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Musculoskeletal ultrasound for rheumatic diseases in low-resource settings: Current challenges and mitigating strategies. 低资源环境中风湿病的肌肉骨骼超声：当前的挑战和缓解策略。
IF 0.6 4区 医学
Tropical Doctor Pub Date : 2026-10-01 Epub Date: 2026-05-10 DOI: 10.1177/00494755261447336
Farzana Shumy, Minhaj Rahim Choudhury, Ahmad Mursel Anam, Zahid Amin
{"title":"Musculoskeletal ultrasound for rheumatic diseases in low-resource settings: Current challenges and mitigating strategies.","authors":"Farzana Shumy, Minhaj Rahim Choudhury, Ahmad Mursel Anam, Zahid Amin","doi":"10.1177/00494755261447336","DOIUrl":"10.1177/00494755261447336","url":null,"abstract":"<p><p>Musculoskeletal ultrasound (MSK-US) has been widely incorporated by clinical rheumatologists since its first description in inflammatory arthropathies in the late 1970s. Yet, the percentage of rheumatologists performing MSK-US remains low. Nevertheless, evidence shows it to be superior to clinical examination, comparable to MRI in many conditions, and far less expensive. Its convenience and ability to assess multiple joints make MSK-US particularly valuable in low-resource environments. Point-of-care US also reduces referrals and overall healthcare expenditure. In this narrative review, we aim to delineate current evidence of the role of MSK-US in the diagnosis and management of rheumatic diseases, with particular emphasis on its clinical utility, barriers to implementation, and potential strategies to overcome these challenges in resource-limited settings.</p>","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"715-719"},"PeriodicalIF":0.6,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147870152","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Pulmonary arterial hypertension in infancy: A case series. 婴儿肺动脉高压：一个病例系列。
IF 0.6 4区 医学
Tropical Doctor Pub Date : 2026-10-01 Epub Date: 2026-05-11 DOI: 10.1177/00494755261451113
N V Shashikala, K M Arun, R C Ashwini, Muganagowda Patil
{"title":"Pulmonary arterial hypertension in infancy: A case series.","authors":"N V Shashikala, K M Arun, R C Ashwini, Muganagowda Patil","doi":"10.1177/00494755261451113","DOIUrl":"10.1177/00494755261451113","url":null,"abstract":"<p><p>Thiamine deficiency is a reversible cause of severe pulmonary arterial hypertension (PAH) in early infancy, particularly among exclusively breastfed infants of mothers consuming polished rice-based diets. This retrospective case series (July 2023-July 2025) included infants aged-12 months with echocardiographically confirmed severe PAH and no structural heart disease. Eight exclusively breastfed infants (median age 2.5 months) presented with respiratory distress. All mothers consumed polished rice-based diets. Echocardiography revealed severe PAH with right-sided cardiac dilation. Thiamine therapy resulted in rapid clinical improvement within 48 h and complete resolution within two weeks, with no deaths. Thiamine deficiency should be suspected in infants with acute severe PAH, as prompt treatment leads to excellent outcomes.</p>","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"720-722"},"PeriodicalIF":0.6,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147876403","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The consensus statement on consensus statements: An international guideline for the standardisation of guideline development frameworks. 关于共识声明的共识声明：指南制定框架标准化的国际指南。
IF 0.6 4区 医学
Tropical Doctor Pub Date : 2026-10-01 Epub Date: 2026-06-15 DOI: 10.1177/00494755261461075
Dhananjaya Sharma
{"title":"The consensus statement on consensus statements: An international guideline for the standardisation of guideline development frameworks.","authors":"Dhananjaya Sharma","doi":"10.1177/00494755261461075","DOIUrl":"10.1177/00494755261461075","url":null,"abstract":"<p><p>The rapid proliferation of consensus statements has created an urgent need for guidance on developing frameworks that govern the production of future consensus statements. This satire reflects on the process involving steering committees, oversight committees, external validation panels, and multiple Delphi rounds. An international expert group formulated ten recommendations addressing committee structures, consensus methodology, evidence utilization, international representation, acronym generation, infographic deployment, and transparency practices. These satiric guidelines aim to standardize the consensus-development ecosystem while ensuring sufficient ambiguity to justify future updates, additional Delphi exercises, and subsequent consensus statements.</p>","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"613-615"},"PeriodicalIF":0.6,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148254240","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Postoperative antibiotics do not reduce surgical site infections after clean thyroid and breast surgery: A randomised controlled trial from a resource-constrained setting. 清洁甲状腺和乳房手术后，术后抗生素不能减少手术部位感染：一项来自资源受限环境的随机对照试验
