Search

The pulp and paper industry is critical to global industrial and economic development. Recently, India's pulp and paper industries have been facing severe competitive challenges. The challenges have impaired the environmental performance and resulted in the closure of several operations. Assessment and prediction of the performance of the Indian pulp and paper industry using various parameters is a critical task for researchers. This study proposes a framework for performance assessment and prediction based on Data Envelopment Analysis (DEA), Artificial Neural Networks, and Deep Learning (DL) to assist industry administration and decision-making. We presented a case study based on eight industries to demonstrate the methodology's applicability. This study analyses and predicts industry performance based on sample data observations over 30 years. The result suggests the DEA-DL-based efficiency prediction has an overall MSE of 0.08 compared with the actual efficiency. Furthermore, the efficiency rankings are compared between the three techniques. The results suggest that the integrated DEA-DL method is primarily accurate in most scenarios with the actual values. The findings of this study provide a comprehensive analysis of environmental performance for policymakers. [ABSTRACT FROM AUTHOR]

Recent advancements in technology-based payment methods have prompted central banks all over the world to consider the possible advantages and hazards of issuing Central Bank Digital Currencies (CBDC) in order to keep up with the current innovation trend. The Indian payment system is no exception to this fintech innovation trend. As a result, the Reserve Bank of India (RBI) must begin considering related patterns and develop a phased implementation plan that progresses gradually through the pilot project. The present research is proposing a Pilot project on the issuance of retail e-rupee first. The research is primarily based on the normative method presenting a qualitative analysis of the creation of a digital rupee possibly like paper money and its smooth implementation. The study examines the potential effects of retail e-rupee implementation on the banking industry, monetary policy, technology architecture options, potential retail e-rupee applications, issuance methods, etc., as well as privacy issues. Thus, it will assist RBI in making policy decisions. [ABSTRACT FROM AUTHOR]

Introduction: Conflict is an inevitable fact existing in any organization and it is understood as disagreement between two parties. Conflicts in simple terms may occur when severe issues arise and fury is invoked in the communication process. Conflict arises because of misunderstanding one's words or intentions. Objectives: To analyse and interpret the most preferred and rejected management styles to deal with the industrial conflict. - To explore different conflict management approaches in the study. - To study and analyse the conflict management styles adopted by the management in JK paper mills limited. Hypothesis: - The conflict variables are not varying over the classifications of the Demographic variables of the respondents. - The conflict variables are not varying over the classifications of the Employment variables of the respondents. Need: The production deficit and supply mismatch has made this industry import dependent for finished paper. The demand for paper in India is high and increasing. The supply shortfall for this industry is estimated at 20 million tonnes by 2021. The contribution of the paper industry to the GDP is high. Hence, the researcher felt the need to conduct a study on Conflict management approaches in paper industry with reference to JK Paper Limited, one of the prime organisations in the industry in Visakhapatnam. Methodology: Sample size is 544, Convenient sampling technique is employed for sample collection. To measure the conflict variables over designation, nature of work and classification of departments, ANOVA test is employed to measure its association among variables. Findings: The categorical variables are determinants of the situation in a manufacturing organisation and form a part of internal environment. Therefore, the study concludes the conflict variables determine the style of conflict management. Conclusion: The research study is confined to the employees of select JK Paper Mills Ltd only and it can be extended to other states or cities of India where paper mills industries are situated. It could be further extended to private and public sector paper mills industry of India identifying the conflict management styles adopted in these industries and the effectiveness of conflict management in these industries. [ABSTRACT FROM AUTHOR]

Retracted articles by Indian scholars have received significant attention in recent times. However, no comprehensive study has been conducted to analyse the citations of retracted papers authored by Indian researchers. This study aimed to assess the citations to retracted works published between 2001 and 2020 pre‐ and post‐retraction. The study found that there was an increase in retractions over time, with empirical data suggesting that the number of retractions has increased significantly, from 72 papers between 2001 and 2010 to 365 papers between 2011 and 2020. Duplication (n = 128) and plagiarism (n = 119) were the primary reasons for retraction. Notably, 90% of the retracted articles continued to receive citations after retraction. Among the retracted papers, eight received more than 50 post‐retraction citations, 39 received 20 to 50 citations, 347 received one to 19 citations, and 43 were not cited at all post‐retraction. There was an overall 8% decrease in citations after retraction. Retractions were observed across journals of varying impact factor, with a higher number of retractions observed in journals with an impact factor of less than 5 (n = 286; 65%). Furthermore, smaller research teams of two to five authors accounted for 72% of the total retractions. [ABSTRACT FROM AUTHOR]

The article informs about three distinct topics in pathology it discusses about the development of a lab-developed test (LDT) for multiplex HR-HPV genotyping in cervical precursor lesions, offering a cost-effective and sensitive screening test. Topic include it presents a comparative study of a rapid, economic acetic acid, Papanicolaou stain (REAP) over conventional Papanicolaou stain in oral cytology, demonstrating the efficacy of REAP as a cost-effective and rapid alternative.

Background: Nutrient deficiency after malabsorptive bariatric procedure is a common phenomenon. The study aims to determine the prevalence of nutritional insufficiencies (specific with Ascorbic acid, Cobalamin, calciferol and calcium) in obese population opting for One Ananstomosis Gastric Bypass surgery (OAGB), and also to understand the association of these nutrients with change in Body Mass Index (BMI) after the surgery. Methods: One hundred fifty subjects comprising males and females aged 20-60 years were randomly selected at a bariatric center in India. Subjects belonged to both grade III and grade II obesity. Plasma aa, serum vitB12, serum VitD3 and serum calcium concentrations were prospectively assessed at 0m, 3m, and 6m of surgery through high-performance liquid chromatography. Result: The values of nutrients beyond the standard levels are considered as deficiency. Both follow up values showed a significant increase in cobalamin, Calciferol, and ascorbic acid levels compared to baseline data. Conclusion: Nutrition depletion and deficiency are often seen in post bariatric cases. The contributing factors included high BMI, food intolerance, and non-adherence to supplements and correct dietary regimens. With the correction of weight and comorbidities, the levels also showed a stable and positive level. [ABSTRACT FROM AUTHOR]

