Ocular rhinosporidiosis in Tamil Nadu,India

A high incidence of ocular rhinosporidiosis in Kanyakumari district of Tamil Nadu, India is reported. Among the four taluks (sub-division for administration), highest occurrence was found in Agastheeswaram taluk (51.2%) followed by Kalkulam (24.4%), Thovalai (22%) and Vilavancode (2.4%). The disease occurred among both sexes equally and preponderance of a particular sex was not observed. The young adolescents were found to be more susceptible. The disease was found in all socio-economic strata and among all communities and persons belonging to different religious groups. Most of the patients gave a history of bathing in muddy stagnant pools of water.Retired Professor of Microbiology and Project Leader University Scheme on Electronmicroscopic and Ultrastructural studies on rhinosporidiosis in nasal polyps of animals and man.     

Rhinosporidiosis in Egypt: A case report and review of literature

Rhinosporidiosis is an infection caused by Rhinosporidium seeberi that frequently presents as a polypoidal nasal lesions. Here, we report the first indigenous case of tumoral rhinosporidiosis in Egypt. In this case, a 25-year-old male patient from a rural background of Assuit City presented with epistaxis and a nasal polyp. The patient had not traveled abroad. The diagnosis was established on the morphological basis by the identification of 5- to 10-m endospores and 50- to 1000-m sporangia. The clinicopathological and immunologic features were discussed and the literature was reviewed. To the best of our knowledge this is the first case of this disease to be reported in Egypt in the human literature.     

Red cell enzyme polymorphisms in Punjabis in North India

Seven red cell isoenzyme systems were investigated on a sample of 140 Punjabis from Hoshiarpur and Chandigarh, shown to be representative by comparison of their blood group frequencies with other samples from the area. Phenotype and gene frequencies are given for adenosine deaminase, adenylate kinase, acid phosphatase, 6-phosphogluconate dehydrogenase, phosphoglucomutase locus 1 and 2, lactate dehydrogenase and phosphohexose isomerase. The high frequencies of the ADA² and AK² genes in Indian samples and the presence of the rare variant 3-1 of phosphohexose isomerase are confirmed.     

Palaeoclimatic conditions in the upper Pleistocene and Holocene Bhimtal-Naukuchiatal lake basin in south-central Kumaun, North India

A 52 m thick upper Pleistocene and Holocene terrestrial succession in the Bhimtal-Naukuchiatal basin, south-central Kumaun Himalaya, India was studied using chronological, palaeontological, palynological and δ¹³C measurements. The section recorded evidence for climatic changes. At least two phases of arid climate and one phase of humid climate were recognised. Preliminary palaeomagnetic studies revealed a reversal of polarity, presumably correlatable with the Mono Lake excursion. Prior to this, no reversal event in the upper Pleistocene-Holocene terrestrial sediments of Indian subcontinent is known. A fossiliferous horizon, discovered in the lower part of the section, consisted of Sorex and Mus. This is the only report of a Late Pleistocene micromammalian assemblage in the Kumaun Himalaya.     

Molecular characterization of dengue and chikungunya virus strains circulating in New Delhi,India

Dengue and chikungunya are acute viral infections with overlapping clinical symptoms. Both diseases are transmitted by common mosquito vectors resulting in their co‐circulation in a region. Molecular and serological tests specific for both dengue and chikungunya infections were performed on 87 acute phase blood samples collected from patients with suspected dengue/chikungunya infections in Delhi from September to December, 2011. RT‐PCR and IgM ELISA were performed to detect dengue virus (DENV) and chikungunya virus (CHIKV). NS1 and IgG ELISA were also performed to detect DENV specific antigen and secondary DENV infection. DENV infection was detected in 49%, CHIKV infection in 29% and co‐infection with DENV and CHIKV in 10% of the samples by RT‐PCR. DENV serotypes 1, 2 and 3 were detected in this study. Nine DENV‐1 strains, six DENV‐2 strains and 20 CHIKV strains were characterized by DNA sequencing and phylogenetic analysis of their respective envelope protein genes. DENV‐1 strains grouped in the American African genotype, DENV‐2 strains in the Cosmopolitan genotype and CHIKV strains in the East Central South African genotype by phylogenetic analysis. This is one of the few studies reporting the phylogeny of two dengue virus serotypes (DENV‐1 and DENV‐2) and CHIKV. Surveillance and monitoring of DENV and CHIKV strains are important for design of strategies to control impending epidemics.     

