Ramesh Choudhary - Profile on Academia.edu (original) (raw)

Papers by Ramesh Choudhary

Transcutaneous measurement of bilirubin is being used for neonatal jaundice. Its utility during p... more Transcutaneous measurement of bilirubin is being used for neonatal jaundice. Its utility during phototherapy in preterm babies is not established. Objective of our study was to assess the efficacy of transcutaneous bilirubin (TcB) measurement in comparison to total serum bilirubin in preterm newborns at admission and during phototherapy at covered skin area (glabella). It was a prospective observational study and conducted at neonatal intensive care unit of a tertiary care hospital from January 2017 to January 2019. One hundred eligible preterm neonates were enrolled. Babies who were very sick, with poor peripheral circulation, edematous, having conjugated hyperbilirubinemia, with major congenital malformations, already received phototherapy or exchange transfusion were excluded. Paired total serum bilirubin and transcutaneous bilirubin were measured at admission, at 6 hours and 24 hours during phototherapy. TcB was measured from area (glabella) covered by eye protector during photo...

International Journal of Environment and Climate Change, 2022

An experiment was conducted at agricultural research station, SKRAU, Bikaner during rabi season o... more An experiment was conducted at agricultural research station, SKRAU, Bikaner during rabi season of 2017-18 to evaluate yield of mustard as influenced by date of sowing and varieties in western Rajasthan. The treatment consisted of three dates of sowings viz., 10th October, 25th October and 9th November were kept in main plot and five varieties viz. RH-119, NRCHB-101, RGN-48, RH-749 and Laxmi was kept as sub plot replicated thrice in split plot design. Crop sown on 25th October recorded significantly higher seed yield as compared to 9th November sowing. In case of stover yield of mustard maximum was recorded under 25th October as compared to 10th October and 9th November. Days taken for emergence were no significant difference in varieties. RH-749 taken maximum days for 50 per cent flowering as compared to all varieties and for Siliqua appearance maximum days also taken by RH-749 as compared to NRCHB-101 and it statistically at par with RH-119, RGN-48 and Laxmi. RH-119 days to maturi...

Journal of Community & Applied Social Psychology, 2021

Leprosy is endemic in Nepal and disproportionately affects the most marginalized. Leprosy related... more Leprosy is endemic in Nepal and disproportionately affects the most marginalized. Leprosy related stigma can be characterized as a social curse, because those affected are excluded from group life and social participation which has severe implications for psychological health. The Nepal Leprosy Trust run a community-based self-help group intervention that aims to develop a new empowered identity to re-establish access to multiple group memberships' through social participation. In this applied cross-sectional study, informed by the Social Identity Model of Identity Change, we assess this intervention. Participants (N = 98) were members of self-help groups in 10 rural villages in Nepal, and completed measures of self-help group identification, access to multiple groups, internalized stigma and wellbeing. Mediation models indicated that self-help group identification was indirectly linked to reduced stigma and increased well-being through access to multiple groups. Supporting the Social Identity Model of Identity Change, we present novel evidence that group-based interventions can offer new valued identities that link to social cure resources, even in the most adverse circumstances. Please refer to the

A study of the linkage of poverty alleviation with self-care in South Central Nepal

Leprosy Review, 2017

Background: RECLAIM CDR was an empowerment project implemented by the Nepal Leprosy Trust (NLT) i... more Background: RECLAIM CDR was an empowerment project implemented by the Nepal Leprosy Trust (NLT) in four districts of Nepal. It ran from 2011 to 2016. The RECLAIM methodology reflected that of an earlier STigma Elimination Project that was implemented under the title of “STEP”. What follows in this paper are the salient findings of an independent evaluation of RECLAIM that took place in April 2016. Objectives: The main objective of RECLAIM CDR was to ascertain the extent to which the STEP methodology might impact on poverty alleviation. Method: Quantitative data relating to: impairment status, participation, selfefficacy, and relative poverty was analysed. Qualitative methods were also used for triangulation and to gain perspective. Results: † 50 of the self-care groups (SCG) that were established progressed to become self-help groups (SHG) with a total membership of 866 people. † The median score on the Grameen Progress out of Poverty Index (PPI) rose from 27 to 38. † There was an improvement in levels of social participation with 44% of beneficiaries reporting “no restriction”. † “Eye Hand and Foot” scores suggested that 68% of leprosy affected SHG members neither experienced improvement or deterioration in impairment status. † The median self-efficacy score rose from 20 to 29. † 47 of the 50 SHGs had organized and managed a variety of activities that demonstrated commitment to social responsibility. Conclusion: The outcomes of the project suggest that self-care, as applied by groups of people affected by leprosy does enhance perceived self-efficacy and that the energy generated by such perceptions leads to more productive and fruitful lives generally.

