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Post Laparoscopic Cholecystectomy Biloma in a Child Managed by Endoscopic Retrograde Cholangio-Pancreatography and Stenting: A Case Report

  • Tiwari, Charu;Makhija, Om Prakash;Makhija, Deepa;Jayaswal, Shalika;Shah, Hemanshi
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.19 no.4
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    • pp.281-285
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    • 2016
  • Laparoscopic cholecystectomy, though an uncommon surgical procedure in paediatric age group is still associated with a higher risk of post-operative bile duct injuries when compared with the open procedure. Small leaks from extra hepatic biliary apparatus usually lead to the formation of a localized sub-hepatic bile collection, also known as biloma. Such leaks are rare complication after laparoscopic cholecystectomy, especially in paediatric age group. Minor bile leaks can usually be managed non-surgically by percutaneous drainage combined with endoscopic retrograde cholangio-pancreatography (ERCP). However, surgical exploration is required in cases not responding to non-operative management. If not managed on time, such injuries can lead to severe hepatic damage. We describe a case of an eight-year-old girl who presented with biloma formation after laparoscopic cholecystectomy who was managed by ERCP.

Awareness of Cervical Cancer among Couples in a Slum Area of Mumbai

  • Donta, Balaiah;Begum, Shahina;Nair, Saritha;Naik, D.D.;Mali, B.N.;Bandiwadekar, Anil
    • Asian Pacific Journal of Cancer Prevention
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    • v.13 no.10
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    • pp.4901-4903
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    • 2012
  • To assess the awareness of cervical cancer among couples, data were collected from two urban slums community in Mumbai. A total of 1958 married women aged from 18 to 49 and their husbands were selected using simple random sampling. Women (37.7%) were significantly more aware of cervical cancer than husbands (8.7%). A slight agreement (kappa statistics=0.16) was observed between husbands and wives on awareness of cervical cancer. Significantly higher percentages of wives were aware of pap smear test than husbands. Overall, awareness of cervical cancer and pap smear test among couples is low. There is need to educate and motivate both of them to participate in cervical cancer screening program.

Human Health Risk Assessment Due to Air Pollution in the Megacity Mumbai in India

  • Maji, Kamal Jyoti;Dikshit, Anil Kumar;Chaudhary, Ramjee
    • Asian Journal of Atmospheric Environment
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    • v.11 no.2
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    • pp.61-70
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    • 2017
  • This study evaluated the human health risk in terms of the excess number of mortality and morbidity in the megacity Mumbai, India due to air pollution. AirQ software was used to enumerate the various health impacts of critical pollutants in Mumbai in past 22 years during 1992-2013. A relationship concept based on concentration-response relative risk and population attributable-risk proportion was employed by adopting World Health Organization (WHO) guideline for concentrations of air pollutants like $PM_{10}$, $SO_2$ and $NO_2$. For the year 1992 in Mumbai, it was observed that excess number of cases of total mortality, cardiovascular mortality, respiratory mortality, hospital admission due to COPD, respiratory disease and cardiovascular disease were 8420, 4914, 889, 149, 10568 and 4081 respectively. However, after 22 years these figures increased to 15872, 9962, 1628, 580, 20527 and 7905 respectively, but all of these reached maximum in the year 2006. From the result, it is also noted that except COPD morbidity the excess number of cases from 1992-2002 to 2003-2013 increased almost by 30%; and the excess number of mortality and morbidity is basically due to particulate matter ($PM_{10}$) than due to gaseous pollutants.

Imparting Disperse and Cationic Dyeability to Polypropylene through Melt Blending

  • Teli M. D.;Adivarekar R. V.;Ramani V.Y.;Sabale A.G.
    • Fibers and Polymers
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    • v.5 no.4
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    • pp.264-269
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    • 2004
  • The present paper deals with improvement in disperse dyeablility as well as imparting of cationic dyeablility to difficultly dyeable polypropylene by a melt blending technique. Isotactic polypropylene (PP) was blended with fibre grade polybutylene terephthalate (PBT), cationic dyeable polyethylene terephthalate (CDPET) and polystyrene (PS), individually. The resulting binary blends were spun and drawn into fibres at draw ratio 2, 2.5, and 3. The compatibility of blends, structural changes of fibres in terms of X-ray crystallinity, relative crystallinity, sonic modulus, birefringence and thermal stability were examined. The blended fibres were found to be disperse dyeable by the conventional method of high temperature and high pressure dyeing. And this dye ability increased with increase in the level of substitution. PP/CDPET blend also exhibited dyeablility with cationic dyes in addition to that with disperse dyes. The optimum level of blending was predicted keeping in view of tenacity and thermal stability of melt blend fibres. The wash fastness properties of the dyed fibres were found to be of high rate.

