Collection of Thoughts Using Text Evidence
In: Institute of Scholars (InSc), 2020
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In: Institute of Scholars (InSc), 2020
SSRN
In: Environmental science and pollution research: ESPR, Band 31, Heft 43, S. 55069-55098
ISSN: 1614-7499
In: Environmental science and pollution research: ESPR, Band 26, Heft 7, S. 6652-6676
ISSN: 1614-7499
This document outlines one of the Centers in operation as a part of the broader ICT Center Model1. The concept that began with the goal of combining multiple Sustainable Development Goals (SDGs) to improve educational and employment opportunities for women resulted in ICT Center, including the fully functioning ICT Women's Center in Telangana State, India. Powered by solar energy, where skills trainings offered in the areas of computer, English, life skills and environment, aim to prepare young women for future careers and job opportunities. The document outlines various components that were required to begin operationalizing the Center, from infrastructural inputs to curriculum design and delivery. Initial months of operation revealed the high demand for the skills training provided through the Center, and as a result, continuous updates to the Center operations and programs are explored to accommodate the needs of newly interest participants as well as to continuously build upon initial training. The initial months also shed light on the importance of: active involvement of local leadership at each stage of project development; engagement of local district government leadership and offices (rural development office, public health initiatives); establishment of relationship with local educational institutions; and collaboration and enthusiasm of all parties involved in setting up the Center. The components outlined in the document will continue to develop as the operations moves forward. Particularly, continued efforts will take the forms of: monitoring energy production and consumption at the Center; partnerships strengthened with local educational institutions as well as target populations for computer skills training; engagement with local employers and input from local professionals as mentors and speakers on curriculum contents; building additional support for participants through advancing curriculum contents and related activities, based on participant feedback and course evaluations.
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This document outlines one of the Centers in operation as a part of the broader ICT Center Model1. The concept that began with the goal of combining multiple Sustainable Development Goals (SDGs) to improve educational and employment opportunities for women resulted in ICT Center, including the fully functioning ICT Women's Center in Telangana State, India. Powered by solar energy, where skills trainings offered in the areas of computer, English, life skills and environment, aim to prepare young women for future careers and job opportunities. The document outlines various components after the first year of execution of the ICT Center. It outlays a blue print for similar centers that could be set-up in smaller towns in India. It explains the vision and the mission of the ICT Center, followed by the key elements in the set-up process of the Center. Budgets and budget narrative explain the financial component of this program. It explains some of the processes followed in the first year, including inviting visitors and their interactions with the trainees. The report also outlays the Annual Calender and matches it to the curricular expectations at the Center. In addition, a vital strategy for the Center has been the solar panel installation, the data from which have been tracked since the beginning of the Center. The report presents the solar data and the energy consumption and reduction of electricity bills for the District Government. The report finally presents the curricular plans and the changes from the first year of implementation of the ICT Center. The changes were informed by the feedback from the students in the previous batches along with some new additions including environmental education for 2019-20 academic year.
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SSRN
In: Air quality, atmosphere and health: an international journal, Band 12, Heft 3, S. 259-270
ISSN: 1873-9326
Aim: The aim of the study is to know the opinion of the passengers travelling by bus in receiving oral health information in bus stands through various methods, and to know their knowledge, attitude and practice regarding the oral health.Material and Methods: A Cross-sectional study was carried out at ten bus stands of Ranga Reddy district, Telangana State. A 400 passengers were decided to be included as subjects to obtain information by interview method with a pretested questionnaire, for the sake of convenience as sampling was difficult. Descriptive statistics and chi-square test was applied using SPSS version 20.0. Results: A total of 400 passengers completed the survey. Eighty-five percent of the passengers agreed that bus stands should have oral health related information. Forty percent of the passengers preferred to receive oral hygiene instructions printed behind the ticket followed by posters and through television. Fifty-five percent of passengers preferred that oral health informative posters should be pasted near platforms.Conclusions: Majority of the passengers preferred to receive oral health information in bus stands. Hence, efforts should be directed by government in spreading the oral health information among public through this mode too.
