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Bansal P, Saini B, Bansal PD, Bansal A, Dhillon JS, Kaur V, Singh G, Saini S. Presenting Pattern and Psychiatric Comorbidities in Rural versus Urban Substance Dependent Patients: A Hospital-Based Cross-Sectional Study. Indian J Community Med 2023; 48:666-675. [PMID: 37970168 PMCID: PMC10637592 DOI: 10.4103/ijcm.ijcm_618_22] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/15/2022] [Accepted: 06/27/2023] [Indexed: 11/17/2023] Open
Abstract
Background "Locality" is a significant factor in substance initiation, maintenance, and relapse. The pattern of substance dependence among rural and urban populations varies across studies and is scarcely studied, warranting further research. To compare presenting patterns (sociodemographic and drug-related variables), reasons for substance use, and psychiatric comorbidities (prevalence, type, and severity) between rural and urban substance-dependent groups. Materials and Methods This study was a cross-sectional analytical study in a government de-addiction center, including rural and urban patient groups aged 18-65. International Classification of Diseases, Tenth Revision (ICD-10) criteria, and severity of dependence scale were used for diagnosing substance dependence. After detoxification, psychiatric comorbidity was assessed using brief psychiatric rating scale, Young's mania rating scale, and patient health questionnaire - somatic, anxiety, and depression symptoms scale. Post-analysis was performed to assess socioeconomic variables and access to de-addiction services. Results The final sample was 500 (250 rural and 250 urban). The post-analysis sample size was 386 (211 rural and 175 urban). The mean age was 38.2 ± 12.4 years, mostly males (n = 495, 99%). Substance frequency was opioids (92%)> benzodiazepines (24.8%) > alcohol (22%) > cannabis (1.6%) for rural and opioids (91.2%) > alcohol (29.6%) > benzodiazepines (14.8%) > cannabis (2%) for urban patients. More than half of patients had comorbid nicotine dependence. Rural patients were more benzodiazepine dependent (P = 0.007), and urban were more opioid + alcohol dependent (P = 0.001). Rural patients had higher age (P = 0.012), less education (P < 0.001), positive family history of substance (P = 0.028), daily wagers, and farmers (P < 0.001) than urban patients who were younger, students (P = 0.002), businessmen and government employed (P < 0.001). Urban patients expended more on drugs (P < 0.001), had higher treatment attempts (P = 0.008), and had better availability and accessibility of de-addiction services (P < 0.001). More rural users initiated substances to "enhance performance," whereas urban ones initiated for "stress relief/novelty" (P < 0.001). For treatment seeking, "External pressure" was a more common reason in urban patients (P < 0.001), who also had more psychiatric comorbidities (P = 0.026). Conclusion Significant pattern differences exist between rural and urban substance dependents, warranting emphasis on locality-specific factors for appropriate intervention.
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Affiliation(s)
- Priyanka Bansal
- Department of Psychiatry, Government Medical College and Rajindra Hospital, Patiala, Punjab, India
| | - Bhavneesh Saini
- Department of Psychiatry, Government Medical College and Rajindra Hospital, Patiala, Punjab, India
| | - Pir D. Bansal
- DDAC, District Hospital, Bathinda, Punjab, India
- Department of Psychiatry, Guru Gobind Singh Medical College and Hospital, Faridkot, Punjab, India
| | | | | | - Vanipreet Kaur
- Department of Psychiatry, Christian Medical College and Hospital, Ludhiana, Punjab, India
| | | | - Sumit Saini
- Department of Psychiatry, Guru Gobind Singh Medical College and Hospital, Faridkot, India
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Bansal P, Saini B, Sharma A, Bansal PD, Moria K, Saini S, Singh B. Short-term Clinical Outcome of Previously Untreated and Treated Schizophrenia and Impact of Duration of Untreated Psychosis. Indian J Psychol Med 2023; 45:366-373. [PMID: 37483578 PMCID: PMC10357906 DOI: 10.1177/02537176221141614] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 07/25/2023] Open
Abstract
Background Duration of untreated psychosis (DUP) is an important modifiable factor affecting schizophrenia outcomes. A dearth of research in India on untreated versus treated schizophrenia warrants further research. Methods This was a longitudinal study in a tertiary hospital over 2 years. Inpatients diagnosed with schizophrenia (N = 116), aged 18-45, were divided into untreated and treated groups. Diagnostic confirmation, severity assessment, and clinical outcome were done using ICD-10 criteria, Positive and Negative Syndrome Scale (PANSS), and Clinical Global Impression (CGI) scale. Follow-up was done at 12 and 24 weeks. DUP was measured, and its association with the outcome was assessed. Results Final analysis included 100 patients, 50 each of previously untreated and treated. Untreated patients had lower age and duration of illness (DOI), but higher DUP (p < .001). Treated patients showed much improvement on CGI-I at 12 weeks (p = .029), with no difference at 24 weeks. PANSS severity comparison showed no difference, and both groups followed a declining trend. In untreated patients, age of onset (AoO) was negatively correlated with severity (except general symptoms at baseline) at all follow-ups ('r' range = -0.32 to -0.49, p < .05), while DOI showed a positive correlation with negative and general symptoms at 12 weeks (r ~ 0.3, p < .05). Treated patients showed inconsistent and lower negative correlation between AoO and PANSS, with no correlation between severity and DOI. The mean sample DUP was 17.9 ± 31.6 weeks; it negatively correlated with education (r = -0.25, p = .01) and positively with PANSS severity ('r' range = 0.22 to 0.30, p < .05) at all follow-ups, especially negative symptoms. Patients with no or minimal improvement on CGI at 24 weeks had higher DUP (Quade's ANOVA F[1,98] = 6.24, p = .014). Conclusion Illness variables in untreated schizophrenia affect severity, which has delayed improvement than treated schizophrenia. Higher DUP is associated with negative symptoms of schizophrenia.
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Affiliation(s)
- Priyanka Bansal
- Dept. of Psychiatry, Government Medical College, Patiala, Punjab, India
| | - Bhavneesh Saini
- Dept. of Psychiatry, Government Medical College, Patiala, Punjab, India
| | - Arvind Sharma
- Dept. of Psychiatry, GGSMCH, Faridkot, Patiala, Punjab, India
| | - Pir Dutt Bansal
- Dept. of Psychiatry, GGSMCH, Faridkot, Patiala, Punjab, India
| | | | - Sumit Saini
- Dept. of Psychiatry, GGSMCH, Faridkot, Patiala, Punjab, India
| | - Baltej Singh
- Dept. of Community Medicine, GGSMCH, Faridkot, Punjab, India
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Bhowmik MD D, Das C, Verma P, Maity I, Mourya B, Saini B, Subbiah A, Bagchi S, Yadav R, Mahajan S, Agarwal S. POS-039 RENAL ABSCESSES (COMPLICATED BY ACUTE KIDNEY INJURY) IN YOUNG OTHERWISE HEALTHY NON-DIABETIC ADULTS WITHOUT URINARY TRACT ABNORMALITIES – A CASE SERIES. Kidney Int Rep 2022. [DOI: 10.1016/j.ekir.2022.07.056] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/14/2022] Open
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Kaur H, Bansal PD, Sharma A, Mishra A, Saini B, Kumar R, Bansal P, Moria K. Pattern of Follow-up among Patients Attending the Department of Psychiatry: A Prospective Study. J Clin Diagn Res 2022. [DOI: 10.7860/jcdr/2022/50233.16773] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
Abstract
Introduction: Adherence to drug regimen is a very important factor for improvement. Dropping out may affect the treatment outcome and also is as indication of poor clinical performance. Patient who left the treatment in between can lead to a deterioration in clinical condition, resulting in the need for more intensive therapy that significantly incurs higher social and economic loss. Therefore, improving medication compliance potentially reduces morbidity and suffering of patients and their families, and the cost of rehospitalisation. Aim: To study the pattern of follow-up among patients of various psychiatric disorders and also to study the therapist factors contributing in adherence to treatment and the sociodemographic profile of patients who drop out from study. Materials and Methods: This was a prospective analytical study conducted in the Department of Psychiatry, GGSMCH Faridkot, Punjab, India over one year. A total of 500 psychiatric patients were selected by the convenient non probability sampling technique in the age group between 18-45 years who met the inclusion criteria. These patients were evaluated for illness related variables using psychiatric proforma and Charleston Psychiatric Outpatient Satisfaction Scale (CPOSS) was applied. After this all the patients were assessed for a period of one year, the factors affecting the pattern of follow-up, relating to the treatment and its side effects, disease progression as well as therapist-related factors using a semi-structured questionnaire. The data, thus generated, was subjected to appropriate statistical analysis. Results: In the socio-demographic profile among drop out education status, occupation, and duration of illness, statistically significant difference was found among different disorders (p<0.05). CPOSS scale was applied among three follow-up groups in which highest mean was 53.03±10.05 in regular follow-up group followed by 49.49±9.06 in intermittent and 44.80±10.70 in drop out follow-up group. Total CPOSS mean was 49.19±10.66. Overall results were statistically significant (p=0.0001). Also in the medication, disease and physician related factors among followup groups, statistically significant results were found (p<0.05). Conclusion: The study showed that various socio-demographic factors, medication, disease and physician related factors affect the follow-up patterns. So, it is very important to diagnose all these factors to improve adherence among various psychiatric patients.
