The Design, Development, and Implementation of a Web-Enabled Informatics Platform to Enhance the Well-being of Individuals Aged 18-24 Years
Journal Name | JMIR Research Protocol |
Volume | 2023 Mar 3;12:e38632 |
Authors | Bhavya Malhotra, Jagannath Sahoo, Mansi Gupta, Joshi A |
Development of an Artificial Intelligence-Guided Citizen-Centric Predictive Model for the Uptake of Maternal Health Services Among Pregnant Women Living in Urban Slum Settings in India: Protocol for a Cross-sectional Study With a Mixed Methods Design.
Journal Name | JMIR Research Protocol |
Volume | 2023 Jan 27;12:e35452 |
Authors | Shrivastava R, Singhal M, Gupta M, Joshi A |
A Scoping Review on COVID-19 Vaccine Hesitancy among the Lesbian, Gay, Bisexual, Transgender, Queer, Intersex and Asexual (LGBTQIA+) Community and Factors Fostering Its Refusal
Journal Name | Healthcare-MDPI |
Volume | 2023; 11(2):245 |
Authors | Jyotsna Needamangalam Balaji, Sreenidhi Prakash, Joshi A, Krishna Mohan Surapaneni |
Abstract
Background: The ramifications of the existing crisis caused by the coronavirus pandemic are sensed in all walks of life. Among the various efforts made to curb the spread of this novel infection, the development of COVID-19 vaccines had a profound role in flattening the pandemic curve. Even though the rapid vaccine drive received a highly welcoming response among people, the reluctance and ignorance of a part of the population towards available safe vaccines stand as impediments to achieving the desired outcome. The LGBTQIA+ (Lesbian, Gay, Bisexual, Transgender, Queer, Intersex and Asexual) communities are the least studied groups in this regard. Objective: The purpose of this study is to extensively review and report on COVID-19 vaccine uptake and refusal among the LGBTQIA+ population and enumerate the factors contributing to vaccine hesitancy. The study extends further to outline a conceptual framework for interventions to enhance COVID-19 vaccine acceptance among the LGBTQIA+ population. Methods: We performed a systematic search using key terms on Google Scholar and PubMed. The obtained results were filtered using the eligibility criteria framed for this study. The initial search provided an extensive result of 4510 articles which were later screened at various levels to arrive at the final inclusive collection of manuscripts adding to 17. The studies were analyzed by the authors individually, and the data were categorized using variables. The results are interpreted using charts and graphs. The whole manuscript has been structured in accordance with the PRISMA extension for scoping reviews. Result: The comprehensive search yielded 17 eligible articles for this review. Most of the studies were conducted in the United States (n = 17), and predominantly cross-sectional studies have been conducted. The major comparative factor was the HIV status of the LGBTQIA+ population. HIV-affected patients were more willing to take up COVID-19 vaccination. However, social stigma, discrimination, lack of access and non-prioritization in vaccine drives were found to be the major factors contributing to vaccine hesitancy among this population. Conclusion: The invention of the COVID-19 vaccination revolutionized the healthcare systems burdened with COVID-19. Although this is a breakthrough scientific contribution, many factors are associated with the rate of vaccine acceptance, especially among sexual and gender minorities. The reviewed studies have revealed numerous factors that influence vaccine uptake and refusal with the commonest being concerns on discrimination, social stigma, inequitable access to healthcare, vaccine safety, efficacy, potency, side effects and lack of trust in medical workers. These impediments in vaccine coverage should be meticulously addressed to ensure optimum LGBTQIA+ physical and mental health as well as for providing non-discriminative, equitable and quality healthcare service regardless of the gender or sexual orientation of individuals.
View DetailsScoping Review Using PRISMA-SCR on m-health Interventions on Self-care Management of Type 2 Diabetes at Home
Journal Name | J Nutr Food Sci. |
Volume | (2022) Volume 12, Issue 6 |
Authors | Abhijeet PS, Manmohan S, Mansi G, Joshi A |
Abstract
The goal of this study is to conduct a scoping evaluation of the global evidence on m-health interventions and to determine the efficacy of mobile based self-management interventions for type 2 diabetes mellitus.
A rigorous search of the PubMed and Scopus research databases was conducted. Studies on Type 2 diabetes conducted in age ranges 18-75 years and published in English worldwide from 2010 to 2020 are included. Randomized controlled trials (RCTs) using mobile based self-management for type 2 diabetes patients, as well as recording and analysis of results at the patient level, were among the studies. The studies were checked by the reviewer, and they were then independently reviewed by a second reviewer. The data was extracted, graphed, and the studies’ quality was evaluated. To deliver study outcomes and 27 recommendations, the scoping study approach employs Arksey and O’Malley’s operational framework. This work is presented using the PRISMA-SCR checklist.
