An Innovative Approach of Mobile E-Health Intervention in Tracking Antenatal Mothers & Neonates in Selected Rural Areas of a District in Central India: An Ice Breaking Footstep for Revolution.

Background: Scrub typhus is the most common rickettsial infection in the Indian subcontinent with the manifestation ranging from mild symptoms to serious disease with or complication or death. The objective of this study was to study epidemiology and clinical profile of scrub typhus outbreak in a tertiary care centre of central India.Methods: Present study is a record based retrospective study enrolling 173 confirmed positive cases with ELISA test during the period from 1st August to 31st December 2018.Results: Maximum number of the cases 94 (54.3%) had occurred in September 2019. Majority of the female 94(54.3%) were Ig M positive for scrub typhus. Maximum cases 134 (77.5%) were from rural area. Most common symptoms were fever 170 (98.3%), followed by fever with chills 65 (37.6%), breathlessness 49 (28.3%), cough 35 (20.2%), and 28 (16.2%) each with altered sensorium and headache. Mortality was recorded in 30 (173%) and amongst them 10 (34.5%) and 4 (13.8%) cases had ARDS and septicaemia as complication respectively.Conclusions: This study shows that majority of the cases occurred in the month of September 2018 with female preponderance. Most of the residence were from rural areas with common presenting symptoms as fever or fever with chills followed by breathlessness, cough and altered sensorium and headache.

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Bioeconomy as an innovative approach to rural development in the context of Common Agricultural Policy in EU

SHS Web of Conferences ◽

10.1051/shsconf/202112001008 ◽

2021 ◽

Vol 120 ◽

pp. 01008

Author(s):

Teodorina Turlakova

Keyword(s):

Rural Areas ◽

Private Investment ◽

Raw Material ◽

Innovative Approach ◽

Material Resource ◽

Research And Innovation ◽

Economic Development And Growth ◽

Production And Consumption ◽

Material Goods

Bioeconomy is an innovative approach in the economy of the region, aimed at integrating the available natural and labour resources, production facilities, the achievements of science in the field of innovation technologies. These are related to the production of material goods, the conversion of production and energy in the direction of fuller utilization of organic and mineral sources as a raw material resource for achieving sustainable development in the field of production and consumption, stable economic development and growth living standards of the population while protecting the environment and resources. The aim of the report is to analyze the possibilities for applying the bioeconomy in rural areas through research and innovation, stimulating private investment, developing new value chains and engaging stakeholders. The role of the CAP in supporting and financing activities of the bio and circular economy models is argued.

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Addressing Urban–Rural Water Conflicts in Nagpur through Benefit Sharing

Water ◽

10.3390/w12112979 ◽

2020 ◽

Vol 12 (11) ◽

pp. 2979

Author(s):

Vibhas Sukhwani ◽

Kamakshi Thapa ◽

Rajib Shaw ◽

Sameer Deshkar ◽

Bijon Kumer Mitra ◽

...

Keyword(s):

Rural Areas ◽

Urban Areas ◽

Water Governance ◽

Secondary Data ◽

Central India ◽

Benefit Sharing ◽

Water Conflicts ◽

Water Demands ◽

Urban Rural ◽

Multi Stakeholder

Urban and rural areas often meet their water demands from a shared stock of finite water resources. Against the changing climate, the rising water demands in fast-growing urban areas are leading to increasing water-use conflicts with the co-dependent rural areas. Although poor water governance is frequently cited as the key reason for such urban–rural conflicts, it is also recognized as a potential pathway to resolve them. In the case of Nagpur Region in Central India, water stress has today become a subject of serious concern. The water demands in Nagpur City are primarily met through the multipurpose Pench Dam on priority, but the recently declining water availability has raised undue concerns for irrigation in the Pench command areas. To substantiate the limited understanding of ongoing water conflicts in the wider Nagpur Metropolitan Area, this study analyzes a specific set of secondary data related to the history of the Pench Project and its water utilization trends. By uncovering the periodic decline in irrigated area and the increasing groundwater use for irrigation, the cross-sectoral and transboundary implications of increasing water transfer to Nagpur City are revealed. To address these concerns, this study then suggests feasible governance strategies based on benefit sharing and multi-stakeholder engagement.

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STONEWALLS4LIFE - using Dry-Stone Walls as a Multi-purpose Climate Change Adaptation tool: preliminary results in terms of geological and geomorphological quantitative analysis.

10.5194/egusphere-egu2020-21358 ◽

2020 ◽

Author(s):

Andrea Vigo ◽

Andrea Mandarino ◽

Giacomo Pepe ◽

Emanuele Raso ◽

Ugo Miretti ◽

...

