Reduction In Supply Research Articles

Inclusion of Beef Heart in Ground Beef Patties Alters Quality Characteristics and Consumer Acceptability as Assessed by the Application of Electronic Nose and Tongue Technology.

Consumer purchasing of beef is often driven by the trinity of flavor, palatability, and convenience. Currently, beef patties in the United States are manufactured with fat and lean trimmings derived from skeletal muscles. A reduction in total beef supply may require the use of animal by-product utilization such as variety meats to achieve patty formulations. The current study aimed to assess textural, color, and flavor characteristics in addition to volatile compounds through electronic technology, e-nose and e-tongue, of ground beef patties formulated with beef heart. Ground beef patties were manufactured with 0%, 6%, 12%, or 18% beef heart, with the remainder of the meat block being shoulder clod-derived ground beef. Patties (n = 65/batch/treatment) within each batch (n = 3) with each treatment were randomly allocated to cooked color (n = 17/batch/treatment), Allo-Kramer shear force (AKSF; n = 17/batch/treatment), texture profile analysis (TPA; n = 6/batch/treatment), cooking loss (n = 17/batch/treatment), consumer panel (n = 3/batch/treatment), e-nose (n = 1/batch/treatment), and e-tongue (n = 1/batch/treatment) analysis groups. Patties containing beef heart did not require additional cooking time (p = 0.1325) nor exhibit greater cooking loss (p = 0.0803). Additionally, inclusion rates of beef heart increased hardness (p = 0.0030) and chewiness values (p = 0.0316) in TPA, were internally redder (p = 0.0001), and reduced overall liking by consumer panelists (p = 0.0367). Lastly, patties containing beef heart exhibited greater red-to-brown (p = 0.0003) and hue angle (p = 0.0001) values than control patties. The results suggest that beef heart inclusion does alter ground beef quality characteristics and consumer acceptability.

HYDROLOGICAL REGIME OF WATER STREAMS AND THE PROBLEMS OF PUBLIC WATER SUPPLY IN THE REPUBLIC OF KALMYKIA

The constant shortage of fresh water for drinking and municipal use in the Republic of Kalmykia has become critically acute recently. Both natural factors, i.e. increasing climate aridity, limited reserves of fresh surface and groundwater, lack of sufficiently long sections of large rivers with constant flow, and the deterioration of hydraulic structures are the reasons. The exploitation of groundwater in existing deposits has led to their depletion and deterioration, while large deposits of fresh and slightly brackish groundwater in the southern Caspian region cannot be used because the content of pollutants in them is rather high. Recovery of old and construction of new water pipelines from the Volga River requires permanent significant financial investments at the federal level. Therefore, recently a new way to increase the supply of fresh water suitable for drinking purposes, i.e. an artificial groundwater recharge (AGR), has been actively discussed. The article provides an actual assessment of water resources of the littlestudied surface runoff of the rivers of Kalmykia, considers the possibility and feasibility of creating infiltration basins to replenish groundwater reserves, and calculates the parameters and operating mode of five planned basins. The main source of fresh surface water in Kalmykia is the rivers of the Ergeni Upland. The average long-term flow from its eastern slope is estimated at 0,120 km3/year, from the western slope at 0,105 km3/year and from the southern slope at 0,045 km3/year. Trends in modern modification of the hydrological regime of rivers under the influence of climate change have been revealed, namely a decrease in annual runoff and its intra-annual redistribution with a reduction of spring floods, a slight increase in winter runoff and a leveling of summer low-water periods. Calculation of the operating mode of planned infiltration basins allowed us to draw the following conclusions: the maximum possible volume of total infiltration will be about 220 thousand m3/year, which is 36 times less than the presentday water intake from the Troitsk and Bayarninsky fields for public water supply; sufficiently efficient operation of pools is only possible with annual cleaning of accumulated silt deposits, otherwise the soil filtration coefficient will come down each year, resulting in the reduction of infiltration supply by dozens times. Thus, the AGR can only be a temporary measure to compensate for the subsidence of groundwater level until the reconstruction and construction of new water pipelines from the Volga River to supply the city of Elista and the surrounding area with drinking water of acceptable quality

