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Barriers to the treatment of clubfoot in low- and middle-income countries: A guide to improve compliance. 中低收入国家治疗足癣的障碍：提高依从性指南。
IF 0.5 4区 医学
Tropical Doctor Pub Date : 2024-09-23 DOI: 10.1177/00494755241284335
Sitanshu Barik, Vishal Kumar, Vikash Raj, Saurabh Varshney
{"title":"Barriers to the treatment of clubfoot in low- and middle-income countries: A guide to improve compliance.","authors":"Sitanshu Barik, Vishal Kumar, Vikash Raj, Saurabh Varshney","doi":"10.1177/00494755241284335","DOIUrl":"https://doi.org/10.1177/00494755241284335","url":null,"abstract":"<p><p>The Ponseti method of clubfoot treatment is ideal for low- and middle-income countries since it is minimally invasive and easily implementable through non-surgeon providers. However, variables related to the socioeconomic status of the community, patient-related factors, treatment provider-related factors, and health system-related factors may influence the outcome of this deformity. These barriers need a two-pronged approach, a top-down (involvement at the policy level) as well as a bottom-up method (involvement at an individual level). Improving the knowledge level of the caregiver as well as the provider and addressing the issues regarding financial constraints will help in eliminating various barriers to the treatment of clubfoot. Furthermore, regular audits help in identifying the efficacy of various solutions employed as well as identifying new barriers to treatment. Integration at the policy level with the involvement of governmental as well as non-governmental organisations helps to remove health system-level bottlenecks.</p>","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"494755241284335"},"PeriodicalIF":0.5,"publicationDate":"2024-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142299470","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
Tuberculosis masquerading as a pancreatic cyst in a patient with cirrhosis. 一名肝硬化患者伪装成胰腺囊肿的结核病。
IF 0.5 4区 医学
Tropical Doctor Pub Date : 2024-09-23 DOI: 10.1177/00494755241282221
Arpit Shastri, Bhavin Davra, Mohammad Uwais Ashraf, Raghav Lal, Nalini Gupta, Arka De
{"title":"Tuberculosis masquerading as a pancreatic cyst in a patient with cirrhosis.","authors":"Arpit Shastri, Bhavin Davra, Mohammad Uwais Ashraf, Raghav Lal, Nalini Gupta, Arka De","doi":"10.1177/00494755241282221","DOIUrl":"https://doi.org/10.1177/00494755241282221","url":null,"abstract":"<p><p>Cystic lesions of the pancreas are being increasingly diagnosed incidentally in recent decades due to easy availability of abdominal imaging. They may be neoplastic or benign. Tuberculosis, the great masquerader, may rarely involve the pancreas mimicking pancreatic malignancy, cyst, or abscess. Identification of this rare entity is crucial to avoid potentially risky surgery as anti-tubercular pharmacotherapy is highly effective. We report a case of a 40-year old cirrhotic man who presented with a cystic hypodense lesion in the pancreatic tail and was subsequently diagnosed with pancreatic tuberculosis. Apart from the rarity of diagnosis, our case also highlights the utility of endoscopic ultrasound for minimally invasive assessment of pancreatic lesions.</p>","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"494755241282221"},"PeriodicalIF":0.5,"publicationDate":"2024-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142299473","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
Leishmaniasis – Still a diagnostic challenge: An individual participant data systematic review 利什曼病--仍是诊断难题：个体参与者数据系统回顾
IF 0.6 4区 医学
Tropical Doctor Pub Date : 2024-09-18 DOI: 10.1177/00494755241273086
Azza Sarfraz, Zouina Sarfraz, Maryyam Liaqat, Muhammad Hadi Khan, Hafiza Aqsa Abdul Jabbar, Muhammad Abdullah
