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Background Administration of vitamin D to unselected heterogeneous critically ill patients did not demonstrate outcome benefit. The current study was undertaken to identify if early administration of vitamin D can reduce intensive care unit (ICU) length of stay and improve clinical outcomes in critically ill patients with sepsis. Methods This single-center randomized double-blind placebo-controlled trial was done in the ICU and emergency inpatient ward of a tertiary care teaching institute in New Delhi, India. A total of 126 adult patients aged 18 to 80 years of either sex diagnosed to have sepsis were included within 24 hours of admission to the hospital and randomized into vitamin D or placebo groups. The patients in the intervention group received vitamin D3 540,000 units dissolved in 45 mL of milk. The placebo group received 45 mL of milk. Results The median length of ICU stay (8 vs 9 days; p = 0.32), median length of hospital stay (12 vs 12 days; p = 0.33), median duration of vasopressors requirement (4 vs 3 days; p = 0.84), median duration of mechanical ventilation (5 vs 7 days; p = 0.23), requirement of tracheostomy (34 vs 39%; p = 0.71), and 90-day mortality [35 vs 46%; p = 0.29; HR 0.72 (0.42–1.24)] were similar in vitamin D and placebo arm. A subgroup analysis in patients with severe vitamin D deficiency (vitamin D

Switchgrass is a deep-rooted perennial native to the US prairies and an attractive feedstock for bioenergy production; when cultivated on marginal soils it can provide a potential mechanism to sequester and accumulate soil carbon (C). However, the impacts of switchgrass establishment on soil biotic/abiotic properties are poorly understood. Additionally, few studies have reported the effects of switchgrass cultivation on marginal lands that have low soil nutrient quality (N/P) or in areas that have experienced high rates of soil erosion. Here, we report a comparative analyses of soil greenhouse gases (GHG), soil chemistry, and microbial communities in two contrasting soil types (with or without switchgrass) over 17 months (1428 soil samples). These soils are highly eroded, ‘Dust Bowl’ remnant field sites in southern Oklahoma, USA. Our results revealed that soil C significantly increased at the sandy-loam (SL) site, but not at the clay-loam (CL) site. Significantly higher CO2 flux was observed from the CL switchgrass site, along with reduced microbial diversity (both alpha and beta). Strikingly, methane (CH4) consumption was significantly reduced by an estimated 39 and 47% at the SL and CL switchgrass sites, respectively. Together, our results suggest that soil C stocks and GHG fluxes are distinctly different at highly degraded sites when switchgrass has been cultivated, implying that carbon balance considerations should be accounted for to fully evaluate the sustainability of deep-rooted perennial grass cultivation in marginal lands.