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Saini B, Bansal PD, Bahetra M, Sharma A, Bansal P, Singh B, Moria K, Kumar R. Relationship Pattern of Personality Disorder Traits in Major Psychiatric Disorders: A Cross-Sectional Study. Indian J Psychol Med 2021; 43:516-524. [PMID: 35210680 PMCID: PMC8826195 DOI: 10.1177/0253717621999537] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
BACKGROUND Normal personality development, gone awry due to genetic or environmental factors, results in personality disorders (PD). These often coexist with other psychiatric disorders, affecting their outcome adversely. Considering the heterogeneity of data, more research is warranted. METHODS This was a cross-sectional study on personality traits in psychiatric patients of a tertiary hospital, over 1 year. Five hundred and twenty-five subjects, aged 18-45 years, with substance, psychotic, mood, or neurotic disorders were selected by convenience sampling. They were evaluated for illness-related variables using psychiatric pro forma; diagnostic confirmation and severity assessment were done using ICD-10 criteria and suitable scales. Personality assessment was done using the International Personality Disorder Examination after achieving remission. RESULTS Prevalence of PD traits and PDs was 56.3% and 4.2%, respectively. While mood disorders were the diagnostic group with the highest prevalence of PD traits, it was neurotic disorders for PDs. Patients with PD traits had a past psychiatric history and upper middle socioeconomic status (SES); patients with PDs were urban and unmarried. Both had a lower age of onset of psychiatric illness. Psychotic patients with PD traits had higher and lower PANSS positive and negative scores, respectively. The severity of personality pathology was highest for mixed cluster and among neurotic patients. Clusterwise prevalence was cluster C > B > mixed > A (47.1%, 25.2%, 16.7%, and 11.4%). Among subtypes, anankastic (18.1%) and mixed (16.7%) had the highest prevalence. Those in the cluster A group were the least educated and with lower SES than others. CONCLUSIONS PD traits were present among 56.3% of the patients, and they had many significant sociodemographic and illness-related differences from those without PD traits. Cluster C had the highest prevalence. Among patients with psychotic disorders, those with PD traits had higher severity of psychotic symptoms.
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Affiliation(s)
- Bhavneesh Saini
- Dept. of Psychiatry, Guru Gobind Singh Medical College and Hospital, Faridkot, Punjab, India
| | - Pir Dutt Bansal
- Dept. of Psychiatry, Guru Gobind Singh Medical College and Hospital, Faridkot, Punjab, India
| | - Mamta Bahetra
- Dept. of Psychiatry, Guru Gobind Singh Medical College and Hospital, Faridkot, Punjab, India
| | - Arvind Sharma
- Dept. of Psychiatry, Guru Gobind Singh Medical College and Hospital, Faridkot, Punjab, India
| | - Priyanka Bansal
- Dept. of Psychiatry, Guru Gobind Singh Medical College and Hospital, Faridkot, Punjab, India
| | - Baltej Singh
- Dept. of Community Medicine, Guru Gobind Singh Medical College and Hospital, Faridkot, Punjab, India
| | - Kavita Moria
- Dept. of Psychiatry, Guru Gobind Singh Medical College and Hospital, Faridkot, Punjab, India
| | - Rakesh Kumar
- Dept. of Psychiatry, Guru Gobind Singh Medical College and Hospital, Faridkot, Punjab, India
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Krishnapriya R, Nizamudeen C, Saini B, Mozumder MS, Sharma RK, Mourad AHI. MOF-derived Co 2+-doped TiO 2 nanoparticles as photoanodes for dye-sensitized solar cells. Sci Rep 2021; 11:16265. [PMID: 34381114 PMCID: PMC8358052 DOI: 10.1038/s41598-021-95844-4] [Citation(s) in RCA: 20] [Impact Index Per Article: 6.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/17/2021] [Accepted: 07/28/2021] [Indexed: 11/11/2022] Open
Abstract
Facile synthesis and application of nano-sized semiconductor metal oxides for optoelectronic devices have always affected fabrication challenges since it involves multi-step synthesis processes. In this regard, semiconductor oxides derived directly from metal-organic frameworks (MOFs) routes have gained a great deal of scientific interest owing to their high specific surface area, regular and tunable pore structures. Exploring the application potential of these MOF-derived semiconductor oxides systems for clean energy conversion and storage devices is currently a hot topic of research. In this study, titanium-based MIL-125(Ti) MOFs were used as a precursor to synthesize cobalt-doped TiO2-based dye-sensitized solar cells (DSSCs) for the first time. The thermal decomposition of the MOF precursor under an air atmosphere at 400 °C resulted in mesoporous anatase-type TiO2 nanoparticles (NPs) of uniform morphology, large surface area with narrow pore distribution. The Co2+ doping in TiO2 leads to enhanced light absorption in the visible region. When used as photoanode in DSSCs, a good power conversion efficiency (PCE) of 6.86% with good photocurrent density (Jsc) of 13.96 mA cm-2 was obtained with the lowest recombination resistance and the longest electron lifetime, which is better than the performance of the pristine TiO2-based photoanode.