Introduction: Summative assessments play a major role in shaping the student's learning. There is little literature available on validity of summative assessment question papers in Forensic Medicine & Toxicology. This study analyses 30 question papers from 6 reputed universities for content validity. Methods: A retrospective cross-sectional record-based observational study was conducted where 30 university summative question papers in Forensic Medicine & Toxicology from 6 universities across India were evaluated for content validity. The learning domain assessed, the type of questions asked, and sampling of the content was compared and presented in the results. Results: From the results of the study, it was noted that 80% weightage was allotted to recall in most papers and only one paper tested for application. 70 to 80% of the marks were allotted to Forensic Pathology leading to disproportionate sampling. Core areas in Toxicology and Medical Jurisprudence were sparsely assessed. Conclusion: The content validity of the summative question papers in Forensic Medicine and Toxicology was unsatisfactory, emphasising the need for evaluation of the clarity and efficacy of the blueprints being used by the universities. Faculty training to motivate and influence a change in the mindset is necessary to bring about a course correction. [ABSTRACT FROM AUTHOR]

Crypto currency has become the buzzword these days. Accounting is yet another field where cryptocurrency has occupied its space. In India, the status of accounting for cryptocurrency still remains unclear even though few of the additions have been made in IAS. A list of varied elements exists in the accounting process, where accountants deal in the real world as there is presently no accounting standard regulated for them; one such example is crypto currency. The U.S. GAAP (General Accepted Accounting Principles) and international financial reporting standards (IFRS) has recognized Crypto currency in the present times for public firms as an account for a digital currency as an intangible asset with an unlimited life. Companies will first record crypto on the balance sheet at their cost basis in both scenarios. The goal of this research paper is to assess if there are adequate justifications for the establishment of IFRS accounting rules for crypto-assets (liabilities) and to make suggestions for possible directions in which they may go. A clear insight into the accounting and taxation is attempted in the present research paper. [ABSTRACT FROM AUTHOR]

Nonalcoholic fatty liver disease (NAFLD) is a major cause of chronic liver disease globally and in India. The already high burden of NAFLD in India is expected to further increase in the future in parallel with the ongoing epidemics of obesity and type 2 diabetes mellitus. Given the high prevalence of NAFLD in the community, it is crucial to identify those at risk of progressive liver disease to streamline referral and guide proper management. Existing guidelines on NAFLD by various international societies fail to capture the entire landscape of NAFLD in India and are often difficult to incorporate in clinical practice due to fundamental differences in sociocultural aspects and health infrastructure available in India. A lot of progress has been made in the field of NAFLD in the 7 years since the initial position paper by the Indian National Association for the Study of Liver on NAFLD in 2015. Further, the ongoing debate on the nomenclature of NAFLD is creating undue confusion among clinical practitioners. The ensuing comprehensive review provides consensus-based, guidance statements on the nomenclature, diagnosis, and treatment of NAFLD that are practically implementable in the Indian setting. [ABSTRACT FROM AUTHOR]

The article informs the alcohol addiction impacts not only the individual abusing it but also the people living with them. It mentions the extensive research has been conducted on various aspects of alcoholism, the lives of caretakers, especially wives of alcoholic men in the Indian context, have been given secondary consideration by society and researchers. It highlight the limited studies on this topic in the Indian setting.

Pathogenesis Primary brain stem injury is the result of the direct effect of the trauma which results in its distortion and displacement. Kalyanaraman and Ramamurthi (1969) reported 42 cases of brain stem injury among 1100 cases of head injury patients admitted to their head injury unit in 18 months.[[1]] As late at 2007, Shukla et al. stated, "Several autopsy studies of head injury are available, but pathology of brain stem and hypothalamus injury are addressed in very few of them. "In many general surgical works today the diagnosis of primary brain stem injury amounts to pronouncement of death sentence" (Kalyanaraman and Ramamurthi 1969) It is interesting that around the same time as the above statement on ominous saying in some centers in Delhi acquired a similar predicament, "Yeh to brain stem ho gaya ab iska kuch nahi ho sakta" (He has become brain stem, now nothing can be done about it). While brain stem hemorrhage is more common in the secondary group of brain stem lesions, these are not uncommon in the primary injury especially in the lateral part of the mid-brain, the superior cerebellar peduncle, and rostral pons. [Extracted from the article]

Advances in the medical field and healthcare sector during the last few decades have resulted in increased longevity. Increased lifespans have in turn led to a rapid global rise of the elderly population. However, ensuring the health and quality of life, especially in the context of chronic age-related ailments, among the growing geriatric population is a challenge. Ageing is associated with several changes in body composition including a decline in the lean body mass usually accompanied by an increase in body fat content which have a bearing on the nutrient requirements for the elderly. The nutrient requirements currently recommended for Indian adults are primarily computed using a factorial approach, that considers the cumulative loss of nutrients and is adjusted for optimal body weights and bioavailability. It is logical that physiological and metabolic changes associated with ageing influence several of these factors: body weight, lean mass, energy expenditure, nutrient retention and bioavailability and thus alter nutrient requirements compared to the adult population. Acknowledging these age-related changes, some international organizations have suggested nutrient requirements specific to the elderly. Given the contextual differences in physiology, caution needs to be exercised in adopting these guidelines for the Indian elderly. In addition, in the Indian context, there is sparse information on the diet and nutrient intakes vis-à-vis nutritional status and physiology of the elderly. This status paper highlights some of the pertinent issues related to nutritional requirements for the elderly that advocate a need for deriving nutritional requirements for the elderly in India. [ABSTRACT FROM AUTHOR]

BACKGROUND: Screening of hemoglobin (Hb) before blood donation is one among the vital tests. It is performed to select a blood donor to prevent the collection of blood from an anemic person. However, no accurate, cost-effective, reliable, and standardized method is available to estimate Hb. OBJECTIVE: The aim is to evaluate the efficacy of filter paper cyanmethemoglobin (FPCH) method with the automated hematology analyzer in the estimation of Hb concentration for screening of a suitable donor. METHODOLOGY: This was a cross-sectional study in which the blood samples of 2000 patients visiting KLE's Dr. Prabhakar Kore Charitable Hospital, Belagavi, were collected in vials and directly estimated for Hb using automated hematology analyzer. To evaluate the efficacy of FPCH, 20 μL of blood sample was transferred onto Whatman filter paper and dried at room temperature. After drying, it was placed in 5 mL of Drabkin's solution for 30 min. Optical density was estimated by measuring the absorbance. Data were analyzed using SPSS version 20. The correlation coefficient, paired t-test, and difference between the means of both the methods were calculated. RESULTS: The mean Hb estimated by FPCH was 11.25 g/dL and automated hematology analyzer gave 11.35 g/dL. The difference in the means of both the methods was 0.1 g/dL. Paired t-test was done to test the level of significance and the result was 8.151 (95% confidence interval: 0.08–0.13 g/dL, P < 0.001). The correlation coefficient was found to be 0.976 (P < 0.001). CONCLUSION: FPCH is an efficient method, which is comparable to the automated hematology analyzers for Hb estimation. It could be used as an alternative screening tool for detection of Hb in a blood donation camp. [ABSTRACT FROM AUTHOR]