{"title":"Leishmaniasis – Still a diagnostic challenge: An individual participant data systematic review","authors":"Azza Sarfraz, Zouina Sarfraz, Maryyam Liaqat, Muhammad Hadi Khan, Hafiza Aqsa Abdul Jabbar, Muhammad Abdullah","doi":"10.1177/00494755241273086","DOIUrl":"https://doi.org/10.1177/00494755241273086","url":null,"abstract":"Leishmania, endemic in nearly half the world’s countries, continues to pose significant diagnostic challenges. Our systematic review sought to analyse problems in diagnosis especially in low- to middle-income countries. The average time from symptom onset to diagnosis was 4.5 years. While microscopic detection often failed, polymerase chain reaction showed high sensitivity. Clinical presentations varied significantly, highlighting the complexity of diagnosing leishmaniasis, especially in patients with prolonged disease in non-endemic areas.","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":"17 1","pages":""},"PeriodicalIF":0.6,"publicationDate":"2024-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142257911","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
Harnessing monoclonal antibodies for malaria prevention in a paediatric population 利用单克隆抗体在儿童中预防疟疾
IF 0.6 4区 医学
Tropical Doctor Pub Date : 2024-09-17 DOI: 10.1177/00494755241272966
Ayush Anand, Prakasini Satapathy, Mahalaqua Nazli Khatib, Shilpa Gaidhane, Sarvesh Rustagi, Nathnael Abera Woldehana
{"title":"Harnessing monoclonal antibodies for malaria prevention in a paediatric population","authors":"Ayush Anand, Prakasini Satapathy, Mahalaqua Nazli Khatib, Shilpa Gaidhane, Sarvesh Rustagi, Nathnael Abera Woldehana","doi":"10.1177/00494755241272966","DOIUrl":"https://doi.org/10.1177/00494755241272966","url":null,"abstract":"","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":"9 1","pages":""},"PeriodicalIF":0.6,"publicationDate":"2024-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142257912","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
Cystic leukoencephalopathy in congenital cytomegalovirus infection 先天性巨细胞病毒感染引起的囊性白质脑病
IF 0.6 4区 医学
Tropical Doctor Pub Date : 2024-09-17 DOI: 10.1177/00494755241275768
Pradeep Kumar Gunasekaran, Arushi Gahlot Saini, Vikas Chauhan, Vikas Bhatia
{"title":"Cystic leukoencephalopathy in congenital cytomegalovirus infection","authors":"Pradeep Kumar Gunasekaran, Arushi Gahlot Saini, Vikas Chauhan, Vikas Bhatia","doi":"10.1177/00494755241275768","DOIUrl":"https://doi.org/10.1177/00494755241275768","url":null,"abstract":"","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":"17 1","pages":""},"PeriodicalIF":0.6,"publicationDate":"2024-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142258000","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
Freestyle SGAP flaps for sacral ulcers. 治疗骶骨溃疡的自由式 SGAP 皮瓣。
IF 0.5 4区 医学
Tropical Doctor Pub Date : 2024-09-09 DOI: 10.1177/00494755241282715
Kuldeep Singh, Krittika Aggarwal
{"title":"Freestyle SGAP flaps for sacral ulcers.","authors":"Kuldeep Singh, Krittika Aggarwal","doi":"10.1177/00494755241282715","DOIUrl":"https://doi.org/10.1177/00494755241282715","url":null,"abstract":"<p><p><b>Study Design:</b> Retrospective case study. <b>Objective:</b> To study the feasibility and ease of freestyle SGAP perforator flaps for sacral ulcers. <b>Setting:</b> This study was conducted in tertiary care hospital in India.Sacral ulcers are commonly encountered in long-term bedridden patients. Various options to cover these ulcers include the gluteus muscle flaps (v-y, rotation and advancement), fascio-cutaneous flaps, superior and inferior gluteal artery perforator flaps. The superior gluteal artery perforator (SGAP) flap is a reliable option for sacral sore management. Using this flap, only one out of ten patients had partial flap necrosis. None had wound dehiscence nor seroma formation. No recurrence was seen at three months follow-up. This flap can safely be used as a 'free style' flap.</p>","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"494755241282715"},"PeriodicalIF":0.5,"publicationDate":"2024-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142156478","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
Privacy concerns and challenges with informed consent in medical tourism. 医疗旅游中的隐私问题和知情同意所面临的挑战。
