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Edited by
Dharti Patel, Mount Sinai West and Morningside Hospitals, New York,Sang J. Kim, Hospital for Special Surgery, New York,Himani V. Bhatt, Mount Sinai West and Morningside Hospitals, New York,Alopi M. Patel, Rutgers Robert Wood Johnson Medical School, New Jersey
The initial assessment of an unresponsive patient, the sequence of events, CPR, medications, defibrillation, and post-resuscitative care will be described in this chapter. Unless stated otherwise, all the following recommendations apply to the adult patient.
The genetic diversity of Cyclanthera pedata was assessed through agro-morphological, mineral composition and biochemical traits. Field surveys across India documented its wide ecological distribution (18.66°–31.02°N, 78.05°–83.27°E, 131–3665 m AMSL) in Andhra Pradesh and northwest Himalayan region. Field evaluations were conducted during Kharif 2021 and 2022 at ICAR-Vivekananda Parvatiya Krishi Anusandhan Sansthan, Almora (1250 m AMSL). Significant genotypic variation was observed in fruit yield (195–1505 g/plant), fruit numbers (36–364 per plant), chlorophyll content (0.49–2.61 μg/g) and antioxidant activities (16.02–39.04 mM Trolox equivalent/g DW). Notable genotypes included RK-40 (highest yield of 1505 g/plant), RK-01 (early flowering) and RK-33 (early fruiting). High coefficients of variation (>23%) were noted in total chlorophyll, carotenoids and FRAP values. Genotype RK-42 excelled in antioxidant activities and carotenoids. Hierarchical cluster analysis grouped the germplasm into four clusters based on critical traits independent of geographic origin. In contrast, principal component analysis identified traits like polyphenols, antioxidants, seed weight and fruit yield as significant contributors to phenotypic variation. The biplot revealed relationships between traits, such as positive correlations between fruit yield, fruit and pulp weight, and biochemical traits like DPPH and ABTS. Genotypes such as IC 430006, IC 356007, IC 393261, IC 393308, UKAl 1 and IC 361297 display distinct profiles. These findings highlight critical traits for breeding and conservation efforts, particularly for enhancing fruit yield and biochemical attributes in C. pedata germplasm.
In order to recognize the best nutrient supply options for profitable and sustainable production systems, observations were recorded from 2001 to 2020 (20 years) in a long-term fertilizer experiment initiated in 1995–96 with soybean–wheat cropping systems (SWCSs) under irrigated conditions. The experiment comprised of seven treatments including control, organic, inorganic and their combinations. A combined use of 10 Mg farmyard manure (FYM)/ha (M) along with 120 kg N/ha provided statistically (P < 0.05) similar yield and economic benefits to the M + NPK and also provided a positive yield trend (30.0 and 16.2 kg/ha/year) and net return (14.7 and 5.81 US$/ha/year) over the year in both wheat and soybean, respectively. The combined use of organic and chemical fertilizers, provided 32–41% higher production efficiency than their individual use. In contrast, long-term chemical fertilization provided a negative yield trend in both the crops with the highest reduction in sole N-fertilized plots ranged from −39 to −42 kg/ha/year. Water-use efficiency ranged from 3.20 to 12.3 kg/ha/mm in soybean–wheat rotation and increased almost 1.74–3.15 times in wheat and 1.30–1.80 times in soybean due to fertilizer application. A similar trend was observed for water-expense efficiency and remain closely associated with fertilization practice. Long-term chemical fertilizers declined the yield potential of the studied crops while their conjoint application with FYM in the winter season considered as an input efficient approach to sustain the overall productivity and profitability of SWCSs.
