Explanipedia

Simulation-Based Peer Feedback Module for Pediatric Rapid Response Team Handoffs Open

Rachael Herriman, Priti Jani, Nirav Patel, Brett Palama, Anu Elangovan · 2025

This simulation-based module improved structured communication and leadership skills for pediatric RRT events. The approach is scalable and adaptable across training sites to enhance resident preparedness and patient safety.

EVALUATION OF PHARMACY-BASED RECOMMENDATIONS WITHIN A COMPREHENSIVE GERIATRIC ASSESSMENT TEAM Open

Maria Cervantes, Nirav Patel, Jacob Tillmann, Christine T. Cigolle, Heather L. Bieber , et al. · 2024

Background Rural older Veterans face unique challenges in managing multiple chronic conditions. A novel, virtual Comprehensive Geriatric Assessment (CGA) clinic, at a southeastern Veterans Affairs (VA) medical center, aimed to optimize med…

Tracheobronchial foreign body aspiration in children in Soweto, South Africa: A retrospective descriptive study Open

A Moola, Charl Verwey, T Mabaso, K Mopeli, A. Withers , et al. · 2024

Background. Airway foreign bodies are a common cause of accidental death in children. Tracheobronchial foreign body aspiration (FBA) can result in severe immediate and long-term complications if the foreign body is not identified and remov…

Burnt out: A retrospective review of paediatric burns admissions at Chris Hani Baragwanath Academic Hospital 2015–2020 Open

R. Mahlaule, N. Meghraj, L. Tshuta, Ahmed Seedat, K. Mothoane , et al. · 2024

Background: Burn injuries in children in low- and middle-income countries are common, serious, and preventable. Despite the high burden of disease, there is a paucity of data on the profile of paediatric burns in South Africa. Such data ar…

Telephonic follow‐up after day case pediatric surgery in an upper middle income country: A pilot study Open

Nirav Patel, Jerome Loveland, Juan Scribante · 2024

Background One third of South African children live in households with no employed adult. Telemedicine may save patients and the strained public health sector significant resources. We aimed to determine the safety and benefits of telephon…

Splenic Infarction in Acute Cytomegalovirus and Epstein-Barr Virus Concomitant Infection Open

Tina Kana, Saraf Mehjabeen, Ahmed Kawamj, Nirav Patel, Zaineb Shamim · 2023

In immunocompetent individuals, cytomegalovirus (CMV) infection can range from asymptomatic to infectious mononucleosis syndrome and can cause hemolysis. However, in immunocompromised individuals, the presentation may be complicated with v…

Central venous catheterization-related complications in a cohort of 100 hospitalized patients: An observational study Open

Reena Singh, Naimish Patel, Nidhi Mehta, Gaurav Singh, Nirav Patel · 2023

Objective: To evaluate the complications of central venous catheterization (CVC). Methods: A prospective, observational study was conducted at a tertiary care center in India from December 2018 to September 2020. Critically ill patients (a…

Sporadic Hemiplegic Migraine Open

Tina Kana, Saraf Mehjabeen, Nirav Patel, Ahmed Kawamj, Zaineb Shamim · 2023

An uncommon presentation of a migraine headache is hemiplegic migraine, which can clinically imitate other conditions including transient ischemic attacks and stroke with unilateral muscle weakness or hemiplegia. We present a 46-year-old f…

Not Your Typical Thunderclap Headache Open

Ivan Ivanov, Dimitri Livshits, Brenda Sokup, Angela Frisby, Nirav Patel · 2023

The international experience of in-situ recovery of the DCD heart: a multicentre retrospective observational study Open

John Louca, Marco Öchsner, Ashish S. Shah, Jordan Hoffman, Alexandra Debose-Scarlett , et al. · 2023

SINUS BRADYCARDIA IN HOSPITALIZED PATIENTS RECEIVING REMDESIVIR THERAPY FOR COVID-19: A RETROSPECTIVE COHORT STUDY Open

Kinjal D. Patel, Dilesha Kumanayaka, Krunal Trivedi, Harshvardhan S. Zala, Ahsan Ali Khan , et al. · 2023

Rehabilitation Therapy Doses Are Low After Stroke and Predicted by Clinical Factors Open

Brittany M. Young, E. Alison Holman, Steven C. Cramer, Shreyansh Shah, Christoph J. Griessenauer , et al. · 2023

Background: Stroke is a leading cause of long-term disability. Greater rehabilitation therapy after stroke is known to improve functional outcomes. This study examined therapy doses during the first year of stroke recovery and identified f…

Knowledge of breastfeeding and human milk banks amongst mothers at Chris Hani Baragwanath Academic Hospital: A descriptive study Open

Nirav Patel, P Sumaraj, Tarryn Gabler, Andrew Grieve, P Naidoo , et al. · 2023

Review of heart transplantation from hepatitis C-positive donors Open

Palak Patel, Nirav Patel, Fahad Shabbir Ahmed, Jason Gluck · 2022

Significant scarcity of a donor pool exists for heart transplantation (HT) as the prevalence of patients with end-stage refractory heart failure is increasing exceptionally. With the discovery of effective direct-acting antiviral and favor…

1477 First efficacy and multi-omic analysis data from phase 1 clinical trial of oncolytic viral immunotherapy with CAN-2409 + valacyclovir in combination with nivolumab and standard of care in newly diagnosed high-grade glioma Open

Patrick Y. Wen, Caroline Duault, Edgar Gonzalez‐Kozlova, Kevin F. Brennan, Tyson H. Holmes , et al. · 2022

