Publications by authors named "S K Khadeer Pasha"

415 Publications

Index testing among HIV-positive patients is feasible and successful in identifying additional HIV infections in Pakistan.

J Pak Med Assoc 2021 Aug;71(Suppl 4)(8):S6-S10

Bridge Consultants Foundation, Karachi, Pakistan.

Objective: To assess the feasibility of index testing approach to test the parents and siblings of human immunodeficiency virus (HIV)-positive children, and identify HIV-positive individuals.

Methods: The study was conducted at Ratodero, Pakistan. Study participants were enrolled from September 2019 to February 2020. The list of HIV-positive persons was provided by the Sindh AIDS Control Programme. Families of 706 HIV-positive persons were approached and all of them agreed to participate. The first test was performed by trained outreach workers. All those with a reactive first test were transported to the nearest health facility for further testing and confirmation. Mothers and siblings were tested at home while additional visits were carried out to reach the fathers.

Results: A total of 1766 persons were tested through HIV index testing. Biological siblings accounted for 81% of the contacts. We were able to test 413/463 (89.2%) mothers, 232/413 (56.2%) fathers and 1121/1392 (80.5%) siblings. Out of these, 7 mothers (1.7%) and 22 siblings (2.0%) were confirmed to be HIV-positive, while no one was found to be positive among the fathers. The overall HIV prevalence was 1.6% (29/1766). All HIV-positive persons were guided for treatment and care.

Conclusions: Results indicate that index-testing approach is feasible in Pakistan to expand HIV testing services through home visits.
View Article and Find Full Text PDF

Download full-text PDF

Source
http://dx.doi.org/10.47391/JPMA.0001DOI Listing
August 2021

Demographic and Clinical Correlates of the Cost of Potentially Preventable Hospital Encounters in a Community Health Center Cohort.

Popul Health Manag 2021 Aug 31. Epub 2021 Aug 31.

Fair Haven Community Health Care, New Haven, Connecticut, USA.

This study sought to describe the cost of hospital care for ambulatory care-sensitive conditions (ACSCs) and to identify independent predictors of high-cost hospital encounters related to an ACSC among an urban community health center cohort. The authors conducted a retrospective cohort study of individuals engaged in care in a large, multisite community health center in New Haven, Connecticut, with any Medicaid claims between June 1, 2018 and March 31, 2020. Prevention Quality Indicators of the Agency for Healthcare Research and Quality were used to identify ACSCs. The primary outcome was a high-cost episode of care for an ACSC (in the top quartile within a 7-day period). Multivariable logistic regression was used to identify independent predictors of high-cost episodes by ACSCs among sociodemographic and clinical variables as covariates. Among 8019 included individuals, a total of 751 episodes of hospital care involving ACSCs were identified. The median episode cost was $793, with the highest median cost of care related to heart failure ($4992), followed by diabetes ($1162), and chronic obstructive pulmonary disease ($1141). In adjusted analyses, male gender ( < 0.01), increasing age ( = 0.02), and ACSC type ( < 0.01) were associated with higher costs of care; race/ethnicity was not. Community health centers in urban settings seeking to reduce the cost of care of potentially preventable hospitalizations may target disease-/condition-specific groups, particularly individuals of increasing age with congestive heart failure and diabetes mellitus. These findings may inform return-on-investment calculations for care coordination and other enabling services programming.
View Article and Find Full Text PDF

Download full-text PDF

Source
http://dx.doi.org/10.1089/pop.2021.0169DOI Listing
August 2021

Scintigraphy false-positive results for cardiac amyloidosis in a patient with Danon disease.

Clin Case Rep 2021 Aug 16;9(8):e04652. Epub 2021 Aug 16.

Sechenov University Moscow Russia.

Common diagnostic approach in patients with suspected cardiac amyloidosis includes cardiac magnetic resonance imaging and scintigraphy. We report the first clinical case of false-positive results of scintigraphy in a patient with Danon disease.
View Article and Find Full Text PDF

Download full-text PDF

Source
http://dx.doi.org/10.1002/ccr3.4652DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8365861PMC
August 2021

Structure, morphology and modelling studies of polyvinylalcohol nanocomposites reinforced with nickel oxide nanoparticles and graphene quantum dots.

Environ Res 2021 Aug 4;203:111842. Epub 2021 Aug 4.

Functional Nanomaterials and Nanocomposite Laboratory, Department of Physics, VIT-AP University, Amaravati, Guntur, 522501, Andhra Pradesh, India. Electronic address:

Nickel oxide (NiO) nanoparticles (NPs) and graphene quantum dots (GQDs) reinforced polyvinyl alcohol (PVA) nanocomposite films were prepared using a solution casting technique. The physicochemical characteristics of PVA/NiO/GQDs (PNG) nanocomposite films were studied using Fourier transform infrared spectroscopy (FTIR), X-ray diffraction (XRD), thermogravimetric analysis (TGA), and field emission scanning electron microscopy (FESEM). The obtained PNG nanocomposite films showed good mechanical flexibility and improved tensile strength. The influence of nanofiller concentrations on PNG nanocomposite film. The obtained results demonstrate an increase in the activation energy (Ea) up to PNG3 upon increasing the GQDs concentration and thereafter, its decreases. The fundamental interactions of the constituents of PNG nanocomposite film were investigated using density functional theory (DFT). This study on electronic structure reveals that the PVA model indirectly interacts with GQDs through the NiO model. This configuration is favoured in terms of interaction energy (-78 kJ/mol) compared to the one in which PVA interacts directly with the GQDs model.
View Article and Find Full Text PDF

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.envres.2021.111842DOI Listing
August 2021

An empirical study on the job satisfaction and turnover intention of health-care professionals: Moderated moderation approach.

Int J Health Sci (Qassim) 2021 Jul-Aug;15(4):10-19

Department of Health Administration, College of Public Health and Health Informatics Qassim University, Al-Bukayriyah, Saudi Arabia.

Objective: The objective of this study was to investigate relationship between job satisfaction and turnover intention of health-care professionals using the moderated moderating approach.

Methods: Explanatory sequential research design was applied. Non-probability convenience sampling technique was used to determine the sample size using Weiers formula. Scales adopted in the current study were validated through exploratory and confirmatory factor analysis. To test the hypothesis correlation, the hierarchical multiple regression was used. In the second stage, semi-structured face-to-face interviews from 35 interviewees were conducted and transcribed in Nvivo.

Results: Job descriptive index, cognitive style index (CSI), cognitive style indicator, and turnover intention scales were found to be reliable. Furthermore, correlation analysis shows that the factors of job satisfaction were significantly correlated with turnover intention. In addition, findings of the interviews highlighted the importance of cognitive styles for increasing the job satisfaction of health-care professionals.

Conclusions: Study concludes that the involvement of health-care professionals in making health-care policies enhances their job satisfaction that also reflected on their performance. Moreover, it also reduces their turnover intention of workforce.
View Article and Find Full Text PDF

Download full-text PDF

Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8265307PMC
July 2021
-->