Shaping Firms’ Financial Reporting: Evidence From the Spillover Effect of the FED’s Stress Test

This research investigates how bank regulation, specifically the stress test conducted by the Federal Reserve (FED), influences the financial reporting decisions of borrowers. Previous studies indicate that the FED’s stress test can lead to a reduction in credit supply and stricter lending standards for banks. Expanding on this body of literature, our study shows that the impact of the stress test reaches beyond lenders, prompting borrowers to embrace increased conditional conservatism in their financial reporting. This spillover effect is particularly pronounced for riskier borrowers. Our findings suggest a far-reaching impact of FED regulation on firms’ financial reporting choices. Further analysis indicates that borrowers transitioning from tested banks to untested banks experience higher interest rates following the stress test, highlighting an extended spillover effect on borrowers.

Supplier selection for carbon emission reduction collaboration in green supply chain using an improved multi-criteria decision-making method

PurposePlatform-based enterprises, as micro-entities in the platform economy, have the potential to effectively promote the low-carbon development of both supply and demand sides in the supply chain. Therefore, this paper aims to provide a multi-criteria decision-making method in a probabilistic hesitant fuzzy environment to assist platform-type companies in selecting cooperative suppliers for carbon reduction in green supply chains.Design/methodology/approachThis paper combines the advantages of probabilistic hesitant fuzzy sets (PHFS) to address uncertainty issues and proposes an improved multi-criteria decision-making method called PHFS-DNMEREC-MABAC for aiding platform-based enterprises in selecting carbon emission reduction collaboration suppliers in green supply chains. Within this decision-making method, we enhance the standardization process of both the DNMEREC and MABAC methods by directly standardizing probabilistic hesitant fuzzy elements. Additionally, a probability splitting algorithm is introduced to handle probabilistic hesitant fuzzy elements of varying lengths, mitigating information bias that traditional approaches tend to introduce when adding values based on risk preferences.FindingsIn this paper, we apply the proposed method to a case study involving the selection of carbon emission reduction collaboration suppliers for Tmall Mart and compare it with the latest existing decision-making methods. The results demonstrate the applicability of the proposed method and the effectiveness of the introduced probability splitting algorithm in avoiding information bias.Originality/valueFirstly, this paper proposes a new multi-criteria decision making method for aiding platform-based enterprises in selecting carbon emission reduction collaboration suppliers in green supply chains. Secondly, in this method, we provided a new standard method to process probability hesitant fuzzy decision making information. Finally, the probability splitting algorithm was introduced to avoid information bias in the process of dealing with inconsistent lengths of probabilistic hesitant fuzzy elements.

Ambivalence of planktonic invaders and transformation of communities

The ambivalence of planktonic invaders has been studied using the example of ecosystem effects of the invasive cladoceran Cercopagis pengoi (Ostroumov, 1891) in the Vistula Lagoon of the Baltic Sea. The influence of the invader on the taxonomic structure and productivity of plankton is studied. It is discovered that, in the long term, the predation pressure of C. pengoi on zooplankton has decreased; the abundance, biomass, and production of the dominant species Rotifera, Cladocera, and Copepoda also declined. The negative impact of C. pengoi on the planktonic community is reflected in a reduction in the food supply of juvenile Baltic herring and other planktivorous fish. The wide ecological niche of Cercopagis contributes to the expansion of its range, which can lead to a reduction in populations of phytophagous crustaceans, increased water blooms, and the further deterioration of the food supply of fish.

Tidal dissipation morphodynamic feedback triggers loss of microtidal marshes

Abstract Coastal marsh loss is commonly attributed to changes in external forcings, such as an increase in sea-level rise rate or a reduction in sediment supply. Here we show that extensive marsh loss can be caused by internal mechanisms alone, and specifically by autogenic tidal choking. This occurs when the marsh fills in, increasing tidal dissipation by bed friction and eventually decreasing the tidal range in its landward section. The reduced tidal range decreases sediment import on the marsh platform and increases ponding, both of which lead to interior marsh loss even with modest sea-level rise rates. This process is predicted to occur in dissipative microtidal marshes, which are experiencing some of the fastest rates of marsh loss worldwide. Considering this mechanism is essential to understanding the relationship between marsh loss, sea-level rise, and sediment supply and to eventually predicting future marsh evolution.