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Affiliation(s)
- R Krishnapriya
- Mechanical Engineering Department, College of Engineering, United Arab Emirate University, Al Ain 15551, UAE
- Department of Chemistry, Indian Institute of Technology Jodhpur, Jodhpur, 342037, Rajasthan, India
| | - C Nizamudeen
- Mechanical Engineering Department, College of Engineering, United Arab Emirate University, Al Ain 15551, UAE
| | - B Saini
- Department of Chemistry, Indian Institute of Technology Jodhpur, Jodhpur, 342037, Rajasthan, India
| | - M Sayem Mozumder
- Department of Chemical and Petroleum Engineering, College of Engineering, United Arab Emirate University, Al Ain, 15551, UAE
| | - Rakesh K Sharma
- Department of Chemistry, Indian Institute of Technology Jodhpur, Jodhpur, 342037, Rajasthan, India
| | - A-H I Mourad
- Mechanical Engineering Department, College of Engineering, United Arab Emirate University, Al Ain 15551, UAE.
- National Water and Energy Centre, United Arab Emirate University, Al Ain, 15551, UAE.
- On Leave From Mechanical Design Department, Faculty of Engineering, Helwan University, Cairo, Egypt.
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Bansal PD, Garg D, Bansal P, Saini B. A Cross-sectional Study to Assess Psychiatric Co-morbidity among Patients of Migraine and Other Headaches. J Clin Diagn Res 2021. [DOI: 10.7860/jcdr/2021/49515.15078] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
Abstract
Introduction: Migraine is the most common cause of vascular headache with a one-year prevalence as high as 6-14.3%. Having various pathophysiological theories, it occurs in much co-morbidity with several medical as well as psychiatric disorders like mood disorders, phobia, anxiety spectrum, etc. Migraine, especially when co-morbid with psychiatric illness stands markedly burdensome economically, diagnostically, therapeutically and prognostically. Hence, needs even further research. Aim: To study patients with migraine versus other types of headache and to study psychiatric co-morbidity among patients with migraine. Materials and Methods: This cross-sectional study was conducted on total 100 patients presenting with headache, meeting the criteria were taken up for the study and divided into two groups. Patients meeting International Headache Society (IHS) criteria for migraine were enrolled under group A and patients suffering from headache other than migraine under group B. Having subjected to detailed history and evaluation, patients were subjected to Symptom checklist-80, Hamilton’s Anxiety Rating Scale (HARS) and Montgomery Asberg Depression Rating Scale (MADRS), International Classification of Diseases (ICD)-10 criteria. The data so collected was subjected to statistical analysis and association of psychiatric morbidity with migraine patients was assessed. Results: Patients with migraine (group A) and among those too, patients having psychiatric morbidity had significantly (p<0.01) longer duration of illness (≥8 years), more frequent attacks ≥5 attacks per month and had longer duration of each attack >24 hours compared to the other groups. Patients having migraine had significantly (p<0.01) higher psychiatric morbidity, more SCL-80 symptoms (mean score 83.05); more depressive symptoms (mean MADRS score was 31.9±9.2) and more anxiety with the mean Hamilton Anxiety score was 23.3 than in patients without psychiatric morbidity. Conclusion: A thorough evaluation of psychiatric disorders in migraine is important so as to propose a non segregated model of care to direct the burden and deterioration associated with psychiatric co-morbidity in migraine.
