Background: The 2022 WHO global survey on infection prevention and control (IPC) exposes significant gaps in IPC in the WHO Southeast Asia region. A better understanding of IPC vulnerabilities will inform improvement initiatives. We describe an evaluation of IPC practices known to prevent and contain carbapenem-resistant organisms (CROs) at hospitals participating in the United States Centers for Disease Control Global Action in Healthcare Network –Antimicrobial Resistance in India. Prior hospital evaluations suggest resistance to carbapenems among gram-negative isolates is up to 45%. Methods: We conducted a mixed methods evaluation including cross-sectional surveys, semi-structured interviews, and site observations at five hospitals (one government, two private tertiary care, and two private teaching) located in three cities. The number of hospital beds ranged from 362 to 2,011. Hospital and IPC program characteristics, and CRO prevention and containment activities were examined virtually. Site observations focused on hand hygiene, environmental cleaning, personal protective equipment (PPE), CRO containment practices and use of water for patient care. Results: All sites had IPC programs with established policies and qualified IPC staff. The IPC nurse-to-bed ratio ranged from 1:73 to 1:432 (mean, 1:209). Due to the integral role of microbiology staff in IPC at these hospitals, the two departments had strong communication channels associated with CRO identification. Screening for CRO colonization, if done, targeted patients from outside hospitals. Three of the five hospitals routinely implemented contact precautions for patients with identified CROs, displayed isolation signage at the bedside, and provided adequate PPE at point-of-use; however, all sites reported barriers to effective isolation and/or cohorting patients with CROs. Timely communication of CROs to clinical staff varied and no sites effectively relayed CRO status upon patient discharge to another facility. IPC teams identified gaps in environmental cleaning procedures and practices related to medical devices and equipment. All sites used alternatives to tap water for clinical care and sink etiquette was evident. Each IPC team performed audits of patient isolation and hand hygiene practices. Despite the considerable proportion of IPC resources dedicated to daily education and feedback in clinical areas, the IPC teams reported that improvement was often difficult to achieve. Conclusion: Given the high burden of CROs and limited IPC resources, detailed knowledge of IPC opportunities for improvement will help hospitals target novel interventions for CRO prevention and containment. Further investigation of colonization rates and effective performance improvement methods in these settings is needed.

Disclosure: Patricia Simner: Research Contracts: BD Diagnostics, OpGen Inc., Qiagen Sciences Inc, T2 Diagnostics, Accelerate Diagnostics; Research Collaborators:Ares Genetics, CosmosID, IDbyDNA, Illumina; Consulting: OpGen Inc., BD Diagnostics, Shionogi Inc., GeneCapture, Qiagen Sciences Inc, Entasis, Day Zero Diagnostics, Next Gen Diagnostics

The present study generates information related to the molecular divergence between turcicum leaf blight (TLB)-resistant and -susceptible lines. During molecular diversity studies, a total of 212 alleles were detected at 75 marker loci and ranged from two to five with an average of 2.83 alleles per locus. A direct correlation for the number of alleles and polymorphism information content (PIC) values was ascertained. For instance, marker phi123 produced high number of alleles (5) with PIC values of 0.77. Using the DARwin 6.0 programme, the UPGMA dendrogram grouped 40 maize inbreds into two distinct clusters, cluster-I (36 inbreds) and cluster-II (4 inbreds). Cluster-I contained two subclusters; the first subcluster contained 28 inbreds and the second subcluster contained eight inbreds whereas cluster-II contained four inbreds. This major cluster-II was further classified into two subclusters which contained two inbreds each. Most of the inbred lines except V-25 from cluster-II were highly resistant to TLB disease. These inbred lines can be used in crossing programmes to develop TLB-resistant hybrids by using divergent parents. In this study, allelic diversity and PIC values indicated a good efficiency of markers for studying the polymorphism level available in studied inbred lines. High level of diversity among the inbreds detected with simple sequence repeat markers indicated their suitability for the further breeding programme.

A total of 108 diverse sorghum (Sorghum bicolor) accessions were characterized for quantitative and qualitative fodder-related traits and zonate leaf spot (ZLS) (Gloeocercospora sorghi) disease during two successive wet seasons of 2019 and 2020 in augmented randomized block design. The Shannon's diversity index and analysis of variance showed the existence of significant variability among qualitative and quantitative traits. K-mean clustering showed strong relationship between green fodder yield (GFY) and other yield-contributing traits. The dendrogram constructed based on morphological traits classified accessions into four diverse groups and most of genotype fall under cluster II. The principal component analysis bi-plot analysis showed a total variation of 68.96%, where GFY, stem weight per plant, panicle length and dry matter yield (DMY) contributed significantly. From the experimental results, three sorghum genotypes viz., IG-03-424, IG-01-436 and IG-03-438 were identified as promising for higher GFY (808.66 g/plant) and DMY (238.0 g/plant), respectively. Further, based on disease reactions under natural condition, five genotypes viz., EC-512397, EC512393, EC512394, EC512399 and IG-02-437 were identified as potential donor for resistance to ZLS disease. These selected lines could be used as promising sources for high biomass and disease resistance in forage sorghum breeding programme.

