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Health Care Challenges of Hereditary Common Hematological Disorders in Odisha, India
No full textMedical Genetics over the past few decades have emerged as an important and powerful medical specialty with increasing appreciation of its role and function in the biomedical sciences. This emergence is related to a great extent to the progress in the Human Genome Project, which promises wide-ranging applications in the diagnosis, treatment and prevention of human diseases. Nevertheless, the discussion on the role of genetics as the preventive medicine and public health care also lead to ethical, legal and social concerns about general applicability of genetic testing in the ethnic communities. The interpretation of prevention in the context of genetic diseases leads to the unavoidable discussions of genetic engineering, stem cell transplantation, prenatal diagnosis and selective termination of pregnancy, as well as broader concerns about discrimination in health care coverage, gender bias, employment and insurance in the society. In Indian communities where consanguineous marriage is widely practiced, recessive/x-linked genetic disorders such as sickle cell disease and beta-thalassemia, will continue to gain greater prominence in the overall spectrum of ill health. Developing an understanding of these changes will require a wide-ranging and multidisciplinary investigative approach for which public health genetics is ideally suited to conditions in Odisha
Effect of Wheelchair Running on Recovery of Blood Lactate and Physical Performance after High-Intensity Intermittent Exercise – An Experimental Trial
No full textBackground and Purpose: Repetitive sprint sport players perform high intensity exercise only for a small percentage of a total game and such periods are often instrumental in determining the eventual outcome. Recovery is a key factor for performance, and constant lack of recovery or insufficient recovery turns into overtraining which is detrimental in achieving peak performance. The purpose was to find out the effect of wheelchair running on the physical performance recovery after high-intensity intermittent exercise. Method: Ten sportsmen having the age range from 20 to 29, VO2max Ranges from 60.51 to 64.29 were randomly divided into experimental and control groups. After filling pre-participation questionnaire and 30-min of supine rest, Blood lactate and the field tests for the measurement of static balance, power, speed and agility were applied. The subjects were made to run in the treadmill and to increase the intensity to reach the Target Heart Rate (THR). After 1-min the subjects were given rest for 15-s and after that they started exercise again and thus the subjects completed several bouts of such exercises until exhaustion followed by either Passive rest or wheelchair running for the duration of 10 minutes. Parameters were measures after completed the exercise bout and after the recovery. Results: After the recovery in experimental group significant improvement found only in blood lactate (p<0.01) and no significant changes found in other parameters while in control group no significant changes found in all parameters. There was no significant difference found in all the parameters including blood lactate between the groups. Conclusion: Both wheelchair running and passive recovery are same in the efficiency of blood lactate removal and restoration of physical performance following intense intermittent exercise
Renal Cell Carcinoma Presenting as Metastasis to Scrotum and Spermatic Cord
No full textUnusual site metastasis as presenting complaint of renal cell carcinoma (RCC) has been reported previously in literature. RCC is a notorious tumor with unpredictable behavior. We present a case of RCC who presented with scrotal mass and on subsequent investigation was found to have metastasis to scrotum and spermatic cord. Both testes were normal with no evidence of metastasis
Investigating the dual function of gesture in blind and visually impaired children. (Poster)
No full textCo-speech gesture research explores the role of gesture in communication, i.e. whether gestures are intended for the listener/audience (e.g. Mol et al. 2009; Alibali et al., 2001; Holler & Beattie, 2003) or support the process of speech production (Kita & Davies, 2009; Hostetter et al. 2007). To investigate the role of gesture in communication we turn to blind and visually impaired speakers whose opportunities to learn gestures visually are limited (cf. Iverson & Goldin-Meadow 1998; 2001). The present study aims at providing insight into the nature and occurrence of co-speech gestures in spontaneous speech: between blind, severely visually impaired and sighted individuals. Participants were asked to read a short story (either in print or in Braille) and to re-tell it to the interviewer. Care was taken to establish an environment in which the participants would feel safe and would not refrain from gesturing for fear of hurting themselves or others. We predicted that if blind speakers did not gesture as much as their visually impaired peers it would suggest that gesture is to some extent acquired through visual instruction. However, following Iverson et al. (2000) and Iverson and Goldin-Meadow (1998) we hypothesized that despite the absence of visual gestural stimuli during the language-learning process gesture is present in the language of the blind participants - but there would be differences in gesture form, types and functions. The present study aims at exploring and categorizing these differences, with regard to how sensory references are visible in the gestures of participants with various degrees of sight impairment. Regardless of dissimilarities, the presence of gesture in both the blind and impaired individuals points towards a dual function of co-speech gestures, i.e. a device for both the speaker and their interlocutor
