The Journal of tropical medicine and hygiene最新文献

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Treatment of malaria outside the formal health services. 在正规保健服务之外治疗疟疾。
S Foster
{"title":"Treatment of malaria outside the formal health services.","authors":"S Foster","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Self-medication for malaria is widely practised around the world, and although many home treatment episodes are successful, the risk of under or over-dosing is always present. Reasons for the widespread use of self-medication range from the distance and cost of seeking care from the formal health services to cultural beliefs which suggest that traditional care is more appropriate, and even that modern care may be fatal. But self-medication constitutes an important resource for malaria treatment, and much could be done to improve the self-medication practices of the population. Measures to be taken include dissemination of clear messages about malaria as a part of health education, formulation of realistic treatment policies which take account of resource constraints, lowering or removal of economic barriers, especially user charges, and further research into cultural beliefs about malaria and ways to promote compatibility of beliefs with appropriate treatment. If these suggestions could be taken into account in developing malaria treatment strategies, the chances of success would be greatly enhanced.</p>","PeriodicalId":76688,"journal":{"name":"The Journal of tropical medicine and hygiene","volume":"98 1","pages":"29-34"},"PeriodicalIF":0.0,"publicationDate":"1995-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18858942","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
An environmental classification of housing-related diseases in developing countries. 发展中国家住房相关疾病的环境分类。
D D Mara, G P Alabaster
{"title":"An environmental classification of housing-related diseases in developing countries.","authors":"D D Mara,&nbsp;G P Alabaster","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A preliminary environmental classification of housing-related diseases in developing countries is presented. This groups these diseases into six categories: those related to defects in (1) buildings and the peridomestic environment, (2) water supply, (3) sanitation, (4) refuse storage and collection and (5) food storage and preparation; and (6) industry-related diseases resulting from housing location (close to polluting industries or on contaminated land) and from the use of the home as a workplace. Each category has three subcategories: communicable diseases (including zoonoses), non-communicable diseases, and mental illnesses and psychosocial disorders.</p>","PeriodicalId":76688,"journal":{"name":"The Journal of tropical medicine and hygiene","volume":"98 1","pages":"41-51"},"PeriodicalIF":0.0,"publicationDate":"1995-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18858944","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
Epidemiological studies on Schistosoma mansoni infection in the western region of Saudi Arabia using the potassium hydroxide stool digestion technique. 利用氢氧化钾粪便消化技术对沙特阿拉伯西部地区曼氏血吸虫感染的流行病学研究。
A M Ghandour, A A al-Robai, M Doenhoff, A A Banaja
{"title":"Epidemiological studies on Schistosoma mansoni infection in the western region of Saudi Arabia using the potassium hydroxide stool digestion technique.","authors":"A M Ghandour,&nbsp;A A al-Robai,&nbsp;M Doenhoff,&nbsp;A A Banaja","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The potassium hydroxide stool digestion technique was used in 30 sites in the Western Region of Saudi Arabia (Hijaz highlands and Tihamah lowlands) for epidemiological studies of S. mansoni. The mean prevalence rate in 2792 individuals (1490 males and 1302 females) in Hijaz highlands (20 sites) was 6.09 (0.5-20.1%) and the geometric mean egg count of stool was 110.8 (63-285). The prevalence rate was greater in males (8.06%) than in females (3.79%). The peak prevalence in males was in the age group 11-15 years, and 31-50 years in females. In 10 sites in the Tihamah lowlands a total of 1771 persons were examined for schistosomiasis. Only one site was recorded with S. mansoni, at a prevalence rate of 0.05%; S. haematobium was recorded in two sites at prevalence rates of 0.55 and 1.13%. Praziquantel therapy (40 mg kg-1) of 170 S. mansoni cases showed a cure of 85-98% at 1-6 months after treatment and a considerable reduction in stool arithmetic mean egg count. Schistosoma haematobium was not recorded in the Hijaz highlands.</p>","PeriodicalId":76688,"journal":{"name":"The Journal of tropical medicine and hygiene","volume":"98 1","pages":"57-63"},"PeriodicalIF":0.0,"publicationDate":"1995-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18858946","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
