Suicide on the Indian Subcontinent

Crisis ◽  
2002 ◽  
Vol 23 (3) ◽  
pp. 104-107 ◽  
Author(s):  
Murad M. Khan

Summary: The Indian subcontinent comprises eight countries (India, Pakistan, Bangladesh, Nepal, Sri Lanka, Afghanistan, Bhutan, and the Maldives) and a collective population of more than 1.3 billion people. 10% of the world's suicides (more than 100,000 people) take place in just three of these countries, viz. India, Sri Lanka, and Pakistan. There is very little information on suicides from the other four countries. Some differences from suicides in Western countries include the high use of organophosphate insecticides, larger numbers of married women, fewer elderly subjects, and interpersonal relationship problems and life events as important causative factors. There is need for more and better information regarding suicide in the countries of the Indian subcontinent. In particular, studies must address culture-specific risk factors associated with suicide in these countries. The prevention of this important public health problem in an area of the world with myriad socio-economic problems, meager resources, and stigmatization of mental illness poses a formidable challenge to mental health professionals, policy makers, and governments of these countries.

2018 ◽  
Vol 4 (Supplement 2) ◽  
pp. 32s-32s
Author(s):  
M. Alzaghal

Background: Colorectal cancer is an important public health problem. There are nearly one million new cases of colorectal cancer diagnosed world-wide each year and half a million deaths. Regionally it is the fourth most common cause of morbidity and mortality. Recent reports show that, in Jordan, it ranked the second among all new cancers in both males and females. Aim: To explore and identify the epidemiology of colorectal cancer in Jordan over the 10 years period 2003-2012 to provide update information regarding the likely future. Methods: This project was a descriptive study, cases were identified from Jordan cancer registry (JCR), all Jordanian cases diagnosed and registered in 2003-2012 were included, data on age, sex, primary site, morphology, grade and stage were collected and filtered, frequency by graphs and tables was demonstrated, SPSS software version 17 was used for analysis, and official approval to do the study was taken from the registry. Results: Total number of colorectal cancers in Jordan registered in JCR from 2003 to 2012 was 3299 cases among both genders, 1833 in males which accounted for (55.6%) and 1466 cases (44.4%) in females. In 2012, there were 567 (11.3%) of all newly diagnosed cases among Jordanians compared with 357 (10.3%) in 2003. Male to female ratio was (0.9:1) compared with (1.4:1) in 2003. The median age at diagnosis was 61 years for both genders in 2012, in 2003 it was (51). The overall age-standardized incidence rate (ASR) increased from 11/100,000 in 2003 to 16.3/100.000 in 2012. Conclusion: This study will provide health professionals researchers and policy makers with detailed information about colorectal cancer epidemiology through 2003-2012 and it demonstrate the magnitude of the problem, which will assist in planning and evaluation and to identify priorities, and this will provide a solid database for establishing screening programs for early detection.


2003 ◽  
Vol 183 (5) ◽  
pp. 457-458 ◽  
Author(s):  
Athula Sumathipala ◽  
Sisira Siribaddana ◽  
Sudath Samaraweera ◽  
D. A. R. K. Dayaratne

Sri Lanka is an island situated close to the southern tip of the Indian subcontinent with a land area of about 65 000 km2. The population in 2001 was 18.5 million. It has an interesting genetic diversity, its five main populations revealing both European and Asian origins. Although Sri Lanka is a developing country, it has strengths that other developing countries do not have, mainly in health and education. However, Sri Lanka lacks a research culture and has inadequacies in its research capabilities; hence, capacity building is essential. Based on our research findings, we plan to achieve this by working with professionals, statutory services, policy-makers and the public. Our model is international collaboration based on our own research agenda. Such partnerships can produce high-quality research, with greater influence on national policy and practice (Costello & Zumla, 2000).


2017 ◽  
Vol 3 (1) ◽  
pp. 249-252
Author(s):  
Farzana MUZN ◽  
Arshiya Sultana

Background: Infertility is defined as the inability to conceive after at least one year of unprotected intercourse. It is a complex disorder with significant medical, psychosocial, and economic problems. In about one third of couples are infertile. Approximately 167 million married women aged 15-49 years in developing countries were infertility. The present study aimed to determine the most common causes of female infertility in patients who visiting the National Ayuvedic Teaching Hospital, Borella, Sri Lanka. Methods: In this study 635 infertile (primary and secondary) women were selected to determine the causes of infertility. The subjects were selected from the gynecology clinic, between the periods of February 2015 to March 2016. The data were gathered using a questionnaire; and after that proper statistical method was applied to analyze the data. Results: From the results age between 28-37 years (37.16%) are more prevalent to infertility and the causes of infertility are mainly due to anovulatory cycle (31.18%) and menstrual irregularities (19.21%). BMI also one of the significant cause for infertility. Conclusion: Therefore, identifying the risk factors and proper treatment on time along with policy makers providing facilities to resolve the infertility could possible diverse this alarming increasing trend of infertility.


