North India Research Articles

Relationship in stages of development with age between living male children and male adults through measurement of sternum bone in Lucknow City of U.P

The ideal rule of identification of sex and age is a sever need in medico legal cases. Sternum is much more appropriate for detection of sex and age of human beings separately from racial characters. In present study, our objectives were to find out the age and gender on the basis of sternum length in living male children and adults. This study has been conducted on the total 100 subjects, 50 male children (02-15 yrs) and 50 male adult (16-60yrs) of healthy people (living children & adults) from general population of north India as well as in and around the Lucknow of Uttar Pradesh. The technique described by Ashley GT -1956b was used for measurement of sternum. Comparing the mean length, Student’s t test showed significantly different and higher length of manubrium (16.1%) (49.45 ± 3.45 vs. 58.97 ± 6.68, t=8.94, p<0.001) and length of sternum (4.0%) (156.16 ± 5.26 vs. 162.70 ± 5.70, t=5.97, p<0.001) in 16-60 yrs as compared to 2-15 yrs. The assessment of the relationship in stage of development and sex between living male children and adult through measurement of sternum bone in lucknow city of U.P., significantly different and higher length of sternum, because the growth of sternum segment was completely develop in adult, but the development in children male is continuous in ratio of adults male.

Spatial Changes of Driving Parameters Affecting Cyclonic Activity over the North Indian Ocean from 1960 to 2020

This study undertakes a thorough analysis of the elements that influence the variability of tropical cyclones (TC) in the North Indian Ocean (NIO) from 1960 to 2020, with a specific focus on the periods before and after the monsoon season. The study utilizes historical satellite data to investigate the factors that impact the formation, strength, and trajectories of cyclones. The primary method for evaluating cyclone strength is by calculating the Accumulated Cyclone Energy (ACE). The study observes a decreasing trend in ACE levels during 1991–2005, which started increasing just after from 2006 to 2020. The Bay of Bengal (BoB) has a more uniform distribution of ACE in comparison to the Arabian Sea (AS), with higher average values and more variability over the Main Development Region (MDR), which is the area where cyclone development occurs most frequently. Cyclones of greater intensity generally occur following the monsoon season. Examination of storm paths reveals that cyclones with greater intensity frequently hit the northeastern and southeastern coastal regions of India. The study emphasizes notable discrepancies in parameters within the MDR, which impact cyclone strength and ACE values throughout various periods.

Sex determination and odontometric dimensions - A study of a North Indian population.

Sex determination is an indispensable parameter in identifying unknown deceased individuals. It can narrow down the chances of possible matches by 50%, providing a crucial lead in personal identification. In cases of commingled, decomposed, fragmented, charred and unidentifiable corpses, the importance of dental morphometrics cannot be overlooked due to the resistance of teeth to post-mortem degradation. Addressing this quality of teeth, a descriptive cross-sectional study was conducted in a North Indian population to evaluate sexual variations in dental dimensions and to identify the most sexually dimorphic dental dimension. The study included 207 participants (114 females and 93 males) in the age group of 21 to 45 years. Dental casts were prepared after obtaining informed consent from the participants and ethical clearance from the institute's ethical committee. Six odontometric dimensions, namely incisor-incisor distance, inter canine distance, combined width of central incisors, inter-premolar distance, inter-molar distance, and dental arch height of each participant were recorded on the dental casts using standard procedures. Analysis of the data elucidated the existence of statistically significant sexual dimorphism in the dental dimensions of the participants. The results of the discriminant function analysis show a sex determination accuracy of 68.1%, with a cross-validation accuracy of 65.2%. The study found the incisor-incisor distance to be the most sexually dimorphic trait, making it the best predictor of sex in the present population. The results of the present study may be helpful in sex determination and personal identification from dental remains in medico-legal and disaster victim identification cases.