Functional groups in natural organic matter have the potential to interact with and stabilize iron (Fe) redox species (ferric, ferrous) through complexation reactions. In this study, iron complexes with cysteine, arginine and histidine are used to investigate the extent to which specific functional groups present in these amino acids might hinder the oxidation of Fe2+ or promote the reduction of Fe3+. Iron complexes are synthesized by addition of ferrous or ferric salts to cysteine, arginine and histidine solutions at pH 7. The Fe-amino acid complexes are analysed using X-ray Absorption Spectroscopy (XAS), theoretical CTM4XAS (Charge Transfer Multiplet for XAS) calculations, and vibrational spectroscopy (FTIR and Raman). In addition, oxidation of the amino acids is determined by linear sweep voltammetry and chemical equilibrium modeling is used to predict the speciation of Fe in complexes with the amino acids. It is observed the extent of Fe redox transformation is affected by the electron donating capability of the ligand with which Fe reacts. In particular, the extent of Fe3+ reduction is related to the oxidation of the ligand with 80, 14 and 0% Fe3+ reduction by cysteine, arginine and histidine, respectively. Conversely, Fe2+ is preserved by cysteine (80%) > arginine (77%) > histidine (62%). The chemical forms of Fe in these mixed Fe oxidation-state systems include Fe-organic complexes and Fe precipitates. XAS and vibrational spectroscopy indicate thiol-S and amino-N bind Fe in complexes with cysteine. While amino-N and guanidyl-N functional groups of arginine bind Fe, carboxylate-O binding and the formation of Fe precipitates are only observed when Fe3+ is the predominant redox species. Whereas Fe precipitates seem to prevail in Fe(III)-histidine, distinct organic (Fe O/N C) and mineral (Fe O Fe) or mixed organic-mineral (Fe(O/N C)x(O Fe)y) coordination environments occur in Fe(II)-histidine with ∼60% Fe2+; in either case, Fe N(imidazole) binding is not evident. The ligand atoms to which Fe binds and the inherent reduction capacity of the ligand appear to mediate Fe redox transformations. The proportion of ferric iron (Fe3+) seems to determine whether a precipitate forms. Consistent with spectroscopic data, chemical equilibrium modeling using experimental solution conditions and fractional Fe2+ and Fe3+ concentrations obtained from CTM4XAS predict the formation of Fe(II)- and Fe(III)-amino acid complexes and hydrolyzed Fe species; these calculations however also predict the formation of Fe oxide precipitates in all Fe complexes. The results presented in this study help to explain the co-occurrence of Fe2+ and Fe3+ in natural environments where organic matter is present. They also highlight the role specific organic functional groups play on the formation and stabilization of Fe(II, III)-organic complexes and precipitates, and thus on the Fe redox cycle which affects Fe bioavailability and mobility in terrestrial and subsurface environments.

Theorization of cultural and political issues of Northeast of India often creates a disengagement from the actual cultural performances produced in the region. This unique geo-cultural plac...

Hyporheic zones act as critical ecological links between terrestrial and aquatic systems where redox-sensitive metals of iron (Fe) and manganese (Mn) significantly impact nutrient cycling and water quality. However, the geochemical controls on the release and speciation of Fe(II) and Mn(II) in these biogeochemical hotspots are still poorly understood. Here we conducted batch incubation experiments and analyzed Fe K-edge extended X-ray absorption fine structure (EXAFS) spectroscopy data using sediment samples from a hyporheic zone of the East River floodplain in Colorado to understand the production, release and speciation of Fe(II) and Mn(II) in groundwater. Our results indicate that the production and release of Fe(II) and Mn(II) vary with sediment reducing conditions and subsurface positions, and the rates were determined either by a zero- or first-order rate equation. The sediments with higher Fe(II) production did not necessarily result in higher release of dissolved Fe(II), and ≥97% Fe(II) is accumulated in solid phase. We found that the majority of Fe(II) exists as siderite (FeCO3), Fe(II)-natural organic matter (NOM) complexes and ferrosmectite, and the equilibrium concentrations of dissolved Fe(II) are controlled primarily by siderite solubility, and enhanced greatly by formation of strong Fe(II)-NOM complexes as dominant aqueous Fe(II) species. By contract, dissolved Mn(II) increases slowly and linearly, and an equilibrium concentration was not reached during the incubation period, and the roles of rhodochrosite (MnCO3) and Mn(II)-NOM complexes are insignificant. Furthermore, we reviewed and calibrated the literature reported binding constants (log K) of Fe(II)-NOM complexes which successfully predicted our experimental data. This work reveals that siderite and dissolved NOM are the controlling phases in release and speciation of dissolved Fe(II), and the finding is expected to be applicable in many hyporheic zones and subsurface environments with similar geochemical conditions.

