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Tropical Doctor

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https://www.readbyqxmd.com/read/30005589/locked-in-syndrome-in-post-snake-bite-can-it-be-unlocked
#1
Subramanian Senthilkumaran, Namasivayam Balamurugan, Narendra Nath Jena, Ponniah Thirumalaikolundusubramanian
No abstract text is available yet for this article.
July 2018: Tropical Doctor
https://www.readbyqxmd.com/read/30005588/rampant-infection-multi-resistance
#2
Michael Cotton
No abstract text is available yet for this article.
July 2018: Tropical Doctor
https://www.readbyqxmd.com/read/29419375/tri-phasic-fever-in-dengue-fever
#3
Pradeepa H D, Sathish B Rao, Ganaraj B, Gopalakrishna Bhat, Chakrapani M
Dengue fever is an acute febrile illness with a duration of 2-12 days. Our observational study observed the 24-h continuous tympanic temperature pattern of 15 patients with dengue fever and compared this with 26 others with fever due to a non-dengue aetiology. A tri-phasic fever pattern was seen among two-thirds of dengue fever patients, but in only one with an inflammatory disease. One-third of dengue fever patients exhibited a single peak temperature. Continuous temperature monitoring and temperature pattern analysis in clinical settings can aid in the early differentiation of dengue fever from non-dengue aetiology...
April 2018: Tropical Doctor
https://www.readbyqxmd.com/read/29393003/the-role-of-fresh-frozen-plasma-in-reducing-the-volume-of-anti-snake-venom-in-snakebite-envenomation
#4
MULTICENTER STUDY
Subraya Krishna Holla, Harish A Rao, Damodara Shenoy, Archith Boloor, Manaswitha Boyanagari
Snakebite associated with a venom-induced consumption coagulopathy (VICC) is a major public health problem. Our study aims to evaluate if fresh frozen plasma (FFP), administered after anti-snake venom (ASV), restores coagulability rapidly. At admission, all snakebite victims with a whole blood clotting time (WBCT) >20 min received ten vials of ASV according to World Health Organization criteria. After 6 h, at the discretion of the physician, patients with WBCT >20 min were divided into two groups...
April 2018: Tropical Doctor
https://www.readbyqxmd.com/read/29359996/antenatal-care-attendance-and-uptake-of-skilled-delivery-lokitaung-sub-county-hospital-turkana-county-kenya
#5
Vic Albert Okoth, Joyce W Maina, James Ransom
Globally, nearly 500,000 women die annually from pregnancy- and childbirth-related complications. Antenatal care (ANC) is one of the most important factors in preventing maternal and infant mortality. This study investigated whether ANC attendance and sociodemographic characteristics of pregnant women influence uptake of skilled delivery at Lokitaung Sub-County Hospital, Turkana County, Kenya.
April 2018: Tropical Doctor
https://www.readbyqxmd.com/read/29333936/disseminated-histoplasmosis-a-rare-case-presentation
#6
Anil Yadav, Roli Bansal, Anupama Tandon, Neelam Wadhwa, Shuchi Bhatt
No abstract text is available yet for this article.
April 2018: Tropical Doctor
https://www.readbyqxmd.com/read/29235968/mycobacterial-blood-culture-as-the-only-means-of-diagnosis-of-disseminated-tuberculosis-in-advanced-hiv-infection
#7
Alice Joan Mathuram, Joy Sarojini Michael, Vijay Prakash Turaka, Sudha Jasmine, Ronald Carey, I Ramya
The diagnosis of disseminated tuberculosis (TB) in advanced HIV infection is often delayed because of difficulty in obtaining suitable specimens for culture. A total of 32 such patients from South India with positive mycobacterial blood cultures were studied over ten years. Almost all (90%) had a febrile illness and the majority (68.7%) had clinical lung involvement, but only 27.3% had positive sputum smears. Liver biopsy yielded a positive diagnosis in only 1/7. Cytopenia was almost universal (96.9%). Bone marrow cultures were, however, positive in 54...