Long-Term Manuring and Fertilization Influence on Soil Properties and Wheat Productivity in Semi-Arid Regions

Information on the long-term effects of the addition of organics and fertilizers to wheat under the pearl millet–wheat cropping system with semi-arid conditions in north-western India is still lacking. The present research was conducted in an ongoing field experiment initiated during Rabi 1995 at the Research Farm of Chaudhary Charan Singh at Haryana Agricultural University, Hisar. After 25 years, the impacts of nutrient management practices on soil fertility and wheat productivity were evaluated. The experiment comprised a total of eight treatment combinations viz. half and full doses of recommended fertilizers (N and P), organic manures (FYM: farmyard manure, POM: poultry manure, and PRM: press mud) alone and in combination with NP fertilizers. The conjoint application of organic manure and chemical fertilizers resulted in a positive influx of nutrients via increasing total organic carbon (TOC), available N, P, K, and S, which ranged from 0.46 to 1.42%, 122.70 to 194.70, 15.66 to 74.92, 340.5 to 761.2, and 15.26 to 54.63 kg ha−1 in surface soil (0–15 cm), respectively. Carbon fractions and crop yield were significantly improved by adopting integrated nutrient management (INM). The TOC showed a positive and significant correlation with C fractions (r > 0.92) and with soil-available N, P, K, and S (r > 0.77) content. The data also revealed a strong relationship between TOC and soil-available (0–15 cm) nutrients i.e., available N (R2= 0.769), available P (R2 = 0.881), available K (R2 = 0.758), and available S (R2 = 0.914), respectively. Thus, practices that increased TOC were also beneficial in enhancing the availability of the nutrients in the soil. A positive and highly significant correlation was also found among wheat yield, nutrient (NPKS) content, and uptake. A polynomial relationship between grain yield and grain N (R2 = 0.962), P (R2 = 0.946), and K (R2 = 0.967) content, and between straw yield and straw N (R2 = 0.830), P (R2 = 0.541) and K (R2 = 0.976) content was obtained. Integrated use of PRM7.5 followed by FYM15 and POM5 coupled with NP fertilizers proved best, which could be beneficial for obtaining nutritious and highest wheat yield (grain: 6.01 t ha−1 and straw: 7.70 t ha−1) coupled with improved fertility within a sustained manner under the pearl millet–wheat sequence in prevailing semi-arid conditions of the North Indian state of Haryana.

Understanding honor and dignity in North Indian and German cultural contexts

This study explores culturally shared connotations of honor and dignity in North India and Germany. Both, honor and dignity refer to the worth of a person but have distinct psychological implications. Honor as both an independent and interdependent phenomenon varies greatly across cultural groups. Yet, a relatively large volume of research is focused on Middle Eastern, Muslim cultures. Moreover, though a rich body of literature shows that dignity can have different meanings across cultural contexts, its nuanced understanding, particularly in relation to honor, remains underexplored in cross-cultural settings. Given this, the current study expands both these concepts to India with its unique religious and structural characteristics and studies it along with the responses of participants in Germany, examining their cultural differences. Eleven focus group discussions were conducted in North India and Germany where participants discussed their personal associations of both honor and dignity. These discussions were transcribed and later thematically analyzed. The findings indicated unique themes for honor (duty, morality, status, sociability, and stoicism) and dignity (individuality, self-governance, resistance, and enrichment) with some dimensional similarities for both cultural groups, despite dissimilar language usage. Furthermore, the five themes for honor were seen to affect differently depending on its enhancement or loss and its eventual impact on the target of honor, self, or group. As for dignity, participants in both groups had difficulties distinguishing it from honor but had a clear understanding of its intrinsic nature, especially when seen in contradiction with honor. These findings have theoretical and practical implications, particularly while studying different cultural groups together. Moreover, they contribute to the literature on self-worth by refining the idea of dignity, while also expanding our multidimensional understanding of honor.

Sleep Matters in Chronotype and Mental Health Association: Evidence from the UK and Germany.

There is considerable evidence supporting the elevated risk of mental health problems in individuals with evening chronotype relative to those with morning or intermediate chronotypes. Recent data, however, suggest that this risk may be explained, at least partially, by poor sleep quality. This study aimed to further clarify the roles of chronotype and sleep quality in mental health outcomes (depression, anxiety, stress) in young individuals (18-40 years) living in the UK (n = 185) or Germany (n = 209). Consistent with our recent observations in a comparable North Indian sample, we found that poor quality of sleep had significantly positive associations with adverse mental health outcomes both in the UK and Germany-based samples. Significant associations between evening chronotype and poor mental health were also evident, but these associations were fully mediated by poor quality of sleep in both samples. These observations suggest that efforts to identify sleep disruption in a timely manner and promotion of good sleep may prevent mental health problems, especially in individuals with evening chronotype and other known risks for mental disorders.