Keyword(s):

Climate Change ◽

Climate Change Adaptation ◽

Rural Areas ◽

Objective Assessment ◽

Innovative Approach ◽

Solid Base ◽

Narrow Strip ◽

Stone Walls ◽

Terraced Slopes ◽

Cinque Terre

Due to its rugged morphology and a general lack of flat areas suitable for cultivation, Liguria region is widely characterized by slope terracing, carried out by its inhabitants for centuries. Slope terraces are usually retained by dry-stone walls; secondly, by retaining walls made of stones bounded by lime mortar or by grassy edges, in this case characterized by the absence of retaining structures.The widespread abandonment of rural areas that occurred in the second half of the last century resulted in a diffuse lack of dry-stone walls maintenance, which is a fundamental activity in order to keep the function of dry-stone structures. Such aspect, together with an increasing occurrence of extreme hydro-meteorological events over the last years, accelerates the dry-stone walls decay and collapse, as well as the instability of single terraces and consequently of the whole terraced slope.This is the case in which the Cinque Terre National Park (eastern Liguria, north-western Italy) is involved, a narrow strip of land close to the seaside and characterized by small valleys and terraced slopes showing high steepness values. This anthropogenic landscape represents a high-value peculiarity attracting more than three million tourists every year.The main objective of the project is to demonstrate how an ancient technology, drystone walling, can be effectively used to improve the resilience of the territory to climate change by adopting a socially and technically innovative approach. Stonewalls4life started in the second half of 2019 involving many subjects, both public bodies and privates, in a multidisciplinary workgroup.More into details, it will be demonstrated on a specific site measuring 6 hectares (Manarola, Cinque Terre) the climate change adaptation effectiveness of the approach by restoring abandoned drystone terraces, making them more resilient with innovative techniques; at the same time, three additional sites were identified in order to test the approach under different circumstances (two within the same territory, one in Catalonia &#8211; Parc del Garraf &#8211; with dissimilar conditions). Furthermore, from a scientific point of view, the project will allow to carry out a quantitative and objective assessment of the dry-stone walls effectiveness against extreme rainfall events, through the installation of several multiparameter stations that will record in continuous a set of geo-hydrological parameters associated to walls.An extensive and detailed geological and geomorphological survey activity along with GIS analysis and bibliographical research has been carried out in order to create a geological-structural model of the aforementioned site and to identify its geomorphological features. Moreover, an accurate mapping and analysis of dry-stone walls has been performed employing an innovative approach developed in the frame of the project and based on field-surveyed and remotely-sensed data.The outcomes represent a solid base for the implementation of the future phases of the project, in particular to understand the relationship among the geological, geomorphological and anthropic features of the area with the terraced-slopes stability in order to develop an accurate management plan concerning the dry-stone walls recovery activity.

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Unlicensed medical practitioners in tribal dominated rural areas of central India: bottleneck in malaria elimination

Malaria Journal ◽

10.1186/s12936-020-3109-z ◽

2020 ◽

Vol 19 (1) ◽

Cited By ~ 1

Author(s):

Mrigendra Pal Singh ◽

Sunil Kumar Chand ◽

Kalyan Brata Saha ◽

Neetiraj Singh ◽

Ramesh C. Dhiman ◽

...

Keyword(s):

Malaria Elimination ◽

Rural Areas ◽

Central India ◽

Medical Practitioners

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Multiomics Profiling Reveals Signatures of Dysmetabolism in Urban Populations in Central India

Microorganisms ◽

10.3390/microorganisms9071485 ◽

2021 ◽

Vol 9 (7) ◽

pp. 1485

Author(s):

Tanya M. Monaghan ◽

Rima N. Biswas ◽

Rupam R. Nashine ◽

Samidha S. Joshi ◽

Benjamin H. Mullish ◽

...

Keyword(s):