IF 0.6 4区 医学
Tropical Doctor Pub Date : 2026-10-01 Epub Date: 2026-05-07 DOI: 10.1177/00494755261448966
M Mohammed Imran, Jayesh Chavda, Saket Shekhar, Sanjay Kumar Yadav, Pawan Agarwal, Dhananjaya Sharma
{"title":"Postoperative antibiotics do not reduce surgical site infections after clean thyroid and breast surgery: A randomised controlled trial from a resource-constrained setting.","authors":"M Mohammed Imran, Jayesh Chavda, Saket Shekhar, Sanjay Kumar Yadav, Pawan Agarwal, Dhananjaya Sharma","doi":"10.1177/00494755261448966","DOIUrl":"10.1177/00494755261448966","url":null,"abstract":"<p><p>Elective thyroid and breast procedures are classified as clean surgery, yet prolonged postoperative antibiotic use remains common in many low- and middle-income settings despite guideline recommendations, contributing to unnecessary antimicrobial exposure. We conducted a randomised trial in a public tertiary-care hospital in central India, assigning adults undergoing elective clean thyroid or breast surgery to either three days of postoperative antibiotics or no antibiotics beyond a single pre-incision prophylactic dose. The primary outcome was 30-day surgical site infection.</p>","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"626-631"},"PeriodicalIF":0.6,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147845171","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
HPV self-sampling in low-resource settings: An overlooked opportunity for cervical cancer screening. 低资源环境中的HPV自采样：宫颈癌筛查的一个被忽视的机会。
IF 0.6 4区 医学
Tropical Doctor Pub Date : 2026-10-01 Epub Date: 2026-05-24 DOI: 10.1177/00494755261454018
Gunvanti Rathod, Pragnesh Parmar
{"title":"HPV self-sampling in low-resource settings: An overlooked opportunity for cervical cancer screening.","authors":"Gunvanti Rathod, Pragnesh Parmar","doi":"10.1177/00494755261454018","DOIUrl":"10.1177/00494755261454018","url":null,"abstract":"<p><p>Despite advances in diagnosis and treatment of the disease, many women in low and middle-income countries (LMICs) still die from cervical cancer because of their inability to access effective screening programmes. The use of self-sampling methods has been found to be highly effective and acceptable to women, especially those who do not present for screening. This method is an under-utilized but highly practical approach and should be integrated into health centres' primary health care programmes.</p>","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"618-619"},"PeriodicalIF":0.6,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148018498","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
External ophthalmomyiasis presenting with pseudomembranous conjunctivitis and periorbital oedema: Three cases caused by Oestrus ovis. 以假膜性结膜炎和眶周水肿为表现的外眼病：3例由卵巢发情引起。
IF 0.6 4区 医学
Tropical Doctor Pub Date : 2026-10-01 Epub Date: 2026-07-02 DOI: 10.1177/00494755261465738
Yusuf Samet Atlihan, Olgar Öcal, Tevfik Serhat Bahar
{"title":"External ophthalmomyiasis presenting with pseudomembranous conjunctivitis and periorbital oedema: Three cases caused by <i>Oestrus ovis</i>.","authors":"Yusuf Samet Atlihan, Olgar Öcal, Tevfik Serhat Bahar","doi":"10.1177/00494755261465738","DOIUrl":"10.1177/00494755261465738","url":null,"abstract":"","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"741-744"},"PeriodicalIF":0.6,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148370649","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The paradox of rapid glycaemic control: Treatment-induced neuropathy triggered by oral hypoglycaemic agents and weight loss - A case report. 快速血糖控制的悖论：口服降糖药和体重减轻引发的治疗性神经病变- 1例报告。
IF 0.6 4区 医学
Tropical Doctor Pub Date : 2026-10-01 Epub Date: 2026-04-30 DOI: 10.1177/00494755261444100
Ram Arvind Viswanathan
