Chronic volvulus of the stomach: to operate?

abstract：:The international standard decision-to-delivery interval (DDI) for emergency Caesarean sections (CSs) is ≤ 30 minutes but there is little evidence to support this recommendation. The aim of this study was to evaluate DDI for emergency CS and its relationship to perinatal outcome. We undertook a prospective observation...

journal_title：Tropical doctor

authors： Singh R,Deo S,Pradeep Y

更新日期：2012-04-01 00:00:00

abstract：:In this project, sponsored by the McArthur Foundation and the Population Council, magnesium sulphate was introduced in February 2007 to 10 general hospitals in Kano State, northern Nigeria. Changes were monitored via data collected at the hospital. At an initial training of the trainers' workshop, 25 master trainers w...

journal_title：Tropical doctor

authors： Tukur J,Ogedengbe C,Nwanchukwu E,Araoyinbo IA,Yakasai IA,Adaji SE,Ajala B

更新日期：2011-10-01 00:00:00

abstract：:A retrospective study was done on blood units collected from replacement and voluntary donors from 2001 to 2007. Seropositivity of transfusion transmitted disease in replacement donors was 1.96% in hepatitis B surface antigen, 0.85% in hepatitis C virus, 0.23% in HIV and 0.01% in syphilis. Voluntary donors had an almo...

journal_title：Tropical doctor

authors： Chandra T,Kumar A,Gupta A

更新日期：2009-07-01 00:00:00

abstract：:Diffuse cutaneous leishmaniasis (DCL) is a rare variant of cutaneous leishmaniasis (CL) characterised by multiple (≥10), widespread, slowly progressive, cosmetically disfiguring, non-ulcerating nodules without visceral involvement. The disease is resistant to chemotherapy and characterized by relapses. We present a ra...

journal_title：Tropical doctor

authors： Verma GK,Verma S,Shanker V,Singh G,Tegta GR

更新日期：2012-10-01 00:00:00

abstract：:Primary small bowel volvulus is the commonest cause of intestinal obstruction in the Gorkha district of Nepal resulting in laparotomy. Yet, this problem is mentioned only briefly, if at all, in many standard textbooks of surgery. This paper presents details of the presentation, clinical findings, and surgical manageme...

journal_title：Tropical doctor

authors： Parkes G

更新日期：1997-07-01 00:00:00

abstract：:Severe meconium aspiration syndrome is difficult to manage and has a high mortality in developing countries. Guidelines are available for the initial management. If the infant has been born through particulate meconium and is not vigorous, an inspection of the vocal cords by laryngoscopy is recommended. If meconium is...

journal_title：Tropical doctor

authors： Green DA

更新日期：2010-01-01 00:00:00

abstract：:In resource-limited countries, the diagnosis of pulmonary tuberculosis (TB) is based on clinical findings, chest radiography and the demonstration of acid-fast bacilli in sputum. Few data are available on the use of ultrasound (US) to diagnose pulmonary TB. Chest US was performed in patients with lung TB from a rural ...

journal_title：Tropical doctor

authors： Agostinis P,Copetti R,Lapini L,Badona Monteiro G,N'Deque A,Baritussio A

更新日期：2017-10-01 00:00:00

abstract：:Locally fabricated phototherapy devices (LFPDs) are widely used in Nigeria for the treatment of neonatal jaundice. Ours was a cross-sectional observational study of all LFPDs in major hospitals in Jos between January and March 2015. We evaluated a total of 24 LFPDs. The irradiance at the level of the baby was in the r...

journal_title：Tropical doctor

authors： Diala UM,Ofakunrin AO,Toma BO,Shwe DD,Yilgwan CS,Bode-Thomas F

更新日期：2018-04-01 00:00:00

abstract：:A four-year-old boy presented to the hospital with a four-month history of recurrent bouts of fever and abdominal pain. Half a month before being admitted to hospital, multiple red cutaneous nodules had emerged at the left epigastric region and a dark red serpentine track appeared under the skin at the same site. The ...

journal_title：Tropical doctor

authors： Yi-Zhu X,Zhi-Bang Y

更新日期：2010-10-01 00:00:00

abstract：:The strategy of integrated management of childhood illness (IMCI) aims at improving the skills of first level health workers and consequently, improving the survival chances of children. The guidelines have been shown to be cost-effective. We aimed to determine the potential impact of using IMCI guidelines on drug tre...

