1
|
Bender RG, Sirota SB, Swetschinski LR, Dominguez RMV, Novotney A, Wool EE, Ikuta KS, Vongpradith A, Rogowski ELB, Doxey M, Troeger CE, Albertson SB, Ma J, He J, Maass KL, A.F.Simões E, Abdoun M, Abdul Aziz JM, Abdulah DM, Abu Rumeileh S, Abualruz H, Aburuz S, Adepoju AV, Adha R, Adikusuma W, Adra S, Afraz A, Aghamiri S, Agodi A, Ahmadzade AM, Ahmed H, Ahmed A, Akinosoglou K, AL-Ahdal TMA, Al-amer RM, Albashtawy M, AlBataineh MT, Alemi H, Al-Gheethi AAS, Ali A, Ali SSS, Alqahtani JS, AlQudah M, Al-Tawfiq JA, Al-Worafi YM, Alzoubi KH, Amani R, Amegbor PM, Ameyaw EK, Amuasi JH, Anil A, Anyanwu PE, Arafat M, Areda D, Arefnezhad R, Atalell KA, Ayele F, Azzam AY, Babamohamadi H, Babin FX, Bahurupi Y, Baker S, Banik B, Barchitta M, Barqawi HJ, Basharat Z, Baskaran P, Batra K, Batra R, Bayileyegn NS, Beloukas A, Berkley JA, Beyene KA, Bhargava A, Bhattacharjee P, Bielicki JA, Bilalaga MM, Bitra VR, Brown CS, Burkart K, Bustanji Y, Carr S, Chahine Y, Chattu VK, Chichagi F, Chopra H, Chukwu IS, Chung E, Dadana S, Dai X, Dandona L, Dandona R, Darban I, Dash NR, Dashti M, Dashtkoohi M, Dekker DM, Delgado-Enciso I, Devanbu VGC, Dhama K, Diao N, Do THP, Dokova KG, Dolecek C, Dziedzic AM, Eckmanns T, Ed-Dra A, Efendi F, Eftekharimehrabad A, Eyre DW, Fahim A, Feizkhah A, Felton TW, Ferreira N, Flor LS, Gaihre S, Gebregergis MW, Gebrehiwot M, Geffers C, Gerema U, Ghaffari K, Goldust M, Goleij P, Guan SY, Gudeta MD, Guo C, Gupta VB, Gupta I, Habibzadeh F, Hadi NR, Haeuser E, Hailu WB, Hajibeygi R, Haj-Mirzaian A, Haller S, Hamiduzzaman M, Hanifi N, Hansel J, Hasnain MS, Haubold J, Hoan NQ, Huynh HH, Iregbu KC, Islam MR, Jafarzadeh A, Jairoun AA, Jalili M, Jomehzadeh N, Joshua CE, Kabir MA, Kamal Z, Kanmodi KK, Kantar RS, Karimi Behnagh A, Kaur N, Kaur H, Khamesipour F, Khan MN, Khan suheb MZ, Khanal V, Khatab K, Khatib MN, Kim G, Kim K, Kitila ATT, Komaki S, Krishan K, Krumkamp R, Kuddus MA, Kurniasari MD, Lahariya C, Latifinaibin K, Le NHH, Le TTT, Le TDT, Lee SW, LEPAPE A, Lerango TL, Li MC, Mahboobipour AA, Malhotra K, Mallhi TH, Manoharan A, Martinez-Guerra BA, Mathioudakis AG, Mattiello R, May J, McManigal B, McPhail SM, Mekene Meto T, Mendez-Lopez MAM, Meo SA, Merati M, Mestrovic T, Mhlanga L, Minh LHN, Misganaw A, Mishra V, Misra AK, Mohamed NS, Mohammadi E, Mohammed M, Mohammed M, Mokdad AH, Monasta L, Moore CE, Motappa R, Mougin V, Mousavi P, Mulita F, Mulu AA, Naghavi P, Naik GR, Nainu F, Nair TS, Nargus S, Negaresh M, Nguyen HTH, Nguyen DH, Nguyen VT, Nikolouzakis TK, Noman EA, Nri-Ezedi CA, Odetokun IA, Okwute PG, Olana MD, Olanipekun TO, Olasupo OO, Olivas-Martinez A, Ordak M, Ortiz-Brizuela E, Ouyahia A, Padubidri JR, Pak A, Pandey A, Pantazopoulos I, Parija PP, Parikh RR, Park S, Parthasarathi A, Pashaei A, Peprah P, Pham HT, Poddighe D, Pollard A, Ponce-De-Leon A, Prakash PY, Prates EJS, Quan NK, Raee P, Rahim F, Rahman M, Rahmati M, Ramasamy SK, Ranjan S, Rao IR, Rashid AM, Rattanavong S, Ravikumar N, Reddy MMRK, Redwan EMM, Reiner RC, Reyes LF, Roberts T, Rodrigues M, Rosenthal VD, Roy P, Runghien T, Saeed U, Saghazadeh A, Saheb Sharif-Askari N, Saheb Sharif-Askari F, Sahoo SS, Sahu M, Sakshaug JW, Salami AA, Saleh MA, Salehi omran H, Sallam M, Samadzadeh S, Samodra YL, Sanjeev RK, Sarasmita MA, Saravanan A, Sartorius B, Saulam J, Schumacher AE, Seyedi SA, Shafie M, Shahid S, Sham S, Shamim MA, Shamshirgaran MA, Shastry RP, Sherchan SP, Shiferaw D, Shittu A, Siddig EE, Sinto R, Sood A, Sorensen RJD, Stergachis A, Stoeva TZ, Swain CK, Szarpak L, Tamuzi JL, Temsah MH, Tessema MBT, Thangaraju P, Tran NM, Tran NH, Tumurkhuu M, Ty SS, Udoakang AJ, Ulhaq I, Umar TP, Umer AA, Vahabi SM, Vaithinathan AG, Van den Eynde J, Walson JL, Waqas M, Xing Y, Yadav MK, Yahya G, Yon DK, Zahedi Bialvaei A, Zakham F, Zeleke AM, Zhai C, Zhang Z, Zhang H, Zielińska M, Zheng P, Aravkin AY, Vos T, Hay SI, Mosser JF, Lim SS, Naghavi M, Murray CJL, Kyu HH. Global, regional, and national incidence and mortality burden of non-COVID-19 lower respiratory infections and aetiologies, 1990-2021: a systematic analysis from the Global Burden of Disease Study 2021. Lancet Infect Dis 2024:S1473-3099(24)00176-2. [PMID: 38636536 DOI: 10.1016/s1473-3099(24)00176-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/16/2023] [Revised: 02/19/2024] [Accepted: 03/07/2024] [Indexed: 04/20/2024]
Abstract
BACKGROUND Lower respiratory infections (LRIs) are a major global contributor to morbidity and mortality. In 2020-21, non-pharmaceutical interventions associated with the COVID-19 pandemic reduced not only the transmission of SARS-CoV-2, but also the transmission of other LRI pathogens. Tracking LRI incidence and mortality, as well as the pathogens responsible, can guide health-system responses and funding priorities to reduce future burden. We present estimates from the Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) 2021 of the burden of non-COVID-19 LRIs and corresponding aetiologies from 1990 to 2021, inclusive of pandemic effects on the incidence and mortality of select respiratory viruses, globally, regionally, and for 204 countries and territories. METHODS We estimated mortality, incidence, and aetiology attribution for LRI, defined by the GBD as pneumonia or bronchiolitis, not inclusive of COVID-19. We analysed 26 259 site-years of mortality data using the Cause of Death Ensemble model to estimate LRI mortality rates. We analysed all available age-specific and sex-specific data sources, including published literature identified by a systematic review, as well as household surveys, hospital admissions, health insurance claims, and LRI mortality estimates, to generate internally consistent estimates of incidence and prevalence using DisMod-MR 2.1. For aetiology estimation, we analysed multiple causes of death, vital registration, hospital discharge, microbial laboratory, and literature data using a network analysis model to produce the proportion of LRI deaths and episodes attributable to the following pathogens: Acinetobacter baumannii, Chlamydia spp, Enterobacter spp, Escherichia coli, fungi, group B streptococcus, Haemophilus influenzae, influenza viruses, Klebsiella pneumoniae, Legionella spp, Mycoplasma spp, polymicrobial infections, Pseudomonas aeruginosa, respiratory syncytial virus (RSV), Staphylococcus aureus, Streptococcus pneumoniae, and other viruses (ie, the aggregate of all viruses studied except influenza and RSV), as well as a residual category of other bacterial pathogens. FINDINGS Globally, in 2021, we estimated 344 million (95% uncertainty interval [UI] 325-364) incident episodes of LRI, or 4350 episodes (4120-4610) per 100 000 population, and 2·18 million deaths (1·98-2·36), or 27·7 deaths (25·1-29·9) per 100 000. 502 000 deaths (406 000-611 000) were in children younger than 5 years, among which 254 000 deaths (197 000-320 000) occurred in countries with a low Socio-demographic Index. Of the 18 modelled pathogen categories in 2021, S pneumoniae was responsible for the highest proportions of LRI episodes and deaths, with an estimated 97·9 million (92·1-104·0) episodes and 505 000 deaths (454 000-555 000) globally. The pathogens responsible for the second and third highest episode counts globally were other viral aetiologies (46·4 million [43·6-49·3] episodes) and Mycoplasma spp (25·3 million [23·5-27·2]), while those responsible for the second and third highest death counts were S aureus (424 000 [380 000-459 000]) and K pneumoniae (176 000 [158 000-194 000]). From 1990 to 2019, the global all-age non-COVID-19 LRI mortality rate declined by 41·7% (35·9-46·9), from 56·5 deaths (51·3-61·9) to 32·9 deaths (29·9-35·4) per 100 000. From 2019 to 2021, during the COVID-19 pandemic and implementation of associated non-pharmaceutical interventions, we estimated a 16·0% (13·1-18·6) decline in the global all-age non-COVID-19 LRI mortality rate, largely accounted for by a 71·8% (63·8-78·9) decline in the number of influenza deaths and a 66·7% (56·6-75·3) decline in the number of RSV deaths. INTERPRETATION Substantial progress has been made in reducing LRI mortality, but the burden remains high, especially in low-income and middle-income countries. During the COVID-19 pandemic, with its associated non-pharmaceutical interventions, global incident LRI cases and mortality attributable to influenza and RSV declined substantially. Expanding access to health-care services and vaccines, including S pneumoniae, H influenzae type B, and novel RSV vaccines, along with new low-cost interventions against S aureus, could mitigate the LRI burden and prevent transmission of LRI-causing pathogens. FUNDING Bill & Melinda Gates Foundation, Wellcome Trust, and Department of Health and Social Care (UK).