{"title":"The paradox of rapid glycaemic control: Treatment-induced neuropathy triggered by oral hypoglycaemic agents and weight loss - A case report.","authors":"Ram Arvind Viswanathan","doi":"10.1177/00494755261444100","DOIUrl":"10.1177/00494755261444100","url":null,"abstract":"","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"757-758"},"PeriodicalIF":0.6,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147822834","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Prevention of endotracheal tube occlusion through process of standardisation of humidification during mechanical ventilation in a neonatal intensive care unit: A quality improvement initiative. 新生儿重症监护室机械通气过程中湿化标准化预防气管插管堵塞：一项质量改进倡议。
IF 0.6 4区 医学
Tropical Doctor Pub Date : 2026-10-01 Epub Date: 2026-06-15 DOI: 10.1177/00494755261443666
Sandeep Jhajra, Sanjay Kumar Tanti, Vina Kumari, Sarita Kumari, Veera Harshini, Anil Kumar
{"title":"Prevention of endotracheal tube occlusion through process of standardisation of humidification during mechanical ventilation in a neonatal intensive care unit: A quality improvement initiative.","authors":"Sandeep Jhajra, Sanjay Kumar Tanti, Vina Kumari, Sarita Kumari, Veera Harshini, Anil Kumar","doi":"10.1177/00494755261443666","DOIUrl":"10.1177/00494755261443666","url":null,"abstract":"<p><p>With the objective of decreasing the incidence of endotracheal tube occlusion (ETO) by 25% in our neonatal intensive care unit, we identified potential causes of insufficient humidification, identified a lack of knowledge regarding the use of humidifiers during ventilation, and established a standard procedure. Subsequent improvement of practice, <i>viz.</i> standardising gas flow, keeping adequate water levels in the humidifying chamber, eliminating defective probes and providing interactive nurse training, achieved sustained reduction of ETO by 40% over a period of 32 weeks.</p>","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"649-654"},"PeriodicalIF":0.6,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148254267","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Late-presenting congenital diaphragmatic hernia with intrathoracic kidney in a 2-year-old female child. 2岁女童迟发性先天性膈疝合并胸内肾。
IF 0.6 4区 医学
Tropical Doctor Pub Date : 2026-10-01 Epub Date: 2026-04-23 DOI: 10.1177/00494755261443736
Kamal Nain Rattan, Neha Choudhary, Sargam Devi, Pragati Yadav, Jasbir Singh
{"title":"Late-presenting congenital diaphragmatic hernia with intrathoracic kidney in a 2-year-old female child.","authors":"Kamal Nain Rattan, Neha Choudhary, Sargam Devi, Pragati Yadav, Jasbir Singh","doi":"10.1177/00494755261443736","DOIUrl":"10.1177/00494755261443736","url":null,"abstract":"","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"752-754"},"PeriodicalIF":0.6,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147787302","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
How (not) to save the world in seven days: A survival guide for the short-term global surgery mission trip. 如何（不）在七天内拯救世界：短期全球手术任务之旅的生存指南。
IF 0.6 4区 医学
Tropical Doctor Pub Date : 2026-10-01 Epub Date: 2026-05-26 DOI: 10.1177/00494755261454457
Dhananjaya Sharma
{"title":"How (not) to save the world in seven days: A survival guide for the short-term global surgery mission trip.","authors":"Dhananjaya Sharma","doi":"10.1177/00494755261454457","DOIUrl":"10.1177/00494755261454457","url":null,"abstract":"<p><p>Short-term global surgery mission trips are often undertaken with commendable intentions and have undoubtedly benefited many patients and institutions. However, the culture surrounding some outreach programmes may occasionally drift toward performative benevolence, fleeting expertise, disproportionate self-congratulation, and limited engagement with local priorities. Through a deliberately exaggerated \"survival guide\" format, this satirical commentary playfully examines familiar tendencies within short-term surgical outreach, including documentation exceeding operative contribution, sustainability existing largely in presentations, and cultural immersion achieved between airport transfers. Beneath the humour lies a serious reflection on partnership, humility, continuity, and ethical engagement in global surgery collaborations. The piece aims to entertain, provoke discomfort, and encourage introspection in equal measure.</p>","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"620-622"},"PeriodicalIF":0.6,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148037112","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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