The reports of a rise in contraceptive practices have not been matched by a similar decrease in p... more The reports of a rise in contraceptive practices have not been matched by a similar decrease in population, so there is a need to look into the causes of this discrepancy. To obtain information from low-income urban married women regarding their contraceptive knowledge, practices, and utilization of the services. Percentage of low-income urban married women using contraception, different types of contraception used, influence of education on choice of contraception. All nonpregnant married women between the ages of 18 and 45 years, belonging to low-income groups were selected for study. Statistical analysis was done using EPI Info ver-5.0. Chi square test was used to test the significance of data. Contraceptive use among these women was 52%; the most common method was tubal ligation. Educated women used spacing methods more often than uneducated women. Women had adequate awareness regarding type of contraceptives available but had no idea about the timing of starting contraception after delivery and about emergency contraception. The low-income urban population is aware of the importance of limiting the family size and has family planning facilities yet has less contraceptive usage because of low level of education, increased rate of discontinuation, and lack of proper knowledge of the use of contraception.
Lifetime prevalence of depression and anxiety increases from 1% of the population under age 12 ye... more Lifetime prevalence of depression and anxiety increases from 1% of the population under age 12 years to ~17%-25% of the population by the end of adolescence. The greatest increase in new cases occurs between 15-18 years. Indian empirical studies have reported a prevalence of psychiatric morbidity in the range between 14.4% and 31.7%; thus, affecting psychosocial functioning. The objectives of the current study were to (i) examine the psychometric properties of the DASS and SDQ on Indian adolescents, (ii) explore the role of socio- demographic variablesand (iii) examine if there was any difference between school going and school dropouts. Data from 1812 students, aged 12-19 years was collected with mean age = 15.67 years (SD =1.41 years). The participants were administered a booklet containing demographic questionnaire and psychometric scales such as DASS-21 (Henry & Crawford, 2005; Lovibond & Lovibond, 1999) and Strengths and Difficulties Questionnaire (Goodman, 1997). Structure validation, correlational analysis and multivariate analysis. The results of validation indicated that English and Hindi version of 3 factor model of DASS and 2 factor model of SDQ was an acceptable model fit. It was noted that early adolescents were high on prosocial behaviour whereas late adolescents were high on difficulties score. Females were higher than males on prosocial behaviour. Adolescents residing in rural areas differed from their urban counterparts on prosocial behaviour and anxiety. Government school going adolescents differed from private school going adolescents on prosocial behaviour, stress and anxiety. Negative perception of relationship with family affected adolescents difficulties score, depression and stress. Similarly, negative perception of self-concept leads to higher difficulties score and lower prosocial behaviour score. The school going adolescents differed from non-school going adolescents on stress, depression and anxiety.
Elevated zero maze is a modification of the elevated plus maze model of anxiety in rodents. The n... more Elevated zero maze is a modification of the elevated plus maze model of anxiety in rodents. The novel design comprises an elevated annular platform with two opposite, enclosed quadrants and two open quadrants, removing any ambiguity in the interpretation of the time spent in the central square of the traditional design and allowing uninterrupted exploration. In the present study, we validated elevated zero maze as a tool to study antianxiety activity, using various standard anxiolytics belonging to different pharmacological groups, such as benzodiazepines, barbiturates, alcohol etc., and compared the results with elevated plus maze. Bidirectional sensitivity of the model was also assessed using picrotoxin, pentylenetetrazol and flumazenil, the modulators of GABA(A) and benzodiazepine modulators. Animals were administered different standard antianxiety and anxiogenic drugs, and were allowed to explore the elevated zero maze (time spent in open arm, latency to enter in open arm, total number of entries in open arm and number of stretch attend postures [SAPs]) and elevated plus maze (time spent in open arm, latency to enter in open arm, total number of entries in open arm, first preference of the animal [open/closed] and number of stretchings). Selected drugs and doses were then assessed on the mirror chamber paradigm. Results of the present study indicated that elevated zero maze offered a better animal model to study antianxiety activity, when compared with elevated plus maze and mirror chamber.
