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Introduction: Diabetes is a condition that impairs the body’s ability to process blood glucose, otherwise known as blood sugar. There are mainly three different types of diabetes; they are Type 1, Type 2, and gestational diabetes. Less common types of diabetes include monogenic diabetes and cystic fibrosis-related diabetes. Diabetes is a growing challenge in India with estimated 9% of diabetic population in the age group of 20 and 70 years. Aim: The aim of the study was to understand the alternative medications used for diabetic people among South Indian population. Materials and Methods: A survey was taken by preparing a questionnaire comprising questions in relation to the context and was circulated among diabetic individuals through an e-portal “SurveyPlanet.” The survey was taken up by 100 people. Results and Discussion: The people were well aware about the benefits of alternative medications. Around 48% of people were following a specific ayurvedic diet prescribed their doctors. 65% of people preferred alternative medicine over allopathy. Conclusion: Majority of the people are still skeptical about taking alternative medicine as a remedy for diabetes. Awareness may be required for bringing out the positive effects of alternative medicines for diabetes. [ABSTRACT FROM AUTHOR]

The author offers a literary criticism of the novel "The Foreigner," by Indian writer Arun Joshi. He argues that Joshi excels in exploring various modes of philosophies that he comes to know of, during his sojourn in Western countries and his career in India. He also applauds the author for the outpouring of his misled protagonist Surrinder Oberoi in his understanding of ethical codes. In addition, he explores the symbolic characters of the novel and describes Joshi's language and style.

The ChAdOx1 nCoV-19 vaccine (Oxford University-Astra Zeneca) has demonstrated nearly 70% efficacy against symptomatic COVID-19 in trials and some real-world studies. The vaccine was the first to be approved in India in early January 2021 and is manufactured by the Serum Institute of India. Favorable short-term safety data of the vaccine in India in a real-world setting has been recently demonstrated. Here, we report secondary objective (COVID-19 occurrence) measures of the same ongoing prospective observational study in prioritized recipients of the vaccine. The findings are based on participants who could complete at least 2 months of follow-up (n = 1500; female/male: 472/1028; mean age: 38.8 years). Laboratory confirmed SARS-CoV-2 infection was observed in 27/65 participants (41%) who received a single dose and 271/1435 (19%) who received both doses. Specifically, among doctors, 18/27 (66.7%) one dose recipients and 131/377 (34.7%) fully vaccinated developed SARS-CoV-2 infection. The majority of the cases were mild in all groups, and most were breakthrough infections. The occurrence of "severe" COVID-19 was 7.7 times lower (0.4%) in fully vaccinated participants compared to partially vaccinated (3.1%). Four deaths were observed in the study. One of the four deaths was due to sepsis, two due to unspecified cardiac events, and one due to unspecified post-COVID-19 complications. The results of this preliminary analysis necessitate vigorous research on the performance of vaccines against variants, optimal timing of vaccination, and also optimal timings of effectiveness studies to guide future vaccination policy., (© 2021 Wiley Periodicals LLC.)

Background/objective: Coronavirus disease 2019 (COVID-19) is a new disease; its clinical profile and natural history are evolving. Each well-recorded case in homeopathic practice is important for deciding the future course of action. This study aims at identifying clinically useful homeopathic remedies and their prescribing symptoms using the prognostic factor research model., Methods: This was an open-label, multi-centric, observational study performed from April 2020 to July 2020 at various public health care clinics. The data were collected prospectively from clinical practice at integrated COVID-19 care facilities in India. Good-quality cases were selected using a specific set of criteria. These cases were analyzed for elucidating prognostic factors by calculating the likelihood ratio (LR) of each frequently occurring symptom. The symptoms with high LR values (>1) were considered as prescribing indications of the specific remedy., Results: Out of 327 COVID-19 cases reported, 211 met the selection criteria for analysis. The most common complaints were fatigue, sore throat, dry cough, myalgia, fever, dry mouth and throat, increased thirst, headache, decreased appetite, anxiety, and altered taste. Twenty-seven remedies were prescribed and four of them- Arsenicum album, Bryonia alba, Gelsemium sempervirens , and Pulsatilla nigricans -were the most frequently used. A high LR was obtained for certain symptoms, which enabled differentiation between the remedies for a given patient., Conclusion: Homeopathic medicines were associated with improvement in symptoms of COVID-19 cases. Characteristic symptoms of four frequently indicated remedies have been identified using prognostic factor research, findings that can contribute to accurate homeopathic prescribing during future controlled research in COVID-19., Competing Interests: None declared., (Faculty of Homeopathy. This article is published by Thieme.)

