Abstract:
:We studied the maternal and neonatal profile and outcome of extremely low birth weight (ELBW) babies at the level III neonatal intensive care unit (NICU) in Delhi. Case records of ELBW inborn babies delivered between August 2000 and August 2001 were analysed by using a pre-set proforma. A total of 52 ELBW babies were admitted to the NICU in the relevant period, of whom 30 (57%) survived. Maternal anaemia, previous preterm delivery and pregnancy-induced hypertension (PIH) were the common predisposing factors for preterm delivery. Mean gestational age was 27.8 weeks and mean birth weight was 831 g. The highest mortality (55%) was seen in babies with 26-28 weeks'gestation and those in the birth weight category of < 800 g. Neonatal hyperbilirubinaemia (78%) and hyaline membrane disease/respiratory distress syndrome (65%) were the most common causes of morbidity. A total of 25 babies were mechanically ventilated while 24 (46%) received total parenteral nutrition. Sepsis, pulmonary haemorrhage, intracranial haemorrhage and necrotizing enterocolitis accounted for the deaths in the study population. Retinopathy of prematurity screening was performed in 35 babies (68%), of whom 22 were found to be normal. According to the International Classification of Retinopathy of Prematurity, most babies (72%) had involvement of zone 3 and stage I (63%). The incidence was highest in 26-28 weeks'gestation babies (71%) and the < 800 g birth weight category (62%). Maternal risk factors such as anaemia and PIH commonly predispose to preterm delivery. There is an alarmingly high mortality in this population. Effective steps are required not only to avoid extreme prematurity but also to reduce morbidity and mortality of all newborns weighing <1000 g at birth.
journal_name
Trop Doctjournal_title
Tropical doctorauthors
Sehgal A,Telang S,Passah SM,Jyothi MCdoi
10.1177/004947550403400315subject
Has Abstractpub_date
2004-07-01 00:00:00pages
165-8issue
3eissn
0049-4755issn
1758-1133journal_volume
34pub_type
杂志文章相关文献
TROPICAL DOCTOR文献大全abstract::In October 1989, cases of human plague started to occur in Boteti district of Botswana. One hundred and seventy cases were recorded in total from 15 October 1989 to 6 April 1990. There were 12 deaths, giving a case fatality rate of 7%. All cases were of the bubonic type. A concerted control strategy based on sentinel ...
journal_title:Tropical doctor
pub_type: 杂志文章
doi:10.1177/004947559102100403
更新日期:1991-10-01 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
pub_type: 杂志文章
doi:10.1177/004947559202200403
更新日期:1992-10-01 00:00:00
abstract::Increasing access to professional care during labour and delivery is the central strategy in Nepal's commitment to reducing its maternal mortality ratio. This paper outlines a number of complementary interventions used by the Nepal Safer Motherhood Project to address the negative attitudes prevalent among service prov...
journal_title:Tropical doctor
pub_type: 杂志文章
doi:10.1258/td.2008.070291
更新日期:2008-10-01 00:00:00
abstract::Pain is the main complaint of patients presenting as surgical emergencies. However, preoperative analgesia has not been studied in developing countries. The adequacy of preoperative analgesia in 106 consecutive acute surgical cases admitted to the Accident and Emergency Department of The University College Hospital, I...
journal_title:Tropical doctor
pub_type: 杂志文章
doi:10.1258/004947506775598789
更新日期:2006-01-01 00:00:00
abstract::In a population-based study of podoconiosis in two resettlement schemes in western Ethiopia, we found that 5% of 194 settlers and 9% of 222 indigenous people were affected. Prevalence rates were generally higher in males than females and increased with age, indicating sex differences in occupationally linked trauma to...
journal_title:Tropical doctor
pub_type: 杂志文章
doi:10.1177/004947559202200306
更新日期:1992-07-01 00:00:00
abstract::Extra-amniotic prostaglandin F2alpha (PG F2alpha) is probably the most widely used medical method for mid-trimester termination of pregnancy. The method is highly effective but is financially costly, particularly for poor countries faced with restricted health budgets. The aim of this study was to establish whether mi...