In the pervasiveness of the dominant male voices in literature, the resistant female voices have traditionally got drowned. This has made the act of identification and foregrounding of the works of women an important political act, enabling women to gain agency by focusing attention on the silences and taboos on their bodies, sexualities, desires and pleasures thereby disrupting the hegemonic patriarchal establishment. It is in this context that this paper attempts to make a reading of Tattooed with Taboos: An Anthology of Poetry by Three Women from Northeast India, a collection of seventy-seven poems which tries to understand what it means to be a woman in a society fettered with the shackles of patriarchy. The resistance in the anthology (first published in 2011), complied by poets who hail from a peripheral province in the Indian nation-state, begins with the cover design, which powerfully foregrounds a picture of the hem of a phanek (a traditional sarong-like dress worn by women in Manipur), which, because of the norm created by the social matrix of the patriarchal Manipuri society, is regarded as inauspicious and untouchable for the menfolk because of its association with the body of the woman. The paper endeavours to explore how the picture of a vilified piece of dress, symbolising the social control of women’s bodies, becomes in the hands of these women poets potent cultural capital as they go about resisting in/through their poetry the sexual colonisation of their bodies and the smothering of their desires by a patriarchal society. In this context, the paper attempts to look at how the poets in this anthology try to re-historicise the pain, sufferings and trauma inscribed on the ‘abject’ bodies of women by questioning the existing discourse and trying to find a new way of viewing/writing their bodies. This endeavour on the part of the poets, as this paper tries to show, leads them to express a desire to trespass into spaces usually denied to women in the personal and the public.

Prone position ventilation has been shown to decrease mortality and improve oxygenation in ARDS patients. With best of our knowledge, no study reported physiological effect of prone position in SARS-CoV-2 infected ARDS patients. In this prospective observational study, data of n=20 consecutive laboratory confirmed SARS-CoV-2 patients with severe ARDS as per Berlin definition was included. Data of 20 patients analyzed with a median (Interquartile range, IQR) age of 56 (45.5-67) y and median (IQR) P/F ratio of 56 (54-66) with a median (IQR) PEEP of 12 (12-14) before initiation of prone position. Seventy-five percentage (95% CI 53.1-88.8) patients were prone responders at 16h prone session and 50 (95% CI 29.9-70.1) % patients were sustained responders. There was a significant decrease in plateau airway pressure (p2 (p=0.0002)and SpO2 (p=0.0004) at 4h and 16h since initiation of prone session and also after return of supine position. Prone position in SARS-CoV-2 infected severe ARDS patients is associated with improvement in lung compliance and oxygenation in two-third of the patients and persisted in half of the patients.

Soil redox conditions exert substantial influence on biogeochemical processes in terrestrial ecosystems. Humid tropical forest soils are often characterized by fluctuating redox dynamics, yet how these dynamics affect patterns in soil versus litter decomposition and associated CO2 fluxes is not well understood. We used a 13C-labeled litter addition to explicitly follow the decomposition of litter-derived vs. native soil-derived organic matter in response to four different soil redox regimes—static oxic or anoxic, and two oscillating treatments—in soil from the Luquillo Experimental Forest, Puerto Rico. We coupled this incubation experiment with high-resolution mass spectrometry to characterize the preferential decomposition of specific classes of organic molecules. CO2 production from litter and soil organic matter (SOM) showed distinctly different responses to redox manipulation. The cumulative production of SOM-derived CO2 was positively correlated with the length of soil exposure to an oxic headspace (r = 0.89, n = 20), whereas cumulative 13C-litter-derived CO2 production was not linked to oxygen availability. The CO2 production rate from litter was highest under static anoxic conditions in the first half of the incubation period, and later dropped to the lowest among all redox treatments. In the consistently anoxic soils, we observed the depletion of more oxidized water-extractable organic matter (especially amino sugars, carbohydrates, and proteins) over time, suggesting that under anaerobic conditions, microbes preferentially used more oxidized litter-derived compounds during the early stages of decomposition. Results from kinetic modeling showed that more frequent anoxic exposure limited the decomposition of a slow-cycling C pool, but not a fast-cycling pool. Overall, our results demonstrate that substrate source—freshly added litter vs. native organic matter—plays an important role in the redox sensitivity of organic matter decomposition. In soil environments that regularly experience redox fluctuations, anaerobic heterotrophs can be surprisingly effective in degrading fresh plant litter.

