Publications by authors named "D H Phalke"

19 Publications

In situ decomposition of crop residues using lignocellulolytic microbial consortia: a viable alternative to residue burning.

Environ Sci Pollut Res Int 2021 Feb 24. Epub 2021 Feb 24.

ICAR-Indian Institute of Soil Science, Bhopal, 462038, India.

Open field burning of crop residue causes severe air pollution and greenhouse gas emission contributing to global warming. In order to seek an alternative, the current study was initiated to explore the prospective of lignocellulolytic microbes to expedite in situ decomposition of crop residues. Field trials on farmers' field were conducted in the state of Haryana and Maharashtra, to target the burning of rice and wheat residue and sugarcane trash, respectively. A comparative study among crop residue removal (CRR), crop residue burning (CRB) and in situ decomposition of crop residues (IND) revealed that IND of rice and wheat residues took 30 days whereas IND of sugarcane trash took 45 days. The decomposition status was assessed by determining the initial and final lignin to cellulose ratio which increased significantly from 0.23 to 0.25, 0.21 to 0.23 and 0.24 to 0.27 for rice, wheat residues and sugarcane trash, respectively. No yield loss was noticed in IND for both rice-wheat system and sugarcane-based system; rather IND showed relatively better crop yield as well as soil health parameters than CRB and CRR. Furthermore, the environmental impact assessment of residue burning indicated a substantial loss of nutrients (28-31, 23-25 and 51-77 kg ha of N+PO+KO for rice, wheat and sugarcane residue) as well as the emission of pollutants to the atmosphere. However, more field trials, as well as refinement of the technology, are warranted to validate and establish the positive potential of in situ decomposition of crop residue to make it a successful solution against the crop residue burning.
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February 2021

Effectiveness of Interventional Reproductive and Sexual Health Education among School Going Adolescent Girls in Rural Area.

Indian J Community Med 2019 Oct-Dec;44(4):378-382

Department of Preventive and Social Medicine, Rural Medical College, Pravara Institute of Medical Sciences (Deemed University), Rahata, Maharashtra, India.

Background: Most adolescents lack access to age- and sex-appropriate health information which is vital for young people to make informed decisions about their reproductive sexual health.

Objectives: The study objective was to study the effectiveness of the interventional reproductive and sexual health education on knowledge, attitude, and menstrual practices of school-going adolescent girls.

Materials And Methods: It was an interventional study consisting of a pretest, intervention session, and posttest conducted among 400 school-going adolescent girls in a rural area of Maharashtra.

Results: There was a statistically significant increase in knowledge, attitude, and practice median scores following intervention ( < 0.05).

Conclusions: Age- and sex-appropriate health education programs can facilitate the development of healthy reproductive and sexual behavior patterns among adolescents through the enhancement of knowledge and development of right attitude.
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December 2019

Strategy to Increase Awareness and Involvement of Private Medical Practitioners in RNTCP in Taluka Rahata of District Ahmednagar.

J Clin Diagn Res 2015 Feb 1;9(2):LC10-4. Epub 2015 Feb 1.

Professor, Department of Community Medicine, PIMS , Loni, Ahmednagar, Maharashtra, India .

Background: The global annual incidence of Tuberculosis (TB) is 9 million cases of which estimated 2.3 million cases occur in India. In many parts of India, the private sector has remained alienated from Directly Observed Treatment Short course (DOTS) implementation; hence, case detection has remained low. The performance of Taluka Rahata in terms of TB control was poorest before the year 2000; RNTCP was started in Taluka Rahata on 24th March 2001. From 2001-2010, there was improvement in the performance but was not satisfactory. Hence, present study is an attempt to devise strategy, to increase awareness and involvement of private practitioners in Revised National TB Control Programme in a rural area of Rahata Taluka.

Aim: To adopt strategies to improve the awareness and increase involvement of Private Practitioners about RNTCP in Rahata Taluka of Ahmednagar district.

Setting & Design: It is an Interventional study conducted in Rahata Taluka of District Ahmednagar from June to November by giving personal visits to all the Private Medical Practitioners of Rahata Taluka at their workplace.

Materials And Methods: Personal visit was given to 143 private medical practitioners at their workplace. Workshop used as the major strategy was arranged as per RNTCP guidelines. Health education material was distributed.

