解剖学和形态学
麻醉学
听力与言语-语言病理学
行为科学
心脏和心血管系统
细胞和组织工程学
临床神经病学
危重症监护医学
牙科,口腔外科和医学
皮肤病学
急诊医学
内分泌学和新陈代谢
肠胃学和肝脏学
老人病学和老年医学
卫生保健科学和服务
血液学
免疫学
传染病
综合和补充性医学
医学伦理学
医学信息学
医学实验室技术
医学,全科和内科
医学,法律
医学,研究和试验
神经系统科学
护理
营养学和饮食学
产科医学和妇科医学
肿瘤学
眼科学
整形外科学
耳鼻喉科学
病理学
儿科学
周围血管疾病
药理学和药剂学
生理学
基本医疗保健
精神病学
公共、环境和职业卫生
放射学,核医学和医学成像
康复学
生殖生物学
呼吸系统
风湿病学
运动科学
外科学
毒理学
热带医学
泌尿学和肾脏学
病毒学
老年医学
健康政策和服务
心理学,临床
abstract::Lichen planus is a papulosquamous disorder with distinctive clinical features. Until now the aetiology has been largely unknown, however, several postulations have been proposed. The immunopathogenic basis has been most favoured. We report a case of a 13-year-old girl who presented with Lichen planus after receiving t...
journal_title:Tropical doctor
pub_type: 杂志文章
doi:10.1177/004947550203200227
更新日期:2002-04-01 00:00:00
abstract::Zaria has the highest incidence of peripartum cardiac failure, a syndrome of unsettled aetiology. Over the years it has been noted that there has been a decrease in the period of treatment by traditional methods from an average of 90 days to 30 days and with a complete avoidance of hot bed treatment. Twenty-one subjec...
journal_title:Tropical doctor
pub_type: 杂志文章
doi:10.1177/004947550203200112
更新日期:2002-01-01 00:00:00
abstract::Multifocal skeletal tuberculosis is an uncommonly reported entity. The article presents a series of 18 cases encountered in our institution. There clinical characteristics are analysed and compared with available international literature. ...
journal_title:Tropical doctor
pub_type: 杂志文章
doi:10.1177/004947550103100415
更新日期:2001-10-01 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::In most African district hospitals there are no separate facilities for psychiatric patients. Aformer general medical officer describes how a ward for these patients was set up at a rural district hospital in Zimbabwe using the already available resources. The effects on the psychiatric care at the hospital and the di...
journal_title:Tropical doctor
pub_type: 杂志文章
doi:10.1177/004947550103100305
更新日期:2001-07-01 00:00:00
abstract::A multistage sampling technique was used to select 845 pregnant women from two blocks in Vellore district. Haematological measurement of haemoglobin (Hb) was done on all women and serum ferritin (SF) on a subsample of 445. The prevalence of anaemia (Hb <11 g/dl) was 56.6%, 70.2% and 69.5%, respectively among the first...
journal_title:Tropical doctor
pub_type: 杂志文章,多中心研究
doi:10.1177/004947550103100210
更新日期:2001-04-01 00:00:00
abstract::Histopathological examination of biopsies from 111 patients with clinically diagnosed leprosy was carried out in order to observe the clinico-histopathological correlation. Clinical diagnosis was based on Ridley and Jopling (R-J) classification and World Health Organization (WHO) classification. The concordance rate b...
journal_title:Tropical doctor
pub_type: 杂志文章
doi:10.1177/004947550003000418
更新日期:2000-10-01 00:00:00
abstract::One hundred and sixty eight febrile adult outpatients were investigated at St Francis Designated District Hospital in fakara, a holoendemic area in Tanzania. We wanted to assess the potential anamnestic and clinical risk indicators for malaria and to establish a rational strategy for malaria management. Blood slide in...
journal_title:Tropical doctor
pub_type: 杂志文章
doi:10.1177/004947550003000407
更新日期:2000-10-01 00:00:00
abstract::This study was carried out amongst workers of Twifo Oil Palm Plantations (TOPP), a large agro-based industry located in the tropical rain forest belt of the Central Region of Ghana in West Africa. The district abounds in streams and rivers, the biggest being the rapidly flowing River Pra which bisects the district. Si...