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Background Surgery is the main modality of cure for solid cancers and was prioritised to continue during COVID-19 outbreaks. This study aimed to identify immediate areas for system strengthening by comparing the delivery of elective cancer surgery during the COVID-19 pandemic in periods of lockdown versus light restriction. Methods This international, prospective, cohort study enrolled 20 006 adult (≥18 years) patients from 466 hospitals in 61 countries with 15 cancer types, who had a decision for curative surgery during the COVID-19 pandemic and were followed up until the point of surgery or cessation of follow-up (Aug 31, 2020). Average national Oxford COVID-19 Stringency Index scores were calculated to define the government response to COVID-19 for each patient for the period they awaited surgery, and classified into light restrictions (index 60). The primary outcome was the non-operation rate (defined as the proportion of patients who did not undergo planned surgery). Cox proportional-hazards regression models were used to explore the associations between lockdowns and non-operation. Intervals from diagnosis to surgery were compared across COVID-19 government response index groups. This study was registered at ClinicalTrials.gov, NCT04384926. Findings Of eligible patients awaiting surgery, 2003 (10·0%) of 20 006 did not receive surgery after a median follow-up of 23 weeks (IQR 16–30), all of whom had a COVID-19-related reason given for non-operation. Light restrictions were associated with a 0·6% non-operation rate (26 of 4521), moderate lockdowns with a 5·5% rate (201 of 3646; adjusted hazard ratio [HR] 0·81, 95% CI 0·77–0·84; p<0·0001), and full lockdowns with a 15·0% rate (1775 of 11 827; HR 0·51, 0·50–0·53; p<0·0001). In sensitivity analyses, including adjustment for SARS-CoV-2 case notification rates, moderate lockdowns (HR 0·84, 95% CI 0·80–0·88; p<0·001), and full lockdowns (0·57, 0·54–0·60; p<0·001), remained independently associated with non-operation. Surgery beyond 12 weeks from diagnosis in patients without neoadjuvant therapy increased during lockdowns (374 [9·1%] of 4521 in light restrictions, 317 [10·4%] of 3646 in moderate lockdowns, 2001 [23·8%] of 11 827 in full lockdowns), although there were no differences in resectability rates observed with longer delays. Interpretation Cancer surgery systems worldwide were fragile to lockdowns, with one in seven patients who were in regions with full lockdowns not undergoing planned surgery and experiencing longer preoperative delays. Although short-term oncological outcomes were not compromised in those selected for surgery, delays and non-operations might lead to long-term reductions in survival. During current and future periods of societal restriction, the resilience of elective surgery systems requires strengthening, which might include protected elective surgical pathways and long-term investment in surge capacity for acute care during public health emergencies to protect elective staff and services. Funding National Institute for Health Research Global Health Research Unit, Association of Coloproctology of Great Britain and Ireland, Bowel and Cancer Research, Bowel Disease Research Foundation, Association of Upper Gastrointestinal Surgeons, British Association of Surgical Oncology, British Gynaecological Cancer Society, European Society of Coloproctology, Medtronic, Sarcoma UK, The Urology Foundation, Vascular Society for Great Britain and Ireland, and Yorkshire Cancer Research.
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Background Surgery is the main modality of cure for solid cancers and was prioritised to continue during COVID-19 outbreaks. This study aimed to identify immediate areas for system strengthening by comparing the delivery of elective cancer surgery during the COVID-19 pandemic in periods of lockdown versus light restriction. Methods This international, prospective, cohort study enrolled 20 006 adult (≥18 years) patients from 466 hospitals in 61 countries with 15 cancer types, who had a decision for curative surgery during the COVID-19 pandemic and were followed up until the point of surgery or cessation of follow-up (Aug 31, 2020). Average national Oxford COVID-19 Stringency Index scores were calculated to define the government response to COVID-19 for each patient for the period they awaited surgery, and classified into light restrictions (index 60). The primary outcome was the non-operation rate (defined as the proportion of patients who did not undergo planned surgery). Cox proportional-hazards regression models were used to explore the associations between lockdowns and non-operation. Intervals from diagnosis to surgery were compared across COVID-19 government response index groups. This study was registered at ClinicalTrials.gov, NCT04384926. Findings Of eligible patients awaiting surgery, 2003 (10·0%) of 20 006 did not receive surgery after a median follow-up of 23 weeks (IQR 16–30), all of whom had a COVID-19-related reason given for non-operation. Light restrictions were associated