Nocardiosis in a tertiary care hospital in North India and review of patients reported from India

Nocardiosis, an uncommon infection of the past, is being increasingly reported in recent years with rise of immunosuppressed patients. In India, very few centers have reported this disease. The present report describes twelve consecutive cases of nocardiosis reported over a period of 26 months (January 2004 to March 2006) from a tertiary care center in north India. The patients were predominantly males (75%) with age range of 8–65 years and mean age of 38.4 years. Eleven patients had known underlying illness including renal transplantation, human immunodeficiency virus infection, and long-term steroid therapy. One patient with cerebral nocardiosis had no detectable predisposing factor. Infection involved central nervous system (3 cases), lungs (5 cases), subcutaneous tissue (1 case), and anterior mediastinum (1 case). Disseminated infection was documented in two patients. Nocardia asteroides complex was incriminated in six patients, N. brasiliensis in five and N. otitidiscaviarum in one patient. All the isolates were sensitive to co-trimoxazole, amikacin, cefotaxime and imipenem. Good therapeutic response was observed in 10 (90.9%) of 11 patients treated with antibiotics including co-trimaxazole, cephalosporins, amikacin, and imipenem alone or in combination. The series of nocardiosis reported from India has also been reviewed.     

Pollution and Intimacy in a Transcendent Ethics of Care: A Case of Aged-care in India

In India, where children’s care of ageing parents is seen as practical and sacred, animated by notions of seva (selfless service), the outsourcing of elder care causes considerable concern. Meanwhile, carers’ work in old-age homes is treated as transactional, and their moral claims about this work are either overlooked or criticised. While gendered, socio-economic circumstances compel the women we discuss in this paper to care-work at an old-age home in Pune, they also understood this work as a register for the spiritual striving normally reserved for higher classes and castes. Accordingly, notions of polluting and non-polluting bodily waste inform the sense of kin-like intimacy through which they frame their labour. Attending to the institutional, spiritual, emotional and bodily registers of these carers’ work, we argue for a transcendent ethics of care, a conceptualisation that contributes to broader understandings of marginalisation and moral imagination in an ordinary ethics of care.     

Witch Hunts, Herbal Healing, and Discourses of Indigenous Ecodevelopment in North India: Theory and Method in the Anthropology of Environmentality

ABSTRACT  In this article, we examine the environmental thought and practice of indigenous peoples living in and around a wildlife sanctuary in North India. Analysis reveals that those religious specialists (such as shamans) who possess knowledge of herbal healing are more committed than other villagers to preventing or mitigating the overharvesting of natural resources. To explain these results, reference is made to a specific juncture of native traditions and modern conditions and in particular to an intersection of local economies with global discourses of ecodevelopment. Drawing on theories and methods from political ecology and cultural psychology, we present a framework for testing the extent that local actors—in this case, shamanic and herbalist healers—are differently positioned to resist or accommodate state and parastate structures of environmentality than are other villagers.     

Multidrug resistant staphylococci isolated from pigs with exudative epidermitis in North eastern Region of India

Exudative epidermatitis or greasy pig disease (GPD) is a contagious disease of pig and endemic worldwide caused by toxigenic strains under genus Staphylococcus. The present study reported an outbreak of GPD in Champhai district of Mizoram adjoining to the southern border of Myanmar. A total of 60 samples were collected from 22 clinically affected animals and processed for isolation and identification of Staphylococcus spp. All the isolates were subjected to antimicrobial sensitivity assay, biofilm production assay and detection of virulence genes, biofilm genes and mec genes followed by cloning and sequencing for phylogenetic analysis. A total of 44 staphylococci belonged to four species (S. sciuri, S. aureus,S. lentus, and S. hyicus) were isolated. Majority of the isolates were multidrug resistant with maximum resistance against ampicillin, penicillin including vancomycin. None of the S. hyicus isolates was methicillin resistant (MRSH) but 66·67% isolates were MRSA. By PCR, mecA gene was detected in S. aureus (n = 2), S. sciuri (n = 4) and S. lentus (n = 3). Biofilm associated gene icaD was detected in S. aureus (n = 3), S. sciuri (n = 5), S. hyicus (n = 4) and S. lentus (n = 6). The exfoliative toxin genes (ehxB, shetA and tsst1) were detected in S. hyicus (n = 3) and S. aureus (n = 1) isolates. All the isolates were closely related with the isolates from pigs of China, Germany, Japan and USA. The pathogens might be transmitted through illegal migration of pigs from Myanmar to India.     

