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Background: Health care providers worldwide are rapidly adopting electronic medical record (EMR) systems, replacing paper record-keeping systems. Despite numerous benefits to EMRs, the environmental emissions associated with medical record-keeping are unknown. Given the need for urgent climate action, understanding the carbon footprint of EMRs will assist in decarbonizing their adoption and use., Objective: We aimed to estimate and compare the environmental emissions associated with paper medical record-keeping and its replacement EMR system at a high-volume eye care facility in southern India., Methods: We conducted the life cycle assessment methodology per the ISO (International Organization for Standardization) 14040 standard, with primary data supplied by the eye care facility. Data on the paper record-keeping system include the production, use, and disposal of paper and writing utensils in 2016. The EMR system was adopted at this location in 2018. Data on the EMR system include the allocated production and disposal of capital equipment (such as computers and routers); the production, use, and disposal of consumable goods like paper and writing utensils; and the electricity required to run the EMR system. We excluded built infrastructure and cooling loads (eg. buildings and ventilation) from both systems. We used sensitivity analyses to model the effects of practice variation and data uncertainty and Monte Carlo assessments to statistically compare the 2 systems, with and without renewable electricity sources., Results: This location's EMR system was found to emit substantially more greenhouse gases (GHGs) than their paper medical record system (195,000 kg carbon dioxide equivalents [CO 2 e] per year or 0.361 kg CO 2 e per patient visit compared with 20,800 kg CO 2 e per year or 0.037 kg CO 2 e per patient). However, sensitivity analyses show that the effect of electricity sources is a major factor in determining which record-keeping system emits fewer GHGs. If the study hospital sourced all electricity from renewable sources such as solar or wind power rather than the Indian electric grid, their EMR emissions would drop to 24,900 kg CO 2 e (0.046 kg CO 2 e per patient), a level comparable to the paper record-keeping system. Energy-efficient EMR equipment (such as computers and monitors) is the next largest factor impacting emissions, followed by equipment life spans. Multimedia Appendix 1 includes other emissions impact categories., Conclusions: The climate-changing emissions associated with an EMR system are heavily dependent on the sources of electricity. With a decarbonized electricity source, the EMR system's GHG emissions are on par with paper medical record-keeping, and decarbonized grids would likely have a much broader benefit to society. Though we found that the EMR system produced more emissions than a paper record-keeping system, this study does not account for potential expanded environmental gains from EMRs, including expanding access to care while reducing patient travel and operational efficiencies that can reduce unnecessary or redundant care., (©Cordelia Kwon, Lernik Essayei, Michael Spencer, Tom Etheridge, Rengaraj Venkatesh, Natrajan Vengadesan, Cassandra L Thiel. Originally published in the Journal of Medical Internet Research (https://www.jmir.org), 06.02.2024.)

Background and Aims: Highly cited papers (HCPs) can influence both research and clinical practice. They help to identify core literature and important advances in a field. This study aimed to assess the current status and prospects of South Asia COVID-19 research from the HCPs using bibliometric indicators. Methodology: COVID-19 literature from South Asia published between December 2019 and 29 November 2023 in the Scopus database was analysed. The top HCPs, having more than 200 citations, were evaluated. Information about citation counts, authors and organisations and their affiliations, year of publication, source journal, geographical origin, subject, article type, funding details, etc. were retrieved and analysed. Data and visualisation analysis was undertaken using Microsoft Excel and other bibliometric software. Results: The 298 South Asia HCPs were published from 2020 to 2023 and were cited 200–3,596 times, with a mean average of 413.9 citations per paper (CPP). Around 24.5% and 51.3% of HCPs received external funding support and were involved in international collaboration, respectively. The most productive organisations were the Postgraduate Institute of Medical Education and Research, Chandigarh, and the Indian Institute of Technology, New Delhi, while the most impactful organisations were Bai Jerbai Wadia Hospital for Children, Mumbai, and Kokilaben Dhirubhai Ambani Hospital & Medical Research Institute, Mumbai. The most productive journals were Diabetes and Metabolic Syndrome: Clinical Research & Reviews. Conclusions: This study has identified core and significant authors, organisations, journals, subject fields and significant keywords, collaborators and funding agencies involved in South Asia's COVID-19 research. [ABSTRACT FROM AUTHOR]

The pulp and paper industry is critical to global industrial and economic development. Recently, India's pulp and paper industries have been facing severe competitive challenges. The challenges have impaired the environmental performance and resulted in the closure of several operations. Assessment and prediction of the performance of the Indian pulp and paper industry using various parameters is a critical task for researchers. This study proposes a framework for performance assessment and prediction based on Data Envelopment Analysis (DEA), Artificial Neural Networks, and Deep Learning (DL) to assist industry administration and decision-making. We presented a case study based on eight industries to demonstrate the methodology's applicability. This study analyses and predicts industry performance based on sample data observations over 30 years. The result suggests the DEA-DL-based efficiency prediction has an overall MSE of 0.08 compared with the actual efficiency. Furthermore, the efficiency rankings are compared between the three techniques. The results suggest that the integrated DEA-DL method is primarily accurate in most scenarios with the actual values. The findings of this study provide a comprehensive analysis of environmental performance for policymakers. [ABSTRACT FROM AUTHOR]