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Muneswarao J, Ahmad Hassali M, Ibrahim B, Saini B, Hyder Ali I, ur Rehman A. HOME VISITS FOR ADULT PATIENTS WITH ASTHMA? A SYSTEMATIC REVIEW OF RANDOMIZED CONTROLLED TRIALS. Chest 2019. [DOI: 10.1016/j.chest.2019.02.370] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022] Open
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Sake F, Bartlett D, Wong K, Saini B. 1063 Characteristics of Benzodiazepine Users in Australian population. Sleep 2018. [DOI: 10.1093/sleep/zsy061.1062] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Affiliation(s)
- F Sake
- Faculty of Pharmacy, The University of Sydney, NSW, AUSTRALIA
- Woolcock Institute of Medical Research, The University of Sydney, Nsw, AUSTRALIA
| | - D Bartlett
- Woolcock Institute of Medical Research, The University of Sydney, Nsw, AUSTRALIA
- Sydney Medical School, The University of Sydney, Nsw, AUSTRALIA
| | - K Wong
- Woolcock Institute of Medical Research, The University of Sydney, Nsw, AUSTRALIA
- Sydney Medical School, The University of Sydney, Nsw, AUSTRALIA
- Department of Respiratory and Sleep Medicine, Royal Prince Alfred Hospital, Nsw, AUSTRALIA
| | - B Saini
- Faculty of Pharmacy, The University of Sydney, NSW, AUSTRALIA
- Woolcock Institute of Medical Research, The University of Sydney, Nsw, AUSTRALIA
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Grover C, Goel N, Armour C, Van Asperen PP, Gaur SN, Moles RJ, Saini B. Medication education program for Indian children with asthma: A feasibility stud. Niger J Clin Pract 2017; 19:76-84. [PMID: 26755223 DOI: 10.4103/1119-3077.173716] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
OBJECTIVE It is postulated that children with asthma who receive an interactive, comprehensive, culturally relevant education program would improve their asthma knowledge (AK), asthma control, and adherence compared with children receiving usual care. The aim of this study was to develop, implement, and evaluate the efficacy of a culturally relevant asthma education intervention for children with asthma and their parents in India. METHODS Children with asthma (7-12 years) and their parents were recruited from an outpatient clinic in a Chest Diseases Hospital in New Delhi, and were randomly assigned to either an intervention or usual care group. At baseline, outcome data collected included pediatric asthma caregiver quality of life (PACQL, primary outcome), AK, asthma control, adherence, inhaler technique, action plan ownership, and goal achievement. These data were collected again at 1 and 6 months after baseline. Outcomes were compared within and between groups using ANOVA techniques. RESULTS Forty parent-child pairs were recruited. Of these, 24 pairs of children with asthma and their parents received the educational intervention. The PACQL significantly improved from baseline to 6 months in the intervention (5.87 ± 0.94-7.00 ± 0.03) versus the usual care group (5.90 ± 0.52-6.34 ± 0.56) (P < 0.001). Other outcomes such as the parents' and child's AK, child's asthma control and inhaler technique were significantly improved in the intervention group across the study. All the participants possessed a written asthma action plan at the end of the intervention. Eighty-five goals were set by children with asthma across all the visits and were achieved by completion. CONCLUSION An asthma educator delivered interactive program simultaneously involving children with asthma and their parents, improved quality of life, empowered and promoted better self-management skills.