Mechanical ventilation in prone position was associated with a reduction in mortality and increase in arterial oxygenation in acute respiratory distress syndrome (ARDS) patients. However, physiological effects of prone position in COVID ARDS patients are unknown.In this prospective observational study, data of n = 47 consecutive real time RT- PCR confirmed SARS-CoV-2-infected patients with severe ARDS were included. Respiratory mechanics and oxygenation data of recruited patients were collected before and after prone position.Median (Interquartile range, IQR) age of the recruited patients was 60 (50-67) years and median (IQR) PaOIn SARS-CoV-2-infected patients, mechanical ventilation in prone position is associated with improvement in lung compliance and oxygenation in almost three-fourth of the patients and persisted in supine position in more than 70% of the patients.

Author(s): Lin, Yang; Bhattacharyya, Amrita; Campbell, Ashley N; Nico, Peter S; Pett-Ridge, Jennifer; Silver, Whendee L

The speciation of iron (Fe) in organic matter (OM)-rich environments under in situ variable redox conditions is largely unresolved. Peatlands provide a natural setting to study Fe–OM interactions. Utilizing chemical, spectroscopic and theoretical modeling approaches, we report the chemical forms, oxidation states and local coordination environment of naturally occurring Fe in the vertically redox-stratified Manning peatlands of western New York. In addition, we report dominant carbon, sulfur and nitrogen species that can potentially stabilize the various Fe species present in these peatlands. Our results provide clear direct and indirect evidence for the co-occurrence of ferrous (Fe2+) and ferric (Fe3+) iron species in peats under both oxic and anoxic conditions. Iron is mostly present within the operationally defined organic and amorphous (i.e., short range ordered, SRO) fractions; ferric iron primarily as magnetically isolated paramagnetic Fe3+ in Fe(III)-organic complexes, but also in mineral forms such as ferrihydrite; ferrous iron in tetrahedral coordination in Fe(II)-organic complexes with minor contribution from pyrite. All of the Fe species identified stabilize Fe(III) and/or Fe(II) in anoxic and oxic peats. Fundamental differences are also observed in the relative proportion of C, S and N functionalities of OM in oxic and anoxic peats. Aromatic C C, ester, phenol and anomeric C (R O C O R), as well as thiol, sulfide and heterocyclic N functionalities are more prevalent in anoxic peats. Collectively, our experimental evidence suggests iron forms coordination complexes with O-, S- and N-containing functional groups of OM. We posit the co-occurrence of organic and mineral forms of Fe(II) and Fe(III) in both oxic and anoxic peat layers results from dynamic complexation and hydrolysis-precipitation reactions that occur under variable redox conditions. Our findings aid in understanding the crucial role OM plays in determining Fe species in soils and sediments.

Pyrite (FeS2) is the most abundant sulfide mineral on Earth and represents a significant reservoir of reduced iron and sulfur both today and in the geologic past. In modern environments, oxidative transformations of pyrite and other metal sulfides play a key role in terrestrial element partitioning with broad impacts to contaminant mobility and the formation of acid mine drainage systems. Although the role of aerobic micro-organisms in pyrite oxidation under acidic-pH conditions is well known, to date there is very little known about the capacity for aerobic micro-organisms to oxidize pyrite at circumneutral pH. Here, we describe two enrichment cultures, obtained from pyrite-bearing subsurface sediments, that were capable of sustained cell growth linked to pyrite oxidation and sulfate generation at neutral pH. The cultures were dominated by two Rhizobiales species (Bradyrhizobium sp. and Mesorhizobium sp.) and a Ralstonia species. Shotgun metagenomic sequencing and genome reconstruction indicated the presence of Fe and S oxidation pathways in these organisms, and the presence of a complete Calvin–Benson–Bassham CO2 fixation system in the Bradyrhizobium sp. Oxidation of pyrite resulted in thin (30–50 nm) coatings of amorphous Fe(III) oxide on the pyrite surface, with no other secondary Fe or S phases detected by electron microscopy or X-ray absorption spectroscopy. Rates of microbial pyrite oxidation were approximately one order of magnitude higher than abiotic rates. These results demonstrate the ability of aerobic microbial activity to accelerate pyrite oxidation and expand the potential contribution of micro-organisms to continental sulfide mineral weathering around the time of the Great Oxidation Event to include neutral-pH environments. In addition, our findings have direct implications for the geochemistry of modern sedimentary environments, including stimulation of the early stages of acid mine drainage formation and mobilization of pyrite-associated metals.