Aim: This paper highlights the difficulties and lacunae in the Mental Health Care Act 2017 that hinder its implementation and use for the care and treatment of persons with mental illness in India. Methods: An online nationwide survey, involving structured questions as well as open-ended questions, to elicit the level of implementation, experience in complying with the provisions of the Act, and level of satisfaction, of practicing psychiatrists was carried out. Responses were analyzed using appropriate statistics. Results: 600 respondents answered the online questionnaire. A majority of psychiatrists were senior practitioners with over 10 years of experience. 92.5% respondents were dissatisfied with the MHCA, wherein 73.3% wanted it amended, and 19.2% asked for repeal. Procedural issues were deterrent for 66.5% from taking medically necessary or helpful decisions for patients. Non-implementation of the Act was a major finding. Major dissatisfaction was expressed regarding judicial over reach in admission and discharge procedures, inclusion of general hospital psychiatry units in the definition of mental health establishment, non-applicability of provisions like advance directive and nominated representative in Indian setting, and that all treatment should be covered under insurance. Conclusion: The Act in its present form defies the spirit of its own objectives and is unimplementable. It needs major revisions. [ABSTRACT FROM AUTHOR]

Introduction: Conflict is an inevitable fact existing in any organization and it is understood as disagreement between two parties. Conflicts in simple terms may occur when severe issues arise and fury is invoked in the communication process. Conflict arises because of misunderstanding one's words or intentions. Objectives: To analyse and interpret the most preferred and rejected management styles to deal with the industrial conflict. - To explore different conflict management approaches in the study. - To study and analyse the conflict management styles adopted by the management in JK paper mills limited. Hypothesis: - The conflict variables are not varying over the classifications of the Demographic variables of the respondents. - The conflict variables are not varying over the classifications of the Employment variables of the respondents. Need: The production deficit and supply mismatch has made this industry import dependent for finished paper. The demand for paper in India is high and increasing. The supply shortfall for this industry is estimated at 20 million tonnes by 2021. The contribution of the paper industry to the GDP is high. Hence, the researcher felt the need to conduct a study on Conflict management approaches in paper industry with reference to JK Paper Limited, one of the prime organisations in the industry in Visakhapatnam. Methodology: Sample size is 544, Convenient sampling technique is employed for sample collection. To measure the conflict variables over designation, nature of work and classification of departments, ANOVA test is employed to measure its association among variables. Findings: The categorical variables are determinants of the situation in a manufacturing organisation and form a part of internal environment. Therefore, the study concludes the conflict variables determine the style of conflict management. Conclusion: The research study is confined to the employees of select JK Paper Mills Ltd only and it can be extended to other states or cities of India where paper mills industries are situated. It could be further extended to private and public sector paper mills industry of India identifying the conflict management styles adopted in these industries and the effectiveness of conflict management in these industries. [ABSTRACT FROM AUTHOR]

Over the years, survival of children with chronic diseases has significantly improved and a large proportion of them now are entering into adulthood. Transition of Care (ToC) of such patients with having childhood onset of chronic diseases to the adult health care system is well organized in developed countries, although it is an emerging concept in India. In situations where the systems for ToC are not in place, such cases are fraught with unsatisfactory health outcomes. With proper ToC in place, these patients are likely to receive uninterrupted care by the adult care physicians and hence reach their full potential. This document highlights the need, rationale and way forward for ToC of youth with special health care needs (YSHCN) across the country. It also describes the standard operating procedures to develop the ToC at a hospital level for clinicians and administrators.

Retracted articles by Indian scholars have received significant attention in recent times. However, no comprehensive study has been conducted to analyse the citations of retracted papers authored by Indian researchers. This study aimed to assess the citations to retracted works published between 2001 and 2020 pre‐ and post‐retraction. The study found that there was an increase in retractions over time, with empirical data suggesting that the number of retractions has increased significantly, from 72 papers between 2001 and 2010 to 365 papers between 2011 and 2020. Duplication (n = 128) and plagiarism (n = 119) were the primary reasons for retraction. Notably, 90% of the retracted articles continued to receive citations after retraction. Among the retracted papers, eight received more than 50 post‐retraction citations, 39 received 20 to 50 citations, 347 received one to 19 citations, and 43 were not cited at all post‐retraction. There was an overall 8% decrease in citations after retraction. Retractions were observed across journals of varying impact factor, with a higher number of retractions observed in journals with an impact factor of less than 5 (n = 286; 65%). Furthermore, smaller research teams of two to five authors accounted for 72% of the total retractions. [ABSTRACT FROM AUTHOR]