Collapse
|
2
|
Hazari A, Mishra V, Kumar P, Maiya A. The accuracy of 10 g monofilament use for clinical screening of diabetes peripheral neuropathy among Indian population. PLoS One 2024; 19:e0297110. [PMID: 38394307 PMCID: PMC10890773 DOI: 10.1371/journal.pone.0297110] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/30/2023] [Accepted: 12/28/2023] [Indexed: 02/25/2024] Open
Abstract
OBJECTIVE The purpose of this study was to test the diagnostic accuracy of the 10g monofilament to screen for diabetic peripheral neuropathy (DPN) in India. The study further assessed the effect of physical activity, footwear use, and occupation on the outcome. METHODS Non-probabilistic purposive sampling was used to recruit patients with T2DM to assess the diagnostic utility of the 10 g monofilament. 160 participants were recruited divided into 4 groups. Each group consisted of 40 participants with 20 under each category described as "Physical Worker Vs Non- physical worker" (n = 40), "Barefoot Vs Footwear" (n = 40), "Use of Slipper at Home Vs No-slippers use at home" (n = 40), "Agriculture Vs Non- agriculture" (n = 40). 10 g monofilament was used to detect the presence of protective sensation towards screening of DPN against biothesiometer (Vibration Pressure Threshold). RESULTS The area under the ROC (receiver operating characteristic) curve was 0.6 for identifying DPN using the 10 g monofilament. Physical work (p = 0.04), footwear (p = 0.04), slipper use at home (p = 0.02) and occupation (p = 0.02) impacted on the diagnostic utility of the 10g monofilament. CONCLUSIONS This study shows that the 10 g monofilament has limited accuracy for detecting DPN in the Indian population and this is further affected by occupation, socioeconomic and religious practice.
Collapse
Affiliation(s)
| | | | - Praveen Kumar
- Gulf Medical University, Ajman, United Arab Emirates
| | - Arun Maiya
- Manipal Academy of Higher Education, Manipal, Karnataka, India
| |
Collapse
|
3
|
Parvar SY, Mojgani P, Lankarani KB, Poursaeed F, Mohamadi Jahromi LS, Mishra V, Abbasi A, Shahabi S. Barriers and facilitators to reducing low-value care for the management of low back pain in Iran: a qualitative multi-professional study. BMC Public Health 2024; 24:204. [PMID: 38233835 PMCID: PMC10792884 DOI: 10.1186/s12889-023-17597-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/19/2023] [Accepted: 12/27/2023] [Indexed: 01/19/2024] Open
Abstract
INTRODUCTION Low back pain (LBP) is a prevalent musculoskeletal disorder with a wide range of etiologies, ranging from self-limiting conditions to life-threatening diseases. Various modalities are available for the diagnosis and management of patients with LBP. However, many of these health services, known as low-value care (LVC), are unnecessary and impose undue financial costs on patients and health systems. The present study aimed to explore the perceptions of service providers regarding the facilitators and barriers to reducing LVC in the management of LBP in Iran. METHODS This qualitative descriptive study interviewed a total of 20 participants, including neurosurgeons, physiatrists, orthopedists, and physiotherapists, who were selected through purposive and snowball sampling strategies. The collected data were analyzed using the thematic content analysis approach. RESULTS Thirty-nine sub-themes, with 183 citations, were identified as barriers, and 31 sub-themes, with 120 citations, were defined as facilitators. Facilitators and barriers to reducing LVC for LBP, according to the interviewees, were categorized into five themes, including: (1) individual provider characteristics; (2) individual patient characteristics; (3) social context; (4) organizational context; and (5) economic and political context. The ten most commonly cited barriers included unrealistic tariffs, provider-induced demand, patient distrust, insufficient time allocation, a lack of insurance coverage, a lack of a comprehensive referral system, a lack of teamwork, cultural challenges, a lack of awareness, and defensive medicine. Barriers such as adherence to clinical guidelines, improving the referral system, improving the cultural status of patients, and facilitators such as strengthening teamwork, developing an appropriate provider-patient relationship, improving the cultural status of the public, motivating the patients, considering an individualized approach, establishing a desirable payment mechanism, and raising the medical tariffs were most repeatedly stated by participants. CONCLUSION This study has pointed out a great number of barriers and facilitators that shape the provision of LVC in the management of LBP in Iran. Therefore, it is essential for relevant stakeholders to consider these findings in order to de-implement LVC interventions in the process of LBP management.
Collapse
Affiliation(s)
- Seyedeh Yasamin Parvar
- Health Policy Research Center, Institute of Health, Shiraz University of Medical Sciences, Shiraz, Iran
- Student Research Committee, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Parviz Mojgani
- Iran-Helal Institute of Applied Science and Technology, Tehran, Iran
- Research Center for Emergency and Disaster Resilience, Red Crescent Society of The Islamic Republic of Iran, Tehran, Iran
| | - Kamran Bagheri Lankarani
- Health Policy Research Center, Institute of Health, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Fereshteh Poursaeed
- Transitional Doctor of Physical Therapy Program, College of Professional Studies, Northeastern University, Boston, USA
| | - Leila Sadat Mohamadi Jahromi
- Department of Physical Medicine and Rehabilitation, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Vinaytosh Mishra
- College of Healthcare Management and Economics, Gulf Medical University, Ajman, UAE
| | - Alireza Abbasi
- Health Policy Research Center, Institute of Health, Shiraz University of Medical Sciences, Shiraz, Iran
- Student Research Committee, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Saeed Shahabi
- Health Policy Research Center, Institute of Health, Shiraz University of Medical Sciences, Shiraz, Iran.
| |
Collapse
|
4
|
Hazari A, Mishra V, Agouris I. Clinical evaluation of painful diabetes peripheral neuropathy in type 2 diabetes patients: Lessons from expatriates in the United Arab Emirates. Diabetes Metab Syndr 2023; 17:102832. [PMID: 37506409 DOI: 10.1016/j.dsx.2023.102832] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/08/2023] [Revised: 07/18/2023] [Accepted: 07/19/2023] [Indexed: 07/30/2023]
Abstract
BACKGROUND The high prevalence of Type 2 Diabetes (T2D) in the United Arab Emirates makes it imperative to screen and manage diabetes peripheral neuropathy (DPN) as a priority. Considering the high number of expats from different ethnicity a more thorough approach is necessary. Unfortunately, there are very few studies addressing this issue. METHODS The study uses the chi-square test to investigate the dependence of the progression of DNP on ethnic origin. The study uses Pearson Correlation to find the association between three prevalent scales used for the measurement of painful diabetes peripheral neuropathy. Student t-test was used further to investigate the significance of the association. RESULTS With a p-value (0.004) and p-value (0.015), the study concludes that DPN risk is dependent on the ethnic origin of the residents. The study further found that there is a significant association between three scales for measuring painful diabetes peripheral neuropathy (pDNP), Douleur Neuropathique en 4 questions (DN4), Neurological Symptoms Score (NSS), and Leeds Assessment of Neuropathic Symptoms and Signs (LANNS). The p-value for all pairwise comparisons for the strength of association between scales was found significant at the level of significance 0.05. CONCLUSION The study concludes that the risk of DNP is high in Arab-origin residents in UAE and the reasons behind the finding need to be empirically tested to customize its management. The study further finds a significant association between the score of the three scales used for measuring pDNP.
Collapse
Affiliation(s)
- Animesh Hazari
- College of Health Sciences, Gulf Medical University, Ajman, United Arab Emirates.
| | - Vinaytosh Mishra
- College of Healthcare Management and Economics, Gulf Medical University, Ajman, United Arab Emirates.
| | - Ioannis Agouris
- School of Engineering, Robert Gordon University, Scotland, United Kingdom.
| |
Collapse
|
5
|
Mishra V, Tarafdar A, Talukder S, Mendiratta SK, Agrawal RK, Jaiswal RK, Bomminayuni GP. Enhancing the shelf life of chevon Seekh Kabab using chitosan edible film and Cinnamomum zeylanicum essential oil. J Food Sci Technol 2023; 60:1814-1825. [PMID: 37187978 PMCID: PMC10169963 DOI: 10.1007/s13197-023-05723-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Revised: 03/03/2023] [Accepted: 03/09/2023] [Indexed: 03/19/2023]
Abstract
Chevon Seekh Kabab is a popular meat product of India. However, due to high protein and moisture content it undergoes quick microbial spoilage and oxidative reactions leading to lower shelf life. The combination of chitosan edible film and cinnamon essential oil (CEO) was chosen to remediate this problem because of its antimicrobial and antioxidative effect. Control and chitosan edible film with CEO coated chevon Seekh Kabab samples were stored at 4 °C. The physicochemical (pH, TBARS, TVBN, moisture, colour), microbiological (APC, psychrophilic, coliform and Staphylococcal count) and sensory attributes were evaluated over a 30 days period. The maximum shelf life of 27 days was observed when 2% chitosan edible film with 0.3% CEO was coated over samples. A reduction in moisture, L* value, a* value and sensory scores along with an increase in pH, TVBN, TBARS, b* value and microbiological parameters were observed during the storage period. Reaction kinetics for the physicochemical and microbiological parameters was also established. The physicochemical, microbiological and sensory parameters were within prescribed limits till spoilage in the treated sample. This investigation may aid researchers working on scaling up of processing and preservation of Seekh Kabab.