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Affiliation(s)
- C Grover
- Faculty of Pharmacy, The University of Sydney, New South Wales, Australia
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Stevens D, Yee Long CW, Vakulin A, Hiu-Laam Cheung H, Arciuli J, Kim JW, Leow J, Rae C, Wong K, Saini B, Grunstein R, D'Rozario A. Sleep spindle activity significantly correlates with implicit statistical learning consolidation in obstructive sleep apnea patients. Sleep Med 2017. [DOI: 10.1016/j.sleep.2017.11.924] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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Tun-Naher Sake F, Wong K, Bartlett D, Saini B. Risk perceptions and beliefs about benzodiazepines in Australian users. Sleep Med 2017. [DOI: 10.1016/j.sleep.2017.11.845] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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Sake F, Wong K, Bartlett D, Saini B. 0351 INSOMNIA: A TRIVIALIZED CONDITION IN PRIMARY CARE SETTING. Sleep 2017. [DOI: 10.1093/sleepj/zsx050.350] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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Cheung JM, Bartlett DJ, Armour CL, Saini B, Laba T. 0386 TO DRUG OR NOT TO DRUG? A DISCRETE CHOICE EXPERIMENT EXPLORING PATIENT PREFERENCES FOR MANAGING INSOMNIA. Sleep 2017. [DOI: 10.1093/sleepj/zsx050.385] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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Bell C, Pichenda K, Ilömaki J, Duncan G, Saini B. A Role for Private Sector Pharmacies in Public Health: Referring Tuberculosis Symptomatic Patients for Diagnosis in Cambodia. Res Social Adm Pharm 2014. [DOI: 10.1016/j.sapharm.2014.07.017] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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Saba M, Diep J, Saini B, Dhippayom T. Meta-analysis of the effectiveness of smoking cessation interventions in community pharmacy. J Clin Pharm Ther 2014; 39:240-7. [DOI: 10.1111/jcpt.12131] [Citation(s) in RCA: 69] [Impact Index Per Article: 6.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/27/2013] [Accepted: 12/16/2013] [Indexed: 12/22/2022]
Affiliation(s)
- M. Saba
- Faculty of Pharmacy; The University of Sydney; Sydney NSW Australia
| | - J. Diep
- Faculty of Pharmacy; The University of Sydney; Sydney NSW Australia
| | - B. Saini
- Faculty of Pharmacy; The University of Sydney; Sydney NSW Australia
| | - T. Dhippayom
- Faculty of Pharmaceutical Sciences; Naresuan University; Phitsanulok Thailand
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Bell CA, Eang MT, Dareth M, Rothmony E, Duncan GJ, Saini B. Provider perceptions of pharmacy-initiated tuberculosis referral services in Cambodia, 2005–2010. Int J Tuberc Lung Dis 2012; 16:1086-91. [DOI: 10.5588/ijtld.11.0669] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
Affiliation(s)
- C. A. Bell
- Faculty of Pharmacy, The University of Sydney, Sydney, New South Wales, Australia
| | - M. T. Eang
- National Center for Tuberculosis and Leprosy Control, Phnom Penh, Cambodia
| | - M. Dareth
- Municipal Health Department, Phnom Penh, Cambodia
| | - E. Rothmony
- Faculty of Pharmacy, University of Health Sciences, Phnom Penh, Cambodia
| | - G. J. Duncan
- Faculty of Medicine, Nursing and Health Sciences, Monash University, Melbourne, Victoria, Australia
| | - B. Saini
- Faculty of Pharmacy, The University of Sydney, Sydney, New South Wales, Australia
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Bell CA, Duncan G, Saini B. Knowledge, attitudes and practices of private sector providers of tuberculosis care: a scoping review. Int J Tuberc Lung Dis 2011; 15:1005-17. [PMID: 21669027 DOI: 10.5588/ijtld.10.0294] [Citation(s) in RCA: 28] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
Abstract
SETTING The past decade has seen a significant increase in private sector provision of tuberculosis (TB)care. While patients often seek and select treatment from private providers at significant out-of-pocket expense,treatment outcomes remain largely unknown. OBJECTIVE To investigate the knowledge, attitudes and practices of private sector TB care providers in high burden countries. METHODS Medline, PubMed, Embase, International Pharmaceutical Abstracts and Cumulative Index to Nursing and Allied Health Literature (CINAHL) databases were searched using Medical Subject Headings terms,Emtree terms and key words. Searches were limited to the English language and published between 1998 and week 2 of November 2009. Studies were included if they reported the knowledge, attitudes or practice behaviours of private health care providers working in one of 22 high-TB-burden countries. Each included study was critically assessed using a structured data extraction tool. Data extracted included the study setting, objective, design, sample, response rate, outcomes and limitations. RESULTS The 34 studies that met review inclusion criteriaen compassed diverse study methods and designs.All categories of TB care providers lacked comprehensive knowledge of national treatment guidelines. Procedures for referral, treatment monitoring, record keeping and case holding were not systematically implemented.However, there was a high degree of willingness to collaborate with national TB programmes. CONCLUSION Research using standardised data collection methods may assist in identifying gaps in knowledge and practice among all providers of TB care. Further studies in developing and evaluating needs-based interventions should be undertaken; systematic reviews of such studies may then assist in strategic decision making in public-private mix DOTS expansion.
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Affiliation(s)
- C A Bell
- The University of Sydney, Sydney, New South Wales, Australia.
