Improving medication adherence among persons with cardiovascular disease through m-health and community health worker-led interventions in Kerala; protocol for a type II effectiveness-implementation research-(SHRADDHA-ENDIRA).

Background: Cardiovascular disease (CVD) is the leading cause of mortality worldwide, and at present, India has the highest burden of acute coronary syndrome and ST-elevation myocardial infarction (MI). A key reason for poor outcomes is non-adherence to medication.

Methods: The intervention is a 2 × 2 factorial design trial applying two interventions individually and in combination with 1:1 allocation ratio: (i) ASHA-led medication adherence initiative comprising of home visits and (ii) m-health intervention using reminders and self-reporting of medication use.

The effect of social determinants of health on severity of microbial keratitis presentation at a tertiary eye care hospital in Southern India.

Purpose: Understanding the association between social determinants of health (SDoHs) and microbial keratitis (MK) can inform underlying risk for patients and identify risk factors associated with worse disease, such as presenting visual acuity (VA) and time to initial presentation.

Methods: This was a cross-sectional study was conducted with patients presenting with MK to the cornea clinic at a tertiary care hospital in Madurai, India. Patient demographics, SDoH survey responses, geographic pollution, and clinical features at presentation were collected.

The Covid-19 effect on medical students' perceptions of their profession: A mixed methods study from South India.

Covid-19 has devastated human lives and stretched the limits of the medical profession and health systems. Using the mixed methods of online survey and online focus group discussions, we assessed how medical students and interns of two medical colleges in South India viewed the profession they had chosen. Of the 900 participants, 571(63.

A congenital syphilitic child to an adequately treated syphilitic mother.

A mentally ill antenatal mother of 34 weeks gestation was diagnosed as a case of latent syphilis of unknown duration and was treated adequately with benzathine penicillin. One month after last dose of penicillin she delivered a male baby without any clinical or radiological evidence of syphilis, but reactive RPR in 1:64 dilution. Baby was treated as per CDC guidelines.

Novel frameshift variant (c.409dupG) in is a common cause of congenital sideroblastic anaemia in the Indian subcontinent.

Aims: Congenital sideroblastic anaemias (CSAs) are a group of rare disorders with the presence of ring sideroblasts in the bone marrow. Pathogenic variants are inherited in an autosomal recessive/X-linked fashion. The study was aimed at characterising the spectrum of mutations in and genes in sideroblastic anaemia patients, exploring the genotype-phenotype correlation and identifying the haplotype associated with any recurrent mutation.

Molecular Characterization of G6PD Deficiency: Report of Three Novel G6PD Variants.

G6PD deficiency is a monogenic, X-linked genetic defect with a worldwide prevalence of around 400 million people and an overall prevalence of 8.5% in India. Hemolytic anemia is encountered in only a small proportion of patients with G6PD variants and is usually triggered by some exogenous agent.

Validation of the Risk Score for Maternal Cardiac Complications in Women with Cardiac Disease in Pregnancy: A Retrospective Study.

Aim Of The Study: To validate the new cardiac risk scoring system, Sheela's Cardiac Disease in Pregnancy (SHE-CDIP), in predicting the cardiac complications in women with cardiac disease in pregnancy.

Materials And Methods: The study was conducted at a tertiary care hospital in South India, over a period of 5 years from January 2010 to January 2015. Pregnant women with heart disease included in this study were 102, and data was collected from medical records.

Eruptive Lichen Planus, a Marker of Metabolic Syndrome.

Background: Chronic inflammatory diseases take an important place in dermatology and their effects range from mild itching to grave metabolic complications. In psoriasis, association with metabolic syndrome (MS) has been proved in many studies. Chronic inflammation is a trigger of MS, and in turn, the components of MS, namely obesity and dyslipidemia, promote a pro-inflammatory milieu.

Thyroid dysfunction in patients on antiretroviral therapy: A perspective from southern India.

Background: Thyroid dysfunction in patients with human retroviral infection has been reported but the prevalence of thyroid function abnormalities in patients on highly active antiretroviral therapy (HAART) has not been studied. We aimed to assess the prevalence of thyroid dysfunction and autoimmunity (antithyroid peroxidase auto-antibodies [TPO-Ab]) in patients on first-line HAART, identify risk factors for thyroid dysfunction and determine any association of thyroid dysfunction with HAART.

Methods: We screened and enrolled consecutive patients from the outpatient department if they were (i) diagnosed with HIV infection (enzyme-linked immunosorbent assay); (ii) aged more than 18 years; (iii) on HAART for 1 year or more; and (iv) clinically stable with no evidence of any acute illness in the past 2 months.

Differential Evolution Algorithm with Diversified Vicinity Operator for Optimal Routing and Clustering of Energy Efficient Wireless Sensor Networks.

