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Resurrecting an idealist: How global surgery rekindled my purpose. 复活一个理想主义者：全球手术如何重新点燃我的目标。
IF 0.6 4区 医学
Tropical Doctor Pub Date : 2025-07-01 Epub Date: 2025-06-04 DOI: 10.1177/00494755251348071
Dhananjaya Sharma
{"title":"Resurrecting an idealist: How global surgery rekindled my purpose.","authors":"Dhananjaya Sharma","doi":"10.1177/00494755251348071","DOIUrl":"10.1177/00494755251348071","url":null,"abstract":"","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"215-216"},"PeriodicalIF":0.6,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144227375","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
Comment on "stage 1 of construction of a ChatGPT-powered surgical assistant for LMICs: Pilot validation of a database of affordable surgical solutions". 评论“为低收入国家构建chatgpt驱动的手术助手的第一阶段：可负担的手术解决方案数据库的试点验证”。
IF 0.6 4区 医学
Tropical Doctor Pub Date : 2025-07-01 Epub Date: 2025-06-16 DOI: 10.1177/00494755251349566
Hinpetch Daungsupawong, Viroj Wiwanitkit
{"title":"Comment on \"stage 1 of construction of a ChatGPT-powered surgical assistant for LMICs: Pilot validation of a database of affordable surgical solutions\".","authors":"Hinpetch Daungsupawong, Viroj Wiwanitkit","doi":"10.1177/00494755251349566","DOIUrl":"10.1177/00494755251349566","url":null,"abstract":"","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"299"},"PeriodicalIF":0.6,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144303372","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
English as a gatekeeper in global medicine. 英语作为全球医学的守门人。
IF 0.6 4区 医学
Tropical Doctor Pub Date : 2025-07-01 Epub Date: 2025-07-03 DOI: 10.1177/00494755251355076
Kaushik Bhattacharya, Neela Bhattacharya, Vipul D Yagnik, Pankaj Garg
{"title":"English as a gatekeeper in global medicine.","authors":"Kaushik Bhattacharya, Neela Bhattacharya, Vipul D Yagnik, Pankaj Garg","doi":"10.1177/00494755251355076","DOIUrl":"10.1177/00494755251355076","url":null,"abstract":"","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"300-301"},"PeriodicalIF":0.6,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144555535","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
Primary spontaneous colporrhexis in a primigravida. 原发性自发性阴道破裂。
IF 0.6 4区 医学
Tropical Doctor Pub Date : 2025-07-01 Epub Date: 2025-05-06 DOI: 10.1177/00494755251338597
Eunice Susanna Abraham, Ashwin Sukumar, Arpit Jacob Mathew, Amy Eapen Mathew, Immanuel Judson Paul, Anne George Cherian
{"title":"Primary spontaneous colporrhexis in a primigravida.","authors":"Eunice Susanna Abraham, Ashwin Sukumar, Arpit Jacob Mathew, Amy Eapen Mathew, Immanuel Judson Paul, Anne George Cherian","doi":"10.1177/00494755251338597","DOIUrl":"10.1177/00494755251338597","url":null,"abstract":"<p><p>Primary spontaneous colporrhexis is a rare condition but is an important differential of haemodynamic instability after an uneventful golden hour postnatally. We report such a case in a primipara who had presented in active labour. She had progressed well and delivered by normal vaginal delivery. About 5 h thereafter, she developed tachycardia and hypotension. The vaginal examination was suggestive of colporrhexis. At emergency laparotomy, a posterior uterine rent was identified and repaired. Timely identification is crucial and transfer where a laparotomy can be immediately performed may be life-saving.</p>","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"275-277"},"PeriodicalIF":0.6,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143994854","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
Utility of peripheral blood oxygen saturation (SpO2)/fraction of inspired oxygen (FiO2) ratio and arterial partial oxygen pressure (PaO2)/FiO2 ratio in the diagnosis of acute respiratory distress syndrome: A comparative study. 外周血氧饱和度(SpO2)/吸入氧分数（FiO2）比值与动脉血氧分压(PaO2)/FiO2比值诊断急性呼吸窘迫综合征的比较研究
IF 0.6 4区 医学
Tropical Doctor Pub Date : 2025-07-01 Epub Date: 2025-06-11 DOI: 10.1177/00494755251349071
Srishti Rathi, Rajesh Kakkar, Shubhanshu Chawla, Sushant Khanduri, Rajeev Mohan Kaushik, Reshma Kaushik