Collapse
Affiliation(s)
- V. Mishra
- Division of Livestock Products Technology, ICAR- Indian Veterinary Research Institute, Izatnagar, Bareilly, Uttar Pradesh 243122 India
| | - Ayon Tarafdar
- Livestock Production and Management Section, ICAR-Indian Veterinary Research Institute, Izzatnagar, Bareilly, Uttar Pradesh 243122 India
| | - S. Talukder
- Division of Livestock Products Technology, ICAR- Indian Veterinary Research Institute, Izatnagar, Bareilly, Uttar Pradesh 243122 India
| | - S. K. Mendiratta
- ICAR- Indian Veterinary Research Institute, Izatnagar, Bareilly, Uttar Pradesh 243122 India
| | - R. K. Agrawal
- Division of Livestock Products Technology, ICAR- Indian Veterinary Research Institute, Izatnagar, Bareilly, Uttar Pradesh 243122 India
| | - R. K. Jaiswal
- Department of Livestock Products Technology, Bihar Veterinary College, Bihar Animal Sciences University, Patna, Bihar 800014 India
| | - G. P. Bomminayuni
- Division of Livestock Products Technology, ICAR- Indian Veterinary Research Institute, Izatnagar, Bareilly, Uttar Pradesh 243122 India
| |
Collapse
|
6
|
Gupta OJ, Yadav S, Srivastava MK, Darda P, Mishra V. Understanding the intention to use metaverse in healthcare utilizing a mix method approach. International Journal of Healthcare Management 2023. [DOI: 10.1080/20479700.2023.2183579] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/09/2023]
Affiliation(s)
- Om Jee Gupta
- Jaipuria Institute of Management, Lucknow, Uttar Pradesh, India
| | - Susheel Yadav
- Jindal Global Business School, O.P. Jindal Global University, Sonipat, Haryana, India
| | - Manoj Kumar Srivastava
- Dr. Gaur Hari Singhania Institute of Management and Research, Kanpur, Uttar Pradesh, India
| | - Pooja Darda
- Jaipuria Institute of Management, Indore, Madhya Pradesh, India
| | - Vinaytosh Mishra
- College of Healthcare Management and Economics, Gulf Medical University, Ajman, UAE
| |
Collapse
|
7
|
Mishra V, Singh J, Kulkarni S, Yadav S. Analysis of profit efficiency of corporate hospitals in India during COVID-19 – An DEA-MPI based approach. International Journal of Healthcare Management 2023. [DOI: 10.1080/20479700.2022.2163866] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/09/2023]
Affiliation(s)
- Vinaytosh Mishra
- College of Healthcare Management and Economics, Gulf Medical University, Ajman, UAE
| | - Jagroop Singh
- College of Healthcare Management and Economics, Gulf Medical University, Ajman, UAE
| | | | - Susheel Yadav
- Jindal Global Business School, O.P. Jindal Global University, Sonipat, India
| |
Collapse
|
8
|
Mishra V. Analysis of systemic and behavioral barriers to COVID-19 vaccination in rollout phase. International Journal of Healthcare Management 2022. [DOI: 10.1080/20479700.2022.2157934] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/24/2022]
Affiliation(s)
- Vinaytosh Mishra
- College of Healthcare Management and Economics, Gulf Medical University, Ajman, UAE
| |
Collapse
|
9
|
Mishra V, Nguyen L, Wickramasinghe N, Shariful Islam SM. What is holding back glucometer use? -A comparative study of rural and urban India. Diabetes Metab Syndr 2022; 16:102677. [PMID: 36459906 DOI: 10.1016/j.dsx.2022.102677] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/29/2022] [Revised: 10/25/2022] [Accepted: 11/17/2022] [Indexed: 11/24/2022]
Abstract
BACKGROUND Self-monitoring of blood glucose (SMBG) is associated with better glycemic control. There have been significant technological advances in blood glucose monitoring in the recent past, but the wider acceptance of these technologies is still debatable. AIM This study investigates the adoption of glucometers and the extent of the use of features in rural and urban India. METHODS The study uses Bass Model to predict the diffusion of innovation (DOI). Mathematical modeling was used to determine the stage of adoption (using 5-stage of DOI) and the Chi-Square test was used for examining the relationship between depth of implementation (extent of use) and place of residence. RESULTS The result of the study suggests that glucometer diffusion of innovation has passed the initial hurdle (chasm) in the urban population and is in the late majority. However, for rural respondents, the adoption of glucometers has just passed the chasm and falls under the early majority stage. The diffusion of innovation of combined rural and urban populations has just entered the late majority zone in 2022. The study suggests that a significant number of people with diabetes are still not using a glucometer and discusses the socio-economic issue related to this phenomenon. The utilization of the potential of a glucometer in SMBG falls under the localized shallow implementation category (not using advanced features). CONCLUSIONS The study suggests that the adoption of glucometer has just passed the initial hurdle in rural India, where two-thirds of the Indian population lives. Furthermore, the adoption of advanced glucometers is low among users.
Collapse
Affiliation(s)
- Vinaytosh Mishra
- College of Healthcare Management and Economics, Gulf Medical University, Ajman, United Arab Emirates.
| | - Lemai Nguyen
- Information Systems and Business Analytics, Deakin University, Australia.
| | - Nilmini Wickramasinghe
- Iverson Health Innovation Institute, Health and Bio-Statistics Department, Swinburne University of Technology, Australia.
| | | |
Collapse
|
10
|
Mishra V, Sharma MG. Digital transformation evaluation of telehealth using convergence, maturity, and adoption. Health Policy and Technology 2022. [DOI: 10.1016/j.hlpt.2022.100684] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
|
11
|
Gandhi A, Rastogi M, Yadav U, Mishra V, Srivastava A, Bharati A, Mishra S. A Pilot Study of Moderately Hypo-Fractionated Whole Pelvic Radiotherapy with Concurrent Chemotherapy and Image-Guided High Dose Rate Brachytherapy for Locally Advanced Cervical Carcinoma. Int J Radiat Oncol Biol Phys 2022. [DOI: 10.1016/j.ijrobp.2022.07.500] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
|
12
|
Soifer H, Mishra V, Malik S, Smith A, Chan S, Kessler L, Burrows F, Leoni M, Saunders A, Dale S. HNSCCs overexpressing wild-type HRAS are sensitive to combined tipifarnib and alpelisib treatment. Eur J Cancer 2022. [DOI: 10.1016/s0959-8049(22)00955-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
|
13
|
Deshmukh A, Kesari P, Pahelkar N, Suryawanshi A, Rathore I, Mishra V, Dupuis J, Xiao H, Gustchina A, Abendroth J, Labaied M, Yada R, Wlodawer A, Edwards T, Lorimer D, Bhaumik P. Structural insights of plasmepsin X from Plasmodium falciparum uncovering a novel inactivation mechanism of zymogen. Acta Cryst Sect A 2022. [DOI: 10.1107/s2053273322093470] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 03/19/2023]
|
14
|
Vincent E, Thenabadu S, Yiu C, Ayeni A, Osa-Iduma A, Mishra V. 966 The Surgical Handbook: Enhancing Surgical Education for Medical Students and Foundation Doctors. Br J Surg 2022. [DOI: 10.1093/bjs/znac269.413] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
Abstract
Abstract
Aim
In recent years, the GKT School of Medical Education has introduced a new curriculum resulting in a shift from a single surgical block to an integrated approach. After recognising the potential challenges that the lack of standardisation across various hospitals may cause, we created the Surgical Handbook to supplement learning, improve confidence in approaching surgical patients and prepare students for the United Kingdom Foundation Programme (UKFP).
Method
We sought authorisation for the Surgical Handbook from the GKT medical education faculty, assembled a team and conducted further background research. The National Undergraduate Curriculum by the Royal College of Surgeons of England was an excellent resource in the design of the Surgical Handbook. The handbook underwent multiple cycles of review by senior medical education faculty before its final digital and physical distribution for students.
Results
The Surgical Handbook has resulted in a sustained positive impact on surgical education for GKT students, with feedback highlighting it as an excellent additional resource for placements, exams, and the Foundation Programme.
Conclusions
Most doctors in the United Kingdom will undertake a surgical rotation as part of the Foundation Programme. Preparation for this role is essential and linked to the quality of undergraduate surgical education. Nevertheless, the importance of surgical teaching within the undergraduate curriculum remains a topic of debate. Our Surgical Handbook addresses this issue, and we are in the process of collaborating with other medical schools across the United Kingdom and beyond.
Collapse
Affiliation(s)
- E Vincent
- King's College London , London , United Kingdom
| | - S Thenabadu
- King's College London , London , United Kingdom
| | - C Yiu
- King's College London , London , United Kingdom
| | - A Ayeni
- King's College London , London , United Kingdom
| | - A Osa-Iduma
- King's College London , London , United Kingdom
| | - V Mishra
- King's College London , London , United Kingdom
| |
Collapse
|
15
|
Dua S, Sharma MG, Mishra V, Kulkarni SD. Modelling perceived risk in blockchain enabled supply chain utilizing fuzzy-AHP. JGOSS 2022. [DOI: 10.1108/jgoss-06-2021-0046] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Purpose
Blockchain has been considered a disrupting technology that can add value in various supply chains differently. The provenance framework matches the four blockchain capabilities of traceability, certifiability, trackability and verifiability to the five generic risks, namely, the financial risk, psychological risk, social risk, physical risk and performance risk. This will help in uncording which specific risk gets mitigated by the use of blockchain in a specific supply chain.
Design/methodology/approach
This study illustrates four supply chains, namely, pharmaceutical industry, fast moving consumer goods industry, precious metal and automotive industry, and maps the risks associated with them to the provenance framework wherein the applicability of blockchain is mapped. Fuzzy analytical hierarchical processing (F-AHP) is used to rank the risks in the supply chain.
Findings
Blockchain capabilities can elevate the provenance knowledge leading to assurance in terms of origin, authenticity, custody and integrity to mitigate the supply chain risks. Present work highlights the thrust areas across various supply chains and identifies the risk priority tasks aligning the contextual supply chain risks. This study has covered five major risk perceptions. This study contributes to the literature on blockchain, customer perceived risk, provenance and supply chain.
Practical implications
This methodology can be adopted to understand and market the application of blockchain in a supply chain. It brings the marketers and marketing perspective to the supply chain. Exhaustive risk perception can be included to get more comprehensive data on mapping the risks along different supply chains. Vertical extensions of this work can be consideration of other supply chains including dairy, fruits and vegetables, electronics and component assemblies to derive the comprehensive framework for mapping risk perceptions and thereby supply chain risk mitigation through blockchain technology.
Originality/value
This linkage between blockchain, perceived risk, applications in the supply chain and a tool to convince the customers about the blockchain applicability has not been discussed in the literature. Adopting the multi-criteria decision-making F-AHP approach, this study attempt to rank the risks and stimulate conversations around a common framework for multiple sectors.