The technological advancements and emergence of new kinds of communication mediums, especially social media and networks, have brought an era of unprecedented connectivity, which can be leveraged for better science communication. This paper explores social media activity around Indian research papers with the objective of evaluating if the quantum of activity is sufficient enough to indicate that social media can be an effective medium of science communication in India. In the absence of any existing survey of social media usage by scientists in India, the paper uses altmetrics as a proxy measure to capture; science communication activities around two major classes, namely, science-science connect and science-society connect. Results indicate that social media activity around Indian research papers is relatively low as compared to the developed countries and also the world average. There is a higher activity in science-science connect (Mendeley) whereas science-society connect is less pronounced (other social media and news). The paper argues that there is a need to expose Indian research community to the opportunities that social media presents and that an appropriate use can be helpful for improved science-science and science-society connects. [ABSTRACT FROM AUTHOR]

The Reserve Bank of India, not to be left behind, played its part in this transformational journey, by issuing regulations and recommendations on banking mechanization and computerization. Financial sector in general and banking industry in Particular is the largest spender and beneficiary from information technology. According to John Finnerty, "Financial Innovation involves the design, the development, and the implementation of innovative financial instruments and processes, and the formulation of creative solutions to problems in finance". The various innovations in banking and financial sector are ECS, RTGS, EFT. [ABSTRACT FROM AUTHOR]

Recent advancements in technology-based payment methods have prompted central banks all over the world to consider the possible advantages and hazards of issuing Central Bank Digital Currencies (CBDC) in order to keep up with the current innovation trend. The Indian payment system is no exception to this fintech innovation trend. As a result, the Reserve Bank of India (RBI) must begin considering related patterns and develop a phased implementation plan that progresses gradually through the pilot project. The present research is proposing a Pilot project on the issuance of retail e-rupee first. The research is primarily based on the normative method presenting a qualitative analysis of the creation of a digital rupee possibly like paper money and its smooth implementation. The study examines the potential effects of retail e-rupee implementation on the banking industry, monetary policy, technology architecture options, potential retail e-rupee applications, issuance methods, etc., as well as privacy issues. Thus, it will assist RBI in making policy decisions. [ABSTRACT FROM AUTHOR]

Actinomycetes are a suitable microbial group for the synthesis of lignocellulose-degrading enzymes. Enzymes that may degrade organic material, including cellulose, hemicellulose, and lignin, are released by actinomycetes. The aim of this research was to isolate actinomycetes from Rajkot, Gujarat, India’s soil and evaluate the activity of their cellulase and Xylanase enzymes. Starch Casein Agar (SCA) was used to identify a total of 30 isolates of actinomycetes. A qualitative plate assay (CMC-Na, Congo red) revealed that the highest zone of catalysis for MMD1 was 36 mm. Five strains were discovered to be effective for quantitative quantification of endoglucanase utilising filter paper and CMC as substrates: MMD1, MMD2, MMD3, MMD4, and MMD8. Following MMD 1 (endoglucanase 5.4 IU; FPase 4.4 IU), MMD 2 (endoglucanase 4.5 IU; FPase 3.4 IU) has demonstrated considerable endoglucanase and FPase activity. Beechwood xylan was used to treat sugarcane bagasse in order to test Xylanase, and 45% of the xylan (hemicellulose) fraction was obtained. MMD1 and MMD2 measured the xylanase enzyme activity (4.8IU and 4.2IU) in quantitative and qualitative assays (34 mm and 22 mm for BWX and 32 mm and 14 mm for agro-waste xylan). The strain MMD1 was identified as Streptomyces chartreusis through morphological, biochemical, and finally molecular characterization by 16S rRNA sequencing. It was then submitted to NCBI GenBank with the accession number MT254830. [ABSTRACT FROM AUTHOR]

Herpes zoster (HZ) is a debilitating viral infection causing a dermatomal vesicular rash. Many known risk factors exist in India and adults >50 years of age may be especially susceptible to HZ. However, HZ is not a notifiable disease in India and data on incidence and disease burden is lacking. An Expert Consensus Group meeting was conducted with experts from relevant specialties to discuss HZ disease, its local epidemiology, and suggestions for implementing HZ vaccination in the Indian healthcare system. Currently, there is lack of patient awareness, poor reporting practices and general negligence in the treatment of the disease. HZ patients generally approach their general physicians or specialists for diagnosis, which is usually based on patient history and clinical symptoms. Recombinant zoster vaccine (RZV) has >90% efficacy and is recommended in adults ≥50 years of age to prevent HZ in the United States. Despite RZV being approved for use, it is not yet available in India. India has a growing elderly population with known risk factors for HZ like immunosuppression, and co-morbidities like diabetes and cardiovascular disease. This indicates the need for a targeted immunization program in India. Meeting also emphasized adult vaccine availability and accessibility in the country.

