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Introduction There is a need to assess and strengthen reproductive rights-based family planning and abortion services in Indian medical schools that play a key role in medical education and service delivery. This study presents the findings of baseline assessment across nine schools in two states and one union territory with objective to assess, identify the gaps and improve the status of reproductive rights and evidence-based family planning and abortion services in Indian medical schools. Methods A convergent parallel mixed methods study was conducted in nine medical schools in Rajasthan, Gujarat, and Chandigarh a Union territory in India from October 2018 to June 2019. In-depth interviews with 33 faculty from the Department of Obstetrics and Gynaecology were conducted. The COM-B (Capability, Opportunity, and Motivation) model of behaviours was used to qualitatively identify barriers and facilitators of reproductive rights-based family planning and abortion services. Reproductive health services provided to 104 women for family planning and abortion were observed quantitatively using a pre-tested checklist. Findings Providers’ preference bias in recommending contraceptive methods to specific clients (wherein sterilisation was offered to women with two or more children and IUCD to women with one child) was observed as barrier to reproductive rights. The facilitators of rights based reproductive services included well-informed faculty regarding providing dignified and respectful care. Barriers included infrastructure gaps, high workload, insufficient human resources affecting privacy, and lower awareness and decision-making power of clients. Family planning counselling using the cafeteria approach was offered in 69.4% of cases, 31.6% of women seeking abortion services were offered counselling on both family planning and abortion. Sterilisation or IUD insertion was a pre-condition in 36.8% of women requesting an abortion. Conclusions Right-based reproductive services around family planning counselling and abortion services were delivered partially despite the medical schools’ trained faculty, mainly due to provider bias, high workload, and less autonomy and lower awareness of reproductive rights among women.

Objectives 1. To determine the prevalence of Metabolic Syndrome in adults aged 18 years and above in Chandigarh, India. 2. To determine the socio-demographic factors associated with MS. 3. To determine the agreement between IDF (International Diabetes federation definition) and ATP-III (National Cholesterol Education Program Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults criteria). Methods In a community based cross-sectional study, total 605 subjects aged 18 yrs and above were studied using multistage random sampling. Results Prevalence of Metabolic Syndrome was estimated by using IDF and ATP-III criteria. By IDF, Metabolic Syndrome was found in 287 (47.4%) subjects and it was more prevalent among females 171 (59.6%) as compared to males 116 (40.4%). By applying ATP-III overall prevalence was less i.e. 233 (38.5%) but again its prevalence was more among females 141 (44.8%) than males 116 (39.5%). Higher socioeconomic status, sedentary occupation and high body mass index were significantly associated with Metabolic Syndrome. Conclusions Metabolic Syndrome is a major health problem in the region and proper emphasis should be given on its prevention and control.

The average distribution of precipitation provides essential input for understanding the hydrological process. The role of complex topography in mountainous basins makes the spatial distribution of precipitation different than the plain areas. Besides the rugged topography, the Himalayan basins also face the problem of limited physical accessibility and data availability. In this study, seasonal and annual distribution of rainfall with elevation and distance from the lower most station (Akhnoor) has been studied for the Chenab basin (western Himalayas). The study basin covers all the three ranges i.e. outer, middle and greater Himalayas. The rainfall stations are grouped into windward and leeward categories. The trends of spatial distribution of rainfall are discussed in detail. Attempts are also made to investigate the impact of reduced network on the mean annual rainfall of the Chenab basin. A reduction in rain gauges from 42 to 19 has resulted in an increase in the estimate of mean annual rainfall by 14% with respect to the estimate obtained using 42 stations network.

Tuberculosis continues to be a pressing health problem in India. The Revised National Tuberculosis Programme (RNTCP), an application of Directly Observed Treatment Short-course (DOTS) in India, launched in 1997 needs continuous evaluation. To study the outcomes of treatment among the patients put on DOTS under RNTCP in Chandigarh, UT. MATERIAL #ENTITYSTARTX00026; A Longitudinal study was conducted during 2004-2005 in 13 Microscopic centres (MC's) spread over 2 Tuberculosis Units (TU's) under District Tuberculosis Centre (DTC) in Union Territory (UT), Chandigarh. A sample of 265 respondents, selected by two-stage stratified random sampling technique, was recruited in the study cohort. Data analysis was done using SPSS-10 statistical software package. For Category I and Category II patients, the Success rate was 98.6% and 90.4% respectively. The overall default rate was 1.1% and failure rate was 2.6%. For re-treatment cases, failure rate was higher i.e. 5.8%. The sputum conversion rate among the new smear positive cases was 93.8% at 3 months of treatment. For the re-treatment cases, spu-tum conversion rate at 3 months was 94.1%. The study concludes that RNTCP is running successfully in UT Chandigarh, having high success rate and low default rate. The reasons for high failure rate should be explored in depth.

