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Democratizing tele-ICU networks: Structural and economic models to scale virtual critical care in LMICs. 远程icu网络民主化：中低收入国家虚拟重症监护的结构和经济模型。
IF 0.6 4区 医学
Tropical Doctor Pub Date : 2026-09-25 DOI: 10.1177/00494755261492808
Rajnish Kumar Rai, Shahid Akhtar Siddiqui
{"title":"Democratizing tele-ICU networks: Structural and economic models to scale virtual critical care in LMICs.","authors":"Rajnish Kumar Rai, Shahid Akhtar Siddiqui","doi":"10.1177/00494755261492808","DOIUrl":"https://doi.org/10.1177/00494755261492808","url":null,"abstract":"","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"494755261492808"},"PeriodicalIF":0.6,"publicationDate":"2026-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149041584","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
Quantitative assessment of size and echo-texture of nerves in leprosy using high-resolution ultrasound (HRUS) and colour Doppler (CD). 利用高分辨率超声（HRUS）和彩色多普勒（CD）定量评估麻风病患者神经的大小和回声结构。
IF 0.6 4区 医学
Tropical Doctor Pub Date : 2026-09-24 DOI: 10.1177/00494755261488200
Swetalina Pradhan, Gaurav Dash, Rashid Shahid, Upasna Sinha, Arvind Ajith
{"title":"Quantitative assessment of size and echo-texture of nerves in leprosy using high-resolution ultrasound (HRUS) and colour Doppler (CD).","authors":"Swetalina Pradhan, Gaurav Dash, Rashid Shahid, Upasna Sinha, Arvind Ajith","doi":"10.1177/00494755261488200","DOIUrl":"https://doi.org/10.1177/00494755261488200","url":null,"abstract":"<p><p>Usually, clinical examination is enough to detect nerve thickness and tenderness in leprosy, but inter-observer variations may be significant. High-resolution ultrasound scanning is a good non-invasive modality in this respect. Using this tool, a cross-sectional study was carried out to measure mean cross-sectional area (thickness), echo-texture of peripheral nerves and the presence of hypervascularity in leprosy patients, as well as to establish a clinico-radiological correlation.</p>","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"494755261488200"},"PeriodicalIF":0.6,"publicationDate":"2026-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149041574","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
Thinking beyond parasitic endemicity: An insight into congenital epidermoid cyst as the cause of recurrent splenic space-occupying lesion in an adolescent female. 寄生虫病之外的思考：一名青少年女性先天性表皮样囊肿作为复发性脾占位性病变的原因。
IF 0.6 4区 医学
Tropical Doctor Pub Date : 2026-09-24 DOI: 10.1177/00494755261489899
Sarthak Chakrabarti, Sourish Kumar Roy, Nikhil Sonthalia, Debasish Mitra, Bipasha Sinha, Uday Chand Ghoshal, Mahesh Kumar Goenka
{"title":"Thinking beyond parasitic endemicity: An insight into congenital epidermoid cyst as the cause of recurrent splenic space-occupying lesion in an adolescent female.","authors":"Sarthak Chakrabarti, Sourish Kumar Roy, Nikhil Sonthalia, Debasish Mitra, Bipasha Sinha, Uday Chand Ghoshal, Mahesh Kumar Goenka","doi":"10.1177/00494755261489899","DOIUrl":"10.1177/00494755261489899","url":null,"abstract":"<p><p>Splenic epidermoid cysts are rare true congenital cysts that may closely masquerade as hydatid cysts in endemic regions, posing a significant diagnostic challenge.</p>","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"494755261489899"},"PeriodicalIF":0.6,"publicationDate":"2026-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149041617","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
Rethinking waste in scarcity: Low-tech biohazard and sharps disposal for rural clinics. 重新思考稀缺中的废物：低技术生物危害和农村诊所的尖锐处置。
IF 0.6 4区 医学
Tropical Doctor Pub Date : 2026-09-22 DOI: 10.1177/00494755261492100
Shahid Akhtar Siddiqui
{"title":"Rethinking waste in scarcity: Low-tech biohazard and sharps disposal for rural clinics.","authors":"Shahid Akhtar Siddiqui","doi":"10.1177/00494755261492100","DOIUrl":"https://doi.org/10.1177/00494755261492100","url":null,"abstract":"","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"494755261492100"},"PeriodicalIF":0.6,"publicationDate":"2026-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149026481","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
Sustaining lifesaving care: Tactical infrastructural adaptations for clinics in low-resource settings during severe flooding. 维持救生护理：严重洪水期间资源匮乏地区诊所的战术基础设施改造。
