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Hasan A.,Owaisi Hospital and Research Center | Swamy T.L.N.,CARE Hospitals
Respiratory Medicine CME

Exogenous lipoid pneumonia is a potential problem with any form of oil aspiration. The association of Mycobacterium fortuitum with lipoid pneumonia is a rare occurrence and ascribed to as yet-unknown interplay between the oil in the pulmonary parenchyma and the waxy Mycobacterial cell wall. We describe a case of lipoid pneumonia due to " oil aspiration" , complicated by infection with Mycobacterium fortuitum as well as Nocardia, in an individual with no obvious immune deficiencies. © 2010. Source

Bakshi S.M.,Owaisi Hospital and Research Center
World hospitals and health services : the official journal of the International Hospital Federation

Information technology has evolved over the years and taken its place in every sector, including health care. Every health care professional uses a computer almost every day. Information technology is expected to provide the staff with reliable information for decision making, reducing medical errors and processing time and improving communication. As the health care market grows increasingly competitive and complex, hospitals are relying more and more on information technology as a primary tool to help them compete. Every postgraduate should take a basic course on computers and IT applications. Many universities and colleges offer a masters program in health administration, and with enormous numbers of new post graduates, well grounded in IT, are offering their services to hospitals and allied health care divisions. Their experiences are reflected in the various job codes, which illustrate the need for planning, careful investment, and educational training to put information technology to work in today's sophisticated advanced health care setting. Information technology cannot reach its full potential without a properly trained staff working together as a team. Source

Zargar A.H.,Sher i Kashmir Institute of Medical science | Siraj M.,Owaisi Hospital and Research Center | Jawa A.A.,King Edward Medical University | Hasan M.,Mayo Hospital | Mahtab H.,Care Network
International Journal of Clinical Practice

Background: In Ramadan, misuse of hypoglycaemic agents, alterations in diet and hypoglycaemia are frequent. This study assessed whether switching to an evening administration of a long acting sulphonylurea during the 29-day, dawn to dusk fast, can maintain glycaemic control in patients with type 2 diabetes. Patients and methods: Male type 2 diabetic patients from Bangladesh, Pakistan and India, under glycaemic control with gliclazide modified release (MR) 60 mg monotherapy, switched to evening administration of the same dose during Ramadan, and reverted to the morning schedule thereafter. The primary outcome was the difference in fasting plasma glucose (FPG) before and after Ramadan. Results: In 136 patients, mean (95% CI) FPG decreased by 0.01 mmol/l (0-0.2, p = 0.3) with evening medication by the end of the fast, and increased by 0.2 mmol/l (0.1-0.3, p = 0.01) after reverting to morning medication 20 days later. There were 5 (3.7%) hypoglycaemic episodes before, 3 (2.2%) during and 2 (1.5%) after Ramadan. Conclusion: Male type 2 diabetic patients undertaking the Ramadan fast can safely maintain glycaemic control with evening administration of gliclazide MR 60 mg during the fast, and reverting to a morning schedule thereafter. © 2010 Blackwell Publishing Ltd. Source

Bakshi S.M.,Owaisi Hospital and Research Center
World hospitals and health services : the official journal of the International Hospital Federation

The health care industry is fast changing and rapid transformation is required to meet the ever-increasing needs and demands of its patient population. Hospitals and health care providers are shifting from viewing patients as uneducated with few health care choices to educated consumers with many service demands and health care choices available. Modern health care organizations have identified the patient as an ultimate consumer of hospital services and understand the importance of patient satisfaction, establishing this as the yardstick. The present study is explorative in nature. This cross sectional study is aimed at collecting data regarding attitude of patients, assessing their satisfaction levels towards ease of getting care, facilities offered at the hospital, attitude of the staff at the hospital and overall status of the hospital. The research study revealed many insights regarding attributes that are important for doctors, nurses and hospitals which would match patient expectation and lead to satisfaction. Source

Jadhav U.,MGM New Bombay Hospital | Hiremath J.,Poona Hospital and Research Center | Namjoshi D.J.,Criti Care Multi Specialty Hospital and Research Center | Gujral V.K.,Specialty Clinics A | And 4 more authors.

Objective: Despite antihypertensive treatment, most hypertensive patients still have high blood pressure (BP), notably high systolic blood pressure (SBP). The EFFICIENT study examines the efficacy and acceptability of a single-pill combination of sustained-release (SR) indapamide, a thiazide-like diuretic, and amlodipine, a calcium channel blocker (CCB), in the management of hypertension. Methods: Patients who were previously uncontrolled on CCB monotherapy (BP$140/90 mm Hg) or were previously untreated with grade 2 or 3 essential hypertension (BP≥160/100 mm Hg) received a single-pill combination tablet containing indapamide SR 1.5 mg and amlodipine 5 mg daily for 45 days, in this multicenter prospective phase 4 study. The primary outcome was mean change in BP from baseline; percentage of patients achieving BP control (BP<140/90 mm Hg) was a secondary endpoint. SBP reduction (ΔSBP) versus diastolic BP reduction (ΔDBP) was evaluated (ΔSBP/ΔDBP) from baseline to day 45. Safety and tolerability were also assessed. Results: Mean baseline BP of 196 patients (mean age 52.3 years) was 160.2/97.9 mm Hg. After 45 days, mean SBP decreased by 28.5 mm Hg (95% CI, 26.4 to 30.6), while diastolic BP decreased by 15.6 mm Hg (95% CI, 14.5 to 16.7). BP control (<140/ 90 mm Hg) was achieved in 85% patients. ΔSBP/ΔDBP was 1.82 in the overall population. Few patients (n = 3 [2%]) reported side effects, and most (n = 194 [99%]) adhered to treatment. Conclusion: In patients who were previously uncontrolled on CCB monotherapy or untreated with grade 2 or 3 hypertension, single-pill combination indapamide SR/amlodipine reduced BP effectively - especially SBP - over 45 days, and was safe and well tolerated. Trial Registration: Clinical Trial Registry - India CTRI/2010/091/000114 © 2014 Jadhav et al. Source

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