Scaling up Rural Sanitation - A Descriptive Study to assess the Sanitary Conditions among People in Rural Area of Tamil Nadu

In rural areas, open defecation; inadequate safe water; and poor personal hygiene increase chances of diarrheal diseases and helminth and hookworm infections. The study attempted to gauge the sanitary conditions and the standard of hygiene among the residents of Pulipakkam Village in Kancheepuram District, Tamil Nadu. Cross sectional descriptive study based among 126 randomly selected households was conducted in January to February 2019. Semi structured questionnaire was used to collect data the socio demographic information as well as information related to sanitation and hygiene behaviors. SPSS was used for descriptive analysis. Modified BG Prasad classification showed that among the 126 participants 38% belonged to middle class and 21% had education up to high school. Reportedly, 65% used toilets and 75.6% of them had separate toilets at home. Financial constraint (79.5%) was the principal reason why there were no toilets. Fifty eight point seven percent of the respondents relied on public taps as its primary source of drinking water. About 44 percent disposed of wastewater into open gutters and 33 percent disposed of it on the streets directly. Only 32.5% of the households practiced solid waste segregation and 50% disposed solid waste in dump site. The hand hygiene practices were suboptimal as 73.8% of them reported using soap after defecation where as 94.4% of them took daily bath. The possible sanitation and hygiene practices found in Pulipakkam Village are inadequate. Whenever behavioral change is to occur and the sanitation infrastructure of rural settings to be improved, targeted health education programs and enhancing community awareness are required

The Complement Anaphylatoxin C5a Induces Apoptosis in Adrenomedullary Cells during Experimental Sepsis

Sepsis remains a poorly understood, enigmatic disease. One of the cascades crucially involved in its pathogenesis is the complement system. Especially the anaphylatoxin C5a has been shown to have numerous harmful effects during sepsis. We have investigated the impact of high levels of C5a on the adrenal medulla following cecal ligation and puncture (CLP)-induced sepsis in rats as well as the role of C5a on catecholamine production from pheochromocytoma-derived PC12 cells. There was significant apoptosis of adrenal medulla cells in rats 24 hrs after CLP, as assessed by the TUNEL technique. These effects could be reversed by dual-blockade of the C5a receptors, C5aR and C5L2. When rats were subjected to CLP, levels of C5a and norepinephrine were found to be antipodal as a function of time. PC12 cell production of norepinephrine and dopamine was significantly blunted following exposure to recombinant rat C5a in a time-dependent and dose-dependent manner. This impaired production could be related to C5a-induced initiation of apoptosis as defined by binding of Annexin V and Propidium Iodine to PC12 cells. Collectively, we describe a C5a-dependent induction of apoptotic events in cells of adrenal medulla in vivo and pheochromocytoma PC12 cells in vitro. These data suggest that experimental sepsis induces apoptosis of adrenomedullary cells, which are responsible for the bulk of endogenous catecholamines. Septic shock may be linked to these events. Since blockade of both C5a receptors virtually abolished adrenomedullary apoptosis in vivo, C5aR and C5L2 become promising targets with implications on future complement-blocking strategies in the clinical setting of sepsis

Characterization of a Drosophila Alzheimer's Disease Model: Pharmacological Rescue of Cognitive Defects

Transgenic models of Alzheimer's disease (AD) have made significant contributions to our understanding of AD pathogenesis, and are useful tools in the development of potential therapeutics. The fruit fly, Drosophila melanogaster, provides a genetically tractable, powerful system to study the biochemical, genetic, environmental, and behavioral aspects of complex human diseases, including AD. In an effort to model AD, we over-expressed human APP and BACE genes in the Drosophila central nervous system. Biochemical, neuroanatomical, and behavioral analyses indicate that these flies exhibit aspects of clinical AD neuropathology and symptomology. These include the generation of Aβ40 and Aβ42, the presence of amyloid aggregates, dramatic neuroanatomical changes, defects in motor reflex behavior, and defects in memory. In addition, these flies exhibit external morphological abnormalities. Treatment with a γ-secretase inhibitor suppressed these phenotypes. Further, all of these phenotypes are present within the first few days of adult fly life. Taken together these data demonstrate that this transgenic AD model can serve as a powerful tool for the identification of AD therapeutic interventions

Effects of pre-operative isolation on postoperative pulmonary complications after elective surgery: an international prospective cohort study

We aimed to determine the impact of pre-operative isolation on postoperative pulmonary complications after elective surgery during the global SARS-CoV-2 pandemic. We performed an international prospective cohort study including patients undergoing elective surgery in October 2020. Isolation was defined as the period before surgery during which patients did not leave their house or receive visitors from outside their household. The primary outcome was postoperative pulmonary complications, adjusted in multivariable models for measured confounders. Pre-defined sub-group analyses were performed for the primary outcome. A total of 96,454 patients from 114 countries were included and overall, 26,948 (27.9%) patients isolated before surgery. Postoperative pulmonary complications were recorded in 1947 (2.0%) patients of which 227 (11.7%) were associated with SARS-CoV-2 infection. Patients who isolated pre-operatively were older, had more respiratory comorbidities and were more commonly from areas of high SARS-CoV-2 incidence and high-income countries. Although the overall rates of postoperative pulmonary complications were similar in those that isolated and those that did not (2.1% vs 2.0%, respectively), isolation was associated with higher rates of postoperative pulmonary complications after adjustment (adjusted OR 1.20, 95%CI 1.05-1.36, p = 0.005). Sensitivity analyses revealed no further differences when patients were categorised by: pre-operative testing; use of COVID-19-free pathways; or community SARS-CoV-2 prevalence. The rate of postoperative pulmonary complications increased with periods of isolation longer than 3 days, with an OR (95%CI) at 4-7 days or ≥ 8 days of 1.25 (1.04-1.48), p = 0.015 and 1.31 (1.11-1.55), p = 0.001, respectively. Isolation before elective surgery might be associated with a small but clinically important increased risk of postoperative pulmonary complications. Longer periods of isolation showed no reduction in the risk of postoperative pulmonary complications. These findings have significant implications for global provision of elective surgical care

A cat among the dogs: leopard Panthera pardus diet in a human-dominated landscape in western Maharashtra, India

The ecology and predator–prey dynamics of large felids in the tropics have largely been studied in natural systems where wild ungulates constitute the majority of the prey base. However, human-dominated landscapes can be rich in potential prey for large carnivores because of the high density of domestic animals, especially in tropical countries where pastoralism is an important livelihood activity. We report the almost complete dependence of leopards Panthera pardus on domestic animals as prey in the crop lands of Ahmednagar district, Maharashtra, India. From analysis of 85 confirmed leopard scats, 87% of the leopard's prey biomass consisted of domestic animals, with 39% consisting of domestic dogs Canis lupus familiaris alone. The only wild species that occurred in the leopard's diet were rodents, small indian civet Viverricula indica, bonnet macaque Macaca radiata and other primates Semnopithecus spp., mongoose Herpestes spp., and birds. Interviews conducted in 77 households distributed randomly in the study area documented a high density of domestic animals: adult cattle Bos taurus, calves, goats Capra aegagrus, dogs and cats Felis catus occurred at densities of 169, 54, 174, 24 and 61 per km2, respectively. Ivlev's electivity index indicated that dogs and cats were over-represented in the leopard's diet, given the higher densities of goats and cattle. The standing biomass of dogs and cats alone was sufficient to sustain the high density of carnivores at the study site. Our results show that the abundance of potential domestic prey biomass present in human-use areas supports a relatively high density of predators, although this interaction could result in conflict with humans