IF 0.6 4区 医学
Tropical Doctor Pub Date : 2026-09-19 DOI: 10.1177/00494755261491009
Gulnaz Fatima Siddiqui, Shahid Akhtar Siddiqui, Jitendra Kumar Singh
{"title":"Sustaining lifesaving care: Tactical infrastructural adaptations for clinics in low-resource settings during severe flooding.","authors":"Gulnaz Fatima Siddiqui, Shahid Akhtar Siddiqui, Jitendra Kumar Singh","doi":"10.1177/00494755261491009","DOIUrl":"https://doi.org/10.1177/00494755261491009","url":null,"abstract":"<p><p>We present a number of suggestions that will ensure continuity of medical care services at tropical clinics in situations where isolation is caused by frequent massive floods and lack of electricity. We demonstrate how the move from resource-limited triage will be achieved through the use of manual instruments, heat-stable drugs and community task-shifting in order to address trauma, emergency delivery and sepsis.</p>","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"494755261491009"},"PeriodicalIF":0.6,"publicationDate":"2026-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149009065","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
Scrub typhus as a leading cause of acute encephalitis syndrome in North India: A changing paradigm. 恙虫病是印度北部急性脑炎综合征的主要病因：一个变化的范例。
IF 0.6 4区 医学
Tropical Doctor Pub Date : 2026-09-19 DOI: 10.1177/00494755261491005
Shahid Akhtar Siddiqui, Rajesh Kumar Yadav, Anubha Shrivastava, Manisha Maurya
{"title":"Scrub typhus as a leading cause of acute encephalitis syndrome in North India: A changing paradigm.","authors":"Shahid Akhtar Siddiqui, Rajesh Kumar Yadav, Anubha Shrivastava, Manisha Maurya","doi":"10.1177/00494755261491005","DOIUrl":"https://doi.org/10.1177/00494755261491005","url":null,"abstract":"<p><p>Acute encephalitis syndrome (AES) is an important public health issue in the northern part of India because the previously predominant cause, namely, Japanese Encephalitis (JE) Virus, is being superceded by scrub typhus, caused by <i>Orientia tsutsugamushi,</i> which is a tick-borne disease. This report highlights the causes, implications, and importance of antibiotics in the treatment of AES.</p>","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"494755261491005"},"PeriodicalIF":0.6,"publicationDate":"2026-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149008521","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 cost of delay: Tackling late referrals, public sector overburden and workplace violence in tropical paediatric hospitals. 延误的代价：解决热带儿科医院延迟转诊、公共部门负担过重和工作场所暴力问题。
IF 0.6 4区 医学
Tropical Doctor Pub Date : 2026-09-19 DOI: 10.1177/00494755261489896
Shahid Akhtar Siddiqui, Rajesh Kumar Yadav, Anubha Shrivastava, Manisha Maurya
{"title":"The cost of delay: Tackling late referrals, public sector overburden and workplace violence in tropical paediatric hospitals.","authors":"Shahid Akhtar Siddiqui, Rajesh Kumar Yadav, Anubha Shrivastava, Manisha Maurya","doi":"10.1177/00494755261489896","DOIUrl":"https://doi.org/10.1177/00494755261489896","url":null,"abstract":"<p><p>Late clinical referrals in low-resource setting paediatrics lead to high childhood mortality and cause disabilities. This issue becomes even worse in settings where the public health system is overloaded owing to the lack of staff and proper resources. Where an inability to deliver timely healthcare results, the frustration of parents often leads to aggression towards healthcare professionals working on the frontlines. This report analyses the connection between late presentations, systemic issues with resources and insecurity of healthcare workers.</p>","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"494755261489896"},"PeriodicalIF":0.6,"publicationDate":"2026-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149009110","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
No child left invisible: Tracking health in highly mobile tropical slums. 没有一个儿童被忽视：追踪高流动性热带贫民窟的健康状况。
IF 0.6 4区 医学
Tropical Doctor Pub Date : 2026-09-18 DOI: 10.1177/00494755261489889
Shahid Akhtar Siddiqui, Gulnaz Fatima Siddiqui
