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The unfinished journey: A narrative review of inequities in secondary cleft lip and palate care in low- and middle-income countries. 未完成的旅程：对低收入和中等收入国家继发性唇腭裂护理不公平现象的叙述审查。
IF 0.6 4区 医学
Tropical Doctor Pub Date : 2026-04-01 Epub Date: 2026-01-16 DOI: 10.1177/00494755251405583
Pawan Agarwal, Sanjay K Yadav, Dhananjaya Sharma
{"title":"The unfinished journey: A narrative review of inequities in secondary cleft lip and palate care in low- and middle-income countries.","authors":"Pawan Agarwal, Sanjay K Yadav, Dhananjaya Sharma","doi":"10.1177/00494755251405583","DOIUrl":"10.1177/00494755251405583","url":null,"abstract":"<p><p>Cleft lip and/or palate (CLP) is among the most common congenital anomalies worldwide. While primary surgical repair is essential, comprehensive CLP care also depends on equally important secondary services such as speech therapy, audiologic support, orthodontic care, and revision surgeries. In many low- and middle-income countries (LMICs), these services remain limited or inaccessible, resulting in suboptimal long-term functional, aesthetic, and psychosocial outcomes. Our narrative review searched across PubMed and Embase databases to identify the availability, delivery models, and outcomes of secondary CLP services in LMICs. We found 17 relevant studies and mapped existing evidence, identified key gaps, and explored barriers related to workforce shortages, training, infrastructure, and financial constraints. Our findings highlight the urgent need to strengthen multidisciplinary CLP care pathways beyond primary surgery. Investments in sustainable local capacity, tele-health enabled service models, task-sharing, and community-based interventions are crucial to achieving equitable, high-quality CLP outcomes in resource-limited settings.</p>","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"415-421"},"PeriodicalIF":0.6,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145991236","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
Clinical profile and predictors of biochemical markers of metabolic bone disease in very preterm neonates: An observational study. 极早产儿代谢性骨病生化标志物的临床特征和预测因素：一项观察性研究
IF 0.6 4区 医学
Tropical Doctor Pub Date : 2026-04-01 Epub Date: 2025-11-20 DOI: 10.1177/00494755251397206
Shrutiprajna Kar, Tanushree Sahoo, Tapas Som, Pankaj Kumar Mohanty, Usha Devi
{"title":"Clinical profile and predictors of biochemical markers of metabolic bone disease in very preterm neonates: An observational study.","authors":"Shrutiprajna Kar, Tanushree Sahoo, Tapas Som, Pankaj Kumar Mohanty, Usha Devi","doi":"10.1177/00494755251397206","DOIUrl":"10.1177/00494755251397206","url":null,"abstract":"<p><p>Metabolic bone disease (MBD) is a significant concern in very preterm neonates, with clinical signs often delayed compared to biochemical and radiological markers. MBD was defined as serum phosphate <1.81 μmol/L and alkaline phosphatase >600 IU/L or alkaline phosphatase >1000 IU/L. Key risk factors included lower gestational age, lower birth weight, prolonged total parenteral nutrition, delayed attainment of full enteral feeding (>7 days), cholestasis, bronchopulmonary dysplasia, and anaemia requiring transfusion. Logistic regression identified delayed attainment of full enteral feeding (>7 days) as a significant predictor for developing MBD.</p>","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"284-287"},"PeriodicalIF":0.6,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145566082","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
Motor stereotypies, Dhat syndrome, and gaming disorder: A masquerading presentation of Wilson's disease. 运动刻板印象、Dhat综合征和游戏障碍：威尔逊病的伪装表现。
IF 0.6 4区 医学
Tropical Doctor Pub Date : 2026-04-01 Epub Date: 2025-11-19 DOI: 10.1177/00494755251396674
Raja Babu Ramawat, Omar Afroz, Romil Saini, Koushik Sinha Deb, Divya M Radhakrishnan, Rakesh Kumar Chadda
