Publications by authors named "Jaishree Ganjiwale"

Background: The local antibiogram is essential to prevent the development of multidrug-resistant organisms. The aim of the study was to find out the synchronization of empirical antibiotics with the sensitivity pattern of the urine culture report and to study the differences in the organisms and sensitivity patterns in urinary tract infection (UTI) with and without other comorbidities.

Materials And Methods: UTI, diagnosed by a positive urine culture report of 300 consecutive patients above the age of 18, was studied retrospectively.

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Smokeless tobacco (ST) use in South Asia is culturally ingrained and socially accepted. A better understanding of these sociocultural influences could inform behavioural approaches to prevent ST use. We sought to understand how family members influence pregnant women's behaviour, attitudes, and perceptions towards ST use.

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Pediatric cardiac surgery demands meticulous technique, but optimal outcomes hinge on translating data into actionable insights. This editorial bridges the gap between scalpel and statistical jargon, empowering surgeons to decipher common tests. Descriptive statistics paint portraits of patient cohorts, while hypothesis testing discerns real differences from chance.

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  • * Symptoms observed included fatigue, fever, cough, and dyspnea, with 35% experiencing mild disease and 20% critical disease; younger patients with shorter dialysis history had higher mortality rates.
  • * Key prognostic factors for poorer outcomes included older age, low oxygen levels upon admission, and various lab results, while treatment with remdesivir and anticoagulants improved survival chances; further research is needed to validate these findings.
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Background: During the initial days of hospitalization, preterm newborns are given combinations of breastfeeding, spoon/paladai feeding, and/or gavage feeding. Each method of feeding may have a different effect on vital parameters.

Objective: To study changes in vital parameters in relation to different feeding methods and postmenstrual age (PMA) in preterm newborns.

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Introduction: The use of remdesivir is not recommended in patients with end-stage renal disease (ESRD) with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection unless potential advantage offset disadvantage due to limited safety data. Our objective was to assess the safety of remdesivir in patients with end-stage renal failure and evaluate the outcome of this vulnerable group.

Methodology: We carried out a retrospective observational study in dialysis-dependent ESRD patients with SARS-CoV-2 infection who received a standard 5-day course of remdesivir (powder form) from June 2020 to December 2020.

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Context: Snakebite remains an underrated cause of accidental death in modern India, primarily in rural India, where people fail to reach out to modern medicine and fall victim to the handful of quacks using traditional healing methods. If promptly diagnosed and treated based on various clinical determinants like mode of presentation, time of medical intervention, recognition of the species, and analysis of a series of reliably identified bites, the treatment outcome would be more promising. We aimed to study snakebite patients' clinical profile and treatment outcome in a rural tertiary care setup.

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Background Neonates admitted in a tertiary neonatal intensive care unit (NICU) require multiple blood transfusions because of extended NICU stay and repeated sampling. The rookie organ systems and miniature blood volumes in the neonate call for regular audits in neonatal blood transfusion practice. Sharing component usage data with the blood bank will prepare them to store components according to demand, thus limiting wastage of components as well as make banks ready to face a shortage in case of ramped up requirements.

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Context: Vitiligo is an autoimmune pigmentary disorder characterized by localized or generalized depigmentation of the skin. It is associated with significant stigma and has impact on patient's quality of life (QoL) and psychological wellbeing.

Aims: To see the variance in QoL and level of depression in vitiligo patients with extent of vitiligo.

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Introduction: Influenza A (H1N1) virus has caused serious respiratory illness (swine flu) and death over the years. The first confirmed case of swine flu H1N1 in India was documented in May 2009, but huge numbers of cases were reported thereafter. In 2015, swine flu outbreak in India had led to significant morbidity and mortality.