The National Family Health Survey (NFHS) was initiated under the stewardship of the Ministry of Health and Family Welfare (MoHFW), Government of India, in the year 1992 when its first round was conducted. Four more rounds since then have been conducted. All rounds of the NFHS have persistently made a sincere effort to provide valuable nationally representative maternal and child-health indicators. The sample size and structure of the questionnaire, along with the pertinent health-related questions, have increased with the passing time. In NFHS-1 (1992–93), 88,562 households were surveyed in 24 states and the National Capital Territory of Delhi. A total of 89,777 ever-married women aged 13–49 years were interviewed to obtain the maternal and child-health indicators. In NFHS-2 (1998–99), the sample size of ever-married women increased to 91,000 aged 15–54 years from 26 states. A few additional health indicators, such as the nutritional status of women and children by running blood tests, were introduced in this round. In NFHS-3 (2005–06), the sample size for ever-married women was increased to 131,596 aged 15–49 years from 29 states of India. For the first time, information on men aged 15–54 years was collected in this round. Human immunodeficiency virus (HIV) and anaemia testing among women and children was also initiated.
After NFHS-3, the MoHFW wanted to integrate the different existing health surveys into one full-fledged survey providing district-level estimates. The NFHS had been designed as per the standard Demographic and Health Surveys (DHS), which have global coverage, whereas some of the previous district-level surveys like the Annual Health Survey (AHS) and the District-Level Household Survey (DLHS) had been planned to cover limited demographic and health issues and were subsequently subsumed to avoid duplication of efforts. In lieu of this, the periodicity of the NFHS was fixed at three years, and the NFHS was proposed to be turned into a government-funded survey (Shrinivasan, 2012). NFHS-4 (2015–16) was partially funded, and the most recent round, NFHS-5 (2019–21), is completely funded by the MoHFW. NFHS-4 was evidently different from its successors in two ways: (a) it provided an array of maternal- and child-health estimates at the district level, and (b) there was more than a five-fold increase in its sample size (Table 8.1). In addition to the 29 states that were surveyed in NFHS-3, six union territories were also included in the NFHS-4 sample.
In the face of climate change, developing resilient crops is crucial for global food security in the 21st century to feed a growing population. Lentil (Lens culinaris Medikus) plays a vital role in ensuring global food and nutritional security. Traits like early flowering enable the crop to mature faster, thereby shortening the growing window and reducing yield losses caused by moisture and heat stresses during the reproductive phase. However, issues like limited genetic diversity in this trait remain unaddressed. To address this gap, our study aims to comprehensively assess genetic variability and trait associations in 158 lentil accessions. In the present study, we observed significant variations for days to 50% flowering (67–90 days), days to maturity (109–122 days) and 100 seed weight (1.69–2.68 g) throughout a period of two consecutive years (2020–2021 and 2021–2022). The observed variability in these traits offers a valuable avenue for the improvement of lentil yield through targeted selection and hybridization. Additionally, correlation analysis showed negative correlation between days to 50% flowering and grain yield per plant, while plant height had a significant (P < 0.01) positive correlation with all traits except yield per plant. Furthermore, we identified specific germplasm with exceptional traits that hold significant potential for future breeding programmes. The genotypes EC 223197-A and EC 267696 were identified for early flowering with high yield, and other genotypes that were identified for various traits would serve as breeding material for the introgression of these traits into elite cultivars.
Soybean is a major source of vegetable oil and protein worldwide. Globally, India is among the top five producers where soybean is a major oilseed grown under diverse agro-climatic conditions by small and marginal farmers. The present study aims to identify soybean varieties with higher yield levels, resistance to pestdiseases and adaptability to climatic fluctuations. One hundred and twenty-five (125) indigenous and exotic soybean germplasm accessions and five checks were evaluated and characterized for eight agro-morphological traits at five testing locations and also screened for frog-eye leaf spot (FLS) and yellow mosaic virus (YMV) diseases under hot-spot locations during the rainy season. A wide range of variability was observed among accessions for days to 50% flowering (39–59), plant height (41–111 cm), number of nodes/plant (10–30), pod clusters/plant (14–39), number of pods/plant (40–102), days to maturity (96–115), grain yield/plant (4.89–16.54 g) and 100-seed weight (6.02–13.72 g). Among various traits, 100-seed weight (0.45), number of pods/plant (0.60) and number of pod clusters/plant (0.38) were found to be major yield-contributing traits as they exhibited highly significant correlation with grain yield/plant. Principal components PCI and PCII with eigen value >1 accounted for 42.66 and 27.08% of the total variation, respectively. Accessions G24 (EC 393222) from Taiwan and G40 (IMP-1) from the USA belonging to cluster IV were found promising for multiple yield traits and JS 20–38 from cluster III for earliness as per cluster analysis. GGE biplot average environment coordination (AEC) view revealed that the accessions viz., G11 (EC 333872), G2 (EC 251506) and G47 (TNAU-S-55) were the best performing stable genotypes in terms of grain yield/plant across locations. Twelve accessions had a high level of resistance against both FLS and YMV diseases under natural hot-spot conditions which can be utilized as promising donors in the soybean breeding programme.