journal_title:Tropical doctor
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1177/004947550103100315
更新日期:2001-07-01 00:00:00
abstract::Neurodevelopmental abilities of 33 very-low-birthweight (VLBW) Trinidadian children and randomly selected matched pairs of classmates who were of normal birth weight were tested in 1998 at ages 68-88 months, using the McCarthy Scales of Children's Abilities. The 1 min Apgar score was significantly lower in the VLBW ch...
journal_title:Tropical doctor
pub_type: 杂志文章
doi:10.1258/004947506778604670
更新日期:2006-10-01 00:00:00
abstract::Anaemia, the most common medical disorder associated with pregnancy, is a silent killer. Most severely anaemic pregnant women are asymptomatic and present late in the third trimester with medical and obstetric complications. ...
journal_title:Tropical doctor
pub_type: 杂志文章
doi:10.1258/td.2008.080130
更新日期:2010-04-01 00:00:00
abstract::An understanding of the medical causes of infertility is crucial in order to reduce incidences of Infertility and for improving the clinical management of infertility. Although there were much data on infertility in other African countries, no data exist on infertility in Sudan. Seven hundred and ten Sudanese couples ...
journal_title:Tropical doctor
pub_type: 杂志文章
doi:10.1258/td.2007.070125
更新日期:2008-10-01 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
pub_type: 杂志文章
doi:10.1177/0049475516657503
更新日期:2017-01-01 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
pub_type: 杂志文章
doi:10.1177/0049475518824825
更新日期:2019-04-01 00:00:00
abstract::We report on a patient with cryptococcal meningitis with CD4+ T-lymphocytopenia and no evidence of HIV infection. ...
journal_title:Tropical doctor
pub_type: 杂志文章
doi:10.1258/td.2008.080340
更新日期:2009-07-01 00:00:00
abstract::On April 27, 1982 the Ministry of Health of the government of Bangladesh, set up an 8-man expert committee to evaluate all the registered pharmaceutical products presently available, and to formulate a draft National Drug Policy. Objectives are: 1) to provide support for ensuring quality and availability of drugs; 2...
journal_title:Tropical doctor
pub_type: 杂志文章
doi:10.1177/004947558401400103
更新日期:1984-01-01 00:00:00
abstract::An atypical presentation of post-kala-azar dermal leishmaniasis is reported to highlight the importance of suspecting dermatosis in patients from areas endemic for kala-azar. ...
journal_title:Tropical doctor
pub_type: 杂志文章
doi:10.1258/004947507781524809
更新日期:2007-07-01 00:00:00
abstract::Non-specific clinical presentations and paraclinical findings in osteoarticular brucellosis may mimic many other diseases and other causes of arthritis which could lead to misdiagnosis and mismanagement. We studied retrospectively the records of 232 patients with osteoarticular brucellosis who were admitted to the thr...
journal_title:Tropical doctor
pub_type: 杂志文章
doi:10.1258/td.2008.080042
更新日期:2009-04-01 00:00:00
abstract::Given the world-wide focus on how to rationally use antibiotics, national drug policy programmes have been developed in many countries in order to minimize the environmental antibiotic pressure and thereby hopefully limit increasing bacterial resistance. This study investigated perceptions of antibiotics in a health s...
journal_title:Tropical doctor
pub_type: 杂志文章
doi:10.1177/004947550003000105
更新日期:2000-01-01 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
pub_type: 杂志文章
doi:10.1258/td.2008.080330
更新日期:2009-07-01 00:00:00
abstract::This was a prospective study to determine the success rate of myringoplasty in a low-resource setting. Myringoplasty was performed on 85 patients and follow-up done for 6 months in order to determine the incidence of closure of the repaired tympanic membrane. The eardrum closure rate at 3 months was 88% and at 6 month...
journal_title:Tropical doctor
pub_type: 杂志文章
doi:10.1258/004947506777978064
更新日期:2006-07-01 00:00:00
abstract::Granuloma multiforme (GM) is a chronic granulomatous skin condition which is clinically characterised by annular lesions mainly over sun-exposed areas and histologically by focal necrobiosis and histiocytic granulomas. Its significance lies in the fact that it can clinically resemble tuberculoid leprosy and hence it c...