Collapse
|
16
|
Singh J, Swaroop S, Sharma P, Mishra V. Real-time assessment of the Ganga river during pandemic COVID-19 and predictive data modeling by machine learning. Int J Environ Sci Technol (Tehran) 2022; 20:7887-7910. [PMID: 35915660 PMCID: PMC9328014 DOI: 10.1007/s13762-022-04423-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 05/19/2021] [Revised: 03/10/2022] [Accepted: 07/11/2022] [Indexed: 06/12/2023]
Abstract
In this study, four water quality parameters were reviewed at 14 stations of river Ganga in pre-, during and post-lockdown and these parameters were modeled by using different machine learning algorithms. Various mathematical models were used for the computation of water quality parameters in pre-, during and post- lockdown period by using Central Pollution Control Board real-time data. Lockdown resulted in the reduction of Biochemical Oxygen Demand ranging from 55 to 92% with increased concentration of dissolved oxygen at few stations. pH was in range of 6.5-8.5 of during lockdown. Total coliform count declined during lockdown period at some stations. The modeling of oxygen saturation deficit showed supremacy of Thomas Mueller model (R2 = 0.75) during lockdown over Streeter Phelps (R2 = 0.57). Polynomial regression and Newton's Divided Difference model predicted possible values of water quality parameters till 30th June, 2020 and 07th August, 2020, respectively. It was found that predicted and real values were close to each other. Genetic algorithm was used to optimize hyperparameters of algorithms like Support Vector Regression and Radical Basis Function Neural Network, which were then employed for prediction of all examined water quality metrics. Computed values from ANN model were found close to the experimental ones (R2 = 1). Support Vector Regression-Genetic Algorithm Hybrid proved to be very effective for accurate prediction of pH, Biochemical Oxygen Demand, Dissolved Oxygen and Total coliform count during lockdown. Supplementary Information The online version contains supplementary material available at 10.1007/s13762-022-04423-1.
Collapse
Affiliation(s)
- J. Singh
- School of Biochemical Engineering, IIT (BHU) Varanasi, Uttar Pradesh, Varanasi, 221005 India
| | - S. Swaroop
- School of Biochemical Engineering, IIT (BHU) Varanasi, Uttar Pradesh, Varanasi, 221005 India
| | - P. Sharma
- School of Biochemical Engineering, IIT (BHU) Varanasi, Uttar Pradesh, Varanasi, 221005 India
| | - V. Mishra
- School of Biochemical Engineering, IIT (BHU) Varanasi, Uttar Pradesh, Varanasi, 221005 India
| |
Collapse
|
17
|
Brahmbhatt N, Mishra V, Aggrawal R, Chaudhary S, Shah K, Priya P, Solanki S, Sheth H, Patel K, Suthar A, Patel K, Repswal P, Dongare A. P-059 Effect of outcome of microfluidic sperm sorter and conventional swim-up technique on DNA integrity of the sperm. Hum Reprod 2022. [DOI: 10.1093/humrep/deac107.055] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
Abstract
Study question
Does the approach of sperm preparation technique plays any role in sperm DNA Integrity
Summary answer
Outcome of the semen sample is directly proportional to the choice of preparation technique. Microfluidics improves sperm selection and results in better sperm DNA integrity
What is known already
Microfluidic systems are promising tools for fluid manipulation that can noninvasively separate motile sperm with higher hydrodynamics profile from the lower ones. It also enables to manipulate micro swimmers as compared to the traditional methods that to without centrifugation .As it is already known that Semen analysis and preparation is one of the most important aspects in andrology and microfluidics can improve sperm analysis and selection, therefore increasing the ART success rates
Study design, size, duration
Comparative study from July 2019 to Dec 2021 in IVF unit of IKDRC Hospital .A total number of 900 patients were enrolled in the study and were randomized by using computer generated list then divided into two groups, Group A contains 460 samples and Group B having 440 samples.
Participants/materials, setting, methods
Group A (n = 460) sample was prepared by using Microfluidic sperm Sorting technique and Group B (n = 440) sample was prepared by conventional Swim up technique. Samples were analyzed according to WHO 2010 laboratory manual for examination and processing of human sperm, including all normozoospermic samples. Primary outcomes of the study was DNA Fragmentation index (DFI) and it was evaluated by using sperm chromatin dispersion (SCD) test and secondary outcomes was Progressive motility .
Main results and the role of chance
DNA fragmentation index is significantly lower in group A where Microfluidic Sperm Sorting technique (MFSS )is used than in group B where conventional swim up technique is use (10.06% vs 34.2%, p<0.0001) significant values implies that DNA integrity is better in group A than in group B and progressive motility was also found to be significantly higher in group A as compared to group B (57.6%vs16.9%, p <0.001).
Limitations, reasons for caution
As sample size was smaller, larger randomized control studies are needed to strengthen these results and all normal samples were used for the analysis and preparation , abnormal parameters were not involved .
Wider implications of the findings
According to our study the samples prepared by Microfluidic technique have higher DNA integrity than samples prepared by Swim up technique. Lower DNA Fragmentation index in microfluidics outcome indicates lower DNA damage. Choice of technique for the preparation of semen sample also plays a key role in better sperm selection.
Trial registration number
N/A
Collapse
Affiliation(s)
- N Brahmbhatt
- IVF Unit -Department of obs and gynae , Embryology, ahemdabad, India
| | - V Mishra
- IVF Unit -Department of obs and gynae, obstetrics and gynaecology , ahemdabad, India
| | - R Aggrawal
- IVF Unit -Department of obs and gynae, obstetrics and gynaecology , ahemdabad, India
| | - S Chaudhary
- IVF Unit -Department of obs and gynae, obstetrics and gynaecology , ahemdabad, India
| | - K Shah
- IVF Unit -Department of obs and gynae, obstetrics and gynaecology , ahemdabad, India
| | - P Priya
- IVF Unit -Department of obs and gynae, obstetrics and gynaecology , ahemdabad, India
| | - S Solanki
- IVF Unit -Department of obs and gynae, obstetrics and gynaecology , ahemdabad, India
| | - H Sheth
- IVF Unit -Department of obs and gynae , Embryology, ahemdabad, India
| | - K Patel
- IVF Unit -Department of obs and gynae , Embryology, ahemdabad, India
| | - A Suthar
- IVF Unit -Department of obs and gynae , Embryology, ahemdabad, India
| | - K Patel
- IVF Unit -Department of obs and gynae , Embryology, ahemdabad, India
| | - P Repswal
- IVF Unit -Department of obs and gynae , Embryology, ahemdabad, India
| | - A Dongare
- IVF Unit -Department of obs and gynae, obstetrics and gynaecology , ahemdabad, India
| |
Collapse
|
18
|
Mishra V. Planning and Selection of Facility Layout in Healthcare Services. Hosp Top 2022; 102:35-43. [PMID: 35758293 DOI: 10.1080/00185868.2022.2088433] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022]
Abstract
Facility layout planning (FLP) is an integral part of the hospital layout design. The purpose of this article is to develop and elaborate a FLP method for a diabetes clinic using a case study approach. In this study, the Systematic Layout Planning (SLP) approach was used to design three alternatives to diabetes clinic design using group decision making. A multi-criterion decision-making (MCDM) approach, fuzzy-Technique for an order of preference by similarity to an ideal solution (fuzzy-TOPSIS) was used to select the best among the alternatives. The method used for the calculation of weight for various selection criteria was modified digital logic (MDL). The study elaborates the method using a diabetes specialty clinic but can be used for solving more complex selection problems as well. The research is the first of its kind to address the problem of FLP in the case of a diabetes clinic. The method can be easily adapted for layout selection in other specialty and multispecialty hospitals.
Collapse
Affiliation(s)
- Vinaytosh Mishra
- College of Healthcare Management and Economics, Gulf Medical University, Ajman, UAE
| |
Collapse
|
19
|
Mishra V, Desai R, Chhina AK, Raina J, Itare V, Patel M, Doshi R, Gangani K, Sachdeva R, Kumar G. Cardiovascular disease risk factors and outcomes of acute myocardial infarction in young adults in two nationwide cohorts in the united states. Eur J Prev Cardiol 2022. [DOI: 10.1093/eurjpc/zwac056.045] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
Abstract
Funding Acknowledgements
Type of funding sources: None.
Background
Acute myocardial infarction (AMI) can have considerable morbidity and devastating socioeconomic and psychological consequences in young adults. Previous studies reveal that the decline in mortality in AMI has mainly been in the older population while being comparatively less significant in younger patients. This study compares young adults (18 to 44 years) hospitalized with AMI across two nationwide cohorts, 2007 and 2017, in the United States (US). It examines the burden of AMI hospitalizations, the prevalence of comorbidities, and in-hospital outcomes in young adults a decade apart. It highlights the rise in AMI hospitalizations, lack of decrease in mortality, sex-based and racial disparities, the surge in post-MI complications, and the decline in reperfusion interventions in young AMI patients over a decade.
Purpose
Coronary heart disease prevalence is challenging to ascertain in younger adults because of limited data and frequent silent clinical presentations. AMI and its complications can cause considerable morbidity, psychological trauma, and socioeconomic burden in the young.
Methods
We identified hospitalizations for AMI in young adults in 2007 and 2017 using the weighted data from the National Inpatient Sample (NIS), which covers 20% of stratified data of all non-federal community hospitals in the US. We compared the following data between the two cohorts: admission rates, sociodemographic features, in-hospital morbidity, complications, mortality, rate of coronary interventions, and healthcare utilization between the two cohorts. We used Pearson’s Chi-square test and Mann-Whitney U test to compare categorical and continuous variables, respectively. We also applied multivariable regression analyses to assess and compare the risk of cardiovascular complications and in-hospital mortality while controlling for confounders, including age, sex, race, median household income quartile, primary insurance enrolment, and pre-existing comorbidities.
Results
AMI’s incidence was higher in males in both the cohorts, although with a decline (71.1% vs 66.1%), whereas it rose from 28.9% to 33.9% in females. Hypertension (47.8% vs 60.7%), smoking (49.7% vs 55.8%), obesity (14.8% vs 26.8%), and diabetes mellitus (22.0% vs 25.6%) increased in the 2017 cohort (Table 1). We found no significant difference in all-cause mortality (aOR = 1.01 (0.93-1.10), p=0.749). Post-AMI complications, cardiogenic shock (aOR = 1.16 (1.06-1.27), p=0.001), and fatal arrhythmias increased. Reperfusion interventions decreased in the 2017 cohort (PCI; aOR=0.95 (0.91-0.98), p<0.001; CABG; aOR=0.66 (0.61-0.71), p<0.001) (Table 2).
Conclusion
Our study highlights the rise in AMI hospitalizations, plateauing of mortality, gender disparity, the surge in post-MI complications, and a reassuring decline in the requirement of reperfusion interventions in young AMI patients over a decade.