Contribution à l'étude des phénomènes d'entartrage. 5ème partie : Entartrage et charge superficielle des cristaux

Leprosy Review, 2021

Wiebrich J. van Nettena, Marloes M. A. R. van Dorsta, Mitzi M. Waltza, Basu D. Pandeyc, Dambar Al... more Wiebrich J. van Nettena, Marloes M. A. R. van Dorsta, Mitzi M. Waltza, Basu D. Pandeyc, Dambar Aleyd, Ramesh Choudharyd & Wim H. van Brakelb aVrije University Amsterdam, The Netherlands; ORCIDs: https://orcid.org/0000-0001-6285-443X; https://orcid.org/0000-0 002-9089-2545 bNLR, Amsterdam, The Netherlands; ORCID: https://orcid.org/0000-0002-0277-2907 cSukra Raj Tropical and Infectious Disease Hospital, Ministry of Health and Population, Nepal dLalgadh Leprosy Hospital Services Centre, P.O. Box 45600, Janakpur, Nepal

Background: Pneumonia is the most common cause of childhood morbidity and mortality in developing... more Background: Pneumonia is the most common cause of childhood morbidity and mortality in developing countries, especially in those younger than 5 years of age. This study was conducted to evaluate the clinical and etiological profile of persistent pneumonia in these children. Materials and Methods: 74 hospitalized children with persistent pneumonia were evaluated for clinical and etiological profile. Results: Out of 74 children, 19 had aspiration syndrome, 18 had pulmonary tuberculosis, 8 had immunodeficiency and 8 had congenital heart disease. As far as the clinical profile was concerned, out of 74 children, all had cough, 65 had respiratory distress, 60 had fever and 22 had cyanosis. Conclusions: The common underlying etiologies of persistent pneumonia in children found in our study were aspiration syndromes followed by pulmonary tuberculosis, congenital heart disease (CHD), immunodeficiency and bronchiectasis.

International Journal of Current Microbiology and Applied Sciences, 2020

Rajasthan is predominantly a rainfed state with precipitation being major source of annual renewa... more Rajasthan is predominantly a rainfed state with precipitation being major source of annual renewable water supply. With the rapidly increasing population and rising standards of living as well as exponential growth of industrialization, the water availability in the state is decreasing at an alarming rate, and water scarcity is growing rapidly. Scarcity of water resources and growing competition for water in many sectors reduce its availability for irrigation. Effective management of water for crop production in water scarce areas requires efficient approaches for improving water productivity. These include effective management practices, growing high value water efficient crops and cropping systems. The crops grown in IGNP stage II are high International Journal of Current Microbiology and Applied Sciences ISSN: 2319-7706 Volume 9 Number 11 (2020) Journal homepage: http://www.ijcmas.com

Journal of Pharmacognosy and Phytochemistry, 2017

An experiment were conducted during the winter season of 2014-15 and 2015-16 at Bikaner, to evalu... more An experiment were conducted during the winter season of 2014-15 and 2015-16 at Bikaner, to evaluate the integrated nutrient management and weed control measures on weed, growth, yield attributes and yield of mustard (Brassica juncea L.). The highest dry matter of different weeds, growth parameters viz. plant height, dry matter accumulation and leaf chlorophyll, yield parameters like number of silique per plant and seeds per siliqua which laid to the highest seed and straw yield under the treatment 5 t FYM + 100 % RDF and 5 t FYM + 75 % RDF + biofertilizer. Among the weed management sources application of 1.0 kg ha-1 pendimethalin reduced the dry matter of different weeds and enhance the growth, yield attributes and also produced the maximum seed and straw yield. A strongly significant and negatively correlation was observed between total dry matter of weeds and yield but strongly and positively correlation was yield attributes and yield of mustard.

246 epidemiológica. Hay cuatro tipos: forma clásica, endémica, post-trasplante y asociada al VIH.... more 246 epidemiológica. Hay cuatro tipos: forma clásica, endémica, post-trasplante y asociada al VIH. La clásica es la originalmente descrita por Kaposi, con predominio en ciertas regiones del Mediterráneo y mayor afectación del sexo masculino, con una prevalencia de aproximadamente 1/3.500. La endémica, también es más frecuente en el sexo masculino y es causa de cáncer en regiones de África Central y Oriental.