Perceptions of Australia’s e-cigarette regulations and recommendations for future reforms: a qualitative study of adolescents and adults

ObjectiveTo assess public perceptions of the effectiveness of e-cigarette regulations in minimising use among adolescents and those who have never smoked. Specifically, we explored (1) perceived effectiveness of current regulations...

Microbial Consortia Versus Single-Strain Inoculants as Drought Stress Protectants in Potato Affected by the Form of N Supply

This study investigated the drought protection effects of six fungal and bacterial inoculants and ten consortia thereof on vegetative growth, nutritional status, and tuberization of potato under controlled and field conditions. It was hypothesized that microbial consortia offer improved drought protection as compared with single strains, due to complementary or synergistic effects, with differential impacts also of N fertilization management. Under NO3− fertilization, a 70% reduction in water supply over six weeks reduced shoot and tuber biomass of non-inoculated plants by 30% and 50%, respectively, and induced phosphate (P) limitation compared to the well-watered control. The P nutritional status was significantly increased above the deficiency threshold by three single-strain inoculants and eight consortia. This was associated with the presence of the arbuscular mycorrhizal fungus (AMF) inoculant Rhizophagus irregularis MUCL41833 (five cases) and stimulation of root growth (five cases). Additionally, Bacillus amyloliquefaciens FZB42 and AMF + Pseudomonas brassicacearum 3Re2-7 significantly reduced irreversible drought-induced leaf damage after recovery to well-watered conditions. However, the microbial inoculants did not mitigate drought-induced reductions in tuber biomass, neither in greenhouse nor in field experiments. By contrast, NH4+-dominated fertilization significantly increased tuber biomass under drought stress (534%), which was further increased by additional AMF inoculation (951%). This coincided with (i) improved enzymatic detoxification of drought-induced reactive oxygen species (ROS), (ii) improved osmotic adjustment in the shoot tissue (glycine betaine accumulation), (iii) increased shoot concentrations of ABA, jasmonic acid, and indole acetic acid, involved in drought stress signaling and tuberization, and (iv) reduced irreversible drought-induced leaf damage. Additional application of bacterial inoculants further improved ROS detoxification by increasing the production of antioxidants but stimulated biomass allocation towards shoot growth at the expense of tuber development. The results demonstrated that microbial consortia could increase the probability of drought protection effects influenced by the form of N supply. However, protective effects on vegetative growth do not necessarily translate into yield benefits, which can be achieved by adequate combination of inoculants and fertilizers.

Pregnancy course and outcomes in patients with non-insulin dependent gestational diabetes mellitus: An observational cohort study

Background. Gestational diabetes mellitus is the most frequent metabolic disorder during pregnancy. Its prevalence is steadily increasing worldwide. In the setting of hyperinsulinism, this pathology may cause various structural and functional changes in the placenta, as well as a reduction in oxygen supply to the fetus. This may result in fetal hypoxia and increased risk of fetal growth restriction. Therefore, research into the specific features of gestation course in patients with gestational diabetes mellitus in order to prevent its complications appears relevant. Objective. To study the specific features of gestation, delivery, and perinatal outcomes in patients with non-insulin dependent gestational diabetes mellitus. Methods. We conducted an observational cohort study of the case histories of 120 women with singleton pregnancies of the second and third trimesters with diagnosed non-insulin dependent gestational diabetes mellitus, their labor and delivery records, and the medical records of the newborns. All the patients were managed at the Ural Research Institute of Maternity and Child Care during 2021–2023. The main group comprised 70 patients whose pregnancy was complicated by sub- and decompensated forms of placental insufficiency. The comparison group comprised 50 pregnant women without pathologies of the fetoplacental complex. The obstetric history, gestation course of the present pregnancy and its outcomes, as well as the condition of the newborns, were analyzed. The obtained data were processed by the methods of variation statistics using Microsoft Excel spreadsheets (Microsoft, USA) and Statistica 13 (DellInc., USA) and MedCalc 15.8 (MedCalcSoftware, Belgium) applications. The null hypothesis was rejected at p > 0.05. Results. Gestational diabetes mellitus in previous pregnancies was statistically significantly less frequent in the main group (2.9% (n = 2)) than in the comparison group (18.0% (n = 9)) ( p > 0.05). Placental insufficiency in the main group was characterized by fetal growth restriction, which was associated with impaired uteroplacental blood flow in 58.6% (n = 41) of the cases. In the main group, the pregnancy ended in preterm delivery in 21.4% (n = 15) of the cases; in 78.6% (n = 55) of the cases, the delivery was at term. There were no preterm births in the comparison group, p > 0.05. Cesarean section was performed in 62.9% (n = 44) of patients in the main group, compared to 20.0% (n = 10) in the comparison group ( p > 0.05). Newborns of the main group required respiratory support more often (p > 0.05). Conclusion. The mechanism of placental insufficiency in patients with non-insulin dependent gestational disorders of carbohydrate metabolism remains to be elucidated. Further research should investigate the predictors of fetoplacental complex pathologies in this group of patients in order to reduce the number of perinatal complications.