Magnetotelluric (MT) and audio-magnetotelluric (AMT) studies are sensitive to the geothermal fluids filling the faults and/or fracture zones of the geothermal system. In India, MT/AMT studies have been carried out in NW Himalayas, central, eastern, and western India. In other areas, detailed MT/AMT studies need to be expedited. This review paper presents the art of geothermal exploration in India by using MT/AMT techniques and identifies potential zones that can be exploited for power generation and direct application. Reservoir characteristics, carbon emissions reduction methods, and levelised cost factor are also discussed. [ABSTRACT FROM AUTHOR]

Authors’ collaboration in producing scientific articles is a common relation between scientific people in which article production is easily shared between collaborators. This article determines the authors’ collaboration in The Journal of Advanced Periodontology & Implant Dentistry (JAPID) for 2009 to 2020. The Scientometric method was used in this research. The researchers from the journal website downloaded all published papers at JAPID from the first issue until 2020. The collected data were entered into an Excel software spreadsheet, and the author’s collaboration coefficient was computed. A total of 376 articles by 1076 people were published in JAPID until this research. The average number of authors per article was 2.9. According to affiliation, the first rank belongs to Iranian researchers by publishing 372 articles in JAPID, and India with 23 articles was on the second place in publishing articles in JAPID. Results also showed that only 103 articles had a single author, and 61 articles had 5 authors and more (from 376 articles). The average collaboration coefficient amongst authors of JAPID is 0.7, which is considered acceptable and relatively suitable. [ABSTRACT FROM AUTHOR]

Organ donation following circulatory determination of death (DCDD) has contributed significantly to the donor pool in several countries. In India, majority of deceased donations happen following brain death (BD). While existing legislation allows for DCDD, there have been only few reports of kidney transplantation following DCDD from India. This document, prepared by a multidisciplinary group of experts, reviews international best practices in DCDD and outlines the path for DCDD in India. Ethical, medical, legal, economic, procedural, and logistic challenges unique to India have been addressed. The practice of withdrawal of life-sustaining treatment (WLST) in India, laid down by the Supreme Court of India, is time-consuming, possible only in patients in a permanent vegetative state, and too cumbersome for day-to-day practice. In patients where continued medical care is futile, the procedure for WLST is described. In controlled DCDD (category-III), decision for WLST is independent of and delinked from the subsequent possibility of organ donation. Families that are inclined toward organ donation are explained the procedure including the timing and location of WLST, consent for antemortem measures, no-touch period, and the possibility of stand-down and return to the intensive care unit (ICU) without donation. In donation following neurologic determination of death (DNDD), if cardiac arrest occurs during the process of BD declaration, the protocol for DCDD category-IV has been described in detail. In DCDD category-V, organ donation may be possible following unsuccessful cardiopulmonary resuscitation of cardiac arrest in the ICU. An outline of organ-specific requisites for kidney, liver, heart, and lung transplantation following DCDD and techniques, such as normothermic regional perfusion (nRP) and ex vivo machine perfusion, has been provided. The outcomes of transplantation following DCDD are comparable to those following DBDD or living donor transplantation. Documents and checklists necessary for successful execution of DCDD in India are described. [ABSTRACT FROM AUTHOR]

Actinomycetes are a suitable microbial group for the synthesis of lignocellulose-degrading enzymes. Enzymes that may degrade organic material, including cellulose, hemicellulose, and lignin, are released by actinomycetes. The aim of this research was to isolate actinomycetes from Rajkot, Gujarat, India’s soil and evaluate the activity of their cellulase and Xylanase enzymes. Starch Casein Agar (SCA) was used to identify a total of 30 isolates of actinomycetes. A qualitative plate assay (CMC-Na, Congo red) revealed that the highest zone of catalysis for MMD1 was 36 mm. Five strains were discovered to be effective for quantitative quantification of endoglucanase utilising filter paper and CMC as substrates: MMD1, MMD2, MMD3, MMD4, and MMD8. Following MMD 1 (endoglucanase 5.4 IU; FPase 4.4 IU), MMD 2 (endoglucanase 4.5 IU; FPase 3.4 IU) has demonstrated considerable endoglucanase and FPase activity. Beechwood xylan was used to treat sugarcane bagasse in order to test Xylanase, and 45% of the xylan (hemicellulose) fraction was obtained. MMD1 and MMD2 measured the xylanase enzyme activity (4.8IU and 4.2IU) in quantitative and qualitative assays (34 mm and 22 mm for BWX and 32 mm and 14 mm for agro-waste xylan). The strain MMD1 was identified as Streptomyces chartreusis through morphological, biochemical, and finally molecular characterization by 16S rRNA sequencing. It was then submitted to NCBI GenBank with the accession number MT254830. [ABSTRACT FROM AUTHOR]

The entire world seems to have responded to COVID-19 pandemic in a knee-jerk manner with a short mindset without building on the existing strengths of public health infrastructure. National governments cannot be blamed for this as we are dealing with a crisis that comes once in a lifetime. Realising this, the Organized Medicine Academic Guild (OMAG) an association of major health associations in this country has suggested measures for long-term solutions to COVID-19-like pandemics in the form of a policy paper by OMAG. [ABSTRACT FROM AUTHOR]