IF 0.6 4区 医学
Tropical Doctor Pub Date : 2024-07-01 Epub Date: 2024-02-21 DOI: 10.1177/00494755241234947
Isaac Ks Ng
{"title":"Privacy concerns and challenges with informed consent in medical tourism.","authors":"Isaac Ks Ng","doi":"10.1177/00494755241234947","DOIUrl":"10.1177/00494755241234947","url":null,"abstract":"","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"304"},"PeriodicalIF":0.6,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139933782","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
Assessment of symptomatic response to intravesical alkalinized lidocaine, bupivacaine, heparin and steroids in patients with bladder pain syndrome. 评估膀胱疼痛综合征患者对膀胱内碱化利多卡因、布比卡因、肝素和类固醇的症状反应。
IF 0.6 4区 医学
Tropical Doctor Pub Date : 2024-07-01 Epub Date: 2024-03-18 DOI: 10.1177/00494755241236993
Ravikant Mahant, Fanindra Singh Solanki, Chandan Tiwari, Ankush Lokhande, Deepti B Sharma, Dhananjaya Sharma
{"title":"Assessment of symptomatic response to intravesical alkalinized lidocaine, bupivacaine, heparin and steroids in patients with bladder pain syndrome.","authors":"Ravikant Mahant, Fanindra Singh Solanki, Chandan Tiwari, Ankush Lokhande, Deepti B Sharma, Dhananjaya Sharma","doi":"10.1177/00494755241236993","DOIUrl":"10.1177/00494755241236993","url":null,"abstract":"<p><p>Bladder Pain Syndrome (BPS) is a puzzling and complicated disorder. 12 such patients, with a mean age 48.3 years, were treated with weekly intravesical instillation of admixture of alkalinized lidocaine, bupivacaine, heparin and steroids for six weeks. Evaluating the benefits of this therapy, patients experienced 82.2% & 90.9% relief at 3<sub>rd</sub> & 6<sub>th</sub> week of instillation. After completion of six cycles of therapy, patients experienced 68.7% & 65.3% relief at 3<sub>rd</sub> & 6<sub>th</sub> month follow up, concluding the early and long term relief of BPS.</p>","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"255-257"},"PeriodicalIF":0.6,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140144471","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
Oesophageal perforation by migrated Ryles tube. 雷尔斯管移位造成食道穿孔。
IF 0.5 4区 医学
Tropical Doctor Pub Date : 2024-07-01 Epub Date: 2024-04-02 DOI: 10.1177/00494755241241832
Amol Vadgaonkar, Nagesh Kamat, Sanil Parekh, Gaurav Patil, Ankit Dalal, Amit Maydeo
{"title":"Oesophageal perforation by migrated Ryles tube.","authors":"Amol Vadgaonkar, Nagesh Kamat, Sanil Parekh, Gaurav Patil, Ankit Dalal, Amit Maydeo","doi":"10.1177/00494755241241832","DOIUrl":"10.1177/00494755241241832","url":null,"abstract":"<p><p>A 72-year woman with a history of multiple cerebrovascular accidents presented with severe epigastric pain. An oesophageal perforation by the tip of a Ryles tube, which had migrated into the mediastinum, was diagnosed by radiography. An attempt at pushing the nasogastric tube into the stomach resulted in increasing the rupture to about 6 cm in size. Replacement by a triple-lumen nasojejunal feeding tube and subsequent feeding with c.1,400 calories per day enabled the perforation to close without further intervention.</p>","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"284-286"},"PeriodicalIF":0.5,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140337376","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
Multi-level approach to workplace violence against healthcare workers. 采用多层次方法解决针对医护人员的工作场所暴力问题。
IF 0.5 4区 医学
Tropical Doctor Pub Date : 2024-07-01 Epub Date: 2024-03-18 DOI: 10.1177/00494755241239995
Isaac Ks Ng
{"title":"Multi-level approach to workplace violence against healthcare workers.","authors":"Isaac Ks Ng","doi":"10.1177/00494755241239995","DOIUrl":"10.1177/00494755241239995","url":null,"abstract":"","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"296-297"},"PeriodicalIF":0.5,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140159353","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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