Yushania anceps is a temperate woody bamboo taxon of high socio-economic importance occurring in the sub-alpine zone of the western Himalayas. This study was carried out to delineate the potential distribution of Y. anceps in the western Himalayas through species distribution modelling (SDM), and genetic characterization using sequence-tagged microsatellite (STMS) markers. The present study revealed an endemic distribution of this species in the Uttarakhand Himalayas, with an estimated area of 211.59 km2. The maximum probability of occurrence was recorded in the moderately dense forests between the altitudinal ranges of 2500 and 2700 m. The model output was well supported with high values of different statistical measures, such as the AUC (0.911) and Kappa coefficient (K = 0.513). Environmental variables related to precipitation, temperature and topography were identified as the most contributory in current SDM. In addition, diversity measures, namely allelic richness (Ar), expected heterozygosity (He), and fixation index (FST), were calculated in five sampled populations with eight STMS markers, which indicated high genetic diversity (Ar = 4.24; He = 0.689) and little differentiation (FST = 0.062). The diversity maps displayed that the populations located in the Kumaon region captured relatively more genetic diversity than the Garhwal region. Further, genetic clustering and STRUCTURE analysis revealed a substantial level of genetic admixing across the analysed populations, and as a result, no sub-structuring was detected. Due to the rare and endemic distribution of Y. anceps, it requires immediate conservation measures, and the knowledge base generated here will be of paramount importance to forest managers, researchers and policymakers.
An annualised linear growth velocity (LGV) reference can identify groups of children at risk of growing poorly. As a single velocity reference for all preschool ages does not exist, we present an interim tool, derived from published, normative growth studies, for detecting growth faltering, illustrating its use in Nepali preschoolers.
Design:
The WHO Child Growth Velocity Standard was adapted to derive 12-month increments and conjoined to the Tanner-Whitehouse Height Velocity Reference data yielding contiguous preschool linear growth annualised velocities. Linear restricted cubic spline regressions were fit to generate sex-specific median and standard normal deviate velocities for ages 0 through 59 months. LGV Z-scores (LGVZ) were constructed, and growth faltering was defined as LGVZ < –2.
Setting:
Use of the reference was illustrated with data from Nepal’s Tarai region.
Participants:
Children contributing the existing growth references and a cohort of 4276 Nepali children assessed from 2013 to 2016.
Results:
Fitted, smoothed LGV reference curves displayed monotonically decreasing 12-month LGV, exemplified by male/female annual medians of 26·4/25·3, 12·1/12·7, 9·1/9·4, 7·7/7·8 and 7/7 cm/years, starting at 0, 12, 24, 36 and 48 months, respectively. Applying the referent, 31·1 %, 28·6 % and 29·3 % of Nepali children <6, 6–11 and 12–23 months of age, and ∼6 % of children 24–59 months, exhibited growth faltering. Under 24 months, faltering velocities were more prevalent in girls (34·4 %) than boys (25·3 %) (P < 0·05) but comparable (∼6 %) in older preschoolers.
Conclusions:
A LGV reference, concatenated from extant data, can identify preschool groups at-risk of growth faltering. Application and limitations are discussed.