journal_title:Tropical doctor
pub_type: 杂志文章
doi:10.1177/004947550003000310
更新日期:2000-07-01 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
pub_type: 杂志文章
doi:
更新日期:2000-04-01 00:00:00
abstract::Formalin preserved allogeneic (FPA) bone graft was used in 18 patients with benign bone cavities, nine patients with malignant bone cavities, 12 patients with atrophic nonunion of fractures, seven with gap nonunion and 18 with comminuted fractures. The benign bone cavities were obliterated in 20 weeks and malignant ca...
journal_title:Tropical doctor
pub_type: 杂志文章
doi:10.1177/004947550003000207
更新日期:2000-04-01 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::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
pub_type: 杂志文章,评审
doi:10.1177/004947559902900414
更新日期:1999-10-01 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
pub_type: 杂志文章,评审
doi:10.1177/004947559902900404
更新日期:1999-10-01 00:00:00
abstract::Although much research has been carried out on high risk populations, little is known about HIV prevalence in traditional rural communities who limit contact with other tribes, non-traditional tribesman and Europeans. This study considers traditional Maasai living near a high HIV transmission area. A time series analy...
journal_title:Tropical doctor
pub_type: 杂志文章
doi:10.1177/004947559902900211
更新日期:1999-04-01 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
pub_type: 杂志文章
doi:10.1177/004947559802800408
更新日期:1998-10-01 00:00:00
abstract::Most growth monitoring programmes in developing countries have not been successful in reducing malnutrition. This is due, at least in part, to the exclusion of mothers from the process of growth monitoring. An essential requisite for greater participation is for mothers to understand the meaning of a growth chart. The...
journal_title:Tropical doctor
pub_type: 临床试验,杂志文章
doi:10.1177/004947559802800311
更新日期:1998-07-01 00:00:00
abstract::Epilepsy is a common and often neglected illness in developing countries requiring a conscious effort by health workers, especially at community level, to enhance access to regular treatment and to motivate patients to continue treatment. Effective new drugs have recently come on to the market. However, their high cos...
journal_title:Tropical doctor
pub_type: 杂志文章,评审
doi:10.1177/004947559802800204
更新日期:1998-04-01 00:00:00
abstract::Measurement of glycated proteins, especially haemoglobins, is now a routine procedure for monitoring previous glycaemic control in diabetic patients in the developed world. Until recently, however, the assays were sophisticated and costly and, therefore, were only rarely used in developing countries. With easier and c...
journal_title:Tropical doctor
pub_type: 杂志文章,评审
doi:10.1177/004947559802800105
更新日期:1998-01-01 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
pub_type: 杂志文章
doi:10.1177/004947559702700406
更新日期:1997-10-01 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
pub_type: 杂志文章
doi:10.1177/004947559702700323
更新日期:1997-07-01 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
pub_type: 杂志文章
doi:10.1177/004947559702700313
更新日期:1997-07-01 00:00:00
abstract::The molluscicidal activity of the fruit and leaves of Dialium guineense was found to be due to glycosides of the triterpenoid oleanolic acid. Three glycosides were isolated from the fruit and a fourth from the leaves and are known compounds. The amount of total saponins present in D. guineense makes it a good candidat...
journal_title:Tropical doctor
pub_type: 杂志文章
doi:10.1177/00494755970270S109
更新日期:1997-01-01 00:00:00
abstract::Chronic volvulus of the stomach is a relatively rare entity. We present a series of six cases diagnosed over the past 18 months. Three patients underwent surgical treatment by gastropexy alone or with gastrojejunostomy while the other three were managed conservatively. Symptomatic relief was equally good in both group...
journal_title:Tropical doctor
pub_type: 杂志文章
doi:10.1177/004947559702700115
更新日期:1997-01-01 00:00:00
abstract::The first recorded case of HIV-1 transmission via breast milk occurred in 1985. 1985 was also the year HIV-1 was first isolated in breast milk. In developed countries, many hospitals' special neonatal units no longer operated breast milk banks. National policies advised HIV-1 infected mothers to feed their babies b...