Primary hepatocellular carcinoma and viral hepatitis B and C infection in Bangladeshi subjects. 孟加拉国受试者的原发性肝细胞癌和病毒性乙型和丙型肝炎感染
S Zaman, M Khan, K Alam, R Williams
{"title":"Primary hepatocellular carcinoma and viral hepatitis B and C infection in Bangladeshi subjects.","authors":"S Zaman,&nbsp;M Khan,&nbsp;K Alam,&nbsp;R Williams","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Potential risk factors for the development of primary hepatocellular carcinoma and the prevalence and role of infection with viral hepatitis B and hepatitis C were investigated in 54 adult patients of Bangladeshi origin (45 male, age range 20-75 years), comprising 46 patients resident in Bangladesh (Group 1) and 8 patients who had emigrated to the UK 10-20 years previously (Group 2). Of the 46 patients in Group 1 (37 male), 16 had hepatocellular carcinoma, 10 had uncomplicated cirrhosis, and 20 had a clinical history of chronic viral hepatitis of more than 6 months' duration. Total hepatitis B virus marker positivity was 82.6%, significantly higher than in Group 2 patients (P < 0.001). Thirty-six per cent were hepatitis B surface antigen positive, 66% were hepatitis Be antigen positive and 45.3% were positive for hepatitis C virus antibody. Taking only the 16 patients with hepatocellular carcinoma, hepatitis B surface antigen positivity was 38%, hepatitis Be antigen 66% and positivity to hepatitis C virus antibody was 56%. The 8 patients with hepatocellular carcinoma in Group 2 were all male and aged between 45 and 56 years. Of these, 3 (38%) cases were positive for hepatitis B surface antibody and none was positive for hepatitis B surface antigen or antibody to hepatitis C virus (3 cases tested). Presenting features of HCC in the two groups differed with a short clinical history of tender abdominal mass in Group 1 and a gradual onset of jaundice in Group 2 UK-resident Bangladeshi subjects.</p>","PeriodicalId":76688,"journal":{"name":"The Journal of tropical medicine and hygiene","volume":"98 1","pages":"64-8"},"PeriodicalIF":0.0,"publicationDate":"1995-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18858947","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
Immunomonitoring of filarial patients during DEC therapy in an endemic area: a seven-year follow-up. 某流行地区丝虫病患者DEC治疗期间的免疫监测:7年随访。
U M Padigel, M V Reddy, A Alikhan, B C Harinath
{"title":"Immunomonitoring of filarial patients during DEC therapy in an endemic area: a seven-year follow-up.","authors":"U M Padigel,&nbsp;M V Reddy,&nbsp;A Alikhan,&nbsp;B C Harinath","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A group of 27 Wuchereria bancrofti infected persons from an endemic area, who had undergone treatment with diethylcarbamazine (DEC), were followed for 7 years to understand its effect on microfilaraemia, immune status and on the recurrence of infection. Treatment with DEC was for 14 days (day 1, 1 mg kg-1 body weight, day 2, 2 mg kg-1 body weight and from day 3 onwards 6 mg kg-1 body weight) followed by one dose (6 mg kg-1 body weight) on days 360, 540 and at the end of years 2, 3, 4, 6 and 7. After a 2-year follow-up the patients were divided into two groups. Group A consisted of cases that showed no reappearance of microfilariae (mf) and Group B of those cases that showed reappearance of mf. Further follow-up in the next 5 years showed that none of the cases in Group A were positive for mf at any time. In contrast, mf were detected in Group B in 14, 15, 27 and 33% of the cases followed at the end of years 3, 4, 6 and 7 respectively. Both groups showed a decrease in filarial IgG antibody and mf excretory-secretory antigen levels in the initial 4 years followed by increased levels at the end of years 6 and 7. The reappearance of filarial antibody and antigen in 50-70% of Group A and 68-100% of Group B at the end of year 7 suggests the existence of active infection in these cases. No cases followed in this study developed clinical symptoms. This study shows that long-term DEC therapy and immunomonitoring of mf patients is essential in an endemic area for arresting transmission and prevention of pathology associated with clinical manifestations.</p>","PeriodicalId":76688,"journal":{"name":"The Journal of tropical medicine and hygiene","volume":"98 1","pages":"52-6"},"PeriodicalIF":0.0,"publicationDate":"1995-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18858945","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
