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  1. Article ; Online: Protocol for developing telephone-based brief psychosocial intervention for COVID-19 patients in India

    Kannappa V Shetty / Upasana Sharma / Madhanraj Kalyanasundaram / Sanjeev Kumar / Urmila Bamney

    Journal of Family Medicine and Primary Care, Vol 11, Iss 9, Pp 5479-

    2022  Volume 5484

    Abstract: Introduction: The ongoing Coronavirus disease 2019 (COVID-19) pandemic has had a huge mental health impact on people, especially the infected population. They are at greater risk of developing psychological symptoms due to the fear of death and ... ...

    Abstract Introduction: The ongoing Coronavirus disease 2019 (COVID-19) pandemic has had a huge mental health impact on people, especially the infected population. They are at greater risk of developing psychological symptoms due to the fear of death and developing severe disability, lack of proper treatment and social restrictions, stigma, and discrimination. The early psychological symptoms, if ignored, may have long-term consequences on the health and well-being of COVID patients. Due to the COVID-19 pandemic, the mental health services have been impacted negatively, and the need for technology-based psychological interventions has been identified as an alternative treatment method. Hence, the Telephone-Based Brief Psycho-Social interventions (TBPSI) will be developed for COVID-19 patients. Materials and Method: A five-session tele psychosocial intervention including rapport establishment and assessment, supportive counselling, activity scheduling, relaxation technique, and post-assessment will be developed based on the extensive review of the literature. Face and content validation of the intervention package will be done by the mental health experts. Further, the feasibility of the intervention program will be tested on COVID-19 patients in the Dharwad district, and later, the same will be implemented across the COVID hospitals of Karnataka state. Discussion and Conclusion: The study results may bring new insights into the culturally sensitive technology-oriented interventions during this pandemic in the country. The paradigm may be shifted from routine treatment to cost-effective and time-based intervention in the public health system in India. The telephonic brief psychosocial interventions can be utilised as a mainstream treatment during non-emergency situations as well.
    Keywords covid-19 ; mental health ; telephone-based psychosocial intervention ; Medicine ; R
    Subject code 360
    Language English
    Publishing date 2022-01-01T00:00:00Z
    Publisher Wolters Kluwer Medknow Publications
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  2. Article ; Online: Interventions to promote household waste segregation

    Tanwi Trushna / Kavya Krishnan / Rachana Soni / Surya Singh / Madhanraj Kalyanasundaram / Kristi Sidney Annerstedt / Ashish Pathak / Manju Purohit / Cecilia Stålsby Lundbog / Yogesh Sabde / Salla Atkins / Krushna C. Sahoo / Kamran Rousta / Vishal Diwan

    Heliyon, Vol 10, Iss 2, Pp e24332- (2024)

    A systematic review

    2024  

    Abstract: Waste segregation at source, particularly at the household level, is an integral component of sustainable solid waste management, which is a critical public health issue. Although multiple interventions have been published, often with contradictory ... ...

    Abstract Waste segregation at source, particularly at the household level, is an integral component of sustainable solid waste management, which is a critical public health issue. Although multiple interventions have been published, often with contradictory findings, few authors have conducted a comprehensive systematic synthesis of the published literature. Therefore, we undertook a systematic review to synthesize all published interventions conducted in any country in the world which targeted household-level waste segregation with or without additional focus on recycling or composting.Following PRISMA guidelines, Web of Science, Medline, Global Health, and Google Scholar were searched using a search strategy created by combining the keywords ‘Waste’, ‘Segregation’, and ‘Household’. Two-stage blinded screening and consensus-based conflict resolution were done, followed by quality assessment, data extraction, and narrative synthesis.8555 articles were identified through the database searches and an additional 196 through grey literature and citation searching. After excluding 2229 duplicates and screening title abstracts of 6522 articles, 283 full texts were reviewed, and 78 publications reporting 82 intervention studies were included in the data synthesis.High methodological heterogeneity was seen, excluding the possibility of a meta-analysis. Most (n = 60) of the interventions were conducted in high-income countries. Interventions mainly focused on information provision. However, differences in the content of information communicated and mode of delivery have not been extensively studied. Finally, our review showed that the comparison of informational interventions with provision of incentives and infrastructural modifications needs to be explored in-depth. Future studies should address these gaps and, after conducting sufficient formative research, should aim to design their interventions following the principles of behaviour change.
    Keywords Solid waste ; Waste management ; Waste segregation ; Household ; Intervention ; Systematic review ; Science (General) ; Q1-390 ; Social sciences (General) ; H1-99
    Subject code 306
    Language English
    Publishing date 2024-01-01T00:00:00Z
    Publisher Elsevier
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  3. Article ; Online: Composition analysis (pick analysis) of waste generated from household