Role of Stress Cardiac MRI in Management of Patients with Moderate (50-69%) Coronary Artery Stenosis - A Single-Center, Pilot Study in North Indian Population

Role of Stress Cardiac MRI in Management of Patients with Moderate (50-69%) Coronary Artery Stenosis - A Single-Center, Pilot Study in North Indian Population

Assessment of diabetes-specific knowledge and its determinants among children with type 1 diabetes mellitus and their primary caregivers: Experience from a tertiary care center in North India.

Assessment of diabetes-specific knowledge among children with type 1 diabetes (T1D) and their caregivers using a validated diabetes knowledge test (DKT) and to determine the factors associated with DKT score. A cross-sectional study was conducted in a tertiary care hospital, New Delhi (India). Children 5-18 years with T1D and caregivers were evaluated using a validated DKT tool to assess knowledge in basic and advance domains. The factors associated with DKT scores were studied. A total of 110 T1D children with mean (SD) age 12.2 (3.3) years and duration 5.3 (2.7) years were assessed. The mean (SD) composite DKT score (%) was 58.0 (11.1) while in basic and advance domains were 66.4 (9.5) and 50.4(1.5), respectively. Maternal education (≥graduate), socio-economic strata (≥upper middle), annual per capita income (>Rs 50,000/700 USD), urban setting and HbA1c<8.5 % were significantly associated with higher odds of DKT score>50 %. HbA1c<8.5 % and urban setting were significant predictors of the DKT score on multivariate logistic regression analysis (p<0.001). DKT can identify individual challenges in specific (basic or advance) domains related to diabetes self-management skills. Higher maternal education significantly impacted achieving a high DKT score and improved glycemic control.

‘To be on the seventh sky’: exploring the nature and push of key factors in Indian parents’ choice for shadow education

ABSTRACT This research contributes to the current discourse about the role of parentocracy in the expansion of shadow education (known as private tutoring or supplementary instruction) for primary -grade children. Multiple data collection techniques were employed through the distribution of open-ended questionnaires and one-to-one semi-structured interviews, involving 171 parents of primary-grade children belonging to North India. The thematic analysis of the data highlighted the motivations of parents for engaging their children in shadow education and its significant impacts. In addition, the research highlighted the relationship between parents’ socioeconomic status and the accessibility of shadow education for primary grade children. The study has further explored the role of parental educational background in influencing the expansion of shadow education for primary grade children. The findings concluded that the most significant motivation of parents for engaging their primary grade children in shadow education is reducing the screen time of their children.

GRACE-derived groundwater variability and its resilience in north India: impact of climatic and socioeconomic factors

ABSTRACT Groundwater availability has become a global challenge due to climatic droughts and human interventions. North India has emerged as one of the most groundwater-depleted regions. Our study delves into the linkage between groundwater variability, climatic and anthropogenic factors for the last two decades using the Gravity Recovery and Climate Experiment (GRACE) and GRACE-Follow On (GRACE-FO) observations, groundwater levels, climatic and socioeconomic datasets. Our novel spatiotemporal analysis of groundwater storage (GWS) anomaly reveals five episodes of notable changes in north India affected by rainfall variability and groundwater abstraction. The standardized precipitation index (SPI) reveals that the prolonged drought and groundwater pumping during 2015 to 2017 significantly affected GWS. Our results suggest that sufficient rainfall contributed to the replenishment of GWS in some zones during 2018 to 2023, likely due to government recharge programmes. Our findings elucidate the current scenario and underscore a pressing necessity to accelerate groundwater management strategies, ensuring its resilience in future periods of intense drought.

Assessment of vitamin B12 and folate status and their determinants in children aged 6–59 months with severe acute malnutrition admitted to a tertiary-care centre in North India

ABSTRACT Background Vitamin B12 and folate are essential micronutrients, a deficiency of which causes anaemia, poor growth and an increased risk of infections, along with irreversible neurological damage to the developing brain in children. Methods A hospital-based prospective observational study was conducted in 100 children with severe acute malnutrition (SAM) aged 6–59 months admitted to a tertiary-care facility in northern India from July 2021 to June 2022. A structured proforma was used to record socio-demographic information, a detailed clinical history, results of general and systemic physical examination and a detailed anthropometric assessment. Serum folate and vitamin B12 were estimated by electrochemiluminescence. Results The mean age of the children was 24.18 months, and 64.0% were aged 6–12 months. The male-to-female ratio was 1.08:1. Anaemia was present in 87.0% of the children, and it was severe in 35% of them. There was serum vitamin B12 and folate deficiency in 61.0% and 19.0%, respectively. A deficiency of vitamin B12 was significantly associated with delayed developmental milestones in all domains, a mid-upper-arm circumference of <11.5 cm, severe anaemia, a low platelet count and folate deficiency, and a folate deficiency was significantly associated with older age, delayed developmental milestones in all domains, severe anaemia, a low platelet count and vitamin B12 deficiency. Conclusion Vitamin B12 deficiency is highly prevalent in children aged 6–59 months with SAM, but the prevalence of folate deficiency is much lower. Apart from iron and folic acid supplementation, government programmes should consider vitamin B12 supplementation for children aged 6–59 months.