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Saini B, Krass I, Smith L, Bosnic-Anticevich S, Armour C. Role of community pharmacists in asthma - Australian research highlighting pathways for future primary care models. Australas Med J 2011; 4:190-200. [PMID: 23393510 DOI: 10.4066/amj.2011790] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/04/2023]
Abstract
Asthma is one of the most common chronic conditions affecting the Australian population. Amongst primary healthcare professionals, pharmacists are the most accessible and this places pharmacists in an excellent position to play a role in the management of asthma. Globally, trials of many community pharmacy-based asthma care models have provided evidence that pharmacist delivered interventions can improve clinical, humanistic and economic outcomes for asthma patients. In Australia, a decade of coordinated research efforts, in various aspects of asthma care, has culminated in the implementation trial of the Pharmacy Asthma Management Service (PAMS), a comprehensive disease management model.There has been research investigating asthma medication adherence through data mining, ways in which usual asthma care can be improved. Our research has focused on self-management education, inhaler technique interventions, spirometry trials, interprofessional models of care, and regional trials addressing the particular needs of rural communities. We have determined that inhaler technique education is a necessity and should be repeated if correct technique is to be maintained. We have identified this effectiveness of health promotion and health education, conducted within and outside the confines of the pharmacy, in public for a and settings such as schools, and established that this outreach role is particularly well received and increases the opportunity for people with asthma to engage in their asthma management.Our research has identified that asthma patients have needs which pharmacists delivering specialized models of care, can address. There is a lot of evidence for the effectiveness of asthma care by pharmacists, the future must involve integration of this role into primary care.
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Affiliation(s)
- B Saini
- Faculty of Pharmacy, The University of Sydney
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Saini B, Brillant M, Filipovska J, Gelgor L, Mitchell B, Rose G, Smith L. Factors influencing Australian community pharmacists' willingness to participate in research projects - an exploratory study. International Journal of Pharmacy Practice 2010. [DOI: 10.1211/ijpp.14.3.0004] [Citation(s) in RCA: 24] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/31/2022]
Abstract
Abstract
Objective
To identify the factors influencing Australian community pharmacists' willingness to participate in research projects and their attitudes towards research.
Method
A mixed-method survey instrument comprising demographics, previous participation in research, and perceptions about participation in research was mailed to 267 community pharmacists in New South Wales and the Australian Capital Territory. An analysis of variance test was used to identify similarities and differences between research- and non-research-active respondents. Bivariate correlations and partial least squares (PLS) regression analyses were used to identify barriers and facilitators to research participation.
Key findings
The overall response rate to the survey was 40%. Of these, 70% were classified as previous research participants (PRP), and 30% were classified as non-previous research participants (NPRP). Both groups had mostly favourable attitudes towards research; however, the results revealed several differences between the PRP and NPRP groups. Three items were identified as key facilitators to participation in research for both PRP and NPRP groups - having an interest in the research topic; believing that the research will benefit the customer; and a belief that community pharmacy research is important. Lack of time, either real or perceived, was identified as a key barrier to participation in research for both the PRP and NPRP groups.
Conclusion
Researchers should take into account pharmacists' previous research experience when recruiting pharmacists into research projects. In the case of pharmacists with research experience, emphasis should be on promoting factors that facilitate participation. In the case of pharmacists with little research experience, emphasis should be on reducing barriers to participation.
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Affiliation(s)
- B Saini
- Pharmacy Practice, Faculty of Pharmacy, University of Sydney, New South Wales, Australia
| | - M Brillant
- Pharmacy Practice, Faculty of Pharmacy, University of Sydney, New South Wales, Australia
| | - J Filipovska
- Pharmacy Practice, Faculty of Pharmacy, University of Sydney, New South Wales, Australia
| | - L Gelgor
- Pharmacy Practice, Faculty of Pharmacy, University of Sydney, New South Wales, Australia
| | - B Mitchell
- Pharmacy Practice, Faculty of Pharmacy, University of Sydney, New South Wales, Australia
| | - G Rose
- Pharmacy Practice, Faculty of Pharmacy, University of Sydney, New South Wales, Australia
| | - L Smith
- Pharmacy Practice, Faculty of Pharmacy, University of Sydney, New South Wales, Australia
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Abstract
