Contemporary tourism scholarship on luxury travel and destinations has largely focused on developed regions and mature destinations. The study of luxury tourism in emerging or developing destinations merits equal scrutiny. An examination of this composite dichotomy of luxury and developing destinations offers new ways of conceptualizing resources utilized, maintained and made available in emerging luxury destinations. There are three parts to this paper: 1) a survey of the literature to better understand the stage and state of luxury tourism in emerging destinations 2) an evaluation of developments and allocation of resources vis-à-vis luxury tourism and 3) identification of a research trajectory for luxury tourism as an emerging area in developing destinations. This study contends that though luxury tourism seemingly stands in an inverse relationship to developing destinations, it is important to understand the nascent stage of growth and challenges as found in existing literature into full circle.

ObjectiveTo evaluate fetomaternal outcomes in women who are normoglycemic by Diabetes in Pregnancy Study Group India (DIPSI) but have gestational diabetes mellitus (GDM) by WHO criteria versus those who are normoglycemic by both DIPSI and WHO criteria.MethodsThis was a prospective, cohort study. A total of 635 women participated. They underwent a 2‐h non‐fasting oral glucose tolerance test (OGTT) and results were interpreted by DIPSI. Out of 635 women, 52 were lost to follow up and 33 were diagnosed as GDM by DIPSI and excluded from the study. The remaining 550 women, after 72 h from the first test, underwent a 75‐g fasting‐OGTT and results were interpreted using WHO 2013 criteria. Results of the second test were blinded till delivery. The 550 women were followed for fetomaternal outcomes. Participants with normal DIPSI and normal WHO 2013 OGTT were labeled group 1. Participants with normal DIPSI but abnormal WHO 2013 OGTT were labeled group 2. Fetomaternal outcomes were compared between these groups.ResultsOccurrence of GDM by DIPSI was 5.1%, by WHO 2013 criteria it was 10.5%. Composite fetomaternal outcomes occurred more commonly in women with a normal DIPSI but an abnormal WHO 2013 test. Out of 550 women, 492 had normal DIPSI and normal WHO 2013 test. Out of this 492, 116 (23.6%) women had adverse fetomaternal outcomes. Fifty‐eight women out of 550 had a normal DIPSI but an abnormal WHO 2013 test. Thirty‐seven (63.8%) women out of 58 had adverse fetomaternal outcomes. We found statistically significant association between adverse fetomaternal outcome and GDM by WHO 2013 test (with normal DIPSI test).ConclusionWHO 2013 has superior diagnostic value compared with DIPSI criteria for diagnosis of GDM.

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Background: the main problem of chemotherapy today is not the need to introduce new regimens or more potent drugs, but to apply the existing ones successfully and patient compliance was critically important throughout the prescribed period of treatment. Objectives: to determine the default rate among above Tuberculosis patients under DOTS and to elicit reasons of treatment default in the above tuberculosis patients. Study design: Observational Cross-Sectional Study. Setting: The study was carried out in selected DOTS centers of district Ghaziabad. Participants: 850 study subjects age group more than 15 years. Sampling: Multistage sampling. Statistical Analysis: SPSS version 13. Study period: May 2014 to April 2015. Results: Defaulters amongst pulmonary tuberculosis patients attending DOTS centre in urban area of Ghaziabad district from two selected T.U. the defaulter rate in urban Ghaziabad was 6.5%. Majority (36.36%) of the defaulters belong to 15-25 years age group. Among defaulters 63.6% were males as compared to 36.4% were females. Defaulter rate was high among those who were illiterate (36.36%). Defaulter were higher in upper lower class (72.72%). Important reasons as stated by the defaulters for interrupting treatment was fear of side effects of drugs (81.81%), quick relief from symptoms of disease (72.72%), clash with working time (45.45%), left the locality36.36%). Conclusion:It was concluded that the defaulter rate in urban Ghaziabad was 6.5%. Majority (36.36%) of the defaulters belong to 15-25 years age group. Important reasons by the defaulters for interrupting treatment was fear of side effects of drugs.

Introduction: It was necessary to understand the reasons for default after initiation of the treatment and plan strategies to reduce default and thereby increase the success of treatment outcome. Materials and Methods: The present observational cross-sectional study was carried out in selected DOTS centers of district Ghaziabad Department of Community Medicine, Santosh Medical College, Ghaziabad. All new sputum smear positive pulmonary tuberculosis patients were taking treatment from sampled DOTS Centers. The study was carried out in one year from May 2014 to April 2015. Results: 45.7% tuberculosis patients were unemployed. 35.29% of TB patients were educated up to primary 24.70% pt were illiterate. 54.11% of TB patients belong to upper lower class. 34.11% were in lower class. Among the TB patients 76.47% were smoker whereas 23.53% were non smoker. Among the TB patients 77.65% were alcoholic whereas 22.35% were non alcoholic. 83.53% TB patients had no family h/o of contact while 16.47% TB patients had Family h/o of contact. Among tuberculosis patients 77.65% were aware about the curability of tuberculosis while 22.35% were not aware about the curability of TB. 34.12% patients were aware about Modes of Transmission of Tuberculosis and 65.88% TB patients were not aware about Modes of Transmission of Tuberculosis. Conclusion:It was concluded that socioeconomic standard of tuberculosis is low and give health education to improve personal habit and stop TB Transmission. Awareness about modes of transmission of tuberculosis was low. Awareness about curability of tuberculosis and knowledge and proper treatment of pulmonary Tuberculosis is poor.