    Madhanraj Kalyanasundaram / Kavya Krishnan / Surya Singh / Krushna Chandra Sahoo / Rachna Soni / Vivek Parashar / Namrata Mathankar / Ashish Pathak / Yogesh Sabde / Cecilia Stålsby Lundborg / Salla Atkins / Kamran Rousta / Vishal Diwan

    Heliyon, Vol 9, Iss 9, Pp e19902- (2023)

    A pilot study in Ujjain city, India

    2023  

    Abstract: Waste segregation is an essential function in improving waste management. Waste segregation not only facilitates recycling and reduces waste going to landfills, rather it can benefit our environment and human in various ways. A pick analysis of waste ... ...

    Abstract Waste segregation is an essential function in improving waste management. Waste segregation not only facilitates recycling and reduces waste going to landfills, rather it can benefit our environment and human in various ways. A pick analysis of waste composition is used to characterize the household waste stream and thus can analyze the segregation rate among the residents. In addition, it can measure the actual waste sorting behaviour at the household/community level. The objective of the study was to assess feasibility of a large-scale waste composition study, identify methodological and operational challenges, and estimate the resources needed to conduct the main waste composition study in order to obtain and get indicative figures about waste generation, composition, and miss-sorted proportions. The study team went door-to-door to collect waste in colour coded bags. We also collected the socio-demographic data of the households. The collected waste was weighed and segregated to analyze the waste composition. The analysis was done among 45 households, and it was found that the per capita waste generation per day is 0.25 kg (0.24 kg from slum and 0.27 kg from non-slum). Challenges identified in conducting waste composition study were lack of standard waste fraction classifications, difficulty in recruitment of personnel to conduct study due to social taboo around waste, challenge in co-coordinating with Ujjain Municipal Corporation waste collection vehicle for collection of waste. 53 household activities were completed in 5 and half hours with INR 24685 (USD 300.5). Pick analysis could be adopted by the Ujjain Municipal Corporation after cost effective analysis to generate precise estimate of waste generation, resource recovery, efficient resource allocation and will help in future interventions and informed policy decision making to improve segregation.
    Keywords Waste segregation ; Slum and non-slum ; Waste fraction ; Pick analysis ; Waste characterization ; Science (General) ; Q1-390 ; Social sciences (General) ; H1-99
    Subject code 710 ; 650
    Language English
    Publishing date 2023-09-01T00:00:00Z
    Publisher Elsevier
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  4. Article: Syndromic surveillance system during mass gathering of Panchkroshi Yatra festival, Ujjain, Madhya Pradesh, India.

    Diwan, Vishal / Sharma, Upasana / Ganeshkumar, Parasuraman / Thangaraj, Jeromie Wesley Vivian / Muthappan, Sendhilkumar / Venkatasamy, Vettrichelvan / Parashar, Vivek / Soni, Priyank / Garg, Ankit / Pawar, Naveen Singh / Pathak, Ashish / Purohit, Manju R / Madhanraj, Kalyanasundaram / Hulth, Anette / Ponnaiah, Manickam

    New microbes and new infections

    2023  Volume 52, Page(s) 101097

    Abstract: Background: The health implications surrounding a mass gathering pose significant challenges to public health officials. The use of syndromic surveillance provides an ideal method for achieving the public health goals and objectives at such events. In ... ...

    Abstract Background: The health implications surrounding a mass gathering pose significant challenges to public health officials. The use of syndromic surveillance provides an ideal method for achieving the public health goals and objectives at such events. In the absence of published reports of systematic documentation of public health preparedness in mass gatherings in the local context, we describe the public health preparedness and demonstrate the operational feasibility of a tablet-based participatory syndromic surveillance among pilgrims during the annual ritual circumambulation-
    Methods: A real-time surveillance system was established from 2017-2019 to capture all the health consultations done at the designated points (medical camps) in the
    Results: In 2019, injuries were reported in the highest proportion (16.7%; 794/4744); most numbers of fever cases (10.6%; 598/5600) were reported in 2018, while 2017 saw the highest number of patient presentations of abdominal pain (7.73%; 498/6435).
    Conclusion: Public health and safety measures were satisfactory except for the need for setting up urinals along the fixed route of the circumambulation. A systematic data collection of selected symptoms among
    Language English
    Publishing date 2023-02-08
    Publishing country England
    Document type Journal Article
    ZDB-ID 2750179-6
    ISSN 2052-2975
    ISSN 2052-2975
    DOI 10.1016/j.nmni.2023.101097
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Effects of improved information and volunteer support on segregation of solid waste at the household level in urban settings in Madhya Pradesh, India (I-MISS)

