State of mental health services in various training centers in India during the lockdown and COVID-19 pandemic.
Identifieur interne : 000760 ( Main/Exploration ); précédent : 000759; suivant : 000761State of mental health services in various training centers in India during the lockdown and COVID-19 pandemic.
Auteurs : Sandeep Grover [Inde] ; Aseem Mehra [Inde] ; Swapnajeet Sahoo [Inde] ; Ajit Avasthi [Inde] ; Adarsh Tripathi [Inde] ; Avinash D'Souza [Inde] ; Gautam Saha [Inde] ; A. Jagadhisha [Inde] ; Mahesh Gowda [Inde] ; Mrugesh Vaishnav [Inde] ; Omprakash Singh [Inde] ; P K Dalal [Inde] ; Parmod Kumar [Inde]Source :
- Indian journal of psychiatry [ 0019-5545 ]
Abstract
Background
There is some information from different developed coutries that mental health services have been badly affected by the COVID-19 pandemic. Little information is available from India.
Aim
The aim of this study was to evaluate the impact of lockdown and COVID-19 pandemic on mental health services in India's various training centers.
Materials and Methods
In an online survey, information was collected from various training centers of India through E-mail or WhatsApp.
Results
Responses were received from 109 institutes. The majority of the responses were received from state-funded government medical colleges and private medical colleges. Since the lockdown and COVID-19 pandemic, brain stimulation treatments have completed stopped. Other, most affected services included electroconvulsive therapy, inpatient services, outpatient services, and psychotherapy services. However, there was an expansion of teleconsultations services because of the lockdown and the COVID-19 pandemic. In three-fourth of the centers mental health services were being provided to the patients with COVID-19 infection. In most of the institutes, mental health professionals were involved at different levels in the COVID-19 responsibilities. These included providing helpline services to the general public, screening people in quarantine for mental health issues, providing clinical care to COVID-19 patients, screening health care workers (HCWs) for mental health issues, and training the HCWs.
Conclusion
COVID-19 pandemic and lockdown have led to the collapse of regular mental health services. The present study also shows that mental health professionals are playing a significant role in addressing the prevailing psychiatric morbidity, specifically related to the COVID-19 related issues, and taking care of the HCWs.
DOI: 10.4103/psychiatry.IndianJPsychiatry_567_20
PubMed: 33165355
PubMed Central: PMC7597707
Affiliations:
Links toward previous steps (curation, corpus...)
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Jagadhisha</name><affiliation wicri:level="1"><nlm:affiliation>Abhaya Hospital, Bengaluru, Karnataka, India.</nlm:affiliation><country xml:lang="fr">Inde</country><wicri:regionArea>Abhaya Hospital, Bengaluru, Karnataka</wicri:regionArea><wicri:noRegion>Karnataka</wicri:noRegion></affiliation></author><author><name sortKey="Gowda, Mahesh" sort="Gowda, Mahesh" uniqKey="Gowda M" first="Mahesh" last="Gowda">Mahesh Gowda</name><affiliation wicri:level="1"><nlm:affiliation>Spandana Health Care, Bengaluru, Karnataka, India.</nlm:affiliation><country xml:lang="fr">Inde</country><wicri:regionArea>Spandana Health Care, Bengaluru, Karnataka</wicri:regionArea><wicri:noRegion>Karnataka</wicri:noRegion></affiliation></author><author><name sortKey="Vaishnav, Mrugesh" sort="Vaishnav, Mrugesh" uniqKey="Vaishnav M" first="Mrugesh" last="Vaishnav">Mrugesh Vaishnav</name><affiliation wicri:level="1"><nlm:affiliation>Samvedana Group of Hospital and Research Centre, Ahmedabad, Gujarat, India.</nlm:affiliation><country xml:lang="fr">Inde</country><wicri:regionArea>Samvedana Group of Hospital and Research Centre, Ahmedabad, Gujarat</wicri:regionArea><wicri:noRegion>Gujarat</wicri:noRegion></affiliation></author><author><name sortKey="Singh, Omprakash" sort="Singh, Omprakash" uniqKey="Singh O" first="Omprakash" last="Singh">Omprakash Singh</name><affiliation wicri:level="1"><nlm:affiliation>NRS Medical College, Kolkata, West Bengal, India.</nlm:affiliation><country xml:lang="fr">Inde</country><wicri:regionArea>NRS Medical College, Kolkata, West Bengal</wicri:regionArea><wicri:noRegion>West Bengal</wicri:noRegion></affiliation></author><author><name sortKey="Dalal, P K" sort="Dalal, P K" uniqKey="Dalal P" first="P K" last="Dalal">P K Dalal</name><affiliation wicri:level="1"><nlm:affiliation>King George's Medical University, Lucknow, Uttar Pradesh, India.