Prevalence and determinants of oral potentially malignant lesions using mobile health in a rural block, northeast India

2021 ◽  
pp. 004947552110499
Author(s):  
Rohan Michael Ramesh ◽  
Sanjana Patrick ◽  
Zubemo Lotha ◽  
Azole ◽  
Atsung Aier ◽  
...  

In a rural block in North East India, community health workers (CHW) empowered with a mobile phone-based application screened a total of 2,686 participants for Oral Potentially Malignant Lesions (OPMLs), and an oral medicine specialist recommended treatment remotely. Independent risk factors were determined using independent multiple logistic regression models. Nearly 700 (26%) participants were identified with OPMLs. The sensitivity, specificity, positive predictive values, negative predictive values and accuracy of the CHW was 70.3, 88.4, 66.8, 89.9% and 83.7% respectively. Male gender, married status, smokeless tobacco, paan, areca-nut and alcohol consumption were independent predictors of OPMLs, the burden of which in North East India can be attributed to the high consumption of tobacco and non-tobacco products. Such programmes, with the recommendations from remote specialists, will facilitate early detection in remote settings.

Author(s):  
Mr. Bikash Das

Northeast India is a diverse region of our country. It is a resident of different tribes. Some of these are- Bodo, Kuki, Mizo, Singpfo, Khasi, Mishing, Deori, Adi, Apatani, Naga, Garo, Nishi, Rengma, Angami, Rabha etc. Each tribe have their rich traditional culture. They are famous for their unique traditional life style. But globalization stands as an effecting factor on the folk life of the Northeastern tribes. This paper is an attempt to analyze the impact of globalization on the folk life of the various tribes of Northeast India. In the context of the tribes of Northeast India, it is predicted that globalization may be harmfull for their unique identities. The study is based on primary and secondary information collected for various tribes of Northeast India. The study founded that globalization has some negative effects on the folk life of the Northeastern tribes. However, it is hoped that in near future, globalization may be helpfull for the tribes of Northeast India. KEYWORDS: Ethnic, Folk Life, Globalization, Northeast, Tribal.


2018 ◽  
Vol 105 (5) ◽  
pp. 378-387 ◽  
Author(s):  
Giulia Bicchierai ◽  
Jacopo Nori ◽  
Diego De Benedetto ◽  
Cecilia Boeri ◽  
Ermanno Vanzi ◽  
...  

PurposeTo evaluate the role of contrast-enhanced spectral mammography (CESM) in the post biopsy management of breast lesions classified as lesions of uncertain malignant potential (B3) by core needle biopsy and vacuum-assisted biopsy (VAB).MethodsThe local ethics committee approved this retrospective study and for this type of study formal consent is not required. A total of 42 B3 lesions in 40 women aged 41–77 years were included in our study. All patients underwent CESM 2–3 weeks after the biopsy procedure and surgical excision was subsequently performed within 60 days of the CESM procedure. Three radiologists reviewed the images independently. The results were then compared with histologic findings.ResultsThe sensitivity, specificity, and positive and negative predictive values for confirmed demonstration of malignancy at CESM were 33.3%, 87.2%, 16.7%, and 94.4% for reader 1; 66.7%, 76.9%, 18.2%, and 96.7% for reader 2; 66.7%, 74.4%, 16.7%, and 96.7% for reader 3. Overall agreement on detection of malignant lesions using CESM among readers ranged from moderate to substantial (κ = .451–.696), for categorization of BPE from moderate to substantial (κ = .562–.711), and for evaluation of lesion intensity enhancement from fair to moderate (κ = .346–.459).ConclusionIn cases of Breast Imaging Reporting and Data System (BI-RADS) 1, BI-RADS 2, or BI-RADS 3 results at CESM, follow-up or VAB rather than surgical biopsy might be performed.


Author(s):  
Armanda De Marchi ◽  
Simona Pozza ◽  
Lorena Charrier ◽  
Filadelfo Cannone ◽  
Franco Cavallo ◽  
...  