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  • - The study assessed mental health issues among adolescents (ages 13-17) in Anand, Gujarat, focusing on differences between urban and rural school environments, revealing that 15% of participants had high mental health difficulty scores.
  • - Using the Strengths and Difficulties Questionnaire (SDQ) and other assessments, researchers found that girls tended to report more emotional problems, while boys faced more of other mental health issues, with higher problems noted in rural areas.
  • - Factors like academic struggles, eye problems, and punitive home environments increased the likelihood of high SDQ scores, while having friends and engaging in leisure activities helped reduce mental health risks.
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  • This study investigates the prevalence and impact of postmenopausal symptoms on the quality of life (QOL) of rural women and their couples in Gujarat, India, due to a lack of research in rural settings.
  • Conducted with 100 couples, the survey revealed that 47% of women experienced symptoms, especially physical ones, leading to a mild-to-moderate impact on their QOL, though the men were aware of these symptoms.
  • Despite this awareness, couples relied on avoidant emotional coping strategies rather than active ones, perceiving menopausal symptoms as a natural part of aging.
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Background: Globally, students with top academic performance and high intellectual capacity usually opt to study medicine. However, once students get enrolled, their academic performance varies widely. Such variations appear to be determined by various factors, one of them being types of learning strategies adopted by students.

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Background: Since decades, Forensic Medicine is mainly taught by didactic methods but in last couple of years some other teachinglearning and assessment methods are also introduced at some places which also lacks uniformity. Feedback from learners is most fundamental aspect to assess effectiveness of applied methods, but is not implemented in practice at most medical schools in India. Unfortunately, medical students are deprived of this practical empowerment and thus may not be efficient enough to contribute potentially to the justice system during their professional life.

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Background: Our medical college is running a mentoring programme for undergraduate medical students since 2009. The academic leadership of the college identified the need to change the focus of the programme from mere problem- solving to professional and personal development of mentees.

Methods: A core group of faculty designed and implemented a workshop on mentoring for 28 mentors.

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Background: Developmental disability is a term that refers to permanent cognitive and or physical impairment. Arrested development of physical or mental capacities can lead to number of problems for the sufferer as well as the carers.

Methodology: This study was conducted to assess the quality of life (QOL) and coping mechanisms used by the carers of physically challenged children.

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Background: Stroke has a great impact not only on patients' but also on their caregivers' lives. Carers may experience high levels of burden that can result in deterioration of their health status, social life, and well-being. Association between quality of life (QOL) of carers and that of stroke survivors in Indian setting is not much researched.

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Introduction: Prevalence of Vitamin B12 deficiency has increased in community in recent time. Possibility is raised for new and yet unidentified factors being associated with this increased prevalence. One of these factors frequently questioned is use of Reverse Osmosis (RO) processed water for drinking.

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Background: Xanthelasma palpebrarum (XP) is characterized by sharply demarcated yellowish flat plaques on upper and lower eyelids. It is commonly seen in women with a peak incidence at 30-50 years. It is also considered as the cutaneous marker of underlying atherosclerosis along with the disturbed lipid metabolism.

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  • The study aimed to evaluate the direct costs of intensive care treatment for children in a rural Indian hospital and the impact on their families.
  • Conducted over 27 months, the study analyzed data from 784 children, revealing an average hospital expense of $185.67, with significant costs associated with mechanical ventilation and other health complications.
  • Findings highlight that high costs make intensive care unaffordable for families, contributing to poor health outcomes and high childhood mortality rates, emphasizing the need for improved healthcare strategies and insurance coverage.
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  • A study was conducted to assess the effectiveness of an innovative teaching strategy called "Autobiography of Drugs" for revising core Pharmacology topics among second-year MBBS students.
  • A questionnaire survey showed that students found this method engaging and useful, with most giving a high median score (4 out of 5) for various aspects of the revision sessions.
  • The positive feedback indicated that this active learning approach not only helped students retain information but also made the revision experience more enjoyable and meaningful.
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Characteristics of postpartum depression (PPD) in Anand District, Gujarat, India. PPD affects 1 in 10 women in the developed world. It has been implicated as an independent factor with adverse effect on child health, and health care-seeking behavior of mothers.

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Objectives: To explore social, psychological and financial burden on caregivers of chronically diseased children.

Methods: Participants were recruited from ambulatory and hospital areas in pediatrics department following informed consent. Parents who were caregivers of children 18 y or below in age with chronic illness were included.

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Objective. Children have limited physiological reserve that deteriorates rapidly. Present study profiled patients admitted to PICU and determined PIM2 score applicability in Indian setting.

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