</nlm:affiliation><country xml:lang="fr">Inde</country><wicri:regionArea>King George's Medical University, Lucknow, 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of Medical Education and Research, Mohali, Punjab, India.</nlm:affiliation><country xml:lang="fr">Inde</country><wicri:regionArea>Post Graduate Institute of Medical Education and Research, Mohali, Punjab</wicri:regionArea><wicri:noRegion>Punjab</wicri:noRegion></affiliation></author><author><name sortKey="Sahoo, Swapnajeet" sort="Sahoo, Swapnajeet" uniqKey="Sahoo S" first="Swapnajeet" last="Sahoo">Swapnajeet Sahoo</name><affiliation wicri:level="1"><nlm:affiliation>Post Graduate Institute of Medical Education and Research, Mohali, Punjab, India.</nlm:affiliation><country xml:lang="fr">Inde</country><wicri:regionArea>Post Graduate Institute of Medical Education and Research, Mohali, Punjab</wicri:regionArea><wicri:noRegion>Punjab</wicri:noRegion></affiliation></author><author><name sortKey="Avasthi, Ajit" sort="Avasthi, Ajit" uniqKey="Avasthi A" first="Ajit" last="Avasthi">Ajit Avasthi</name><affiliation wicri:level="1"><nlm:affiliation>Fortis Hospital, Mohali, Punjab, India.</nlm:affiliation><country xml:lang="fr">Inde</country><wicri:regionArea>Fortis Hospital, Mohali, Punjab</wicri:regionArea><wicri:noRegion>Punjab</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:affiliation>CMC, Chandigarh, India.</nlm:affiliation><country xml:lang="fr">Inde</country><wicri:regionArea>CMC, Chandigarh</wicri:regionArea><wicri:noRegion>Chandigarh</wicri:noRegion></affiliation></author><author><name sortKey="Tripathi, Adarsh" sort="Tripathi, Adarsh" uniqKey="Tripathi A" first="Adarsh" last="Tripathi">Adarsh Tripathi</name><affiliation wicri:level="1"><nlm:affiliation>King George's Medical University, Lucknow, Uttar Pradesh, India.</nlm:affiliation><country xml:lang="fr">Inde</country><wicri:regionArea>King George's Medical University, Lucknow, Uttar Pradesh</wicri:regionArea><wicri:noRegion>Uttar Pradesh</wicri:noRegion></affiliation></author><author><name sortKey="D Souza, Avinash" sort="D Souza, Avinash" uniqKey="D Souza A" first="Avinash" last="D'Souza">Avinash D'Souza</name><affiliation wicri:level="1"><nlm:affiliation>Lokmanya Tilak Municipal Medical College, Mumbai, Maharashtra, India.</nlm:affiliation><country xml:lang="fr">Inde</country><wicri:regionArea>Lokmanya Tilak Municipal Medical College, Mumbai, Maharashtra</wicri:regionArea><wicri:noRegion>Maharashtra</wicri:noRegion></affiliation></author><author><name sortKey="Saha, Gautam" sort="Saha, Gautam" uniqKey="Saha G" first="Gautam" last="Saha">Gautam Saha</name><affiliation wicri:level="1"><nlm:affiliation>Clinic Brain Neuropsychiatric Institute and Research Center, Bengaluru, Karnataka, India.</nlm:affiliation><country xml:lang="fr">Inde</country><wicri:regionArea>Clinic Brain Neuropsychiatric Institute and Research Center, Bengaluru, Karnataka</wicri:regionArea><wicri:noRegion>Karnataka</wicri:noRegion></affiliation></author><author><name sortKey="Jagadhisha, A" sort="Jagadhisha, A" uniqKey="Jagadhisha A" first="A" last="Jagadhisha">A. Jagadhisha</name><affiliation wicri:level="1"><nlm:affiliation>Abhaya Hospital, Bengaluru, Karnataka, India.</nlm:affiliation><country xml:lang="fr">Inde</country><wicri:regionArea>Abhaya Hospital, Bengaluru, Karnataka</wicri:regionArea><wicri:noRegion>Karnataka</wicri:noRegion></affiliation></author><author><name sortKey="Gowda, Mahesh" sort="Gowda, Mahesh" uniqKey="Gowda M" first="Mahesh" last="Gowda">Mahesh Gowda</name><affiliation wicri:level="1"><nlm:affiliation>Spandana Health Care, Bengaluru, Karnataka, India.</nlm:affiliation><country xml:lang="fr">Inde</country><wicri:regionArea>Spandana Health Care, Bengaluru, Karnataka</wicri:regionArea><wicri:noRegion>Karnataka</wicri:noRegion></affiliation></author><author><name sortKey="Vaishnav, Mrugesh" sort="Vaishnav, Mrugesh" uniqKey="Vaishnav M" first="Mrugesh" last="Vaishnav">Mrugesh Vaishnav</name><affiliation wicri:level="1"><nlm:affiliation>Samvedana Group of Hospital and Research Centre, Ahmedabad, Gujarat, India.