Collapse
Affiliation(s)
- V Mishra
- Sir JJ Group of Hospitals, Mumbai, India
| | - R Desai
- Atlanta VA Medical Healthcare System, Cardiology, Atlanta, United States of America
| | - AK Chhina
- Washington D.C. Va Medical Center, Washington, DC, United States of America
| | - J Raina
- Brookdale University Hospital & Medical Center, Internal Medicine, Brooklyn, United States of America
| | - V Itare
- Brookdale University Hospital & Medical Center, Internal Medicine, Brooklyn, United States of America
| | - M Patel
- Smt. BK Shah Medical Institute and Research Centre, Medicine, Vadodara, India
| | - R Doshi
- St Joseph’s Regional Medical Center, Paterson, United States of America
| | - K Gangani
- Texas Health Arlington Memorial Hospital, Internal Medicine, Arlington, Texas, USA
| | - R Sachdeva
- Atlanta VA Medical Healthcare System, Cardiology, Atlanta, United States of America
| | - G Kumar
- Atlanta VA Medical Healthcare System, Cardiology, Atlanta, United States of America
| |
Collapse
|
20
|
Desai R, Mandal A, Peethala MM, Raju AR, Valdez-Aquino C, Fatima B, Raina J, Itare V, Mishra V, Jain A. Frequency, risk and predictors of type 2 myocardial infarction hospitalizations in young obese patients: A nationwide population-based analysis in the United States. Eur J Prev Cardiol 2022. [DOI: 10.1093/eurjpc/zwac056.190] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
Abstract
Abstract
Funding Acknowledgements
Type of funding sources: None.
Background
Obesity in the young population is emerging as a challenging health concern. Though there is a rising prevalence of obesity and its potential association with demand ischemia-related myocardial infarction, data remains non-existent to evaluate the association of obesity or higher body mass index (BMI) with type 2 myocardial infarction (T2MI). We aim to identify the frequency, risk and predictors of T2MI in young hospitalized obese patients compared to non-obese patients in this population-based study.
Methods
We used National Inpatient Sample (2018, ICD-10 codes) to identify T2MI in young (18-44 years) hospitalized patients. Obesity was identified from comorbidities or using diagnostic codes for BMI>30 kg/m2. We performed multivariable regression analysis for the primary outcome of odds of T2MI in young obese patients compared to non-obese patients. The frequency of T2MI was compared between obese vs non-obese patients in overall and subgroup populations. Sociodemographic characteristics and comorbidities in T2MI-obese vs. T2MI-non-obese cohorts were also compared. A p<0.05 was considered a threshold for statistical significance.
Results
Out of 1,268,255 young hospitalized patients with obesity, 555 had T2MI. T2MI was significantly higher in young obese than non-obese (44 T2MI/100000 hospitalizations in young obese patients vs. 17 T2MI/100000 hospitalizations in young non-obese patients, overall 0.04% in obese vs. 0.02% in non-obese, p<0.001). Multivariate analysis revealed higher odds of T2MI in obese than nonobese when adjusted for demographics (aOR 2.65, 95% CI:2.42-2.90, p<0.001) and social demographics with comorbidities (aOR 1.60, 95% CI:1.24-2.07, p<0.001). In young obese, higher risk was found with advancing age (OR 1.07, 95% CI 1.03-1.11, p=0.001), in males than females (aOR 2.70, p<0.001), and blacks (aOR 2.22, p=0.011) and Native Americans (OR 3.91, 95% CI: 1.13-13.49, p=0.011) vs whites. Comorbidities including chronic obstructive pulmonary disease (OR 1.86), chronic kidney disease (CKD, OR 2.36), rheumatoid arthritis/collagen vascular disease (RA/CVD, OR 3.04) Iin young obese patients independently increased the risk of T2MI hospitalizations [Table 1]. The T2MI-obese cohort had a significantly higher rate of hyperlipidemia, hypertension, diabetes, COPD, and prior history of MI and TIA/stroke compared to the T2MI-nonobese cohort [Table 2].
Conclusion
This nationwide analysis revealed a significantly higher risk of T2MI in young obese patients compared to nonobese after excluding patients with concomitant diagnoses of T1MI. Males, blacks compared to females and whites, and comorbidities including COPD, CKD and RA/CVD predicted a higher risk of T2MI in young obese patients. Future studies are warranted to evaluate the role of higher body mass index in myocardial oxygen demand-supply mismatch and short-term/long-term risk and outcomes of T2MI.
Collapse
Affiliation(s)
- R Desai
- Independent Researcher, Atlanta, United States of America
| | - A Mandal
- Vivekananda Institute of Medical Sciences, Kolkata, India
| | - MM Peethala
- Rajeev Gandhi Institute of Medical Sciences, Department of Medicine, Kadapa, India
| | - AR Raju
- Karuna Medical College, Department of Medicine, Palakkad, India
| | - C Valdez-Aquino
- Instituto Nacional de Diabetes (INDEN), Santo Domingo, Dominican Republic
| | - B Fatima
- Deccan College of Medical Sciences, Hyderabad, India
| | - J Raina
- Brookdale University Hospital & Medical Center, Brooklyn, United States of America
| | - V Itare
- Bronxcare Health System, Bronx, United States of America
| | - V Mishra
- Grant Govt. Medical College and Sir J. J. Group of Hospitals, Mumbai, India
| | - A Jain
- Mercy Catholic Medical Center, Internal Medicine, Darby, United States of America
| |
Collapse
|
21
|
Desai R, Mandal A, Peethala MM, Raju AR, Fatima B, Valdez-Aquino C, Raina J, Itare V, Mishra V, Jain A. Nationwide frequency, risk and outcomes of type-2 myocardial infarction in patients with versus without previously revascularized myocardial infarction (type 1). Eur J Prev Cardiol 2022. [DOI: 10.1093/eurjpc/zwac056.079] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022]
Abstract
Abstract
Funding Acknowledgements
Type of funding sources: None.
Background
Type 2 myocardial infarction (T2MI), due to a mismatch between myocardial oxygen demand and supply, is being increasingly recognized with improved diagnostics. The upsetting concern of developing T2MI in patients with prior revascularized occlusive acute myocardial infarction (AMI) or type 1 MI (T1MI) makes it crucial to define the clinical profile and outcomes of T2MI in revascularized patients of ACS.
Purpose
To determine the risk and prognosis of T2MI in patients who had previously had coronary revascularization (PCI or CABG)
Methods
We used the National Inpatient Sample (2018) dataset from the United States to identify T2MI adult hospitalizations using ICD-10 codes and define our study arm as T2MI excluding secondary T1MI diagnoses but having prior revascularized (with percutaneous coronary intervention or coronary artery bypass grafting) AMI. We then compared demographics and comorbidities in T2MI cohort with vs without personal history of revascularized AMI. We used multivariate analysis to study the odds of T2MI hospitalizations with prior revascularized AMI and in-hospital outcomes (all-cause mortality, cardiogenic shock and resource utilization) adjusting for confounders.
Results
There were 33155 T2MI adult hospitalizations after excluding AMI (median age 71 years, 50.6% male, 67.3% white); 1435 (4.3%) had previously revascularized AMI. T2MI in the study arm had higher chances of hospitalization with prior revascularized AMI when adjusted for socio-demographics (aOR 6.92, 95% CI:6.50-7.36, p<0.001) and socio-demographics with comorbidities (aOR 5.70, 95%CI: 5.48-5.94, p<0.001) (Table 1). Study arm often had elderly (≥65 years old, 78.4% vs 65.8%), male (66.6% vs 49.9%), white (76.7% vs 66.9%), upper socio-economic class (20.2 vs 16.8%), patients who were often admitted to non-electively (99.3 vs 97.1%) and to rural (10.5 vs 9.3%) hospitalizations compared to control arm. The study arm had a significantly higher prevalence of diabetes mellitus, hyperlipidemia, peripheral vascular disease, chronic obstructive pulmonary disease, renal failure, deficiency anemias, prior TIA/stroke, depression and smoking. T2MI cohort with prior revascularized AMI did not show any significant association with in-hospital all-cause mortality (1.7 vs 3.0%, aOR 0.49, 95%CI 0.18-1.34, p=0.164) and cardiogenic shock (1.7% vs 2.1%, p=0.399) however, had lower hospital expenditure (median USD 31273 vs 36567) and fewer transfers to other facilities (19.5 vs 22.1%) than those without prior revascularized AMI (Table 2).
Conclusion
Population-based analysis of this nationally representative sample revealed up to six times higher risk of developing T2MI in patients with prior history of AMI (revascularized) but without any significant impact on all-cause in-hospital mortality or cardiogenic shock. Future studies are warranted to assess the short-term/long-term outcomes of T2MI in high risk patient population with previously revascularized AMI.
Collapse
Affiliation(s)
- R Desai
- Independent Researcher, Atlanta, United States of America
| | - A Mandal
- Vivekananda Institute of Medical Sciences, Kolkata, India
| | - MM Peethala
- Rajeev Gandhi Institute of Medical Sciences, Department of Medicine, Kadapa, India
| | - AR Raju
- Karuna Medical College, Department of Medicine, Palakkad, India
| | - B Fatima
- Deccan College of Medical Sciences, Hyderabad, India
| | - C Valdez-Aquino
- Instituto Nacional de Diabetes (INDEN), Santo Domingo, Dominican Republic
| | - J Raina
- Brookdale University Hospital & Medical Center, Brooklyn, United States of America
| | - V Itare
- Bronxcare Health System, Bronx, United States of America
| | - V Mishra
- Grant Govt. Medical College and Sir J. J. Group of Hospitals, Mumbai, India
| | - A Jain
- Mercy Catholic Medical Center, Department of Internal Medicine, Darby, United States of America
| |
Collapse
|
22
|
Abstract
Purpose
The purpose of this study is to investigate the applications of blockchain in vaccine passport solution. The world is facing an unprecedented situation because of the COVID-19 pandemic. Many countries have witnessed sporadic lockdown and travel restrictions and it has marred trade and tourism. As the mass vaccination has started the life is slowly and steadily returning to true normal. Various countries are issuing vaccination passports to manage the immunization information and validate it. To realize vaccine-passport’s true potential, security and privacy concerns should be being taken care of. There is a need for studies to evaluate the emerging technology for the vaccine passport.
Design/methodology/approach
This study uses a mix of qualitative and quantitative methods to achieve its objective. This study uses a systematic literature review to analyze the potential of blockchain for vaccine passports. The case study of three different types of organizations implementing blockchain for vaccine passports was analyzed and results were presented. Last but not least, focus group discussion and search of secondary literature was to done to identify scientific, ethical and legal challenges associated with the use of vaccine passports. The method used for calculating the importance score of these challenges was analytical hierarchy process.
