Publications by authors named "Wayal S"

Background: Onions are economically and nutritionally important vegetable crops. Despite advances in technology and acreage, Indian onion growers face challenges in realizing their full productivity potential. This study examines the technical efficiency of onion growers, the factors influencing it, and the constraints faced by those adopting drip irrigation in the Ghod river basin of western Maharashtra.

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Introduction: Mozambique has a high burden of Tuberculosis (TB) with an incidence of 368 per 100,000 population in 2020, coupled with a low all-form TB detection rate. The COVID-19 pandemic has exacerbated delays in timely diagnosis and treatment of new TB cases. Promoting active TB case finding is a national priority in Mozambique.

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Gay, bisexual, and other men who have sex with men (GBMSM) experience a high prevalence of psychosocial health problems, such as harmful substance use and depression, as well as being disproportionately affected by HIV. HIV Pre-Exposure Prophylaxis (PrEP) may provide psychosocial benefits beyond its intended purpose of reducing HIV infection. We explore the psychosocial impact of oral PrEP use on gay men in England using qualitative data from the PROUD study.

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'Bhallatakadi Ghrita' (BG), comprising the plant extracts of Semecarpus anacardium L., Argemone mexicana L., Cocculus hirsutus L.

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Article Synopsis
  • PrEP is an effective HIV prevention method, but successful use relies on consistent adherence to the medication.
  • A study involving interviews with 41 participants, mainly gay and bisexual men, revealed strong motivations to use PrEP, primarily due to perceived personal HIV risk and the drug's effectiveness.
  • Although concerns about side effects and HIV resistance were noted, practical daily factors like routines and habits were more influential in adherence, suggesting targeted support could improve PrEP usage.
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  • Partner notification (PN) is crucial for controlling sexually transmitted infections (STIs) by helping identify and treat sexual partners who may be at risk.
  • Effective PN targets individuals likely to have STIs and those engaging in risky sexual behaviors, needing measurable outcomes for better standards of care.
  • A new framework was developed through systematic review and consensus, proposing six outcome measures across five care stages, considering different types of sexual partnerships, which could also benefit other areas like Covid-19 contact tracing.
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Article Synopsis
  • The first UK national lockdown due to COVID-19 led to decreased sexual health services and necessitated an investigation into sexual behavior and healthcare needs during this time.
  • A survey of 2018 participants showed that, despite the lockdown, many still engaged in sexual activity, with a significant percentage reporting new partners and unmet needs for STI testing.
  • Compared to 2017 data, fewer participants in 2020 reported new sexual partners and unmet testing needs, indicating a shift in behavior during the pandemic, but still highlighting concerns about potential STI/HIV transmission.
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Objectives: To develop a classification of sexual partner types for use in partner notification (PN) for STIs.

Methods: A four-step process: (1) an iterative synthesis of five sources of evidence: scoping review of social and health sciences literature on partner types; analysis of relationship types in dating apps; systematic review of PN intervention content; and review of PN guidelines; qualitative interviews with public, patients and health professionals to generate an initial comprehensive classification; (2) multidisciplinary clinical expert consultation to revise the classification; (3) piloting of the revised classification in sexual health clinics during a randomised controlled trial of PN; (4) application of the Theoretical Domains Framework (TDF) to identify index patients' willingness to engage in PN for each partner type.

Results: Five main partner types emerged from the evidence synthesis and consultation: 'established partner', 'new partner', 'occasional partner', 'one-off partner' and 'sex worker'.

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Objectives: is widely considered as the Indian name for clarified butterfat and processing of with therapeutic herbs i.e., is renowned for augmenting their medicinal properties.

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Article Synopsis
  • The study aimed to identify factors predicting STI diagnoses among black minority ethnic groups in England, particularly those of black Caribbean heritage, to improve prevention strategies.
  • It analyzed survey responses from participants at sexual health clinics, linking them to STI diagnosis data, and revealed that STI incidence was significantly higher in black Caribbean individuals compared to white British/Irish participants.
  • Despite higher STI rates in black Caribbean participants, the research found no distinct predictors for this group, emphasizing the need for targeted STI prevention efforts.
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Background: Ghee is widely considered as the Indian name for clarified butterfat and processing of ghee with therapeutic herbs i.e. ghrita is renowned for augmenting their medicinal properties.

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Background: Digital technology offers good opportunities for HIV prevention. This systematic review assesses the effectiveness of interactive digital interventions (IDIs) for prevention of sexually transmitted HIV.

Methods: We conducted a systematic search for randomized controlled trials (RCTs) of IDIs for HIV prevention, defining 'interactive' as producing personally tailored material.

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Background: Ayurveda is primarily based upon use of herbs either singly or in combination (polyherbal). The cow ghee (clarified butterfat) is considered as a precious base for preparing medicines in Ayurveda. Processing of ghee with plant ingredients is renowned for enhancing their therapeutic efficacy.