Phenology, gas exchange, biomass accumulation, and irrigated rice yield under alternative irrigation managements

AbstractIn Brazil, rice production is predominantly concentrated in the South region, employing a continuous flood irrigation system throughout the crop cycle. However, this irrigation management strategy in the tropical region contributes to low water‐use efficiency owing to adverse climatic conditions. Furthermore, with climate change projections indicating reduced water availability, the study aims to investigate the impact of alternative irrigation management strategies on the phenological development, gas exchange, biomass accumulation, and productivity of tropical irrigated rice. Three alternative irrigation management approaches—intermittent flood irrigation with aeration (IFA), intermittent flood irrigation throughout the growth cycle (IFC), and intermittent flooding up to the flowering stage (IFF)—were compared with the traditional continuous flood irrigation throughout the growth cycle. Phenological data, gas exchange, growth, and productivity dynamics were subject to analysis, providing overarching insights into management practices. Notably, irrigation management exhibited no influence on the vegetative phase of the crop. The implementation of intermittent flood irrigation facilitated a reduction in water supply without compromising the physiological performance of tropical irrigated rice. Strategies promoting judicious water utilization, such as IFA and IFC, can be readily integrated into the cultivation of tropical irrigated rice without detriment to grain yield or harvest index.

Estimation of the Short-Term Impact of Climate-Change-Related Factors on Wood Supply in Poland in 2023–2025

In this study, we analyzed in situ data from the years 2018–2022 encompassing entire forest plantations in Poland. Based on data regarding stand density and the occurrence of fungal, water-related, climate-related, fire, and insect factors that may intensify with climate changes, we determined the correlation between their occurrence and the decline in wood increments for six tree species: pine, birch, oak, spruce, beech, and alder. Subsequently, we identified age intervals in which the species–factor interaction exhibited statistically significant effects. Next, we developed neural network models for short-term wood increment predictions. Utilizing these models, we estimated a reduction in wood supply harvested in accordance with the plans for the years 2023–2025 assuming a tenfold greater intensity of factors than in 2022. Findings indicate: birch: water-related factors may reduce wood production by 0.1%–0.2%. This aligns with previous research linking drought to birch wood decline, highlighting its sensitivity to water-related issues. Oak: fungal and insect factors could decrease wood production by up to 0.1%. Prior studies emphasize the significant influence of fungal diseases on oak health and regeneration, as well as the impact of insect infestation on wood production. Alder: water-related factors may lead to a slight reduction in wood production, approximately 0.02%. The impact is significant within specific age ranges, indicating potential effects on harvesting. Pine: water- and climate-related factors may result in up to a 0.05% reduction in wood production. Pine, a key forest-forming species in Poland, is notably sensitive to these factors, especially as it nears harvesting age. Spruce: insects, fungi, and climate-related factors could lead to a reduction in wood production of up to 0.2%–0.3%. Analyses demonstrate sensitivity, resulting in a noticeable growth differential compared to the typical rate. Short-term predictions based on neural networks were developed, acknowledging their suitability for short-term forecasts due to uncertainties regarding long-term factor impacts. Additionally, our study discussed modeling wood increments in divisions well below the harvesting time, emphasizing that the influence of current and 2023–2025 factors on wood increments and supply may only manifest several decades from now. These results imply important indications for the economic and financial performance of the wood industry.

