Management of Diarrhea in Under-fives at Home and Health Facilities in Kashmir

BACKGROUND

Diarrheal disease forms one of the two major killer diseases in children under five years of age in the developing world. There are inherent cultural practices for management of diarrhea at the domestic level. Also, the treatment practices at health centers vary, with inappropriate use of antibiotics, and iv fluids observed commonly, while ORS is less frequently used.

METHODOLOGY

Cross sectional study was carried out using pretested interview schedule between January and December 2006, in villages of Kashmir Valley.

RESULTS

The ORS use rate is low (24.4% and 8.4%) respectively in past and current episode. Cultural practices include harmful ones like starving to overcome the episode. The rate of Antibiotic use is higher with 77.9%.

CONCLUSION

Kashmir valley faces the same problems in effective diarrhea management as in other developing regions of India and the world, viz. less ORS use, high antibiotic use and harmful cultural practices like giving bowel rest.

The exchange bias effect in phase separated Nd(1-x)Sr(x)CoO(3) at the spontaneous ferromagnetic/ferrimagnetic interface

We report new results for the exchange bias effect in Nd(1-x)Sr(x)CoO(3) for x = 0.20 and 0.40, where the exchange bias phenomenon is involved with the ferrimagnetic (FI) state in a spontaneously phase separated system. The zero-field-cooled magnetization exhibits FI (T(FI)) and ferromagnetic (FM; T(C)) transitions at ∼23 and ∼70 K, respectively, for x = 0.20. Negative horizontal and positive vertical shifts of the magnetic hysteresis loops are observed when the system is cooled through T(FI) in a positive static magnetic field. A training effect is observed for x = 0.20, which could be interpreted satisfactorily by the spin configurational relaxation model. The unidirectional shifts of the hysteresis loops as a function of temperature exhibit an absence of exchange bias above T(FI) for x = 0.20. Analysis of the cooling field dependence of the exchange bias field and magnetization indicates that the FM clusters consist of a single magnetic domain with an average size of around ∼20 and ∼40 Å for x = 0.20 and 0.40, respectively. The sizes of the FM clusters are close to the percolation threshold for x = 0.20; these grow and coalesce to form the bigger size for x = 0.40 resulting in a weak exchange bias effect.

Biotransformation of L-tyrosine to tyramine by the growing cells of Lactococcus lactis

The potential of pyridoxal-5-phosphate dependent tyrosine decarboxylase (E.C. 4.1.1.25) of Lactococcus lactis was explored for the biotransformation of L-tyrosine to tyramine. Maximum bioconversion of L-tyrosine to tyramine was achieved in tyramine production medium (pH -5.5) at 30 degrees C after 16 h of incubation with 0.2% L-tyrosine. The yield oftyramine was found to be 11.8 microg/mL by the growing cells of L. lactis at shake flask level. Growth medium and different physico-chemical parameters to maximize the biotransformation of L-tyrosine to tyramine were optimized and yielded 1.9-fold increased synthesis of tyramine.

Reply to comment on 'Particle size dependent exchange bias and cluster-glass states in LaMn(0.7)Fe(0.3)O(3) '

In reply to the comment by Geshev we emphasize that loop shift in the compounds is not a simplified phenomenon of minor loop effect of a ferromagnet rather, it is a genuine signature of exchange bias effect. The estimate of anisotropy field and the plot of exchange bias field at 5 K with the maximum field used for the measurement of hysteresis loop, in addition to the previously reported results such as temperature dependence of exchange bias field, training effect, etc, confirm the exchange bias effect.

Dominant dipolar interaction and glassy magnetic behaviour in polymer-coated magnetite nanoparticles

The static and dynamic properties of magnetization have been investigated for polymer-coated magnetite nanoparticles with sizes from 5 to 15 nm. The analysis of the temperature dependence of zero-field-cooled magnetization indicates that the effective anisotropy constant is found to increase with the decrease of particle size, which is ascribed to the increase of surface anisotropy. The relaxation of the remanent magnetization clearly shows the signature of dominant dipolar interparticle interaction. The dynamics of magnetization also indicates the signature of glassy magnetic behaviour. The memory effect in the temperature dependence of field-cooled magnetization is noticed, which is inconsistent with the glassy magnetic behaviour.