A Qualitative Study on Men’s Involvement in Reproductive Health of Women among Auto-rickshaw Drivers in Bangalore Rural
No full textBackground: Men’s reproductive health directly affects the partner’s reproductive health. Men also may serve as gatekeepers to women’s access to reproductive health services. “Male involvement” in reproductive health and family planning programmes is not just promoting the use of male methods of contraception, but men’s supportive roles in their families. Objectives: 1. To know the attitudes of men regarding the family planning and women’s health. 2. To know the involvement and participation of men in maternity, delivery, post-natal care and family planning. 3. To study the treatment seeking behaviour of men for the reproductive health. problems. Methods: The study was conducted on the auto-rickshaw drivers in the Hoskote town. Total 96 married men were interviewed using a well-designed and pretested questionnaire. The aspects covered are awareness and practices related to RTIs/STIs/HIV/AIDS, family planning, antenatal care and treatment seeking behaviour for the reproductive health problems. Results: Majority (62.50%) of the men did not help their wives seek antenatal care. Only few 7(7.29%) were aware of parameters of antenatal care. There were 44 (45.83%) men who reported the symptoms of reproductive tract infections (RTIs). Among the men suffering from RTIs, only 32(72.73%) took treatment. Only 6(6.25%) people were aware of the all family planning methods. There were 39 (40.63%) participants having extramarital sexual relations with prostitutes or other females, of which 25(64.10%) people do not use condoms while engaging in the high risk sexual encounters. There were 34 (35.42%) men not aware of HIV/AIDS. Conclusion: Antenatal care and family planning are considered the primary responsibility of the women. Also majority of the men in the study group have high risk sexual behaviour. The awareness regarding HIV/AIDS is low
Pneumothorax and Pneumomediastinum in a Sputum Positive Tuberculosis Patient: The Continuous Diaphragm Sign
No full textSecondary pneumothorax is a very common medical emergency. At times it is associated with pneumomediastinum, which could be fatal at times if not identified. We present a case of a 11 years old sputum positive child who presented with both these conditions and was diagnosed on chest x ray
Extramedullary Plasmacytoma of Soft Tissues and Gingiva
No full textExtramedullary plasmacytoma (EMP) is a rare plasma cell neoplasm of soft tissue without bone marrow involvement or other systemic characteristics of multiple myeloma. It accounts for 3% of all plasma cell tumors. Multiple extramedullary plasmacytoma is defined when there is more than one extramedullary tumor of clonal plasma cells and such presentation has not been described earlier. We report such rare case of multiple extramedullary plasmacytoma involving multiple soft tissues in chest, abdomen, mandible, maxilla, and gingiva
A Rare Xanthogranulomatous Oophoritis Presenting as Ovarian Cancer
No full textXanthogranulomatous inflammation is an uncommon form of chronic inflammation that is destructive to affected organs; it is characterized by the presence of lipid-filled macrophages with admixed lymphocytes, plasma cells, and neutrophils. Only a few cases of xanthogranulomatous oophoritis have been reported to date. We describe a rare case of xanthogranulomatous oophoritis with involvement of omentum
On Reverse Engineering in the Cognitive and Brain Sciences
No full textVarious research initiatives try to utilize the operational principles of organisms and brains to develop alternative, biologically inspired computing paradigms and artificial cognitive systems. This article reviews key features of the standard method applied to complexity in the cognitive and brain sciences, i.e. decompositional analysis or reverse engineering. The indisputable complexity of brain and mind raise the issue of whether they can be understood by applying the standard method. Actually, recent findings in the experimental and theoretical fields, question central assumptions and hypotheses made for reverse engineering. Using the modeling relation as analyzed by Robert Rosen, the scientific analysis method itself is made a subject of discussion. It is concluded that the fundamental assumption of cognitive science, i.e. complex cognitive systems can be analyzed, understood and duplicated by reverse engineering, must be abandoned. Implications for investigations of organisms and behavior as well as for engineering artificial cognitive systems are discussed
Exploring the Causes of Low Immunization Status in School Going Children
No full textBackground: Although a definitive immunization program has been advocated for children in our country, the immunization coverage is far from satisfactory. There is paucity of survey studies related to immunization pattern. Objective: This study has been undertaken to explore the social and attitudinal factors with parents resulting into adverse immunization. Material and Methods: The study was school based cross-sectional study conducted in 50 schools of Indore district selected by random sampling from three groups. Information was collected from parents by providing pre-tested questionnaire. Result: Association of parent’s literacy and socioeconomic status with successful immunization could be established. Overall coverage rate with vaccines was poor in school going girls as compared to the boys; proving thereby that gender discrimination exists putting girls in disadvantageous position. Conclusion: It can be expected that the immunization status of school children will improve if identified risk factors such as parental education, socioeconomic status, awareness status are improved and attitudinal gender discrimination is curbed