journal_title:Tropical doctor
pub_type: 杂志文章,评审
doi:10.1177/004947559602600303
更新日期:1996-07-01 00:00:00
abstract::Twenty Shigella strains were isolated from bloody stools, of which 10 had been collected from children. Eighty per cent of the Shigella isolates were serogrouped as S. flexneri. All 20 Shigella strains were susceptible to gentamicin, nalidixic acid and ciprofloxacin. More than 80% were resistant to ampicillin, cotrimo...
journal_title:Tropical doctor
pub_type: 杂志文章
doi:10.1177/004947559602600209
更新日期:1996-04-01 00:00:00
abstract::Infant feeding practices are influenced by many factors including culture, household income, literacy, advice from health care workers and advertising. In South India doctors play a very significant role in influencing a mother's decision about when or whether to supplement breastfeeding with formula feeds. Doctors ex...
journal_title:Tropical doctor
pub_type: 杂志文章
doi:10.1177/004947559502500412
更新日期:1995-10-01 00:00:00
abstract::The results of a 1-year follow up of children discharged from a nutritional rehabilitation centre (NRC) in eastern Nepal are presented. One hundred and one children were visited at home on discharge from the NRC, at 6 months and 1 year later. Data were collected concurrently on one sibling and two neighbouring childre...
journal_title:Tropical doctor
pub_type: 杂志文章
doi:10.1177/004947559502500402
更新日期:1995-10-01 00:00:00
abstract::One of the most severe complications of typhoid enteritis is perforation of ileal ulcerations. The typically high mortality rates from these perforations are in part due to extremely limited supportive care in hospitals in typhoid endemic areas. In the setting of a rural African hospital, this study demonstrated a dec...
journal_title:Tropical doctor
pub_type: 杂志文章
doi:10.1177/004947559502500309
更新日期:1995-07-01 00:00:00
abstract::Adi Quala is an Eritrean agricultural town of 14,000 people, and is situated about 70 km south of the capital, Asmara and 30 km from the border with Tigray, Ethiopia. On good days electricity was received from Asmara between 0600 h and 2300 h with nothing available outside these hours. These conditions meant the elect...
journal_title:Tropical doctor
pub_type: 杂志文章
doi:10.1177/004947559402400108
更新日期:1994-01-01 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
pub_type: 杂志文章
doi:10.1177/004947559302300212
更新日期:1993-04-01 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::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::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
pub_type: 杂志文章
doi:10.1177/00494755920220S103
更新日期:1992-01-01 00:00:00
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::One hundred and sixty-eight laparoscopies, performed for various indications between 1985 and 1989, were studied retrospectively and the findings and experiences are reported. The most frequent diagnoses were hepatocellular carcinoma (20%) and liver cirrhosis (18%). Correlation of macroscopic and histopathological dia...
journal_title:Tropical doctor
pub_type: 杂志文章
doi:10.1177/004947559102100307
更新日期:1991-07-01 00:00:00
abstract::Inappropriate models of nursing and nursing education based on the western medical model and medical education impede the development of adequate national health service and primary health services. Nurses are an untapped resource for primary health care (PHC) along with non-nurse PHC workers. They have the potenti...
journal_title:Tropical doctor
pub_type: 杂志文章
doi:10.1177/004947559102100104
更新日期:1991-01-01 00:00:00
abstract::The rate of postoperative wound infection was found to be low at 1.12% overall in a prospective study. This was achieved by careful preoperative preparation, judicious use of cheap prophylactic antibiotics which are included in the WHO model list of essential drugs, and meticulous operative technique. ...
journal_title:Tropical doctor
pub_type: 杂志文章
doi:10.1177/004947559002000408
更新日期:1990-10-01 00:00:00
abstract::Gallbladder function was studied in 22 patients with portal hypertension due to advanced Schistosoma mansoni infection and in 17 healthy adults. The fasting volume of the gallbladder was significantly less in patients than in controls. The gallbladder wall was grossly thickened in the study group. There was a signific...
journal_title:Tropical doctor
pub_type: 杂志文章
doi:10.1177/004947559002000308
更新日期:1990-07-01 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
pub_type: 杂志文章
doi:10.1177/004947559002000206
更新日期:1990-04-01 00:00:00