The assessment comprised a total of 40 articles, all of which were RCT-based treatments studies with over 3800 participants. For this study, 40 original research publications were chosen. The chosen studies mostly focused on type 2 diabetes self-management (N=40) and hypertension self-management (N=2). The usage of mobile SMS (N=17) or mobile on phone (N=12), the content of session education with mobile (N=10) or the placement of mobile devices (N=4) were among the several treatments. The therapies were usually successful, resulting in better glucose control and improved health indices.
View DetailsEthical Conundrums in the Application of Artificial Intelligence (AI) in Healthcare – A Scoping Review of Reviews
Journal Name | Journal of Personalized Medicine |
Volume | 2022, 12(11), 1914 |
Authors | Prakash, S, Balaji, J. N, Joshi A, Surapaneni, K. M. |
Abstract
With the availability of extensive health data, artificial intelligence has an inordinate capability to expedite medical explorations and revamp healthcare.Artificial intelligence is set to reform the practice of medicine soon. Despite the mammoth advantages of artificial intelligence in the medical field, there exists inconsistency in the ethical and legal framework for the application of AI in healthcare. Although research has been conducted by various medical disciplines investigating the ethical implications of artificial intelligence in the healthcare setting, the literature lacks a holistic approach. Objective: The purpose of this review is to ascertain the ethical concerns of AI applications in healthcare, to identify the knowledge gaps and provide recommendations for an ethical and legal framework. Methodology: Electronic databases Pub Med and Google Scholar were extensively searched based on the search strategy pertaining to the purpose of this review. Further screening of the included articles was done on the grounds of the inclusion and exclusion criteria. Results: The search yielded a total of 1238 articles, out of which 16 articles were identified to be eligible for this review. The selection was strictly based on the inclusion and exclusion criteria mentioned in the manuscript. Conclusion: Artificial intelligence (AI) is an exceedingly puissant technology, with the prospect of advancing medical practice in the years to come. Nevertheless, AI brings with it a colossally abundant number of ethical and legal problems associated with its application in healthcare. There are manifold stakeholders in the legal and ethical issues revolving around AI and medicine. Thus, a multifaceted approach involving policymakers, developers, healthcare providers and patients is crucial to arrive at a feasible solution for mitigating the legal and ethical problems pertaining to AI in healthcare.
View DetailsA cross sectional study to examine factors influencing COVID-19 vaccine acceptance, hesitancy, and refusal in urban and rural settings in Tamil Nadu, India
Journal Name | PLoS One |
Volume | 2022, 17(6), e0269299 |
Authors | Joshi A, Surapaneni, K. M, Kaur, M, Bhatt, A, Nash, D, El-Mohandes, A |
Abstract
The second wave of the COVID-19 pandemic left the Indian healthcare system overwhelmed. The severity of a third wave will depend on the success of the vaccination drive; however, even with a safe and effective COVID-19 vaccine, hesitancy can be an obstacle to achieving high levels of coverage. Our study aims to estimate the population’s acceptance of the COVID-19 vaccine in an Indian district. A pilot community-based cross-sectional study was conducted from March-May 2021. The data was collected from eight primary health centres in Tamil Nadu. The eligible study participants were interviewed using a self-constructed questionnaire. A total of 3,130 individuals responded to the survey. Multinomial logistic regression was performed to assess the factors influencing COVID-19 vaccine hesitancy and refusal. Results of our study showed that 46% percent (n = 1432) of the respondents would accept the COVID-19 vaccine if available. Acceptance for the COVID-19 vaccine was higher among males (54%), individuals aged 18-24years (62%), those with higher education (77%), having the higher income (73%), and employed (51%). Individuals with no education (OR: 2.799, 95% CI = 1.103–7.108), and low income (OR: OR: 10.299, 95% CI: 4.879–21.741), were significant predictors of vaccine hesitancy (p < 0.05). Living in urban residence (OR: 0.699, 95% CI = 0.55–0.888) and age between 18 to 25 years (OR: 0.549, 95% CI = 0.309–0.977) were protective factor of COVID-19 vaccine hesitancy. While individuals in the age group 25-54years (OR = 1.601, 95%CI = 1.086–2.359), fewer education (OR = 4.8, 95% CI = 2.448–9.412,), low income (OR = 2.628, 95% CI = 1.777–3.887) and unemployment (OR = 1.351, 95% CI = 1.06–1.722) had high odds of refusing the COVID-19 vaccine. Concerns and suspicions about the safety of the COVID-19 vaccine (63%) was the major reasons causing hesitancy towards the COVID-19 vaccine The public health authorities and government need to design, develop and implement targeted interventions to enhance awareness about COVID-19 vaccines, and barriers and enablers to vaccine acceptance among individuals across diverse settings. Emphasis on involving local and religious leaders, ASHA workers, community healthcare workers, Anganwadi workers, and auxiliary nurse midwives can help to overcome context-specific barriers in areas of low COVID-19 vaccine acceptance, especially in rural settings.