A Novel Medium for the Enhanced Production of Cyclosporin A by Tolypocladium inflatum MTCC 557 Using Solid State Fermentation

  • Survase, Shrikant A.;Shaligram, Nikhil S.;Pansuriya, Ruchir C.;Annapure, Uday S.;Singhal, Rekha S.
    • Journal of Microbiology and Biotechnology
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    • v.19 no.5
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    • pp.462-467
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    • 2009
  • Cyclosporin A (CyA) produced by Tolypocladium inflatum is a promising drug owing to its immunosuppressive and antifungal activities. From an industrial point of view, the necessity to obtain a suitable and economic medium for higher production of CyA was the aim of this work. The present study evaluated the effect of different fermentation parameters in solid state fermentation, such as selection of solid substrate, hydrolysis of substrates, initial moisture content, supplementation of salts, additional carbon, and nitrogen sources, as well as the inoculum age and size, on production of CyA by Tolypocladium inflatum MTCC 557. The fermentation was carried out at $25{\pm}2^{\circ}C$ for 9 days. A combination of hydrolyzed wheat bran flour and coconut oil cake (1:1) at 70% initial moisture content supported a maximum production of $3,872{\pm}156\;mg$ CyA/kg substrate as compared with $792{\pm}33\;mg/kg$ substrate before optimization. Furthermore, supplementation of salts, glycerol (1% w/w), and ammonium sulfate (1% w/w) increased the production of CyA to $5,454{\pm}75\;mg/kg$ substrate. Inoculation of 5 g of solid substrate with 6 ml of 72-h-old seed culture resulted in a maximum production of $6,480{\pm}95\;mg$ CyA/kg substrate.

Efficient Estimation of the Parameters of the Pareto Distribution in the Presence of Outliers

  • Dixit, U.J.;Jabbari Nooghabi, M.
    • Communications for Statistical Applications and Methods
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    • v.18 no.6
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    • pp.817-835
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    • 2011
  • The moment(MM) and least squares(LS) estimations of the parameters are derived for the Pareto distribution in the presence of outliers. Further, we have derived a mixture method(MIX) of estimations with MM and LS that shows that the MIX is more efficient. In the final section we have given an example of actual data from a medical insurance company.

Susceptibility of Different Life-stages of Freshwater Prawn, Macrobrachium rosenbergii to White Spot Syndrome Virus: An Experimental Study

  • Kiran, R.B.P.;Rajendran, K.V.;Jung, S.J.;Oh, M.J.
    • Proceedings of the Korean Society of Fisheries Technology Conference
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    • 2001.05a
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    • pp.524-525
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    • 2001
  • White spot syndrome virus (WSSV) causes the most serious epizootic in cultured penaeid shrimp. The epizootic started in 1992, and spread through east and south east Asia and into other shrrimp growing countries of the region. In order to circumvent the epizootic, in many Asian countries, freshwater prawn, Macrobrachium rosenbergii is being widely considered as an alternative species to marine shrimp. (omitted)

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Adoption and Implementation of Tobacco Control Policies in Schools in India: Results of the Bihar School Teachers Study

  • Mathur, N;Pednekar, MS;Sorensen, GS;Nagler, EM;Stoddard, AM;Lando, HA;Aghi, MB;Sinha, DN;Gupta, PC
    • Asian Pacific Journal of Cancer Prevention
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    • v.17 no.6
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    • pp.2821-2826
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    • 2016
  • Implementation of no tobacco policies in schools is associated with lower tobacco use among teachers and students. In this study we assessed the extent that a school-based intervention for teachers resulted in adoption and implementation of tobacco control policies. From a random sample of government schools ($8^{th}-10^{th}$), 72 were randomized into intervention and control conditions. Intervention included health education programs for teachers and support for tobacco control policy implementation. Adoption and implementation of policies were assessed at baseline and immediately after intervention. All 36 intervention and one control school adopted a tobacco-control policy. Higher enforcement of tobacco-control policy was at post intervention (OR=3.26; CI: 2.35, 4.54) compared to baseline in intervention schools. Some 64% of intervention and 28% control schools showed "improvement" in policy implementation. Adoption and implementation of no tobacco policies was positively impacted by intervention. This study provides support for scaling up of school-based tobacco control interventions to promote school tobacco control policies.

Gellan Gum as Immobilization Matrix for Production of Cyclosporin A

  • Survase, Shrikant A.;Annapure, Uday S.;Singhal, Rekha S.
    • Journal of Microbiology and Biotechnology
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    • v.20 no.7
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    • pp.1086-1091
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    • 2010
  • This study explored the use of gellan gum as an immobilization matrix for the production of cyclosporin A (CyA) by immobilized spores and mycelia of Tolypocladium inflatum MTCC 557. Different carriers, such as gellan gum, sodium alginate, celite beads, and silica, were tested as immobilization carriers, along with the role of the carrier concentration, biomass weight, number of spore-inoculated beads, and repeated utilization of the immobilized fungus. The maximum CyA production was 274 mg/l when using gellan gum [1% (w/v)], and a mycelial weight of 7.5% (w/v) supported the maximum production of CyA. Additionally, the addition of a combination of $_L$-valine (6 g/l) and $_L$-leucine (5 g/l) after 48 h of fermentation produced 1,338 mg/l of CyA when using gellan gum. The immobilized mycelia beads were found to remain stable for four repetitive cycles, indicating their potential for semicontinuous CyA production.