The chemical composition of meltwater-draining Himalayan glacierized basins reflects the dominance of carbonic acid in weathering of silicate and carbonate minerals, yet the role of sulfuric acid-mediated reactions in the mineral weathering and ionic release is still unclear. Here, we present a long-term study (1992–2018) of chemical weathering characteristics of a precipitation-dominated glacierized basin (Dokriani glacier) of central Himalaya. By using new and reprocessed datasets of major ions from the glacial/subglacial zones of the glacier, we suggest that two-thirds of the dissolved load of the meltwater derives from sulfuric acid-mediated weathering of minerals and rocks. We observed a clear control of carbonic acid-mediated reactions in the early ablation periods, while sulfuric acid-mediated reactions dominate in peak and late ablation periods. The slopes and intercepts in best-fit regressions of [*Ca2+ + *Mg2+ vs *SO42− and HCO3−] and [HCO3− vs *SO42−] in meltwater were following the stoichiometric parameters of sulfide oxidation coupled to carbonate dissolution reactions. The glaciers of the central and western Himalaya are in good agreement with the present estimates. We contend that the bedrock lithology has limited or second-order effects over the ionic release from Himalayan glaciers and surmise that these patterns are broadly applicable to the other orogenic systems of the world.

We compared the pregnancy and live birth rates following transfer of early-stage embryos or blastocysts produced by somatic cell nuclear transfer using in vitro-matured oocytes. In total 102 ovaries were collected from dromedary camels at a local abattoir; from these 1048 cumulus–oocytes complexes (COCs) were aspirated and cultured for 42 h in a commercial maturation medium. Metaphase II oocytes were subjected to nuclear transfer. Somatic cell nuclear transfer-derived embryos were cultured in a commercial embryo medium for 2 or 7 days. Next, 71 early-stage embryos were surgically transferred to the left fallopian tube of 28 recipients and 47 blastocysts were transferred to the left uterine horn of 26 recipients. Early pregnancy was detected by serum progesterone (P4), and pregnancy was confirmed using ultrasonography on days 30 and 90 after embryo transfer. Pregnancy rate based on P4 level was 17.86% (5/28) and 11.54% (3/26) for early-stage embryo and blastocyst transfer, respectively. In the early-stage embryo group, out of five recipients, one recipient had lost the pregnancy by the first ultrasonography on day 30; two other recipients aborted at 14 and 24 weeks, and two recipients gave live births. In the blastocyst group, out of three recipients, one lost the pregnancy at an early stage and two recipients gave live births. Therefore, for dromedary camels, we recommend transvaginal blastocyst transfer from the standpoint of the pregnancy and live birth rate, ease of the transfer procedure, and comfort and safety of the recipients.

Niemann-Pick disease type C (NPC), is a rare lysosomal storage disorder, which has a variable presentation based on the age of onset. We describe five adult/adolescent-onset NPC cases presenting with a range of movement disorders along with vertical supranuclear gaze palsy as part of the clinical presentation. A diagnostic delay of 4–17 years from the symptom onset was found in this case series. A high index of clinical suspicion in adult/adolescent patients presenting with vertical supranuclear gaze palsy along with various movement disorder phenomenology can help in the early diagnosis of NPC.

Background: Healthcare-associated infections (HAIs) are a major global threat to patient safety. Systematic surveillance is crucial for understanding HAI rates and antimicrobial resistance trends and to guide infection prevention and control (IPC) activities based on local epidemiology. In India, no standardized national HAI surveillance system was in place before 2017. Methods: Public and private hospitals from across 21 states in India were recruited to participate in an HAI surveillance network. Baseline assessments followed by trainings ensured that basic microbiology and IPC implementation capacity existed at all sites. Standardized surveillance protocols for central-line–associated bloodstream infections (CLABSIs) and catheter-associated urinary tract infections (CAUTIs) were modified from the NHSN for the Indian context. IPC nurses were trained to implement surveillance protocols. Data were reported through a locally developed web portal. Standardized external data quality checks were performed to assure data quality. Results: Between May 2017 and April 2019, 109 ICUs from 37 hospitals (29 public and 8 private) enrolled in the network, of which 33 were teaching hospitals with >500 beds. The network recorded 679,109 patient days, 212,081 central-line days, and 387,092 urinary catheter days. Overall, 4,301 bloodstream infection (BSI) events and 1,402 urinary tract infection (UTI) events were reported. The network CLABSI rate was 9.4 per 1,000 central-line days and the CAUTI rate was 3.4 per 1,000 catheter days. The central-line utilization ratio was 0.31 and the urinary catheter utilization ratio was 0.57. Moreover, 3,542 (73%) of 4,742 pathogens reported from BSIs and 868 (53%) of 1,644 pathogens reported from UTIs were gram negative. Also, 1,680 (26.3%) of all 6,386 pathogens reported were Enterobacteriaceae. Of 1,486 Enterobacteriaceae with complete antibiotic susceptibility testing data reported, 832 (57%) were carbapenem resistant. Of 951 Enterobacteriaceae subjected to colistin broth microdilution testing, 62 (7%) were colistin resistant. The surveillance platform identified 2 separate hospital-level HAI outbreaks; one caused by colistin-resistant K. pneumoniae and another due to Burkholderia cepacia. Phased expansion of surveillance to additional hospitals continues. Conclusions: HAI surveillance was successfully implemented across a national network of diverse hospitals using modified NHSN protocols. Surveillance data are being used to understand HAI burden and trends at the facility and national levels, to inform public policy, and to direct efforts to implement effective hospital IPC activities. This network approach to HAI surveillance may provide lessons to other countries or contexts with limited surveillance capacity.