Results: Out of the 148 PMPs, 143 could be covered by giving personal visits to their clinic for pre-interventional assessment.110 (76.93%) were males while 33 (23.07%) were females. The mean age of PMPs was 41.60 y. Around 60 percentages of PMPs were non- allopathic practitioners. Sensitization workshop was attended by 132 PMPs. Though no significant difference was observed in their assessment regarding etiology about TB, a significant and highly significant value was obtained after assessing their KAP regarding their diagnosis & referral for sputum diagnosis, categorization and treatment, DOTS provider and TB case management.

Conclusion: The PMPs due to its non-involvement and non-reinforcement are lagging with the update knowledge. The PMPs who have attained their higher qualification before implementation of RNTCP (before year 2001) are in majority unaware of RNTCP Recommendations: Public-Private partnership involving PMPs & private hospitals need to be strengthened by additional inputs in the form of incentives, free IEC materials and periodic modular training in RNTCP.
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February 2015

Knowledge, Attitude and Practices towards Medical Research amongst the Postgraduate Students of Pravara Institute of Medical Sciences University of Central India.

J Family Med Prim Care 2014 Jan;3(1):22-4

Department of Community Medicine (PSM), Rural Medical College and Pravara Rural Hospital of Pravara Institute of Medical Sciences, Deemed University, Loni, Maharashtra, India.

Background: Health research training is an essential component of medical education and a vital exercise to help develop physician research skills.

Objectives: This study was carried out to assess the knowledge, attitude, and practices towards health research amongst the postgraduate students of Pravara Institute of Medical Sciences University of central India.

Materials And Methods: A cross-sectional study was carried out from August to October 2012. A total of 116 postgraduate students were interviewed. Knowledge, attitude, and practices related to health research were assessed using a predesigned, pretested and validated questionnaire. Results were analyzed in the form of percentage and proportions whenever appropriate.

Results: In present study, the concept of research hypothesis was known to only 18.9% of the postgraduate students, whereas 17.2 and 21.5% students knew the full form of MEDLARS and MEDLINE respectively. Majority (91.4%) students believed that patient outcome improves with continued medical research and 70.7% are willing to participate in workshop for research methodology. Lack of time due to vast curriculum of postgraduate subjects (59.5%), lack of research curriculum (25%), and inadequate facilities (25.8%) were stated as major obstacles for pursuing research.

Conclusion: Postgraduate students have inadequate knowledge, but have positive attitudes towards health research. Postgraduate training and research facilities at the institution need to undergo major transformation in order to encourage meaningful research by postgraduate trainees.
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January 2014

Study of socio-demographic determinants of esophageal cancer at a tertiary care teaching hospital of Western Maharashtra, India.

South Asian J Cancer 2014 Jan;3(1):54-6

Department of Community Medicine (PSM), Rural Medical College and Pravara Rural Hospital, Loni, Dist. Ahmednagar, Maharashtra, India.

Background: Esophageal cancer has a peculiar geographical distribution and shows marked differences in incidence within a particular geographical region. Presently, as there seems little prospect of early detection of this cancer, an understanding of the etiological factors may suggest opportunities for its primary prevention.

Objectives: The present study was carried out to find out the socio-demographic determinants of esophageal cancer in a tertiary care teaching hospital of western Maharashtra, India.

Materials And Methods: A retrospective hospital record-based study was carried out for the period of five years (2007-2011) in the department of Radiotherapy of Pravara Rural Hospital, Loni, western Maharashtra, India. A total of 5879 patients were diagnosed with cancer, of them, 207 (3.52%) patients had esophageal cancer. Data was collected on the basis of the patients' record in the hospital and analyzed in the form of percentage and proportions whenever appropriate.

Results: Out of total 5879 patients who were diagnosed with cancer during the five studied years, 207 (3.52%) patients had esophageal cancer, of which 121 (58.46%) were males and 86 (41.54%) were females, which show predominance of males over females. Most of the patients (28.50%) belonged to lower class, while only 9.66% were from upper class. Majority of the patients (54.14%) had a history of tobacco chewing, followed by smoking (cigarette, bidi, or both) in 36.94% and alcohol in 21.65%.

Conclusion: The present study shows that esophageal cancer constitutes 3.52% of cancer cases. There is a need to screen the high-risk group of people, improve socio-economic status, and efforts must be made to introduce a set of preventive measures that have the potential to significantly reduce the burden of disease and to help bridge the gap between research and public awareness.
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January 2014