</nlm:affiliation><country xml:lang="fr">Inde</country><wicri:regionArea>Samvedana Group of Hospital and Research Centre, Ahmedabad, Gujarat</wicri:regionArea><wicri:noRegion>Gujarat</wicri:noRegion></affiliation></author><author><name sortKey="Singh, Omprakash" sort="Singh, Omprakash" uniqKey="Singh O" first="Omprakash" last="Singh">Omprakash Singh</name><affiliation wicri:level="1"><nlm:affiliation>NRS Medical College, Kolkata, West Bengal, India.</nlm:affiliation><country xml:lang="fr">Inde</country><wicri:regionArea>NRS Medical College, Kolkata, West Bengal</wicri:regionArea><wicri:noRegion>West Bengal</wicri:noRegion></affiliation></author><author><name sortKey="Dalal, P K" sort="Dalal, P K" uniqKey="Dalal P" first="P K" last="Dalal">P K Dalal</name><affiliation wicri:level="1"><nlm:affiliation>King George's Medical University, Lucknow, Uttar Pradesh, India.</nlm:affiliation><country xml:lang="fr">Inde</country><wicri:regionArea>King George's Medical University, Lucknow, Uttar Pradesh</wicri:regionArea><wicri:noRegion>Uttar Pradesh</wicri:noRegion></affiliation></author><author><name sortKey="Kumar, Parmod" sort="Kumar, Parmod" uniqKey="Kumar P" first="Parmod" last="Kumar">Parmod Kumar</name><affiliation wicri:level="1"><nlm:affiliation>Dr Parmod Clinic, Chandigarh, India.</nlm:affiliation><country xml:lang="fr">Inde</country><wicri:regionArea>Dr Parmod Clinic, Chandigarh</wicri:regionArea><wicri:noRegion>Chandigarh</wicri:noRegion></affiliation></author></analytic><series><title level="j">Indian journal of psychiatry</title><idno type="ISSN">0019-5545</idno></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>Background</b></p><p>There is some information from different developed coutries that mental health services have been badly affected by the COVID-19 pandemic. Little information is available from India.</p></div><div type="abstract" xml:lang="en"><p><b>Aim</b></p><p>The aim of this study was to evaluate the impact of lockdown and COVID-19 pandemic on mental health services in India's various training centers.</p></div><div type="abstract" xml:lang="en"><p><b>Materials and Methods</b></p><p>In an online survey, information was collected from various training centers of India through E-mail or WhatsApp.</p></div><div type="abstract" xml:lang="en"><p><b>Results</b></p><p>Responses were received from 109 institutes. The majority of the responses were received from state-funded government medical colleges and private medical colleges. Since the lockdown and COVID-19 pandemic, brain stimulation treatments have completed stopped. Other, most affected services included electroconvulsive therapy, inpatient services, outpatient services, and psychotherapy services. However, there was an expansion of teleconsultations services because of the lockdown and the COVID-19 pandemic. In three-fourth of the centers mental health services were being provided to the patients with COVID-19 infection. In most of the institutes, mental health professionals were involved at different levels in the COVID-19 responsibilities. These included providing helpline services to the general public, screening people in quarantine for mental health issues, providing clinical care to COVID-19 patients, screening health care workers (HCWs) for mental health issues, and training the HCWs.</p></div><div type="abstract" xml:lang="en"><p><b>Conclusion</b></p><p>COVID-19 pandemic and lockdown have led to the collapse of regular mental health services. The present study also shows that mental health professionals are playing a significant role in addressing the prevailing psychiatric morbidity, specifically related to the COVID-19 related issues, and taking care of the HCWs.</p></div></front></TEI><pubmed><MedlineCitation Status="PubMed-not-MEDLINE" Owner="NLM"><PMID Version="1">33165355</PMID><DateRevised><Year>2020</Year><Month>11</Month><Day>13</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Print">0019-5545</ISSN><JournalIssue CitedMedium="Print"><Volume>62</Volume><Issue>4</Issue><PubDate><MedlineDate>2020 Jul-Aug</MedlineDate></PubDate></JournalIssue><Title>Indian journal of psychiatry</Title><ISOAbbreviation>Indian J Psychiatry</ISOAbbreviation></Journal><ArticleTitle>State of mental health services in various training centers in India during the lockdown and COVID-19 pandemic.</ArticleTitle><Pagination><MedlinePgn>363-369</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.4103/psychiatry.IndianJPsychiatry_567_20</ELocationID><Abstract><AbstractText Label="Background" NlmCategory="UNASSIGNED">There is some information from different developed coutries that mental health services have been badly affected by the COVID-19 pandemic. Little information is available from India.