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Search Results: 1 - 10 of 92 matches for " Maneesh Gaddam "
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Escherichia coli Resistance to Ciprofloxacin in Acute Uncomplicated Pyelonephritis  [PDF]
Emad Abu Sitta, Nour Aljariri Alhesan, Babikir Kheiri, Sunil Badami, Farah Elounais, Omar Assassa, Maneesh Gaddam, Carlos Rios-Bedoya
Open Access Library Journal (OALib Journal) , 2017, DOI: 10.4236/oalib.1104043
Background: Severe acute uncomplicated pyelonephritis is an infection of the kidneys that usually have an ascending route and occur in presumably healthy urinary tract. The most common pathogen involved is E. coli. The Infectious Diseases Society of America (IDSA) has issued an updated guideline in 2010 suggesting IV quinolones to be considered in the initial empiric antimicrobial therapy giving known resistance of less than 10%. However, E. coli resistance to quinolones has been increasing, the recent data of E. coli, causing pyelonephritis, resistance is not known in the Midwest. Local hospital antibiogram for two years showed up to 22% resistance to ciprofloxacin among E. coli isolates. Methods: We conduct a retrospective non-concurrent cohort study in one teaching hospital in the Midwest, females who were admitted with severe acute uncomplicated pyelonephritis in a three years period were included. Patients with urinary tract obstruction, pregnancy, immuno-suppression, males, and indwelling Foley’s catheters were excluded. Data collected include causative pathogens and resistance to antibiotics were collected. Percentages, frequencies, and measures of central tendency and dispersion were calculated to describe the study sample Results: 73 patients were included in the final analysis. E. coli was the most common isolated pathogen (81%), followed by other enteric gram negative. E. coli resistance to ciprofloxacin was 13.5%, 37% to trimethoprim-sulfamethoxazole, and 5% to ceftriaxone. Conclusion: Ciprofloxacin should be avoided initially in treating severe acute uncomplicated pyelonephritis until culture results and sensitivity is available.
Health Information Technology: Landscape and Directions
Maneesh Gupta
University of Toronto Medical Journal , 2007, DOI: 10.5015/utmj.v85i1.214
Clozapine and co-prescribed psychotropics: a short report
Gupta Maneesh
Clinical Practice and Epidemiology in Mental Health , 2008, DOI: 10.1186/1745-0179-4-11
Abstract: Clozapine is the drug of choice in treatment resistant schizophrenia. It reduces hospitalizations. Patients on clozapine are often co-prescribed other psychotropics. This report looks at a sample of twenty patients on clozapine. It finds that almost two thirds were on a psychotropic along with clozapine. Eight individuals were on an antidepressant; seven on an antipsychotic and five were on co-prescribed valproate. The clinical implications are discussed and a need to look at health services involving clozapine is suggested.
Divalproex sodium in severe anaemia: A case report
Gupta Maneesh
Clinical Practice and Epidemiology in Mental Health , 2007, DOI: 10.1186/1745-0179-3-9
Abstract: Background Prescribing psychotropic drugs in clients with severe anaemia has rarely been reported before. Case Presentation A 36 year old man with severe anaemia was prescribed divalproex sodium 250 mg daily for mood swings. He had unbearable side effects and had to discontinue the medication in nine days. Conclusion Divalproex sodium may result in severe side effects in clients with severe anaemia.
Low dose quetiapine induced galactorrhoea: a case report
Gupta Maneesh
Clinical Practice and Epidemiology in Mental Health , 2007, DOI: 10.1186/1745-0179-3-12
Abstract: Background Quetiapine causes less prolactin elevation and/or galactorrhoea than other atypical antipsychotics. Case Presentation Ms AB had galactorrhoea and raised prolactin levels at only 100 mg of quetiapine daily. Conclusion Low dose quetiapine can also cause galactorrhoea.
