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Fellmeth G, Kishore MT, Verma A, Desai G, Bharti O, Kanwar P, Singh S, Thippeswamy H, Chandra PS, Kurinczuk JJ, Nair M, Alderdice F. Perinatal mental health in India: protocol for a validation and cohort study. J Public Health (Oxf) 2021; 43:ii35-ii42. [PMID: 34622290 PMCID: PMC8498097 DOI: 10.1093/pubmed/fdab162] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/22/2021] [Revised: 04/07/2021] [Accepted: 05/05/2021] [Indexed: 11/13/2022] Open
Abstract
BACKGROUND Common mental disorders (CMD) are among the largest contributors to global maternal morbidity and mortality. Although research on perinatal mental health in India has grown in recent years, important evidence gaps remain, especially regarding CMD. Our study aims to improve understanding of CMD among perinatal and non-perinatal women of reproductive age across two settings in India: Bangalore (Karnataka) and Tanda (Himachal Pradesh). METHODS The study is embedded within the Maternal and Perinatal Health Research Collaboration India (MaatHRI). This mixed-methods observational study comprises three consecutive phases: (i) focus group discussions and individual interviews to explore women's knowledge and seek feedback on CMD screening tools; (ii) validation of CMD screening tools; and (iii) prospective cohort study to identify CMD incidence, prevalence and risk factors among perinatal and non-perinatal women. Results of the three phases will be analyzed using inductive thematic analysis, psychometric analysis and multivariable regression analysis, respectively. CONCLUSION Improving understanding, detection and management of CMD among women is key to improving women's health and promoting gender equality. This study will provide evidence of CMD screening tools for perinatal and non-perinatal women in two diverse Indian settings, produce data on CMD prevalence, incidence and risk factors and enhance understanding of the specific contribution of the perinatal state to CMD.
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Affiliation(s)
- G Fellmeth
- National Perinatal Epidemiology Unit, Nuffield Department of Population Health, University of Oxford, Oxford, UK
| | - M T Kishore
- Department of Clinical Psychology, National Institute of Mental Health and Neuro Sciences, Bangalore, India
| | - A Verma
- Department of Obstetrics and Gynaecology, Dr Rajendra Prasad Government Medical College, Kangra, Himachal Pradesh, India
| | - G Desai
- Department of Psychiatry, National Institute of Mental Health and Neuro Sciences, Bangalore, India
| | - O Bharti
- State Institute of Health and Family Welfare, Department of Health and Family Welfare, Government of Himachal Pradesh, India
| | - P Kanwar
- Department of Psychiatry, Dr Rajendra Prasad Government Medical College, Kangra, Himachal Pradesh, India
| | - S Singh
- Department of Psychiatry, Dr Rajendra Prasad Government Medical College, Kangra, Himachal Pradesh, India
| | - H Thippeswamy
- Department of Psychiatry, National Institute of Mental Health and Neuro Sciences, Bangalore, India
| | - P S Chandra
- Department of Psychiatry, National Institute of Mental Health and Neuro Sciences, Bangalore, India
| | - J J Kurinczuk
- National Perinatal Epidemiology Unit, Nuffield Department of Population Health, University of Oxford, Oxford, UK
| | - M Nair
- National Perinatal Epidemiology Unit, Nuffield Department of Population Health, University of Oxford, Oxford, UK
| | - F Alderdice
- National Perinatal Epidemiology Unit, Nuffield Department of Population Health, University of Oxford, Oxford, UK.,School of Nursing and Midwifery, Queen's University Belfast, Belfast, Northern Ireland
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Kanwar P, Baby D, Bauer P. Interconnection of iron and osmotic stress signalling in plants: is FIT a regulatory hub to cross-connect abscisic acid responses? Plant Biol (Stuttg) 2021; 23 Suppl 1:31-38. [PMID: 33772999 DOI: 10.1111/plb.13261] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/18/2021] [Accepted: 03/22/2021] [Indexed: 06/12/2023]
Abstract
Osmotic stresses, such as salinity and drought, have deleterious effects on uptake and translocation of essential mineral nutrients. Iron (Fe) is an important micronutrient that regulates many processes in plants. Plants have adopted various molecular and physiological strategies for Fe acquisition from soil and transport to and within plants. Dynamic Fe signalling in plants tightly regulates Fe uptake and homeostasis. In this way, Fe nutrition is adjusted to growth and stress conditions, and Fe deficiency-regulated transcription factors, such as FER-LIKE IRON DEFICIENCY-INDUCED TRANSCRIPTION FACTOR (FIT), act as regulatory hubs in these responses. Here, we review and analyse expression of the various components of the Fe signalling during osmotic stresses. We discuss common players in the Fe and osmotic stress signalling. Furthermore, this review focuses on exploring a novel and exciting direct connection of regulatory mechanisms of Fe intake and acquisition with ABA-mediated environmental stress cues, like salt/drought. We propose a model that discuss how environmental stress affects Fe uptake and acquisition and vice versa at molecular-physiological levels in plants.