Factors affecting induction and development of in vitro rooting in apple rootstocks

Shoots of apple rootstocks raised in vitro were transferred to various rooting media to study the effect of different factors on root initiation and development. Various concentrations of indole-3-butyric acid (IBA) initiated rooting but maximum rooting percentage was found with 2.0 and 2.5 mg l(-1) of IBA in M7 and with 1.0 mg l(-1) of IBA in MM106. The drawback was that the roots were thick, short and with profuse callus. The presence of activated charcoal (AC) in the rooting medium improved the rooting quality but reduced the rooting percentage in both the rootstocks. In high auxin dip of 70, 80 and 90 mg l(-1) IBA for 2, 2 and 1 hr showed 75-85 per cent rooting in M7, but lacked reproducibility of the results. Whereas in MM106, 66 - 70 % rooting was achieved with 70 mg l(-1) of IBA dip for 3 h. Root induction in shoots in IBA containing liquid medium (LM) in dark for few days and root elongation in IBA--free medium in light proved most effective. On the other hand, continuous light treatment showed reduced rooting. Reduction of MS salts and sucrose in root elongation medium showed decreased rooting. Plantlets from two--stage rooting procedure showed more rapid growth and satisfactory survival during hardening of plants and on transfer to field.

Pharmacovigilance in kala-azar patients with severe thrombocytopenia caused by sodium antimony gluconate & miltefosine

Sodium antimony gluconate (SAG) and miltefosine used in the treatment of kala-azar are known to cause several side effects but severe thrombocytopenia has not been reported. Four cases of severe thrombocytopenia, two caused by SAG and two by miltefosine were promptly detected and treated by immediate withdrawal of the offending drugs, platelet and blood transfusions and dexamethasone. After improvement Leishman-Donovan (LD) bodies were demonstrated in splenic aspirates of both patients of SAG group and one of miltefosine and they were treated with 1 mg/kg body wt of amphotericin B for 20 days and cured. One patient of miltefosine group treated outside only on the basis of rK-39 positivity did not show LD bodies in splenic aspirates and improved without any antikala- azar drug. None of the patients relapsed within 6 months of follow up. Prompt detection of side effects under the concept of pharmacovigilance can save life of such patients.

Action of (2-->1)Fructo-oligopolysaccharide fraction of Chlorophytum borivilianum against Streptozotocin-Induced oxidative stress

A fructo-oligosaccharide was isolated from Chlorophytum borivilianum and identified as O-beta-D-fructofuranosyl-(2-->1)-(beta-D-fructofuranosyl) (n)-(2-->1)-alpha-D-glucopyranoside (n = 5 - 30) using high-pressure anion exchange chromatography, MALDI-MS, NMR, GC, HPTLC and chemical analysis. The extract and the fructo-oligosaccharide were found to have significant antidiabetic activity with the blood sugar levels being 118.32 +/- 3.56 and 110.21 +/- 4.22, respectively, as compared to the control value of 231.25 +/- 3.03 along with moderate antioxidant activity in streptozotocin-induced diabetic animals.

In vitro clonal multiplication of an apple rootstock by culture of shoot apices and axillary buds

In vitro clonal multiplication of apple rootstock MM 111 using axillary buds and shoot apices were carried out. Vegetative axillary buds of the size of 0.2-2.0 cm and shoot apices measuring 4 mm in length were initiated to shoot proliferation on MS medium supplemented with BA (0.5 - 1.0 mgl(-1)), GA3(0.5 mgl(-1)), with or without IBA(0.05 - 0.1 mgl(-1)). Small size explants showed less phenol exudation and less contamination. Following establishment phase, the small shoots emerged from explants were subcultured on MS medium supplemented with different combinations and concentrations of growth regulators. BA (1.0 mgl(-1)) and GA3 (0.5 mgl(-1)) combination showed highest multiplication rate (1:5), andcl also produced longer shoots. Two step rooting was done by transferring microcuttings to auxin free solid medium after root initiation in dark on 1/2 strength MS liquid medium containing IBA (0.5 mgl(-1) ). Rooted plantlets were transferred to peat containing paper cups and resulting plants of MM 111 acclimated successfully for transfer to field.