With free health services, why does the Brazilian working class delay in seeing the doctor?

abstract：:Clinical observation shows that most of the patients with pleural effusion of undetermined aetiology in a Nigerian teaching hospital receive antiTB drug trials. This observation prompted the authors to evaluate the role of percutaneous needle pleural biopsy as a diagnostic tool in effusions of uncertain aetiology. Thi...

journal_title：Tropical doctor

authors： Ezemba N,Eze JC,Anyanwu CH

更新日期：2006-04-01 00:00:00

abstract：:Splenic abscess is a relatively uncommon condition, posing a diagnostic and therapeutic challenge for the treating physician. It occurs due to haematogenous spread from endocarditis or other septic foci, especially in immune-compromised individuals and diabetics. We describe an elderly male who presented with splenome...

journal_title：Tropical doctor

authors： Nagarajan RK,Gopal B,Tajudeen M,Sistla SC,Balamourougan K

更新日期：2020-12-25 00:00:00

abstract：:Infections of the central nervous system (CNS) are a leading cause of mortality in low- and middle-income countries. We studied the spectrum, aetiology and outcome of CNS infections in 401 consecutive patients aged ≥12 years admitted at the medical emergency centre of PGIMER, Chandigarh, India. An aetiological diagnos...

journal_title：Tropical doctor

authors： Kumar D,Pannu AK,Dhibar DP,Singh R,Kumari S

更新日期：2021-01-01 00:00:00

abstract：:Osteomalacia is most commonly seen in the remoter northern regions (Kohistan District) of Hazara District, Pakistan. Low serum calcium is common, as is tetany, but not universal. A 2% prevalence was found retrospectively in all obstetric patients from 1978--1985. Overall, there was a 12% caesarean section rate (61/ann...

journal_title：Tropical doctor

authors： Herm FB,Killguss H,Stewart AG

更新日期：2005-01-01 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：:The spectrum of liver disease among HIV-infected patients is changing. In the era of antiretroviral therapy, opportunistic infections are diminishing and deranged liver function appears to be due usually to drug-induced liver injury, alcohol, non-alcoholic steatohepatitis (NASH) or chronic hepatitis B. To test this hy...

journal_title：Tropical doctor

authors： Mohite AR,Gambhire PA,Pawar SV,Jain SS,Contractor QQ,Rathi PM

更新日期：2017-07-01 00:00:00

abstract：:Priapism, prolonged painful erection of the penis, is a urological emergency. Untreated, the patient can end up with impotence. Various methods have been described for its treatment but the initial management remains conservative. This study presents our experience with the use of sedation followed by an ice-cold sali...

journal_title：Tropical doctor

authors： Bansal AR,Godara R,Garg P

更新日期：2004-10-01 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：:There is little information on a country-wide basis in sub-Saharan Africa about how the diagnosis of extra-pulmonary tuberculosis (EPTB) is made. A country-wide cross-sectional study was carried out in 40 non-private hospitals in Malawi which register and treat (TB) patients in order to assess diagnostic practices in ...

journal_title：Tropical doctor

authors： Harries AD,Hargreaves NJ,Kwanjana JH,Salaniponi FM

更新日期：2003-01-01 00:00:00

abstract：:Malnutrition continues to be a major killer of children, predominantly in low- and middle-income countries such as India. An ecological study was undertaken to correlate different demographic factors with the prevalence of underweight children. Based on findings from the National Family Health Survey 4 (2015-2016), 81...

journal_title：Tropical doctor

authors： Pratim Roy M

更新日期：2019-04-01 00:00:00

abstract：:Two cases of cutaneous amoebiasis which presented as malignant ulcers are reported. In non-healing ulcers in the perianal or gluteal region, the possibility of amoebiasis should be kept in mind, especially in the tropics. An immediate examination of the scraping from the ulcer is sufficient to confirm or rule out the ...

journal_title：Tropical doctor

authors： Venkataramaiah NR,Reinaerts HH,Van Raalte JA,Shaba KJ

更新日期：1982-10-01 00:00:00

abstract：:We conducted this prospective study among 110 symptomatic Plasmodium vivax patients attending the Kasturba Hospital, Manipal, India, in order to evaluate their clinico-laboratory profile during July 2007-July 2009. Complications observed among patients were: anaemia (46.4%; 95% confidence interval [CI], 37.08-55.72%);...

journal_title：Tropical doctor

authors： Saravu K,Acharya V,Kumar K,Kumar R

更新日期：2012-07-01 00:00:00

abstract：:In 1971 the maternity care delivery system in Salisbury, Zimbabwe was reorganized. Prior to that time, all maternity services were provided by the Harare Maternity Hospital but the facility was not able to adequately meet the needs of the community. In 1970 the problem was studied and a design for a new system was a...

journal_title：Tropical doctor

authors： Frost O

更新日期：1980-10-01 00:00:00

abstract：:Thirty-seven patients underwent cholecystectomy without intraoperative cholangiography. Patients were selected using clinical and investigatory parameters. One patient had a negative common bile duct exploration. During the follow-up period of 2 1/2-3 1/2 years, all patients remained symptomatically and sonologically ...

journal_title：Tropical doctor

authors： Puthu D,Chitnis AR

更新日期：1998-10-01 00:00:00

abstract：:Mucormycosis is generally considered to be an acute, rapidly progressing, opportunistic fungal infection. Chronic manifestations are extremely rare. Mucormycosis affecting the jejunum is very rare and few cases have been reported. We report a case of mucormycosis causing jejunal stricture in an infant aged six months....

journal_title：Tropical doctor

authors： Budhiraja R,Bhargava S,Sood N

更新日期：2019-10-01 00:00:00

abstract：:Ear discharge is a common symptom encountered in clinical practice in the tropics. The aim of this paper is to highlight the practical management of otorrhoea from a general practitioner's perspective with special reference to the tropics and developing countries. ...