Community-based palliative care needs and barriers to access among cancer patients in rural north India: a Participatory action research

BackgroundThis paper aimed to explore the palliative care (PC) needs and barriers to access among cancer patients in a rural region of North India with a high cancer burden.MethodsA Participatory action research (PAR) approach was employed. Situational assessment, community sensitization workshops (CSWs) and door-to-door surveys were planned, conducted and developed over three PAR cycles. A parallel convergent mixed-methods approach was adopted wherein the quantitative data from door-to-door surveys and qualitative data from CSWs and investigator field notes were collected and analyzed to provide a comprehensive understanding of PC needs and barriers to access. Descriptive statistics and thematic analysis were used.ResultsA total of 27 CSWs involving 526 stakeholders were conducted. A total of 256 cancer patients were assessed for PC needs and symptom burden using the Supportive and Palliative Care Indicators (SPICT-4ALL) and the Edmonton Symptom Assessment System (ESAS) tool, respectively. Based on the SPICT assessment, all patients (n = 256) satisfied general and/or cancer-specific indicators for PC. The majority (56.6%) had ≥ one moderate-severe symptom, with the most common symptoms being tiredness, pain and loss of appetite. Analysis of qualitative findings generated three themes: unmet needs, burden of caregiving, and barriers and challenges. Cancer affected all domains of patients’ and their families’ lives, contributing to biopsychosocial suffering. Social stigma, discrimination, sympathizing attitudes and lack of emotional and material support contributed to psychosocial suffering among cancer patients and their caregivers. Lack of awareness, nearby healthcare facilities, transportation, essential medicines, trained manpower and education in PC, collusion, fear of social discrimination, faulty perceptions and misconceptions about cancer made access to PC difficult.ConclusionsThe study emphasize the need for and provide a roadmap for developing context-specific and culturally appropriate CBPC services to address the identified challenges and needs. The findings point towards education of CHWs in PC; improving community awareness about cancer, PC, government support schemes; ensuring an uninterrupted supply of essential medicines; and developing active linkages within the community and with NGOs to address the financial, transportation, educational, vocational and other social needs as some of the strategies to ensure holistic CBPC services.Trial registrationClinical Trial Registry of India (CTRI/2023/04/051357).

Estimation of Stature from Percutaneous Upper Limb Measurements in the North Indian Population

Background: In the field of forensic anthropology, stature estimation plays an important role in the identification of unknown dismembered bodies and skeletal remains. When forensic experts find body parts during a police investigation, their first task is to determine the age, sex, and height of the person. They assist law enforcement by using scientific methods in criminal cases. Material and Methods: A cross-sectional study was carried out in the city. Measurements were taken on both the left and right sides of all males. The sample size was 563 individuals aged between 20 and 40 years. Accurate measurements of five upper extremities and stature were measured with the help of an Anthropometer and Sliding calliper. Results: The correlation observed between stature and upper limb showed varying degrees of correlation, ranging from moderate to strong 0.315 to 0.859. The precision of these equations was established by the obtained correlation value, where a greater correlation nearest to 1 indicated the highest significance. Conclusion: This research addresses a critical gap by focusing on the upper extremities in a contemporary Central Indian population. Developing stature estimation models from specific body parts not only advances anthropological research but also aids forensic investigations, especially in warm climates like Uttar Pradesh.

Kitchen Hinduism: Food politics and Hindi cookbooks in colonial North India

Abstract This article deliberates on the entanglements between politics and the history of food, health, and gender in Hindu middle-class households of early twentieth-century North India, through the genre of printed cookbooks in Hindi. While cookbooks became important nodes through which to construct an ideal Hindu housewife and kitchen, they were also a place where educated, middle-class women’s voices came to be heard, recorded, and published. The article shows how and why cookbooks are an important source for writing gendered social histories of the Hindu middle classes in modern India. Simultaneously, reflecting on the larger politics of food, the article focuses on the social identities embedded in these culinary texts, and the multiple meanings they embodied, as they strengthened gender, caste, and religious boundaries, constructed a past golden culinary age, upheld ayurvedic knowledge, bemoaned the present state of culinary sciences, used food to overcome the malaise of the middle classes, fashioned an ideal Hindu upper-caste palate as synonymous with a vegetarian diet, and imagined a healthy family and a strong Hindu nation through culinary idioms.