Richter's hernia has an early mis... more Richter's hernia has an early misleading presentation with tendency to strangulation due to common lack of obstructive symptoms which may lead to delay in diagnosis and hence increased mortality. Rarely inguinal Richter's hernia may present with an uncommon complication of spontaneous fistula. The development of spontaneous faecal fistula secondary to incarcerated inguinal hernias is much rarer among the adult population as compared to the paediatric age group. Most of these fistula have been reported from developing countries like India and Nigeria and is usually the result of poverty, lack of knowledge, neglect, late presentation and lack of proper management. A 62 years old male presented with chief complaints of multiple openings with faecal discharge in the right groin for last 20 days with no history of constipation, trauma, and urinary or other abdominal complaints. CT scan revealed a small gut loop communicating with anterior abdominal wall. Exploratory laparotomy revealed a loop of distal ileum adherent to the internal inguinal ring which was retrieved back into the abdominal cavity. There was perforation over the loop. Resection of the segment of ileum involved was done with ileo-ileal hand sewn anastomosis and the internal inguinal ring was closed from inside of the peritoneal cavity. The openings in the skin over the inguinal region were communicated with each other and laid open due to cellulitis of the area involved and pus discharge. Spontaneous faecal fistula in inguinal region following rupture of strangulated Richter's hernia especially in adults is very rare and can occur even in absence of obstructive symptoms. In presentation of any groin swelling, there is need for an early accurate diagnosis followed by prompt treatment. The delay in its diagnosis and management may result in this rare complication of spontaneous faecal fistula. This reflects the state of health care in the developing world and needs to be addressed by the concerned authorities.
*Corresponding author: Dr. Kamlesh Singh, (M.D.S-Periodontia), Senior Lecturer in Department of P... more *Corresponding author: Dr. Kamlesh Singh, (M.D.S-Periodontia), Senior Lecturer in Department of Periodontia, Narsinhbhai Patel Dental College and Hospital, Visnagar District, Mehsana. Tel: 09978908445, 09429534897, 02765-222272 Fax: +91 2765 233 008 E-mail: ...
Analytical and quantitative cytology and histology / the International Academy of Cytology [and] American Society of Cytology, 2002
To differentiate hyperplastic nodules (HPN), follicular adenoma (FA) and follicular carcinoma (FC... more To differentiate hyperplastic nodules (HPN), follicular adenoma (FA) and follicular carcinoma (FCA) of the thyroid by cytomorphologic features combined with argyrophilic nucleolar organizer regions (AgNORs) and Ki-67 proliferative markers on fine needle aspiration cytology. Cytomorphologic patterns, along with two proliferation markers, Ki-67 and AgNORs, in fine needle aspirates of 123 histologically confirmed cases of thyroid follicular lesions, including 39 hyperplastic nodules, 70 follicular adenomas and 14 cases of follicular carcinomas, were recorded. Mean AgNOR (mAgNOR) counts and Ki-67 labelling index (LI) were consistently higher in FCA in comparison to FA and HPN irrespective of the cytologic patterns in fine needle aspiration smears. Between benign and malignant lesions, an overlap of 1.83% at the cutoff point of 4.0 was observed in cases of mAgNORs, whereas it was 11.09% at a cutoff of 5.0 in cases of Ki-67 LI. mAgNOR counting in fine needle aspiration smears is more sens...
Asian Pacific journal of tropical biomedicine, 2012
To assess the In vivo antioxidFant and hepatoprotective activity of methanolic extract of Daucus ... more To assess the In vivo antioxidFant and hepatoprotective activity of methanolic extract of Daucus carota (D. carota) seeds in experimental animals. Methanolic extracts of D. carota seeds is used for hepatoprotection assessment. Oxidative stress were induced in rats by thioacetamide 100 mg/kg s.c, in four groups of rats (two test, standard and toxic control). Two test groups received D. carota seeds extract (DCSE) at doses of 200 mg/kg and 400 mg/kg. Standard group received silymarin (25 mg/kg) and toxic control received only thioacetamide. Control group received only vehicle. On the 8th day animals were sacrificed and liver enzyme like serum glutamic pyruvic transaminase (SGPT), serum glutamic-oxaloacetic transaminase (SGOT) and alkaline phosphatase (ALP) were estimated in blood serum and antioxidant enzyme like superoxide dismutase (SOD), catalase (CAT), glutathione reductase (GRD), glutathione peroxidase (GPX), glutathione-S-transferase (GST) and lipid peroxidation (LPO) were estim...