April 2018: Tropical Doctor
https://www.readbyqxmd.com/read/29192547/finding-salmonella-in-unusual-sites-look-before-you-leap-a-case-series
#8
Renuka Anegundi, Barnini Banerjee, Chiranjay Mukhopadhyay, A Nishanth, N Shyamasunder Bhat
No abstract text is available yet for this article.
April 2018: Tropical Doctor
https://www.readbyqxmd.com/read/29173047/epidemiological-clinical-and-laboratory-profile-of-scrub-typhus-cases-detected-by-serology-and-rt-pcr-in-kumaon-uttarakhand-a-hospital-based-study
#9
Vinita Rawat, Rajesh Kumar Singh, Ashok Kumar, Sandip R Saxena, Umesh Varshney, Mukesh Kumar
We analysed the epidemiology, clinical and laboratory data of the 168 scrub typhus cases confirmed by a combination of any one of the following: real time polymerase chain reaction (RT-PCR) and/or immunofluorescence assay (IFA) (IgM and/or IgG). The peak season for scrub typhus was from July to October. By multivariate binary logistic regression analysis, the risk of scrub typhus was about four times in those working in occupation related to forest work. Major clinical manifestations were fever (100%), myalgia (65%), cough (51%) and vomiting (46%); major complications were meningitis/meningoencephatilitis (12...
April 2018: Tropical Doctor
https://www.readbyqxmd.com/read/29169297/massive-upper-gastrointestinal-bleeding-after-organophosphate-poisoning-a-case-report
#10
Sourabh Gupta, Ruchika Kumar, Archana Agrawal, Bindu Aggarwal, Sanjay Gupta
No abstract text is available yet for this article.
April 2018: Tropical Doctor
https://www.readbyqxmd.com/read/29161991/simple-and-innovative-method-of-removal-of-unfavourable-root-technical-note
#11
Yuvaraj Vaithilingam, Balaji Ts, Saravanan Rajendran, Nithin Joseph Jude, Suresh Kumar G
Extraction of teeth is one of the most commonly performed minor oral surgical procedures. However, some clinical situations render routine extractions challenging. Here we report such a situation and a simple and innovative technique that involves the use of braided stainless steel wire to remove an unfavorable palatally inclined left upper lateral incisor with least damage to adjacent structures.
April 2018: Tropical Doctor
https://www.readbyqxmd.com/read/29153050/factors-influencing-irradiance-of-locally-fabricated-phototherapy-devices-in-jos-north-central-nigeria
#12
Udochukwu M Diala, Akinyemi Od Ofakunrin, Bose O Toma, David D Shwe, Christopher S Yilgwan, Fidelia Bode-Thomas
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 range of 2-23.9 µW/cm2 /nm. Fourteen devices had the recommended irradiance of ≥10 µW/cm2 /nm and none had irradiance in the intensive range. Decreasing distance from the baby, presence of reflectors and increasing number of flourecent tubes significantly contributed to higher irradiance...
April 2018: Tropical Doctor
https://www.readbyqxmd.com/read/29145776/role-of-computed-tomography-of-abdomen-in-difficult-to-diagnose-typhoid-fever-a-case-series
#13
Wajid Hafeez, S Rajalakshmi, S Sripriya, M Madhu Bashini
Background and Aim Diagnosis of typhoid is challenging when blood cultures fail to isolate Salmonella species. We report our experience with interpreting computed tomography (CT) abdomen findings in a case series of typhoid fever. Methods The case series consisted of patients who had a CT abdomen done as part of their investigations and a final diagnosis of typhoid fever. The CT films were reviewed and findings evaluated for distinctive features. Results During 2011-2017, 11 patients met the inclusion criteria...