Rural Areas ◽

Metabolic Disorders ◽

Central India ◽

Amplicon Sequencing ◽

Short Chain Fatty Acids ◽

Fecal Microbiota ◽

Gas Chromatography Mass Spectrometry ◽

Association Analyses ◽

Related Risk ◽

Urban And Rural Areas

Background: Non-communicable diseases (NCDs) have become a major cause of morbidity and mortality in India. Perturbation of host–microbiome interactions may be a key mechanism by which lifestyle-related risk factors such as tobacco use, alcohol consumption, and physical inactivity may influence metabolic health. There is an urgent need to identify relevant dysmetabolic traits for predicting risk of metabolic disorders, such as diabetes, among susceptible Asian Indians where NCDs are a growing epidemic. Methods: Here, we report the first in-depth phenotypic study in which we prospectively enrolled 218 adults from urban and rural areas of Central India and used multiomic profiling to identify relationships between microbial taxa and circulating biomarkers of cardiometabolic risk. Assays included fecal microbiota analysis by 16S ribosomal RNA gene amplicon sequencing, quantification of serum short chain fatty acids by gas chromatography-mass spectrometry, and multiplex assaying of serum diabetic proteins, cytokines, chemokines, and multi-isotype antibodies. Sera was also analysed for N-glycans and immunoglobulin G Fc N-glycopeptides. Results: Multiple hallmarks of dysmetabolism were identified in urbanites and young overweight adults, the majority of whom did not have a known diagnosis of diabetes. Association analyses revealed several host–microbe and metabolic associations. Conclusions: Host–microbe and metabolic interactions are differentially shaped by body weight and geographic status in Central Indians. Further exploration of these links may help create a molecular-level map for estimating risk of developing metabolic disorders and designing early interventions.

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Posterior segment manifestations in human immunodeficiency virus/acquired immunodeficiency syndrome patients in rural population of central india

International Journal of Research in Medical Sciences ◽

10.18203/2320-6012.ijrms20192487 ◽

2019 ◽

Vol 7 (6) ◽

pp. 2137

Author(s):

Gaurav Agrawal ◽

Meenu Babber ◽

Ifsa Sami ◽

Reena Sharma ◽

Ravi Ranjan

Keyword(s):

Rural Areas ◽

Rural Population ◽

Central India ◽

Hiv Infections ◽

Posterior Segment ◽

Cd4 Count ◽

Hiv Patients ◽

Ocular Manifestations ◽

Cotton Wool Spots ◽

Ophthalmic Manifestations

Background: Ocular manifestations of HIV infections are common in the developing countries with lacking data in rural areas. The aim of study was to assess the prevalence of ophthalmic manifestations among HIV infected individuals in rural population and to find the relationship between CD4 count and ocular manifestations among these individuals.Methods: Authors have included 400 HIV patients of age more than 15 years that were registered in ART center of our institute. Ocular examination was done with slit lamp biomicroscope and indirect ophthalmoscope. Blood sample was sent for CD4 count analysis.Results: The mean age of patients ware 31.9±9.3 years, the ocular manifestations were more commonly found in the age group 25-35 years. 51 % were males and 49% were females. Most common mode of transmission was heterosexual contact (51%).55 % patients had CD4 count >150 cell/cumm. Cotton wool spots (36%) and intra-retinal haemorrhages (32%) was most common posterior segment findings followed by ocular toxoplasmosis (13%), CMV retinitis (10%), acute retinal necrosis (3 %).Conclusions: The prevalence of ocular manifestations in HIV patients is high and is a burden for our society, authors recommend screening of all the HIV patients to detect any vision threatening ocular lesions at the earliest.

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Perception of medical students towards serving rural people: A study from central India

International Journal of Community Medicine and Public Health ◽

10.18203/2394-6040.ijcmph20181237 ◽

2018 ◽

Vol 5 (4) ◽

pp. 1580

Author(s):

Yachana Choudhary ◽

Manju Dubey ◽

Manju Toppo ◽

D. K. Pal

Keyword(s):

Medical Students ◽

Rural Area ◽

Rural Areas ◽

Central India ◽

Cross Sectional Study ◽

Work Place ◽

Cross Sectional ◽

Medical College ◽

Perceptions And Attitudes ◽

Study Participants

Background: India is facing critical problem of paucity of certified physicians in rural areas, although majority of the population resides in rural areas. According to rural health statistics report 2015, there is a deficit of 659 doctors in rural areas. The study was done with the objective to capture the perception among medical students (interns / postgraduates) about their preference of work place after graduation/post-graduation and to know the factors responsible for preference / non-preference.Methods: A cross sectional study was carried out, among 203 medical students in a government medical college of Bhopal (M.P) from January to March 2016. A semi-structured questionnaire was used to obtain information regarding their preference to serve in rural areas and reasons associated with their choices. The data was entered in MS excel and analysis was performed using Epi-Info7.Results: The study participants included 203 medical students, only 33 (16.26%), were willing to work in rural area. The major reasons for non-preference of rural area were lack of primary facilities like equipments, paramedical staff, non favorable working conditions. Majority of them responded that good salary, better lifestyle and security for doctors especially for females would make them work there.Conclusions: Very less proportion of study participants preferred rural area as their preferred work place. Our study has shown a need for intervention to overcome these perceptions and attitudes of the students towards practice in rural area in order to reverse this disparity.

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