journal_title：Tropical doctor

authors： Wammanda RD,Ejembi CL,Iorliam T

更新日期：2003-04-01 00:00:00

abstract：:The author describes the use of external skeletal fixation in the management of complicated septic limb fractures. Eight fractures in seven patients were treated at Sololo General Hospital using a low cost, simple external device, with good results. The report emphasizes how external fixation can solve difficult fract...

journal_title：Tropical doctor

authors： Galvagno S

更新日期：1993-04-01 00:00:00

abstract：:Cirrhotic patients with ascites are at high risk of developing spontaneous bacterial peritonitis (SBP). After exclusion of patients with acute kidney injury (AKI) or other infections, urinary neutrophil gelatinase-associated lipocalin (NGAL) levels were compared between two matched groups of Egyptian cirrhotic patient...

journal_title：Tropical doctor

authors： Fouad TR,Abdelsameea E,Elsabaawy M,Ashraf Eljaky M,Zaki El-Shenawy S,Omar N

更新日期：2019-07-01 00:00:00

abstract：:We practise an integrated approach to the management of skin diseases, leprosy and sexually transmitted diseases because the latter diseases are still stigmatized and patients are unwilling to attend clinics so labelled. When approached by a patient with skin disease it is advisable to see the patient promptly, becaus...

journal_title：Tropical doctor

authors： Olumide YM

更新日期：1992-01-01 00:00:00

abstract：:Paediatric surgical disease is a neglected health problem. Patients travel great distances to tertiary level care for management. This study aimed at analysing referral patterns to design an outreach programme for paediatric surgery in KwaZulu Natal. Data forms of patients referred to the service between January and J...

journal_title：Tropical doctor

authors： Manickchund Y,Hadley GP

更新日期：2017-10-01 00:00:00

abstract：:The ophthalmic presentation of relapse in a patient with human T-lymphotropic virus type 1 (HTLV1) associated adult T-cell lymphoma leukaemia is described. Epidemiology, clinical features and therapeutic options are briefly reviewed. Antenatal screening and inclusion of HTLV1 in the differential diagnosis of inflammat...

journal_title：Tropical doctor

authors： Charles KS,Leelah N,Murray DC

更新日期：2014-04-01 00:00:00

abstract：:Without a vaccine or proven therapeutic options in COVID-19, the World Health Organization (WHO) recommends a combination of measures: rapid diagnosis and immediate isolation of cases; rigorous contact tracing; and precautionary self-isolation of close contacts to curb the spread of COVID-19. During a Nipah outbreak i...

journal_title：Tropical doctor

authors： Wilson A,Warrier A,Rathish B

更新日期：2020-07-01 00:00:00

abstract：:Cutaneous chrysosporium infection is extremely rare and underdiagnosed. We present an immunocompromised patient who presented with recurrent cutaneous abscesses. Histopathology of the abscess showed thick-walled conidia and septate fungal hyphae within the subcutis and fungal culture grew Chrysosporium species. ...

journal_title：Tropical doctor

authors： Dincy PC,Meera T,Susanne PA,Promila RM

更新日期：2019-10-01 00:00:00

abstract：:AIDS support and prevention programs are poorly developed in developing nations. The difficulties of increasing AIDS awareness are compounded by illiteracy and lack of access of large numbers of people to formal education. These facts make community-based AIDS education, counselling and information service an essent...

journal_title：Tropical doctor

authors： Foster G

更新日期：1990-04-01 00:00:00

abstract：:In most endemic countries stray dogs are the main source of rabies infection in humans. In India 95-97% of rabies patients are infected by dogs. Most pet dogs do not regularly receive booster doses of vaccine. In Thailand, most rabies patients develop the disease within 1 month of exposure. Rabies immunoglobulin is co...

journal_title：Tropical doctor

authors： Dutta JK

更新日期：1999-10-01 00:00:00

abstract：:Detection of HIV infection in blood donors or populations is usually by testing sera for antibodies to HIV-1 and HIV-2. Screening tests are now highly sensitive and specific, but still expensive and scarce in Africa. We tested the commercially available kits 'HIVCHEK 1 + 2' in two field laboratories, on specimens from...

journal_title：Tropical doctor

authors： Wannan GJ,Cranefield MJ,Cutting WA,Fischer PR,Hargreaves FD,Inglis JM

更新日期：1992-10-01 00:00:00

abstract：:Tungiasis is highly prevalent in resource-poor communities in sub-Saharan Africa, but studies among schoolchildren are scanty. We assessed prevalence, parasite load and clinical aspects of tungiasis in schoolchildren in south-western Nigeria. A total of 545 schoolchildren was examined. Of these, 133 (24.4%; 95% CI, 20...