{"title":"No child left invisible: Tracking health in highly mobile tropical slums.","authors":"Shahid Akhtar Siddiqui, Gulnaz Fatima Siddiqui","doi":"10.1177/00494755261489889","DOIUrl":"https://doi.org/10.1177/00494755261489889","url":null,"abstract":"","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"494755261489889"},"PeriodicalIF":0.6,"publicationDate":"2026-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148992344","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
Protecting future generations from E-waste: Policy gaps and WHO's call to action. 保护子孙后代免受电子废物之害：政策差距和世卫组织的行动呼吁。
IF 0.6 4区 医学
Tropical Doctor Pub Date : 2026-09-17 DOI: 10.1177/00494755261491010
Sarthak Das, Saroj Kumar Tripathy, Archana Malik
{"title":"Protecting future generations from E-waste: Policy gaps and WHO's call to action.","authors":"Sarthak Das, Saroj Kumar Tripathy, Archana Malik","doi":"10.1177/00494755261491010","DOIUrl":"https://doi.org/10.1177/00494755261491010","url":null,"abstract":"<p><p>The rapid expansion of digital technology has revolutionized education, communication and healthcare but created a parallel crisis: e-waste. Globally, 53.6 million tonnes were generated in 2019, with only 17.4% formally recycled. The remainder is processed through unsafe methods such as open burning, acid leaching and crude dismantling. Children and pregnant women are especially vulnerable due to rapid growth, immature organs and special circumstances. India is the world's third-largest e-waste generator, producing 1.71 million tonnes annually,<sup>1</sup> while WHO estimates report 3230 kilotons in 2019.<sup>1</sup> Over 90% is handled informally, often involving child labour or exposure in contaminated communities. Documented childhood injury includes impaired neurodevelopment, poor birth outcomes, respiratory illness, endocrine disruption, immune dysfunction, DNA damage and higher lifetime risk of chronic diseases. Despite E-Waste Management Rules, awareness among paediatricians, policymakers and parents remains limited. Urgent measures include training, biomonitoring, prohibition of child labour and integration of e-waste risks into national child health programmes. Protecting children from e-waste is both a health necessity and a developmental imperative aligned with many local Sustainable Development Goals.</p>","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"494755261491010"},"PeriodicalIF":0.6,"publicationDate":"2026-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148992269","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
Strongyloides hyperinfection complicated by invasive aspergillosis and osmotic demyelination syndrome. 类圆线虫过度感染合并侵袭性曲霉病和渗透性脱髓鞘综合征。
IF 0.6 4区 医学
Tropical Doctor Pub Date : 2026-09-17 DOI: 10.1177/00494755261487768
Sayan Maharatna, Aryalekhshmi P, Debanjan Nandi, Nonika Rajkumari, Shiv Sekhar Chatterjee, Sayantan Banerjee
{"title":"Strongyloides hyperinfection complicated by invasive aspergillosis and osmotic demyelination syndrome.","authors":"Sayan Maharatna, Aryalekhshmi P, Debanjan Nandi, Nonika Rajkumari, Shiv Sekhar Chatterjee, Sayantan Banerjee","doi":"10.1177/00494755261487768","DOIUrl":"https://doi.org/10.1177/00494755261487768","url":null,"abstract":"<p><p><i>Strongyloides stercoralis</i> is an intestinal nematode endemic in tropical and subtropical regions, capable of persisting for decades through an auto-infective life cycle. In immuno-compromised hosts, particularly those receiving corticosteroids, accelerated auto-infection can result in a hyperinfection syndrome characterised by massive larval proliferation, dissemination and life-threatening secondary bacterial or fungal infections. We report a known alcoholic with chronic steroid exposure who presented with pulmonary and gastrointestinal manifestations of hyperinfection, with larvae detected both in sputum and stool. His course was complicated by multidrug-resistant <i>Klebsiella pneumoniae</i> bacteraemia, probable invasive pulmonary aspergillosis and osmotic demyelination syndrome related to severe electrolyte disturbances. He improved with ivermectin and supportive therapy, highlighting the importance of early recognition of strongyloidiasis in steroid-exposed patients in endemic regions.</p>","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"494755261487768"},"PeriodicalIF":0.6,"publicationDate":"2026-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148992294","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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