{"title":"Utility of peripheral blood oxygen saturation (SpO<sub>2</sub>)/fraction of inspired oxygen (FiO<sub>2</sub>) ratio and arterial partial oxygen pressure (PaO<sub>2</sub>)/FiO<sub>2</sub> ratio in the diagnosis of acute respiratory distress syndrome: A comparative study.","authors":"Srishti Rathi, Rajesh Kakkar, Shubhanshu Chawla, Sushant Khanduri, Rajeev Mohan Kaushik, Reshma Kaushik","doi":"10.1177/00494755251349071","DOIUrl":"10.1177/00494755251349071","url":null,"abstract":"<p><p>Our study determined the reliability of using the ratio of peripheral blood oxygen saturation (SpO<sub>2</sub>) and the fraction of inspired oxygen (FiO<sub>2</sub>) rather than the ratio of arterial partial oxygen pressure (PaO<sub>2</sub>) and FiO<sub>2</sub> for diagnosing acute respiratory distress syndrome (ARDS). Pulse oximetry and arterial blood gas analysis were performed to obtain both ratios, respectively, in 70 patients who fulfilled the Berlin definition criteria of ARDS. A detailed history, clinical examination, and relevant evaluation were done. There was a significant correlation between the two ratios. The former had a lower sensitivity and specificity than the latter. Thus, the SpO<sub>2</sub>/FiO<sub>2</sub> ratio is a reliable, straightforward, non-invasive, and readily available marker for diagnosing the presence and severity of ARDS, and may be used as an alternative to the PaO<sub>2</sub>/FiO<sub>2</sub> ratio in resource-limited settings.</p>","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"217-222"},"PeriodicalIF":0.6,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144267749","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 serum homocysteine levels in congenital heart disease and with congenital rubella infection: A hospital-based case-control study in north Indian population". 先天性心脏病和先天性风疹感染患者血清同型半胱氨酸水平的评估：印度北部人群中基于医院的病例对照研究
IF 0.6 4区 医学
Tropical Doctor Pub Date : 2025-07-01 Epub Date: 2025-06-09 DOI: 10.1177/00494755251348524
Sumedha Tripathi, Shally Awasthi, Shalini Tripathi, Amita Jain, Akhil Sharma
{"title":"\"Assessment of serum homocysteine levels in congenital heart disease and with congenital rubella infection: A hospital-based case-control study in north Indian population\".","authors":"Sumedha Tripathi, Shally Awasthi, Shalini Tripathi, Amita Jain, Akhil Sharma","doi":"10.1177/00494755251348524","DOIUrl":"10.1177/00494755251348524","url":null,"abstract":"<p><p>Ours study examined the association of serum homocysteine (Hcy) levels with congenital heart disease (CHD) and congenital rubella infection (CRI) suggesting a potential pathogenic interaction between metabolic dysregulation and viral teratogenicity.</p>","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"223-227"},"PeriodicalIF":0.6,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144250539","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
Envenomation by Brown recluse spider bite - a case series of cutaneous loxocelism. 褐隐蜘蛛咬伤致中毒——皮肤loxelism系列病例。
IF 0.6 4区 医学
Tropical Doctor Pub Date : 2025-07-01 Epub Date: 2025-06-23 DOI: 10.1177/00494755251351079
V Vijay, Yogindher Singh, Ayanchetty Haripraba, Oviya Selvam, Aravind Prasanna, Manobalan Karunanandhan
{"title":"Envenomation by Brown recluse spider bite - a case series of cutaneous loxocelism.","authors":"V Vijay, Yogindher Singh, Ayanchetty Haripraba, Oviya Selvam, Aravind Prasanna, Manobalan Karunanandhan","doi":"10.1177/00494755251351079","DOIUrl":"10.1177/00494755251351079","url":null,"abstract":"<p><p>Brown recluse spiders, scientifically known as <i>Loxosceles reclusa</i>, are predominantly found in the United States of America. These spiders generally tend to stay in places away from human habitation. The bite of the spider can result in cutaneous loxoscelism or systemic loxoscelism, which manifests as haemolysis and renal abnormalities. Here, we report a case series of cutaneous loxoscelism.</p>","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"260-263"},"PeriodicalIF":0.6,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144477611","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
Health-related quality of life of children with intestinal stomas, a cross-sectional study at Mulago Hospital, Uganda. 乌干达穆拉戈医院的一项横断面研究：肠造口患儿的健康相关生活质量