{"title":"Motor stereotypies, <i>Dhat</i> syndrome, and gaming disorder: A masquerading presentation of Wilson's disease.","authors":"Raja Babu Ramawat, Omar Afroz, Romil Saini, Koushik Sinha Deb, Divya M Radhakrishnan, Rakesh Kumar Chadda","doi":"10.1177/00494755251396674","DOIUrl":"10.1177/00494755251396674","url":null,"abstract":"<p><p>Wilson's disease, a rare genetic disorder caused by ATP7B gene mutations, disrupts copper metabolism, often presenting with psychiatric symptoms in 20-30% of cases before diagnosis. Diagnostic challenges arise owing to non-specific symptoms, leading to potential misdiagnosis. <i>Dhat</i> syndrome, a culture-bound syndrome prevalent in the Indian subcontinent, involves distress over perceived semen loss and, thus, the loss of vitality. We report a case of a young male with <i>dhat</i> syndrome, asymmetrical hand movements, behavioural changes, and gaming disorder who, after long being treated for functional neurological disorder, was later diagnosed with Wilson's disease after a comprehensive evaluation.</p>","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"350-352"},"PeriodicalIF":0.6,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145558257","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
Overdiagnosis and overtreatment: An epidemic hiding in plain sight. 过度诊断和过度治疗：一种隐藏在公众视线中的流行病。
IF 0.6 4区 医学
Tropical Doctor Pub Date : 2026-04-01 Epub Date: 2025-11-24 DOI: 10.1177/00494755251397479
Kaushik Bhattacharya, Vipul D Yagnik, Pankaj Garg
{"title":"Overdiagnosis and overtreatment: An epidemic hiding in plain sight.","authors":"Kaushik Bhattacharya, Vipul D Yagnik, Pankaj Garg","doi":"10.1177/00494755251397479","DOIUrl":"10.1177/00494755251397479","url":null,"abstract":"","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"430-431"},"PeriodicalIF":0.6,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145597793","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
When life-saving access turns limb-threatening: A neonatal case report of dry gangrene post-intraosseous infusion. 当挽救生命的途径变成四肢威胁：新生儿病例报告骨内输注后干坏疽。
IF 0.6 4区 医学
Tropical Doctor Pub Date : 2026-04-01 Epub Date: 2025-12-09 DOI: 10.1177/00494755251403792
Vivek Singh, Poonam Kumari, Rahul Mishra, Aditya Ks Gowda, Kuppuswamy Rajarajeswari
{"title":"When life-saving access turns limb-threatening: A neonatal case report of dry gangrene post-intraosseous infusion.","authors":"Vivek Singh, Poonam Kumari, Rahul Mishra, Aditya Ks Gowda, Kuppuswamy Rajarajeswari","doi":"10.1177/00494755251403792","DOIUrl":"10.1177/00494755251403792","url":null,"abstract":"","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"384-387"},"PeriodicalIF":0.6,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145716581","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
Management of rectovestibular fistula in infants and children: Our experience and insights regarding primary versus staged anorectoplasty. 婴儿和儿童直肠前庭瘘的处理：我们对初次与分期肛门直肠成形术的经验和见解。
IF 0.6 4区 医学
Tropical Doctor Pub Date : 2026-04-01 Epub Date: 2025-12-09 DOI: 10.1177/00494755251405505
Aditya J Baindur, Pramila Sharma
{"title":"Management of rectovestibular fistula in infants and children: Our experience and insights regarding primary versus staged anorectoplasty.","authors":"Aditya J Baindur, Pramila Sharma","doi":"10.1177/00494755251405505","DOIUrl":"10.1177/00494755251405505","url":null,"abstract":"<p><p>Vestibular fistula is the most common anorectal malformation in females. Traditionally managed with a staged posterior sagittal anorectoplasty (PSARP) following colostomy, concerns remain regarding colostomy-related morbidity. Intra-operative, early, and late postoperative complications, and functional outcomes (voluntary bowel movements, soiling, and constipation) were compared between secondary PSARP (after colostomy) and primary PSARP (without) using appropriate statistical tests. Functional outcomes were comparable, with >90% achieving voluntary bowel movements. Thus, we conclude that primary PSARP is a safe and effective treatment, avoiding colostomy-related morbidity. Colostomy should be reserved for selected cases.</p>","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"309-313"},"PeriodicalIF":0.6,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145716532","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