Findings
This study concludes that blockchain-based solutions are very suitable for vaccine passports and addresses the concern related to interoperability, privacy and security. The case study approach was used to elaborate the use of blockchain in three different options available for the vaccine. Last but not least, this study identifies the challenges faced by vaccine passport programs and suggests measures to overcome them. This study concludes that the ethical challenges associated with vaccine passports are more important and should be preferentially treated.
Research limitations/implications
This study is timely and will be he lpful for policymakers in designing the vaccine passport programs. It gives valuable insight to decision-makers evaluating technologies for the development of vaccine passport programs. This study identifies nine challenges to be tackled to making a vaccine passport program successful.
Originality/value
To the best of the author’s knowledge, this study is not able to find out a review on the use of blockchain technology for vaccine passports, and this study attempts to fill this gap. This study further discusses the cases of organizations that have implemented blockchain technology for vaccine passport programs.
Collapse
|
23
|
Das SK, Burma AD, Amudhan S, Mishra V, Mahapatra P, Ashok A, Philip M. Do children in India grow well into adolescents? Longitudinal analysis of growth transitions from Young Lives panel survey in India. Public Health 2021; 202:18-25. [PMID: 34875532 DOI: 10.1016/j.puhe.2021.10.010] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/18/2021] [Revised: 10/06/2021] [Accepted: 10/19/2021] [Indexed: 11/30/2022]
Abstract
OBJECTIVES Studies that examined the growth during late childhood and early adolescence beyond 8 years of age are very limited. Further, most studies have used dichotomized classification of stunting, thereby limiting the understanding of moderate stunting in childhood growth trajectory. We aimed to examine the course of stunting from childhood to adolescence by undertaking robust analyses of the Young Lives Survey (YLS) longitudinal data from India using multilevel categorization of stunting. STUDY DESIGN Retrospective cohort analysis was undertaken from YLS in India among 1827 children from the younger cohort born in 2001-02 with complete follow-up data in all five rounds of YLS collected in 2002, 2006, 2009, 2013, and 2016. METHODS A three-state multistate Markov model (not stunted, moderate, severe) was performed to estimate annual transition probabilities, mean sojourn-time, and transition-specific risk factors. RESULTS Between Round-one and Round-five, cross-sectional prevalence of severe stunting decreased from 10.4% (95% confidence interval [CI]: 7.8%, 13.7%) to 5.3% (95% CI: 3.8%, 7.3%), while moderate stunting increased from 19.9% (95% CI: 16.3%,23.9%) to 21.7% (95% CI: 18.4%, 24.9%). Mean Sojourn time estimation indicated a relatively concise state for moderate stunting. The stunting trajectory had shown gender differential where more faltering to severe stunting and lower recovery to the normal state was observed among girls between 8 and 12 years and among boys between 12 and 15 years. Compared with boys, girls had 40% excess likelihood (Hazard Ratio: 1.40; 95% CI 1.00 to 1.95) for moderate-to-severe stunting transition and also had 19% excess likelihood (Hazard Ratio: 1.19; 95% CI 1.01 to 1.40) of favorable transition (moderate-to-non-stunted). CONCLUSIONS The transition trajectory highlights preadolescence, especially among girls, as an additional window of opportunity to ensure better nutrition in adolescent life. With a fifth of adolescents living in India, study findings call for coordinated, multisectoral, age-appropriate, and gender-responsive approach to take India closer to meeting SDG-2.
Collapse
Affiliation(s)
- S K Das
- Department of Biostatistics, National Institute of Mental Health and Neuro Sciences, Bangalore, India
| | - A D Burma
- Department of Epidemiology, National Institute of Mental Health and Neuro Sciences, Bangalore, India
| | - S Amudhan
- Department of Epidemiology, National Institute of Mental Health and Neuro Sciences, Bangalore, India.
| | - V Mishra
- Consultant-Rapid Response Team, WHO, India
| | - P Mahapatra
- Department of Epidemiology, National Institute of Mental Health and Neuro Sciences, Bangalore, India
| | - A Ashok
- Department of Epidemiology, National Institute of Mental Health and Neuro Sciences, Bangalore, India
| | - M Philip
- Department of Biostatistics, National Institute of Mental Health and Neuro Sciences, Bangalore, India
| |
Collapse
|
24
|
Chandraker S, Dutt JK, Agrawal A, Roy H, Rajkumar, Chandrakar K, Mishra V. Development and Characterization of Epoxy-Based Polymeric Composite with Bio-particulates as Filler Material. Arab J Sci Eng 2021. [DOI: 10.1007/s13369-021-06221-2] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
|
25
|
Islam SMS, Mishra V, Siddiqui MU, Moses JC, Adibi S, Nguyen L, Wickramasinghe N. Smartphone Apps for Diabetes Medication Adherence: A Systematic Review (Preprint). JMIR Diabetes 2021; 7:e33264. [PMID: 35727613 PMCID: PMC9257622 DOI: 10.2196/33264] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/30/2021] [Revised: 02/24/2022] [Accepted: 04/08/2022] [Indexed: 11/13/2022] Open
Affiliation(s)
- Sheikh Mohammed Shariful Islam
- Institute for Physical Activity and Nutrition, School of Exercise and Nutrition Sciences, Faculty of Health, Deakin University, Melbourne, Australia
| | - Vinaytosh Mishra
- College of Healthcare Management and Economics, Gulf Medical University, Ajman, United Arab Emirates
| | - Muhammad Umer Siddiqui
- Department of Internal Medicine, Sidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, PA, United States
| | | | - Sasan Adibi
- School of Information Technology, Deakin University, Burwood, Australia
| | - Lemai Nguyen
- School of Information Technology, Deakin University, Burwood, Australia
| | - Nilmini Wickramasinghe
- Iverson Health Innovation Research Institute, Swinburne University of Technology, Melbourne, Australia
| |
Collapse
|
26
|
Suthar A, Sharma N, Mishra V, Aggarwal R, Sheth H, Patel K. P–082 Effect of semen hyper viscosity (SHV) on blastocyst formation rate and implantation rate. Hum Reprod 2021. [DOI: 10.1093/humrep/deab130.081] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
Abstract
Study question
Does semen hyper viscosity effects blastocyst formation rate
Summary answer
Hyper viscosity of semen sample later results in poor blastocyst formation rate and lower implantation rate.
What is known already
Normal range of semen hyper viscosity ranges between 12–29%.Highly viscous semen samples impairs the physical and chemical characteristics of seminal fluid and due to which seminal oxidative damage increases which further increases the ROS and reduces the sperm motility there are some factors that can affect the seminal viscosity out of which one is Male accessory gland infection, Hypo function of prostate seminal vesicles and varicoceles. SHV create hindrance in semen preparation.
Study design, size, duration
Retrospective study was conducted from June 2019 to Oct 2020 at IVF unit IKDRC hospital.
Participants/materials, setting, methods
142 patients were enrolled from June 2019 to Oct 2020 in IVF unit IKDRC hospital and divided into two groups. Group A (n = 83) patients with hyper semen viscosity and Group B (n = 69) patients with normal semen viscosity, inclusion and exclusion criteria’s were same for both the groups, only patient with normozoospermia were taken. Semen analysis was done by using WHO manual 2010.
Main results and the role of chance
In group A with hyper semen viscosity fertilization rate was (49.2% vs. 70% p = <0.001) vs in group B with normal semen viscosity which is significantly higher in group B, Blastocyst formation rate ( 18.4% vs 35% p = <0.01) and implantation rate (9.4% vs 20% p = <0.005) both are significantly higher in group B . Which implies fertilization rate , blastocyst formation rate and implantation rate is significantly lower in patients with semen hyper viscosity.
Limitations, reasons for caution
Larger randomized control studies are needed to strengthen these results.
Wider implications of the findings: Our study demonstrates that patients having higher semen viscosity have poor blastocyst formation rate and implantation rate due to oxidative stress.
Trial registration number
Not applicable
Collapse
Affiliation(s)
- A Suthar
- IKDRC -IVF UNIT, IKDRC HOSPITAL, ahmedabad, India
| | - N Sharma
- IKDRC Hospital - IVF Unit, Embryology, ahmedabad, India
| | - V Mishra
- IKDRC Hospital - IVF Unit, obs and gynae, ahmedabad, India
| | - R Aggarwal
- IKDRC Hospital - IVF Unit, obs and gynae, ahmedabad, India
| | - H Sheth
- IKDRC Hospital - IVF Unit, Embryology, ahmedabad, India
| | - K Patel
- IKDRC Hospital - IVF Unit, Embryology, ahmedabad, India
| |
Collapse
|
27
|
Patel K, Sharma N, Mishra V, Aggarwal R, Suthar A, Sheth H. P–109 Comparison between the outcome of sperm vitrification protocol and conventional slow freezing protocol for semen cryopreservation. Hum Reprod 2021. [DOI: 10.1093/humrep/deab130.108] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Abstract
Study question
Does sperm vitrification technique helps in increasing sperm survival and low DNA fragmentation index post warming.
Summary answer
Sperm vitrification protocol results in better motility, high progression and low DNA fragmentation index as compared to slow freezing.
What is known already
Cryopreservation is ceasing and resuming the cell metabolism, which can be achieved by different techniques like slow freezing and vitrification .Vitrification allows solidification of the cells and extracellular milieu into a glass like state without formation of ice which protects intracellular and extracellular ice formation, and further helps in avoiding different types of cryo-injuries and cellular damage. Study design, size, duration: Comparative study from July 2019 to Oct 2020 in IVF unit of IKDRC Hospital. Two hundred and ten patients were randomized by computer generated list and divided into two groups. Group 1 (n = 110) samples cryopreserved by vitrification and Group 2 (n = 100) samples cryopreserved by conventional slow freezing.
Participants/materials, setting, methods
Semen sample were analyzed by WHO 2010 laboratory manual, including all normozoospermic samples , other abnormal samples were excluded from the study . Method of semen preparation before cryopreservation is similar for both the groups, double density gradient method of preparation was used . Semen sample with high viscosity, hypo and hyper-spermia were also excluded. Similar cryovials of 2ml volume were used for both groups.
Main results and the role of chance
In group 1 where samples were cryopreserved by vitrification sperm motility was (54.3% vs 49.2%)vs in group 2 where samples were cryopreserved by slow freezing , non- significant difference were observed , but progressive motility was significantly higher in group 1 as compared to group 2 (36.8%vs17.9%) and DNA fragmentation index is significantly lower in group 1 vitrification than in group 2slow freezing ( 9.7% vs 20%).