</AbstractText><AbstractText Label="Aim" NlmCategory="UNASSIGNED">The aim of this study was to evaluate the impact of lockdown and COVID-19 pandemic on mental health services in India's various training centers.</AbstractText><AbstractText Label="Materials and Methods" NlmCategory="UNASSIGNED">In an online survey, information was collected from various training centers of India through E-mail or WhatsApp.</AbstractText><AbstractText Label="Results" NlmCategory="UNASSIGNED">Responses were received from 109 institutes. The majority of the responses were received from state-funded government medical colleges and private medical colleges. Since the lockdown and COVID-19 pandemic, brain stimulation treatments have completed stopped. Other, most affected services included electroconvulsive therapy, inpatient services, outpatient services, and psychotherapy services. However, there was an expansion of teleconsultations services because of the lockdown and the COVID-19 pandemic. In three-fourth of the centers mental health services were being provided to the patients with COVID-19 infection. In most of the institutes, mental health professionals were involved at different levels in the COVID-19 responsibilities. These included providing helpline services to the general public, screening people in quarantine for mental health issues, providing clinical care to COVID-19 patients, screening health care workers (HCWs) for mental health issues, and training the HCWs.</AbstractText><AbstractText Label="Conclusion" NlmCategory="UNASSIGNED">COVID-19 pandemic and lockdown have led to the collapse of regular mental health services. The present study also shows that mental health professionals are playing a significant role in addressing the prevailing psychiatric morbidity, specifically related to the COVID-19 related issues, and taking care of the HCWs.</AbstractText><CopyrightInformation>Copyright: © 2020 Indian Journal of Psychiatry.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Grover</LastName><ForeName>Sandeep</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>Post Graduate Institute of Medical Education and Research, Mohali, Punjab, India.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Mehra</LastName><ForeName>Aseem</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>Post Graduate Institute of Medical Education and Research, Mohali, Punjab, India.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Sahoo</LastName><ForeName>Swapnajeet</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>Post Graduate Institute of Medical Education and Research, Mohali, Punjab, India.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Avasthi</LastName><ForeName>Ajit</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>Fortis Hospital, Mohali, Punjab, India.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>CMC, Chandigarh, India.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Tripathi</LastName><ForeName>Adarsh</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>King George's Medical University, Lucknow, Uttar Pradesh, India.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>D'Souza</LastName><ForeName>Avinash</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>Lokmanya Tilak Municipal Medical College, Mumbai, Maharashtra, India.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Saha</LastName><ForeName>Gautam</ForeName><Initials>G</Initials><AffiliationInfo><Affiliation>Clinic Brain Neuropsychiatric Institute and Research Center, Bengaluru, Karnataka, India.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Jagadhisha</LastName><ForeName>A</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>Abhaya Hospital, Bengaluru, Karnataka, India.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Gowda</LastName><ForeName>Mahesh</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Spandana Health Care, Bengaluru, Karnataka, India.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Vaishnav</LastName><ForeName>Mrugesh</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Samvedana Group of Hospital and Research Centre, Ahmedabad, Gujarat, India.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Singh</LastName><ForeName>Omprakash</ForeName><Initials>O</Initials><AffiliationInfo><Affiliation>NRS Medical College, Kolkata, West Bengal, India.