Organ donation following circulatory determination of death (DCDD) has contributed significantly to the donor pool in several countries, without compromising the outcomes of transplantation or the number of donations following brain death (BD). In India, majority of deceased donations happen following BD. While existing legislation allows for DCDD, there have been only a few reports of kidney transplantation following DCDD from the country. This document, prepared by a multi-disciplinary group of experts, reviews the international best practices in DCDD and outlines the path for furthering the same in India. The ethical, medical, legal, economic, procedural, and logistic challenges unique to India for all types of DCDD based on the Modified Maastricht Criteria have been addressed. India follows an opt-in system for organ donation that does not allow much scope for uncontrolled DCDD categories I and II. The practice of withdrawal of life-sustaining treatment (WLST) in India is in its infancy. The process of WLST, laid down by the Supreme Court of India, is considered time-consuming, possible only in patients in a permanent vegetative state, and considered too cumbersome for day-to-day practice. In patients where continued medical care is determined to be futile following detailed and repeated assessment, the procedure for WLST, as laid down and published by Vidhi Centre for Legal Policy in conjunction with leading medical experts is described. In controlled DCDD (category-III), the decision for WLST is independent of and delinked from the subsequent possibility of organ donation. Once families are inclined toward organ donation, they are explained the procedure including the timing and location of WLST, consent for antemortem measures, no-touch period, and the possibility of stand down and return to the intensive care unit without donation. While donation following neurologic determination of death (DNDD) is being increasingly practiced in the country, there are instances where the cardiac arrest occurs during the process of declaration of BD, before organ retrieval has been done. Protocol for DCDD category-IV deals with such situations and is described in detail. In DCDD category V, organ donation may be possible following unsuccessful cardiopulmonary resuscitation of cardiac arrest in the intensive care. An outline of organ-specific requisites for kidney, liver, heart, and lung transplantation following DCDD and the use of techniques such as normothermic regional perfusion and ex vivo machine perfusion has been provided. With increasing experience, the outcomes of transplantation following DCDD are comparable to those following DBDD or living donor transplantation. Documents and checklists necessary for the successful execution of DCDD in India are described. [ABSTRACT FROM AUTHOR]

The article informs about three distinct topics in pathology it discusses about the development of a lab-developed test (LDT) for multiplex HR-HPV genotyping in cervical precursor lesions, offering a cost-effective and sensitive screening test. Topic include it presents a comparative study of a rapid, economic acetic acid, Papanicolaou stain (REAP) over conventional Papanicolaou stain in oral cytology, demonstrating the efficacy of REAP as a cost-effective and rapid alternative.

Introduction: Summative assessments play a major role in shaping the student's learning. There is little literature available on validity of summative assessment question papers in Forensic Medicine & Toxicology. This study analyses 30 question papers from 6 reputed universities for content validity. Methods: A retrospective cross-sectional record-based observational study was conducted where 30 university summative question papers in Forensic Medicine & Toxicology from 6 universities across India were evaluated for content validity. The learning domain assessed, the type of questions asked, and sampling of the content was compared and presented in the results. Results: From the results of the study, it was noted that 80% weightage was allotted to recall in most papers and only one paper tested for application. 70 to 80% of the marks were allotted to Forensic Pathology leading to disproportionate sampling. Core areas in Toxicology and Medical Jurisprudence were sparsely assessed. Conclusion: The content validity of the summative question papers in Forensic Medicine and Toxicology was unsatisfactory, emphasising the need for evaluation of the clarity and efficacy of the blueprints being used by the universities. Faculty training to motivate and influence a change in the mindset is necessary to bring about a course correction. [ABSTRACT FROM AUTHOR]

Nonalcoholic fatty liver disease (NAFLD) is a major cause of chronic liver disease globally and in India. The already high burden of NAFLD in India is expected to further increase in the future in parallel with the ongoing epidemics of obesity and type 2 diabetes mellitus. Given the high prevalence of NAFLD in the community, it is crucial to identify those at risk of progressive liver disease to streamline referral and guide proper management. Existing guidelines on NAFLD by various international societies fail to capture the entire landscape of NAFLD in India and are often difficult to incorporate in clinical practice due to fundamental differences in sociocultural aspects and health infrastructure available in India. A lot of progress has been made in the field of NAFLD in the 7 years since the initial position paper by the Indian National Association for the Study of Liver on NAFLD in 2015. Further, the ongoing debate on the nomenclature of NAFLD is creating undue confusion among clinical practitioners. The ensuing comprehensive review provides consensus-based, guidance statements on the nomenclature, diagnosis, and treatment of NAFLD that are practically implementable in the Indian setting. [ABSTRACT FROM AUTHOR]