journal_title:Tropical doctor
pub_type: 杂志文章
doi:10.1177/0049475518803191
更新日期:2019-01-01 00:00:00
abstract::Hypokalaemic periodic paralysis (HPP) is a life-threatening condition. Our aim was to study the clinical profile and laboratory parameters of HPP patients and to develop an algorithm to determine the causes of HPP. 84 patients presented with HPP over a 3 year period. 58 (69.0%) were found to have renal tubular acidosi...
journal_title:Tropical doctor
pub_type: 杂志文章
doi:10.1177/0049475513512643
更新日期:2014-01-01 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
pub_type: 杂志文章
doi:10.1177/0049475520928217
更新日期:2020-07-01 00:00:00
abstract::We report a 46-year-old woman presenting with leprosy, HIV and active pulmonary tuberculosis (TB). It is advisable to screen for each one of TB, HIV and leprosy patients, especially when an extra feature emerges. Particularly in a leprosy case, if TB remains undiagnosed, the development of rifampicin resistance second...
journal_title:Tropical doctor
pub_type: 杂志文章
doi:10.1177/0049475518819618
更新日期:2019-04-01 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
pub_type: 杂志文章
doi:10.1258/td.2012.120316
更新日期:2012-10-01 00:00:00
abstract::Psychiatric illnesses are a significant cause of morbidity all over the world. In India many people with mental disorders are unable to access psychiatric care for a variety of reasons. This article describes the successful management of a person with schizophrenia in the community through a primary care team in liais...
journal_title:Tropical doctor
pub_type: 杂志文章
doi:10.1258/td.2010.100133
更新日期:2010-10-01 00:00:00
abstract::This is a retrospective study based on pathology reports of specimens reviewed at the University Teaching Hospital (UTH) pathology laboratory in Lusaka, Zambia, from January 1997 to December 2005. UTH is the main reference hospital in Zambia and has a catchment area covering 1.3 million people. The most common cancer ...
journal_title:Tropical doctor
pub_type: 杂志文章,评审
doi:10.1258/td.2008.070450
更新日期:2009-01-01 00:00:00
abstract::Brucellosis is a common zoonotic infection worldwide and a major public health problem in developing countries including China. The aim of our study was to investigate the seroprevalence of Brucella infection in humans in Yixing, located at the centre of the Yangtze River Delta Urban Agglomeration. A total of 895 sera...
journal_title:Tropical doctor
pub_type: 杂志文章
doi:10.1177/0049475516640191
更新日期:2017-04-01 00:00:00
abstract::The objective of this study was to estimate the prevalence of smoking among house physicians working at Jinnah Postgraduate Medical Center, Karachi, Pakistan. Sixty-four (32%) of the 200 house physicians were smokers; 50% (36) had started smoking in their twenties and 44% (28) in their teens. Seventy-five per cent (48...
journal_title:Tropical doctor
pub_type: 杂志文章
doi:10.1177/004947550403400123
更新日期:2004-01-01 00:00:00
abstract:UNLABELLED:: Wonder of Life (kalanchoe pinnata) leaves are commonly used to treat diabetic foot infections. These patients are usually non-compliant with conventional medical therapy. We surmised that these patients would have a higher incidence of treatment failures. Patients admitted with diabetic foot infections wer...
journal_title:Tropical doctor
pub_type: 杂志文章
doi:10.1177/0049475514543656
更新日期:2014-10-01 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
pub_type: 杂志文章
doi:10.1177/0049475517709633
更新日期:2017-10-01 00:00:00
abstract::Skeletal fluorosis is rarely recognized early and is a major cause of morbidity. We report on a 40-year-old man with skeletal fluorosis mimicking seronegative spondyloarthropathy. ...
journal_title:Tropical doctor
pub_type: 杂志文章
doi:10.1258/td.2011.110117
更新日期:2011-10-01 00:00:00