View DetailsKnowledge, attitude, and practices related to COVID-19 pandemic in an Indian setting
Journal Name | Scientific Reports |
Volume | |
Authors | Joshi A, Surapaneni Krishna Mohan, Ashoo Grover, Ashruti Bhatt, Ritika Kaur, Mahima Kaur |
Physiological and Psychological Symptoms Post-Acute, Long-Post and Persistent Post COVID-19
Journal Name | Healthcare-MDPI |
Volume | 2022, 10(12), 2418 |
Authors | Krishna Mohan Surapaneni, Manmohan Singhal, Sofia Rani Saggu, Ashruti Bhatt, Priya Shunmathy, Joshi A |
Abstract
Background: The identification of persistent symptoms of chronic/long COVID-19 is crucial in understanding the management of long haulers of post COVID-19. Methods: Pub Med (Medline) database was scoped for original articles based on a search strategy related to the objectives. The selected articles post-screening were analyzed for variables relating to chronic/long COVID-19. Results were analyzed using descriptive statistics. Results: A total of 33 studies were reviewed. A total of 60% of the studies were observational studies and most of them were from high income countries. Almost half of the studies were in phase 3 of post-COVID-19, i.e., symptoms lasting >24 weeks. Among the physiological and psychological symptoms studied, fatigue, dyspnea, cough, headache, memory loss, depression, brain fog and lack of concentration were found to be the most frequently reported symptoms. Excessive sleep, constipation and neuropathic pain were among the least reported symptoms. Prior hospitalization, the female gender was found to be a risk factor. Limitations were reported by all studies. Conclusions: The major physiological and psychological symptoms of long COVID-19 have been explained with risk factors and its impact on patients’ lifestyles. The findings of this review hope to facilitate clinicians to draw conclusions to manage the long-term effects of post/chronic COVID-19.
View DetailsSwasthya Pahal (Health for all) using SMAART Informatics Framework In Rural And Urban Areas Of Chennai, Tamil Nadu: Protocol For A Quantitative Study
Journal Name | JMIR Research Protocol |
Volume | |
Authors | Joshi A, Surapaneni Krishna Mohan, Ashoo Grover, Harpreet Kaur, Sofia Rani Saggu, Doilyn Oliveria |
Landscape Analysis of Public Health Jobs in India to Develop an Evidence-Based Public Health Curriculum
Journal Name | Int J Environ Res Public Health |
Volume | 2022 Nov 25;19(23):15724 |
Authors | Joshi A, Bhatt A, Kaur M, Grover |
Abstract
The increase in communicable and non-communicable disease incidence and prevalence, changing population demographics, along with concerns about pandemics, natural disasters, and wars, have highlighted the challenges faced by health systems. The study aims to identify data on publicly posted public health jobs available to applicants eligible to work in India to identify the public health and allied fields workforce needs, skills, and expertise in India. A cross-sectional study was done in June-July 2021. The data was collected from eleven common job portals in India. Descriptive and content analysis was done to identify the most common job titles, educational level preferred/desired, skills, and experience required in the public health jobs in India. In total 382 unique public health and related fields jobs were analyzed. Job postings were most commonly classified as manager (n = 68), officer/lead (n = 61), analyst (n = 49), and consultant (n = 44). Around one-fifth of the jobs were based in Delhi (n = 98, 24%). About a quarter of the job postings required more than 8 years of experience (26%, n = 100). More than half of the job postings mentioned having the knowledge and understanding of data analysis and statistical approaches (n = 116, 64%). Around 15% (n = 193) of the job posting wanted the candidate to have expertise in communication. Skills were classified into various types such as software, technical, and language. Timely assessment of the curriculum should be done to impart skills related to the needs of the employers and prepare a skilled and competent public health workforce to address the 21st century public health challenges.
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