Oscillating redox conditions are a common feature of humid tropical forest soils, driven by an ample supply and dynamics of reductants, high moisture, microbial oxygen consumption, and finely textured clays that limit diffusion. However, the net result of variable soil redox regimes on iron (Fe) mineral dynamics and associated carbon (C) forms and fluxes is poorly understood in tropical soils. Using a 44-day redox incubation experiment with humid tropical forest soils from Puerto Rico, we examined patterns in Fe and C transformations under four redox regimes: static anoxic, "flux 4-day" (4d oxic, 4d anoxic), "flux 8-day" (8d oxic, 4d anoxic) and static oxic. Prolonged anoxia promoted reductive dissolution of Fe-oxides, and led to an increase in soluble Fe(II) and amorphous Fe oxide pools. Preferential dissolution of the less-crystalline Fe pool was evident immediately following a shift in bulk redox status (oxic to anoxic), and coincided with increased dissolved organic C, presumably due to acidification or direct release of organic matter (OM) from dissolving Fe(III) mineral phases. The average nominal oxidation state of water-soluble C was lowest under persistent anoxic conditions, suggesting that more reduced organic compounds were metabolically unavailable for microbial consumption under reducing conditions. Anoxic soil compounds had high H/C values (and were similar to lignin-like compounds) whereas oxic soil compounds had higher O/C values, akin to tannin- and cellulose-like components. Cumulative respiration derived from native soil organic C was highest in static oxic soils. These results show how Fe minerals and Fe-OM interactions in tropical soils are highly sensitive to variable redox effects. Shifting soil oxygen availability rapidly impacted exchanges between mineral-sorbed and aqueous C pools, increased the dissolved organic C pool under anoxic conditions implying that the periodicity of low-redox events may control the fate of C in wet tropical soils.

Oscillating redox conditions are the norm in tropical soils; driven by an ample supply of reductants, high moisture, microbial oxygen consumption, and finely textured clays that limit diffusion. Yet the net result of variable soil redox regimes on iron-organic matter (Fe-OM) associations in tropical soils owing to changing climate is poorly understood. Using a 44-day redox incubation experiment with humid tropical soils from Puerto Rico, we examined patterns of Fe and C transformation under four redox regimes: static anoxic, flux 4-day (4d oxic, 4d anoxic), flux 8-day (8d oxic, 4d anoxic) and static anoxic. Prolonged anoxia promoted reductive dissolution of Fe-oxides and an increase in short-range ordered (SRO) Fe oxides. Preferential dissolution of this less-crystalline Fe pool was evident immediately following a shift in bulk redox status (oxic to anoxic), and coincided with increased dissolved organic carbon, presumably due to acidification or direct release of OM from dissolving Fe(III) mineral phases. Average nominal oxidation state of water-soluble carbon was lowest under persistent anoxic conditions, suggesting more reduced OC is microbially preserved under reducing conditions. Anoxic soil compounds had high H/C values (similar to lignin-like metabolites) whereas oxic soil compounds had higher O/C values, akin to tannin- and cellulose-like components. Cumulative respiration derived from native soil organic carbon was highest in static oxic soils. These results highlight the volatility of mineral-OM interactions in tropical soils, and suggest that short-term impacts of shifting soil O2 availability control exchanges of C between mineral-sorbed and aqueous pools, implying that the periodicity of low-redox moments may control the fate of C in wet tropical soils.Toc Art