Limitations, reasons for caution
Technical proficiency of the operator to avoid human errors and still larger randomized control studies are needed to strengthen these results
Wider implications of the findings: Our study demonstrates that vitrification is better than slow freezing of human sperm, improved survival rates with high progression were found with vitrification and low DNA fragmentation index were also observed in samples cryopreserved with vitrification protocol.
Trial registration number
Not applicable
Collapse
Affiliation(s)
- K Patel
- IKDRC-hospital, IVF UNIT, ahemdabad, India
| | - N Sharma
- IKDRC Hospital - IVF Unit, Embryology, Ahmedabad, India
| | - V Mishra
- IKDRC Hospital - IVF Unit, obs and gynae, Ahmedabad, India
| | - R Aggarwal
- IKDRC Hospital - IVF Unit, obs and gynae, Ahmedabad, India
| | - A Suthar
- IKDRC Hospital - IVF Unit, Embryology, Ahmedabad, India
| | - H Sheth
- IKDRC Hospital - IVF Unit, Embryology, Ahmedabad, India
| |
Collapse
|
28
|
Mishra V, Sharma MG. Telemedicine as frugal intervention to health care: A case of diabetes management. International Journal of Healthcare Management 2021. [DOI: 10.1080/20479700.2020.1870348] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
|
29
|
Elter Z, Mishra V, Grape S, Branger E, Jansson P, Balkeståhl LP, Hedberg M. DEVELOPMENT OF A MODELING APPROACH TO ESTIMATE RADIATION FROM A SPENT FUEL ROD QUIVER. EPJ Web Conf 2021. [DOI: 10.1051/epjconf/202124716006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
Before encapsulation of spent nuclear fuel in a geological repository, the fuels need to be verified for safeguards purposes. This requirement applies to all spent fuel assemblies, including those with properties or designs that are especially challenging to verify. One such example are quivers, a new type of containers used to hold damaged spent fuel rods. After placing damaged rods inside the quivers, they are sealed with a thick lid and the water is removed. The lid is thick enough to significantly reduce the amount of the gamma radiation penetrating through it, which can make safeguards verification from the top using gamma techniques difficult. Considering that the number of quivers at storage facilities is foreseen to increase in near future, studying the feasibility of verification is timely.
In this paper we make a feasibility study related to safeguards verification of quivers, aimed at investigating the gamma and neutron radiation field around a quiver designed by Westinghouse AB and filled with PWR fuel rods irradiated at the Swedish Ringhals site. A simplified geometry of the quiver and the detailed operational history of each rod are provided by Westinghouse and the reactor operator, respectively.
The nuclide inventory of the rods placed in the quiver and the emission source terms are calculated with ORIGEN-ARP. The radiation transport is modeled with the Serpent2 Monte Carlo code. The first objective is to assess the capability of the spent fuel attribute tester (SFAT) to verify the content for nuclear safeguards purposes. The results show that the thick quiver lid attenuates the gamma radiation, thereby making gamma radiation based verification from above the quiver difficult.
Collapse
|
30
|
Abstract
Although advances in knowledge and technology have improved outcomes in surgical cardiac patients over the last decade, complications following cardiac operations still remain to be potentially fatal. Gastrointestinal complications, in particular, tend to have high rates of reintervention and mortality following cardiac surgery, with ischemia and hemorrhage being two of the commonest underlying causes. The intention of this review is to identify which risk factors play important roles in predisposing patients to such complications and to gain better insight into the pathogenesis of the sequelae. Furthermore, strategies for prevention have been discussed to educate and increase awareness of how adverse cardiac surgical outcomes can be minimized.
Collapse
Affiliation(s)
- V Mishra
- St George's, University of London, Cranmer Terrace, UK
| | - S Hewage
- St George's, University of London, Cranmer Terrace, UK
| | - S Islam
- St George's, University of London, Cranmer Terrace, UK.,The Shrewsbury & Telford NHS Trust, Princess Royal Hospital, Telford, UK
| | - A Harky
- Department of Cardiothoracic Surgery, Liverpool Heart and Chest Hospital, Liverpool, UK.,Department of Congenital Cardiac Surgery, Alder Hey Children Hospital, Liverpool, UK.,Liverpool Centre for Cardiovascular Science, University of Liverpool and Liverpool Heart and Chest Hospital, Liverpool, UK
| |
Collapse
|
31
|
Chuong M, Bryant J, Kotecha R, Hall M, Contreras J, Mittauer K, Alvarez D, Herrera R, Romaguera T, Luciani G, Godley A, Mishra V, Gutierrez A. Median 50 Gy in 5 Consecutive Fractions Delivered with Stereotactic Magnetic Resonance Image-guided Radiation Therapy for Inoperable Pancreas Cancer. Int J Radiat Oncol Biol Phys 2020. [DOI: 10.1016/j.ijrobp.2020.07.901] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
|
32
|
Khanra D, Aggarwal P, Kumar H, Mishra V, Jain B, Reddy K. Is higher power shorter duration radiofrequency energy is better than lower power longer duration strategy in catheter ablation of atrial fibrillation A meta-analysis. Eur Heart J 2020. [DOI: 10.1093/ehjci/ehaa946.0572] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
Abstract
Background
An ideal strategy for radiofrequency ablation (RFA) of atrial fibrillation (AF) in the left atrium should be efficient enough to achieve transmural lesions in left atrium with no or minimal collateral tissue damage. Resistive heating of high power short duration (HPSD) RFA has been found to result in lesions larger in width but lesser in depth compared to lower power longer duration (LPLD) RFA in some experimental studies.
Purpose
This meta-analysis was performed to compare procedural, short-term and long-term outcomes of HPSD versus LPLD RFA of AF.
Methods
PubMed, Embase and Cochrane databases were systematically reviewed. Five observational studies meeting criteria were included in the meta-analysis. All the studies scored six or more points in the New-castle Ottawa scale. There were considerable variations in the ablation strategies across the studies. However, radiofrequency power more than 40W was considered as high power. Hypergeometric model with exact likelihood function was utilized for statistical analysis.
Results
Baseline parameters and ablation details have been depicted in Table 1. 740 patients with HPSD and 287 patients with LPLD ablation strategies, were followed up from 6 to 30 months. Total procedural time (P value <0.0001) and ablation time (P value <0.0001) were significantly lower in the HPSD group than LPLD group. However, the fluoroscopy time was similar (P value = 0.09) in both the groups (Table 2). There were no occurrences of atrio-esophageal fistula or pulmonary venous stenosis in any of the studies. Cardiac tamponade (P value = 0.56), stroke (P value = 0.70) and AF recurrences (P value = 0.81), were similar in both groups (Table 2).
Conclusion
Newer HPSD and conventional LPLD RFA, both the strategies are very safe procedure for treatment of RFA with low to no procedural complications. AF recurrence rates were reasonably high irrespective of ablation strategies, however, no strategy scored statistically better over the other one. Large randomized multi-centric studies with long-term follow up are needed to test the theoretical advantage of HPSD ablation over the traditional ablation strategy of AF.
Funding Acknowledgement
Type of funding source: None
Collapse
Affiliation(s)
- D Khanra
- All India Institute of Medical Sciences, Rishikesh, Rishikesh, India
| | | | - H Kumar
- GSVM Medical College, Kanpur, India
| | - V Mishra
- GSVM Medical College, Kanpur, India
| | - B Jain
- All India Institute of Medical Sciences, Rishikesh, Rishikesh, India
| | - K.K Reddy
- All India Institute of Medical Sciences, Rishikesh, Rishikesh, India
| |
Collapse
|
33
|
Bryant J, Mittauer K, Kotecha R, Contreras J, Alvarez D, Kalman N, Hall M, Luciani G, Romaguera T, Mishra V, Mehta M, Gutierrez A, Chuong M. Favorable Initial Outcomes of Abdominopelvic Reirradiation Using Dose-Escalated Magnetic Resonance Image-Guided Radiation Therapy. Int J Radiat Oncol Biol Phys 2020. [DOI: 10.1016/j.ijrobp.2020.07.1378] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
|
34
|
Sreenivasan K, Zhuang X, Longhurst J, Yang Z, Cordes D, Ritter A, Caldwell J, Mari Z, Litvan I, Bluett B, Mishra V. Resting state functional connectivity in levodopa non responsive Parkinson's disease patients with freezing of gait. Parkinsonism Relat Disord 2020. [DOI: 10.1016/j.parkreldis.2020.06.057] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
|
35
|
Mishra V, Sreenivasan K, Cordes D, Ritter A, Miller J, Mari Z, Litvan I, Caldwell J. Investigating the sensitivity of free-water corrected diffusion-weighted MRI measures to understand sex-specific alterations in Parkinson's disease with mild cognitive impairment. Parkinsonism Relat Disord 2020. [DOI: 10.1016/j.parkreldis.2020.06.058] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
|
36
|
Abstract
Novel coronavirus disease (COVID-19) has put restriction of travel, and social distancing has become a new normal. This outbreak of the pandemic has made telemedicine more relevant than ever. The objective of this study is to identify the factors affecting the rate of adoption of telemedicine and effect of the COVID-19 on these factors. The research develops five hypotheses to test the influence of a disease outbreak on the rate of telemedicine adoption. The method used for the study is the Wilcoxon signed-rank test, and the sampling method used for the study is purposive sampling. The respondents were taken from a multispecialty clinic in North India and the sample size for the study is 43. The study concludes that patients are seeing more value in the use of telemedicine during COVID-19. They are more willing to experiment with telemedicine and are not intimidated by the technology related to telemedicine.