Infections in bone marrow transplant recipients in south India--a post-mortem study. 印度南部骨髓移植受者的感染——一项尸检研究。
P Ramani, H Krishnaswami, A Srivastava, D Dennison, M Chandy
{"title":"Infections in bone marrow transplant recipients in south India--a post-mortem study.","authors":"P Ramani,&nbsp;H Krishnaswami,&nbsp;A Srivastava,&nbsp;D Dennison,&nbsp;M Chandy","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A study of post-mortem material obtained from ten patients who had undergone bone marrow transplantation is presented. The cause of death in all patients was infection. Six patients had fungal infection, two had bacterial infection and three had cytomegalovirus infection. Pneumocystis carinii and tuberculous infections were not detected.</p>","PeriodicalId":76688,"journal":{"name":"The Journal of tropical medicine and hygiene","volume":"97 6","pages":"354-6"},"PeriodicalIF":0.0,"publicationDate":"1994-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18962243","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
A further study of LDT and IFAT tests in evaluating the control of kala-azar in China. LDT和IFAT试验在中国黑热病防治评价中的进一步研究。
Y Bao, S T Wang, Q F Shao
{"title":"A further study of LDT and IFAT tests in evaluating the control of kala-azar in China.","authors":"Y Bao,&nbsp;S T Wang,&nbsp;Q F Shao","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Kala-azar (KA) used to be highly prevalent in Shandong Province in China and, according to the survey made in 1950, the average prevalence rate was 350 per million. Through mass treatment and sandfly control, the prevalence rate was brought down to 3 per 100,000 in 1958 and the disease was basically eliminated. Since 1972, only 18 residual patients have been detected and no newly infected cases have appeared. In the meantime, the vector density had been reduced to such a low level that sandflies could not be found in 85% of the villages. For further evaluation of the control measures, an immunological survey on a relatively large scale was conducted in 78 townships located in 24 counties of 13 prefectures and cities in 1990. A total of 10,239 rural residents of different ages had the Leishmanin dermal test (LDT). None of the people under 30 years of age was positive (0/8020), while in those aged above 30, the average positive rate was 4.4% (98/2219). During the survey, blood samples were also taken from 4232 people for indirect fluorescent antibody test (IFAT); results were all negative. This indicates that the transmission of KA had been completely interrupted since the early 1960s and the province is now a non-endemic area of KA. Further analyses of the data showed that LDT is of great value in epidemiological investigation of KA, for the evaluation of control measurements, the ascertainment of the past and present status of the disease, and detection of subclinical infection.(ABSTRACT TRUNCATED AT 250 WORDS)</p>","PeriodicalId":76688,"journal":{"name":"The Journal of tropical medicine and hygiene","volume":"97 6","pages":"357-61"},"PeriodicalIF":0.0,"publicationDate":"1994-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18962152","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
Herbal poisoning caused by adulterants or erroneous substitutes. 因掺假或错误替代品引起的草药中毒。
P P But
{"title":"Herbal poisoning caused by adulterants or erroneous substitutes.","authors":"P P But","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Six cases of herbal poisoning involving six patients in Hong Kong, Taipei and Kuala Lumpur are reported. The sources of poisoning were identified as adulterants (Podophyllum emodi) or erroneous substitutes (Datura metel). In cases of suspected herbal poisoning, it is recommended that the prescriptions, herbal residues and herb samples should be collected for pharmacognostical and chemical analysis to substantiate the cause of poisoning. Insofar as it is possible, an estimate of the amount of herbs consumed should also be obtained, to establish whether the amount of toxin present is sufficient to account for the symptoms.</p>","PeriodicalId":76688,"journal":{"name":"The Journal of tropical medicine and hygiene","volume":"97 6","pages":"371-4"},"PeriodicalIF":0.0,"publicationDate":"1994-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18962155","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
