BackgroundThere are no national data on the magnitude and pattern of chronic kidney disease (CKD) in India. The Indian CKD Registry documents the demographics, etiological spectrum, practice patterns, variations and special characteristics.MethodsData was collected for this cross-sectional study in a standardized format according to predetermined criteria. Of the 52,273 adult patients, 35.5%, 27.9%, 25.6% and 11% patients came from South, North, West and East zones respectively.ResultsThe mean age was 50.1 ± 14.6 years, with M:F ratio of 70:30. Patients from North Zone were younger and those from the East Zone older. Diabetic nephropathy was the commonest cause (31%), followed by CKD of undetermined etiology (16%), chronic glomerulonephritis (14%) and hypertensive nephrosclerosis (13%). About 48% cases presented in Stage V; they were younger than those in Stages III-IV. Diabetic nephropathy patients were older, more likely to present in earlier stages of CKD and had a higher frequency of males; whereas those with CKD of unexplained etiology were younger, had more females and more frequently presented in Stage V. Patients in lower income groups had more advanced CKD at presentation. Patients presenting to public sector hospitals were poorer, younger, and more frequently had CKD of unknown etiology.ConclusionsThis report confirms the emergence of diabetic nephropathy as the pre-eminent cause in India. Patients with CKD of unknown etiology are younger, poorer and more likely to present with advanced CKD. There were some geographic variations.

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Cacao, one of the world's most important perennial crops, is almost exclusively explored for chocolate manufacturing. Most cacao varieties belong to three groups: Criollo, Forastero and Trinitario that vary according to morphology, genetic and geographical origins. It is cropped under the shade of forest trees or as a monocrop without shade. Seedlings initially show an orthotropic growth with leaf emission relatively independent of climate. The maturity phase begins with the emission of plagiotropic branches that form the tree crown. At this stage environmental factors exert a large influence on plant development. Growth and development of cacao are highly dependent on temperature, which mainly affects vegetative growth, flowering and fruit development. Soil flooding decreases leaf area, stomatal conductance and photosynthetic rates in addition to inducing formation of lenticels and adventitious roots. For most genotypes drought resistance is associated with osmotic adjustment. Cacao produces caulescent flowers, which begin dehiscing in late afternoon and are completely open at the beginning of the following morning releasing pollen to a receptive stigma. Non pollinated flowers abscise 24-36 h after anthesis. The percentage of flowers setting pods is in the range 0.5 -5%. The most important parameters determinants of yield are related to: (i) light interception, photosynthesis and capacity of photoassimilate distribution, (ii) maintenance respiration and (iii) pod morphology and seed fermentation, events that can be modified by abiotic factors. Cacao is a shade tolerant species, in which appropriate shading leads to relatively high photosynthetic rates, growth and seed yield. However, heavy shade reduces seed yield and increases incidence of diseases; in fact, cacao yields and light interception are tightly related when nutrient availability is not limiting. High production of non-shaded cacao requires high inputs in protection and nutrition of the crop. Annual radiation and rainfall during the dry season explains 70% of the variations in annual seed yields. Key words: root growth, flowering, pod set, flushing, mineral nutrition Ecofisiologia do cacaueiro: O cacau, um dos mais importantes cultivos perenes no mundo, é quase exclusivamente explorado para a fabricação de chocolate. A maioria das variedades de cacau pertence a três grupos: Criollo, Forasteiro e Trinitário, que variam de acordo com a morfologia, genética e origem geográfica. É cultivado sob sombra de árvores de floresta ou como monocultivo sem sombra. As plântulas inicialmente mostram um crescimento ortotrópico com emissão de folhas relativamente independente do clima. A fase de maturidade inicia-se com a emissão de ramos plagiotrópicos que formam a copa. Nesse estádio, fatores ambientes exercem grande influência no desenvolvimento da planta. O crescimento e o desenvolvimento do cacaueiro são dependentes da temperatura, que afeta principalmente o crescimento vegetativo, florescimento e desenvolvimento do fruto. O alagamento do solo diminui a área fol...

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The PassiXora L.

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In ecological setting, sodium (Na+) can be beneficial or toxic, depending on plant species and the Na+ level in the soil. While its effects are more frequently studied at high saline levels, Na+ has also been shown to be of potential benefit to some species at lower levels of supply, especially in C4 species. Here, clonal plants of the major tropical C3 crop Theobroma cacao (cacao) were grown in soil where potassium (K+) was partially replaced (at six levels, up to 50% replacement) by Na+, at two concentrations (2.5 and 4.0 mmolc dm−3). At both concentrations, net photosynthesis per unit leaf area (A) increased more than twofold with increasing substitution of K+ by Na+. Concomitantly, instantaneous (A/E) and intrinsic (A/gs) water‐use efficiency (WUE) more than doubled. Stomatal conductance (gs) and transpiration rate (E) exhibited a decline at 2.5 mmol dm−3, but remained unchanged at 4 mmol dm−3. Leaf nitrogen content was not impacted by Na+ supplementation, whereas sulfur (S), calcium (Ca2+), magnesium (Mg2+) and zinc (Zn2+) contents were maximized at 2.5 mmol dm−3 and intermediate (30–40%) replacement levels. Leaf K+ did not decline significantly. In contrast, leaf Na+ content increased steadily. The resultant elevated Na+/K+ ratios in tissue correlated with increased, not decreased, plant performance. The results show that Na+ can partially replace K+ in the nutrition of clonal cacao, with significant beneficial effects on photosynthesis, WUE and mineral nutrition in this major perennial C3 crop.

Six months-old seminal plants of 36 cacao genotypes grown under greenhouse conditions were subjected to two soil water regimes (control and drought) to assess, the effects of water deficit on growth, chemical composition and oxidative stress. In the control, soil moisture was maintained near field capacity with leaf water potentials (ΨWL) ranging from −0.1 to −0.5 MPa. In the drought treatment, the soil moisture was reduced gradually by withholding additional water until ΨWL reached values of between −2.0 to −2.5 MPa. The tolerant genotypes PS-1319, MO-20 and MA-15 recorded significant increases in guaiacol peroxidase activity reflecting a more efficient antioxidant metabolism. In relation to drought tolerance, the most important variables in the distinguishing contrasting groups were: total leaf area per plant; leaf, stem and total dry biomass; relative growth rate; plant shoot biomass and leaf content of N, Ca, and Mg. From the results of these analyses, six genotypes were selected with contrasting characteristics for tolerance to soil water deficit [CC-40, C. SUL-4 and SIC-2 (non-tolerant) and MA-15, MO-20, and PA-13 (tolerant)] for further assessment of the expression of genes NCED5, PP2C, psbA and psbO to water deficit. Increased expression of NCED5, PP2C, psbA and psbO genes were found for non-tolerant genotypes, while in the majority of tolerant genotypes there was repression of these genes, with the exception of PA-13 that showed an increased expression of psbA. Mutivariate analysis showed that growth variables, leaf and total dry biomass, relative growth rate as well as Mg content of the leaves were the most important factor in the classification of the genotypes as tolerant, moderately tolerant and sensitive to water deficit. Therefore these variables are reliable plant traits in the selection of plants tolerant to drought.