ABSTRACT Background and aims. Approximately 20% of acute pancreatitis progresses to a severe form... more ABSTRACT Background and aims. Approximately 20% of acute pancreatitis progresses to a severe form characterised by multiple extrapancreatic organ dysfunction. Elevated intra-abdominal pressure (IAP), a frequent finding in these patients, further adds to the mortality. Currently used prognostication indices have their own set of limitations. We evaluated IAP at intensive care unit (ICU) admission as a predictor of mortality in severe acute pancreatitis (SAP). Methods. A retrospective analysis of 50 patients with SAP admitted to the ICU of a tertiary-care Indian institute over a period of 3 years was done. Data relating to demographic profile, cause of pancreatitis, ICU admission, Acute Physiology and Chronic Health Evaluation II (APACHE II) score, Sequential Organ Failure Assessment (SOFA) score, IAP, interventions instituted and mortality were analysed. Results. Biliary stones (38%) were the most common cause of acute pancreatitis. Survivors differed from non-survivors with respect to organ failure, APACHE II and SOFA scores and IAP on admission. There was a significant correlation between IAP on ICU admission and admission SOFA (r=0.56, p<0.001) and APACHE II (r=0.54, p<0.001) in predicting mortality. Patients with elective admission had a mortality rate of 53% (20/38) compared to 83% (10/12) for those admitted as emergencies. Analysis of receiver operating characteristic curves for detecting mortality revealed an area under the curve of 0.915 (95% confidence interval (CI) 0.83 - 0.99) for IAP, 0.826 (95% CI 0.71 - 0.93) for SOFA, and 0.831 (95% CI 0.71 - 0.94) for APACHE II. Conclusion. IAP at ICU admission is a useful predictor of severity of illness and mortality in SAP.
Cross-Cultural Advancements in Positive Psychology, 2013
ABSTRACT This chapter considers a qualitative study from India, where Kamlesh Singh, Anjali Jain,... more ABSTRACT This chapter considers a qualitative study from India, where Kamlesh Singh, Anjali Jain, and Dalbir Singh vividly analyze a cultural specific indigenous therapeutic practice, satsang, and its association with well-being in women that experience it in rural communities. Filling a dearth of literature analyzing and utilizing indigenous practices, the authors endorse a deep and vibrant cultural perspective. The reading takes us into a voyage of rich specificities regarding Indian concepts of positive mental health and happiness. Several methodologies, from folk songs to Yoga, exemplify the spiritual journey of women enrolled in the practice of satsang. Three consecutive qualitative studies show how women feel more empowered and stress free after participating in the indigenous practice, and how they were able to nurture healthier interpersonal relations and strengthen family and social support – a requirement for well-being.
ABSTRACT: Resilience refers to an individual's ability to thrive despite adversity. The curr... more ABSTRACT: Resilience refers to an individual's ability to thrive despite adversity. The current study examined the psycho-metric properties of the ConnorDavidson Resilience Scale (CD-RISC) in the Indian context. The sample comprised of 256 students (age M =22.75, ...
In well-being research the term happiness is often used as synonymous with life satisfaction. How... more In well-being research the term happiness is often used as synonymous with life satisfaction. However, little is known about lay people's understanding of happiness. Building on the available literature, this study explored lay definitions of happiness across nations and cultural dimensions, analyzing their components and relationship with participants' demographic features. Participants were 2799 adults (age range = 30-60, 50% women) living in urban areas of Argentina, Brazil, Croatia, Hungary, India, Italy, Mexico, New Zealand, Norway, Portugal, South Africa, and United States. They completed the Eudaimonic and Hedonic Happiness Investigation (EHHI), reporting, among other information, their own definition of happiness. Answers comprised definitions referring to a broad range of life domains, covering both the contextual-social sphere and the psychological sphere. Across countries and with little variation by age and gender, inner harmony predominated among psychological definitions, and family and social relationships among contextual definitions. Whereas relationships are widely acknowledged as basic happiness components, inner harmony is substantially neglected. Nevertheless, its cross-national primacy, together with relations, is consistent with the view of an ontological interconnectedness characterizing living systems, shared by several conceptual frameworks across disciplines and cultures. At the methodological level, these findings suggest the potential of a bottom-up, mixed method approach to contextualize psychological dimensions within culture and lay understanding.
