Publications by authors named "Nimesh G Desai"

Article Synopsis
  • Conversion disorder remains one of the most misunderstood neuropsychiatric disorders, with confusion surrounding its symptoms, assessment, and treatment, particularly influenced by familial stressors in the context of the client's sociocultural background.
  • * A study with fifteen clients in North India used cultural formulation interviews to analyze their experiences, revealing how cultural factors shape their understanding of the disorder and their treatment outcomes.
  • * The results highlighted a common theme of misunderstanding regarding the illness among both clients and clinicians, leading to decreased trust and hope in therapeutic interventions, emphasizing the necessity for culturally informed clinical practices.
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Justification: The COVID-19 pandemic has affected schooling for more than 24 crores students, since March 2020. Students need a respite from the long standing social isolation so that they regain their chance to develop holistically, but after the devastating effects of the second wave, the administrators as well as parents are skeptical about the decision of school reopening.

Process: The Indian Academy of Pediatrics constituted a task force comprising of national and international experts in the field who deliberated on the issue.

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Aims: Chronic stress is associated with increased risk of type 2 diabetes. Oxidative stress and inflammation are potential mediators of this risk. This study was conducted to investigate the association of oxidative stress and inflammatory markers with chronic stress and newly diagnosed type 2 diabetes.

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Aim: Catatonia is caused by a variety of psychiatric and organic conditions. The onset, clinical profile, and response to treatment may vary depending on the underlying cause. The study is an attempt to explore clinical profile, possible etiological correlates with neurotic/psychotic spectrum illnesses, and response to treatment and outcome in patients of catatonia.

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Background: Tobacco use contributes significantly to the diseases burden in India. Very few tobacco users spontaneously quit. Therefore, beginning 2002, a network of 19 tobacco cessation clinics (TCCs) was set up over a period of time to study the feasibility of establishing tobacco cessation services.

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We report a case that experienced psychosis after combination therapy of albendazole and ivermectin. This case report represents the first report of psychosis caused by this combination therapy and its treatment with clonazepam.

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Background: Dried blood may be a convenient method of sample collection in epidemiological studies; however, the method needs evaluation in a field settings. In the present study, feasibility of using dried blood for measurement of cholesterol and triglycerides was evaluated in multicenter surveillance study for noncommunicable disease (NCD).

Methods: Samples were collected in a cross-sectional study for NCD risk factor surveillance conducted in six centers in India.

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The 2nd Indo-US Health Care Summit held in January 2009 was a forum to discuss collaboration between physicians in the US and India on medical education, health care services and research. Six specialties were represented including Mental Health (MH). Using Depression as the paradigmatic disorder, the following objectives were developed.

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Biomedical, anthropological and psychiatric frameworks have been used to research different elements of men's sexual health - sexually transmitted infections, psychosexual concerns and psychological distress - but rarely within the same study. We combined these in a study in rural north India. In Tehri Garhwal and Agra districts, we explored male perceptions of genital and sexual symptoms through focus group discussions and then conducted a clinic-based survey of 366 symptomatic men who presented at rural private provider clinics.

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Recent reports show strikingly high prevalence of diabetes among urban Asian Indians; however, there are very few studies comparing urban, peri-urban and rural prevalence rates of diabetes and their risk factors at the national level. This study is a part of the national non-communicable diseases (NCD) risk factor surveillance conducted in different geographical locations (North, South, East, West/Central) in India between April 2003 and March 2005. A total of 44,523 individuals (age: 15-64 years) inclusive of 15,239 from urban, 15,760 from peri-urban/slum and 13,524 from rural areas were recruited.

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Fantasy friend or imaginary companions is usually regarded as normal phenomenon and commonly seen in children. The index case is presented for highlighting the pathological nature of fantasy friend phenomenon, role of psychological, social and cultural factors in its genesis and its course. Onset and persistence of this phenomenon throughout adolescence, its longer duration and non-recognition of its imaginary component by the patient indicates its pathological nature.

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Various risk behaviors promote the spread of HIV in drug addicts. Reflecting the substantial regional and geographic differences in the impact of HIV, its prevalence rates vary from country to country. In view of increasing reports of injection drug-uses (IDUs) from different parts of India, the study was aimed to examine and investigate the difference in prevalence rates of seropositivity between IDUs and non-IDUs in patients of drug dependence and to compare the pattern of risk behaviors due to sexual and drug use practice in IDUs and non-IDUs.

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Article Synopsis
  • - Urban mental health services in India are underdeveloped compared to initiatives in developed countries, with the WHO-ICMR Pilot Project aiming to address this gap.
  • - The project studied various factors including service distribution, human resource availability, and barriers to access, employing mapping exercises and qualitative research methods like interviews and focus groups.
  • - Results revealed a significant mental health service gap (82%-96%) and uneven availability, with the government sector handling most specialist services; barriers identified by the community suggest urgent improvements are needed in urban mental health programs.
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The present study reports on the findings from an ICMR supported Research Project on the mental health consequences and service needs of the population of an urban slum in Delhi affected by an intermediate fire disaster. The study was aimed at examining the prevalence, the pattern and the predictors of mental health morbidity in the disaster affected population. Modified cohort design was used , with a control group, and two stage assessments for the prevalence of psychiatric disorder at two years after the disaster, with GHQ-12 and SCAN based clinical interview with ICD-10-DCR.

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