Electronic waste or e-waste is a serious and concerning issue globally. Exponential increase in the production of these instrument have created a man-made problem of e-waste; United Nations has called it as "tsunami of e-waste." Informal management and unsafe disposals have compounded the problem further. The hazardous chemicals, metals, and organic pollutants released from e-waste can lead to serious health consequences such as organ damage, genetic defects, neuropsychiatric illness, and cancer. Problem of e-waste is colossal and should be seen as major public health emergency. In India, use of electronic instrument has increased considerably with less focus on formal waste management and safe disposal. This has created a major health hazard. International health agencies, Indian Council of Medical Research, e-waste regulating bodies, academic institutes, and various government and non-government organizations should join hands together to effectively manage the problems of e-waste. Swacch Bharat Abhiyan started by the honorable Prime Minster should consider e-waste as the top most priority in terms of its safe management and disposal. [ABSTRACT FROM AUTHOR]

Venomous snakebite is one of the leading preventable causes of mortality and morbidity with tremendous socio-economic impact on the family and nation. Venomous snakebite has been relisted as a neglected tropical disease after having been removed off the list in 2013. This paper discusses the various reasons which could be attributed to the high mortality and morbidity due to venomous snakes and also provides recommendations on policy decisions, improvement on the quality of venom and anti-snake venom and in promoting awareness on how to avoid snakebite. [ABSTRACT FROM AUTHOR]

The Institutional Repository (IR) provides access to a vast collection of digital documents created and published by academic organisations. Institutional Repository (IR) services are provided to clients by major R& D institutions and a few academic institutes in India. Top scientists and researchers may use this institutional repository (IR) technology to submit their work, making it easier for the intended audience to obtain research papers in digital form. Institutional repositories (IRs) having gotten a lot of interest from academics from many fields and all around the world. They may have improved the public's perception of academics and related institutions by raising their value creation, reputation, prestige, and visibility. Despite the importance and fast development of investigations, few people have attempted to systematically evaluate and synthesise the effects of previous projects, or to assess the present state of studies in this field. This paper's main aim is to offer a better knowledge and in-depth overview of the present state of research on IRs. The work linked to institutional repositories was carefully organised using a systematic review (SLR) and a methodology. Researchers and universities may benefit from institutional repositories by improving their exposure, reputation, ranking, and public worth. Despite the potential advantages of colleges establishing institutional repositories (IRs). The institutional repository, according to this study, is an extraordinarily strong concept that may serve as a driving force for higher education institutions and, more generally, for scholarly businesses that support basic study. [ABSTRACT FROM AUTHOR]

A Bibliometric Study of Communications Published in Journal of Informetrics from 2012 to 2016. This research study demonstrates a bibliometric study of scholarly communication published by Ahmedabad Library Network (ADINET) in proceedings of annual conference (seminar). ADINET celebrates Librarian's Day every year to commemorate the birthday of Dr. S R Ranganathan by organizing seminar in Gujarat, a leading state of India. This bibliometric study is intended to bring out the results of seminar proceedings published by ADINET from 2005 to 2019. This study investigated 176 papers published in Proceedings of ADINET seminar during 15 years. Study revealed that most of authors prefers to write for this seminar as a single author and out of 176 research papers 119 papers are written as single author whereas 36 papers found with double author and 21 papers published with three authors. It is also found from the study that Rashmi Kumbar and Shailesh Yagnik both are prominent authors whereas Gujarat is leading state published a maximum number of papers. [ABSTRACT FROM AUTHOR]

Smokeless tobacco (SLT) use is widespread across many nations and populations, and India shares more than three-quarters of the global burden of SLT consumption. Tobacco use in India has been largely viewed as a male-dominant behaviour. However, evidence from medical, social and behavioural sciences show significant SLT use among women and young girls. This paper highlights key dimensions of SLT use among women in India including prevalence and determinants, the health effects arising from SLT use and cessation behaviours. The paper concludes by providing recommendations with the aim of setting research priorities and policy agenda to achieve a tobacco-free society. The focus on women and girls is essential to achieve the national targets for tobacco control under the National Health Policy, 2017, and Sustainable Development Goals 3 of ensuring healthy lives and promote well-being for all. [ABSTRACT FROM AUTHOR]

Background: Every year the scientific sessions of Annual National Conference of Indian Psychiatric Society (ANCIPS) are marked by presentation of free papers, posters, and award paper sessions, which are usually meant for presentation of new research which is not yet published. Hence, it is expected that these papers will be published in near future so that the scientific literature is distributed and shared with wider audience. Aim: This paper aims to evaluate the abstract to publication rate of papers presented during ANCIPS in the years 2012–2014. Materials and Methods: For this study, all the free papers, posters, and award papers presented during the ANCIPS of 2012–2014 were listed, and electronic searches were carried out to search for published articles. In addition, one of the authors of papers not found in the electronic searches were contacted through E-mail. Results: A total of 1081 papers were presented during the ANCIPS in the 3 year period under study. Of these, 64 were award papers, 622 were free papers, and 395 were posters. Majority (n = 807; 74.6%) of these could be categorized as research data-based presentations; this was followed by case reports/series (203; 18.8%), review of literature (n = 35; 3.3%), and others (n = 36; 3.3%). Overall, only 27% of the papers were published after at least 5 years of the presentation. Of all the award papers, 69.6% of papers were published, whereas only 26.8% of free oral papers and 22.5% of free posters were published. About half (45.6%) of the papers were published in national journals. In terms of indexing, among those which were published, 62.8% were published in Medline-indexed (PubMed-listed) Journals with a mean impact factor of 1. Conclusion: The present study shows that only 27% of the abstracts presented during the ANCIPS are ultimately published as full text articles in the next 5 years. [ABSTRACT FROM AUTHOR]

Zoonotic diseases are an important public health problem. Keeping this in way, a panel reviewed the discussion around "one health" strategy of the WHO in combating zoonotic diseases during Seventh annual conference of Consortium Against Rabies (CAR) with the theme of "Zoonoses: Thinking beyond Rabies" held on 14th and 15th June 2019. The panel came out a manuscript discussing the need, background, and rationale for basic framework of possible roadmap for one health. Background —About CAR: CAR has been established with the aim to serve as a platform for the control of the rabies menace in India. It will evolve into a full fledged struggle against rabies in the country. The association comprises of medical professionals, veterinary doctors, and public health persons. The idea behind CAR is to bring the best minds in the country for research and information dissemination in the field of rabies. About Academy of Family Physicians of India (AFPI): AFPI is the official association of family physicians in India. Dedicated to provide professional leadership, conduct healthcare advocacy, policy development and a change in health system within the domain of family medicine, and larger public health system in the country, the academy is the recipient of the Healthcare Leadership Award 2012 in the category of Healthcare Governance and Public Administration. The white paper development Process: More than 100 medical experts, veterinary doctors, and public health persons from across the country and belonging to the fields of internal medicine, family medicine, public health, veterinary sciences, nursing science and environmental science and representing reputed medical institutions, government funded research institutions, and policy making bodies participated in discussions on topic of "one health" made during 7th Annual national conference of CAR with the theme of "Zoonoses: Thinking beyond Rabies" held on 14th and 15th June 2019. The panel steering the discussion included leading expert from ICMR, medical colleges, veterinary college, family medicine, private practitioners, and health program managers. The panel committee had prepared a draft document well in advance of the conference, which was communicated to all participants for feedback and comments. The panel was steered by ICMR expert. The discussion of the panellist was presented to the consensus group and unanimously adopted. A writing group worked on the manuscript, which was again circulated by email to all for any comments and suggestions before final publication. [ABSTRACT FROM AUTHOR]