BACKGROUND: Screening of hemoglobin (Hb) before blood donation is one among the vital tests. It is performed to select a blood donor to prevent the collection of blood from an anemic person. However, no accurate, cost-effective, reliable, and standardized method is available to estimate Hb. OBJECTIVE: The aim is to evaluate the efficacy of filter paper cyanmethemoglobin (FPCH) method with the automated hematology analyzer in the estimation of Hb concentration for screening of a suitable donor. METHODOLOGY: This was a cross-sectional study in which the blood samples of 2000 patients visiting KLE's Dr. Prabhakar Kore Charitable Hospital, Belagavi, were collected in vials and directly estimated for Hb using automated hematology analyzer. To evaluate the efficacy of FPCH, 20 μL of blood sample was transferred onto Whatman filter paper and dried at room temperature. After drying, it was placed in 5 mL of Drabkin's solution for 30 min. Optical density was estimated by measuring the absorbance. Data were analyzed using SPSS version 20. The correlation coefficient, paired t-test, and difference between the means of both the methods were calculated. RESULTS: The mean Hb estimated by FPCH was 11.25 g/dL and automated hematology analyzer gave 11.35 g/dL. The difference in the means of both the methods was 0.1 g/dL. Paired t-test was done to test the level of significance and the result was 8.151 (95% confidence interval: 0.08–0.13 g/dL, P < 0.001). The correlation coefficient was found to be 0.976 (P < 0.001). CONCLUSION: FPCH is an efficient method, which is comparable to the automated hematology analyzers for Hb estimation. It could be used as an alternative screening tool for detection of Hb in a blood donation camp. [ABSTRACT FROM AUTHOR]

Crypto currency has become the buzzword these days. Accounting is yet another field where cryptocurrency has occupied its space. In India, the status of accounting for cryptocurrency still remains unclear even though few of the additions have been made in IAS. A list of varied elements exists in the accounting process, where accountants deal in the real world as there is presently no accounting standard regulated for them; one such example is crypto currency. The U.S. GAAP (General Accepted Accounting Principles) and international financial reporting standards (IFRS) has recognized Crypto currency in the present times for public firms as an account for a digital currency as an intangible asset with an unlimited life. Companies will first record crypto on the balance sheet at their cost basis in both scenarios. The goal of this research paper is to assess if there are adequate justifications for the establishment of IFRS accounting rules for crypto-assets (liabilities) and to make suggestions for possible directions in which they may go. A clear insight into the accounting and taxation is attempted in the present research paper. [ABSTRACT FROM AUTHOR]

Background: Nutrient deficiency after malabsorptive bariatric procedure is a common phenomenon. The study aims to determine the prevalence of nutritional insufficiencies (specific with Ascorbic acid, Cobalamin, calciferol and calcium) in obese population opting for One Ananstomosis Gastric Bypass surgery (OAGB), and also to understand the association of these nutrients with change in Body Mass Index (BMI) after the surgery. Methods: One hundred fifty subjects comprising males and females aged 20-60 years were randomly selected at a bariatric center in India. Subjects belonged to both grade III and grade II obesity. Plasma aa, serum vitB12, serum VitD3 and serum calcium concentrations were prospectively assessed at 0m, 3m, and 6m of surgery through high-performance liquid chromatography. Result: The values of nutrients beyond the standard levels are considered as deficiency. Both follow up values showed a significant increase in cobalamin, Calciferol, and ascorbic acid levels compared to baseline data. Conclusion: Nutrition depletion and deficiency are often seen in post bariatric cases. The contributing factors included high BMI, food intolerance, and non-adherence to supplements and correct dietary regimens. With the correction of weight and comorbidities, the levels also showed a stable and positive level. [ABSTRACT FROM AUTHOR]

Background: Containing expenditure and efficient resource use is essential to limit the increasing costs of health research. Electronic data collection (EDC) is thought to reduce the costs compared to paper-based data collection (PDC)., Objectives: As economic evidence in this area is scanty, especially in low- and middle-income countries, the objectives of the study are to perform an economic evaluation and compare the cost between EDC and PDC., Methods: A cost-comparison study was conducted to compare between EDC and PDC from the institutional perspective for the year 2018, based on a community-based survey. Step-down cost accounting was adopted with a bottom-up approach for cost estimation. Total and unit costs were estimated with the base case comparison between EDC and PDC while using SPSS software (e-SPSS and p-SPSS, respectively). We conducted scenario analyses based on the usage of different software, R and STATA for both EDC and PDC (e-R, p-R, e-STATA, and p-STATA, respectively). One-way and probabilistic sensitivity analysis (PSA) was performed to examine the robustness of the observed results., Results: In the base-case analysis, total costs of EDC and PDC were ₹72,617 ($1060.9) and 87,717 ($1281.5), respectively, with estimated cost reduction of ₹15,100 ($220.6). In other scenarios, the estimated cost reduction for e-R, e-STATA, p-R, p-STATA was ₹-274 ($4.0), 98 ($1.4), 14826 ($216.6), and 15,002 ($219.2), respectively, when compared to EDC-SPSS. On one-way and PSA, the results of the cost-comparison analysis were robust., Conclusion: EDC minimizes institutional cost for conducting health research. This finding will help researchers in efficiently planning for the budget for their research.

