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Acta leprologica最新文献

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Single tendon--two insertion versus two tendon transfers for reablement of ulnar-median palsied thumb in leprosy. 单肌腱-两次插入与两次肌腱转移治疗麻风病拇指尺正中麻痹。
Acta leprologica Pub Date : 1996-01-01
R Mehta, S Husain, G N Malaviya, R K Goel, K P Shrivastava
{"title":"Single tendon--two insertion versus two tendon transfers for reablement of ulnar-median palsied thumb in leprosy.","authors":"R Mehta,&nbsp;S Husain,&nbsp;G N Malaviya,&nbsp;R K Goel,&nbsp;K P Shrivastava","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Twenty-three opponensplasties for ulnar median paralysis in 20 leprosy patients were performed by two different procedures i.e. extensor indicis proprius and flexor digitorum superficialis transfers using standard techniques. The results were evaluated using various objective and subjective, anatomical and functional parameters. Two tendon transfers appeared to be superior to single tendon two insertion transfers. It was concluded that if situation permits, two tendon transfers should be performed for combined ulnar median paralysis.</p>","PeriodicalId":6905,"journal":{"name":"Acta leprologica","volume":"10 2","pages":"105-9"},"PeriodicalIF":0.0,"publicationDate":"1996-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19933478","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Strategy to eliminate leprosy as a public health problem]. [消灭作为公共卫生问题的麻风病的战略]。
Acta leprologica Pub Date : 1996-01-01
D Daumerie
{"title":"[Strategy to eliminate leprosy as a public health problem].","authors":"D Daumerie","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":6905,"journal":{"name":"Acta leprologica","volume":"10 1","pages":"3-10"},"PeriodicalIF":0.0,"publicationDate":"1996-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19929880","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Vicissitudes of treating leprosy handicaps in Kapolowé, Zaïre]. [卡波洛维尔治疗麻风残障的变迁，Zaïre]。
Acta leprologica Pub Date : 1995-01-01
F Vulliet
{"title":"[Vicissitudes of treating leprosy handicaps in Kapolowé, Zaïre].","authors":"F Vulliet","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>In 1990 Kapolowé was, without a doubt, the site of the only surgical centre in Zaire dealing with handicaps which developed in as an after-effect of leprosy. It would be useful to explain the hazards involved in such a venture for reasons which do not pertain to medicine but, rather, to particularly trying socio-political circumstances. The best surgical expertise was thrown out for political reasons. Insecurity and economic hardships practically halted movement and, consequently, the wider application of such expertise. During a mission in 1994, there was a partial resumption of activities. The surgical team was reinstalled and made operational. It had been possible to state that multidrug therapy (MDT) had always ensured that the disabled leprosy patients, living in groups, and treated before 1990 under regular supervision, did not experience serious relapses. That fact corroborates earlier information relating particularly to surgical decompression. Although most of them were able to resume a certain measure of professional activity, social factors must still be borne in mind and the concept of partial permanent disability must be applied.</p>","PeriodicalId":6905,"journal":{"name":"Acta leprologica","volume":"9 4","pages":"179-82"},"PeriodicalIF":0.0,"publicationDate":"1995-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19684508","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[The frequency of the appearance of perforating foot ulcers in patients with Hansen's disease as a function of treatment with disulone alone or with polychemotherapy]. 【汉森氏病患者出现穿孔性足溃疡的频率与单用二磺龙或联合化疗的作用】。
Acta leprologica Pub Date : 1995-01-01
I Mane, M Y Grauwin, J L Cartel
{"title":"[The frequency of the appearance of perforating foot ulcers in patients with Hansen's disease as a function of treatment with disulone alone or with polychemotherapy].","authors":"I Mane,&nbsp;M Y Grauwin,&nbsp;J L Cartel","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Between 1986 and 1989, in 5 departments of Senegal, 436 new cases of leprosy were detected, of whom 225 were put under dapsone monotherapy and 211 under multidrug therapy (MDT). Of them, 190 could be followed-up during 2 years by means of annual bacteriological and clinical examination, including neurological assessment. In 2 years, the onset of 10 (5.3%) chronic plantar ulcers (CPU) was observed: 4 (4%) among the 99 patients under dapsone monotherapy and 6 (6.6%) among the 91 under MDT (no significant difference). Of the 10 CPU, 3 (2%) appeared among the 149 patients without any disability at detection while 7 (17%) were observed among the 41 others who presented a grade 1 disability at detection (p < 0.01). Of the 6 CPU appeared in the patients under MDT, 5 (22%) were observed among the 23 who presented a grade 1 disability at detection and 1 (1.5%) among the 68 who did not (p < 0.01). This difference was not noted in the patients under dapsone monotherapy. Our results need to be confirmed by other studies including a higher number of patients followed-up during a longer period of time. Nevertheless, they suggest that MDT could prevent the onset of CPU, but only in patients without any disability at detection. Therefore, they reemphasize the importance of early detection of the disease in leprosy control programmes.