Subcutaneous masses smaller than 5 cm can be malignant, in contrast with the international guidelines. Ultrasound (US) and magnetic resonance imaging (MRI) are useful to distinguish a potentially malignant mass from the numerous benign soft tissue (ST) lesions. Contrast-enhanced ultrasound (CEUS) was applied in ST tumors, without distinguishing the subcutaneous from the deep lesions. We evaluated CEUS and MRI accuracy in comparison to histology in differentiating malignant from nonmalignant superficial ST masses, 50% smaller than 5 cm. Sensitivity, specificity, and positive and negative predictive values (PPV, NPV) with their 95% confidence intervals (CI) were calculated. Of malignant cases, 44.4% measured ≤5 cm. At univariate analysis, no statistically significant differences emerged between benign and malignant tumors in relation with clinical characteristics, except for relationship with the deep fascia (p = 0.048). MRI accuracy: sensitivity 52.8% (CI 37.0, 68.0), specificity 74.1% (CI 55.3, 86.8), PPV 73.1% (CI 53.9, 86.3), and NPV 54.1% (CI 38.4, 69.0). CEUS accuracy: sensitivity 75% (CI 58.9, 86.3), specificity 37% (CI 21.5, 55.8), PPV 61.4% (CI 46.6, 74.3), and NPV 52.6% (CI 31.7, 72.7). CEUS showed a sensitivity higher than MRI, whereas PPV and NPV were comparable. Also, masses measuring less than 5 cm can be malignant and referral criteria for centralization could be revised.


2021 ◽  
Vol 42 (1) ◽  
pp. 11-17
Author(s):  
Amit Kumar ◽  
Dibanjyoti Buragohain ◽  
Vinod Kumar Singh

The paper intends to explore MOOC that has attained considerable attention in attracting the academic intellectuals of different disciplines across the globe. The purpose of the paper is to analyse, evaluate and understand the barriers followed by the scope of implementing MOOC courses especially the LIS perspective in northeast India. The paper also tends to study the significance of MOOCs in the NE region. A comprehensive conceptual model has been put forward by reviewing the existing literature related to the specific field of study. The model shall be beneficial to the team members designing and developing the framework for the MOOC courses (LIS) in North-East India.


Author(s):  
K O Elimian ◽  
P R Myles ◽  
R Phalkey ◽  
A Sadoh ◽  
C Pritchard

Abstract Background Improving caregivers’ recognition of childhood malaria and pneumonia is crucial to early treatment and improving outcomes. The objective of this study was to assess the accuracy and reliability of caregivers’ recognition of malaria and pneumonia (lay diagnosis) as compared to the revised IMCI guidelines. Methods A cross-sectional study design was used to recruit 903 children aged 2–59 months who were assessed for malaria and pneumonia by health workers at five primary healthcare centres in Benin City, Nigeria. Accuracy of lay diagnosis as compared to the revised IMCI guidelines was assessed using sensitivity, specificity, positive and negative predictive values and area under the receiver operating characteristic curve (AUROC) values. Results The accuracy of caregivers’ ability to recognise malaria (AUROC: 0.60; 95% CI: 0.57–0.64) and pneumonia (AUROC: 0.54; 95% CI: 0.50–0.58) was, respectively, moderate and poor as compared to the IMCI guidelines. Caregivers were better able to identify children without than those with malaria and pneumonia. Agreement between caregivers and the IMCI guidelines for malaria and pneumonia diagnosis was poor (k = 0.14, 95% CI: 0.09–0.19; P = 0.0001). Conclusion Caregivers’ ability to recognise these childhood diseases as compared to the IMCI guidelines was poor overall, which was partly due to the approach used to ascertain lay diagnosis.


2013 ◽  
Vol 2 (1) ◽  
pp. 91-104 ◽  
Author(s):  
Pramod Kumar Yadav ◽  
Kiranmay Sarma ◽  
Ashish Kumar Mishra

Due to shifting cultivation, the overall structure and composition of ecological condition is affected, hence landscape study becomes important for maintaining ecological diversity and appropriate scientific planning of any area. Garo hills region of northeast India is suffering from Geomorphological risk like sheet erosion, landslide etc. due to the age old tradition of shifting cultivation in the fragile hill slopes aided by other anthropogenic activities. The present study was conducted to examine the role of shifting cultivation for deforestation and degradation with variant of slope and elevation to relate vegetation cover with slope and elevation in the Garo Hills landscape of Meghalaya using temporal remote sensing data of 1991, 2001 and 2010. It revealed that there is decrease in dense forest and open forest during the 1st decade while areas under dense forest and non-forest increased in 2nd decade. This increased forest area is confined in the high slopes, which are inaccessible. The study shows increase in shifting cultivation near-about double fold in high slope and more than a double fold in the high altitudinal area in last decade, which is negative sign in terms of Geomorphological protection. International Journal of Environment, Volume-2, Issue-1, Sep-Nov 2013, Pages 91-104 DOI: http://dx.doi.org/10.3126/ije.v2i1.9212