Competing Interests: None

Telemedicine is the delivery of health care from a distance. It also includes research and evaluation of such services using health data which are stored in "Electronic Health Record" (EHR) platforms. EHR has proved to be useful in monitoring health care delivery but setting up of such platforms is tedious and resource-consuming in developing countries. With the recent surge of telemedicine utility during the COVID-19 pandemic, telemedicine has emerged to be pivotal in reaching stranded patients needing care without EHR-based practice. The practice of patient health record (PHR)-based teleconsultations in India has demonstrated how a conventional "paper and pen" method can be combined to popularise telemedicine utility. Thus, use of PHR-based system to maintain health records would prove to be a pragmatic solution for physicians in low-resource settings to improve their reach to a larger population in need for the future., Competing Interests: None

Advances in the medical field and healthcare sector during the last few decades have resulted in increased longevity. Increased lifespans have in turn led to a rapid global rise of the elderly population. However, ensuring the health and quality of life, especially in the context of chronic age-related ailments, among the growing geriatric population is a challenge. Ageing is associated with several changes in body composition including a decline in the lean body mass usually accompanied by an increase in body fat content which have a bearing on the nutrient requirements for the elderly. The nutrient requirements currently recommended for Indian adults are primarily computed using a factorial approach, that considers the cumulative loss of nutrients and is adjusted for optimal body weights and bioavailability. It is logical that physiological and metabolic changes associated with ageing influence several of these factors: body weight, lean mass, energy expenditure, nutrient retention and bioavailability and thus alter nutrient requirements compared to the adult population. Acknowledging these age-related changes, some international organizations have suggested nutrient requirements specific to the elderly. Given the contextual differences in physiology, caution needs to be exercised in adopting these guidelines for the Indian elderly. In addition, in the Indian context, there is sparse information on the diet and nutrient intakes vis-à -vis nutritional status and physiology of the elderly. This status paper highlights some of the pertinent issues related to nutritional requirements for the elderly that advocate a need for deriving nutritional requirements for the elderly in India.

The JK Paper industry located at Rayagada discharges biologically untreated effluent more than the permissible limit prescribed by Pollution Control Board, Odisha in to the environment. The industry is seriously polluting the surrounding aquatic and terrestrial environment. No detailed intensive study was carried out by previous workers on this industry earlier. The present study aims at finding out the impact of effluent on the flora at the contaminated site. The chemically treated effluent (TE) contained significant amount of mercury and cadmium. The TE has high BOD, COD, dissolved solids and suspended solids when compared to normal river water at the site of discharge. The TE deteriorated the natural water bodies changing the physico-chemical properties of natural river water. After meeting the river water the TE was diluted after 1 km distance from the meeting point of the river. Crop plants collected from the contaminated site showed higher level of residual Hg and Cd and significant depletion in pigment was observed. Plants collected from both the sides of the treated effluent canal showed significant amount residue mercury and cadmium in the plant leaves. The plants exposed to the TE, showed variation in chlorophyll and Phaeophytin pigment content when compared to their respective control values in all terrestrial plants collected from the contaminated site. In some plant leaves little increment in the pigment level was noted but the values were not significant. The changes observed in the plant pigment might be due to heavy metal accumulation. The presence of residual Hg and Cd in crop plants and plant leaves grazed by grazing animals after absorption, accumulation and enrichment may lead to a possible biological magnification, warrants attention. Proper biological treatment, treatment of effluent by modern methods and removal of heavy metals from the effluent before discharge by the industry is suggested., (Copyright © 2021 Elsevier Inc. All rights reserved.)

The article informs the alcohol addiction impacts not only the individual abusing it but also the people living with them. It mentions the extensive research has been conducted on various aspects of alcoholism, the lives of caretakers, especially wives of alcoholic men in the Indian context, have been given secondary consideration by society and researchers. It highlight the limited studies on this topic in the Indian setting.

Authors’ collaboration in producing scientific articles is a common relation between scientific people in which article production is easily shared between collaborators. This article determines the authors’ collaboration in The Journal of Advanced Periodontology & Implant Dentistry (JAPID) for 2009 to 2020. The Scientometric method was used in this research. The researchers from the journal website downloaded all published papers at JAPID from the first issue until 2020. The collected data were entered into an Excel software spreadsheet, and the author’s collaboration coefficient was computed. A total of 376 articles by 1076 people were published in JAPID until this research. The average number of authors per article was 2.9. According to affiliation, the first rank belongs to Iranian researchers by publishing 372 articles in JAPID, and India with 23 articles was on the second place in publishing articles in JAPID. Results also showed that only 103 articles had a single author, and 61 articles had 5 authors and more (from 376 articles). The average collaboration coefficient amongst authors of JAPID is 0.7, which is considered acceptable and relatively suitable. [ABSTRACT FROM AUTHOR]

Ropalidia marginata is a common primitively eusocial wasp in peninsular India. Their colonies contain a single egg-laying queen and several non-egg-laying workers. Queens and workers are morphologically indistinguishable, and individuals can change from one role to the other. Unlike most primitively eusocial species, queens of R. marginata are docile, non-aggressive and non-interactive. Nevertheless, the queens maintain a complete reproductive monopoly mediated by non-volatile pheromones. Upon the death or removal of the queen, one worker becomes temporarily hyper-aggressive and becomes the next queen within about a week; we refer to her as the 'potential queen'. Because only one individual becomes hyper-aggressive and reveals herself as the potential queen, and the other wasps never challenge her, we have been much interested in identifying the potential queen in the presence of the queen. However, we have failed to do so until recently. Here, we recount the four decades of search for the potential queen, ending with the recent resolution that emerged from applying the novel technique of multilayer network analysis. Identifying the potential queen in the presence of the previous queen is now possible by integrating behavioural information from multiple social situations to form a holistic view of the social structure of the wasps.