    Madhanraj Kalyanasundaram / Yogesh Sabde / Kristi Sidney Annerstedt / Surya Singh / Krushna Chandra Sahoo / Vivek Parashar / Manju Purohit / Ashish Pathak / Cecilia Stålsby Lundborg / Kamran Rousta / Kim Bolton / Salla Atkins / Vishal Diwan

    BMC Public Health, Vol 21, Iss 1, Pp 1-

    protocol of a cluster randomized controlled trial

    2021  Volume 11

    Abstract: Abstract Background Segregation of household waste at the source is an effective and sustainable strategy for management of municipal waste. However, household segregation levels remain insufficient as waste management approaches are mostly top down and ... ...

    Abstract Abstract Background Segregation of household waste at the source is an effective and sustainable strategy for management of municipal waste. However, household segregation levels remain insufficient as waste management approaches are mostly top down and lack local support. The realisation and recognition of effective, improved and adequate waste management may be one of the vital drivers for attaining environmental protection and improved health and well-being. The presence of a local level motivator may promote household waste segregation and ultimately pro-environmental behaviour. The present cluster randomized control trial aims to understand if volunteer based information on waste segregation (I-MISS) can effectively promote increased waste segregation practices at the household level when compared with existing routine waste segregation information in an urban Indian setting. Methods This paper describes the protocol of an 18 month two-group parallel,cluster randomised controlled trialin the urban setting of Ujjain, Madhya Pradesh, India. Randomization will be conducted at ward level, which is the last administrative unit of the municipality. The study will recruit 425 households in intervention and control groups. Assessments will be performed at baseline (0 months), midline (6 months), end line (12 months) and post intervention (18 months). The primary outcome will be the comparison of change in proportion of households practicing waste segregation and change in proportion of mis-sorted waste across the study period between the intervention and control groups as assessed by pick analysis. Intention to treat analysis will be conducted. Written informed consent will be obtained from all participants. Discussion The present study is designed to study whether an external motivator, a volunteer selected from the participating community and empowered with adequate training, could disseminate waste segregation information to their community, thus promoting household waste segregation and ultimately ...
    Keywords Urban ; Household waste segregation ; Randomised controlled trials ; Solid waste management ; Protocol ; India ; Public aspects of medicine ; RA1-1270
    Subject code 710
    Language English
    Publishing date 2021-04-01T00:00:00Z
    Publisher BMC
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  6. Article ; Online: Effectiveness of mind mapping technique in information retrieval among medical college students in Puducherry-A pilot study

    Madhanraj Kalyanasundaram / Sherin Billy Abraham / Divija Ramachandran / Venkatachalam Jayaseelan / Joy Bazroy / Zile Singh / Anil Jacob Purty

    Indian Journal of Community Medicine, Vol 42, Iss 1, Pp 19-

    2017  Volume 23

    Abstract: Background: The traditional teaching learning methods involve a one way process of transmission of knowledge leaving the students lacking behind in creative abilities. Medical schools need to change their teaching strategies to keep the interest of ... ...