</p>","PeriodicalId":6905,"journal":{"name":"Acta leprologica","volume":"9 3","pages":"127-31"},"PeriodicalIF":0.0,"publicationDate":"1995-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18636421","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Neuritic leprosy: further progression and significance. 神经性麻风病:进一步的进展和意义。
Acta leprologica Pub Date : 1995-01-01
B Mishra, A Mukherjee, A Girdhar, S Husain, G N Malaviya, B K Girdhar
{"title":"Neuritic leprosy: further progression and significance.","authors":"B Mishra,&nbsp;A Mukherjee,&nbsp;A Girdhar,&nbsp;S Husain,&nbsp;G N Malaviya,&nbsp;B K Girdhar","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Sixteen neuritic cases have been seen developing cutaneous lesions. These cutaneous lesions by and large appear within 4 months after the diagnosis of neuritic leprosy. Leprosy pathology in cutaneous lesions has been found ranging between indeterminate and borderline lepromatous group. Development of cutaneous lesions does not seem to be influenced by age, sex or number of nerves or lepromin status. Neither lesions seem to appear in any particular part of the body. Therapy, duration and type i.e. monodrug or multidrug, also does not seem to influence the development of cutaneous lesions in either way. It appears that neuritic cases with either very early (indeterminate) or with advanced multibacillary neural pathology may develop skin lesions. Skin lesion possibly appear following reversal reaction in skin. Cases with newly developed skin lesions well respond to standard therapy. Development of cutaneous lesions by neuritic cases possibly indicates towards the natural history of the disease, conforming to the hypothesis that leprosy is basically neural in inception and that all other forms emerge from it.</p>","PeriodicalId":6905,"journal":{"name":"Acta leprologica","volume":"9 4","pages":"187-94"},"PeriodicalIF":0.0,"publicationDate":"1995-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19685164","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Results obtained by a mobile handicap-prevention unit at the Institut de Léprologie de Dakar]. [结果由达喀尔的一个流动残疾预防小组获得]。
Acta leprologica Pub Date : 1995-01-01
C Hirzel, M Y Grauwin, I Mane, J L Cartel
{"title":"[Results obtained by a mobile handicap-prevention unit at the Institut de Léprologie de Dakar].","authors":"C Hirzel,&nbsp;M Y Grauwin,&nbsp;I Mane,&nbsp;J L Cartel","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Of 584 leprosy patients known at the Institut de Léprologie Appliquée de Dakar because they suffered a nerve lesion with or without chronic plantar ulcer (CPU), 242 (41%) could be followed-up during a mean period of time of 8.2 years (range: 5 and 10 years) by the means of the mobile disability prevention team (health education, medical care and shoe workshop). Every two months a visit of the patients, at their home town, was organized, with the purpose to assess whether they could actually put into practice the foot and hand as having been trained for. At the same time, further advice and encouragement were given to the patients. Adapted footwear was brought to the patient, at reduced fee, the foot prints and special moulds having been taken during the previous visit. The local health worker were responsible for light surgical cares. Among the 242 followed-up patients: of 107 without CPU at beginning, 90 (84%) remained so, of 135 with CPU at beginning, 57 (42%) were cured, of 135 with CPU at beginning, 74 (55%) remained stable (no worsening), the last 21, of whom 17 showed severe foot deformities but without CPU, worsened (all presented one or more CPU at the last control). Of the 242 patients, 221 (91%) remained stable or showed substantial improvement. Therefore, it must be emphasized that careful follow-up of patients is essential to insure the improvement or care of CPU as well as to prevent the onset, worsening or reappearance of CPU. Such follow-up must consist of cares, health education and special shoe wearing.</p>","PeriodicalId":6905,"journal":{"name":"Acta leprologica","volume":"9 4","pages":"183-6"},"PeriodicalIF":0.0,"publicationDate":"1995-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19685163","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Response of leprosy patients with single lesions to MDT. 单一病变麻风患者对MDT的反应。
Acta leprologica Pub Date : 1995-01-01
K Katoch, M Natrajan, V S Yadav, A S Bhatia