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Dalal</LastName><ForeName>P K</ForeName><Initials>PK</Initials><AffiliationInfo><Affiliation>King George's Medical University, Lucknow, Uttar Pradesh, India.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Kumar</LastName><ForeName>Parmod</ForeName><Initials>P</Initials><AffiliationInfo><Affiliation>Dr Parmod Clinic, Chandigarh, India.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2020</Year><Month>07</Month><Day>27</Day></ArticleDate></Article><MedlineJournalInfo><Country>India</Country><MedlineTA>Indian J Psychiatry</MedlineTA><NlmUniqueID>0013255</NlmUniqueID><ISSNLinking>0019-5545</ISSNLinking></MedlineJournalInfo><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">COVID-19</Keyword><Keyword MajorTopicYN="N">mental health services</Keyword><Keyword MajorTopicYN="N">pandemic</Keyword></KeywordList><CoiStatement>There are no conflicts of interest.</CoiStatement></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2020</Year><Month>05</Month><Day>25</Day></PubMedPubDate><PubMedPubDate PubStatus="revised"><Year>2020</Year><Month>06</Month><Day>10</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2020</Year><Month>06</Month><Day>19</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2020</Year><Month>11</Month><Day>9</Day><Hour>14</Hour><Minute>24</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2020</Year><Month>11</Month><Day>10</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2020</Year><Month>11</Month><Day>10</Day><Hour>6</Hour><Minute>1</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">33165355</ArticleId><ArticleId IdType="doi">10.4103/psychiatry.IndianJPsychiatry_567_20</ArticleId><ArticleId IdType="pii">IJPsy-62-363</ArticleId><ArticleId IdType="pmc">PMC7597707</ArticleId></ArticleIdList><ReferenceList><Reference><Citation>Asian J Psychiatr. 2020 Jun;51:102147</Citation><ArticleIdList><ArticleId IdType="pubmed">32473537</ArticleId></ArticleIdList></Reference><Reference><Citation>Asian J Psychiatr. 2020 Jun;51:102051</Citation><ArticleIdList><ArticleId IdType="pubmed">32298968</ArticleId></ArticleIdList></Reference><Reference><Citation>Lancet. 2020 Feb 29;395(10225):684-685</Citation><ArticleIdList><ArticleId IdType="pubmed">32078803</ArticleId></ArticleIdList></Reference><Reference><Citation>Lancet Psychiatry. 2020 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Jul-Sep;60(3):300-306</Citation><ArticleIdList><ArticleId IdType="pubmed">30405255</ArticleId></ArticleIdList></Reference></ReferenceList></PubmedData></pubmed><affiliations><list><country><li>Inde</li></country></list><tree><country name="Inde"><noRegion><name sortKey="Grover, Sandeep" sort="Grover, Sandeep" uniqKey="Grover S" first="Sandeep" last="Grover">Sandeep Grover</name></noRegion><name sortKey="Avasthi, Ajit" sort="Avasthi, Ajit" uniqKey="Avasthi A" first="Ajit" last="Avasthi">Ajit Avasthi</name><name sortKey="Avasthi, Ajit" sort="Avasthi, Ajit" uniqKey="Avasthi A" first="Ajit" last="Avasthi">Ajit Avasthi</name><name sortKey="D Souza, Avinash" sort="D Souza, Avinash" uniqKey="D Souza A" first="Avinash" last="D'Souza">Avinash D'Souza</name><name sortKey="Dalal, P K" sort="Dalal, P K" uniqKey="Dalal P" first="P K" last="Dalal">P K Dalal</name><name sortKey="Gowda, Mahesh" sort="Gowda, Mahesh" uniqKey="Gowda M" first="Mahesh" last="Gowda">Mahesh Gowda</name><name sortKey="Jagadhisha, A" sort="Jagadhisha, A" uniqKey="Jagadhisha A" first="A" last="Jagadhisha">A. Jagadhisha</name><name sortKey="Kumar, Parmod" sort="Kumar, Parmod" uniqKey="Kumar P" first="Parmod" last="Kumar">Parmod Kumar</name><name sortKey="Mehra, Aseem" sort="Mehra, Aseem" uniqKey="Mehra A" first="Aseem" last="Mehra">Aseem Mehra</name><name sortKey="Saha, Gautam" sort="Saha, Gautam" uniqKey="Saha G" first="Gautam" last="Saha">Gautam Saha</name><name sortKey="Sahoo, Swapnajeet" sort="Sahoo, Swapnajeet" uniqKey="Sahoo S" first="Swapnajeet" last="Sahoo">Swapnajeet Sahoo</name><name sortKey="Singh, Omprakash" sort="Singh, Omprakash" uniqKey="Singh O" first="Omprakash" last="Singh">Omprakash Singh</name><name sortKey="Tripathi, Adarsh" sort="Tripathi, Adarsh" uniqKey="Tripathi A" first="Adarsh" last="Tripathi">Adarsh Tripathi</name><name sortKey="Vaishnav, Mrugesh" sort="Vaishnav, Mrugesh" uniqKey="Vaishnav M" first="Mrugesh" last="Vaishnav">Mrugesh Vaishnav</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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