RESUMEN

Introduction: Husband and wife as a couple are fully responsible for their current and future. In our society, the husband is mostly responsible for making the decision regarding any expenses. In India, there is a need to reduce the maternal mortality rate, and Husband's involvement in antenatal care could be a key to success as it will enable them to support their partner in adequate preparation for birth and to utilize emergency obstetric care early if complications arise. Aim and Objectives: To find out about male involvement in the utilization of maternal healthcare services by their spouse and various factors affecting male involvement in the utilization of maternal healthcare services. Methods: This study was conducted in urban and rural field practice areas attached to the Department of Community Medicine, PGIMS, Rohtak. The study included 400 couples where 200 each were recruited from rural and urban areas. Out of 17 subcenters under CHC Chiri eight, subcenters were selected randomly by lottery method. A line list of these couples was prepared at each subcenter using ANC and birth register. Couples were enrolled from this line list till a sample size of 25 was reached at each of these eight subcenters. In this way, a total of 200 couples were enrolled from rural areas in which women delivered and availed maternal health services in the last 6 months. In urban areas, an equal number of couples were enrolled from each of these three urban health posts till the sample size of 200 was reached in an urban area. Results: The majority of the husbands (73%) reported that they participated in their wives' utilization of maternal health services. Twenty-seven percent did not participate in their wives' utilization of maternal health services. It also showed that 71.0% of the husbands did not know about the investigations that needed to be performed during a woman's pregnancy. Only 29% were aware of it. On analysis, it was observed that 73% of the husbands had good participation in their spouses' maternal and child health (MCH) care, while the rest had poor participation (27%). It also showed that as the education level of the participants' husbands increased, their participation in their spouses' MCH care increased, with the highest being observed among graduates (91.3%) and the lowest among those with primary schooling level education (66.7%) which were statistically significant.

RESUMEN

In an agricultural country like India, inorganic fertilizers are the major contributors of atmospheric NH3 in rural areas affecting soil, vegetation and water bodies. In this study, day-night and seasonal variation of ammonia emissions were measured from July 2017 to June 2018 during Kharif and Rabi crop seasons at a rural agricultural site in Jhajjar district of Haryana. Also, NH3 emission inventory is prepared for the amount of fertilizers applied during its basal and top dressing. NH3 concentrations were noticed significantly lower after basal dressing of DAP fertilizers as compared to the concentrations after top dressing of urea. NH3 concentration in air increased with decrease in water saturation of the soil. NH3 emission was recorded as 1.4 to 45.2, 63.1 to 190.9, and 98.9 to 187.5 µg m-3 during sowing, fertilizer addition, and grain filling stages, respectively, in Kharif season. Apart from these crop stages, NH3 was measured as 56.8 to 249.5 µg m-3 during crop residue burning period. On the other hand, NH3 emissions ranged from 22.9 to 68.4, 59.4 to 104.71, 26.3 to 56.0, 48.2 to 147.2, and 21.5 to 80.4 µg m-3 during sowing, crown root initiation (CRI), panicle initiation, grain filling, and maturity crop, respectively, in Rabi season. The average NH3 concentrations during Kharif season (125.3 µg m-3) were significantly greater than the concentrations during Rabi season (51.8 µg m-3). However, a reduction in the NH3 values was observed in the period between Kharif and Rabi seasons, which could be attributed to the wet deposition during monsoon and gas to particle conversion due to less temperature conditions during the periods.

Asunto(s)

Gases , Suelo , Estaciones del Año , Fertilizantes/análisis , Monitoreo del Ambiente , Agricultura , Amoníaco/análisis , Nitrógeno/análisis

RESUMEN

Designing drug candidates exhibiting polypharmacology is one of the strategies adopted by medicinal chemists to address multifactorial diseases. Metabolic disease is one such multifactorial disorder characterized by hyperglycaemia, hypertension and dyslipidaemia among others. In this paper we report a new class of molecular framework combining the pharmacophoric features of DPP4 inhibitors with those of ACE inhibitors to afford potent dual inhibitors of DPP4 and ACE.

Asunto(s)

Inhibidores de la Enzima Convertidora de Angiotensina/uso terapéutico , Inhibidores de la Dipeptidil-Peptidasa IV/uso terapéutico , Síndrome Metabólico/tratamiento farmacológico , Inhibidores de la Enzima Convertidora de Angiotensina/química , Inhibidores de la Enzima Convertidora de Angiotensina/farmacología , Animales , Inhibidores de la Dipeptidil-Peptidasa IV/química , Inhibidores de la Dipeptidil-Peptidasa IV/farmacología , Perros , Humanos , Concentración 50 Inhibidora , Ratones , Microsomas Hepáticos/efectos de los fármacos , Simulación del Acoplamiento Molecular , Ratas

RESUMEN

This is a retrospective analysis of patients of chronic myeloid leukemia (CML) registered and under treatment at the Leukemia Lymphoma Clinic at the Birla Cancer Center, SMS Medical College Hospital, Jaipur. Approximately, two-thirds of the patients are getting imatinib mesylate (IM) through the Glivec International Patient Assistance Program while the rest are on generic IM. In addition to comparison of hematological and molecular responses in the Glivec versus the genetic group, in this analysis, an attempt is also made to assess the socio-economic (SE) status of the patients and its effect on the response rates. Of the 213 patients studied, most (28.6%) are in the age group between 30 years and 40 years and the mean age of the patients in 39 years, a good decade younger that in the west. There is a suggestion that patients in lower SE class present with higher Sokal scores and with more disease burden. Possibly hematological responses are similar with both Glivec and generic IM. No comment can be made with regards to molecular response between the two groups as a significant number of patients in the Glivec arm (42%) do not have molecular assessment because of economic reasons. CML is a common and challenging disease in the developing world with patients presenting at an earlier age with more advanced disease. SE factors play a significant role in therapy and disease monitoring decision making and may impact on response rates and prognosis.