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34 results on '"Ramesh, Reshma"'

5. Identification of Fungal Endophytes by 28SrDNA Technique

Author

Muthusamy, Karnan, primary, Pichai, Tamilkani, additional, Selvakumar, Vijayalakshmi, additional, Ananthan, Anbukumaran, additional, Ramesh, Reshma Devi, additional, Lakshmanan, Leelavathi, additional, Govindarajan, Senthilkumar, additional, Annamalai, Panneerselvam, additional, and Choi, Ki Choon, additional

Published
2022
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8. Withdrawal of Inhaled Corticosteroids from Patients with COPD; Effect on Exacerbation Frequency and Lung Function: A Systematic Review

Author

Georgiou,Andrea, Ramesh,Reshma, Schofield,Peter, White,Patrick, Harries,Timothy, Georgiou,Andrea, Ramesh,Reshma, Schofield,Peter, White,Patrick, and Harries,Timothy

Abstract

Andrea Georgiou, Reshma Ramesh, Peter Schofield, Patrick White, Timothy H Harries School of Population Health & Environmental Sciences, King’s College London, London, UKCorrespondence: Timothy H Harries, King’s College London, Department of Population Health Sciences, School of Life Course & Population Sciences, King’s College London, 3rd Floor Addison House, Guys Campus, London, SE1 1UL, UK, Tel +44 20 7836 5454, Email timothy.harries@kcl.ac.ukBackground: Inhaled corticosteroid (ICS) therapy has been demonstrated to reduce the risk of COPD exacerbations. It should only be prescribed to COPD patients who are not adequately controlled by dual long-acting bronchodilator therapy and who have ≥ 2 exacerbations per year and a blood eosinophil count ≥ 300cells/μL. ICS therapy is widely prescribed outside guidelines to COPD patients, making ICS withdrawal an important consideration. This systematic review aims to provide an up-to-date analysis of the effect of ICS withdrawal on exacerbation frequency, change in lung function (FEV1) and to determine the proportion of COPD patients who resume ICS therapy following withdrawal.Methods: Randomised controlled trials (RCTs) and observational studies which compared ICS withdrawal with ICS continuation treatment were included. Cochrane Central, Web of Science, CINHAL, Embase and OVID Medline were searched. Risk of bias was assessed using the Cochrane RoB2 tool and the Newcastle-Ottawa Scale. Quality assessment of RCTs was conducted using GRADE. Meta-analysis of post-hoc analyses of RCTs of ICS withdrawal, stratified by blood eosinophil count (BEC), was undertaken.Results: Ten RCTs (6642 patients randomised) and 6 observational studies (160,029 patients) were included in the results. When ICS was withdrawn and long-acting bronchodilator therapy was maintained, there was no consistent difference in exacerbation frequency or lung function change between the ICS withdrawal and continuation trial arms. The evidence fo

Published
2024

10. Implementation of objective structured clinical examination into the post-graduate residency curriculum in the wake of COVID-19

Author

Davalbhakta, Samira, Ramesh, Reshma, and Paul, Anujeet

Subjects
Educational aspects, Curricula, Evaluation, Epidemics -- Educational aspects -- India, Graduate study -- Curricula, Educational tests -- Evaluation, COVID-19 -- Educational aspects, Examinations -- Evaluation, Universities and colleges -- Graduate work, Educational tests and measurements -- Evaluation
Published
2022