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Article Synopsis
  • Partner notification (PN) seeks to identify and treat sexual partners of individuals with STIs, with accelerated partner therapy (APT) being a method that involves assessing partners before providing treatment through the index patient.
  • The Limiting Undetected Sexually Transmitted Infections to Reduce Morbidity program aims to evaluate the effectiveness of APT in reducing chlamydia transmission among heterosexual individuals and its potential population-level impact.
  • This study will include a randomized controlled trial across 17 sexual health clinics, involving over 5400 participants, with the primary outcome focused on STI positivity after 12-16 weeks and secondary outcomes including treatment rates, cost effectiveness, and patient experiences with APT.
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Background: Chemsex, the use of select psychoactive drugs to enhance sexual experience, typically among men who have sex with men (MSM), is associated with sexual behaviours with higher STI risk. Understanding patterns of chemsex among MSM as well as the characteristics and sexual health service engagement of chemsex participants is important for developing interventions.

Methods: Between 5/2016 to 5/2017, 3933 MSM completed an online survey, recruited in sexual health clinics (SHCs) in England (n=421) and via four social networking/dating apps (n=3512).

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We assessed attitudes to disclosure to new sexual partners and association with sexual behaviours among HIV-diagnosed gay, bisexual, and other men who have sex with men (GBMSM) in the UK Antiretrovirals, Sexual Transmission Risk and Attitudes (ASTRA) study in 2011-12. Among 1373 GBMSM diagnosed with HIV for ≥3 months and reporting sex in the past three months (84% on antiretroviral therapy (ART), 75% viral load (VL) ≤50c/mL), 56.3% reported higher sexual disclosure ("agree" or "tend to agree" with "I'd expect to tell a new partner I'm HIV-positive before we have sex").

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Background/introduction: In England, people of Black Caribbean (BC) ethnicity are disproportionately affected by sexually transmitted infections (STIs), but it is unclear whether this varies by their region of birth.

Aim(s)/objectives: To examine differences in STI diagnoses among UK- and Caribbean-born BC people.

Methods: Data on STI diagnoses in BC people attending specialist sexual health services (SHSs) during 2015 and living in England were obtained from the GUMCAD STI surveillance system, the national surveillance system for STIs in England.

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Background: Partner concurrency, (having sexual partnerships overlapping in time), especially when condoms are not used, can facilitate sexually transmitted infections (STI) transmission. In Britain, STI diagnoses rates and the reporting of concurrency are higher among black Caribbeans than other ethnic groups. We explored attitudes towards, drivers, characteristics, and contexts of concurrent partnerships, and their implications for STI risk among black Caribbeans in England.

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Objective: London has one of the highest identified prevalence of chemsex (sexualised recreational drug use) among men who have sex with men (MSM) in Europe. We examine MSM's patterns of chemsex and its association with HIV/STI risk behaviours, STI diagnoses and sexual healthcare-seeking behaviours, including if HIV testing behaviour met UK national guidelines (three monthly if engaging in chemsex).

Methods: Cross-sectional survey data from 2013 (n=905) and 2016 (n=739) were collected using anonymous, self-administered questionnaires from MSM recruited in commercial gay venues in London, UK.

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Background: In England, people of Black Caribbean (BC) ethnicity are disproportionately affected by sexually transmitted infections (STI). We examined whether differences in sexual healthcare behaviours contribute to these inequalities.

Methods: We purposively selected 16 sexual health clinics across England with high proportions of attendees of BC ethnicity.

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Objectives: Ethnic differences in partnership types and sexual mixing patterns may contribute to elevated STI diagnosis rates among England's Black Caribbean (BC) population. We examined the differences between BC and White British/Irish (WBI) sexual health clinic (SHC) attendees' reported partnerships and sexual mixing, and whether these differences could explain ethnic inequalities in STI, focusing on attendees reporting only opposite-sex partners (past year).

Methods: We surveyed attendees at 16 SHCs across England (May to September 2016), and linked their survey responses to routinely collected data on diagnoses of bacterial STI or trichomoniasis ±6 weeks of clinic attendance ('acute STI').

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Objectives: In the UK, men who have sex with men (MSM) bear a disproportionate sexually transmitted infection (STI) burden. We investigated MSM's STI knowledge; whether their STI testing behaviour met national guidelines (annually if sexually active; 3-monthly if engaging in STI risk behaviours); and the relationship between STI testing in the last 3 months, STI knowledge and STI risk behaviours by HIV status.

Methods: Sexually active (in the last year) men aged > 15 years who were UK residents and were recruited from gay-orientated online dating platforms completed an anonymous online survey about STI knowledge, STI risk behaviours, and STI testing (March-May 2017).

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