2020 ◽  
Vol 39 (1) ◽  
Author(s):  
Adiqa Kiani ◽  
Ejaz Ullah ◽  
Khair Muhammad

The main objective of this study is to investigate the impact of poverty, globalization, and environmental degradation on economic growth in the selected SAARC countries. This study is employed panel Autoregressive Distributive Lag (ARDL) technique for empirical analysis using selected SAARC regions including India, Pakistan, Bangladesh, Nepal and Sri Lanka over the period of 1980 to 2018. Globalization impacts economic growth positively and significantly.  In addition to this the significant negative relationship is found between population and economic growth. The results show that poverty is positively related with environmental degradation. Furthermore, the results indicate that globalization is positively and significantly associated with environmental degradation in the SAARC region. Finally, the results show that urbanization is positive and significantly associated with environmental degradation, which could be the serious concerns for the policy makers to control.


Author(s):  
Madhura Jadhav ◽  
P. D. Londhe

Acute Diarrhoea is an important public health problem worldwide. The World Health Organization estimates that there are more than 1000 million cases of Acute Diarrhoea. Loose motion less than 2 weeks that labelled as Acute Diarrhoea. Diarrhoea is described in Ayurvedic classics with the name of ‘Atisara’. It means passing of excessive flow of watery stool through anus. Most important factor in the pathogenesis of Aamatisara is Mandagni. In present study 50 patients of Aamatisara were selected from OPD and IPD of Kayachikitsa department. For the clinical study Pathadi Ghanavati and Lajamanda was selected as the trial drug which was given for the duration of 7 days in the dose of 1gm twice a day. It was observed that 32% patients were from the age group 51-60 years, 70% were females, 62% were from lower-middle socio economic class. Sama Jivha was found in all the patients. Among results loose motion showed 98.75% relief, 97.82% showed improvement in Udarashoola, 97.43% improvement in Agnimandya and Daurbalya each, 100% relief was seen in Aruchi. All the symptoms showed highly significant results. Hence it can be concluded that Pathadi Ghanavati and Lajamanda is very effective remedy in the patients of Aamatisara.


Author(s):  
Geeta Shinde

Now a day’sparents, teachers,students,institutes,policy makers,and politicians also talking about life skills. They consider that “We should not give the only a text book knowledge to our child, we should provide them all skills which required for excellent life .If you want to say say I am human or we are social animals then you must acquire the skills which defined by the WHO.These are known as communication,critical thinking, creativity, self-awareness, decision making, problem solving,empathy, interpersonal relationship ,these all require for coping with stress and coping with emotions.This paper is focus based on literature reviews,how this skills are nurtured not only our education system overall human life. Along with trying to focus life skill policy and practices.


Zootaxa ◽  
2019 ◽  
Vol 4547 (1) ◽  
pp. 1
Author(s):  
C.A. VIRAKTAMATH ◽  
M.D. WEBB

Leafhopper genera and species of the tribe Mukariini from the Indian subcontinent are revised. Nine genera and 22 species including two new genera, one new subgenus and 12 new species are dealt with. The new taxa described are Aalinga gen. nov. with its type species Aalinga brunoflava sp. nov. (India: Andaman Islands), Buloria indica sp. nov. (India: Karnataka). Buloria zeylanica sp. nov. (Sri Lanka), Flatfronta bella sp. nov. (India: Karnataka; Bangladesh), Mohunia bifurcata sp. nov. (Myanmar), Mukaria omani sp. nov. (India: Gujarat, Karnataka, Madhya Pradesh), Mukaria vakra sp. nov. (India: Karnataka), Mukariella gen. nov. with its type species Mukariella daii sp. nov. (India: Manipur), Myittana (Benglebra) cornuta sp. nov. (India: Karnataka), Myittana (Myittana) distincta sp. nov. (India: Karnataka), Myittana (Savasa) subgen. nov. with its type species Myittana (Savasa) constricta sp. nov. (India: Andhra Pradesh, Gujarat, Haryana, Himachal Pradesh, Karnataka, Madhya Pradesh, Punjab, Tamil Nadu, Uttarakhand) and Scaphotettix arcuatus sp. nov. (India: West Bengal, Meghalaya, Mizoram). Genera Buloria Distant (new placement), Crispina Distant (new placement) and Myittana Distant (new placement) are placed in the tribe Mukariini. Genus Mohunia is redefined based on the study of its type species. Benglebra Mahmood & Ahmed 1969 is synonymised with Myittana Distant 1908 and considered as its subgenus. Myittana (Benglebra) alami (Mahmood & Ahmed) comb. nov., Myittana (Savasa) bipunctata (Mahmood & Ahmed) comb. nov.. Myittana (Benglebra) introspina (Chen & Yang 2007) comb. nov. and Mukariella bambusana (Li & Chen) comb. nov. are proposed; the first two species were earlier placed in the genus Benglebra, the third species in the genus Mohunia and the fourth in the genus Mukaria. Genera Flatfronta Chen & Li and Myittana are new records for India and Scaphotettix striata Dai & Zhang is a new record for the Indian subcontinent and Sri Lanka. All taxa dealt with are described and illustrated and keys for genera and their species are also given. 


