Evaluation of Factors for Effective Distribution of Covid-19 Vaccines

RAJU Totakura Bangar,CHAKRABARTI Deepankar,DAS Neenu,MATHUR Ravi Prakash 한국유통과학회 2022 유통과학연구 Vol.20 No.7

Purpose: The government of India has initiated the Covid-19 Vaccination drive from early January 2021. Vaccination is identified to be best option to protect the people across the globe. However, owing to fast wide spread of the Covid-19, the Vaccine Distribution is a major challenge owing various issues like temperature control, infrastructure, hesitancy, geographical diversity, and other critical factors. Various research is carried out globally to understand and study the Vaccine Distribution issues based on the respective country issues and factors. Research Design, Data, and Methodology: This research paper attempts to explore prominent factors that could be taken up on priority for better and effective vaccination program. The study tries to rank various factors and sub-factors affecting vaccine distribution in India. AHP methodology based on feedback from 22 experts from the Vaccine industry has been deployed to get the desired results. Result: The results show that factors vaccine approval process, geographical prioritization, power supply, infrastructure maintenance costs for vaccine storage, and vaccine pricing are the prominent factors of effective vaccination in the country. Conclusion: The role and need for district-level health officers towards vaccine storage has been brought forward. A long-term effective vaccination policy is needed for optimum vaccine distribution.

Addition of computed tomography chest increases the diagnosis rate in patients with suspected intestinal tuberculosis

( Saurabh Kedia ),( Raju Sharma ),( Sudheer Kumar Vuyyuru ),( Deepak Madhu ),( Pabitra Sahu ),( Bhaskar Kante ),( Prasenjit Das ),( Ankur Goyal ),( Karan Madan ),( Govind Makharia ),( Vineet Ahuja ) 대한장연구학회 2022 Intestinal Research Vol.20 No.2

Background/Aims: Intestinal tuberculosis (ITB) is difficult to diagnose due to poor sensitivity of definitive diagnostic tests. ITB may be associated with concomitant pulmonary tuberculosis (PTB) which may remain undetected on chest X-ray. We assessed the role of contrast enhanced computed tomography (CECT) chest in detecting the prevalence of active PTB, and increasing the diagnostic yield in patients with suspected ITB. Methods: Consecutive treatment naïve patients with suspected ITB (n=200) who underwent CECT chest (n=88) and had follow-up duration>1 year were recruited in this retrospective study (February 2016 to October 2018). ITB was diagnosed in the presence of caseating granuloma, positive acid fast stain or culture for Mycobacterium tuberculosis on biopsy, presence of necrotic lymph nodes (LNs) on CT enterography or positive response to anti-tubercular therapy. Evidence of active tuberculosis on CECT-chest was defined as presence of centrilobular nodules with or without consolidation/miliary nodules/thick-walled cavity/enlarged necrotic mediastinal LNs. Results: Sixty-five of eighty-eight patients (mean age, 33.8±12.8 years; 47.7% of females) were finally diagnosed as ITB (4-caseating granuloma on biopsy, 12-necrotic LNs on CT enterography, 1-both, and 48-response to anti-tubercular therapy) and 23 were diagnosed as Crohn’s disease. Findings of active TB on CECT chest with or without necrotic abdominal LNs were demonstrated in 5 and 20 patients, respectively. No patient with Crohn’s disease had necrotic abdominal LNs or active PTB. Addition of CECT chest in the diagnostic algorithm improved the sensitivity of ITB diagnosis from 26.2% to 56.9%. Conclusions: Addition of CECT chest significantly improves the sensitivity for definite diagnosis in a patient with suspected ITB. (Intest Res 2022;20:184-191)

Study on CO₂ Absorption of Pervious Mortar by Carbonation Curing

Kunal Krishna Das(쿠날 크뤼쉬나 다스),Wu, Xuan Ru(오현유),Raju Sharma(라주샤마),Jang, Jeong Gook(장정국) 한국콘크리트학회 2023 한국콘크리트학회 학술대회 논문집 Vol.35 No.1

Study on isotherm, kinetics, and thermodynamics of adsorption of crystal violet dye by calcium oxide modified fly ash

Sagnik Chakraborty,Anupam Mukherjee,Subhabrata Das,Naga Raju Maddela,Saima Iram,Papita Das 대한환경공학회 2021 Environmental Engineering Research Vol.26 No.1

The natural Fly ash modified with calcium oxide has been employed to eliminate the crystal violet dyestuff from the simulated solution. Herein, the effect of different physicochemical factors like primary dye concentration, sorption contact time, the quantity of the adsorbent, temperature, along with initial simulated solution pH, evaluated for illustrating the mechanism of adsorption. Furthermore, the equilibrium study was conducted, and equilibrium models like Langmuir, Freundlich, and Dubinin- Raduskevich (D-R) were fitted to obtain analytical results to endow with more insight into the process. The results acknowledged that the Langmuir model is well apt and suggests that the adsorption mechanism happens in a monolayer on the fly ash surface. Pseudo-first order, Pseudo-second order, and the intraparticle diffusion model evaluated, and the interpretation suggests the sorption method is obeying the Pseudo-second order and intraparticle diffusion model. The ascertained negative values of Gibbs free energy affirmed the unconstrained process for all symbiotic associations, and the obtained data 78.70 kJ mol<SUP>-1</SUP> enthalpy values manifested that exothermic mechanism was governing the reaction. The above assessment confirms the application of Calcium oxide pre-treated fly ash as a cheap adsorbent to eliminate the crystal violet dyestuff from the simulated solution.