Levels of Polychlorinated Dibenzo-P-Dioxins (PCDDs) and Polychlorinated Dibenzo-P-Furans (PCDFs) in the Atmosphere (PM10) of a Coastal Area of West Bengal,India

Particle-bound polychlorinated dibenzo-p-dioxins and dibenzo-p-furans (PCDDs/Fs) were analyzed in the coastal air of West Bengal, India. Total PCDD/Fs ranged from 4–2491 fg m^–3 with a mean of 355 fg m^–3 and their I-TEQ values ranged between 1 to 62.6 fg I-TEQ m^–3, with an average of 17.1 fg I-TEQ m^–3. The dominant congeners were OCDD (46%) OCDF (14%) 1,2,3,4,6,7,8-HpCDF (11%) and 1,2,3,4,6,7,8-HpCDD (10%) and accounted for >80% to the total PCDDs/Fs. TCDD (29%) > PeCDF (28%) > HxCDF (16%) > PeCDD (13%) were the dominant TEQ contributors. Rough estimates of tolerable daily intake (TDI) show a low health risk of exposure to PCDD/Fs measured in the ambient air of a rural coastal area of West Bengal, India.     

Conservation of freshwater fish resources of India: new approaches, assessment and challenges

The freshwater resources of India are currently experiencing an alarming decline in fish biodiversity due to several factors and as a result, a sizeable portion of fresh water fishes have been categorized as threatened. This emphasizes an immediate need for initiating research and actions for alternative management techniques to protect these aquatic systems. One such option that has potential to protect freshwater ecosystem from numerous threats is the creation of freshwater aquatic sanctuary (FAS) within protected area network. Though similar conservation practices are well established in the terrestrial and marine ecosystem, however, the work on freshwater systems has been very slow and negligible. In the present communication we conceptualized the need and approach for developing FAS within the protected area network based on our observations in the water bodies of the selected wildlife sanctuaries in Northern India as well as success stories of some other countries. In this study we assessed the fish diversity in the selected protected areas of Northern India. The assessment indicated that these sanctuaries harbor 28.26–31.13% of freshwater fishes, which are threatened in other areas. Apart from Indian Major Carps, Tor putitora, Chitala chitala, Pangasius pangasius, Clupisoma gerua, Ailia coila, Aorichthys aor, Wallago attu, Rhinomugil corsula, Ompok pabda, Ombok pabo etc. were the important species encountered in the protected waters. The various issues related to FAS including objectives, approach, potential tools, implementation and management are discussed towards saving endangered fish germplasm resources. Approaches, tools and modus operandi proposed in this communication could be utilized by other developing countries in the region.     

Molecular Characterization of a Strain of Squash leaf curl China Virus from North India

A Begomovirus causing yellow vein mosaic disease of pumpkin (Cucurbita maxima L.) was characterized at molecular level by cloning and sequence analysis of its complete DNA‐A genome. The DNA‐A of the isolate contains 2758 nucleotides which encode six open reading frames (ORFs): AV1 and AV2 in the virion‐sense and AC1, AC2, AC3 and AC4 in the complementary‐sense. Based on the highest (96%) sequence identities and close phylogenetic relationships with Squash leaf curl China virus species, the Begomovirus was identified as strain of Squash leaf curl China virus. The presence of DNA‐B genome of the virus strain was also detected by dot blot hybridization test using DNA‐B specific probe.     

Foraging patterns and kleptoparasitism among three sympatric cormorants (Phalacrocorax spp.) from the Delhi region, North India

Cormorants, described as ‘foot-propelled pursuit divers’, constitute an important component of aquatic food webs and exhibit unique foraging behaviour patterns, which can be properly understood through a comparative study. Since, after a foraging dive they surface to ingest the prey, the intensity of kleptoparasitic attacks on the surface can have a major impact upon the net energetic gain for each individual. Inspite of the fact that cormorants and their habitats are severely threatened in India, their foraging behaviour has not been adequately studied. Such considerations prompted us to undertake field studies on three sympatric cormorants (Phalacrocorax spp.) at 60 different sites in the Delhi region of North India, during 2004–2007. By means of video photography, some key foraging parameters including group size, prey size and patterns of kleptoparasitic attacks were quantified. Along a loose body size gradient, we observed significant differences among the three species with respect to not only their preference for wetland size but also prey size. The frequency of a kleptoparasitic attacks depended upon the group size and foraging behaviour of each species. It was observed that several foraging bouts were abruptly terminated due to human disturbances, mostly at sites lying outside the protected areas. This observation points towards the need to conserve small waterbodies in the countryside, currently threatened by pollution and urbanization, for the benefit of a variety of waterbirds including cormorants.     

