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Implementation of a 3-phase grid-coupled solar electricity and back-up system at Mulanje Mission Hospital, Malawi. 在马拉维 Mulanje Mission 医院实施三相电网耦合太阳能发电和备用系统。
IF 0.6 4区 医学
Tropical Doctor Pub Date : 2024-07-01 Epub Date: 2024-04-01 DOI: 10.1177/00494755241241565
Arie C Glas, Michael J Cocquyt, Cathy Ratcliff
{"title":"Implementation of a 3-phase grid-coupled solar electricity and back-up system at Mulanje Mission Hospital, Malawi.","authors":"Arie C Glas, Michael J Cocquyt, Cathy Ratcliff","doi":"10.1177/00494755241241565","DOIUrl":"10.1177/00494755241241565","url":null,"abstract":"<p><p>In this report we describe the implementation of a new electricity supply system at Mulanje Mission Hospital, Malawi, which integrates the use of grid electricity, solar-generated electricity and battery back-up. To realize the system, suppliers from several countries had to be used and external expertise and funding were vital. The completed system provides reliable and good quality electricity to all departments in the hospital, prioritizing essential equipment when needed. Implementation of the system has reduced cost of electricity bills by 60%, ended black-outs and extended longevity of electrical equipment. We describe our approach, the materials used and results with challenges and recommendations to governments, donors interested in hospital infrastructure and other health facilities operating in similar circumstances. Others in similar settings can benefit from the experiences documented.</p>","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"258-261"},"PeriodicalIF":0.6,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11163836/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140337374","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Nipah virus resurgence 2023: Kerala's resilience in overcoming the outbreak. 尼帕病毒 2023 年卷土重来：喀拉拉邦战胜疫情的韧性。
IF 0.6 4区 医学
Tropical Doctor Pub Date : 2024-07-01 Epub Date: 2024-02-21 DOI: 10.1177/00494755241233337
Feriha Fatima Khidri
{"title":"The Nipah virus resurgence 2023: Kerala's resilience in overcoming the outbreak.","authors":"Feriha Fatima Khidri","doi":"10.1177/00494755241233337","DOIUrl":"10.1177/00494755241233337","url":null,"abstract":"","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"302-303"},"PeriodicalIF":0.6,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139913916","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
Scope of antibiotic stewardship in enteric fever: An evidence-based summary. 肠道热中抗生素管理的范围：循证摘要。
IF 0.6 4区 医学
Tropical Doctor Pub Date : 2024-07-01 Epub Date: 2024-02-29 DOI: 10.1177/00494755241236230
Dipankar Pal
{"title":"Scope of antibiotic stewardship in enteric fever: An evidence-based summary.","authors":"Dipankar Pal","doi":"10.1177/00494755241236230","DOIUrl":"10.1177/00494755241236230","url":null,"abstract":"","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"298-299"},"PeriodicalIF":0.6,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139991645","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
Flap blood glucose measurement for flap monitoring and early detection of circulatory problems. 测量皮瓣血糖，用于皮瓣监测和早期发现循环系统问题。
IF 0.6 4区 医学
Tropical Doctor Pub Date : 2024-07-01 Epub Date: 2024-03-18 DOI: 10.1177/00494755241239087
Mohammed H Anwar, Rishabh Dwivedi, Bhupendra Singh, Vrinda Agarwal, Pawan Agarwal, Dhananjaya Sharma
{"title":"Flap blood glucose measurement for flap monitoring and early detection of circulatory problems.","authors":"Mohammed H Anwar, Rishabh Dwivedi, Bhupendra Singh, Vrinda Agarwal, Pawan Agarwal, Dhananjaya Sharma","doi":"10.1177/00494755241239087","DOIUrl":"10.1177/00494755241239087","url":null,"abstract":"<p><p>Postoperative monitoring of skin flaps is subjective and cannot detect early circulatory problems in the flap. Early detection and rapid remedial re-exploration are important for flap salvage. We evaluated flap glucose measurement to monitor the flaps for early detection of circulatory problems. In total, 30 patients underwent cutaneous flap reconstruction. This is an easy, economic, objective, and reliable method for flap monitoring and can detect early venous congestion requiring remedial measures.</p>","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"248-250"},"PeriodicalIF":0.6,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140144473","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
Knuckle hyperpigmentation in a young male: A clinical sign of B12 deficiency not to be missed. 一名年轻男性的指关节色素沉着：不容错过的 B12 缺乏症临床表现。
IF 0.5 4区 医学
Tropical Doctor Pub Date : 2024-07-01 Epub Date: 2024-02-29 DOI: 10.1177/00494755241234081
Harpreet Singh, Arvind Subramanian, Deba P Dibhar, Vikas Suri, Ashish Bhalla
{"title":"Knuckle hyperpigmentation in a young male: A clinical sign of B12 deficiency not to be missed.","authors":"Harpreet Singh, Arvind Subramanian, Deba P Dibhar, Vikas Suri, Ashish Bhalla","doi":"10.1177/00494755241234081","DOIUrl":"10.1177/00494755241234081","url":null,"abstract":"<p><p>Vitamin B12 and folate deficiency are reversible causes of megaloblastic anemia<b>.</b> Strict vegetarians are at risk of megaloblastic anemia due to low cobalamin in their diet<b>.</b> Knuckle hyperpigmentation in patients with megaloblastic anemia is due to excess melanin synthesis in skin. Here we present a case of a young vegetarian male with megaloblastic anemia with knuckle hyperpigmentation managed successfully with intravenous followed by oral vitamin b12 and folate supplementation.</p>","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"282-283"},"PeriodicalIF":0.5,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139991644","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
e-Cigarettes: Assessing the differences and the harms. 电子烟：评估差异和危害。
