Sanjeev Desai

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Vivax malaria accounts for 80% of malaria cases in Mumbai (Bombay) and has high morbidity. In India, the standard treatment to prevent relapses of vivax malaria is a 5-day regimen of primaquine. However, between 1977 and 1997, the efficacy of this treatment declined from approximately 99% to 87%. The efficacy of the 5-day regimen was therefore compared with(More)
OBJECTIVES To analyze the relapse pattern of Plasmodium vivax in the city of Mumbai. METHODS 283 cases of smear positive vivax malaria were treated with full dose (25 mg/kg) chloroquine and were asked to follow up for at least one year. None of the patients received primaquine. RESULTS Of the 150 cases who followed up for at least one year, 19 relapsed,(More)
The treatment of ureteroceles in children requires an individualised approach. Antenatal diagnosis is the ideal, so that postnatal urinary antibiotic prophylaxis and appropriate investigations can be organised. Postnatal investigations should assess both upper and lower urinary tract. Renal and bladder ultrasound and radiographic micturating(More)
A major problem in the control of malaria is the development of resistance, of the parasites to the existing drugs and of the vectors to insecticides. With few new drugs in the pipeline, in an era of declining resources, it is imperative to make judicious use of the existing antimalarials. In the city of Mumbai, resistance exists to chloroquine (CQ) and to(More)
BACKGROUND Malaria is a major public health problem representing 2.3% of the overall global disease burden. The cost of treatment of malaria continues to rise as older drugs and insecticides become less effective and are replaced by more effective, but also more expensive products. METHODS A post-hoc pharmacoeconomic analysis (direct and indirect costs(More)
Facial palsy is a common condition with an estimated incidence of 20-25 cases per 100000 population1,2 which may arise due to various reasons viz. idiopathic (Bell’s palsy), trauma, inflammation tumors, and others3. The facial nerve palsy following trauma, is an uncommon condition which occurs in 1.5% patients of skull base fractures5, majority of them due(More)
BACKGROUND The Innovative Mobile-phone Technology for Community Health Operation (ImTeCHO) is a mobile-phone application that helps Accredited Social Health Activists (ASHAs) in complete registration through the strategies employed during implementation that is linking ASHAs' incentives to digital records, regular feedback, onsite data entry, and demand(More)
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