Historically, it is believed that crystalline uraninite, produced via the abiotic reduction of hexavalent uranium (U(VI)) is the dominant reduced U species formed in low-temperature uranium roll-front ore deposits. Here we show that non-crystalline U(IV) generated through biologically mediated U(VI) reduction is the predominant U(IV) species in an undisturbed U roll-front ore deposit in Wyoming, USA. Characterization of U species revealed that the majority (∼58-89%) of U is bound as U(IV) to C-containing organic functional groups or inorganic carbonate, while uraninite and U(VI) represent only minor components. The uranium deposit exhibited mostly 238U-enriched isotope signatures, consistent with largely biotic reduction of U(VI) to U(IV). This finding implies that biogenic processes are more important to uranium ore genesis than previously understood. The predominance of a relatively labile form of U(IV) also provides an opportunity for a more economical and environmentally benign mining process, as well as the design of more effective post-mining restoration strategies and human health-risk assessment., Crystalline uraninite is believed to be the dominant form in uranium deposits. Here, the authors find that non-crystalline U(IV) generated through biologically mediated U(VI) reduction is the predominant U(IV) species in ore deposits, implying that biogenic processes are more important than previously thought.

Article history: Received October 15, 2014 Accepted January 24, 2014 Available online February 21 2014 Since independence, India has been one of the few developing countries to invest extensively in both science and technical education. In India, technical education plays a pivotal role in human resource development while creating skilled manpower, increasing industrial productivity and enhancing the quality of life. If a technical institute means to be effective in developing learned and qualified engineers, then it would be useful to know the performance of that technical institution. However, measuring the performance of a technical institution has received very little attention because it is very difficult to measure its output. Thus, this paper focuses on assessing the performance of eight Indian Institutes of Technology (IITs) using a combined approach of data envelopment analysis (DEA) and technique of order preference by similarity to ideal solution (TOPSIS). In the first phase, DEA is applied to shortlist the efficient IITs having the desired characteristics from the stakeholders’ point of view, and TOPSIS method is then employed to rank those efficient IITs while also identifying the best performing IIT. It is observed that IIT Kharagpur outperforms all the considered IITs which exactly corroborates with the findings of the recently published surveys/reports. © 2014 Growing Science Ltd. All rights reserved.

The biogeochemical cycle of Fe is intricately linked with that of organic matter. Cysteine represents an organic molecule with functionalities (O, S, N functional groups) and a C backbone that may mimic the functional groups present in organic matter from terrestrial and aquatic environments. In the present study we explore the redox speciation and coordination environment of Fe and the roles of the various ligand atoms of cysteine (C, N, S) in iron-organic redox coupling and transformations. The changes in oxidation state of Fe, C, N, and S in laboratory-synthesized Fe(II)–cysteine (synthesized from ferrous sulfate) and Fe(III)–cysteine (synthesized from ferric nitrate) complexes are monitored as a function of time using synchrotron X-ray absorption spectroscopy (Fe L2,3-edge XANES; C, N and S K-edge XANES; Fe K-edge EXAFS) and theoretical multiplet calculations using the program CTM4XAS (Charge Transfer Multiplet for X-ray Absorption Spectroscopy). CTM4XAS calculations show that 80% of the total Fe in both the Fe(II)–cysteine and the Fe(III)–cysteine complexes is present as Fe2+ initially (t = 0), thus indicating preservation of Fe(II) in Fe(II)–cysteine and reduction of Fe(III) in Fe(III)–cysteine at initial conditions, the latter caused by an internal electron transfer reaction from S of –SH on the cysteine molecule. After 12 months, however, ∼60% of the total Fe is present as Fe3+ in the Fe(II)–cysteine complex whereas ∼67% of the total Fe is present as Fe2+ in the Fe(III)–cysteine complex. The fact that a larger proportion of the Fe in the Fe(III)–cysteine complex remained reduced after 12 months than that in the Fe(II)–cysteine complex suggests that the reduced Fe in Fe(III)–cysteine after 12 months is further stabilized via preferential binding with the donor atoms of cysteine. Stabilization via preferential binding is supported by a coordination environment that changed from tetrahedral Fe2+ binding to S at a distance of 2.3 A at t = 0 for both Fe(II,III)–cysteine complexes, to Fe3+ in an octahedral coordination with O/N atoms at a distance of 2.05 A (most prevalent in Fe(II)–cysteine) and Fe2+ in tetrahedral coordination with S/O/N atoms at an average distance of 2.15 A (most prevalent in Fe(III)–cysteine) at t = 12 months. Redox changes in the –NH2 and –SH groups of cysteine accompanied the Fe redox changes thus reflecting the true potential of cysteine as a redox ligand. Our studies of the Fe(II,III)–cysteine complexes add valuable information to the existing literature on the redox chemistry of Fe–cysteine systems by shedding light on the electron exchange pathways that may occur within the complexes and by providing a detailed depiction of the iron-ligand structure and coordination. The presence and persistence of Fe(II) or Fe(III) in complexes with soluble organics have implications for Fe biological availability and Fe mobility and transport in terrestrial as well as in aquatic environments.