Funding: None

Disclosures: None

The Tuting–Tidding Suture Zone (TTSZ), exposed along Dibang and Lohit river valleys in Arunachal Himalaya, NE India, is the easternmost continuation of the Indus–Tsangpo Suture Zone (ITSZ) and consists of ophiolites associated with metabasics and carbonates. Amphibolites, existing at the base of the ophiolite complex, were studied using whole-rock, mineral chemical analyses and pressure–temperature (P-T) pseudosection modelling to understand their metamorphic and petrogenetic history, and interpret the tectonic environment of their formation. They exhibit two-stage deformation, where D1 is depicted by polymineralic inclusion trails in former melt pools and the main foliation represents D2. Sub-alkaline tholeiitic character, high-field-strength element (HFSE) ratios and mid-oceanic ridge basalt (MORB) -like rare earth element (REE) patterns with negative Eu anomaly indicate that the protolith of these amphibolites originated in a spreading regime by extensive partial melting of a depleted mantle source at shallow depth. Petrography, mineral chemistry and P-T modelling indicate a three-stage metamorphic history for them. M1 is the prograde (c. 2.1 GPa, c. 450°C) defined by garnet centre compositions corresponding to the D1 event. The existence of former melts in the samples demarcates the M2 stage (1.4–1.8 GPa, c. 600°C). The rocks later underwent retrogression (M3: 0.8–1.0 GPa, 480–520°C), which corresponds to the D2 event. These observations suggest that the protolith of the TTSZ amphibolites originated in a mid-oceanic ridge setting, which accreted below a subduction zone where it underwent M1 metamorphism followed by M2 metamorphism, corresponding to partial melting of the rocks. Finally, the M3 event occurred during the obduction phase of the ophiolite complex, where the amphibolites were obducted as the metamorphic sole of the TTSZ ophiolites.

With simultaneous efforts to address a huge burden of malnutrition, especially among children and younger women, India also encounters a mushrooming prevalence of overweight and obesity among the adult population. This study analysed data from two consecutive rounds of the National Family Health Survey (NFHS) conducted in 2005–06 and 2015–16, to present the burden of overweight and obesity among adult men and women in India. The findings highlight a rising burden of overweight and obesity, although the level and the extent of change over the study period varied across states. The district-wise analysis revealed geographical clusters of overweight and obesity. Further investigation suggests that overweight or obesity are not exclusive to urban areas, and economically well-off populations are more inclined to be overweight or obese. The trends and patterns of overweight and obesity in India argue for timely public health preparedness and interventions to avoid the rising incidence of non-communicable diseases in India.

Garra gotyla is an indigenous coldwater fish of the cyprinid family and has wide geographical distribution in India as well as in other countries of Asia and Africa. Induced breeding in G. gotyla was carried out successfully for the first time and an attempt has been made to document developmental stages chronologically from the first minute of fertilization, through all stages of embryonic development until the fifth day post hatching. This experiment was carried out at 22–24°C water temperature at the Directorate of Coldwater Fisheries Research, Bhimtal, India. During the breeding trial, the fertilization rate was observed as 70–75% and hatching rate was 85–90%. The mature fertilized ova were measured as 0.8–1.0 mm in diameter and the perivitelline membrane became thick soon after fertilization and formation of the germ pole. The periods taken for complete developmental stages were recorded; cleavage stage 111 min (min post fertilization (pf)), blastulation stage 580 min (pf), neurulation and segmentation 1250 min (pf) and hatching was completed after 1420 min. The sac fry was measured as 3 mm in length and took almost 3 days for complete absorption of the yolk content. The major structural and differential changes observed are in head, tail, fins, alimentary canal, rudiments of each organ and appearance of melanophore pigmentation in the whole body. The 5-day-old larvae were measured as 6 mm in length with almost every organ fully differentiated. The present study will be utilized for large-scale production of fingerlings for stock enhancement in rivers, lakes and possibilities of genetic improvement and manipulation at the embryonic stage.

