Identifying Wastes in Construction Process and Implementing the Last Planner System in India

Bhatla, Ankit,Pradhan, Bulu,Choi, Jin Ouk Korea Institute of Construction Engineering and Ma 2016 Journal of construction engineering and project ma Vol.6 No.1

Most of the Indian contractors are not well equipped to handle the growing demand of infrastructure development; hence construction projects frequently run in to time and cost overruns, disputes and quality issues. This study aims to improve the construction industry in India by implementing lean principles to eliminate non-value adding activities (wastes). The purpose of this study is to 1) identify the wastes and their sources affecting the construction process, and 2) to identify problems and document lessons by applying a Last Planner System (LPS) to a sample project. First, the researchers identified that Delays, Rework, and Interruptions were the most critical wastes affecting the construction process and Poor management control, Poor Planning and Shortage of Resources were the major sources of the above mentioned wastes. Second, the researchers report the Percent of Planned Complete (PPC) analysis results and experienced problems after implementation of LPS at the sample project. It was observed that much more improvement could have been achieved if there was consensus between the owners and the contractor on the implementation of the LPS in its entirety. Some of the problems experienced in the implementation of the LPS like lack of scheduling, resource and material shortage were found to be similar to those in developed countries.

Towards eradication of cervical cancer: 4th biennial conference of the Asia Oceania research organization on Genital Infections & Neoplasia (AOGIN)

Neerja Bhatla 대한부인종양학회 2010 Journal of Gynecologic Oncology Vol.21 No.2

Type-Specific Incidence and Persistence of HPV Infection among Young Women: A Prospective Study in North India

Datta, Palika,Bhatla, Neerja,Pandey, R.M.,Dar, Lalit,Patro, A. Rajkumar,Vasisht, Shachi,Kriplani, Alka,Singh, Neeta Asian Pacific Journal of Cancer Prevention 2012 Asian Pacific journal of cancer prevention Vol.13 No.3

Background: Infections with human papillomavirus (HPV) are highly prevalent among sexually active young women in India. However, not much is known about the incidence of type-specific human papillomavirus (HPV) infections and their patterns of persistence, especially in the Indian context. Objective: The objective of this study was to evaluate the rate of acquisition and persistence of HPV types in young women. Methods: Women residing in an urban slum in Delhi (n=1300) were followed for 24 months at 6 monthly intervals. Exfoliated cervical cells collected at each visit were tested for the presence of HPV DNA. Genotyping was performed using the reverse line blot assay. Results: The incidence rate for any HPV type was calculated to be 5 per 1000 women-months. Among high risk HPV types, HPV16 had the highest incidence rate followed by HPV59, HPV52 and HPV18, i.e., 3.0, 0.58, 0.41 and 0.35 women per 1000 women-months respectively. The persistence rate was higher for high-risk than low-risk HPV types. Among low-risk types, HPV42, HPV62, HPV84 and HPV89 were found to persist. Whereas almost all high risk types showed persistence, the highest rate was found in women with HPV types 16, 45, 67, 31, 51 and 59. The persistence rate for HPV16 infection was 45 per 1000 women-months. Conclusion: Incident HPV infections and high risk HPV type-specific persistence were found to be high in our study population of young married women. Understanding the patterns of HPV infection may help plan appropriate strategies for prevention programs including vaccination and screening.

Fabrication of nanoparticles deposition on the vertically-aligned CNT nanoarchitectures and SERS analysis

김영민,이영훈,Divij Bhatla,최덕현 대한기계학회 2014 대한기계학회 춘추학술대회 Vol.2014 No.4-4

National screening programs for cervical cancer in Asian countries

Eiko Saitoh Aoki,Rutie Yin,Kemin Li,Neerja Bhatla,Seema Singhal,Dwiana Ocviyanti,Kumiko Saika,서민아,김미선,Wichai Termrungruanglert 대한부인종양학회 2020 Journal of Gynecologic Oncology Vol.31 No.3

Cervical cancer is still one of the most common female cancers in Asia and the leading cause of cancer-related deaths in low- and middle-income countries. Nowadays, national screening programs for cervical cancer are widely provided in Asian countries. We reviewed the National Cancer Screening Program (NCSP) in China, India, Indonesia, Japan, Korea, and Thailand. The NCSP were established at varying times, from 1962 in Japan to 2014 in Indonesia. The primary screening method is based on cytology in all countries except for India and Indonesia. In India and Indonesia, visual inspection of the cervix with acetic acid (VIA) is mainly used as a primary screening method, and a “see and treat” strategy is applied to women with a positive VIA result. The starting age of NCSP ranges from 18 years in China to 30 years in Thailand. The screening interval is 2 years in all countries except for China and Indonesia, in which it is 3 years. Uptake rates of NCSP vary from 5.0%–59.7%. Many women in low- and middle-income countries still do not participate in NCSP. To improve uptake rates and thereby prevent more cases of cervical cancer, Asian countries should continue to promote NCSP to the public using various approaches.