Collapse
Affiliation(s)
- Vinaytosh Mishra
- Assistant Professor, QT & OM Area, FORE School of Management, New Delhi, India
| |
Collapse
|
37
|
|
38
|
Joshi D, Patil S, Dash P, Mishra V, Chaurasia R, Pathak A. Congenital myathenic syndrome associated with COLQ mutation: an interesting report. J Neurol Sci 2019. [DOI: 10.1016/j.jns.2019.10.1310] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
|
39
|
Witzig T, Sokol L, Kim W, Foss F, Jacobsen E, de la Cruz Vincente F, Caballero D, Advani R, Roncero Vidal J, Marin-Niebla A, Rodriguez Izquierdo A, de Ona Navarrete R, Terol M, Domingo-Domenech E, Rodriguez M, Piris M, Bolognese J, Janes M, Burrows F, Kessler L, Mishra V, Curry R, Kurman M, Scholz C, Gualberto A. TIPIFARNIB IN RELAPSED OR REFRACTORY ANGIOIMMUNOBLASTIC T-CELL LYMPHOMA (AITL) AND CXCL12+ PERIPHERAL T-CELL LYMPHOMA (PTCL): PRELIMINARY RESULTS FROM A PHASE 2 STUDY. Hematol Oncol 2019. [DOI: 10.1002/hon.32_2629] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
Affiliation(s)
- T. Witzig
- Laboratory Medicine and Pathology; Mayo Clinic; Rochester United States
| | - L. Sokol
- Hematology; H. Lee Moffitt Cancer Center & Research Institute; Tampa FL United States
| | - W. Kim
- Hematology - Oncology; Samsung Medical Center; Seoul Republic of Korea
| | - F. Foss
- Medical Oncology; Yale University School of Medicine; New Haven United States
| | - E. Jacobsen
- Medical Oncology; Dana-Farber Cancer Institute; Boston United States
| | | | - D. Caballero
- Hematology - Oncology; Hospital Universitario de Salamanca; Salamanca Spain
| | - R. Advani
- Medicine - Med/Oncology; Stanford University Medical Center; Palo Alto United States
| | | | - A. Marin-Niebla
- Hematology - Oncology; Vall D'Hebron Institute of Oncology; Barcelona Spain
| | | | | | - M.J. Terol
- Hematology; Hospital Clinico Universitario de Valencia; València Spain
| | | | | | - M.A. Piris
- Pathology; Fundación Jiménez Díaz; Madrid Spain
| | | | - M.R. Janes
- Biology; Wellspring Biosciences, Inc.; San Diego United States
| | - F. Burrows
- Research; Kura Oncology, Inc.; San Diego United States
| | - L. Kessler
- Development; Kura Oncology, Inc.; San Diego United States
| | - V. Mishra
- Development; Kura Oncology, Inc.; San Diego United States
| | - R. Curry
- Development; Kura Oncology, Inc.; Cambridge United States
| | - M. Kurman
- Development; Kura Oncology, Inc.; Cambridge United States
| | - C. Scholz
- Development; Kura Oncology, Inc.; Cambridge United States
| | - A. Gualberto
- Development; Kura Oncology, Inc.; Cambridge United States
| |
Collapse
|
40
|
Gualberto A, Scholz C, Mishra V, Janes M, Kessler L. PS1002 RHOE, CXCL12 AND CXCR3 MAY IDENTIFY COMPLETE RESPONSES IN ACUTE MYELOID LEUKEMIA PATIENTS TREATED WITH TIPIFARNIB. Hemasphere 2019. [DOI: 10.1097/01.hs9.0000562304.50732.0a] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
|
41
|
Gualberto A, Scholz C, Mishra V, Kessler L, Rodriguez M, Piris M, Witzig T. KIR3DL2 MUTATION MAY DEFINE A HIGH RATE OF RESPONSE OF AITL TO TIPIFARNIB. Hematol Oncol 2019. [DOI: 10.1002/hon.20_2630] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
Affiliation(s)
- A. Gualberto
- Development; Kura Oncology, Inc.; Cambridge United States
| | - C. Scholz
- Development; Kura Oncology, Inc.; Cambridge United States
| | - V. Mishra
- Development; Kura Oncology, Inc.; San Diego United States
| | - L. Kessler
- Development; Kura Oncology, Inc.; San Diego United States
| | | | - M. Piris
- Pathology; Fundación Jiménez Díaz; Madrid Spain
| | - T. Witzig
- Hematology; Hematopathology, Mayo Clinic; Rochester United States
| |
Collapse
|
42
|
Abstract
Diabetes is rising like an epidemic in India. The prevalence of diabetes in India has reached an alarming level of 72.95 millions. The purpose of this article is to assess the relative importance of various health care service attributes in diabetes care. Our study uses secondary research and focus group discussion to identify the attributes of a diabetes specialty clinic. The attributes included in the questionnaire were the quality of the care provide by the health care givers, spend per visit, hospitalization expense, waiting time and the distance to the hospital. Conjoint analysis was used to assess the relative importance of the attributes. It was found that the hospital’s quality was the most important attribute while the distance to the hospital was the attribute with the least importance. Although the quality of the hospital is the most important criterion in selecting a hospital in diabetes care, factors like waiting time, spend per visit, and hospitalization expense play an important role in the selection. We assess the relative importance of these factors for the diabetic patients in India. The study is first of its kind and could help policy makers in designing better health care services in diabetes care.
Collapse
Affiliation(s)
| | | | - S. K. Sharma
- Indian Institute of Technology (BHU), Varanasi, India
| |
Collapse
|
43
|
Ho A, Chau N, Bauman J, Bible K, Chintakuntlawar A, Cabanillas M, Wong D, Braña Garcia I, Brose M, Boni V, Even C, Razaq M, Mishra V, Bracken K, Wages D, Scholz C, Gualberto A. Preliminary results from a phase II trial of tipifarnib in squamous cell carcinomas (SCCs) with HRAS mutations. Ann Oncol 2018. [DOI: 10.1093/annonc/mdy287.002] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
|
44
|
Abstract
Purpose Diabetes is one of the major healthcare challenges in India. The chronic nature of the disease makes the lifetime cost of the treatment exorbitantly high. The medicine cost contributes a major size of expense in diabetes management. To make healthcare available to poorest of the poor, it is imperative to control the rising cost of diabetes treatment. The earlier research works done in this area focuses more on inventory management techniques to control the cost of healthcare. Less interest is shown in the role of better supply chain partnership (SCP) in reducing the cost of procurement of medicine. The purpose of this paper is to develop and use the SCP assessment framework for a diabetes clinic. The approach is generalized enough to be adopted for other similar organization. Design/methodology/approach This paper adopts self-assessment criteria of the European Foundation for Quality Management (EFQM) business excellence model for analysis of SCP in the supply chain of a private diabetes clinic in Varanasi. The paper uses analytic hierarchy process (AHP) method for calculation of weights of criteria. Findings The EFQM-based framework can be adopted as easy-to-use tool to make an objective assessment of the SCP. The proposed model in the study is a balanced model between enablers and results, which includes multiple assessment dimensions. The supply chain performance score of the diabetes clinic under study was found as the Tool Pusher, which means the effort in direction of SCP is not too good. The organization needs to clearly define the SCP goal and analyze the results to identify the gap areas. Originality/value The study is first of its kind and contributes to the literature by providing non-prescriptive and easy-to-use SCP assessment framework, for chronic disease care. The case study approach provides a procedure for the healthcare organization willing to adopt this approach.
Collapse
Affiliation(s)
| | | | - S K Sharma
- Indian Institute of Technology (BHU), Varanasi, India
| |
Collapse
|
45
|
Ho A, Chau N, Garcia IB, Ferte C, Even C, Burrows F, Kessler L, Mishra V, Magnuson K, Scholz C, Gualberto A. Preliminary Results From a Phase 2 Trial of Tipifarnib in HRAS-Mutant Head and Neck Squamous Cell Carcinomas. Int J Radiat Oncol Biol Phys 2018. [DOI: 10.1016/j.ijrobp.2017.12.156] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
|
46
|
Affiliation(s)
- Vinaytosh Mishra
- Department of Mechanical Engineering, Indian Institute of Technology University, Banaras Hindu University, Varanasi, India
| | - Cherian Samuel
- Department of Mechanical Engineering, Indian Institute of Technology University, Banaras Hindu University, Varanasi, India
| | - S. K. Sharma
- Department of Mechanical Engineering, Indian Institute of Technology University, Banaras Hindu University, Varanasi, India
| |
Collapse
|
47
|
Mishra V, Samuel C, Sharma SK. Decision of decentralization in a healthcare service – a case of diabetes management. International Journal of Healthcare Management 2018. [DOI: 10.1080/20479700.2018.1427907] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Affiliation(s)
- Vinaytosh Mishra
- Industrial Management, Department of Mechanical Engineering, Indian Institute of Technology, Banaras Hindu University, Varanasi, India
| | - Cherian Samuel
- Industrial Management, Department of Mechanical Engineering, Indian Institute of Technology, Banaras Hindu University, Varanasi, India
| | - S. K. Sharma
- Industrial Management, Department of Mechanical Engineering, Indian Institute of Technology, Banaras Hindu University, Varanasi, India
| |
Collapse
|
48
|
Houghton J, Yong J, Mishra V. Is hand grip strength a better marker for monitoring nutritional therapy than weight in patients on parental nutritional support? Clin Nutr ESPEN 2017. [DOI: 10.1016/j.clnesp.2017.07.032] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
|
49
|
Mishra V, Rajavashisth T. Shotha and the Unified Theory of Inflammatory Diseases 2017. J Ayurveda Integr Med 2017. [DOI: 10.1016/j.jaim.2017.05.006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022] Open
|
50
|
Witzig T, Sokol L, Jacobsen E, Advani R, Mondejar R, Piris M, Burrows F, Melvin C, Mishra V, Scholz C, Gualberto A. PRELIMINARY RESULTS FROM AN OPEN-LABEL, PHASE II STUDY OF TIPIFARNIB IN RELAPSED OR REFRACTORY PERIPHERAL T-CELL LYMPHOMA. Hematol Oncol 2017. [DOI: 10.1002/hon.2438_115] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
Affiliation(s)
- T. Witzig
- Laboratory Medicine and Pathology; Mayo Clinic; Rochester USA
| | - L. Sokol
- Medical Oncology; H. Lee Moffitt Cancer Center & Research Institute; Tampa USA
| | - E. Jacobsen
- Medical Oncology; Dana Farber Cancer Institute; Boston USA
| | - R. Advani
- Medicine - Med/Oncology; Stanford Cancer Institute; Palo Alto USA
| | - R. Mondejar
- Laboratorio de Genómica del Cáncer, IDIVAL-Instituto de Investigación Marqués de Valdecilla; Santander Spain
| | - M. Piris
- Pathology Service, Fundación Jiménez Díaz; Madrid Spain
| | - F. Burrows
- Research & Development; Kura Oncology; La Jolla USA
| | - C. Melvin
- Research & Development; Kura Oncology; La Jolla USA
| | - V. Mishra
- Research & Development; Kura Oncology; La Jolla USA
| | - C. Scholz
- Research & Development; Kura Oncology; La Jolla USA
| | - A. Gualberto
- Research & Development; Kura Oncology; La Jolla USA
| |
Collapse
|