Background : Communicable disease surveillance is to have baseline data which will be helpful for planning and also for identifying epidemics under non-evident conditions. Objective : To delineate the pattern of occurrence of communicable diseases so as to enable early identification, followed by appropriate and timely response to outbreaks. Materials and Methods :Reports of listed communicable diseases from various departments and centers of Government Medical College, Chandigarh, involved in clinical care and laboratory diagnosis, were collected by the Department of Community Medicine on a weekly basis. Analysis of surveillance data was done for a period of 1 year - including reports from March 2005 to February 2006. Statistical Analysis : Percentage, normal test of proportions, time series analysis. Results : Out of 19,378 cases of various communicable diseases, 11,575, i.e., more than half, were dealt with by health centers. Thus maximum cases of acute respiratory infections (ARIs) [8,278 (71.87%)] and acute diarrheal diseases (ADDs) [3,148 (54.4%)] were dealt with by health centers. Of 19,378 cases, 11,518 (59.44%) were of ARIs, 5,786 (29.86%) of ADDs and 550 (2.84%) of pulmonary tuberculosis. There was no significant difference in the incidence of either disease between two sexes. Most, i.e., 4,413 (38.31%), cases of ARIs and 512 (86.49%) cases of pneumonia were reported in winter; ADDs - 2,607 (45.05%) in summer; and typhoid - 94 (41.04%) in the monsoon season. Conclusion : Maximum workload of common communicable diseases was borne by health centers. The most common morbidity was ARIs, followed by ADDs and pulmonary tuberculosis. No significant gender predilection was seen. Overall reporting of communicable diseases observed in three different seasons was found to show a gradual increase from winter to summer through monsoon. Some specific seasonal trends were demonstrated by various morbidities.

This study is carried out with the objective of examining the effect of altitude on water availability estimates for the various sub-basins of the Chenab river basin (mean elevation of the basin is 3600 m), which is a snow-fed Himalayan river basin located in the western Himalayas. This basin covers all three Himalayan ranges, i.e. outer, middle and greater Himalayas. For this study, the daily flow data of 11 gauging sites varying from 14 years to 23 years in the Chenab river basin are utilised. The other important information related to the physiography, hydrology and meteorology, etc, for the region are derived from the available literature and maps. The daily flow data of nine gauging sites are utilised for developing the regional relationships for water availability computations. These relationships are tested over the remaining two gauging sites. The regional relationships are developed using three different approaches. These approaches include: (i) parameter regionalisation for individual gauged sites of selected probability distribution, (ii) regionalisation of dependable flows and (iii) parameter regionalisation for the region as a whole of the selected probability distribution. The different methods are compared and discussed in detail. It is observed that the flow for a given dependability increases with catchment area and decreases with altitude. The flows of the catchments at higher altitudes exhibit larger variability in comparison to the catchments at lower altitudes. The regional relationships are recommended for the use of field engineers.

The objective of this review is to discuss definition, determinants, and management issues of the metabolic syndrome in children with a focus on South Asians. The literature search was done using the PubMed search engine (National Library of Medicine, Bethesda, MD, USA). Manual searches for other important references and medical databases were also done. There is a need for an integrated definition of the metabolic syndrome in children and adolescents, taking cognizance of the ethnic-specific variations. Obesity and body fat patterning are important determinants of insulin resistance and the metabolic syndrome in children and ethnic variations in these parameters are seen. Excess body fat and thicker truncal subcutaneous fat are important predisposing factors for development of insulin resistance in South Asian children. Because the metabolic syndrome tracks into adulthood, its manifestations need to be recognized early for prevention of diabetes and coronary heart disease. Therapeutic lifestyle changes, maintenance of high levels of physical activity and normal weight are most important strategies; pharmacologic therapy for individual components of the metabolic syndrome is occasionally needed. The metabolic syndrome in children is an important clinical marker of diabetes and coronary heart disease in adults. In view of the rapid increase in the metabolic syndrome in most populations, high-risk screening and effective public-intervention educational programs are urgently needed.

Two diets containing no (< 1.0 mg/kg) or 95 mg of fumonisin B1 (FB1)/kg were fed to eight weanling Angora goats for 112 d. Dry matter intake, apparent nutrient digestibilities, serum chemistry profiles, sphingolipid concentrations, and persistency of FB1 in tissues were evaluated. No differences (P > .10) were found between control and treated goats in terms of DMI, apparent nutrient digestibilities, or ADG. Elevated concentrations (P < .10) of blood-borne enzymes such as aspartate aminotransferase, lactate dehydrogenase, and gamma glutamyl transpeptidase and increased concentrations of cholesterol and triglycerides indicated mild liver damage and kidney dysfunction in treated goats. Linear relationships (P <.10) were observed between these serum constituents and duration of FB1 exposure. The sphingolipid analysis of liver, kidney, and heart tissues showed elevated free sphinganine:free sphingosine ratios in the treated group. The elevated sphingolipid ratios were mainly due to increased concentrations of free sphinganine in tissues. However, without serum profile and sphingolipid analyses, fumonisin toxicosis would not have been recognized because treated animals showed no clinical signs of toxicosis throughout the trial. No measurable FB1 was present in liver, kidney, and heart tissues (detection limit of 1 ppm). However, further research is needed to analyze tissues for FB1 or its metabolites with a lower detection limit. In conclusion, goats can be fed for up to 112 d with diets containing 95 mg FB1/kg of diet without any overt signs of toxicosis and also without any effect on live weight gain.

Gastrointestinal absorption tests including fat absorption ratio, D-xylose and vitamin β12 absorption were carried out in 98 children aged 3 to 6 years, with varying levels of nutrition. The children selected for the study did not suffer from diarrhoeal diseases in the 6 to 10-week period preceding the study. The number of abnormal tests of absorption was similar in children with mild to moderate malnutrition and those normally nourished, but sharply rose among those with severe malnutrition. The values of absorption of fat, D-xylose and vitamin β12 also demonstrated a parallel trend in various weight-for-height and weight-for-age groups. There was significant derangement of absorption in wasted, stunted and stunted-cum-wasted groups of children as compared to those with height-for-age about 80%, and optimal weight.