...

Today, depression is a common problem that affects many people all over the world. It can impact a person's mood and quality of life unless identified and treated immediately. Due to the hectic and stressful modern life seems to be, depression has become a leading cause of mental health illnesses. Signals from electroencephalograms (EEG) are frequently used to detect depression. It is difficult, time-consuming, and highly skilled to manually detect depression using EEG data analysis. Hence, in the proposed study, an automated depression detection system using EEG signals is proposed...

INTRODUCTION: Over the years, smallholder farmers have faced more vulnerability to risk and uncertainty in India due to their dependence on cereal crops. One way to reduce this risk is through diversified agriculture, integrating different practices for efficient resource utilization, and adopting a farming systems approach. An integrated farming system (IFS) is one such technique that provides year-round income from different components of enterprises. However, the decision to adopt IFS may be determined by several characteristics of farmers, which needs to be delineated through impact analysis to harness the benefits of a systems approach...