Analysing phenological diversity of tropical trees provides a potential tool to detect climate change effects and devise forest management options. In this study, the leaf phenological activity of 28 dominant tree species in a moist sub-tropical hill forest of north-eastern India was examined for a period of 2 years and related to functional traits (i.e. leaf mass per area (LMA) and wood density (WD)). The peak phase of leaf fall occurred in the cool dry period (November to January) with leaf flush peaking in the pre-monsoon period (February to March), but variation was found between species as influenced by their phenological strategy, i.e. evergreen, leaf-exchanging or deciduous (<4 months leafless). Photoperiod and minimum temperature were the environmental factors most strongly correlated with phenological activity, and the synchrony index within species for both phenophases was 0.81. LMA was less in the deciduous species compared with the evergreen species, whereas WD did not differ. LMA was negatively correlated with the length of deciduousness as well as timing of leaf flush and fall indicating that LMA may be more important than WD in influencing phenological patterns in this forest. The study revealed that the phenological diversity of tropical trees is related to changes in environmental variables and has implication for forest management under changing climate. Further study will help in understanding the phenological response of trees to climatic factors and their potential future changes.
For the last 30 or so years, I have been engaged in understanding and then trying to re-write the history of the German Modern Dance phenomenon that was intentionally modern, philosophically-theoretically devised and promoted together with the practice of choreography and performance. German Modern Dance was a utopian vision that projected and advocated dance as a revolutionary means for social change. It created a theory of movement with distinct aesthetics, as well as a political prophecy, and did not merely advance them implicitly through individual performances. The making of history was so closely integrated into the making of modernist dance in Germany that one can hardly be separated from the other. All this raises questions of how one writes and rewrites dance history – is there a timeframe? Is there a critical mass that is required? Do new histories have to enter main-stream thinking? Do we rewrite by re-defining or re-framing, or by imposing new theories onto historical phenomena, or by devising new categories for the examination of German dance? Does it just happen by itself over time and through shifting sensibilities of actors then and now?
In the following pages, I shall apply the concept of ‘networks’ in my attempt to look back at the beginnings and then to look forward to current practices: were the beginnings constitutive for the entire movement?; were they the cause for a certain historical formation or were they a mere effect?, a tool to better facilitate the intended ends of German Dance spread across the globe?
‘Networks’ are here understood as organizational formations that instigate action, enable interaction and facilitate the realization of specific agendas. Within networks, participants become agents and act in order to bring agendas from articulation towards accomplishment. The Actor-Network Theory1 posits that there exist no relationships outside of networks, albeit shifting networks. That might be correct on a very general level: human beings are social creatures and need to be embedded in social relations to survive, networks are one strategy to do so. But it might also be misleading as several layers of networks in complex societies interact and co-exist and a network theory needs to acknowledge the instability as well as the complexity of human interactions, within as well as without networks.
Przez ostatnie trzydzieści lat podejmowałam próby zrozumienia i przepisania historii niemieckiego tańca modern: zjawiska celowo nowoczesnego, przemyślanego pod względem filozoficznym i teoretycznym, promowanego równolegle z praktykami choreograficznymi i performatywnymi. Niemiecki taniec modern był utopijną wizją; jego twórcy zakładali i głosili rolę tańca jako rewolucyjnego narzędzia społecznej zmiany. Stworzyli teorię ruchu o wyrazistej estetyce oraz polityczną wizję, którą realizowali nie tylko implicite na poziomie poszczególnych spektakli. Wydarzenia historyczne i rozwój niemieckiego tańca modern były zespolone do tego stopnia, że trudno oddzielić je od siebie. Rodzi to pytania: jak spisywana (i prze-pisywana) jest historia tańca – czy istnieją tu jakieś ramy czasowe? Czy niezbędne jest powstanie pewnej masy krytycznej? Czy nowe historie muszą wejść do głównego nurtu? Czy rewidujemy go za pomocą redefinicji, rekontekstualizacji, czy też może rzutując nowe teorie na zjawiska historyczne lub tworząc nowe kategorie dla analizy niemieckiego tańca modern? Czy dzieje się tak samoistnie i na skutek zmian wrażliwości aktorów tego procesu – ówczesnych i obecnych?
W poniższych rozważaniach zastosuję koncepcję „sieci”, aby przyjrzeć się początkom oraz obecnym praktykom niemieckiego tańca modern: czy jego początki były konstytutywne dla całego ruchu? Czy zainicjowały pewną formację historyczną, czy też były jedynie jej rezultatem, narzędziem wspierającym globalny rozwój niemieckiego tańca?