In a developing country like India, with limited resources and access to healthcare facilities, dealing with massive hemorrhage is a major challenge. This challenge gets compounded by pre-existing anemia, hemostatic disorders, and logistic issues of timely transfer of such patients from peripheral hospitals to centers with adequate resources and management expertise. Despite the awareness amongst healthcare providers regarding management modalities of bleeding patients, no uniform Patient Blood Management (PBM) or perioperative bleeding management protocols have been implemented in India, yet. In light of this, an interdisciplinary expert group came together, comprising of experts working in transfusion medicine, hematology, obstetrics, anesthesiology and intensive care, to review current practices in management of bleeding in Indian healthcare institutions and evaluating the feasibility of implementing uniform PBM guidelines. The specific intent was to perform a gap analysis between the ideal and the current status in terms of practices and resources. The expert group identified interdisciplinary education in PBM and bleeding management, bleeding history, viscoelastic and platelet function testing, and the implementation of validated, setting-specific bleeding management protocols (algorithms) as important tools in PBM and perioperative bleeding management. Here, trauma, major surgery, postpartum hemorrhage, cardiac and liver surgery are the most common clinical settings associated with massive blood loss. Accordingly, PBM should be implemented as a multidisciplinary and practically applicable concept in India in a timely manner in order to optimize the use the precious resource blood and to increase patients' safety. [ABSTRACT FROM AUTHOR]

Coronavirus disease-2019 (COVID-19) has very high rates of hospital-related transmission among healthcare workers (HCWs), mandating the need for careful intensive care unit (ICU) designing, optimization of staff resources, implementation of vigorous infection control practices, environmental disinfection, meticulous sample collection, and criteria for staff quarantine. Most of the ICUs are not designed to deal with airborne viral infections and require redesigning for the safety of HCWs and patients. Infection control practices related to the prevention of spread of COVD-19 are unique and are well described. The training of staff on infection control practices reduces the infection rate among HCWs significantly. Adequate staffing not only helps in infection control but also prevents burnout of the staff. In case of infection to HCW, the staff must be assessed systematically, and institute's infection control committee should guide for isolation period as well as return to work based upon standard recommendations. This article focuses on infection control and prevention measures required in ICU during the COVID-19 pandemic. [ABSTRACT FROM AUTHOR]

With more than 23 million infections and more than 814,000 deaths worldwide, the coronavirus disease-2019 (COVID-19) pandemic is still far from over. Several classes of drugs including antivirals, antiretrovirals, anti-inflammatory, immunomodulatory, and antibiotics have been tried with varying levels of success. Still, there is lack of any specific therapy to deal with this infection. Although less than 30% of these patients require intensive care unit admission, morbidity and mortality in this subgroup of patients remain high. Hence, it becomes imperative to have general principles to guide intensivists managing these patients. However, as the literature emerges, these recommendations may change and hence, frequent updates may be required. [ABSTRACT FROM AUTHOR]

In a resource-limited country like India, rationing of scarce critical care resources might be required to ensure appropriate delivery of care to the critically ill patients suffering from COVID-19 infection. Most of these patients require critical care support because of respiratory failure or presence of multiorgan dysfunction syndrome. As there is no pharmacological therapy available, respiratory support in the form of supplemental oxygen, noninvasive ventilation, and invasive mechanical ventilation remains mainstay of care in intensive care units. As there is still dearth of direct evidence, most of the data are extrapolated from the experience gained from the management of general critical care patients. [ABSTRACT FROM AUTHOR]

Family medicine is the internationally recognized nomenclature for the academic discipline, knowledge domain, and medical specialty of primary care doctors, working in the community setting. Family medicine is defined as a specialty of medicine which is concerned with providing comprehensive care to individuals and families by integrating biomedical, behavioral, and social sciences in the community setting. The distinction of family medicine lies in the tradition of medical generalism, promoting whole person care, in a life cycle mode; providing optimal preventive, promotive, and curative healthcare services in a wide spectrum of setting from home to hospital. In 2016, 92nd report of the department‑related parliamentary standing committee on health and family welfare on the “Functioning of the Medical Council of India” has emphasized the need for postgraduate in family medicine. The committee report has noted that “the medical education system is designed in a way that the concept of family physicians has been ignored. The committee recommends that the Government of India in coordination with State Governments should establish robust PG Programs in Family Medicine and facilitate introduction of Family Medicine discipline in all medical colleges. This will not only minimize the need for frequent referrals to specialist and decrease the load on tertiary care but also provide continuous healthcare for the individuals and families. The successive National Health Policies of Government of India–NHP 2002 and 2017 have emphasized the need of family medicine training in India. The recently enacted National Medical Commission Act 2019 has mandated NMC to promote training in family medicine at both undergraduate and postgraduate levels. Therefore, in the background of the stated policies of the Government of India the concept of family doctors, which was earlier neglected should be institutionalized within the mainstream medical education system of India. It is now time to accelerate and upgrade family medicine training and thereby strengthen the concept of comprehensive primary care in India. This white paper presents the review of family medicine training in India and proposes a way forward. [ABSTRACT FROM AUTHOR]