Two Photon Physics at LEP
Maneesh Wadhwa
Physics , 1999,
Abstract: LEP offers an excellent opportunity to measure two photon processes over a large kinematical range and thus study the complex nature of the photon. This article reviews the experimental status of ``Two Photon Physics'' at LEP. The recent results on resonances, multi-hadron production and photon structure functions are discussed
Automorphisms of Albert algebras and a conjecture of Tits and Weiss
Maneesh Thakur
Mathematics , 2010,
Abstract: Let $k$ be an arbitrary field. The main aim of this paper is to prove the Tits-Weiss conjecture for Albert division algebras over $k$ which are pure first Tits constructions. This conjecture asserts that for an Albert division algebra $A$ over a field $k$, every norm similarity of $A$ is inner modulo scalar multiplications. It is known that $k$-forms of $E_8$ with index $E^{78}_{8,2}$ and anisotropic kernel a strict inner $k$-form of $E_6$ correspond bijectively (via Moufang hexagons) to Albert division algebras over $k$. The Kneser-Tits problem for a form of $E_8$ as above is equivalent to the Tits-Weiss conjecture (see \cite{TW}). Hence we provide a solution to the Kneser-Tits problem for forms of $E_8$ arising from pure first Tits construction Albert division algebras. As an application, we prove that for $G={\bf Aut}(A),~G(k)/R=1$, where $A$ is a pure first construction Albert division algebra over $k$ and $R$ stands for $R$-equivalence in the sense of Manin (\cite{M}).
Traveling Thrombus in the Right Atrium: Is It the Final Destination?
Maneesh Bhargava,Erhan Dincer
Case Reports in Pulmonology , 2012, DOI: 10.1155/2012/378282
Abstract: Right heart thrombus is rare in structurally normal heart. Here, we report a 74-year-old man with a right atrial thrombus who presented with shortness of breath.
Heat transfer and friction factor characteristics of rectangular channel solar air heater duct having protrusions as roughness element
Maneesh Kaushal, Varun
International Journal of Energy and Environment , 2012,
Abstract: An experimental investigation has been carried out to see the effect of roughness element on heat transfer and friction factor on the absorber plate of the solar air heater. The roughness provided is in the form of protrusions which are arranged in an arc pattern. This paper presents an investigation to study the effect of protruded geometry on heat transfer coefficient and friction factor in an artificially roughened solar air heater duct. The pair of protrusion geometry arc angle (α) of 45o is mounted on the test section of duct to create a longitudinal flow through test section. Measurements are carried out for rectangular duct which has aspect ratio (W/H) of 11, relative roughness pitch (P/e) in the range of 12-24, relative roughness height (e/D) of 0.03, ratio of height of protrusion to print diameter (d) of 0.3° and Reynolds number (Re) ranges from 3600-18100.The results obtained for various relative roughness pitch (P/e) has also been compared with smooth one. And on comparison to smooth duct, the roughened duct enhances the heat transfer and friction factor by 2.96 and 2.73 times.
Lean and Six Sigma Methodologies in NHS Scotland: An Empirical Study and Directions for Future Research
Jiju Antony,Maneesh Kumar
Quality Innovation Prosperity , 2012,
Abstract: In recent years, the healthcare industry is constantly concerned to provide better quality of patient care with less waste of resources through application of continuous improvement (CI) initiatives such as Lean and Six Sigma. The purpose of this paper is to evaluate the status of Lean and Six Sigma methodologies in the National Health Service (NHS) Scotland. Data was collected using survey instrument to determine the status of these strategies within the NHS. Although the personnel of NHS do seem to have the basic skills to successfully implement Lean Six Sigma, there appears to be a failure on the part of senior management to successfully communicate the desires and needs of these powerful CI initiatives with personnel. Moreover, a lack of encouragement and motivation, resistance to change and blame culture are quite prevalent across the sector which prevents Lean and Six Sigma strategies from being utilized in a systematic manner.
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