Emission Estimates of Particulate PAHs from Biomass Fuels Used in Delhi,India

The emission factors for particulate-phase polycyclic aromatic hydrocarbons (PAHs) were evaluated for various biomass fuels (fuelwood, dung cakes, and agricultural residue) that are being commonly used in Delhi as a source of energy. Emission factors of total particulate PAHs varied from 35.9 ± 1.9 to 59.7 ± 4.4 mg/kg. Higher levels of total PAHs and particulate matter (PM) were found from dung cakes as compared to fuelwood and agricultural residue. The emission factors for PM from dung cake, fuelwood, and agricultural residue are 25 ± 8, 15 ± 3.2, and 12.1 ± 9.4 g/kg, respectively. The total PAH emissions showed an increase with high particulate matter emission rates and lower combustion efficiency. Fluoranthene, pyrene, benzo[a]anthracene, chrysene, benzo[b]fluoranthene, and benzo[a]pyrene constituted the major fraction of PAH emissions from all biomass fuels. The annual budget estimates (total emissions per year) for PAHs and PM from biomass fuels used in Delhi are 30.5 ± 2.3 Mg (Megagrams) and 11.6 ± 4.4 Gg (Gigagrams), respectively. An attempt has also been made to evaluate the preliminary budget estimates of PAHs and PM emitted from the use of biomass fuels as a source of energy in India by using the emission factors obtained in the present study.     

Case-Mix,Care Processes,and Outcomes in Medically-Ill Patients Receiving Mechanical Ventilation in a Low-Resource Setting from Southern India: A Prospective Clinical Case Series

Background

Mechanical ventilation is a resource intensive organ support treatment, and historical studies from low-resource settings had reported a high mortality. We aimed to study the outcomes in patients receiving mechanical ventilation in a contemporary low-resource setting.

Methods

We prospectively studied the characteristics and outcomes (disease-related, mechanical ventilation-related, and process of care-related) in 237 adults mechanically ventilated for a medical illness at a teaching hospital in southern India during February 2011 to August 2012. Vital status of patients discharged from hospital was ascertained on Day 90 or later.

Results

Mean age of the patients was 40 ± 17 years; 140 (51%) were men. Poisoning and envenomation accounted for 98 (41%) of 237 admissions. In total, 87 (37%) patients died in-hospital; 16 (7%) died after discharge; 115 (49%) were alive at 90-day assessment; and 19 (8%) were lost to follow-up. Weaning was attempted in 171 (72%) patients; most patients (78 of 99 [79%]) failing the first attempt could be weaned off. Prolonged mechanical ventilation was required in 20 (8%) patients. Adherence to head-end elevation and deep vein thrombosis prophylaxis were 164 (69%) and 147 (62%) respectively. Risk of nosocomial infections particularly ventilator-associated pneumonia was high (57.2 per 1,000 ventilator-days). Higher APACHE II score quartiles (adjusted HR [95% CI] quartile 2, 2.65 [1.19–5.89]; quartile 3, 2.98 [1.24–7.15]; quartile 4, 5.78 [2.45–13.60]), and new-onset organ failure (2.98 [1.94–4.56]) were independently associated with the risk of death. Patients with poisoning had higher risk of reintubation (43% vs. 20%; P = 0.001) and ventilator-associated pneumonia (75% vs. 53%; P = 0.001). But, their mortality was significantly lower compared to the rest (24% vs. 44%; P = 0.002).

Conclusions

The case-mix considerably differs from other settings. Mortality in this low-resource setting is similar to high-resource settings. But, further improvements in care processes and prevention of nosocomial infections are required.     

Epidemiological,Clinical and Outcome Aspects of Patients with Cryptococcosis Caused by Cryptococcus gattii from a Non-endemic Area of Brazil

Mycopathologia - Cryptococcosis by Cryptococcus gattii occurs mainly in immunocompetent hosts, however, during the last decades, a growing number of cases in immunocompromised individuals have been...     

Exotic fish species in a global biodiversity hotspot: observations from River Chalakudy,part of Western Ghats,Kerala, India

We record here the occurrence of five exotic fish species viz Oreochromis mossambicus, Gambusia affinis, Osphronemus goramy, Xiphophorus maculatus and Poecilia reticulata in the Chalakudy River, part of the Western Ghats, a global biodiversity hotspot in Kerala, India. O. mossambicus was ubiquitous in occurrence with large shoals being encountered at all sampling sites spread along the downstream-upstream gradient of the river, including at an altitude of 1050 m ASL. Osphronemus goramy was recorded from the downstream region of the river while Gambusia affinis was recorded from three sampling sites located downstream as well as midstream. Xiphophorus maculatus was collected from a second order stream flowing through a tea plantation at an altitude of 1050 m ASL. Samples of brooders and early fry of Poecilia reticulata indicate that the fish has already established a breeding population in the river. Possible threats to the indigenous fish fauna of the Chalakudy River as a result of the invasion and proliferation of these exotics is discussed.