April 2018: Tropical Doctor
https://www.readbyqxmd.com/read/29145775/factors-predicting-non-alcoholic-steatohepatitis-nash-and-advanced-fibrosis-in-patients-with-non-alcoholic-fatty-liver-disease-nafld
#14
Abbas Ali Tasneem, Nasir Hassan Luck, Zain Majid
Introduction To determine the factors predicting non-alcoholic steatohepatitis (NASH) and advanced fibrosis in patients with non-alcoholic fatty liver disease (NAFLD). Methodology All patients aged >18 years and having a fatty liver on abdominal ultrasound (US), presenting from January 2011 to January 2017, were included. A liver biopsy was performed on all the patients. Results Of 96 patients undergoing liver biopsy for non-alcoholic fatty liver disease (NAFLD), 76 (79.2%) were men. On liver US, diffuse fatty liver (DFL) was noted in 68 (70...
April 2018: Tropical Doctor
https://www.readbyqxmd.com/read/29141505/serum-zinc-copper-and-iron-status-of-children-with-coeliac-disease-on-three-months-of-gluten-free-diet-with-or-without-four-weeks-of-zinc-supplements-a-randomised-controlled-trial
#15
RANDOMIZED CONTROLLED TRIAL
K Negi, R Kumar, L Sharma, S P Datta, M Choudhury, P Kumar
Data about the effect of zinc supplementation with gluten-free diet on normalisation of plasma zinc, copper and iron in patients with coeliac disease are scanty. We evaluated the effect of zinc supplementation on serum zinc, copper and iron levels in patients with coeliac disease, by randomising 71 children newly diagnosed with coeliac disease into two groups: Group A = gluten-free diet (GFD); and Group B = gluten-free diet with zinc supplements (GFD +Zn). The rise in iron and zinc was significantly higher in the latter, but the mean rise of copper levels was slightly higher in the former, but the difference was not significant...
April 2018: Tropical Doctor
https://www.readbyqxmd.com/read/29141504/to-treat-or-not-to-treat-microfilaria-detected-in-pap-smear
#16
Rashmi Bagga, Japleen Kaur, Vikas Suri, Raje Nijhawan, Nalini Gupta
No abstract text is available yet for this article.
April 2018: Tropical Doctor
https://www.readbyqxmd.com/read/29111870/external-ophthalmomyiasis-caused-by-oestrus-ovis-in-east-china
#17
Aihui Zhang, Qiaoli Nie, Jingjing Song
External ophthalmomyiasis is a superficial infestation of the eye tissues by the larvae or maggots of flies. External ophthalmomyiasis, caused by Oestrus ovis, is found occasionally in shepherding areas, but is rare in the cities of eastern China. We present a case of a 30-year-old man with complaints of a foreign body sensation, lacrimation and itching in the right eye, with uncorrected visual acuity of 20/20 in each eye. Six larvae were removed from the conjunctival sac and were ultimately authenticated as the first instar larvae of Oestrus ovis...
April 2018: Tropical Doctor
https://www.readbyqxmd.com/read/29108472/maternal-and-fetal-outcomes-of-emergency-obstetric-referrals-to-a-nigerian-teaching-hospital
#18
Godwin O Akaba, Bissallah A Ekele
Our study sought to determine the maternal and fetal outcomes of emergency obstetric referrals to a Nigerian teaching hospital as well as assess reasons for these referrals. We enrolled women referred or who presented themselves to the emergency obstetric unit for management of complications of pregnancy, labour, delivery or the puerperium. The majority presented late, their mean duration of stay at the referring facility being 22.25 h. Only nine (7.3%) were transported by ambulance. Severe pre-eclampsia and eclampsia (in 33, 26...
April 2018: Tropical Doctor
https://www.readbyqxmd.com/read/29099348/transient-neonatal-myasthenia-gravis-with-infantile-hypertrophic-pyloric-stenosis-coincidence-or-causation
#19
Aakash Pandita, Deepak Sharma, Srinivas Murki, Tejo Pratap Oleti, Vallamsetty Leelakumar
No abstract text is available yet for this article.
April 2018: Tropical Doctor
https://www.readbyqxmd.com/read/29099346/barium-peritonitis-a-disastrous-complication-of-an-unnecessary-diagnostic-study
#20
Narendra Pandit, Harjeet Singh, Lokesh Shekher Jaiswal
No abstract text is available yet for this article.
April 2018: Tropical Doctor
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