Due to large dimension of clusters and increasing size of sensor nodes, finding the optimal route and cluster for large wireless sensor networks (WSN) seems to be highly complex and cumbersome. This paper proposes a new method to determine a reasonably better solution of the clustering and routing problem with the highest concern of efficient energy consumption of the sensor nodes for extending network life time. The proposed method is based on the Differential Evolution (DE) algorithm with an improvised search operator called Diversified Vicinity Procedure (DVP), which models a trade-off between energy consumption of the cluster heads and delay in forwarding the data packets.

Municipal Solid Waste Management in Kadapa Town: A Case Study.

Solid waste management (SWM) is a worldwide phenomenon. It is a big challenge all over the world for human beings. The problem of municipal solid waste management (MSWM) is also prevailing in the environment of Kadapa town in India.

Synthesis, structure, negative thermal expansion, and photocatalytic property of Mo doped ZrV2O7.

A new series of compounds identified in the phase diagram of ZrO(2)-V(2)O(5)-MoO(3) have been synthesized via the solution combustion method. Single crystals of one of the compounds in the series, ZrV(1.50)Mo(0.

Potential factors related to waist circumference in urban South Indian children.

Objectives: To identify important factors (linked to lifestyle, eating and sedentary behaviors) relating to waist circumference among urban South Indian children aged 3 to 16 years.

Design: Cross sectional.

Setting: Urban schools of Bangalore, from August 2008 to January 2010.

Waist circumference and waist for height percentiles in urban South Indian children aged 3-16 years.

Objectives: To develop age and gender specific waist circumference references for urban Indian children aged 3 -16 years.

Design: Cross-sectional study.

Setting: Urban preschools and schools of Bangalore.

Aerobic Fitness and Cognitive Functions in Economically Underprivileged Children Aged 7-9 Years: A preliminary Study from South India.

This study examined the relationship between aerobic fitness and cognitive functions in 7-9 year old school going children hailing from a socio-economically disadvantaged background in Bangalore, India. Ninety eight children (51% boys and 49% girls) were assessed on height, weight, BMI, aerobic fitness (multistage 20 m shuttle test) and cognitive functions (verbal tests: comprehension, arithmetic, vocabulary, analogies; performance tests: block design, object assembly and coding). Number of shuttles was significantly positively correlated with two of the cognitive tests: comprehension (p=0.

Follicular dendritic cell sarcoma of inguinal lymph node--a case report.

Follicular dendritic cell sarcomas (FDCS) are rare neoplasms that involve lymph nodes or extranodal sites. They show varied histological features and thus can be mistaken for carcinoma or sarcoma. Correct identification is important for further management.

Adsorption of anionic dyes on to waste Fe (III)/Cr (III).

Waste Fe (III)/Cr (III) hydroxide was investigated for the removal of anionic dyes, namely acid brilliant blue (acidic dye) and procion red (reactive azo dye) from aqueous solution. In batch experiments, parameters studied include contact time, adsorbate concentration, pH, adsorbent dose and temperature. Adsorption followed Langmuir isotherm with adsorption capacity of 10.

Bacteriology of diabetic foot lesions.

Clinical grading and bacteriological study of 107 patients with diabetic foot lesions revealed polymicrobial aetiology in 69 (64.4%) and single aetiology in 21 (19.6%).

Self reported morbidity and awareness regarding common cancers in elderly women.

A study based on 198 women above 45 years of age was undertaken using interview methods in a house to house survey, to find the self reported morbidity and awareness regarding common cancers and screening tests. In this study the most commonly reported morbidity was due to reproductive system and related problems. Among reported problems the most common was visual (66.

Maternal and child health services utilization in married women of age 15- 45 years.

A house-to-house survey was carried out in Edavanakad Panchayat in Ernakulam district of Kerala to study the utilization and satisfaction from the MCH services provided by the Government and private hospitals. In all 92 women of age 15-45 were selected for the study. The use of private hospital for delivery increased with education.

Trends of head and neck cancers in urban and rural India.

Background: The sub-site predilection of head and neck squamous cell carcinoma (HNSCC) reflects the risk profile of a community and there are suggestions that these are changing over time.

Objective: To determine the change in head and neck cancer in rural and urban populations in India.

Methods: Cancer registry data of an urban and a rural population were reviewed over a period of 13 and 11 years, respectively.

Removal of direct red 12B and methylene blue from water by adsorption onto Fe (III)/Cr (III) hydroxide, an industrial solid waste.

Removal of direct red 12B and methylene blue by adsorption onto Fe (III)/Cr (III) hydroxide was studied using various parameters such as agitation time, dye concentration, adsorbent dose and pH. Equilibrium adsorption data followed both Langmuir and Freundlich isotherms. Adsorption followed second-order rate kinetics.