„Sieci” rozumiem tu jako formacje organizacyjne, które prowokują działania, umożliwiają interakcję i wspomagają realizację konkretnych programów. Członkowie i członkinie sieci stają się jej przedstawicielami podejmującymi działania programowe, od ich artykulacji po realizację. Teoria aktora-sieci zakłada, że relacje istnieją wyłącznie w obrębie sieci. Jest to, być może, prawdziwe na najogólniejszym poziomie: ludzie są istotami społecznymi, które zawiązują relacje społeczne, aby przetrwać – sieci są jedną z dostępnych strategii. Teoria ta może być jednak myląca w przypadku złożonych wspólnot, w których interakcja prowadzona jest na poziomie kilku współistniejących ze sobą sieci. Niemiecka tancerka z początku XX wieku mogła należeć do kilku sieci tanecznych, jednocześnie działając w sieciach regionalnych czy lokalnych, strukturach rodzinnych, stowarzyszeniach religijnych, organizacjach zrzeszających artystów i artystki, związkach zawodowych czy partiach politycznych. Sieci stają się więc powiązane w stopniu uniemożliwiającym jednoznaczne oddzielenie ich od siebie. Niezależnie jednak od tego, jak ścisła byłaby zastosowana definicja sieci, ich struktury należy rozpatrywać zarówno od wewnątrz, jak i z zewnątrz.
When a freely suspended liquid film ruptures, it retracts spontaneously under the action of surface tension. If the film is surrounded by air, the retraction velocity is known to approach the constant Taylor–Culick velocity. However, when surrounded by an external viscous medium, the dissipation within that medium dictates the magnitude of the retraction velocity. In the present work, we study the retraction of a liquid (water) film in a viscous oil ambient (two-phase Taylor–Culick retractions), and that sandwiched between air and a viscous oil (three-phase Taylor–Culick retractions). In the latter case, the experimentally measured retraction velocity is observed to have a weaker dependence on the viscosity of the oil phase as compared with the configuration where the water film is surrounded completely by oil. Numerical simulations indicate that this weaker dependence arises from the localization of viscous dissipation near the three-phase contact line. The speed of retraction only depends on the viscosity of the surrounding medium and not on that of the film. From the experiments and the numerical simulations, we reveal unprecedented regimes for the scaling of the Weber number ${We}_{f}$ of the film (based on its retraction velocity) or the capillary number ${Ca}_{s}$ of the surroundings versus the Ohnesorge number ${Oh}_{s}$ of the surroundings in the regime of large viscosity of the surroundings (${Oh}_{s} \gg 1$), namely ${We}_{f} \sim {Oh}_{s}^{-2}$ and ${Ca}_{s} \sim {Oh}_{s}^{0}$ for the two-phase Taylor–Culick configuration, and ${We}_{f} \sim {Oh}_{s}^{-1}$ and ${Ca}_{s} \sim {Oh}_{s}^{1/2}$ for the three-phase Taylor–Culick configuration.
We report a familial cluster of 24 individuals infected with severe acute respiratory syndrome-coronavirus-2 (SARS-CoV-2). The index case had a travel history and spent 24 days in the house before being tested and was asymptomatic. Physical overcrowding in the house provided a favourable environment for intra-cluster infection transmission. Restriction of movement of family members due to countrywide lockdown limited the spread in community. Among the infected, only four individuals developed symptoms. The complete genome sequences of SARS-CoV-2 was retrieved using next-generation sequencing from eight clinical samples which demonstrated a 99.99% similarity with reference to Wuhan strain and the phylogenetic analysis demonstrated a distinct cluster, lying in the B.6.6 pangolin lineage.