The reports of a rise in contraceptive practices have not been matched by a similar decrease in p... more The reports of a rise in contraceptive practices have not been matched by a similar decrease in population, so there is a need to look into the causes of this discrepancy. To obtain information from low-income urban married women regarding their contraceptive knowledge, practices, and utilization of the services. Percentage of low-income urban married women using contraception, different types of contraception used, influence of education on choice of contraception. All nonpregnant married women between the ages of 18 and 45 years, belonging to low-income groups were selected for study. Statistical analysis was done using EPI Info ver-5.0. Chi square test was used to test the significance of data. Contraceptive use among these women was 52%; the most common method was tubal ligation. Educated women used spacing methods more often than uneducated women. Women had adequate awareness regarding type of contraceptives available but had no idea about the timing of starting contraception after delivery and about emergency contraception. The low-income urban population is aware of the importance of limiting the family size and has family planning facilities yet has less contraceptive usage because of low level of education, increased rate of discontinuation, and lack of proper knowledge of the use of contraception.
Lifetime prevalence of depression and anxiety increases from 1% of the population under age 12 ye... more Lifetime prevalence of depression and anxiety increases from 1% of the population under age 12 years to ~17%-25% of the population by the end of adolescence. The greatest increase in new cases occurs between 15-18 years. Indian empirical studies have reported a prevalence of psychiatric morbidity in the range between 14.4% and 31.7%; thus, affecting psychosocial functioning. The objectives of the current study were to (i) examine the psychometric properties of the DASS and SDQ on Indian adolescents, (ii) explore the role of socio- demographic variablesand (iii) examine if there was any difference between school going and school dropouts. Data from 1812 students, aged 12-19 years was collected with mean age = 15.67 years (SD =1.41 years). The participants were administered a booklet containing demographic questionnaire and psychometric scales such as DASS-21 (Henry & Crawford, 2005; Lovibond & Lovibond, 1999) and Strengths and Difficulties Questionnaire (Goodman, 1997). Structure validation, correlational analysis and multivariate analysis. The results of validation indicated that English and Hindi version of 3 factor model of DASS and 2 factor model of SDQ was an acceptable model fit. It was noted that early adolescents were high on prosocial behaviour whereas late adolescents were high on difficulties score. Females were higher than males on prosocial behaviour. Adolescents residing in rural areas differed from their urban counterparts on prosocial behaviour and anxiety. Government school going adolescents differed from private school going adolescents on prosocial behaviour, stress and anxiety. Negative perception of relationship with family affected adolescents difficulties score, depression and stress. Similarly, negative perception of self-concept leads to higher difficulties score and lower prosocial behaviour score. The school going adolescents differed from non-school going adolescents on stress, depression and anxiety.
Elevated zero maze is a modification of the elevated plus maze model of anxiety in rodents. The n... more Elevated zero maze is a modification of the elevated plus maze model of anxiety in rodents. The novel design comprises an elevated annular platform with two opposite, enclosed quadrants and two open quadrants, removing any ambiguity in the interpretation of the time spent in the central square of the traditional design and allowing uninterrupted exploration. In the present study, we validated elevated zero maze as a tool to study antianxiety activity, using various standard anxiolytics belonging to different pharmacological groups, such as benzodiazepines, barbiturates, alcohol etc., and compared the results with elevated plus maze. Bidirectional sensitivity of the model was also assessed using picrotoxin, pentylenetetrazol and flumazenil, the modulators of GABA(A) and benzodiazepine modulators. Animals were administered different standard antianxiety and anxiogenic drugs, and were allowed to explore the elevated zero maze (time spent in open arm, latency to enter in open arm, total number of entries in open arm and number of stretch attend postures [SAPs]) and elevated plus maze (time spent in open arm, latency to enter in open arm, total number of entries in open arm, first preference of the animal [open/closed] and number of stretchings). Selected drugs and doses were then assessed on the mirror chamber paradigm. Results of the present study indicated that elevated zero maze offered a better animal model to study antianxiety activity, when compared with elevated plus maze and mirror chamber.
