Health problems of tribal population groups from the state of Maharashtra.
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Biomedical subjects
Publications and source records attributed to S L Kate.
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The solubility test is evaluated against automated high-performance liquid chromatography (HPLC) and haemoglobin (Hb) electrophoresis for its efficacy in screening for the beta s gene in population groups in remote areas. Blood samples taken from 3246 individuals from the tribal populations of the Dhule and Gadchiroli districts of Maharashtra state were analysed by all three methods. The solubility test detected 871 out of 932 individuals positive for the beta s gene by HPLC and Hb electrophoresis, and showed an overall sensitivity of 93.8% and specificity of 100%, with a positive predictive value of 100% and negative predictive value of 97.4%. Both HPLC and Hb electrophoresis are relatively expensive and not available in most laboratories in remote tribal areas, where the frequency of the beta s gene is very high. We conclude that the solubility test could be used for preliminary screening to determine the prevalence of the beta s gene in different population groups, particularly in remote areas where other facilities are not available. Individuals who test positive for the beta s gene by the solubility test require further investigation by either HPLC or Hb electrophoresis.
Twenty four patients of classical marasmus and kwashiorkor along with equal number of healthy controls were selected for the study. Their serum amino acid patterns analysis revealed a mean ratio of glutamate to alanine in fasting samples of normal individuals to be 0.33, while it as 9.3 in kwashiorkor and 1.6 in marasmus. This differences in controls, kwashiorkor and marasmus was statistically significant. This observation may explain evolution of marasmus and kwashiorkor in children with similar diets. On the basis of the present observation it is postulated that in kwashiorkor, the conversion of pyruvate to alanine in presence of glutamate, an aminogroup donor does not proceed normally, resulting in accumulation of glutamate and low alanine. Thus the development of marasmus and kwashiorkor may not be related to dietary inadequacy alone but also to the transaminase function. This could be genetic in origin.
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The incidence of hepatitis B surface antigen (HBs Ag, Australia antigen) has been determined in three communities residing in an endemic malarial region in Western Maharashtra. A high incidence (5.92%) is found in the Marathas, a socially well-placed community, as compared to Nava-Buddhas (2.62%) and scheduled castes (1.63%) which are socially low-placed communities. A higher incidence (8.91%) among the Maratha females is a surprising observation as the males have been shown to be predominant among HBs Ag carriers in most world populations. A positive association of HBs Ag and the anthropometric traits, skinfold thickness of biceps and triceps, has been observed in the present study. The results demonstrate that other factor(s) (e.g. immunological) besides malarial infection may be involved in the maintenance of a high HBs Ag frequency in Western Maharashtra.
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Blood samples of 1,266 individuals were collected from three caste populations; Nava Budha (Mahar), Maratha, and a mixed group of Scheduled castes from each of three districts of Maharashtra, Nagpur, Akola, and Thane. The samples were tested for 12 enzyme systems, viz., AcPh, AK, CA-I, CA-II, Est-D, LDH, MDH, Oxidase, PGM-1, PGM-2, 6-PGD, and PHI. The gene frequencies of these loci are within the ranges observed among the Indian populations so far studied. The total differences in gene frequencies for each polymorphic locus was partitioned into three components, i.e., the differences between caste populations, the differences between regions, and the differences due to interaction between caste populations and regions. The results show that besides caste variation for two loci, Est-D and PGM-1, the gene frequencies for AK, Est-D, and G-6PD loci have different geographical distributions.
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In this paper the effect of age, Hb types and G-6-PD deficiency on height, weight and skinfold thickness among 1720 subjects belonging to Nava-Budha, Maratha and a mixed Scheduled caste of Maharashtra, India, have been examined using two models of analysis of variance. In the first model the factors used for explaining the variation are communities, age, sex, Hb types based on the total sample. In the second model another factor, G-6-PD deficiency, was introduced and only the male sample (n = 852) was considered. The age groups (assessed), sex and communities contribute highly significantly to the variation in weight. Variation in communities, age and sex is highly significant for variations in height and the three skinfold measurements. The effect of variation in Hb types is more than random for height and significant for biceps and triceps thicknesses. G-6-PD deficiency causes significant variation in height and the three skinfold measurements.
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Over 900 individuals from ten endogamous groups in the Indian states of Maharashtra and West Bengal were studied for G-6-PD deficiency and haemoglobin variants. The incidence of G-6-PD varied from nil to 17.3%, while that of Hb-S varied from nil to 22.3%. In general, the tribal populations of Maharashtra are characterized by the presence of a high incidence of both Hb-S and G-6-PD deficiency. The caste Hindus showed an absence of Hb-S and rather low G-6-PD deficiency. Immigrant Parsis possessed the highest incidence of G-6-PD deficiency (17.3%).
The distribution of placental alkaline phosphatase and lactate dehydrogenase types in 635 placentas from various endogamous groups of Maharashtra have been studied by starch gel electrophoresis. In the case of alkaline phosphatase, 6 common phenotypes and 6 rare phenotypes (F2I1, S1S2, S2S3, I1S2, F1S2, F1I2) are encountered. The highest frequency of Pls1 allele (0.7394) and lowest frequency of Pli1 allele (0.0246) have been found in the Nava-Budha. 6 cases of Cal-1 and 5 cases of Cal-2 types of LDH variants have been observed in the total samples, and Muslims possess the highest frequency of Cal-1 types (3.64%). Population groups are compared with respect to Pl alleles.
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