Assessing Psychological Health in School-Going Adolescents: Insights from a Cross-Sectional Study in North India

Introduction: - Adolescence is a critical phase marked by significant physical and psychological transformations. Research has shown a strong link between lifestyle-related diseases and unhealthy habits developed during this period, which often persist into adulthood. Early assessment of adolescents' psychological health and lifestyles can play a crucial role in preventing the progression of these behaviors into more serious health conditions. Methods: - This cross-sectional study involved 600 adolescents from 9th to 12th grades in selected schools in Rohtak, Haryana, India. The psychological health of adolescents was evaluated using the Patient Health Questionnaire-4 (PHQ-4). Ethical approval was secured from the relevant authorities prior to the study. Results: - The average age of the participants was 15.9 years (SD = 1.4), with the majority being male (61%). Over half of the participants (52.7%) had a BMI between 18 and 25 kg/m², and 39.8% were from a lower-middle socio-economic background. In most of the items on the PHQ-4, the majority of participants reported experiencing psychological distress. Approximately one-fifth of the participants reported negative emotions, such as sadness (25.5%) and anxiety (18.8%), occurring at least once a week. Around 62% of the participants reported experiencing anxiety, while 67% reported symptoms of depression. Overall, 86.3% of the participants exhibited psychological distress in the form of either anxiety or depression. None of the sociodemographic variables showed a statistically significant association with the psychological impacts observed in the study. Conclusion: - The study highlights the presence of anxiety and depression among school children in this setting. It offers preliminary data for policymakers to consider when revising existing policies and interventions to better address the needs of adolescents.

Effect of Creativity on Emotional Intelligence, Self-Esteem and Resilience in Visual Arts and Engineering Students

This research looks into the complex interactions between creativity, emotional intelligence, resilience, and self-esteem, focusing on two distinct student groups: arts and engineering. Understanding the impact of creativity on these vital attributes becomes increasingly important as social needs grow, embracing both technological knowledge and emotional intelligence, resilience, and self-esteem. The study investigates the link between creativity and emotional intelligence, resilience, and self-esteem, offering light on how academic fields influence these vital characteristics. Purposive sampling was used in the research to sample 106 people from different colleges in North India. Self-report questionnaires such as the Emotional Quotient Test, Rosenberg Self-Esteem Scale, Nicholson McBride Resilience Questionnaire, and KDOCS 20 for creativity were used in the data collection process. With Jamovi, statistical studies such as regression, correlation, and t-tests were carried out. According to the findings, self-esteem, emotional intelligence, and resilience significantly correlate with creativity. Notably, students studying engineering and the arts showed different approaches to the scientific aspect of creativity. The scientific dimension was a significant predictor by regression analysis, indicating that it had a distinct impact on both student groups. Prioritizing ethical issues included obtaining participants' informed consent, managing data securely, and respecting participant autonomy.

A cross-sectional pilot study to estimate the frequency of minor blood group alleles and phenotypes in RhD-negative North Indian blood donors by DNA microarray analysis

Abstract: INTRODUCTION: There are scarce data on Indian blood donors with respect to blood group phenotypes using molecular diagnostic modalities. Hence, we planned to estimate frequencies of blood group alleles/phenotypes using DNA microarray analysis in the north Indian RhD-negative blood donor population. With this initial pilot study, we plan to expand it to our entire donor population. METHODOLOGY: The cross-sectional prospective study was conducted on 50 Indian blood donors (O RhD negative), to study the blood group genotype frequency. Genotyping for the most relevant red blood cell antigens (Rh, Kell, Duffy, Kidd, MNS, Lutheran, and Dombrock) was done using Bioarray Precise TypeHM Human Erythrocyte Antigen BeadChip kit containing probes directed to polymorphic sites. RESULTS: In the Rh system, the most common alleles were RHCE*e/RHCE*e (98%) and RHCE*c/RHCE*c (80%). Phenotype K-k+ (genotype- KEL*02/KEL*02) was seen in 98% of samples, Js(a-b+) (KEL*02.07/KEL*02.07) was detected in 98% (49/50) of the samples tested. Jk(a + b+) (JK*01/JK*02) was the most common phenotype (48%) in the Kidd blood group system. In MNSs system, M+N+ (GYPA*01/GYPA*02) 44% and S+s+U+ (GYPB*03/GYPB*04) 34% were the most common phenotypes detected. CONCLUSION: This pilot study shows the feasibility of genotyping a Northern Indian donor population. To the best of our knowledge, it is the first study on molecular blood grouping in Indian blood donors using the Bioarray platform.