Richter's hernia has an early mis... more Richter's hernia has an early misleading presentation with tendency to strangulation due to common lack of obstructive symptoms which may lead to delay in diagnosis and hence increased mortality. Rarely inguinal Richter's hernia may present with an uncommon complication of spontaneous fistula. The development of spontaneous faecal fistula secondary to incarcerated inguinal hernias is much rarer among the adult population as compared to the paediatric age group. Most of these fistula have been reported from developing countries like India and Nigeria and is usually the result of poverty, lack of knowledge, neglect, late presentation and lack of proper management. A 62 years old male presented with chief complaints of multiple openings with faecal discharge in the right groin for last 20 days with no history of constipation, trauma, and urinary or other abdominal complaints. CT scan revealed a small gut loop communicating with anterior abdominal wall. Exploratory laparotomy revealed a loop of distal ileum adherent to the internal inguinal ring which was retrieved back into the abdominal cavity. There was perforation over the loop. Resection of the segment of ileum involved was done with ileo-ileal hand sewn anastomosis and the internal inguinal ring was closed from inside of the peritoneal cavity. The openings in the skin over the inguinal region were communicated with each other and laid open due to cellulitis of the area involved and pus discharge. Spontaneous faecal fistula in inguinal region following rupture of strangulated Richter's hernia especially in adults is very rare and can occur even in absence of obstructive symptoms. In presentation of any groin swelling, there is need for an early accurate diagnosis followed by prompt treatment. The delay in its diagnosis and management may result in this rare complication of spontaneous faecal fistula. This reflects the state of health care in the developing world and needs to be addressed by the concerned authorities.
*Corresponding author: Dr. Kamlesh Singh, (M.D.S-Periodontia), Senior Lecturer in Department of P... more *Corresponding author: Dr. Kamlesh Singh, (M.D.S-Periodontia), Senior Lecturer in Department of Periodontia, Narsinhbhai Patel Dental College and Hospital, Visnagar District, Mehsana. Tel: 09978908445, 09429534897, 02765-222272 Fax: +91 2765 233 008 E-mail: ...
Analytical and quantitative cytology and histology / the International Academy of Cytology [and] American Society of Cytology, 2002
To differentiate hyperplastic nodules (HPN), follicular adenoma (FA) and follicular carcinoma (FC... more To differentiate hyperplastic nodules (HPN), follicular adenoma (FA) and follicular carcinoma (FCA) of the thyroid by cytomorphologic features combined with argyrophilic nucleolar organizer regions (AgNORs) and Ki-67 proliferative markers on fine needle aspiration cytology. Cytomorphologic patterns, along with two proliferation markers, Ki-67 and AgNORs, in fine needle aspirates of 123 histologically confirmed cases of thyroid follicular lesions, including 39 hyperplastic nodules, 70 follicular adenomas and 14 cases of follicular carcinomas, were recorded. Mean AgNOR (mAgNOR) counts and Ki-67 labelling index (LI) were consistently higher in FCA in comparison to FA and HPN irrespective of the cytologic patterns in fine needle aspiration smears. Between benign and malignant lesions, an overlap of 1.83% at the cutoff point of 4.0 was observed in cases of mAgNORs, whereas it was 11.09% at a cutoff of 5.0 in cases of Ki-67 LI. mAgNOR counting in fine needle aspiration smears is more sens...
Asian Pacific journal of tropical biomedicine, 2012
To assess the In vivo antioxidFant and hepatoprotective activity of methanolic extract of Daucus ... more To assess the In vivo antioxidFant and hepatoprotective activity of methanolic extract of Daucus carota (D. carota) seeds in experimental animals. Methanolic extracts of D. carota seeds is used for hepatoprotection assessment. Oxidative stress were induced in rats by thioacetamide 100 mg/kg s.c, in four groups of rats (two test, standard and toxic control). Two test groups received D. carota seeds extract (DCSE) at doses of 200 mg/kg and 400 mg/kg. Standard group received silymarin (25 mg/kg) and toxic control received only thioacetamide. Control group received only vehicle. On the 8th day animals were sacrificed and liver enzyme like serum glutamic pyruvic transaminase (SGPT), serum glutamic-oxaloacetic transaminase (SGOT) and alkaline phosphatase (ALP) were estimated in blood serum and antioxidant enzyme like superoxide dismutase (SOD), catalase (CAT), glutathione reductase (GRD), glutathione peroxidase (GPX), glutathione-S-transferase (GST) and lipid peroxidation (LPO) were estim...