Cromo e restrições alimentares como estratégias alternativas a ractopamina para suínos em terminação

ABSTRACT: This study evaluated chromium and quantitative and qualitative feed restriction as alternative nutritional strategies to ractopamine in finishing barrows. Fifty barrows, genetically similar, with an initial body weight of 99.0 ± 4.3 kg and a final body weight of 117.2 ± 5.8 kg were used. The animals were distributed in a randomized complete block design with five nutritional treatments (Control; Rac = 10ppm ractopamine; Chromium = 0,8mg chromium yeast; Quality = qualitative restriction, 7.5% less net energy in the diet; Quanti = 15% quantitative reduction in feed supply), with five replicates and two animals per replicate. Chromium supplementation and quantitative feed restriction reduced feed, lysine, net energy, and crude protein intakes (P < 0.05). Chromium, ractopamine, and quantitative restriction improved feed conversion (P < 0.05). Supplementation with chromium and ractopamine and feed restriction did not influence the carcass characteristics of the pigs (P < 0.05). Quantitative feed restriction and supplementation of 0.8mg of chromium yeast are presented as potential alternatives to ractopamine in the diet of finishing pigs.

Are Institutions Improving the Contribution of Remittances to Economic Growth? A Panel Data Analysis

This paper is to test the hypothesis that better governance can improve the response of remittances on economic growth. Using panel data for 12 Middle East and North Africa (MENA) countries over the period of 2002 to 2020, the various estimates were carried out by the system generalised method of moments (GMM) method to examine the problem of endogeneity, and unobserved heterogeneity. The results indicate that migrant remittances have a direct negative link to economic growth due to it being mainly used for consumption. This increases the likelihood of dependency, which leads to the reduction of labour supply. The joint relationship between the governance composite index, and remittances, may moderate this negative effect on economic growth. However, considering the individual dimensions of governance, this shows that only the interaction between remittances and the control of corruption gives a positive and significant impact. The interaction between remittances and the five other governance quality indicators appears to be negative and insignificant. This shows that political instability, ineffective government, and poor regulatory quality encourages money transfer through informal channels that thwart economic growth in MENA countries.

Continental depositional record of climate and tectonic evolution around the Eocene-Oligocene transition in southeast France: perpectives from the Vistrenque Basin (Camargue)

Based on detailed sedimentological analyses of cores, interpretation of well logs and a set of geochemical measurements performed on lacustrine sedimentary rocks, the palaeoenvironmental evolution and the sedimentary architecture of the Paleogene continental Vistrenque Basin (SE France) have been reconstructed. The analysis of sedimentary archives revealed three main stages of basin infill evolution: (1) a deep-lake basin (Priabonian-earliest Rupelian) whose sedimentation was dominated by terrigenous gravity-driven deposits during a period of high subsidence rate and strike-slip fault activity and under a prevailing humid climate; (2) an evaporative deep lake (early Rupelian) characterized by a drastic reduction in lake volume (forced-regression), terrigenous supplies and deposition of evaporites in disconnected sub-basins; (3) an overall long-term normal regressive stage (middle Rupelian to earliest Chattian) of lake infill characterized by an increase in terrigenous supplies and a vertical upward transition from deep-lake gravity-driven deposits to marginal lake and floodplain sedimentation. The onset of lake volume reduction and forced regression during the early Rupelian is associated with (1) the reworking of marginal lake carbonates into the deep lake areas, (2) the deposition of organic-rich sediments (TOC > 10%) coupled with sulphate-reduction processes in the deepest areas of the lake, (3) an important decrease in terrigenous supplies and (4) a long-term increase in δ18O of matrix-supported carbonates. This early Rupelian forced regression of the Vistrenque lacustrine system is interpreted to result from a regional decrease in precipitation in response to global cooling during the Eocene-Oligocene Transition (EOT). The final infill of the Vistrenque lake system (late Rupelian-early Chattian) and the onset of a floodplain occurred in more humid conditions during a stage of decreased activity of the Nîmes Fault, prior to or during an early stage of the Liguro-Provençal rifting.