IF 0.5 4区 医学
Tropical Doctor Pub Date : 2024-07-01 Epub Date: 2024-03-11 DOI: 10.1177/00494755241234400
Shubhajeet Roy, Jay Tewari, Jyoti Bajpai, Kartikeya Mani Tripathi
{"title":"e-Cigarettes: Assessing the differences and the harms.","authors":"Shubhajeet Roy, Jay Tewari, Jyoti Bajpai, Kartikeya Mani Tripathi","doi":"10.1177/00494755241234400","DOIUrl":"10.1177/00494755241234400","url":null,"abstract":"","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"227-228"},"PeriodicalIF":0.5,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140094909","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
Defunctioning ileostomy for typhoid ileal perforations: Out of the frying pan into the fire? 伤寒回肠穿孔的功能性回肠造口术：从煎锅进入火炉？
IF 0.5 4区 医学
Tropical Doctor Pub Date : 2024-07-01 Epub Date: 2024-04-02 DOI: 10.1177/00494755241241830
Amrendra Verma, Reena Kothari, Arpan Mishra, Pawan Agrawal, Dhananjaya Sharma
{"title":"Defunctioning ileostomy for typhoid ileal perforations: Out of the frying pan into the fire?","authors":"Amrendra Verma, Reena Kothari, Arpan Mishra, Pawan Agrawal, Dhananjaya Sharma","doi":"10.1177/00494755241241830","DOIUrl":"10.1177/00494755241241830","url":null,"abstract":"<p><p>Typhoid ileal perforation (TIP) is a common surgical emergency in low-middle income countries (LMICs). Its high surgical morbidity and mortality is due to its often late presentation or diagnosis, the patient's malnutrition, severe peritoneal contamination and unavailability of intensive care in most peripheral hospitals. This prompted the philosophy of minimizing the crisis by avoiding any repair or anastomosis, limiting the surgery in these physiologically compromised patients and performing only a temporary defunctioning ileostomy (DI) which could then be closed 10-12 weeks later.</p>","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"245-247"},"PeriodicalIF":0.5,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140337373","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
Momentum of hope: The journey toward a universal TB vaccine. 希望的动力：普及结核病疫苗之旅。
IF 0.5 4区 医学
Tropical Doctor Pub Date : 2024-07-01 Epub Date: 2024-04-02 DOI: 10.1177/00494755241244833
Bashar Haruna Gulumbe, Aminu Shehu
{"title":"Momentum of hope: The journey toward a universal TB vaccine.","authors":"Bashar Haruna Gulumbe, Aminu Shehu","doi":"10.1177/00494755241244833","DOIUrl":"10.1177/00494755241244833","url":null,"abstract":"","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"233-234"},"PeriodicalIF":0.5,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140337375","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 meta-analysis of the incidence of infections following open tibia fractures and the microorganisms that cause them in high-, middle- and low-income countries. 对高、中、低收入国家开放性胫骨骨折后感染发生率及致病微生物的荟萃分析。
IF 0.6 4区 医学
Tropical Doctor Pub Date : 2024-07-01 Epub Date: 2024-02-27 DOI: 10.1177/00494755241232171
Djenna Chebli, Fatema Dhaif, Ali Ridha, Alexander Schade, Chetan Khatri
{"title":"A meta-analysis of the incidence of infections following open tibia fractures and the microorganisms that cause them in high-, middle- and low-income countries.","authors":"Djenna Chebli, Fatema Dhaif, Ali Ridha, Alexander Schade, Chetan Khatri","doi":"10.1177/00494755241232171","DOIUrl":"10.1177/00494755241232171","url":null,"abstract":"<p><p>Open tibia fractures are devastating, life changing injuries, with infection associated with substantial morbidity to the patient. Reducing infection is a research priority, but before interventional studies can be designed, the incidence of infection following this injury needs to be better defined. Our aim was to estimate the global incidence of infection following an open tibia fracture. A systematic review was performed of MEDLINE, EMBASE, Central Register of Controlled Trials (CENTRAL), Web of Science and Global Index Medicus. We included randomised controlled trials with more than ten participants which reported infections after open diaphyseal or distal fractures (AO 42 or 43). Primary outcome was deep infection according to the Centres for Disease Control and Prevention criteria. Secondary outcome included causative micro-organisms. A meta-analysis using a random effects model to assess incidence and between-treatment effects was performed. Thirteen studies including 1463 adults from seven middle-income countries, seven high-income countries and one low-income country were included. The incidence of infection was 12.12 person-years (95% CI 7.95-18.47). A subgroup analysis compared external fixation and intramedullary nailing showed no difference between infection rates. There were limited data on organisms, but <i>Staphylococcus aureus</i> was the most commonly identified. There are limited to no data on antimicrobial resistance.</p>","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"272-281"},"PeriodicalIF":0.6,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139974202","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 unsettling reality of violence against healthcare workers: Past, present and future. 针对医护人员的暴力这一令人不安的现实：过去、现在和未来。
IF 0.6 4区 医学
Tropical Doctor Pub Date : 2024-07-01 Epub Date: 2024-02-21 DOI: 10.1177/00494755241232175
Hritvik Jain, Samia Aziz Sulaiman, Suman Saurabh
{"title":"The unsettling reality of violence against healthcare workers: Past, present and future.","authors":"Hritvik Jain, Samia Aziz Sulaiman, Suman Saurabh","doi":"10.1177/00494755241232175","DOIUrl":"10.1177/00494755241232175","url":null,"abstract":"","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"229-230"},"PeriodicalIF":0.6,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139913917","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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