ABSTRACT Background and aims. Approximately 20% of acute pancreatitis progresses to a severe form... more ABSTRACT Background and aims. Approximately 20% of acute pancreatitis progresses to a severe form characterised by multiple extrapancreatic organ dysfunction. Elevated intra-abdominal pressure (IAP), a frequent finding in these patients, further adds to the mortality. Currently used prognostication indices have their own set of limitations. We evaluated IAP at intensive care unit (ICU) admission as a predictor of mortality in severe acute pancreatitis (SAP). Methods. A retrospective analysis of 50 patients with SAP admitted to the ICU of a tertiary-care Indian institute over a period of 3 years was done. Data relating to demographic profile, cause of pancreatitis, ICU admission, Acute Physiology and Chronic Health Evaluation II (APACHE II) score, Sequential Organ Failure Assessment (SOFA) score, IAP, interventions instituted and mortality were analysed. Results. Biliary stones (38%) were the most common cause of acute pancreatitis. Survivors differed from non-survivors with respect to organ failure, APACHE II and SOFA scores and IAP on admission. There was a significant correlation between IAP on ICU admission and admission SOFA (r=0.56, p<0.001) and APACHE II (r=0.54, p<0.001) in predicting mortality. Patients with elective admission had a mortality rate of 53% (20/38) compared to 83% (10/12) for those admitted as emergencies. Analysis of receiver operating characteristic curves for detecting mortality revealed an area under the curve of 0.915 (95% confidence interval (CI) 0.83 - 0.99) for IAP, 0.826 (95% CI 0.71 - 0.93) for SOFA, and 0.831 (95% CI 0.71 - 0.94) for APACHE II. Conclusion. IAP at ICU admission is a useful predictor of severity of illness and mortality in SAP.
Cross-Cultural Advancements in Positive Psychology, 2013
ABSTRACT This chapter considers a qualitative study from India, where Kamlesh Singh, Anjali Jain,... more ABSTRACT This chapter considers a qualitative study from India, where Kamlesh Singh, Anjali Jain, and Dalbir Singh vividly analyze a cultural specific indigenous therapeutic practice, satsang, and its association with well-being in women that experience it in rural communities. Filling a dearth of literature analyzing and utilizing indigenous practices, the authors endorse a deep and vibrant cultural perspective. The reading takes us into a voyage of rich specificities regarding Indian concepts of positive mental health and happiness. Several methodologies, from folk songs to Yoga, exemplify the spiritual journey of women enrolled in the practice of satsang. Three consecutive qualitative studies show how women feel more empowered and stress free after participating in the indigenous practice, and how they were able to nurture healthier interpersonal relations and strengthen family and social support – a requirement for well-being.
ABSTRACT: Resilience refers to an individual's ability to thrive despite adversity. The curr... more ABSTRACT: Resilience refers to an individual's ability to thrive despite adversity. The current study examined the psycho-metric properties of the ConnorDavidson Resilience Scale (CD-RISC) in the Indian context. The sample comprised of 256 students (age M =22.75, ...
In well-being research the term happiness is often used as synonymous with life satisfaction. How... more In well-being research the term happiness is often used as synonymous with life satisfaction. However, little is known about lay people's understanding of happiness. Building on the available literature, this study explored lay definitions of happiness across nations and cultural dimensions, analyzing their components and relationship with participants' demographic features. Participants were 2799 adults (age range = 30-60, 50% women) living in urban areas of Argentina, Brazil, Croatia, Hungary, India, Italy, Mexico, New Zealand, Norway, Portugal, South Africa, and United States. They completed the Eudaimonic and Hedonic Happiness Investigation (EHHI), reporting, among other information, their own definition of happiness. Answers comprised definitions referring to a broad range of life domains, covering both the contextual-social sphere and the psychological sphere. Across countries and with little variation by age and gender, inner harmony predominated among psychological definitions, and family and social relationships among contextual definitions. Whereas relationships are widely acknowledged as basic happiness components, inner harmony is substantially neglected. Nevertheless, its cross-national primacy, together with relations, is consistent with the view of an ontological interconnectedness characterizing living systems, shared by several conceptual frameworks across disciplines and cultures. At the methodological level, these findings suggest the potential of a bottom-up, mixed method approach to contextualize psychological dimensions within culture and lay understanding.
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