Fragmented marginalities: dispossessed peasantry and migrant labour communities in urban North India

ABSTRACT Analogous to the Euro-American context, Indian cities are usually conceptualised as socio-spatial forms where communities at the peripheries of ‘development’ constitute ‘urban margins’. However, such conceptualisations rarely interrogate the varied aspects of marginality within those spaces. Drawing from an ethnography with dispossessed peasantry (in ‘urban villages’) and migrant labour (in slums/jhuggis) in Noida, a north-Indian city, we unpack three aspects of marginality. First, the process of marginalisation; second, two communities negotiating their marginality differently; third, evolving social relations within each. We propose a relational framework: supra-sub levels of structural-spatial and economic-cultural marginalisation to better understand the fragmentations within urban margins.

Aerosol type classification and its temporal distribution in Kanpur using ground-based remote sensing

Based on AERONET version 3 level 2 inversion products, we classify aerosol types and investigate their temporal distribution in the atmosphere using particle linear depolarization ratio (PLDR) and single scattering albedo (SSA) at the wavelength of 1020 nm over Kanpur. It is for the first time over the North Indian region the work has been emphasized. The remarkable findings over Kanpur station indicate that SSA and coarse-mode particles in the atmosphere increased with increasing PLDR at 440, 675, 870, and 1020 nm wavelengths. It is observed in the 2-dimensional histogram that the rate of occurrence of aerosols is high when the fine mode fraction (FMF) is high and the dust ratio (Rd) is low. The atmosphere of Kanpur is partially influenced by dust-dominated mixture (DDM), pollution-dominated mixture (PDM), and pure dust (PD) with 53% whereas, the rest of the dust-free pollution aerosols are 47%. The annual mean occurrence rate for different aerosol types is 5% for Strongly Absorbing (SA), 20% for Moderately Absorbing (MA), 19% for Weakly Absorbing (WA), 3% for Non-Absorbing (NA), 27% for DDM, 22% for PDM, and 4% for PD, ranging from January 2001 to January 2022. There is a variation in the distribution of various types of pollution particles, which is influenced by the changing seasons. The rate of occurrence of dust-free pollution aerosols is 47%, mostly observed throughout the post-monsoon and winter seasons. The PLDR values in the atmosphere of Kanpur are almost balanced equally because it is affected by both (dust and dust-free) pollution aerosols and the changes can be seen due to the frequent occurrence of dust storms and anthropogenic activities.

Epidemiology and management of congenital anomalies in neonates in a hospital in Northern India.

Recent evidence shows a shift in neonatal mortality causes, with an increasing proportion due to birth defects. This study aimed to determine the prevalence and treatment outcomes of congenital anomalies (CAs) at a tertiary referral center in Northern India. This retrospective observational study was conducted over 7 years (May 2014-December 2021) and included all inborn and outborn neonates admitted with a diagnosis of CA as per ICD-10 classification in a level 3 NICU in North India. The prevalence of CAs was 8.9% (332 out of 3734 neonates). The most commonly affected systems were cardiovascular (33.4%), gastrointestinal (19.8%), and genitourinary (19.8%). While 57.5% of these defects could potentially be addressed through pediatric and cardiovascular surgery, only a small proportion of eligible neonates received timely surgical intervention due to delayed referrals and financial constraints. The mortality rate was 16.8%. This study highlights the significant burden of CAs in Northern India, emphasizing the need for enhanced capacity building, better facilities, and increased awareness for timely referrals. The findings underscore the importance of multidisciplinary collaborations and upgraded healthcare services to inspire further research and preventive strategies to mitigate birth defects. Given the context of a low- and middle-income country, this study's insights into the prevalence, challenges, and outcomes of CAs are particularly relevant, highlighting the necessity of accessible and affordable healthcare solutions in such settings.