Magnetotelluric (MT) and audio-magnetotelluric (AMT) studies are sensitive to the geothermal fluids filling the faults and/or fracture zones of the geothermal system. In India, MT/AMT studies have been carried out in NW Himalayas, central, eastern, and western India. In other areas, detailed MT/AMT studies need to be expedited. This review paper presents the art of geothermal exploration in India by using MT/AMT techniques and identifies potential zones that can be exploited for power generation and direct application. Reservoir characteristics, carbon emissions reduction methods, and levelised cost factor are also discussed. [ABSTRACT FROM AUTHOR]

Organ donation following circulatory determination of death (DCDD) has contributed significantly to the donor pool in several countries. In India, majority of deceased donations happen following brain death (BD). While existing legislation allows for DCDD, there have been only few reports of kidney transplantation following DCDD from India. This document, prepared by a multidisciplinary group of experts, reviews international best practices in DCDD and outlines the path for DCDD in India. Ethical, medical, legal, economic, procedural, and logistic challenges unique to India have been addressed. The practice of withdrawal of life-sustaining treatment (WLST) in India, laid down by the Supreme Court of India, is time-consuming, possible only in patients in a permanent vegetative state, and too cumbersome for day-to-day practice. In patients where continued medical care is futile, the procedure for WLST is described. In controlled DCDD (category-III), decision for WLST is independent of and delinked from the subsequent possibility of organ donation. Families that are inclined toward organ donation are explained the procedure including the timing and location of WLST, consent for antemortem measures, no-touch period, and the possibility of stand-down and return to the intensive care unit (ICU) without donation. In donation following neurologic determination of death (DNDD), if cardiac arrest occurs during the process of BD declaration, the protocol for DCDD category-IV has been described in detail. In DCDD category-V, organ donation may be possible following unsuccessful cardiopulmonary resuscitation of cardiac arrest in the ICU. An outline of organ-specific requisites for kidney, liver, heart, and lung transplantation following DCDD and techniques, such as normothermic regional perfusion (nRP) and ex vivo machine perfusion, has been provided. The outcomes of transplantation following DCDD are comparable to those following DBDD or living donor transplantation. Documents and checklists necessary for successful execution of DCDD in India are described. [ABSTRACT FROM AUTHOR]

This article reports on the first record of wilt and gummosis disease in subabul trees caused by Fusarium equiseti in India. Subabul trees are economically important for the paper and pulp industry in India. The affected trees exhibited symptoms of yellowing, wilting, and gummosis. Isolates of Fusarium equiseti were obtained from the diseased tissue and were found to be identical in their genetic sequences. Pathogenicity tests confirmed that the Fusarium isolates caused similar symptoms in healthy subabul plants. The rapid spread of this disease poses a threat to subabul plantations, and the development of management strategies is necessary. [Extracted from the article]

The medium of exchange for the transactions has been continuously evolved right from the stage of barter system to the current cashless economy. The cashless transactions, in real sense, the transaction between two entities without a medium of exchange. This paper intends to analyze the Cashless transactions in terms of value and volume. For this study the cashless transactions data is analyzed for 5 years. The secondary data is collected from RBI website. The RBI Annual Report 2019-20 and 2021-22 are used to analyze the total cashless transactions in the past 3 years. The statistical tools like Graph, Chart and percentage has been used to analyze the data. [ABSTRACT FROM AUTHOR]

Indigenous communities and their way of life are facing significant challenges due to globalisation, industrialisation and urbanisation, which have forced them to gradually adopt the architecture, lifestyle, and culture of mainstream society. This paper proposes a Smart Vernacular Architecture (SVA) framework and applies it to the indigenous dwellings of the Todas, a tribal community living in India's Nilgiri mountains. The architecture and indoor space quality of these dwellings are investigated in this paper based on specific thermal comfort parameters like the interior temperature and airflow. The indoor temperatures of Toda dwellings are simulated for the predicted climate of 2100 to evaluate their climate resilience. Finally, the paper illustrates the usage of virtual reality (VR) to explore and visualise the Toda settlement and the interior environment parameters of a Toda dwelling to effectively convey and preserve the knowledge of vernacular architecture. In a nutshell, this paper elucidates the advantages of vernacular architecture and construction methods to arouse the interest of academics, policymakers, students, and professionals in preserving architecture, culture, and indigenous knowledge. [ABSTRACT FROM AUTHOR]

This study depicts a Scientometric technique of Bifurcation Research output in India for around five years during 2016-2020. It is an active field of analysis in which the bulk of investigation is being done. Scopus is an advanced research platform, assisting in finding, probing and yielding information in the sciences, social sciences, arts, and humanities. The contemporary study discusses the "Bifurcation" as reflected in SCOPUS for 2016-2020. This study examines the highly prolific authors, document type etc. The study exhibited that 2017 shown maximum research papers 1700 (20.44%), the lowermost maturity rate was deciphered in 2018 (19.65%), the standard value of the period of collaboration is 0.18. The time series examines for single-authored, multi-authored, and collaborative papers are 137.8, 1564 and 1701.8 respectively. [ABSTRACT FROM AUTHOR]