    Abstract Background: The traditional teaching learning methods involve a one way process of transmission of knowledge leaving the students lacking behind in creative abilities. Medical schools need to change their teaching strategies to keep the interest of students and empower them for future self- learning and critical thinking. Objective: To assess the impact of mind mapping technique in information retrieval among medical college students in Puducherry. Methods: A pilot study was conducted using experimental study design among sixth semester MBBS students (n = 64) at a medical college in Puducherry, India. One group (n = 32) followed the text reading method and another group (n = 32) followed the mind mapping technique to learn the same passage given to them. The knowledge about the topic was assessed using a pre designed questionnaire at baseline, day 0 and day 7. The knowledge gain is the primary outcome variable and is compared between two groups. The feedback regarding the teaching methods was obtained from the participants. Results: Mean knowledge score in the text group was lesser than the mind map group at baseline (2.6 Vs 3.5; p = 0.08). On Day 0, the mean score in text group was slightly lesser than the mind map group (8.7 Vs 9.0; p = 0.26). On Day 7, the mean score in mind map group is significantly more than the text group (8.9 Vs 8.5; p = 0.03). Conclusion: The mind mapping technique is an innovative and effective method in remembering things better than the routine way of reading texts.
    Keywords Information retrieval ; medical college ; mind map ; puducherry ; randomized controlled trial ; Public aspects of medicine ; RA1-1270
    Language English
    Publishing date 2017-01-01T00:00:00Z
    Publisher Wolters Kluwer Medknow Publications
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  7. Article ; Online: ­­Eleven tips for operational researchers working with health programmes

    Hemant Deepak Shewade / Asha Frederick / Madhanraj Kalyanasundaram / Joshua Chadwick / G. Kiruthika / T. Daniel Rajasekar / K. Gayathri / R. Vijayaprabha / R. Sabarinathan / Shri Vijay Bala Yogendra Shivakumar / Kathiresan Jeyashree / P. K. Bhavani / S. Aarthi / K. V. Suma / Delphina Peter Pathinathan / Raghavan Parthasarathy / M. Bhavani Nivetha / Jerome G. Thampi / Deiveegan Chidambaram /
    Tarun Bhatnagar / S. Lokesh / Shanmugasundaram Devika / Timothy S. Laux / Stalin Viswanathan / R. Sridhar / K. Krishnamoorthy / M. Sakthivel / S. Karunakaran / S. Rajkumar / M. Ramachandran / K. D. Kanagaraj / M. Kaleeswari / V. P. Durai / R. Saravanan / A. Sugantha / S. Zufire Hassan Mohamed Khan / P. Sangeetha / R. Vasudevan / R. Nedunchezhian / M. Sankari / N. Jeevanandam / S. Ganapathy / V. Rajasekaran / T. Mathavi / A. R. Rajaprakash / Lakshmi Murali / U. Pugal / K. Sundaralingam / S. Savithri / S. Vellasamy / D. Dheenadayal / P. Ashok / K. Jayasree / R. Sudhakar / K. P. Rajan / N. Tharageshwari / D. Chokkalingam / S. M. Anandrajkumar / T. S. Selvavinayagam / C. Padmapriyadarsini / Ranjani Ramachandran / Manoj V. Murhekar

    Global Health Action, Vol 16, Iss

    our experience based on implementing differentiated tuberculosis care in south India

    2023  Volume 1

    Abstract: Due to the workload and lack of a critical mass of trained operational researchers within their ranks, health systems and programmes may not be able to dedicate sufficient time to conducting operational research (OR). Hence, they may need the technical ... ...

    Abstract Due to the workload and lack of a critical mass of trained operational researchers within their ranks, health systems and programmes may not be able to dedicate sufficient time to conducting operational research (OR). Hence, they may need the technical support of operational researchers from research/academic organisations. Additionally, there is a knowledge gap regarding implementing differentiated tuberculosis (TB) care in programme settings. In this ‘how we did it’ paper, we share our experience of implementing a differentiated TB care model along with an inbuilt OR component in Tamil Nadu, a southern state in India. This was a health system initiative through a collaboration of the State TB cell with the Indian Council of Medical Research institutes and the World Health Organisation country office in India. The learnings are in the form of eleven tips: four broad principles (OR on priority areas and make it a health system initiative, implement simple and holistic ideas, embed OR within routine programme settings, aim for long-term engagement), four related to strategic planning (big team of investigators, joint leadership, decentralised decision-making, working in advance) and three about implementation planning (conducting pilots, smart use of e-tools and operational research publications at frequent intervals). These may act as a guide for other Indian states, high TB burden countries that want to implement differentiated care, and for operational researchers in providing technical assistance for strengthening implementation and conducting OR in health systems and programmes (TB or other health programmes). Following these tips may increase the chances of i) an enriching engagement, ii) policy/practice change, and iii) sustainable implementation.
    Keywords triaging for severe illness ; ending tb deaths ; differentiated tb care ; operational research ; technical support ; Public aspects of medicine ; RA1-1270
    Subject code 360
    Language English
    Publishing date 2023-12-01T00:00:00Z
    Publisher Taylor & Francis Group
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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