{"title":"Response of leprosy patients with single lesions to MDT.","authors":"K Katoch,&nbsp;M Natrajan,&nbsp;V S Yadav,&nbsp;A S Bhatia","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This study reports the clinical profile and therapeutic response of seventy-two mono-lesions leprosy cases. These 72 cases were among 578 paucibacillary (PB) cases classified according to WHO (1982) and were followed-up on multidrug therapy (MDT). Of these 72 mono-lesion cases, 46 (64%) were tuberculoid (TT) cases, 24 (33%) were Indeterminate (Ind) cases and 2 (3%) were of borderline tuberculoid (BT) types. While 37.5% of these cases presented as macular patches, the remaining 62.5% had raised erythematous lesions. In majority of cases (94%), the lesions were present on the exposed parts like legs and feet, arms and hands, face, whereas only 6% presented on covered areas of trunk and buttocks. These cases were treated with dapsone 100 mg daily for 12 months and rifampicin 600 mg once a month for 6 months. After 6 months of MDT, lesions in 81% of the patients regressed clinically and by one year of therapy 96% of cases had regressed. Treatment was stopped in all cases by one year of therapy. There were no relapse or late reaction in the 5 years of post treatment follow-up. The response of mono-lesion PB cases was better than the multi-lesions PB cases at 6 months and during the post treatment follow-up period.</p>","PeriodicalId":6905,"journal":{"name":"Acta leprologica","volume":"9 3","pages":"133-7"},"PeriodicalIF":0.0,"publicationDate":"1995-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18636422","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Towards restoring sensibility in anaesthetic extremities of leprosy patients. 麻风病患者麻醉肢体知觉恢复的研究。
Acta leprologica Pub Date : 1995-01-01
G N Malaviya
{"title":"Towards restoring sensibility in anaesthetic extremities of leprosy patients.","authors":"G N Malaviya","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>In leprosy patients, the problems arising due to anaesthesia in the extremities have been outlined. The available modalities, some of them still experimental, for overcoming the handicap have been discussed.</p>","PeriodicalId":6905,"journal":{"name":"Acta leprologica","volume":"9 3","pages":"111-5"},"PeriodicalIF":0.0,"publicationDate":"1995-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18636419","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
AIDS and tuberculosis/leprosy in Nigeria: the urbanisation factor. 尼日利亚的艾滋病和结核病/麻风病:城市化因素。
Acta leprologica Pub Date : 1995-01-01
N Awofeso
{"title":"AIDS and tuberculosis/leprosy in Nigeria: the urbanisation factor.","authors":"N Awofeso","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A study was conducted between February and June 1994 on the influence of urbanisation on the seroprevalence of human immunodeficiency virus (HIV) amongst tuberculosis (TB) and leprosy patients in the 4 Primary Health Care Zones in Nigeria. Results indicate that 71.4% of all smear positive TB patients and 75% of all multibacillary (MB) leprosy patients that are HIV seropositive in this study are resident in the urban areas. This study emphasizes the need for careful sample selection in studies involving HIV and tuberculosis/leprosy, and for careful monitoring of the HIV/leprosy interactions.</p>","PeriodicalId":6905,"journal":{"name":"Acta leprologica","volume":"9 3","pages":"149-51"},"PeriodicalIF":0.0,"publicationDate":"1995-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18636424","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Status of the integration of the antileprosy campaign in the general health services in Senegal]. [将防治麻风病运动纳入塞内加尔一般卫生服务的现状]。
Acta leprologica Pub Date : 1995-01-01
P M Sylla
{"title":"[Status of the integration of the antileprosy campaign in the general health services in Senegal].","authors":"P M Sylla","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The survey on the integration of leprosy control in Senegal with the general health services has shown that the level of integration varies according to the services offered. Both strong and weak points have been detected and it is therefore advisable to reinforce the findings that are positive and to seek solutions to the problems. 82.1% of the male nurses in charge of health center included in the survey have already had to refer suspected cases of leprosy to the Leprosy Specialist for confirmation. In 85.7% of the cases, it is the Nurses-Persons in Charge who administer the supervised dose of multidrug therapy. The external validity of this study is problematic; nevertheless, these results could still draw the attention of administrators, decision-makers, and other persons of influence to the problems that could curb the integration of leprosy control with the general health services.</p>","PeriodicalId":6905,"journal":{"name":"Acta leprologica","volume":"9 3","pages":"117-25"},"PeriodicalIF":0.0,"publicationDate":"1995-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18636420","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","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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