Knowledge and awareness about fertility preservation among female patients with cancer : a cross-sectional study

( Reeta Mahey ),( Shobha Kandpal ),( Monica Gupta ),( Perumal Vanamail ),( Biostatistics ),( Neerja Bhatla ),( Neena Malhotra ) 대한산부인과학회 2020 Obstetrics & Gynecology Science Vol.63 No.4

Objective The incidence of women in the reproductive age group diagnosed with cancer has recently increased. However, very few patients opt for or are offered fertility preservation (FP) strategies because of a significant lack in awareness. The present study was conducted to evaluate the knowledge of the effect of cancer treatment on fertility and available options for FP. Methods This was a cross-sectional study conducted at a tertiary care center from March 2019 through August 2019. One hundred female patients with gynecological or nongynecological cancer and 18-40 years of age were interviewed. The participants were categorized on the basis of the modified Kuppuswamy socioeconomic status (SES) scale and the responses of the patients in the different categories were compared. Results More than half the patients (63%) were in the 20-35-year age group. Most of the patients (71%) were married, and of them, 28 (39.4%) desired to have children. Only 32% of the patients were aware of the detrimental effect of cancer and its treatment on future fertility, and of them, only 28% could specify the gonadotoxic effect of chemotherapy. Knowledge was significantly higher in the upper and middle SES levels than it was in the lower SES level (P<0.001). More than half of the patients (68%) were not aware of the existing FP options, whereas one-third of the patients (32%) were given information about FP by their physicians. Conclusion The overall awareness of the gonadotoxic effect of cancer therapy and available FP options in the present study was poor. Awareness of FP among both patients and clinicians needs to be increased.

Using Implementation Science to Advance Cancer Prevention in India

Krishnan, Suneeta,Sivaram, Sudha,Anderson, Benjamin O.,Basu, Partha,Belinson, Jerome L,Bhatla, Neerja,D' Cruz, Anil,Dhillon, Preet K.,Gupta, Prakash C.,Joshi, Niranjan,Jhulka, PK,Kailash, Uma,Kapambwe Asian Pacific Journal of Cancer Prevention 2015 Asian Pacific journal of cancer prevention Vol.16 No.9

Oral, cervical and breast cancers, which are either preventable and/or amenable to early detection and treatment, are the leading causes of cancer-related morbidity and mortality in India. In this paper, we describe implementation science research priorities to catalyze the prevention and control of these cancers in India. Research priorities were organized using a framework based on the implementation science literature and the World Health Organization's definition of health systems. They addressed both community-level as well as health systems-level issues. Community-level or "pull" priorities included the need to identify effective strategies to raise public awareness and understanding of cancer prevention, monitor knowledge levels, and address fear and stigma. Health systems-level or "push" and "infrastructure" priorities included dissemination of evidence-based practices, testing of point-of-care technologies for screening and diagnosis, identification of appropriate service delivery and financing models, and assessment of strategies to enhance the health workforce. Given the extent of available evidence, it is critical that cancer prevention and treatment efforts in India are accelerated. Implementation science research can generate critical insights and evidence to inform this acceleration.

Psychological impact of suspension/postponement of fertility treatments on infertile women waiting during COVID pandemic

Parul Jaiswal,Reeta Mahey,Shalini Singh,Perumal Vanamail,Monica Gupta,Rohitha Cheluvaraju,J B Sharma,Neerja Bhatla 대한산부인과학회 2022 Obstetrics & Gynecology Science Vol.65 No.2

ObjectiveTo assess the psychological impact of suspension/postponement of various fertility treatments on infertile womenduring the coronavirus disease 2019 (COVID-19) pandemic. MethodsThis was a cross-sectional study conducted as an online survey among infertile women consulting either throughteleconsultation or physical consultation at a fertility clinic of a tertiary care referral unit. A validated questionnairewas given as a WhatsApp link to the women who were consulting for the resumption of services. Questions askedwere based on their socio-demographic parameters, fertility treatment at the time of suspension, anxiety (selfreported)and stress (perceived stress scale-4, PSS-4) due to delay in treatment, psychosocial effect of pandemic, andwishes regarding the resumption of fertility services. ResultsOf 430 patients who received the questionnaire, 250 completed the survey (response rate: 58%). The mean ageof participants was 29.26±4.18 years and the majority (70.4%) had lower socioeconomic status. The average PSS-4score was 7.8±0.71, and the prevalence of self-reported anxiety was 72%. Those who suffered migration during thepandemic had significantly higher PSS-4 scores, and increasing age was associated with increased self-reported anxietydue to the suspension of fertility services. The top three priorities reported were infertility and treatment delay (48.4%),job loss (19.2%), and the risk of contracting COVID-19 infection (16%). The degree of spousal support was significantlycorrelated with lower PSS-4 scores (r=-0.30, P<0.01). On multivariate logistic analysis, duration of infertility, delayin treatment due to suspension of services, and fear of COVID-19 infection were significant predictors of stress andanxiety. ConclusionThis study emphasizes the need to investigate psychosocial health and to provide psychological support to thisvulnerable population in addition to triaging fertility treatments in a phased manner.