The JK Paper industry located at Rayagada discharges biologically untreated effluent more than the permissible limit prescribed by Pollution Control Board, Odisha in to the environment. The industry is seriously polluting the surrounding aquatic and terrestrial environment. No detailed intensive study was carried out by previous workers on this industry earlier. The present study aims at finding out the impact of effluent on the flora at the contaminated site. The chemically treated effluent (TE) contained significant amount of mercury and cadmium. The TE has high BOD, COD, dissolved solids and suspended solids when compared to normal river water at the site of discharge. The TE deteriorated the natural water bodies changing the physico-chemical properties of natural river water. After meeting the river water the TE was diluted after 1 km distance from the meeting point of the river. Crop plants collected from the contaminated site showed higher level of residual Hg and Cd and significant depletion in pigment was observed. Plants collected from both the sides of the treated effluent canal showed significant amount residue mercury and cadmium in the plant leaves. The plants exposed to the TE, showed variation in chlorophyll and Phaeophytin pigment content when compared to their respective control values in all terrestrial plants collected from the contaminated site. In some plant leaves little increment in the pigment level was noted but the values were not significant. The changes observed in the plant pigment might be due to heavy metal accumulation. The presence of residual Hg and Cd in crop plants and plant leaves grazed by grazing animals after absorption, accumulation and enrichment may lead to a possible biological magnification, warrants attention. Proper biological treatment, treatment of effluent by modern methods and removal of heavy metals from the effluent before discharge by the industry is suggested. • Biological treatment of the effluent was not carried out by the industry & chemicals present in the effluent were significantly high.. • The water quality of the river water deteriorated due to the discharge of effluent of the paper mill. • Plants collected from the contaminated site showed significant accumulation of cadmium and mercury in leaf tissues • Significant depletion in pigment content of exposed plant leaves was noticed. • Depletion in plant pigment was due to accumulation of cadmium and mercury in plant tissues absorbed from the effluent. [ABSTRACT FROM AUTHOR]

Urgent care practice (UCP) is a novel concept for India. Urgent care primarily deals with injuries or illnesses requiring immediate care. Medical emergency and urgency can happen anywhere unannounced. Research has shown that 90% of the morbidities can be resolved within the community by primary care physicians lead teams. Given the changing professional demands, non-specialists tend to refer away far too many cases to specialists, undermining generalist medical care, particularly in Indian settings. The spillover of the patient load from the primary care setting to the tertiary care centers is enormous leading to resource mismatch. Family physicians and other primary care providers are best positioned to develop practices and provide good quality urgent care to society. Family physicians, general practitioners, and medical officers are already functioning as the frontline care providers for any emergency or medical urgency arising within communities. Urgent care is essentially ambulatory care or outpatient care outside of a traditional hospital emergency room. "UCP aims to provide timely support, which is easily accessible with a focus on good clinical outcomes, e.g. survival, recovery, lack of adverse events, and complications. Core interventions of urgent care are centered on the 4Rs - Rescue, Resuscitate, Relate, and Refer. At present, there are no available, established training model for future faculty, residents, and medical students on "UCP" in India. [ABSTRACT FROM AUTHOR]

We thank Patil Pillai et al. for preparing a critique on our article (Joy et al., 2018). Patil Pillai et al. contest the analytical procedure utilized for the carbonates and "geological information" documented in our research article and raise concerns on our conclusions. We hereby provide our reply to each of their comments. [ABSTRACT FROM AUTHOR]

India has the highest burden of Tuberculosis (TB) and multidrug-resistant TB (MDR-TB) worldwide. Innovative technology is the need of the hour to identify these cases that remain either undiagnosed or inadequately diagnosed due to the unavailability of appropriate tools at primary healthcare settings. We developed and evaluated 3 kits, namely ‘TB Detect’ (containing BioFM-Filter device), ‘TB Concentration and Transport’ (containing Trans-Filter device) and ‘TB DNA Extraction’ kits. These kits enable bio-safe equipment-free concentration of sputum on filters and improved fluorescence microscopy at primary healthcare centres, ambient temperature transport of dried inactivated sputum filters to central laboratories and molecular detection of drug resistance by PCR and DNA sequencing (Mol-DST). In a 2-site evaluation (n = 1190 sputum specimens) on presumptive TB patients, BioFM-Filter smear exhibited a significant increase in positivity of 7% and 4% over ZN smear and LED-FM smear (p<0.05), respectively and an increment in smear grade status (1+ or 2+ to 3+) of 16% over ZN smear and 20% over LED-FM smear. The sensitivity of Mol-DST in presumptive MDR-TB and XDR-TB cases (n = 148) was 90% for Rifampicin (95% confidence interval [CI], 78–96%), 84% for Isoniazid (95% CI, 72–92%), 83% for Fluoroquinolones (95% CI, 66–93%) and 75% for Aminoglycosides (95% CI, 35–97%), using phenotypic DST as the reference standard. Test specificity was 88–93% and concordance was ~89–92% (κ value 0.8–0.9). The patient-friendly kits described here address several of the existing challenges and are designed to provide ‘Universal Access’ to rapid TB diagnosis, including drug-resistant disease. Their utility was demonstrated by application to sputum at 2 sites in India. Our findings pave the way for larger studies in different point-of-care settings, including high-density urban areas and remote geographical locations. [ABSTRACT FROM AUTHOR]

Itraconazole (ITZ) has been the mainstay of oral antifungal treatment for the current epidemic of recalcitrant dermatophytosis (RD) in India. Recently, a newer formulation of ITZ, super bioavailable itraconazole (SUBA-ITZ), is made available in the market by many pharmaceutical companies. It is important for dermatologists to understand the pharmacokinetic properties of SUBA-ITZ vis-a-vis conventional pellet formulation to use it effectively and safely. Indian Association of Dermatologists, Venereologists and Leprologists (IADVL) has established a special interest group for recalcitrant dermatophytosis (SIG-RD) to strengthen research, continuing medical education, and industry collaboration on the subject. This position statement on SUBA-ITZ by SIG-RD is an attempt to address current pieces of evidence and the position of this new formulation in the management of RD. [ABSTRACT FROM AUTHOR]

The article provides a quantitative and qualitative description of machine learning research in India using measures such as growth rate, global publication share, national-level share of international collaborative papers, citations per paper, and highly cited papers. The data for the study was sourced from Scopus database covering 12-year period 2006-17. The study finds that the United States is the world leader in the machine learning research, followed by China, United Kingdom, Germany, and India. India registered 52.46% annual growth in the subject, more than twice that of the world (22.03%). India's citation impact was 5.34 citations per paper and its national share of highly cited papers was 0.68% (27 papers). The leading Indian research organizations in machine learning research include Vellore Institute of Technology, Anna University, Chennai, Indian Institute of Technology, New Delhi, Indian Institute of Science (IIS), Bangalore, and so on. The top 15 journals that accounted for 31.46% of India's output include International Journal of Machine Learning and Cybernetics (with 82 papers), International Journal of Applied Engineering Research (77 papers), Journal of Machine Learning Research (46 papers), Neurocomputing (44 papers), and so on. [ABSTRACT FROM AUTHOR]