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Affiliation(s)
- P Kanwar
- Institute of Botany, Heinrich Heine University, Universitätsstr. 1, Düsseldorf, Germany
| | - D Baby
- Institute of Botany, Heinrich Heine University, Universitätsstr. 1, Düsseldorf, Germany
| | - P Bauer
- Institute of Botany, Heinrich Heine University, Universitätsstr. 1, Düsseldorf, Germany
- Cluster of Excellence on Plant Science (CEPLAS), Heinrich Heine University, Düsseldorf, Germany
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Singha H, Shanmugasundaram K, Tripathi BN, Saini S, Khurana SK, Kanani A, Shah N, Mital A, Kanwar P, Bhatt L, Limaye V, Khasa V, Arora R, Gupta S, Sangha S, Sharma H, Agarwal SK, Tapase J, Parnam S, Dubey P, Baalasundaram SK, Mandal BN, Virmani N, Gulati BR, Malik P. Serological surveillance and clinical investigation of glanders among indigenous equines in India from 2015 to 2018. Transbound Emerg Dis 2020; 67:1336-1348. [PMID: 31916415 DOI: 10.1111/tbed.13475] [Citation(s) in RCA: 13] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/10/2019] [Revised: 01/02/2020] [Accepted: 01/03/2020] [Indexed: 02/06/2023]
Abstract
Equine glanders is an infectious and notifiable bacterial disease caused by Burkholderia mallei. The disease has been reported in South American, African and Asian countries including India. Here, we present the outcome of glanders serosurveillance carried out between January 2015 and December 2018 to know the status of equine glanders among different states in India. A total of 102,071 equid sera from 299 districts of twenty-one states and one union territory were tested for glanders. Samples were screened with Hcp1 indirect ELISA followed by confirmatory diagnosis by CFT. During this four-year surveillance, a total of 932 glanders-positive cases were detected from 120 districts of 12 states. The study also revealed increasing trend of glanders from 2016 onwards with maximum occurrence in northern India. Overall seroprevalence ranged between 0.62% (95% CI, 0.52-0.72) and 1.145% (95% CI, 1.03-1.25). Seasonal shifting from winter to summer (March to June) coincided with highest number glanders incidence with corresponding seroprevalences of 1.2% (95% CI, 1.09-1.30). The present surveillance unveils territorial ingression of glanders to six states like Jammu & Kashmir, Gujarat, Rajasthan, Madhya Pradesh, Delhi and Tamil Nadu. In addition, re-emerging cases have been reported in Maharashtra, Haryana and Punjab after a gap of 10 years. Lack of awareness, little veterinary care and unrestricted movement of equids across state borders might have led to the introduction and establishment of the infection to these states. We believe that information from this study will provide a baseline data on glanders for devising surveillance and control strategies in India. Being a zoonotic disease, the persistence of glanders poses a potential threat to occupationally exposed humans especially equine handlers and veterinarians. Therefore, targeted surveillance of human population from each glanders outbreak is also recommended.
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Affiliation(s)
| | | | | | - Sheetal Saini
- ICAR-National Research Centre on Equines, Hisar, India
| | | | - Amit Kanani
- State Disease Diagnostic Laboratory, Department of Animal Husbandry, Ahmedabad, India
| | - Nisha Shah
- State Disease Diagnostic Laboratory, Department of Animal Husbandry, Ahmedabad, India
| | - Anupam Mital
- State Disease Diagnostic Laboratory, Department of Animal Husbandry, Shimla, India
| | - Pooja Kanwar
- State Disease Diagnostic Laboratory, Department of Animal Husbandry, Shimla, India
| | - Lenin Bhatt
- State Disease Diagnostic Laboratory, Department of Animal Husbandry, Jaipur, India
| | - Vinayak Limaye
- Regional Disease Diagnostic Laboratory, West Zone, Department of Animal Husbandry, Pune, India
| | - Vipin Khasa
- State Disease Diagnostic Laboratory, Department of Animal Husbandry, Sonepat, India
| | - Rajesh Arora
- State Disease Diagnostic Laboratory, Department of Animal Husbandry, Talabtillo, India
| | - Sanjay Gupta
- State Disease Diagnostic Laboratory, Department of Animal Husbandry, Talabtillo, India
| | - Shivani Sangha
- Regional Disease Diagnostic Laboratory, North Zone, Department of Animal Husbandry, Jalandhar, India
| | | | | | - Jayant Tapase
- State Disease Diagnostic Laboratory, Department of Animal Husbandry, Bhopal, India
| | - Sunil Parnam
- State Disease Diagnostic Laboratory, Department of Animal Husbandry, Bhopal, India
| | - Prasoon Dubey
- State Disease Diagnostic Laboratory, Department of Animal Husbandry, Rishikesh, India
| | - Satya K Baalasundaram
- Disease Diagnostic Laboratory, Veterinary Hospital Complex Palam, Govt. of NCT of Delhi, New Delhi, India
| | - Baidya Nath Mandal
- ICAR-Indian Agricultural Statistics Research Institute, New Delhi, India
| | - Nitin Virmani
- ICAR-National Research Centre on Equines, Hisar, India
| | | | - Praveen Malik
- CCS National Institute of Animal Health (DAHD, Ministry of Fisheries, Animal Husbandry and Dairying, Govt of India), Baghpat, India
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