1987 ◽  
Vol 21 (2) ◽  
pp. 257-282 ◽  
Author(s):  
B. P. Singh

The management of public affairs in northeast India has been in focus in the regional, national and world press in recent years. Much of the attention has been confined to insurgency, the ‘foreign nationals’ issue, tribal ‘uprisings’, ‘brutalities’ committed by the security forces, ‘involvement’ of foreign agencies in the area, political ‘horse-trading’ and floods. There has been no analysis of the economic, cultural and demographic factors which have acquired different nuances in the wake of the rapid modernization taking place in the region since the 1950s and which have a decisive say on the formulation of policies and the efficacy of institutions of governance in northeast India. This paper proposes to offer some facts and reflections on these aspects.


2013 ◽  
Vol 1 (2) ◽  
pp. 21 ◽  
Author(s):  
Benjamin L Saitluanga

Globalisation, an increasing international interaction in economic, political and cultural aspects, is a highly uneven set of processes whose impact varies over space, through time, and between social groups. On one hand, as globalisation seems to be an inevitable reality, many developing countries are restructuring their economies to receive and reap the benefits of widening and deepening global economic interactions. On the other hand, there are regions, which are increasingly excluded, and ‘structurally irrelevant’ to the current process of globalisation. Moreover, cities are at the core of development strategy of globalisation. While cities in developed countries are becoming centres of globally integrated organisation of economic activity, cities in developing countries are usually at disadvantage positions due to weak financial bases, low levels of technology as well as lack of infrastructural facilities and institutional factors.The present paper, in the limelight of these contradictions, analyses the differential impacts of economic globalisation in cities and regions of India in general and Northeast India in particular. It is noted that the ushering of globalisation through structural adjustment of the economy during the 1990s has disparate impacts on various cities and regions of the country. The paper also examines the infrastructural constraints of cities of Northeast India as well as the existing institutional arrangements to ‘globalise’ the region through neoliberal reforms and investments. 


2020 ◽  
Vol 78 (3) ◽  
pp. 105-120
Author(s):  
Budhin Gogoi ◽  
Debangshu Narayan Das ◽  
Surjya Kumar Saikia

AbstractThe feeding ecology of Pachypterus atherinoides was investigated for two consecutive years (2013-2015) from floodplain wetlands in the Subansiri river basin of Assam, North East India. The analysis of its gut content revealed the presence of 62 genera of planktonic life forms along with other animal matters. The organization of the alimentary tract and maximum Relative Mean Length of Gut (0.511±0.029 mm) indicated its carnivorous food habit. The peak gastro-somatic index (GSI) in winter-spring seasons and summer-rainy seasons indicated alteration of its feeding intensity. Furthermore, higher diet breadth on resource use (Levins’ and Hurlbert’s) with zooplankton compared to phytoplankton and total plankton confirmed its zooplanktivore habit. The feeding strategy plots also suggested greater preference to zooplankton compared to phytoplankton. The organization of its gill rakers specified a secondary modification of gut towards either carnivory or specialized zooplanktivory. So, the fish may be a carni-omnivore with preference to zooplankton.


2021 ◽  
Vol 8 (1) ◽  
Author(s):  
Rosie Lalmuanpuii ◽  
Betsy Zodinpuii ◽  
J. Lalbiaknunga ◽  
Zothanpuia

AbstractExploration of ethnic traditional food recipes has an immense contribution to the preservation and sustainability of traditional food habits and culture. The main objective of this study was to explore and document traditional food recipes prepared from wild edible vegetables among two ethnic groups of Mizoram, Northeast India. The method employed for this study was mainly based on a household survey; randomly selected 35 households in Aizawl district representing the major ethnic groups, namely Hmar and Paihte. Information was collected on different types of wild edible vegetables ethnic food, as prepared and consumed by the local people. Twenty-four types of traditional food recipes were documented according to their seasonal availability, and the affinities of choices in food consumption are comparable among the two ethnic groups. It was also reported that wild edible vegetables play a significant role in safeguarding food security and improve nutrition in diets. The present work documents the wild edible vegetables used traditionally by two ethnic groups of Mizoram for various recipes and highlights the necessity of conserving such traditional knowledge besides throwing light on their economic potential. The study suggests that future investigation be carried out to evaluate the nutritional and bioactive properties of wild edible vegetables.


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