STEP: An intervention to address the issue of stigma related to leprosy in Southern Nepal

Leprosy Review, 2005

This paper focuses primarily on the extent to which a Stigma Elimination Programme (STEP) affecte... more This paper focuses primarily on the extent to which a Stigma Elimination Programme (STEP) affected the social participation of people affected by leprosy in southern Nepal. The Participation Scale (popularly known as The P Scale) was applied to compare leprosy affected people who participated in STEP groups with a control group comprising leprosy affected people who lived in villages where STEP had not been implemented. It was found that STEP participants had significantly higher levels of participation compared with controls and that their levels of social participation were higher than would be expected even for the general population. It was also found that leprosy affected people without visible deformity or ulceration (whether in the STEP group or not) do not appear to suffer participation restriction in southern Nepal.

IP International Journal of Medical Paediatrics and Oncology, 2021

Migraine is a neurological disorder with variable prevalence, affecting females more commonly. Ph... more Migraine is a neurological disorder with variable prevalence, affecting females more commonly. Pharmacological treatment is well known. Role of yoga is not well known in treatment of Migraine. Here we present a case of migraine, which treated with structured yoga sessions under supervision of qualified instructor.

International Journal of Chemical Studies, 2020

A field experiment was undertaken during Rabi season of 2018-19 at Research Farm, Vivekananda Glo... more A field experiment was undertaken during Rabi season of 2018-19 at Research Farm, Vivekananda Global University, Jaipur to study the effect of integrated nutrient management on growth and quality of chickpea. The experiment was taken in randomized block design with three replication assigning seven treatment combinations of inorganic fertilizers, FYM, vermicompost and bio-fertilizers. Results showed that the growth and quality of chickpea was significantly increased due to different integrated nutrient management treatments as compared to control. The maximum plant height, number of branches plant-1 , nitrogen content in seed and haulm, nitrogen uptake in seed and haulm, protein content in seed and protein yield of chickpea was obtained with combined application of 75% RDF + vermicompost 2.5 t ha-1 + PSB (T7) which was superior to all other treatments except application of 100% RDF (T2) and 75% RDF + FYM 5.0 t ha-1 PSB (T6).

An assessment of women’s empowerment in mixed Self-Help Groups in Dhanusha District of Nepal

Leprosy Review, 2020

International Journal of Current Microbiology and Applied Sciences, 2019

BMC Public Health, 2018

Background: Lymphatic filariasis (LF) and leprosy are disabling infectious diseases endemic in Ne... more Background: Lymphatic filariasis (LF) and leprosy are disabling infectious diseases endemic in Nepal. LF infection can lead to lymphoedema and hydrocoele, while secondary effects of leprosy infection include impairments to hands, eyes and feet. The disabling effects of both conditions can be managed through self-care and the supportive effects of self-help groups (SHGs). A network of SHGs exists for people affected by leprosy in four districts in Nepal's Central Development Region, however no such service exists for people affected by LF. The aim of this study was to determine the feasibility of integrating LF affected people into existing leprosy SHGs in this area. Methods: A survey was conducted using a semi-structured questionnaire to elicit information on: (i) participant characteristics, clinical manifestation and disease burden; (ii) participants' knowledge of management of their condition and access to services; and (iii) participants' knowledge and perceptions of the alternate condition (LF affected participants' knowledge of leprosy and vice versa) and attitudes towards integration. Results: A total of 52 LF affected and 53 leprosy affected participants were interviewed from 14 SHGs. On average, leprosy affected participants were shown to have 1.8 times greater knowledge of self-care techniques, and practiced 2.5 times more frequently than LF affected participants. Only a quarter of LF affected participants had accessed a health service for their condition, compared with 94.3% of leprosy affected people accessing a service (including SHGs), at least once a week. High levels of stigma were perceived by both groups towards the alternate condition, however, the majority of LF (79%) and leprosy (94.3%) affected participants stated that they would consider attending an integrated SHG. Conclusions: LF affected participants need to increase their knowledge of self-care and access to health services. Despite stigma being a potential barrier, attitudes towards integration were positive, suggesting that the SHGs may be a good platform for LF affected people to start self-care in this area. Trial registration: This is not a registered trial.