Knee osteonecrosis after SARS-CoV-2 infection: a systematic case-based review.

Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is the virus responsible for coronavirus disease 2019 (COVID-19). Patients with COVID-19 manifested symptoms mainly related to the respiratory system, but also the musculoskeletal system can be involved. COVID-19 has been described as a possible cause of knee osteonecrosis (ON). A systematic review was performed to investigate the hypothetical correlation between COVID-19 and knee ON. Inclusion criteria were all articles reporting cases of knee ON after a diagnosis of SARS-CoV-2 infection. Considering that COVID-19 is an emerging disease, all levels of evidence studies were included. Finally, two case series and three case reports were included. We extracted data regarding demographic and clinical characteristics, details of magnetic resonance imaging (MRI), use of corticosteroids (CCS), temporal correlation between ON and COVID-19, treatment of the lesion and its outcomes. A total of seven cases of post-COVID knee ON have been described. Knee pain arose on average 11 weeks after the diagnosis of COVID-19. All patients had knee MRI showing ON. CCS were used to treat COVID-19-related symptoms in four cases. Conservative treatment was successful in five patients. The correlation between COVID-19 and ON remains unclear. Probably post-COVID-19 ON has a multifactorial origin in which factors related to the patient, consequences of COVID-19 and CCS therapy add up to cause a reduction of blood supply and bone vitality until ON is triggered. A greater number of patients is needed to clarify the role of COVID-19 in the etiopathogenesis of knee ON.

Caracterização e digestão anaeróbia dos dejetos de suínos submetidos a restrição alimentar ou suplementados com ractopamina ou cromo

Abstract The aim of this study was to characterize the production and anaerobic digestion of manure from finishing pigs subjected to feed restriction or supplemented with ractopamine or chromium (Cr). The waste came from 50 barrows in the finishing phase, aged ± 154 days, with a starting weight of 99.0 ± 4.4 kg and a final weight of 117.2 ± 5.8 kg. The experimental diets were as follows: control (conventional diet), qualitative restriction (7.5% reduction in net energy compared to the control diet), quantitative restriction (15% reduction in feed supply), Cr (0.8 mg), and ractopamine (10 ppm). The data were subjected to an analysis of variance using a randomized block design, in which the weeks of analysis were considered blocks (cofactors). There were no differences in manure production between the diets regarding natural matter (NM), dry matter (DM), mineral matter (MM), or organic matter (OM). Animals fed the control diet had the highest residue coefficient, and there was no difference among the other diets. No differences were observed among the diets regarding total solids, pH, or total nitrogen in the tributaries or effluents. The highest biogas yield (574 mL g-1) of added volatile solids (VS) was obtained in the digesters supplied with manure from animals fed a qualitatively restricted diet. It can be concluded that a qualitatively restricted diet results in higher manure production but with lower nitrogen and phosphorus excretion and higher biogas yields.

A Study of the Challenges of Digital Currencies to the Traditional Financial System and Their Implications for Economic Policy

Abstract Digital currencies, as an emerging monetary form, have profoundly transformed the landscape of financial transactions and redefined the structure of economic ecosystems, exerting an unprecedented influence on traditional financial systems. This study scrutinizes the ramifications of digital currencies on conventional financial systems, utilizing a theoretical framework as the foundation. It specifically employs Vector Autoregression (VAR) and Dynamic Stochastic General Equilibrium (DSGE) models to construct an impact model that examines the influence of digital currencies on monetary policies. The analysis utilizes empirical data to assess the efficacy of digital currencies in shaping economic policy, focusing particularly on their effect on monetary intermediation targets. The findings reveal that digital currencies significantly affect monetary policy, primarily through mechanisms of interest rate and exchange rate transmission. Moreover, the advent of digital currencies is associated with reductions in the money supply, exchange rates, and credit volumes of commercial banks. The analysis establishes a long-term stable equilibrium among the money supply, digital currency volume, cash leakage rate, fixed-to-floating rate ratio, and excess reserve ratio. Notably, the scale of digital currency exerts the most substantial impact on the money supply, contributing 10.89% to its variance. This study underscores the intricate relationships between digital currencies and economic policies, highlighting their critical role in contemporary financial systems.