This paper analyzes advertising incentives and strategies in specialized markets, where consumers' decisions are dictated by experts. By analyzing the market stealing and market expanding aspects of advertising, this study shows that in a sub-game perfect equilibrium only some (and not all) firms may choose to advertise to consumers. From the welfare perspective, consumer advertising is socially optimal when advertising has only market expanding effects. Furthermore, a simple game-theoretic model shows that when only some firms advertise to consumers, the crucial determinant of advertising is the number of advertisers. In particular, with increased competition from rival advertisers, each firm's advertising decreases. Modeling specific features of the U.S. prescription drugs market the theoretical analysis suggests that the wide variation in direct-to-consumer-advertising (DTCA) by U.S. pharmaceutical companies both within and across drug classes is due to differences in disease-familiarity and heterogeneity in patients' types. Using annual, brand-level DTCA expenditure data for prescription drugs, empirical results give evidence of the negative impact of competition on advertising.

This paper studies the usefulness of advertising to both consumers and experts in specialized markets like the prescription drugs, travel and real-estate markets where the consumers' purchasing decisions are influenced by the experts (e.g., doctors, travel agents and real-estate agents). Inspired by the features of the prescription drugs market the study shows that direct-to-consumer-advertising (DTCA) does not substitute for advertising directed to physicians even when physician-advertising is only persuasive in nature. Furthermore, the paper analyzes possible advertising equilibriums in a two-firm setting and finds that it is possible to have a sub-game perfect, non-symmetric Nash Equilibrium in which only one firm advertises to the consumers and the other firm becomes a free-rider when, (i) the number of patients who are aware of treatment is very low, and (ii) there are very few patients who insist on a particular drug. Otherwise, for familiar diseases a non-advertising equilibrium is most likely. Finally, consumer advertising can have welfare improving implications depending on the disease types and patient characteristics.

The annual transmission potential of Wuchereria bancrofti was calculated from the number of infective larvae found in the number of Culex quinquefasciatus expected to bite an individual exposed 24 hr a day for a year in Calcutta and in a rural (Memari) area. In Calcutta, an average of 151 mosquitoes/night/person were collected; it was calculated that 55,028 mosquitoes could bite a person per year, including an average of 177 infective mosquitoes containing 319 infective larvae of W. bancrofti. At Memari, an average of 284 mosquitoes/night/person were collected; here with the resulting calculation was that 103,718 mosquitoes could bite a person per year, including an average of 137 infective mosquitoes containing 223 infective larvae. The annual transmission potential was higher in the urban area than that in the rural area. Annual transmission potential is useful knowledge in the epidemiological assessment of transmission dynamics for the formulation of control strategies.