Financing mechanisms for village activities in The Gambia and their implications for financing insecticide for bednet impregnation. 冈比亚乡村活动的筹资机制及其对蚊帐浸渍杀虫剂筹资的影响。
A Mills, J Fox-Rushby, M Aikins, U D'Alessandro, K Cham, B Greenwood
{"title":"Financing mechanisms for village activities in The Gambia and their implications for financing insecticide for bednet impregnation.","authors":"A Mills,&nbsp;J Fox-Rushby,&nbsp;M Aikins,&nbsp;U D'Alessandro,&nbsp;K Cham,&nbsp;B Greenwood","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The recent enthusiasm for impregnated bednets as a malaria control measure leaves unresolved the question of how to finance them. The National Impregnated Bednet Programme in The Gambia faced the question of how to obtain funds from villages to finance the cost of insecticide, but knew very little about current village fundraising for development purposes. A survey was conducted of such fundraising, and questions also asked about willingness to pay for insecticide and preferred means of paying. All 53 villages surveyed paid taxes/rates, but 34% of villages reported no voluntary fundraising. The most common reason for collecting money was for the maintenance of wells (40% of villages). Collective farming was used as a means of raising money in 32% of villages. There was some variation in the type and extent of fundraising by region and also by the predominant ethnic groups of the village. Villages with voluntary fundraising activities seemed to have well established collective mechanisms for agreeing on sums to be collected and their use, and for collecting and recording income and expenditure. Non-payment was rare, and misuse of funds was not reported. Respondents were asked how much compounds might be willing to pay for insecticide impregnantion: the most frequently cited maximum amounts were D5 and 10, and minimum D1 and 5 (D15 = 1 pound). The paper discusses payment options for insecticide, such as whether the village should be allowed to decide itself how to raise funds, and whether the payment should be made only by households with nets or by a village-wide mechanism such as collective farming.(ABSTRACT TRUNCATED AT 250 WORDS)</p>","PeriodicalId":76688,"journal":{"name":"The Journal of tropical medicine and hygiene","volume":"97 6","pages":"325-32"},"PeriodicalIF":0.0,"publicationDate":"1994-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18962239","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
Ring or disc enhancing lesions in epilepsy in India. 印度癫痫的环或盘强化病变。
P P Sethi, R S Wadia, D P Kiyawat, N R Ichaporia, S S Kothari, S A Sangle, P Wadhwa
{"title":"Ring or disc enhancing lesions in epilepsy in India.","authors":"P P Sethi,&nbsp;R S Wadia,&nbsp;D P Kiyawat,&nbsp;N R Ichaporia,&nbsp;S S Kothari,&nbsp;S A Sangle,&nbsp;P Wadhwa","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>In India a common CT finding in epilepsy is a ring/disc enhancing lesion (RDEL). This lesion is hypodense on plain scan and shows a ring or disc-like enhancement on contrast CT scan. This study reports on 186 cases with such lesions, found in 26.1% of all focal epilepsy. It was commoner in children. Fifty-three per cent of the cases had had fits for less than 3 months, 29.6% had had fits for more than 6 months and 17.6% for more than a year. Focal signs were seen in 20% of cases and focal EEG slowing in 57.1%. The lesion cleared on anticonvulsants alone in 75% of cases. At present this is the preferred method of treatment unless there is coexisting CNS tuberculosis or close family contact with TB or extraneural cysticercosis. Biopsy was done in 16 cases and the two commonest causes were found to be cysticercosis and tuberculosis. A review of 58 biopsies in four centres in India is included. The frequency of this entity is apparently highest in India and even in other countries where cysticercosis is common, the lesion is not reported as frequently.</p>","PeriodicalId":76688,"journal":{"name":"The Journal of tropical medicine and hygiene","volume":"97 6","pages":"347-53"},"PeriodicalIF":0.0,"publicationDate":"1994-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18962242","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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