Evaluation of Bonamia semidigyna (Roxb.) for antioxidant, antibacterial, anthelmintic and cytotoxic properties with the involvement of polyphenols

Md. Adnan,Md. Nazim Uddin Chy,Sajib Rudra,Afroza Tahamina,Raju Das,Mohammad Akramul Hoque Tanim,Tanvir Iqram Siddique,Asadul Hoque,Syeda Mashnia Tasnim,Arkajyoti Paul,A. T. M. Mostafa Kamal 경희대학교 융합한의과학연구소 2019 Oriental Pharmacy and Experimental Medicine Vol.19 No.2

This study was conducted to investigate the antioxidant, antibacterial, anthelmintic, and cytotoxic activities of the crude methanol extract of Bonamia semidigyna (Roxb.) leaves and its derived fractions in different experimental models. Leaves of B. semidigyna were extracted with methanol (MBS) and the resultant successively fractionated into n-hexane (NBS), petroleum ether (PBS), chloroform (CBS), and ethyl acetate (EBS) soluble fractions. Later, the plant extractives were investigated for antioxidant, antibacterial, anthelmintic and cytotoxic properties. Phytochemical study was carried out using standard methods and polyphenols content were determined by spectrophotometric techniques. Antioxidant activity was evaluated by DPPH (1,1-diphenyl-2-picrylhydrazyl) radical scavenging activity, hydrogen peroxide ( H2O2) scavenging activity, ferric reducing power, and total antioxidant capacity assays. Disc diffusion technique used to evaluate the antibacterial efficacy and anthelmintic activity was determined using aquarium worm (Tubifex tubifex) whereas cytotoxicity was evaluated using brine shrimp lethality bioassay. The phytochemical study revealed the presence of alkaloids, flavonoids, terpenoids, tannins, saponins, phenolic, steroids, sterols, quinones, oxalate, coumarins, and emodins in the plant extractives. In addition, the quantitative phytochemical analysis showed the significant amount of polyphenol contents. In antioxidant assays, the crude methanol extract and EBS fraction exhibited the most potent antioxidant activity among all the extractives. The crude methanol extract and EBS fraction also possessed significant antibacterial and anthelmintic potentials while moderate cytotoxic activities were found for all the plant extractives. The present study confirmed that the crude methanol extract of B. semidigyna and its EBS fraction, possibly due to its high polyphenol contents possess significant antioxidant, antibacterial, and anthelmintic properties.

High mucosal cytomegalovirus DNA helps predict adverse short-term outcome in acute severe ulcerative colitis

( Saransh Jain ),( Divya Namdeo ),( Pabitra Sahu ),( Saurabh Kedia ),( Peush Sahni ),( Prasenjit Das ),( Raju Sharma ),( Vipin Gupta ),( Govind Makharia ),( Lalit Dar ),( Simon Pl Travis ),( Vineet Ah 대한장연구학회 2021 Intestinal Research Vol.19 No.4

Background/Aims: Predictors of short-term outcome of intravenous (IV) steroid therapy in acute severe ulcerative colitis (ASUC) have been well described, but the impact of cytomegalovirus (CMV) infection as a predictor of outcome remains debatable. We investigated the role of quantitative CMV polymerase chain reaction (PCR) as a predictor of short-term outcome in patients with ASUC. Methods: Consecutive patients with ASUC satisfying Truelove and Witts criteria hospitalized at All India Institute of Medical Sciences (AIIMS) from May 2016 to July 2019 were included; all received IV steroid. The primary outcome measure was steroid-failure defined as the need for rescue therapy (with ciclosporin or infliximab) or colectomy during admission. AIIMS’ in-dex (ulcerative colitis index of severity >6 at day 1+fecal calprotectin >1,000 μg/g at day 3), with quantitative CMV PCR on biopsy samples obtained at initial sigmoidoscopy were correlated with the primary outcome. Results: Thirty of 76 patients (39%) failed IV corticosteroids and 12 (16%) underwent surgery. Patients with steroid failure had a significantly higher mucosal CMV DNA than responders (3,454 copies/mg [0-2,700,000] vs. 116 copies/mg [0-27,220]; P< 0.01). On multivariable analysis, mucosal CMV DNA load >2,000 copies/mg (odds ratio [OR], 10.2; 95% confidence interval [CI], 2.6-39.7; P<0.01) and AIIMS’ index (OR, 39.8; 95% CI, 4.4-364.4; P< 0.01) were independent predictors of steroid-failure and need for colectomy. The combination correctly predicted outcomes in 84% of patients with ASUC. Conclusions: High mucosal CMV DNA ( >2,000 copies/mg) independently predicts failure of IV corticosteroids and short-term risk of colectomy and it has an additional value to the established markers of disease severity in patients with ASUC. (Intest Res 2021;19:438-447)