Ethnopharmacological Relevance: Medicinal Plant resources of forest origin are extensively used in India for various systems of medicine like Ayurveda, Unani, Homeopathy, Allopathy, Siddha and Ethnic etc. The tribal communities around the Kakrajhore forest in West Medinipur district of West Bengal have their own traditional knowledge based system of curing many diseases using the forest based plant resources similar to ayurveda. The forest comprises of one of the unique treasure and rich source of diversified ethno-botanical wealth and therefore extensive studies is required for proper documentation including ethnomedicinal knowledge of local tribes., Aim of the Study: The present study was initiated with an aim to inventorize the ayurvedic medicinal plant recourses and explore the traditional knowledge of tribal people of Kakrajhore forest to treat several diseases along with the sustainable management and conservation of medicinal plants., Methods: The information on the medicinal plant resources were gathered through floristic inventorization with proper sampling method in the study area (N22°42'57.05″, E86°34'58.02″) during the year 2015. For floristic inventorization the study area of 312 ha was delineated by using GPS Receiver. Then total mapped area was divided by virtual grid of 100m apart in both East-West and North-South direction to allocate 60 sample plots by random sampling. In addition to inventorization, the use value (UV) of the species was determined and the informant consensus factor (ICF) was calculated for the medicinal plants found in the study area based on personal interview. Further exploration was carried out to establish linkage with Ayurveda., Results: The present survey has identified 57 numbers of ethno-medicinal plants belonging to 39 families, used for preparing medicinal remedies. The habit of the plants includes 35% trees, 28% shrubs, 23% herbs and 14% climbers. The most frequently utilized plant parts were the Roots & Tuber roots (26%), Stem which includes Bark, Tubers, Bulb, Rhizome, Gum, Wood & Young shoots (24%), Leaves (18%), Fruits (13%), and Seeds (10%). The most frequent happening ailments are asthma and bronchitis, constipation and dyspepsia, diarrhea, dysentery, ulcer, rheumatism, arthritis, fistula and piles troubles. Most of the Plants (88%) had more than a single therapeutic use. The most important plant species on the basis of use value were Smilex ovalifolia, Emblica officinalis, Curculigo orchioides, Croton roxburghii, Asparagus racemosus, Ziziphus nummularia, Ichnocarpus frutescens, Cisssus adnata, Buettneria herbacea, Litsea glutinosa, Vernonia anthelmintica and Chlorophytum borivilianum. There was a strong agreement among the informants related to the usage of the plants (ICF 0.65-0.93). As per the standard literature in Ayurveda, maximum numbers of documented species (33) are found to be used for 'digestive system disorder' which is analogous to ethnomedicinal use (30), followed by 'skin related problem' i.e. 13 and 20 respectively., Conclusions: Results show that people living around Kakrajhore forest area hold valuable knowledge of the uses of plant resources and some of the ayurvedic plants represent an important component in local livelihood. Though the Kakrajhore Forest area is rich in medicinal plant resources but the species are susceptible to be endangered by intense exploitation by human communities. More in-depth investigations are required for plants with high UV values on their possible phytochemical and pharmacological activity. Apart from this, sustainable management approach and proper conservation strategy for the area is recommended by involvement of local communities and forest department., (Copyright © 2016 Elsevier Ireland Ltd. All rights reserved.)

Kol, Bhil and Gond are some of the ancient tribal populations known from the Ramayana, one of the Great epics of India. Though there have been studies about their affinity based on classical and haploid genetic markers, the molecular insights of their relationship with other tribal and caste populations of extant India is expected to give more clarity about the the question of continuity vs. discontinuity. In this study, we scanned >97,000 of single nucleotide polymorphisms among three major ancient tribes mentioned in Ramayana, namely Bhil, Kol and Gond. The results obtained were then compared at inter and intra population levels with neighboring and other world populations. Using various statistical methods, our analysis suggested that the genetic architecture of these tribes (Kol and Gond) was largely similar to their surrounding tribal and caste populations, while Bhil showed closer affinity with Dravidian and Austroasiatic (Munda) speaking tribes. The haplotype based analysis revealed a massive amount of genome sharing among Bhil, Kol, Gond and with other ethnic groups of South Asian descent. On the basis of genetic component sharing among different populations, we anticipate their primary founding over the indigenous Ancestral South Indian (ASI) component has prevailed in the genepool over the last several thousand years.

A successful strategy for developing affordable diagnostics begins with a shift in viewpoint. Diagnostics is a tool for generating clinical information. Amassed experience in different parts of the globe has shown that this process of generating and utilizing clinical information is not only different among various countries but also different in microenvironments within the same country. The development of affordable diagnostics requires consideration not only of the component costs such as hardware and consumables but also other related costs that contribute to the generation and delivery of that information. It is important to recognize that these costs associated with public health in resource-poor settings cannot remain at the mercy of charitable contributions from western nations. Therefore, the challenge of technological innovation is to create solutions that are locally affordable and sustainable in the long run within the local macroeconomic constraints. The solutions should permit generation of local economic activity that will reinforce long-term economic sustainability. For this reason it is essential not only to analyze the diagnostic process but also to define a pathway by which local healthcare systems in recipient nations can be endowed with elements that empower them to acquire and practice up-to-date modern diagnostic skills. The objective of this paper is to provide a wider view of diagnostic cost components and to show how solutions developed and delivered locally have resulted in economically affordable as well as sustainable products., (Copyright 2008 Clinical Cytometry Society.)

In a prospective controlled study the anti-infective properties of breast-milk were evaluated in 70 high-risk low-birth-weight infants. 32 babies (group I) were given fresh expressed breast-milk during the day and milk formula at night. 38 infants (group II) received only milk formula and served as controls. The two groups were matched for other factors that could influence the occurrence of infection. The incidence of infections was significantly less (p < 0.01) in babies who received breast-milk.