29. Contributors

Author

Ambikapathy, V., Bhatt, Shweta, Blue, Lhea, Bundela, Vindhya, Chaturvedi, Ambika, Chaturvedi, Payal, Deora, Sandhya, Elakkya, M., Pulikondan Francis, Steffi, Gomathi, S., Gupta, Amit Kumar, Harish, Jain, Khushboo, Jha, Subhesh Saurabh, Joshi, Preetam, Kumar, Abhishek, Kumar, Arun, Kumar, Pankaj, Kumar, Satish, Kumari, Rima, Lakshmanan, Leelavathi, Maheshwari, Yashika, Marwal, Avinash, Mathur, Parikshana, Meena, Mukesh, Mehta, Tushar, Mishel, P.F., Mishra, Anita, Muthusamy, Karnan, Nagda, Adhishree, Nirmal, Dhaval, Pandey, Shiv Shanker, Panneerselvam, A., Partap, Mahinder, Paul, Etisha, Puranik, Shriniketan, Raghav, Ragini, Ramesh, Reshma Devi, Ranjan, Rajiv, Rene Christena, L., Sankaranarayanan, A., Saraswat, Pooja, Savitha, T., Selvakumar, Vijayalakshmi, Selvaraj, Kalaiselvi, Seth, Kunal, Sharma, Charu, Shashidharan, Anisha, Shukla, Livleen, Shylla, Amanda, Singh, Anand Narain, Singh, Ayushi, Singh, Sandeep Kumar, Singh, Siril, Songachan, L.S., Sonigra, Priyankaraj, Swapnil, Prashant, Tailor, Shalini, Teraiya, Sagar, Tharumasivam, Siva Vijayakumar, Tokas, Diksha, Tyagi, Parul, Vasant, Gunja, Vyas, Pallavi, Warghat, Ashish R., Yadav, Garima, Yadav, Rajni, and Zehra, Andleeb

Published
2023
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30. De-Confining Women! Mental Models Pertaining to Empowerment.

Author

Bonin, Sandrine, Ramesh, Reshma, and Mohan, Radhika

Subjects
*WOMEN'S empowerment, *SOCIAL learning, *STRUCTURALISM, *GROUNDED theory, *VIOLENCE against women, *COVID-19 pandemic
Abstract

Gender inequalities in rural India are deeply engraved in the socio-cultural norms and manifest as social learnings, restricting women and girls' access to economic, educational, and political assets and resources. For any empowerment initiatives to address the deep-rooted beliefs, it is essential to understand how women experience this process and identify factors that women perceive as crucial for their growth and development. These empirical factors can complement the theoretical underpinnings on the concepts of empowerment, structuralism, and agency, providing an improved conceptual framework. Through a qualitative method inspired by grounded theory principles, the current study complied in-depth interviews on eight women who were participants of an empowerment initiative to understand their mental models before and after the intervention through retrospective testimonies. This methodology aims to reveal women's mental representation regarding empowerment and identify key contributing factors. The results showed that women gained confidence from a state of deep fear that kept them silent and isolated. Women now attempt to speak and share opinions with families, government officers, and the community. The new exposure gained through the empowerment intervention opened women's horizons and led to achievements, appreciation, and recognition contributing to women's increased happiness. The paper's main theoretical contribution relies on the subject-object relationship, a paradigm embedded in Indian culture, that invites us to approach this phenomenon through complex adaptive system theories to evaluate complexity and agency levels. [ABSTRACT FROM AUTHOR]

Published
2021
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33. Role of FeNO in predicting the responsiveness of inhaled corticosteroids in COPD: a systematic review.

Author

Ramesh, Reshma, Georgiou, Andrea, and Harries, Timothy

Abstract

Background Fractional exhaled nitric oxide (FeNO) as a predictor of inhaled corticosteroid (ICS) response in asthma has been established. However, the same has not been established in chronic obstructive pulmonary disease (COPD). An optimal value of FeNO for prescribing and monitoring ICS response has not been quantified. Aim To examine the evidence for this association. Method A systematic review was conducted of randomised controlled trials and observational studies examining the association between FeNO level and response to ICS in COPD patients. All studies examining this association were included. Five databases were searched thoroughly. Systematic screening, full-text reviews, and data extraction were carried out based on eligibility criteria. Results A total of 8690 studies were identified, 342 texts were screened fully, and six studies were included for the final review. One was a randomised controlled trial and the other five were non-randomised interventional trials. One study was conducted in asthma–COPD overlap (ACO patients). After ICS use, three studies found statistically significant correlations between FeNO and lung function improvement (FEV1), and three studies also found significant correlations between FeNO and COPD quality-of-life scores. Conclusion Measurement of FeNO is non-invasive and standardised, with results available at the point of testing. Because of the small sample size and short duration of studies, exacerbation frequencies were not measured. Despite this, the review suggests that FeNO may be a potential biomarker for assessing ICS response in COPD. Further research that stratifies patients by FeNO levels and assesses the impact on acute exacerbations is needed to understand its potential value in routine clinical practice. [ABSTRACT FROM AUTHOR]

Published
2024
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