Browsing by Author "Prajapati, VK"

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    Development and introduction of a communication skills module for postgraduate students of ophthalmology
    (All India Ophthalmological Society, 2019-11) Bhagat, PR; Prajapati, KM; Bhatt, RB; Prajapati, VK; Dureja, R; Tank, GP
    Purpose: Effective communication lies at the heart of a patient--doctor relationship. Communication skills (CS) teaching and assessment is not a part of the postgraduate (PG) curriculum. Lack of effective CS in current PG students' results in patient distrust and dissatisfaction, conflicts, and compromised healthcare. The regulatory authorities of medical education have recognized the need to inculcate soft skills among medical graduates, one of which is CS. The purpose of this study was to assess the need for teaching CS to ophthalmology PG students and develop and introduce a module for the same. Methods: In this prospective, interventional study done at the ophthalmology department of a tertiary hospital, a validated 8 day CS workshop was conducted for 60 PG students through interactive lectures, observations, video sessions, and role plays. Feedbacks were obtained through narratives, validated Google survey, reflections and verbal method and analyzed. Results: In the needs assessment done on 27 departmental faculties, 20 faculties found poor communication to be a major reason for patient complaints. All faculties agreed that CS should be taught to medical students. Statistically significant improvement in CS awareness was noted among students after the workshop. Lack of CS training, work burden, and language were identified as main barriers to effective communication. All the students were satisfied with the workshop and wanted it to be conducted regularly. Conclusion: This study establishes that CS training is essential to improve patient satisfaction and patient-doctor relationships. Barriers to effective CS could be identified, for which possible solutions could be found.
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    An Experience with Post Covid-19 Rhino-Orbital Cerebral Mucormycosis with Oral Manifestations: A Retrospective Study
    (Society for Scientific Research, 2024-01) Vishal; Goyal, AK; Khaitan, T; Prajapati, VK
    Background: The indiscriminate use of corticosteroids in moderate to severe COVID-19 cases has precipitated an unprecedented surge in mucormycosis, a life-threatening fungal infection. Although recent literature extensively discusses mucormycosis's clinical and treatment aspects, reports on its intra-oral manifestations remain sparse. This study aims to elucidate the presence and treatment of oral symptoms in Rhino-Orbital-Cerebral (ROC) mucormycosis cases. Methods: A retrospective study was conducted utilizing 2021 records from the departmental OPD and IPD archives. Collected data encompassed demographic details, co-morbidities, predisposing factors, and both extra-oral and intra-oral symptomatology, as well as the treatments administered and the patient's status at least one-month post-hospital discharge. Numerical data underwent central tendency analysis, while chi-square testing was applied to ordinal data. Results: Of the 21 ROC mucormycosis cases noted, most (20) presented with palatal lesions, one with a tongue lesion and two with maxillary alveolar involvement. Palatal afflictions included discoloration (4 cases), petechiae (4 cases), ulceration (7 cases), and necrosis (5 cases). Fourteen patients received medical therapy alone, and seven underwent additional surgical treatment. Survival and mortality rates showed no significant variation based on treatment type. Conclusion: Early signs of ROC mucormycosis include intra-oral symptoms such as pain in the upper teeth, darkening of the palate, and tenderness in the alveolar region. Individuals, who have previously had COVID-19 and who have diabetes should promptly seek a medical or dental assessment if they experience these symptoms. The illness exhibits a significant mortality rate, with approximately one-third of the patients in this study leading to fatality.
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    Gender dynamics in IVF: uncovering male and female factors for IVF at a tertiary care hospital
    (Medip Academy, 2025-05) Naredi, N; Prajapati, VK; Agrawal, A; lele, PR; Sahoo, I.
    Background: In spite of the global burden of subfertility affecting 8 to 12% of reproductive aged couples worldwide, not all sub fertile couples require in vitro fertilization (IVF). The decision to pursue IVF is typically based on a thorough assessment of the couple’s fertility challenges. Initially developed as a way to bypass irreparable tubal disease, IVF is now widely applied for treatment of infertility due to a variety of other causes. Latest achievements in the field of assisted reproduction have led to a rapid expansion in the indications of IVF. The objective of the study is to ascertain the various indications for which IVF was offered in the ART Centre of a public sector hospital, where such facilities are offered free of cost. Methods: This cross-sectional retrospective study was carried out over a period of 3 years in a tertiary care public sector hospital. Medical records including the infertility data of 1934 couples who underwent IVF cycles during the study period was analysed. Results: Of the 1934 couples taken up for IVF, 379 (19.6%) couples were for male factor only, 14.7% underwent IVF for chronic anovulation and 478 (24.7%) couples underwent IVF for combined male and female factors while 14.6% for idiopathic infertility. Conclusions: Both male and female factors contribute vividly to the burden of infertility and result in IVF to attain a successful pregnancy. In our study combined factors was the commonest indication for IVF.