Limb-lead electrocardiography versus pulse oximetry for heart rate monitoring during neonatal resuscitation in the delivery room: A prospective observational study from developing country. 在产房新生儿复苏期间，肢体导联心电图与脉搏血氧仪用于心率监测：一项来自发展中国家的前瞻性观察研究。
IF 0.6 4区 医学
Tropical Doctor Pub Date : 2026-04-01 Epub Date: 2025-12-03 DOI: 10.1177/00494755251398124
Nikhil Thumar, Shilpa Kalane, Arti Rajhans
{"title":"Limb-lead electrocardiography versus pulse oximetry for heart rate monitoring during neonatal resuscitation in the delivery room: A prospective observational study from developing country.","authors":"Nikhil Thumar, Shilpa Kalane, Arti Rajhans","doi":"10.1177/00494755251398124","DOIUrl":"10.1177/00494755251398124","url":null,"abstract":"<p><p>Accurate heart rate assessment is vital during neonatal resuscitation. While pulse oximetry is widely used, it may delay heart rate detection in the delivery room. Electrocardiography however may offer a faster, more reliable alternative.</p>","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"288-293"},"PeriodicalIF":0.6,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145662526","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
Beyond cost-saving: Adding value to frugal and context-specific innovations in global surgery. 超越成本节约：在全球手术中为节俭和具体情况的创新增加价值。
IF 0.6 4区 医学
Tropical Doctor Pub Date : 2026-04-01 Epub Date: 2026-01-08 DOI: 10.1177/00494755251413142
Dhananjaya Sharma, Sanjay Kumar Yadav, Michael Cotton
{"title":"Beyond cost-saving: Adding value to frugal and context-specific innovations in global surgery.","authors":"Dhananjaya Sharma, Sanjay Kumar Yadav, Michael Cotton","doi":"10.1177/00494755251413142","DOIUrl":"10.1177/00494755251413142","url":null,"abstract":"","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"234-236"},"PeriodicalIF":0.6,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145935898","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
Fatal brucellosis presenting with multi-organ dysfunction and leukaemoid reaction: A case report. 以多器官功能障碍和白血病样反应为表现的致命性布鲁氏菌病1例报告。
IF 0.6 4区 医学
Tropical Doctor Pub Date : 2026-04-01 Epub Date: 2026-01-07 DOI: 10.1177/00494755251413831
Thotanolla Surya Prakash, Jeeja Jaya Janardhanan, Namesh Kamat
{"title":"Fatal brucellosis presenting with multi-organ dysfunction and leukaemoid reaction: A case report.","authors":"Thotanolla Surya Prakash, Jeeja Jaya Janardhanan, Namesh Kamat","doi":"10.1177/00494755251413831","DOIUrl":"10.1177/00494755251413831","url":null,"abstract":"","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"390-391"},"PeriodicalIF":0.6,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145918920","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
A case of multiple gastrointestinal pathogens in a HIV-negative child: A diagnostic clue to combined immunodeficiency. 一例hiv阴性儿童多重胃肠道病原体：联合免疫缺陷的诊断线索。
IF 0.6 4区 医学
Tropical Doctor Pub Date : 2026-04-01 Epub Date: 2026-01-22 DOI: 10.1177/00494755261416600
Kevin Joseph R, Prabhav Aggarwal, Sonal Saxena
{"title":"A case of multiple gastrointestinal pathogens in a HIV-negative child: A diagnostic clue to combined immunodeficiency.","authors":"Kevin Joseph R, Prabhav Aggarwal, Sonal Saxena","doi":"10.1177/00494755261416600","DOIUrl":"10.1177/00494755261416600","url":null,"abstract":"","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"401-403"},"PeriodicalIF":0.6,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146031442","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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