Background High-grade glioma (HGG) is characterized by a highly immunosuppressive tumor microenvironment and poor prognosis. Limited advances have been made in HGG standard of care (SoC) treatment, with immunotherapy failures reported in t…

Complications and their management in robotic mitral valve surgery from the surgical assistant’s perspective Open

Nirav Patel, Aaron R. Macoskey · 2022

Robotic mitral valve (MV) repair is an alternative approach to traditional MV repair via median sternotomy. There is a rich history of innovation embedded within robotic MV surgery. Since the inaugural robotic MV repair performed in May 19…

A Case Series of Indian Red Scorpion Bite and Rare Clinical Presentation of Central Nervous System Open

Nirav Patel, M. R. Shah, Yash Patel · 2022

Indian red scorpion (Hottentotta tamulus) is a very dangerous venomous animal found in Indian Territory; its venom contains various toxins which causes direct effect on the central nervous system (CNS). We report a case series of 12 patien…

A Study to Assess the Incidence and Contributing Risk Factors of Peripheral Intravenous Therapy Related Complications among Patients Receiving Peripheral Intravenous Therapy in a Tertiary Care Hospital Open

Levente Sára, Narinder Singh, Nirav Patel, NC Kiran Danu, Nikhil Babu Oommen , et al. · 2022

Clinical Outcome Following Heat Transplantation of 59 Tanrp Donor Hearts. An International Experience: Open

John Louca, Ashish S. Shah, Simon Messer, Nirav Patel, Rohan Sanghera , et al. · 2022

Applicability of the Revised Trauma Score in Paediatric Patients Admitted to a South African Intensive Care Unit Open

Cameron Kuronen-Stewart, Nirav Patel, Tarryn Gabler, I. Khofi-Phiri, Gladness Dakalo Nethathe , et al. · 2021

Context: Revised Trauma Score (RTS) is a validated tool in assessing patients in a pre-hospital setting. There are limited data describing its potential use in guiding referral to intensive care. Aims: Trauma scoring systems require approp…

Massive left upper abdominal cyst : how to diagnose and what to do Open

Joseph Jacob, Nirav Patel · 2021

We present a case of a large splenic pseudocyst in a 16-year-old female, who presented with a left upper quadrant mass and features of gastric outlet obstruction. We discuss the difficulties in diagnosis, the management options and why the…

Clinical Quiz—A Rare Case of Anal Canal Duplication in the Context of Currarino Syndrome Open

Sean Jared Connor, Giulia Brisighelli, Nirav Patel, Marc A. Levitt · 2021

Currarino syndrome (CS) is a rare condition that presents with any combination of a sacral defect, a presacral mass, and an anorectal malformation. This collection, referred to as Currarino's triad, may not necessarily present as all three…

Paediatric Central Venous Access: Experience in the Largest South African Paediatric Surgical Centre Open

Nirav Patel, Zeenat Bhikhoo, Anika Wolmarans, Luke Stonestreet, Iain Monteith , et al. · 2020

Background: Percutaneous central venous catheterization (CVC) in the paediatric population is a relatively common procedure but local data in South Africa are extremely limited. Objective: To describe percutaneous CVC in the local setting …

Improving Consent Documentation in the Medical Intensive Care Unit Open

Armin Krvavac, Pujan H. Patel, Ghassan Kamel, Zeyu Hu, Nirav Patel · 2019

Surgical infections at a regional hospital in Gauteng: reasons for delay to care and profile of pathology Open

Nirav Patel, Poobalan Naidoo, Geoffrey Candy, CJ Kruger · 2019

Background: Present on arrival infection is a common indication for admission of surgical patients initially managed at primary care level.We aimed to describe the demographic and disease profile of patients presenting with infection requi…

Paediatric splenectomy: The Johannesburg experience Open

Nirav Patel, Adeeb Nicola, Phillip R. Bennett, Jerome Loveland, E Mapunda , et al. · 2018

Background. Splenectomy is an uncommon procedure in children, and data on children who underwent splenectomy in South Africa are sparse. Objective. To describe the profile, operative management and outcomes of children undergoing splenecto…

Registrar perceptions on general surgical training in South Africa: A report by the South African Society of Surgeons in Training (SASSiT) Open

Nirav Patel, Astrid Leusink, Neeraj Singh, MZ Koto, Thifhelimbilu Emmanuel Luvhengo · 2018

Surgical registrars are dissatisfied with the amount of formal academic teaching and protected academic time, level of supervision in theatre and their exposure to MIS. These challenges compromise trainees' ability to practice independentl…

A perspective on paediatric surgical training: opportunities and challenges Open

Nirav Patel, Jerome Loveland · 2018

Globally, the training of paediatric surgeons is facing numerous challenges. Exposure to rare and complex index pathology is vital in the training of competent paediatric surgeons, but it is this rarity and complexity that creates a fundam…

Myxedema Psychosis in a Patient With Undiagnosed Hashimoto Thyroiditis Open

Matthew M. Mavroson, Nirav Patel, E.L. van den Akker · 2017

Myxedema psychosis is uncommon in patients with primary hypothyroidism. Most often, this disease state can be found in patients with Hashimoto thyroiditis or after total thyroidectomy. Chronic hypothyroidism can lead to an insidious onset …

Survival after <i>Pneumocystis jirovecii</i> pneumonia requiring ventilation: A case report Open

Gladness Dakalo Nethathe, Nirav Patel · 2016

Pneumocystis pneumonia (PCP) in patients with the human immunodeficiency virus (HIV) is associated with a high mortality rate, which increases substantially with the need for mechanical ventilation. Local experience of patients with PCP ad…

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