Recent epidemiological studies analysing sex-disaggregated patient data of coronavirus disease 2019 (COVID-19) across the world revealed a distinct sex bias in the disease morbidity as well as the mortality – both being higher for the men. Similar antecedents have been known for the previous viral infections, including from coronaviruses, such as severe acute respiratory syndrome (SARS) and middle-east respiratory syndrome (MERS). A sound understanding of molecular mechanisms leading to the biological sex bias in the survival outcomes of the patients in relation to COVID-19 will act as an essential requisite for developing a sex-differentiated approach for therapeutic management of this disease. Recent studies which have explored molecular mechanism(s) behind sex-based differences in COVID-19 pathogenesis are scarce; however, existing evidence, for other respiratory viral infections, viz. SARS, MERS and influenza, provides important clues in this regard. In attempt to consolidate the available knowledge on this issue, we conducted a systematic review of the existing empirical knowledge and recent experimental studies following Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. The qualitative analysis of the collected data unravelled multiple molecular mechanisms, such as evolutionary and genetic/epigenetic factors, sex-linkage of viral host cell entry receptor and immune response genes, sex hormone and gut microbiome-mediated immune-modulation, as the possible key reasons for the sex-based differences in patient outcomes in COVID-19.
This paper presents an efficient water cycle algorithm based on the processes of water cycle with movement of streams and rivers in to the sea. This optimization algorithm is applied to obtain the optimal feasible path with minimum travel duration during motion planning of both single and multiple humanoid robots in both static and dynamic cluttered environments. This technique discards the rainfall process considering falling water droplets forming streams during raining and the process of flowing. The flowing process searches the solution space and finds the more accurate solution and represents the local search. Motion planning of humanoids is carried out in V-REP software. The performance of proposed algorithm is tested in experimental scenario under laboratory conditions and shows the developed algorithm performs well in terms of obtaining optimal path length and minimum time span of travel. Here, navigational analysis has been performed on both single as well as multiple humanoid robots. Statistical analysis of results obtained from both simulation and experimental environments is carried out for both single and multiple humanoids, along with the comparison with another existing optimization technique that indicate the strength and effectiveness of the proposed water cycle algorithm.
During recent decades, global warming has intensified, altering crop growth, development and survival. To overcome changes in their environment, plants undergo transcriptional reprogramming to activate stress response strategies/pathways. To evaluate the genetic bases of the response to heat stress, Conserved DNA-derived Polymorphism (CDDP) markers were applied across tomato genome of eight cultivars. Despite scattered genotypes, cluster analysis allowed two neighbouring panels to be discriminate. Tomato CDDP-genotypic and visual phenotypic assortment permitted the selection of two contrasting heat-tolerant and heat-sensitive cultivars. Further analysis explored differential expression in transcript levels of genes, encoding heat shock transcription factors (HSFs, HsfA1, HsfA2, HsfB1), members of the heat shock protein (HSP) family (HSP101, HSP17, HSP90) and ascorbate peroxidase (APX) enzymes (APX1, APX2). Based on discriminating CDDP-markers, a protein functional network was built allowing prediction of candidate genes and their regulating miRNA. Expression patterns analysis revealed that miR156d and miR397 were heat-responsive showing a typical inverse relation with the abundance of their target gene transcripts. Heat stress is inducing a set of candidate genes, whose expression seems to be modulated through a complex regulatory network. Integrating genetic resource data is required for identifying valuable tomato genotypes that can be considered in marker-assisted breeding programmes to improve tomato heat tolerance.
In the current research, kinematic analysis of a humanoid NAO is attempted. Here, both Denavit–Hartenberg (DH) parameter approach and multibody formulation approach have been analyzed. In the DH parameter approach, the NAO robot is solved by separating it into five individual kinematic chains. In the multibody formulation approach, NAO is divided into 15 segments, and each segment is analyzed. Kinematic analysis holds a significant importance; as from the data obtained in the kinematic analysis, the robots can be designed for real-time path planning and navigation. The current analysis is a novel approach to analyze the NAO based on its kinematic constraints.
In this article, hybridization of IWD (intelligent water drop) and GA (genetic algorithm) technique is developed and executed in order to obtain global optimal path by replacing local optimal points. Sensors of mobile robots are used for mapping and detecting the environment and obstacles present. The developed technique is tested in MATLAB simulation platform, and experimental analysis is performed in real-time environments to observe the effectiveness of IWD-GA technique. Furthermore, statistical analysis of obtained results is also performed for testing their linearity and normality. A significant improvement of about 13.14% in terms of path length is reported when the proposed technique is tested against other existing techniques.