The purpose of this paper is to analyse the policy implications of the Insolvency and Bankruptcy Code (IBC) 2016, which was enacted in India as part of banking sector reforms. The study aims to answer the question: Has the policy helped banks enhance their asset quality, stability, and performance?" To determine the effect of IBC on these research variables, we used a difference-in-difference (DID) regression technique. We collected a sample of 924 bank year observations for three categories of banks -- public, private and foreign ownership banks for the period during 2010 to 2021. We first analysed the ownership-wise impact of IBC on asset quality, stability and performance. Then, we further investigated the policy's implications by dividing banks into unhealthy and healthy categories based on their Z scores. In our findings, bank stability and asset quality for three ownership banks (private, public and foreign banks) is significantly different from each other. For overall sample observations, the relationship between asset quality and banks stability is negative and significant. This suggests that a deterioration in asset quality leads to less change in bank stability, i.e. the result confirms banks' loan evergreening problem during the reform period. The results estimating the impact of IBC on stability of public sector banks was insufficient, except for risk capital. Our findings show that public sector banks have tightened their lending standards in anticipation of potential asset quality deterioration. However, our analysis of the IBC's impact on unhealthy banks' asset quality, stability and performance did not align with the policy's objectives. While the IBC policy in itself is passing through several changes in recent, the study's results can aid policymakers in better assessing the impact of banking policies in India and can be used a reference for future policy formulation. A few related areas where the study results will aid to help are insolvency resolution, developing liquidation and cross-board insolvency framework. This paper is the first effort to estimate the impact of IBC separately on asset quality, bank stability, and performance of banks in India. [ABSTRACT FROM AUTHOR]

The regional coverage satellite constellations are in demand for fulfilling earth observation needs of specific user regions of interest as opposed to global coverage thus enhancing the revisit period for the area. In this paper, we present a few key mission aspects of the regional coverage constellation designed and operated by the Indian Space Research Organization (ISRO) in low earth orbit. ISRO developed three X-Band Synthetic Aperture Radar (SAR) Earth Observation satellites and placed them in three inclined orbit planes to enhance the Indian region's coverage. This is India's first inclined orbit constellation designed for remote sensing applications in low earth orbit. The satellites were built around a standard bus carrying a Synthetic Aperture Radar payload with a deployable Radial Rib Antenna (RRA). They were designed to achieve a high agility capability. As SAR sensors are capable of all-weather, day, and night imaging; thus, most suitable in inclined orbits where the illumination conditions vary continuously for imaging. Though the inclined orbits provide more revisit opportunities to the region of interest, their characteristics pose challenges in mission design and operations. Though the mission design and planning involved a host of elements, this paper brings out the details of a few key mission analysis elements, planning aspects and operations that were critical in the course of various mission phases. The mission analysis included mission-specific requirements like launch windows selection for the constellation and reference attitude generation specific to inclined orbit geometry. Mission planning had to take care of Radial Rib Antenna (RRA) deployment requirements which were very critical for the mission, apart from taking care of individual subsystem requirements. The SAR payload data product quality and targeting accuracy are very sensitive to the satellite image point range (vis-a-vis SAR operation data window). Extensive post-launch calibration activity was carried out to meet all these mission requirements and data product specifications. The challenge was in fixing the payload beam alignment and fixing the uncertainties in onboard and ground computations. The paper also describes the methods of fixing all possible error sources affecting the high-resolution SAR payload performance. • The regional coverage satellite constellations are in demand for area targets coverage. • Inclined orbit constellations are more suitable for regional coverage using SAR sensors. • Mission operations plans need to consider all the specific requirements of spacecraft systems. • Pre-launch and post -launch calibrations of sensors is mandatory for achieving system performance. [ABSTRACT FROM AUTHOR]

Secondary and High School students are usually adolescents, most of them in the urban areas and metropolitan cities are aware about the existence, various opportunities, career paths and advancements of the space industry. They are constantly updated, given they have access to quality and organized education models and a competitive environment. Although, the students in the rural areas who are equally ambitious and talented yet are not fortunate enough to have access to the state of art facilities like the counterparts. Even if they try and gain access with their self-interest, they do not have the motivation to sustain the passion, given their lack of clarity in subject, lack of awareness about engaging in various ways and fields in space other than technological related and mainly lack of driving force. The purpose of this paper is to develop and present an education model, exclusively for the high school students of the rural areas and inculcate sustainable passion for space. As opposed to the primary school students, the secondary school students have a consciousness of the space industry. This paper will talk about various plans and strategies, that will allow them to gain exposure, guide them about the existence of different career paths which are not entirely technological related, yet are still essential in the space like, administrative framework for example. This opens a new dimension in their brain helping them realize how they can be part of the industry in countless ways, and this shall assist them in being on the right track to space. In addition to, hosting creative space themed exhibitions, fun and engaging model design competitions, workshops, all of these would widen their knowledge boundaries and help them challenge their skills. A real time case study example from a school located in the rural southern of India shall be focused on this paper. Including data from a survey thereby the results, with action plans shall be presented in detail, which will aid in the analysis of the need, feasibility, and long-term sustenance of this approach and the requirement to scale it over different rural areas globally. • Need for improvised education models in rural areas elucidated, with data collection. • Data analysis and correlation of space education awareness, for high school students across two geographical locations. • Readily executable action plans age groupwise, for real-time education models in remote areas globally. [ABSTRACT FROM AUTHOR]