BACKGROUND AND OBJECTIVES Pharmacists are in an optimal position to provide health care to patients with sleep disorders, however, at present their involvement in sleep services is limited. This study aimed to (i) establish an understanding of baseline levels of sleep health awareness, and attitudes towards sleep health in pharmacists and pharmacy undergraduate students in comparison with sleep physicians and (ii) collate the expressed preferences for sleep health training by final year pharmacy undergraduate students and practising community pharmacists. METHODS Two previously validated instruments, the Dartmouth sleep knowledge survey and the ASKME (attitudes section) were used to construct a self-report style questionnaire. Data from respondents were collated and analysed to evaluate differences in responses and test scores between the groups, using the statistical software package-spss 14.0. RESULTS AND DISCUSSION Responses from 14 specialized sleep pharmacists, 14 general community pharmacists, 134 final-year undergraduate pharmacy students and 26 sleep physicians were obtained. The mean knowledge score per cent (35.5 +/- 14.0% for students, 48.2 +/- 19.5% for general and 50.6 +/- 16.6% for specialized sleep pharmacists, 86.7 +/- 9.3% for sleep physicians) and attitudes scores (37.3 +/- 4.0 for students, 37.2 +/- 5.4 for general and 40.3 +/- 5.3 for sleep specialist pharmacists, 42.6 +/- 4.7 for sleep physicians, expressed as a score out of 50) were significantly different between groups (Kruskal-Wallis test, P < 0.001). All groups reported slightly different preferences for future training formats and topics. There is a need to improve practising pharmacists' as well as undergraduate students' knowledge of sleep health. The positive attitude reported by the respondents indicates a high level of interest in acquiring knowledge and suggests that a tailored educational programme would be well received and timely. CONCLUSION These results provide a valid indication of the pharmacy profession's expressed and actual training needs, and should be used to inform the design, implementation and evaluation of a sleep health educational strategy, which targets practising community pharmacists and students.
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Affiliation(s)
- K Tze-Min Ang
- Faculty of Pharmacy, University of Sydney, Camperdown, NSW, Australia.
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O'Connor J, Seeto C, Saini B, Bosnic-Anticevich S, Krass I, Armour C, Smith L. Healthcare professional versus patient goal setting in intermittent allergic rhinitis. Patient Educ Couns 2008; 70:111-117. [PMID: 17997261 DOI: 10.1016/j.pec.2007.09.004] [Citation(s) in RCA: 28] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/04/2007] [Revised: 09/03/2007] [Accepted: 09/16/2007] [Indexed: 05/25/2023]
Abstract
OBJECTIVE To examine the impact of healthcare professional versus patient goal setting for the self-management of intermittent allergic rhinitis (AR) on symptom severity and quality of life. METHODS This was a 6 week, parallel group study. Group A participants, with pharmacist facilitation, nominated personally relevant goals and strategies relating to their AR. Group B participants had their goals and strategies set by the pharmacist. The main outcome measures used included perceived symptom severity and quality of life. In addition, goals and strategies data from participants of both groups were collected and analysed. RESULTS Both groups demonstrated significant improvements in symptom severity and quality of life scores however Group B symptom severity scores improved more. Group B set a greater number of goals and strategies which were better structured and more task specific. CONCLUSION This is the first study to investigate the impact of goal setting on patient behaviour in a chronic yet episodic illness. Our results suggest that self-management goals set by the healthcare professional which are clinically indicated but tailored to the patient's nominated symptoms yields better outcomes than goals nominated by the patient. PRACTICE IMPLICATIONS A brief, structured intervention, tailored to patient symptoms, can enhance self-management of intermittent allergic rhinitis.
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Affiliation(s)
- J O'Connor
- The University of Sydney, Sydney, Australia
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Manchikanti L, Saini B, Singh V. Spinal endoscopy and lysis of epidural adhesions in the management of chronic low back pain. Pain Physician 2001; 4:240-65. [PMID: 16900252] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/11/2023]
Abstract
Spinal endoscopy with epidural adhesiolysis is an interventional pain management technique which emerged during the 1990s. It is an invasive but important treatment modality in managing chronic low back pain that is nonresponsive to other modalities of treatment, including percutaneous spring guided adhesiolysis and transforaminal epidural injections. While epidural adhesions most commonly result following surgical intervention of the spine, leakage of disc material into the epidural space following an anular tear, or an inflammatory response can also result in their formation. Even though advanced technology, including computerized tomography and magnetic resonance imaging,have made significant advances in the diagnosis of epidural fibrosis, it is believed that epidural adhesions resulting in chronic persistent pain are poorly managed. Percutaneous endoscopic lysis of epidural scar tissue has been shown to be cost effective and a safe modality. This review discusses various aspects of endoscopic adhesiolysis, including clinical effectiveness, complications, rationale, and indications.
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Affiliation(s)
- L Manchikanti
- Pain Management Center of Paducah, 2831 Lone Oak Road, Paducah, KY 42003, USA.
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