Objectives: The present study examines the publication output of authors from India on the topic of "Covid-19 and Psychology" using bibliometric methods. Methods: The publications as listed in Scopus database were identified by using "Covid-19" and its synonyms keywords in "Keyword" and "Title" tags. The results obtained were further restricted to subject "Psychology" under subject tag and country to India. Results: 372 publications emerged in the last 2 years on the topic of "Covid-19 and Psychology", accounting to 4.63% share of global output. About 9.95% and 25.81% share of Indian publications received external funding support and involved international collaboration, respectively. The author's from 277 organizations and 416 authors participated unevenly in the research in this area. The highest number of publications emerged from National Institute of Mental Health and Allied Sciences (NIMHANS), Bangaluru, followed by Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh, All India Institute of Medical Sciences (AIIMS), New Delhi and All India Institute of Medical Sciences (AIIMS), Bhubaneswar. Authors from Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Pondicherry had highest impact in terms of citations per paper and relative citation index, followed by authors from King George's Medical University (KGMU), Lucknow, and Manipal Academy of Higher Education (MAHE), Manipal. The journals that published the highest number of publications were Asian Journal of Psychiatry (158 papers), Indian Journal of Psychological Medicine (44 papers), and Frontier in Psychology (18 papers). The most commonly investigated topics in terms of frequency of appearances of keywords were mental health (93), followed by anxiety (80), mental disease (68), depression (64), mental stress (34), and social isolation. Conclusion: Over the last 2 years a large number of publications have emerged in the area of COVID-19 and psychology from India. [ABSTRACT FROM AUTHOR]

Background: Hidradenitis suppurativa (HS) is a complex, chronic inflammatory skin disorder whose pathophysiology is poorly understood. Genetic studies have shown that HS is predisposed by mutations in the γ-secretase gene, but only a proportion of familial and partial sporadic cases have been shown to possess such mutations. HS has high genetic heterogeneity and is thought to be triggered by a combination of genetics and environmental factors. Aims: The study aimed to investigate the genetic causes of HS in a large cohort of patients and to update the mutation spectrum of γ-secretase complex genes. Methods: We conducted mutational screening of 95 sporadic HS cases and one large family with both HS and acne conglobata (AC) to identify mutations in the coding and splice junction region of γ-secretase complex genes (nicastrin (NCSTN), presenilin 1 (PSEN1), presenilin enhancer 2 (PSENEN), and aph-1 homolog B, gamma-secretase subunit (APH1B)). Results: Our study identified a nucleotide substitution of 1876C>T in the NCSTN gene, which caused a stop codon (p. Arg626X) in the affected members of a large family with HS and AC. No pathogenic variants were detected in 95 sporadic cases of HS, indicating there is possible genetic heterogeneity. Conclusion: We report a new family with a nonsense mutation in the NCSTN gene that supports the role of the γ-secretase complex genes in HS with AC. The updated γ-secretase mutation spectrum for HS now includes 78 mutations. [ABSTRACT FROM AUTHOR]

In the research, various methods for developing latent fingerprints on various surfaces have been reported. This paper describes a new powdering method for the development of latent fingerprints that is simple and nontoxic and can be used on a variety of substrates. In this study, non-toxic, simple, and easily accessible turmeric powder and Neem powder were used, all of which are commercially available natural powders with a variety of domestic and traditional applications. These powders have been used to decipher latent fingerprints on ten different substrates, including glass, lamination sheet, transparency sheet, metal surface, wooden surface, plain paper, cardboard, plastic, tile, and steel. It has been discovered that it produces very clear results on most surfaces. The powders were used to give the best results on all surfaces except plain paper. The prints are clear with all the ridge characteristics present. [ABSTRACT FROM AUTHOR]

[Purpose] The debate over Net Neutrality (NN) that dominated discussion in the domain of Internet and telecommunications for over two decades, has largely been settled in favour of the principle of an open, non-discriminatory regime for all traffic travelling over networks. The rapid commercialisation of 5G mobile telecom technologies in telecom markets, however, draws regulatory attention once again, to aspects of NN regimes in apparent conflict with the requirements of the new technology. The emerging discussion has prompted reviews of NN policies in many countries. [Methodology] This paper uses a policy Delphi to assess expert and stakeholder opinion on the likely impact of 5G of the NN regime in India and what, if any, modifications and alterations are required to enable proliferation of 5G services in the country. [Findings] The paper arrives at a set of policy recommendations for management of the NN regime in India in the context of 5G technology, markets and services. [Practical Implications and Value] These recommendations would be of practical utility to regulators and administrators in other countries as 5G is adopted in their telecommunications sectors. [ABSTRACT FROM AUTHOR]