International Journal of Current Microbiology and Applied Sciences, 2018

Prune Belly Syndrome with Sacrococcygeal Teratoma

Indian journal of pediatrics, Jan 8, 2017

To the Editor: Prune Belly Syndrome (PBS) is a rare congenital anomaly with incidence of 1 in 30,... more To the Editor: Prune Belly Syndrome (PBS) is a rare congenital anomaly with incidence of 1 in 30,000 live births [1]. It is an autosomal recessive disorder characterized by triad of deficient abdominal muscle, cryptorchidism and urinary tract malformations. Other associatedmalformations are congenital heart diseases, malrotation of gut and limb defects. However, association with sacrococcygeal teratoma (SCT) is not known. Here, we present a case of PBS with sacrococcygeal teratoma. A 30-y-old primi female with a non-consanguineous marriage, delivered a stillborn male baby at 34 wk of gestation. There was no antenatal history of medical illness and teratogenic exposures. Anthropometric parameters of the baby were appropriate for age. The baby had thin wrinkled skin and flabby abdominal wall ballooning out in the flanks and skin creases radiating laterally from the umbilicus, low set and deformed ears and club foot (Fig. 1a). A lobulated mass was found in the sacrococcygeal region with variable consistency and dilated veins were seen over the surface (Fig . 1b) . Ultrasonography of the mass revealed an immature SCT. USG of the abdomen showed bilateral cryptorchidism and hydronephrosis. PBS is also named as Eagle-Barrett Syndrome [2]. Etiology of PBS remains unclear. It has a male sex preponderance. Wrinkled, prune-like abdominal skin is characteristic of Prune Belly syndrome [2]. Dilated, non-obstructed urinary system is one of the cardinal features of PBS [3] Musculoskeletal defects are present in 45% cases while involvement of gastrointestinal system is seen in 30% cases of PBS. Atrial and ventricular septal defects, patent ductus arteriosus and tetrology of fallot are also associated [4] USG of abdomen, intravenous pyelography, micturating cystourethrography and X-ray are useful investigations. Management includes surgery for urogenital problems and antibiotics for infections. SCT originates from the totipotent cells of the primitive knot [5] It can be solid or cystic in nature. In neonatal period, 10% of SCT may be malignant; second trimester ultrasound and α-fetoprotein are useful investigations to * Sunil Gothwal dr.sunilgothwal@gmail.com

Surface and grain boundary interdiffusion in nanometer-scale LSMO/BFO bilayer

Journal of Magnetism and Magnetic Materials, 2016

Abstract Epitaxial 150 nm thick LSMO/BFO bilayer is deposited on STO (100) substrate by pulsed la... more Abstract Epitaxial 150 nm thick LSMO/BFO bilayer is deposited on STO (100) substrate by pulsed laser deposition, to study magnetoelectric effect. Unexpected low value of room temperature magnetization in bilayer indicates towards the possibility of interdiffusion. Further, sharp fall in the value of T C (53 K) also added our anxiety towards possible interdiffusion in BFO/LSMO system. Low-angle x-ray diffraction technique is used to investigate interdiffusion phenomena, and the temperature-dependent interdiffusivity is obtained by accurately monitoring the decay of the first-order modulation peak as a function of annealing time. It has been found that the diffusivity at different temperatures follows Arrhenius-type behavior. X-ray reflection (XRR) pattern obtained for the bilayer could not be fitted in the Parratt’s formalism, which confirms the interdiffusion in it. Depth profiles of 209 Bi, 56 Fe ions measured by secondary ion mass spectroscope (SIMS) further substantiate the diffusion of these ions from upper BFO layer into lower LSMO layer.

International Journal of Prosthodontics and Restorative Dentistry, 2013

Purpose To determine the prosthodontic and periodontal status and needs in a group of adults from... more Purpose To determine the prosthodontic and periodontal status and needs in a group of adults from a poor urban community in the Philippines Materials and methods A sample consisting of 401 poor urban adults in a district in the Philippines was assessed using the WHO oral health assessment form. The examinations were conducted in natural light with a mouth mirror, community periodontal index (CPI) probe and an explorer with the subject seated in a regular chair. The following prosthodontics/malocclusion traits were assessed; presence or absence of fixed and or removable appliances, treatment needs, presence of spacing, crowding in the incisal segments, overjet, open bite and posterior cross bite. The periodontal condition was assessed by means of the community periodontal index of treatment needs (CPITN) in relation to selected index teeth: The statistical analysis was carried out using statistical package for the social sciences (SPSS) (version 21.0). One-way ANOVA was used to compa...