2021 ◽  
Vol 22 (4) ◽  
pp. 1917
Author(s):  
Hiroki Nishikawa ◽  
Hirayuki Enomoto ◽  
Shuhei Nishiguchi ◽  
Hiroko Iijima

The picture of chronic liver diseases (CLDs) has changed considerably in recent years. One of them is the increase of non-alcoholic fatty liver disease. More and more CLD patients, even those with liver cirrhosis (LC), tend to be presenting with obesity these days. The annual rate of muscle loss increases with worsening liver reserve, and thus LC patients are more likely to complicate with sarcopenia. LC is also characterized by protein-energy malnutrition (PEM). Since the PEM in LC can be invariable, the patients probably present with sarcopenic obesity (Sa-O), which involves both sarcopenia and obesity. Currently, there is no mention of Sa-O in the guidelines; however, the rapidly increasing prevalence and poorer clinical consequences of Sa-O are recognized as an important public health problem, and the diagnostic value of Sa-O is expected to increase in the future. Sa-O involves a complex interplay of physiological mechanisms, including increased inflammatory cytokines, oxidative stress, insulin resistance, hormonal disorders, and decline of physical activity. The pathogenesis of Sa-O in LC is diverse, with a lot of perturbations in the muscle–liver–adipose tissue axis. Here, we overview the current knowledge of Sa-O, especially focusing on LC.


2021 ◽  
pp. 002076402110157
Author(s):  
S M Yasir Arafat ◽  
Syeda Ayat-e-Zainab Ali ◽  
Vikas Menon ◽  
Fahad Hussain ◽  
Daniyal Shabbir Ansari ◽  
...  

Background: Suicide is a global preventable public health problem. About a quarter of all suicides in the world occur in South Asia. As means restriction is an important suicide prevention strategy, gaining knowledge of the common suicide methods and their changing trends in each country and region is crucial. Aims: We aimed to assess the suicide methods in South Asian countries over the last two decades. Methods: A search was performed in PubMed, PubMed Central, Scopus, and Google Scholar with the search terms. Original articles of quantitative studies, published in the English language, from 2001 to 2020, with full-accessible text, that rank different methods of suicide in eight South Asian countries, were included. Results: A total of 68 studies were found eligible for review. The Maximum number of studies were found from India ( n = 38), followed by Bangladesh ( n = 12), Pakistan ( n = 9), Sri Lanka ( n = 6), and Nepal ( n = 3). Hanging ( n = 40, 55.8%) and poisoning ( n = 24, 35.3%) were the two most common suicide methods reported, in that order. Hanging followed by poisoning were the commonest suicide methods in Bangladesh, India, and Pakistan while in Sri Lanka, poisoning was the preferred method to hanging. There is a decline in suicide by poisoning and an increase in suicide by hanging in Sri Lanka, Bangladesh, and India. Although hanging is still the commonest method in Pakistan, the use of firearms is growing in recent years (2011–2020). Conclusions: There is a steady decline in the incidence of suicides by poisoning following pesticide regulations in South Asian countries. However, there is heterogeneity of study methods, probable under-reporting of suicide, and lack of robust suicide data.


2000 ◽  
Vol 118 (1) ◽  
pp. 21-29 ◽  
Author(s):  
Ulysses Fagundes-Neto ◽  
Isabel Cristina Affonso Scaletsky

Diarrheal disease is still the most prevalent and important public health problem in developing countries, despite advances in knowledge, understanding, and management that have occurred over recent years. Diarrhea is the leading cause of death in children under 5 years of age. The impact of diarrheal diseases is more severe in the earliest periods of life, when taking into account both the numbers of episodes per year and hospital admission rates. This narrative review focuses on one of the major driving forces that attack the host, namely the enteropathogenic Escherichia coli (EPEC) and the consequences that generate malnutrition in an early phase of life. EPEC serotypes form dense microcolonies on the surface of tissue-culture cells in a pattern known as localized adherence (LA). When EPEC strains adhere to epithelial cells in vitro or in vivo they cause characteristic changes known as Attaching and Effacement (A/E) lesions. Surface abnormalities of the small intestinal mucosa shown by scanning electron microscopy in infants with persistent diarrhea, although non-specific, are intense enough to justify the severity of the clinical aspects displayed in a very young phase in life. Decrease in number and height of microvilli, blunting of borders of enterocytes, loss of the glycocalyx, shortening of villi and presence of a mucus pseudomembrane coating the mucosal surface were the abnormalities observed in the majority of patients. These ultrastructural derangements may be due to an association of the enteric enteropathogenic agent that triggers the diarrheic process and the onset of food intolerance responsible for perpetuation of diarrhea. An aggressive therapeutic approach based on appropriate nutritional support, especially the utilization of human milk and/or lactose-free protein hydrolyzate-based formulas and the adequate correction of the fecal losses, is required to allow complete recovery from the damage caused by this devastating enteropathogenic agent.


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