The lie-detection tests are traditionally carried out by well-trained experts using polygraph machines. However, it is time-consuming, invasive, and, overall, a cumbersome process, not admissible by the court of law. Trained individuals can easily flaunt these tests. On the other hand, facial thermal imaging could be more effective as it is noninvasive and could be a stealth method of tracking the facial blood flow patterns, which have been proven to detect deceit. This paper presents a method based on facial thermal imaging to detect deception in human subjects. The major issue in such research is the lack of proper real-life databases which emulate the crime scenes. In this paper, first, we have developed a database based on almost real-life theft incidents with due diligence using isolated subjects over a period of time at a government hospital under the plea of free health checkup. The experiment has been conducted at Midnapore Medical College and Hospital, West Bengal, India, with proper ethical committee approval. The participants are selected at the behest of the police department with habitual crime records. Most of them have been repeatedly charged with petty crimes of pick-pocketing and stealing. They are invited individually at different instances of time under the plea of medical checkup where they have been enticed to steal cash. It is followed by a two-stage process, a friendly interaction followed by a slightly tougher interrogation. Their forehead and periorbital region skin surface temperature are recorded by a hidden thermal camera. Upon analysis, conspicuous changes in the temperature profile and blood flow pattern have been observed in the individuals who stole money and those who did not. [ABSTRACT FROM AUTHOR]

Most nuclear dyads are characterized by some degree of nuclear and conventional asymmetry. This paper argues that these asymmetries create an environment in which deliberate nuclear first use (DNFU) can be rational. This possibility has been discarded in the formal literature on nuclear escalation because of the common reliance on the assumption of mutually assured destruction (MAD). This paper develops a formal model that traces how and under what circumstances two types of DNFU are rational. First, nuclear imbalances and advancements in counterforce technologies create a damage limitation incentive for a strong actor. Second, conventional asymmetry creates an incentive for the coercive use of nuclear weapons by the weaker player. Moreover, this paper illustrates that these asymmetric conditions are a relevant characteristic in important and very different nuclear dyads: DPRK–US, Pakistan–India, and Russia–US. Thus, the model demonstrates the potential core drivers of DNFU in today's nuclear landscape. [ABSTRACT FROM AUTHOR]

Half the world’s people currently live in rural and remote areas. About 70% of the world’s 1.4 billion people who are extremely poor live in rural areas. The problem is that the majority of healthcare providers prefer to serve in urban areas. Only a comprehensive and systematic approach can address these inequities. India, the largest democratic republic in the world, possesses 2.4% of the world’s land area and supports 16% of the world’s population. According to census 2011, 68.84% of population resides in rural areas. Nearly 86% of all the medical visits in India are made by rural inhabitants with a majority still traveling more than 100 km to avail healthcare facility, of which 70%–80% is born out of pocket landing them in poverty. A country’s approach must systematically and simultaneously address legal coverage and rights, health worker shortages, extension of healthcare protection, and quality of care. Only then can equitable access for all be fully achieved. Those living in rural areas have access to health protection and services that meet the criteria of availability, affordability, accessibility, acceptability, and quality. Family medicine as a broad specialty has its role from womb till tomb. Family medicine is defined as a specialty of medicine which is concerned with providing comprehensive care to individuals and families by integrating biomedical, behavioral, and social sciences. As an academic discipline, it includes comprehensive healthcare services, education, and research. A family doctor provides primary and continuing care to the entire family within the communities; addresses physical, psychological, and social problems; and coordinates comprehensive healthcare services with other specialists, as needed. The practitioners in family medicine can play an important role in providing healthcare services to the suffering humanity. The general practitioner’s responsibility in Medicare includes management of emergencies, treatment of problems relating to various medical and surgical specialties, care of entire family in its environment, appropriate referrals, and follow-up. He or she is the first-level contact for the patients and his or her family. Family medicine is the ideal solution to growing rural healthcare challenges. This article is a formal position paper of the Academy of Family Physicians of India. [ABSTRACT FROM AUTHOR]

Prahalad Chunnilal Vaidya was an eminent general relativist, gravitation theorist, physicist, mathematician, educationist and a follower of Gandhian philosophy in post-independence India. Apart from his scientific career, Vaidya is renowned for his Vaidya metric. Though he has contributed significantly to the scientific community, very few people are aware about him or his contributions. As 23 May 2019 was the 101st birth anniversary of Vaidya, here we present his contributions and their impact through a bibliometric study. This study presents an analysis of published research works of Vaidya. During his active career, he had contributed 102 publications, including 90 journal articles, 5 conference papers, 4 book chapters, 2 review articles and 1 report. His publications have received 2004 citations, h-index of 18 and i10-index of 29 from 1979 to 2018. We analysed Vaidya's publications by type, country, journals, publishers, citations, year-wise growth, collaborated authors, top cited papers, etc. This bibliometric study is an effort to draw the attention of the younger generation of scientists to Vaidya and his contributions. [ABSTRACT FROM AUTHOR]

A simple framework to estimate the potential of solar industrial process heating (SIPH) and corresponding CO 2 emissions mitigation in paper industry in India is presented. Geographical locations with clusters of paper mills have been identified and the annual process heating requirement for paper production (based on raw material use) at each cluster has been estimated. The total process heating potential for the paper industry in India has been estimated at 25.2 PJ/annum. Using the estimated performance of a commercially available parabolic trough based SIPH system with collector area requirement of 1.11 million m 2 annual solar fraction in the range of 0.25–0.30 have been estimated. Annual energy delivery of SIPH systems estimated at 4.34 PJ per annum. Finally at 8 main locations with clusters of paper mills in India considered in this study, adoption of SIPH without storage is expected to mitigate 0.34 million tonnes of CO 2 emissions annually. [ABSTRACT FROM AUTHOR]

Historical research is challenging when studying informal spaces like urban slums, where extant scholarship is limited, government data are sparse or absent, and populations change rapidly due to eviction, environmental shocks, and the everyday churn of migration. Moreover, written materials and political ephemera generated within slums are rarely preserved in accessible state archives, limiting the usefulness of conventional archival research. In such contexts, the discovery of informal archives—unmapped, non-systematized collections of materials kept by individuals and groups in the spaces under study—can contribute to the reconstruction of local histories. This article draws on 20 months of fieldwork in India’s urban slums to offer insights on the collection and use of informal archival materials. These materials afford an intimate look at how the urban poor organize and make claims on the state. Their analysis, however, involves inferential challenges. Researchers must consider how processes of production, preservation, and provision shape the content of gathered historical materials and thus the inferences that can be drawn from them. Beyond urban slums, informal archives are likely to be useful sources of historical data for a range of studies in comparative politics, especially those that focus on informal institutions and local quotidian politics. [ABSTRACT FROM AUTHOR]