In the present work, the effect of cooling rate on the evolution of the microstructure and mechanical properties of an α + β titanium alloy has been systematically investigated. Titanium alloy samples were heated to 1066 °C (above the β transus), 930 °C (just below the β transus), and 850 °C (well below the β transus) followed by oil quenching, air cooling, and furnace cooling, respectively. Primary alpha (αp), lamellar alpha (αL), and martensite (α′) were the dominant features of the microstructures for all the samples heated below the β transus. Furnace-cooled samples showed variation in the size and shape of the αp and fraction of αL according to the heating temperature. At slower cooling rates, the thickness of the αL increased with the increase in temperature. Transmission electron microscopy and X-ray diffraction confirmed the presence of α′ in all the quenched samples. The volume fraction and size of the αp decreased with the increase in temperature but was independent of the cooling rate. The microhardness was relatively unaffected by the cooling rate for heating just below the β transus, i.e., 930 °C. The modulus of elasticity was found to be extremely sensitive to the microstructure.

Detailed studies on temporal changes of crevasses and their linkage with glacier dynamics are scarce in the Himalayan context. Observations of temporally changing surficial crevasse patterns and their orientations are suggestive of the processes that determine seasonal glacier flow characteristics. In the present study, on a Himalayan valley glacier, changing crevasse patterns and orientations were detected and mapped on Landsat 8 images in an automated procedure using the ratio of Thermal Infrared Sensor (TIRS) band 10 to Optical Land Imager (OLI) shortwave infrared (SWIR) band 6. The ratio was capable of mapping even crevasses falling under mountain shadows. Differential GPS observations suggested an average error of 3.65% and root-mean-square error of 6.32m in crevasse lengths. A year-round observation of these crevasses, coupled with field-based surface velocity measurements, provided some interesting interpretations of seasonal glacier dynamics.

Caseinophosphopeptides (CPPs) are multifunctional bioactive peptides containing phosphorylated seryl residues in their sequence. In the present study, method for the production of CPPs from buffalo milk casein was optimised and characterised for their sequence, calcium solubilising and calcium binding activities. Response surface methodology was used to optimise the conditions for hydrolysis of buffalo casein by trypsin to obtain maximum yield of CPPs. The optimum hydrolysis conditions were as follows: hydrolysis pH 7·5, temperature 37 °C, hydrolysis time 7·0 h. Under these conditions, the experimental yield obtained was 10·04±0·24%, which is slightly lower than value predicted by the model. These CPPs were able to solubilise 1·03±0·08 mg la/mg CPPs in presence of excess phosphate and bind 0·935 mg of Ca/mg of CPPs. Eight phosphopeptides i.e. αs1-CN f (37-58) 2P; αs1-CN f (37-58) 3P; αs1-CN f (35-58) 2P; αs1-CN f (35-58) 3P; αs2-CN f (2-21) 4P; αs2-CN f (138-149) 1P; β-CN f (2-28) 4P and β-CN f (33-48) 1P were identified by LC-MS/MS which contained motif for binding of divalent minerals. The sequences of these CPPs differed from that of derived from bovine casein.

This article reports temporal changes in the measured oceanic geochemical properties of the Arabian Sea and the equatorial Indian Ocean by reoccupying six stations investigated during the GEOSECS expedition in 1977 and 1978. Observed differences are interpreted in terms of plausible changes in the environment and climate that have occurred in response to natural or anthropogenic processes. The depth profiles of major parameters such as dissolved oxygen, ΣCO2, major nutrients (silicates, nitrates, and phosphates), and radiocarbon in dissolved inorganic carbon were measured during the cruises between 1994 and 1998 along with temperature and salinity. Most stations in the Arabian Sea show an increase in salinity by ∼0.2 to 0.3 salinity units in the top 400 m, whereas one station in the equatorial Indian Ocean showed a decrease in salinity by ∼0.1 units, indicating a likely change in the evaporation-precipitation (E-P) balance. The ΣCO2 increased by an average of 8 μM within the top 1200 m of the Arabian Sea. The depth profiles of nitrates and dissolved oxygen for the central Arabian Sea stations show significant variations, while only marginal changes are seen for silicates and phosphates relative to the GEOSECS data. The decrease in Δ14C of surface waters is due to the steady decrease in atmospheric 14C concentration since GEOSECS, and the Δ14C increase in subsurface waters is attributed to the downward vertical diffusion of bomb 14C interpreted in terms of atmosphere to ocean transfer and lateral advection of water masses.