with a 0·6% non-operation rate (26 of 4521), moderate lockdowns with a 5·5% rate (201 of 3646; adjusted hazard ratio [HR] 0·81, 95% CI 0·77–0·84; p<0·0001), and full lockdowns with a 15·0% rate (1775 of 11 827; HR 0·51, 0·50–0·53; p<0·0001). In sensitivity analyses, including adjustment for SARS-CoV-2 case notification rates, moderate lockdowns (HR 0·84, 95% CI 0·80–0·88; p<0·001), and full lockdowns (0·57, 0·54–0·60; p<0·001), remained independently associated with non-operation. Surgery beyond 12 weeks from diagnosis in patients without neoadjuvant therapy increased during lockdowns (374 [9·1%] of 4521 in light restrictions, 317 [10·4%] of 3646 in moderate lockdowns, 2001 [23·8%] of 11827 in full lockdowns), although there were no differences in resectability rates observed with longer delays. Interpretation Cancer surgery systems worldwide were fragile to lockdowns, with one in seven patients who were in regions with full lockdowns not undergoing planned surgery and experiencing longer preoperative delays. Although short-term oncological outcomes were not compromised in those selected for surgery, delays and non-operations might lead to long-term reductions in survival. During current and future periods of societal restriction, the resilience of elective surgery systems requires strengthening, which might include protected elective surgical pathways and long- term investment in surge capacity for acute care during public health emergencies to protect elective staff and services. Funding National Institute for Health Research Global Health Research Unit, Association of Coloproctology of Great Britain and Ireland, Bowel and Cancer Research, Bowel Disease Research Foundation, Association of Upper Gastrointestinal Surgeons, British Association of Surgical Oncology, British Gynaecological Cancer Society, European Society of Coloproctology, Medtronic, Sarcoma UK, The Urology Foundation, Vascular Society for Great Britain and Ireland, and Yorkshire Cancer Research.
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Background: Surgery is the main modality of cure for solid cancers and was prioritised to continue during COVID-19 outbreaks. This study aimed to identify immediate areas for system strengthening by comparing the delivery of elective cancer surgery during the COVID-19 pandemic in periods of lockdown versus light restriction. Methods: This international, prospective, cohort study enrolled 20 006 adult (≥18 years) patients from 466 hospitals in 61 countries with 15 cancer types, who had a decision for curative surgery during the COVID-19 pandemic and were followed up until the point of surgery or cessation of follow-up (Aug 31, 2020). Average national Oxford COVID-19 Stringency Index scores were calculated to define the government response to COVID-19 for each patient for the period they awaited surgery, and classified into light restrictions (index 60). The primary outcome was the non-operation rate (defined as the proportion of patients who did not undergo planned surgery). Cox proportional-hazards regression models were used to explore the associations between lockdowns and non-operation. Intervals from diagnosis to surgery were compared across COVID-19 government response index groups. This study was registered at ClinicalTrials.gov, NCT04384926. Findings: Of eligible patients awaiting surgery, 2003 (10·0%) of 20 006 did not receive surgery after a median follow-up of 23 weeks (IQR 16-30), all of whom had a COVID-19-related reason given for non-operation. Light restrictions were associated with a 0·6% non-operation rate (26 of 4521), moderate lockdowns with a 5·5% rate (201 of 3646; adjusted hazard ratio [HR] 0·81, 95% CI 0·77-0·84; p<0·0001), and full lockdowns with a 15·0% rate (1775 of 11 827; HR 0·51, 0·50-0·53; p<0·0001). In sensitivity analyses, including adjustment for SARS-CoV-2 case notification rates, moderate lockdowns (HR 0·84, 95% CI 0·80-0·88; p<0·001), and full lockdowns (0·57, 0·54-0·60; p<0·001), remained independently associated with non-operation. Surgery beyond 12 weeks from diagnosis in patients without neoadjuvant therapy increased during lockdowns (374 [9·1%] of 4521 in light restrictions, 317 [10·4%] of 3646 in moderate lockdowns, 2001 [23·8%] of 11 827 in full lockdowns), although there were no differences in resectability rates observed with longer delays. Interpretation: Cancer surgery systems worldwide were fragile to lockdowns, with one in seven patients who were in regions with full lockdowns not undergoing planned surgery and experiencing longer preoperative delays. Although short-term oncological outcomes were not compromised in those selected for surgery, delays and non-operations might lead to long-term reductions in survival. During current and future periods of societal restriction, the resilience of elective surgery systems requires strengthening, which might include protected elective surgical pathways and long-term investment in surge capacity for acute care during public health emergencies to protect elective staff and services.
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