IF 0.6 4区 医学
Tropical Doctor Pub Date : 2025-07-01 Epub Date: 2025-06-13 DOI: 10.1177/00494755251348820
Gamukama Tuhaise, Hans John Lokale, Timothy Kabanda Makumbi, Miriam Nalule
{"title":"Health-related quality of life of children with intestinal stomas, a cross-sectional study at Mulago Hospital, Uganda.","authors":"Gamukama Tuhaise, Hans John Lokale, Timothy Kabanda Makumbi, Miriam Nalule","doi":"10.1177/00494755251348820","DOIUrl":"10.1177/00494755251348820","url":null,"abstract":"<p><p>Child intestinal stomas are relatively common in Uganda, but the impact on children's health-related quality of life (HRQoL) is not well known. We assessed children aged 1-12 years with intestinal stomas at least one month after surgery at Mulago Hospital in Kampala, Uganda. In our cross-sectional study, 109 children were enrolled and over 90% had good HRQoL scores. With multivariate analysis, it was apparent that children with divorced caregivers were over three times more likely to have poor scores. Thus enhanced pre-operative counselling, tailored stoma care education, and ongoing psychosocial support are essential for these children.</p>","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"234-236"},"PeriodicalIF":0.6,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144286936","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 the danger triangle: Septic cavernous sinus thrombosis following a temporal forehead furuncle. 危险三角之外：颞额疖后感染性海绵窦血栓形成。
IF 0.6 4区 医学
Tropical Doctor Pub Date : 2025-07-01 Epub Date: 2025-07-07 DOI: 10.1177/00494755251341979
Amar Simha, Selvam Suresh, Bapanapalle Sreeveni, Sagar Acharya, Vikas Bhatia, Ashok Kumar Pannu
{"title":"Beyond the danger triangle: Septic cavernous sinus thrombosis following a temporal forehead furuncle.","authors":"Amar Simha, Selvam Suresh, Bapanapalle Sreeveni, Sagar Acharya, Vikas Bhatia, Ashok Kumar Pannu","doi":"10.1177/00494755251341979","DOIUrl":"10.1177/00494755251341979","url":null,"abstract":"<p><p>Septic cavernous sinus thrombosis (CST) is a rare but life-threatening complication of facial infections, typically arising from the midface 'danger triangle'. Rarely, lateral facial infections may also lead to CST through spread via deep venous pathways. We report a previously healthy adolescent boy who developed fever, bilateral orbital swelling, and painful ophthalmoplegia shortly after the resolution of a furuncle over the left temporal part of the forehead. Magnetic resonance imaging confirmed CST. He was treated with intravenous ceftriaxone, vancomycin, and low molecular weight heparin, resulting in clinical recovery. This case highlights the importance of considering CST even when the primary infection lies outside the classical anatomical danger zone.</p>","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"278-280"},"PeriodicalIF":0.6,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144576755","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
Profile of cutaneous swellings diagnosed as fungal by fine needle aspiration cytology. 细针抽吸细胞学诊断为真菌的皮肤肿胀的概况。
IF 0.6 4区 医学
Tropical Doctor Pub Date : 2025-07-01 Epub Date: 2025-05-19 DOI: 10.1177/00494755251341108
Apurva Ramteke, Shalaka Khade, Sachin Chaudhari, Rasika Gadkari
{"title":"Profile of cutaneous swellings diagnosed as fungal by fine needle aspiration cytology.","authors":"Apurva Ramteke, Shalaka Khade, Sachin Chaudhari, Rasika Gadkari","doi":"10.1177/00494755251341108","DOIUrl":"10.1177/00494755251341108","url":null,"abstract":"<p><p>Subcutaneous swellings commonly seen in clinical practice range from benign to malignant. In long standing lesions, fungal abscesses are less commonly suspected. Fine needle aspiration is a first line rapid and reliable method for early diagnosis of fungal infections, allowing prompt and appropriate management.</p>","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"240-243"},"PeriodicalIF":0.6,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144103000","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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