Evaluating the influence of ambient conditions in the cooking space of railway pantry car using selected thermal indices and physiological parameter.

Background: Hot and humid indoor environment of the kitchen affects worker performance. The Indian Railway's pantry car culinary is one of them that cooks food for the on-board passengers, which could be bothered by the hot indoor climate.

Objective: The current study aimed to identify the indoor working environment of the railway "pantry car" using heat stress indices such as "Universal Thermal Climate Index-UTCI," "Wet-Bulb Globe Temperature-WBGT," "Discomfort Index-DI," "Tropical Summer Index-TSI," "Heat Index-HI," and Heart Rate-HR with clothing insulation.

Frontal changes in medium-sized glaciers in Sikkim, India during 1988-2018: Insights for glacier-climate synthesis over the Himalaya.

The study assesses terminus retreat of medium-sized glaciers (1988-2018) using geospatial dataset and field study in Sikkim which is under the direct influence of the Indian SW monsoon. It also explores the causes of intra-regional and inter-regional diverse patterns of glacier retreat under the purview of topographical and climatic factors to develop a glacier-climate synthesis over the region. Glaciers have retreated in a range from 63.

Tuberous Sclerosis Complex-Varied Presentations in Family Clusters.

Tuberous sclerosis complex (TSC) is a disease of varying presentations characterised by the presence of multiple hamartomas in various organ systems in the body. This is an Autosomal dominant disease with damages in two suppressor genes namely TSC1 and TSC2 located on chromosome 9 (9q34-hamartin) and chromosome 16 (16p13.3-tuberin).

Analyzing musculoskeletal risk-severity among small scale casting workers using ergonomic assessment tools: A statistical approach.

Background: Work-related musculoskeletal disorders (WMSDs) are leading cause of injuries among economically backward workers employed under small scale metal casting units especially in developing countries. In India, most casting unit's falls under small and medium enterprises having inadequacy of advanced technological equipment's due to several economic constraints and rely intensively on manual labour. Foundry work is very much prone to WMSDs involving much physical interaction of workers with their jobs which includes several risk factors.

Assessment of thermal comfort in a hot and humid indoor built environment of a kitchen at a university canteen.

Background: The hot and humid environment inside the kitchen is a cumulative sign of health impact that deteriorates the well-being and productivity of cooking workers, which could be a barrier to thermal comfort. As the cooking task progresses throughout the day, uncomfortable thermal conditions inside a kitchen work environment may diminish the work quality of the kitchen workers.

Objective: The objectives of the study were to evaluate the measured environmental factors of thermal comfort during various cooking periods [morning, day, evening, night] and examine the occupant's perception votes followed by further investigating the worker's thermal comfort conditions using PMV, PPD, SET, WBGT, and TSI indices.

Analyzing musculoskeletal risk prevalence among workers in developing countries: an analysis of small-scale cast-iron foundries in India.

Musculoskeletal disorders (MSDs) are the most common health issues around the globe and a major cause of disability among workers. In developing countries, most casting industries fall under Small and Medium Scale Enterprises (SMEs); SMEs lack modern equipment and often intensively rely on manual labor. As processes are mainly labor intensive, workers employed in the metal casting sector are often at risk of MSDs.

Climatic variability at Gangtok and Tadong weather observatories in Sikkim, India, during 1961-2017.

The present study documents the long-term trends in the temperature and precipitation of a poorly represented region, the Sikkim, eastern Himalaya using the Mann-Kendall non-parametric test and the Sen's slope estimator. Additionally, the normal distribution curves and Cusum charts have been used to identify the shifts in extreme events and to detect the points of change in the climatic data series for robust analysis. The minimum temperatures recorded a positive trend in Gangtok (0.

Evaluation of Risk Factors for Exchange Range Hyperbilirubinemia and Neurotoxicity in Neonates from Hilly Terrain of India.

Background And Aim: Neonatal hyperbilirubinemia continues to be the most common cause of hospital admissions and readmissions in the neonatal population worldwide and this pattern continues despite attempts to identify neonates at risk of pathological hyperbilirubinemia. Therefore, this study aimed to study the risk factors for severe hyperbilirubinemia in neonates.

Materials And Methods: An observational prospective study was undertaken for 1 year in neonates with hyperbilirubinemia requiring double volume exchange transfusion in neonatology unit of a tertiary rural health care hospital.

An eleven year old boy with pain abdomen and early morning neuroparalytic syndrome.

An 11 year old boy presented with pain abdomen and tenderness all over body when he got up from sleep early in the morning and subsequently had one vomiting after 30 min. He had no other significant past medical history. The child was shifted to nearby health facility where he was managed as a case of acute abdomen on the basis of suggestive history and clinical findings.

The changing profile of infantile tremor syndrome in hilly terrain of India.

Background: Infantile tremor syndrome (ITS) is characterized by anemia, skin pigmentation, tremors, physical, and mental regression without a defined etiopathogenesis and low incidence.

Materials And Methods: We have studied 9 patients over 1 year for the changing clinical and laboratory variables of patients with ITS. Neuroregression and anemia were presented in all followed by tremors in 5 and hypotonia in 2.

Formative assessment in postgraduate medical education - Perceptions of students and teachers.

Context: One of the most important factors of medical education that can revolutionize the learning process in postgraduate students (PGs) is assessment for learning by means of formative assessment (FA). FA is directed at steering and fostering learning of the students by providing feedback to the learner. However, though theoretically well suited to postgraduate training, evidence are emerging that engaging stakeholders in FA in daily clinical practice is quite complex.

Clinical and demographic profile of snake envenomation in Himachal Pradesh, India.

We describe profile of 60 children [mean (SD) age, 9.5 (3.8) y] presenting to the department of Pediatrics with snake envenomation.