Dr. Ranjit Joshi
MBBS, DRCOG, MRCOG (London)
Area of interest
- Infertility & Assisted Conception
- Hysteroscopic surgery
Papers And Publications
- “Predictive Value of Blastocyst culture of super-numary embryos in predicting pregnancy outcome of the assisted conception cycle”- oral presentation at the 2002 ESHRE, Vienna
- “Surgical Sperm Aspiration as satellite procedure- an successful option” – presented at the 2nd world congress in obs & Gynae, Paris Sept 2001
- "A Randomised Control Trial of Magnesium Sulphate versus Placebo". This letter was published in July 1998 issue of British Journal of Obstetrics and Gynaecology in the correspondence section. This survey was conducted using decision-making framework at the Birmingham, Glasgow and Dundee concluding the efficacy of magnesium sulphate in severe preclampsia.
- “Dilemma of antenatal and intrapartum management of fetal Supraventricular Tachychardia". This case report is in progress
- "Role of Trans Vaginal Ultrasound in Post Menopausal Bleeding" this was presented at the Sp. Registrar conference at Bristol, Nov 1999.
- "HIGH RISK FACTORS FOR Rh-D SILENT ISO-IMMUNISATION IN RHESUS NEGATIVE PATIENTS". This is a study of all Silently Iso-Immunised women, over a period of 1994-96, recorded by the Blood Transfusion Service (BTS) laboratory of the West Midlands. The aim is to assess any high risk factors with silent Iso-immunisation. This study provides us the evidence to categorise women who can have more benefit by prophylactic Anti-D.
- "Effect of HRT on predictive vale of TVS in patients with PMB" this paper was presented at British Medical Ultrasound Society conference Glasgow, Dec 1999.
- "Lactate-Pro Trial". This multi-centre trial evaluated the correlation between the pH and lactate level in fetal blood sample. My role was to train others to perform the lactate test at the time of Fetal Blood Sample, collecting and reporting data for the Birmingham centre.
- "Delay in Emergency caesarean section-1998-99" This audit at Halifax General Hospital Evaluated causes of delay for emergency caesarean section the recommendations have lead to amendments in labour ward protocol
- " THE C.A.T. PROJECT". This unique project, which involves Critical Appraisal of Topics, which are raised as a clinical question in every day practice. These questions are registered and then an electronic search is done on Medline and Embase. The relevant literature is appraised using various statistical parameters like NNT. This process leads to a CAT (Critically Appraised Topic). These C.A.Ts are stored electronically and are available for further reference on hospital network. My role was to organise weekly presentations by motivating others, helping them for literature search and critical appraisal in association with senior registrar. This unique activity is the methodical way of practising Evidence Based Medicine and is in tune with Clinical Governance.This is now published on the web at http://www.thenhs.com/bham-womens/cats/index.htm I have presented following Critically Appraised Topics-
- Chlamydia and Preterm Labour.
- Use of magnesium sulphate in Pre-Eclampsia - Analysis using decision making framework- this has lead to publication in BJOG
- Intrauterine Progesterone releasing device vs. surgery for menorrhagia.
- Prognosis of normal twin after feticide of abnormal twin in Dichorionic Twins.
- Role of Metformin in PCOS this appraisal has lead to development of a protocol at Halifax General Hospital.
- This project has been awarded- “clinical Excellence award for innovation” by the NHS executive
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