Shefali Anil Samant

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Evaluation of anaphylaxis is a common reason for emergency department referral to an allergist. Establishing unified diagnostic criteria has been an evolving process with the most recent definition proposed by the Second Symposium on the Definition and Management of Anaphylaxis convened by the National Institute of Allergy and Infectious Disease and the(More)
BACKGROUND Current asthma guidelines suggest that patients and their providers consider decreasing or stopping controller medications when asthma is stable. OBJECTIVE We sought to estimate the risk of asthma exacerbation in patients who stop low-dose inhaled corticosteroids (ICSs) compared with those who continue ICSs in randomized controlled trials. (More)
BACKGROUND Little is known about outcomes after stepping down asthma medications within an asthma management program. OBJECTIVE To determine outcomes of stepping down asthma medications in a pediatric asthma management program. METHODS We performed a retrospective study of 5- to 18-year-old children with asthma in an integrated primary care practice in(More)
BACKGROUND Asthma guidelines suggest reducing controller medications when asthma is stable. METHODS The purpose of the study is to estimate the risk of asthma exacerbation in stable asthmatics who reduce inhaled corticosteroids (ICS) compared to those who maintain a stable ICS dose. We identified articles from a systematic review of English and(More)
Studies estimate prolonged stays in acute and sub-acute facilities for patients with dementia. Actuarial projections suggest prolonged stays in long term care facilities for patients with dementia. To test these predictions, we assessed whether patients with dementia stay in skilled nursing facilities (SNF) longer than patients without dementia. We obtained(More)
A total of 983 patients samples (pus, urine, sputum, throat swabs, blood culture, CSF, vaginal swabs, ear swabs) were studied for a period of one year. The incidence of coagulase positive Staphylococci was highest in pus and the incidence of coagulase negative Staphylococci was highest in conjunctival swabs. Antibiotic Sensitivity pattern of routinely used(More)
Candida is a genus of yeasts and is currently the most common cause of fungal infections worldwide (Manolakaki et al., 2002). Many species are harmless commensals or endosymbionts of hosts including humans; however, when mucosal barriers are disrupted or the immune system is compromised they can invade and cause disease (Kourkoumpetis et al., 2011). Candida(More)
BACKGROUND One way to gain insight into the pathophysiology of chronic rhinosinusitis (CRS) is to study the immunologic changes that occur with exacerbation. This study describes the immunologic changes during CRS exacerbation METHODS We performed a prospective study to investigate the immunologic changes seen during exacerbation of CRS with nasal(More)
In this paper we will examine the development strategies and efforts of the World Bank Group in fostering sustainable growth in Ghana through the implementation of various economic and infrastructural development projects throughout the country. And after analyzing traditional patterns of social relations in Ghana and showing the complexities of the(More)