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Article ; Online: Planning and Selection of Facility Layout in Healthcare Services.

Mishra, Vinaytosh

2022 Volume 102, Issue 1, Page(s) 35–43

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) ... ...

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.
MeSH term(s)	Humans ; Fuzzy Logic ; Decision Making ; Hospitals ; Diabetes Mellitus ; Delivery of Health Care
Language	English
Publishing date	2022-06-26
Publishing country	United States
Document type	Journal Article
ZDB-ID	604270-3
ISSN	1939-9278 ; 0018-5868
ISSN (online)	1939-9278
ISSN	0018-5868
DOI	10.1080/00185868.2022.2088433
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Article ; Online: Factors affecting the adoption of telemedicine during COVID-19

Vinaytosh Mishra

Indian Journal of Public Health, Vol 64, Iss 6, Pp 234-

2020 Volume 236

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 ... ...

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.
Keywords	covid-19 ; diffusion innovation theory ; post-covid world ; technology adoption ; telemedicine ; Public aspects of medicine ; RA1-1270 ; covid19
Language	English
Publishing date	2020-01-01T00:00:00Z
Publisher	Wolters Kluwer Medknow Publications
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article: Factors affecting the adoption of telemedicine during COVID-19.

Mishra, Vinaytosh

Indian journal of public health

2020 Volume 64, Issue Supplement, Page(s) S234–S236

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.
MeSH term(s)	Adult ; Betacoronavirus ; COVID-19 ; Coronavirus Infections/epidemiology ; Female ; Humans ; Male ; Middle Aged ; Pandemics ; Pneumonia, Viral/epidemiology ; SARS-CoV-2 ; Telemedicine/organization & administration
Keywords	covid19
Language	English
Publishing date	2020-06-10
Publishing country	India
Document type	Journal Article
ZDB-ID	800737-8
ISSN	2229-7693 ; 0019-557X
ISSN (online)	2229-7693
ISSN	0019-557X
DOI	10.4103/ijph.IJPH_480_20
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Article ; Online: The accuracy of 10 g monofilament use for clinical screening of diabetes peripheral neuropathy among Indian population.

Hazari, Animesh / Mishra, Vinaytosh / Kumar, Praveen / Maiya, Arun

PloS one

2024 Volume 19, Issue 2, Page(s) e0297110

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 ...

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.
MeSH term(s)	Humans ; Diabetic Neuropathies ; Sensation ; ROC Curve ; Asian People ; India ; Diabetes Mellitus, Type 2/diagnosis ; Diabetes Mellitus, Type 2/epidemiology
Language	English
Publishing date	2024-02-23
Publishing country	United States
Document type	Journal Article
ZDB-ID	2267670-3
ISSN	1932-6203 ; 1932-6203
ISSN (online)	1932-6203
ISSN	1932-6203
DOI	10.1371/journal.pone.0297110
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Factors affecting the adoption of telemedicine during COVID-19

Mishra, Vinaytosh

Indian Journal of Public Health

2020 Volume 64, Issue 6, Page(s) 234

Keywords	General Medicine ; covid19
Language	English
Publisher	Medknow
Publishing country	in
Document type	Article ; Online
ZDB-ID	800737-8
ISSN	2229-7693 ; 0019-557X
ISSN (online)	2229-7693
ISSN	0019-557X
DOI	10.4103/ijph.ijph_480_20
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Clinical evaluation of painful diabetes peripheral neuropathy in type 2 diabetes patients: Lessons from expatriates in the United Arab Emirates.

Hazari, Animesh / Mishra, Vinaytosh / Agouris, Ioannis

Diabetes & metabolic syndrome

2023 Volume 17, Issue 9, Page(s) 102832

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 ... ...

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.
MeSH term(s)	Humans ; Diabetes Mellitus, Type 2/complications ; Diabetes Mellitus, Type 2/epidemiology ; United Arab Emirates/epidemiology ; Diabetic Neuropathies/diagnosis ; Diabetic Neuropathies/epidemiology ; Diabetic Neuropathies/etiology
Chemical Substances	phenyl di-n-pentylphosphinate (14656-17-8)
Language	English
Publishing date	2023-07-23
Publishing country	Netherlands
Document type	Journal Article
ZDB-ID	2273766-2
ISSN	1878-0334 ; 1871-4021
ISSN (online)	1878-0334
ISSN	1871-4021
DOI	10.1016/j.dsx.2023.102832
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article: Factors affecting the adoption of telemedicine during COVID-19

Mishra, Vinaytosh

Indian J Public Health

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.
Keywords	covid19
Publisher	WHO
Document type	Article
Note	WHO #Covidence: #32496263
Database	COVID19

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Article ; Online: Barriers and facilitators to reducing low-value care for the management of low back pain in Iran: a qualitative multi-professional study.

