Suchergebnisse

The overseas Indian population has formed a range of migrant organizations, whose activities include mobilizing resources and connections and engaging with numerous development initiatives in India. This text looks into Indian local and transnational migrant organizations and studies their engagement in the healthcare and education sectors in India. The focus of this work lies at the intersection of three key areas of concern: migrant organizations, engagement, and development. The volume discusses how these organizations have evolved, the kind of healthcare and educational projects and activities that are being carried out by them, and how such collective efforts are effecting change in the Indian healthcare and education sectors.

This book describes in detail various aspects of fluoride toxicity in animals. Animals, like human beings, suffer from the toxic effects of excess fluoride intake. They show pathological changes in their teeth and bone, together with a marked reduction in appetite, productive and reproductive potentials, which can result in severe economic losses in the dairy industry. Laboratory and wild animals also suffer from this ailment. Animal suffering and economic losses alike can be minimized through early diagnosis of the problem and by adopting suitable preventive and therapeutic measures. The book details the susceptibility of different animal species, important sources of toxicity, clinical signs and symptoms, pathophysiology, diagnostic methods, preventive and therapeutic approaches. It offers a valuable resource for scientists working in the fields of toxicology, veterinary science, animal nutrition, and environmental science, as well as for public health workers, animal welfare activists, public health veterinarians, field veterinarians, medical professionals and all others interested in the subject.

BACKGROUND: Treatment for coronavirus disease 2019 (COVID-19) pneumonia remains largely supportive till date and multiple clinical trials took place within the short span of time to evaluate the role of investigational therapies. The anti-inflammatory effect of low dose whole lung radiation in treating pneumonia has been documented earlier. This clinical trial analyzed the effect of low dose radiation therapy (LDRT) in a moderately affected COVID-19 pneumonia patient cohort and has evaluated its effect in stopping the conversion of moderate disease into severe disease. METHODS: Patients with moderate COVID-19 pneumonia as characterized by the Ministry of Health and Family Welfare (MOHFW), Government of India, were randomized (1:1) to low dose whole lung radiation versus no radiation. All treatment of patients was concurrently being given as per institutional protocol. Patients were followed up with clinical and laboratory parameters monitored on Days 1, 3, 7, and 14. Computed tomography scan (CT scan) of thorax was performed on Days 1 and 7. Patients were evaluated for conversion of moderate into severe disease as per National Early Warning Score-2 (NEWS-2 score) as the primary end point. The secondary endpoints included changes in ratio between peripheral capillary oxygen saturation and fraction of inspired oxygen (SpO2/FiO2), biochemical markers, 25-point CT severity score, and radiation induced acute pulmonary toxicities. FINDINGS: At the interim analysis, there were seven patients in the radiation arm and six in the control. A whole lung LDRT improved the outcome of SpO2/FiO2 at Day 3; however it did not convert into a statistically significant improvement for the NEWS-2 score. The serum levels of LDH, CRP, Ferritin and D-dimer were significantly reduced on 14 days in the LDRT arm in comparison to the baseline value but were not significant between the two groups. INTERPRETATION: LDRT seems to have the potential to prevent moderate COVID-19 pneumonia from a deteriorating to severe category. However, further ...