A comprehensive review on the treatment of pesticide-contaminated wastewater with special emphasis on organophosphate pesticides using constructed wetlands.

Pesticides pose a significant threat to aquatic ecosystems due to their persistent nature and adverse effects on biota. The increased detection of pesticides in various water bodies has prompted research into their toxicological impacts and potential remediation strategies. However, addressing this issue requires the establishment of robust regulatory frameworks to determine safe thresholds for pesticide concentrations in water and the development of effective treatment methods.

Framework and Overview of a State-Wide College Mental Health Program in Kerala, India.

Background: Mental health issues are common among college students, and structured services have been proven to enhance outcomes. Despite increased enrolment for higher education in India, college mental health services remain sparse. JEEVANI is the first structured state-wide college mental health service in India.

Psychosocial Intervention Model of Kerala, India During Pandemic COVID-19: "Ottakkalla Oppamundu (You're not alone, we're with you)".

Globally, the coronavirus disease 2019 (COVID-19) pandemic has resulted in several psychosocial manifestations across all socioeconomic strata. This study attempted to explore the details of a psychosocial support system implemented in Kerala, India, to address psychosocial issues during this pandemic. It employed a descriptive approach using qualitative and quantitative methods.

Management of Untreated Classical Bladder Exstrophy in Adults: A Single-Institutional Experience.

Objectives: To report our single center experience in the management of untreated adult classical bladder exstrophy.

Materials And Methods: A retrospective review of 25 adults aged ≥18 years who underwent repair of the classical bladder exstrophy from April 2000 to February 2020 was performed. Patients with prior repair and neoplastic changes in the exposed bladder mucosa were excluded.

Psychiatric morbidity in the community: A population based-study from Kerala.

Background: Estimates of psychiatric morbidity in the community will help service development. Participation of trained nonspecialist health-care providers will facilitate scaling up of services in resource-limited settings.

Aims: This study aimed to estimate the prevalence of priority mental health problems in populations served by the District Mental Health Program (DMHP).

Can Erectile Dysfunction in Young Patients Serve as a Surrogate Marker for Coronary Artery Disease?

Introduction: Early diagnosis and expeditious management of coronary artery disease (CAD) has a rewarding survival benefit.

Aim: To study whether erectile dysfunction (ED) serves as a surrogate marker for CAD in a young patient.

Settings And Design: Males (n=207) between ages 20-60 years with ED were evaluated prospectively for risk factors for CAD.

Paraganglioma of Urinary Bladder Presenting as An Early Preeclampsia with Successful Perinatal Outcome After Surgery: A Case Report and Review of Literature.

Paraganglioma in urinary bladder associated with pregnancy is extremely rare with a prevalence of less than 1%. We report a case of 25-year-old pregnant female who presented with gross haematuria and clot retention during first trimester. MRI pelvis showed a mass antero- inferior to bladder.

Cost of neonatal intensive care in a tertiary care center.

Background: The number of neonatal intensive care units (NICUs) in India has increased substantially over the last decade; yet many more are required. There is limited information on the actual costs of setting up and running an NICU in India.

Objective: Systematic and comprehensive calculation and analysis of the costs of neonatal intensive care in a tertiary care teaching hospital.

Camptomelic dysplasia: prenatal diagnosis by ultrasound.

We report a case of camptomelic dysplasia, an extremely rare lethal congenital bony dysplasia with an incidence of about 2 per million live births. Diagnosis was made antenatally at a gestational age of about 25 weeks by sonographic demonstration of anterior bowing of long bones, hypoplastic scapulae, bilateral talipes equinovarus, and normally ossified unfractured ribs. The mother elected to terminate the pregnancy, and the diagnosis was confirmed on clinical and radiographic examination of the fetus.

Changing trends in the management of respiratory distress syndrome (RDS).

The management of respiratory distress syndrome (RDS) has advanced because of improvements in mechanical ventilators, promotion of antenatal steroids, availability of surfactant and overall advancements in neonatal intensive care. Intermittent mandatory ventilation still forms the mainstay of assisted ventilation. Newer modes of ventilation have not delivered the results as promised.

Sinus histiocytosis with massive lymphadenopathy: complicated by autoimmune hemolytic anemia.

Sinus histiocytosis with massive lymphadenopathy is a rare histiocytic disorder with very few case reports in Indian literature. Immunological abnormalities have been documented in few cases. We report one such case of a child presenting with generalized lymphadenopathy and complicated by autoimmune hemolytic anemia, suggestive of an associated immune dysfunction.

Unusual manifestations of VACTERL association.

We report a case of VACTERL association along with unusual manifestations of pseudo-exostrophy of bladder, hemifacial microsomia and an urachal cyst communicating with the bladder.