Parvar, Seyedeh Yasamin / Mojgani, Parviz / Lankarani, Kamran Bagheri / Poursaeed, Fereshteh / Mohamadi Jahromi, Leila Sadat / Mishra, Vinaytosh / Abbasi, Alireza / Shahabi, Saeed

BMC public health

2024 Volume 24, Issue 1, Page(s) 204

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 ... ...

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.
MeSH term(s)	Humans ; Low Back Pain/therapy ; Iran ; Low-Value Care ; Qualitative Research ; Health Services Accessibility
Language	English
Publishing date	2024-01-17
Publishing country	England
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	2041338-5
ISSN	1471-2458 ; 1471-2458
ISSN (online)	1471-2458
ISSN	1471-2458
DOI	10.1186/s12889-023-17597-1
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: What is holding back glucometer use? -A comparative study of rural and urban India.

Mishra, Vinaytosh / Nguyen, Lemai / Wickramasinghe, Nilmini / Shariful Islam, Sheikh Mohammed

Diabetes & metabolic syndrome

2022 Volume 16, Issue 12, Page(s) 102677

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 ... ...

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.
Language	English
Publishing date	2022-11-23
Publishing country	Netherlands
Document type	Journal Article
ZDB-ID	2273766-2
ISSN	1878-0334 ; 1871-4021
ISSN (online)	1878-0334
ISSN	1871-4021
DOI	10.1016/j.dsx.2022.102677
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Article ; Online: Smartphone Apps for Diabetes Medication Adherence: Systematic Review.

Islam, Sheikh Mohammed Shariful / Mishra, Vinaytosh / Siddiqui, Muhammad Umer / Moses, Jeban Chandir / Adibi, Sasan / Nguyen, Lemai / Wickramasinghe, Nilmini

JMIR diabetes

2022 Volume 7, Issue 2, Page(s) e33264

Abstract: Background: Diabetes is one of the leading noncommunicable chronic diseases globally. In people with diabetes, blood glucose levels need to be monitored regularly and managed adequately through healthy lifestyles and medications. However, various ... ...

Abstract	Background: Diabetes is one of the leading noncommunicable chronic diseases globally. In people with diabetes, blood glucose levels need to be monitored regularly and managed adequately through healthy lifestyles and medications. However, various factors contribute to poor medication adherence. Smartphone apps can improve medication adherence in people with diabetes, but it is not clear which app features are most beneficial. Objective: This study aims to systematically review and evaluate high-quality apps for diabetes medication adherence, which are freely available to the public in Android and Apple app stores and present the technical features of the apps. Methods: We systematically searched Apple App Store and Google Play for apps that assist in diabetes medication adherence, using predefined selection criteria. We assessed apps using the Mobile App Rating Scale (MARS) and calculated the mean app-specific score (MASS) by taking the average of app-specific scores on 6 dimensions, namely, awareness, knowledge, attitudes, intention to change, help-seeking, and behavior change rated on a 5-point scale (1=strongly disagree and 5=strongly agree). We used the mean of the app's performance on these 6 dimensions to calculate the MASS. Apps that achieved a total MASS mean quality score greater than 4 out of 5 were considered to be of high quality in our study. We formulated a task-technology fit matrix to evaluate the apps for diabetes medication adherence. Results: We identified 8 high-quality apps (MASS score≥4) and presented the findings under 3 main categories: characteristics of the included apps, app features, and diabetes medication adherence. Our framework to evaluate smartphone apps in promoting diabetes medication adherence considered physiological factors influencing diabetes and app features. On evaluation, we observed that 25% of the apps promoted high adherence and another 25% of the apps promoted moderate adherence. Finally, we found that 50% of the apps provided low adherence to diabetes medication. Conclusions: Our findings show that almost half of the high-quality apps publicly available for free did not achieve high to moderate medication adherence. Our framework could have positive implications for the future design and development of apps for patients with diabetes. Additionally, apps need to be evaluated using a standardized framework, and only those promoting higher medication adherence should be prescribed for better health outcomes.
Language	English
Publishing date	2022-06-21
Publishing country	Canada
Document type	Journal Article ; Review
ISSN	2371-4379
ISSN (online)	2371-4379
DOI	10.2196/33264
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