journal_title：Tropical doctor

authors： Ugbomoiko US,Ariza L,Babamale AO,Heukelbach J

更新日期：2017-01-01 00:00:00

abstract：:Eosinophilic gastroenteritis (EGE) is an uncommon disease characterised by eosinophilic infiltration in the gastrointestinal tract. EGE may involve more than one layer of the gastrointestinal tract. Clinical features depend on the layer and location which is involved. We report an unusual case of eosinophilic ascites ...

journal_title：Tropical doctor

authors： Kodan P,Shetty MA,Pavan MR,Kariappa A,Mahabala C

更新日期：2015-01-01 00:00:00

abstract：:Melioidosis is the disease caused by the soil and water bacterium, Burkholderia pseudomallei. Our study aimed to delineate its genitourinary manifestations. Over a 10-year period (2006-2016), 20 adults with culture-confirmed genitourinary melioidosis were identified. The patients were all men with a mean age of 45.3 ±...

journal_title：Tropical doctor

authors： Koshy M,Sadanshiv P,Sathyendra S

更新日期：2019-04-01 00:00:00

abstract：:Glucocorticoids are first-line therapy for children with idiopathic nephrotic syndrome (INS). These children are at risk of deranged bone metabolism and low bone mineral density (BMD). We studied 60 children with INS and divided them into two groups. Group 1 included 21 children (initial and infrequent relapsing) and ...

journal_title：Tropical doctor

authors： Sharawat IK,Dawman L,Kumkhaniya MV,Devpura K,Mehta A

更新日期：2019-10-01 00:00:00

abstract：:A morbidity and mortality survey was carried out amongst 196 malnourished children attending the Nutrition Unit, Ministry of Health, Owina Street, Benin City, Nigeria, between January 1971 and December 1973 (morbidity) and also between October 1974 and March 1975 (mortality). Gastrointestinal disorders (77, 39.3%) and...

journal_title：Tropical doctor

authors： Ogbeide O,Osuhor PC

更新日期：1984-10-01 00:00:00

abstract：:A haemocholecyst is a clot-filled gallbladder caused by bleeding into its lumen. It is a rare entity with fewer than 50 cases reported in the English literature. Preoperative diagnosis is often not possible even with good quality cross-sectional imaging. Here, we present a case of a gallbladder mass, whose nature was ...

journal_title：Tropical doctor

authors： Ray S,Ghosh R,Khamrui S,Kumar Das A,Saha S,Kumar D

更新日期：2020-07-01 00:00:00

abstract：:Tea preparations from the herb Artemisia annua L. (Aa) which is used in traditional Chinese medicine might offer an inexpensive way of producing artemisinin drugs locally. We compared Aa with sulfadoxine-pyrimethamine (SP) in the treatment of uncomplicated falciparum malaria in semi-immune adults. After seven days, th...

journal_title：Tropical doctor

authors： Blanke CH,Naisabha GB,Balema MB,Mbaruku GM,Heide L,Müller MS

更新日期：2008-04-01 00:00:00

abstract：:The effect of noradrenaline (8 mg in 100 ml cold saline) gastric lavage was compared with that of cold saline alone in 42 patients with upper gastrointestinal haemorrhage in a prospective, randomized, double blind study. Fifty three per cent (11/21) of the patients given noradrenaline stopped bleeding within two hours...

journal_title：Tropical doctor

authors： Sarin SK,Nundy S,Tandon BN

更新日期：1984-10-01 00:00:00

abstract：:In Tanzania, rural medical aides (RMA), mother and child health aides (MCHA) and health auxiliaries (HA) care for mothers of childbearing age and children under age 5. This paper presents data obtained at 2 district seminars on mother and child health held in June 1981 and June 1983 at which knowledge and skills of M...

journal_title：Tropical doctor

authors： van Roosmalen J,van Roosmalen-Wiebenga MW

更新日期：1986-04-01 00:00:00

abstract：:Management of the critically ill patient forms a significant proportion of obstetric and gynaecological (O & G) practice. There have however, been very few reports on the management of such patients in intensive care units (ICU). We review all O & G patients admitted to the surgical ICU at King Edward VIII Hospital, D...

journal_title：Tropical doctor

authors： Platteau P,Engelhardt T,Moodley J,Muckart DJ

更新日期：1997-10-01 00:00:00