journal_title：Tropical doctor

authors： Kurien M

更新日期：1999-10-01 00:00:00

abstract：:A study was conducted to determine the prevalence of opportunistic infections in HIV-seropositive patients at Kasturba Medical College Hospital, Mangalore. Three hundred and seven HIV-positive patients were screened for various opportunistic pathogens. Tuberculosis was the most common infection followed by candidiasis...

journal_title：Tropical doctor

authors： Saldanha D,Gupta N,Shenoy S,Saralaya V

更新日期：2008-07-01 00:00:00

abstract：:We report a widely disseminated, disfiguring facial molluscum contagiosum (MC) as a presenting complaint in an 11-year-old girl secondary to human immune-deficiency virus infection. A biopsy specimen demonstrated lobulated epidermal growth consisting of keratinocytes with large intracytoplasmic eosinophilic inclusion ...

journal_title：Tropical doctor

authors： Chatterjee S,Banerjee M,Bhattacharya S

更新日期：2015-04-01 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：:Accidental needlestick injuries sustained by health-care workers are a common occupational hazard and a public health issue in health-care settings. An analytical cross-sectional study was conducted and 30.9% of health-care workers had experienced at least one needlestick injury in the previous year. ...

journal_title：Tropical doctor

authors： Tadesse M,Tadesse T

更新日期：2010-04-01 00:00:00

abstract：:Nephrotic syndrome patients on long-term steroids face the risk of having heavy uncomplicated strongyloidiasis or death from its extreme form, the strongyloides hyperinfection. The risk can be minimized if we eradicate the parasite first. We compare a once daily and twice daily albendazole regimen in preventing this p...

journal_title：Tropical doctor

authors： Leang B,Lynen L,Schrooten W,Hines J

更新日期：2005-10-01 00:00:00

abstract：BACKGROUND:In pregnancy drug treatment presents a special concern due potential teratogenic effects and physiologic alterations in mother. This retrospective study was performed to evaluate the drug prescribing pattern in pregnancy among pregnant women in a secondary care hospital in India. MATERIALS AND METHODS:This ...

journal_title：Tropical doctor

authors： Das S,Winston A B,Sukumaran D,Kumar A,Fx MS,Prasad J

更新日期：2016-04-01 00:00:00

abstract：:The clinical and biochemical profile of dengue haemorrhagic fever (DHF) varies from epidemic to epidemic. We studied children hospitalized with DHF from September 2003 to December 2003. All were diagnosed, managed and monitored according to a standard protocol. Of the 34 who fulfilled the World Health Organization cri...

journal_title：Tropical doctor

authors： Faridi MM,Aggarwal A,Kumar M,Sarafrazul A

更新日期：2008-01-01 00:00:00

abstract：:This study finds that pregnant mothers in India should receive prenatal screening for hepatitis B in order to prevent perinatal transmission and spread of the infection within the larger community. Neonates who contract hepatitis B will have an almost 90% risk of developing chronic hepatitis B surface antigen (HBsAg)...

journal_title：Tropical doctor

authors： Sriprakash I,Anil TP

更新日期：1997-07-01 00:00:00

abstract：:The differential diagnosis in women between acute appendicitis and acute gynaecological conditions on clinical examination is often difficult. A plea is made for the more widespread use of ultrasound and laparoscopy in the differential diagnosis of these conditions. ...

journal_title：Tropical doctor

authors： Ameh EA

更新日期：2000-04-01 00:00:00

abstract：:Scrub typhus, a re-emerging acute febrile zoonosis can present as an undifferentiated fever often complicated by potentially fatal systemic involvement. Acute pancreatitis is a rare complication of scrub typhus which can result in a marked elevation of serum lipase. We report three cases of scrub typhus who presented ...

journal_title：Tropical doctor

authors： Bhargava A,Ali S,Rajeevan R,Udyavara R

更新日期：2019-10-01 00:00:00

abstract：:Weighing children is one of the simplest, cheapest, and quickest methods of assessing the nutritional status of children. Regular weighing of children and recording the results on growth charts can be used to monitor the growth pattern of individual children and may promote early detection and prevention of growth-fa...

journal_title：Tropical doctor

authors： Abel R

更新日期：1986-01-01 00:00:00

abstract：:Alcohol and khat are commonly used substances in Ethiopia and are believed to be risk factors for HIV infection. We assessed alcohol and khat use as risk factors for HIV infection among visitors to voluntary counselling and testing centres. In this institution-based unmatched case control study, a total of 495 respond...

journal_title：Tropical doctor

authors： Ayenew F,Tadesse T,Azale T

更新日期：2012-04-01 00:00:00

abstract：:Local prevalences of individual diseases influence the prioritization of the differential diagnoses of a clinical syndrome of acute undifferentiated febrile illness (AFI). This study was conducted in order to delineate the aetiology of AFI that present to a tertiary hospital in southern India and to describe disease-s...

journal_title：Tropical doctor

authors： Chrispal A,Boorugu H,Gopinath KG,Chandy S,Prakash JA,Thomas EM,Abraham AM,Abraham OC,Thomas K

更新日期：2010-10-01 00:00:00

abstract：:To estimate the prevalence of blindness and its causes among those aged 50 years and above in rural Karnataka. A total of 1505 people aged 50 years and above from 15 villages were examined. The participants were selected through a house-to-house survey by the cluster sampling method. Visual acuity was tested using a m...

journal_title：Tropical doctor

authors： Chandrashekhar TS,Bhat HV,Pai RP,Nair SK

更新日期：2007-01-01 00:00:00