Economic burden of infectious diseases and its equity implications in Indian households: Estimates from a nationally representative household survey (2017–18)

Infectious diseases remain one of the major causes of health and economic burden for Indian households. Furthermore, the magnitude of economic losses on account of infectious disease episodes varies widely across rich and poor households. The primary objective of this research is to estimate the equity impact of infectious disease episodes on out-of-pocket expenditure (OOPE) and wage losses among Indian households. We analysed the Social Consumption: Health (SCH) data from the 75th round (2017–18) of India's National Sample Survey (NSSO). The sample included approximately 113,823 households and 555,352 individuals through a multistage stratified sampling process. We report i) the prevalence of infectious disease and healthcare utilisation rate by levels of care; ii) medical and non-medical OOPE per episode; iii) OOPE and wage loss as a share of households' monthly non-medical consumption expenditure (non-medical MPCE) across wealth quintiles. We adopted a microeconomic cost of illness approach to estimate the OOPE on infectious disease episodes for outpatient care and hospitalization. We also estimated potential wage losses due to a reduction in effective labour supply at the household level because of infectious disease using a production function approach. The overall prevalence of infectious diseases and hospitalization rate were 31 and 9 per thousand persons, respectively. Per capita medical OOPE was more in higher wealth quintiles for outpatient care and hospitalization. However, OOPE as a share of non-medical MPCE was higher in the poorest 20% households (outpatient: 14%; hospitalization: 153%) in comparison to the richest 20% households (outpatient: 5.5%; hospitalization: 96%). Similarly, the wage losses as a share of non-medical MPCE were higher among the poorest 20% households (outpatient: 21%; hospitalization:38%) in comparison to the richest 20% households (outpatient: 15%; hospitalization:11%). Furthermore, the proportion of households reporting the sale of assets and borrowing to finance hospitalization was higher in the poorest (24%) compared to the richest (12.5%). To our knowledge, this is the first paper which contributes to developing an understanding of the equity impact of infectious disease on households in India. We recommend improved targeting and coverage of publicly funded health insurance schemes among socially disadvantaged populations.

Ayurvedic Management of Avascular Necrosis of head of Femur: A Case Report

Avascular Necrosis (AVN) is a pathological condition characterised by a reduction in the blood supply to the subchondral bone, leading to the degenerative condition of the bone, marked by the death of cellular components of the bone. It is also known as osteonecrosis. The epiphysis of long bones at weight-bearing joints is typically affected. All of these conditions have a poor prognosis. In Ayurveda, it corresponds to Asthivahastrotodushtivikara (musculoskeletal disorder) as there is kshaya (necrosis) of asthi (bone) and Majja (bone marrow) dhatu (major structural components of the body). In modern medicine, AVN is managed by the use of corticosteroids and many surgical procedures such as drilling, insertion of prosthetics, or bone grafts. Therefore, Ayurveda provides a conservative line of treatment based on the principle of Asthi-majjagatkashaya (decalcification of bone) caused by abhighatajanyavataprakopa (trauma). A case of AVN with the right femoral head was treated with shaman (oral medications), Sodhana (bio-purification), and bruhmana (rejuvenation) procedures. The therapy provided significant improvements in pain and range of movement of the hip joint, based on the patient’s signs and symptoms before and after treatment. Conservative treatment can give outstanding results, improve the quality of life, halt disease progression, and help manage AVN by tissue regeneration without harmful effects.

Effectiveness of Secure Supply and Carbon Reduction in the Coal Sector for Strengthening the Energy Power of China

Effectiveness of Secure Supply and Carbon Reduction in the Coal Sector for Strengthening the Energy Power of China