Evaluation of three different rapid card tests for the detection of hepatitis B surface antigen
Trop Doct. 2022 Jan 24:494755211069712. doi: 10.1177/00494755211069712. Online ahead of print.ABSTRACTRapid diagnostic card tests are crucial steps on the road to hepatitis B elimination and should be incorporated into diagnostic algorithms. However, all commercial rapid diagnostic card tests are not equal and require evaluation before clinical use. Thus, we aimed to compare the performance characteristics of three different rapid diagnostic card tests with chemiluminescence-based assay (CLIA) for the detection of hepatitis B surface antigen.We concluded rapid diagnostic card tests can be used to identify patients with hig...
Source: Tropical Doctor - January 24, 2022 Category: Tropical Medicine Authors: Akshita Gupta Krithiga Ramachandran Diptanu Paul Ekta Gupta Source Type: research

An Atypical Case of Complete Heart Block in Scrub Typhus
We report the case of a 41-year old male with complete heart block, which resolved with prompt initiation of treatment.PMID:35043726 | DOI:10.1177/00494755221074545 (Source: Tropical Doctor)
Source: Tropical Doctor - January 19, 2022 Category: Tropical Medicine Authors: Preeti Dalal Neeraj Singla Source Type: research

Construction of a low-cost, improvised, negative-pressure, closed tube surgical drain for low resource settings: A preliminary report
We describe construction of an improvised, low-cost, negative-pressure, closed tube surgical drain constructed from an empty intravenous fluid container and an infusion giving set used in the low-resource rural context.PMID:35043732 | DOI:10.1177/00494755221074756 (Source: Tropical Doctor)
Source: Tropical Doctor - January 19, 2022 Category: Tropical Medicine Authors: Barnabas Tobi Alayande Bashiru Omeiza Ismaila Emmanuel O Ojo Mercy Isichei Abebe Bekele Augustine Zoomsen Sule Source Type: research

Simple micro drainage system for palliation of severe subcutaneous emphysema
Trop Doct. 2022 Jan 19:494755211066701. doi: 10.1177/00494755211066701. Online ahead of print.ABSTRACTSubcutaneous emphysema (SE) occurs when air enters the tissues under the skin and passes into the soft tissues. We demonstrated a simple, minimally invasive technique for treating extensive SE, using a readily available infant nasogastric tube, in a mechanically ventilated patient.PMID:35043733 | DOI:10.1177/00494755211066701 (Source: Tropical Doctor)
Source: Tropical Doctor - January 19, 2022 Category: Tropical Medicine Authors: Ravindra Chari M Sneha Leo Ramya Priya A Source Type: research

An Atypical Case of Complete Heart Block in Scrub Typhus
We report the case of a 41-year old male with complete heart block, which resolved with prompt initiation of treatment.PMID:35043726 | DOI:10.1177/00494755221074545 (Source: Tropical Doctor)
Source: Tropical Doctor - January 19, 2022 Category: Tropical Medicine Authors: Preeti Dalal Neeraj Singla Source Type: research

Construction of a low-cost, improvised, negative-pressure, closed tube surgical drain for low resource settings: A preliminary report
We describe construction of an improvised, low-cost, negative-pressure, closed tube surgical drain constructed from an empty intravenous fluid container and an infusion giving set used in the low-resource rural context.PMID:35043732 | DOI:10.1177/00494755221074756 (Source: Tropical Doctor)
Source: Tropical Doctor - January 19, 2022 Category: Tropical Medicine Authors: Barnabas Tobi Alayande Bashiru Omeiza Ismaila Emmanuel O Ojo Mercy Isichei Abebe Bekele Augustine Zoomsen Sule Source Type: research

Simple micro drainage system for palliation of severe subcutaneous emphysema
Trop Doct. 2022 Jan 19:494755211066701. doi: 10.1177/00494755211066701. Online ahead of print.ABSTRACTSubcutaneous emphysema (SE) occurs when air enters the tissues under the skin and passes into the soft tissues. We demonstrated a simple, minimally invasive technique for treating extensive SE, using a readily available infant nasogastric tube, in a mechanically ventilated patient.PMID:35043733 | DOI:10.1177/00494755211066701 (Source: Tropical Doctor)
Source: Tropical Doctor - January 19, 2022 Category: Tropical Medicine Authors: Ravindra Chari M Sneha Leo Ramya Priya A Source Type: research

An Atypical Case of Complete Heart Block in Scrub Typhus
We report the case of a 41-year old male with complete heart block, which resolved with prompt initiation of treatment.PMID:35043726 | DOI:10.1177/00494755221074545 (Source: Tropical Doctor)
Source: Tropical Doctor - January 19, 2022 Category: Tropical Medicine Authors: Preeti Dalal Neeraj Singla Source Type: research

Construction of a low-cost, improvised, negative-pressure, closed tube surgical drain for low resource settings: A preliminary report
We describe construction of an improvised, low-cost, negative-pressure, closed tube surgical drain constructed from an empty intravenous fluid container and an infusion giving set used in the low-resource rural context.PMID:35043732 | DOI:10.1177/00494755221074756 (Source: Tropical Doctor)
Source: Tropical Doctor - January 19, 2022 Category: Tropical Medicine Authors: Barnabas Tobi Alayande Bashiru Omeiza Ismaila Emmanuel O Ojo Mercy Isichei Abebe Bekele Augustine Zoomsen Sule Source Type: research

Simple micro drainage system for palliation of severe subcutaneous emphysema
Trop Doct. 2022 Jan 19:494755211066701. doi: 10.1177/00494755211066701. Online ahead of print.ABSTRACTSubcutaneous emphysema (SE) occurs when air enters the tissues under the skin and passes into the soft tissues. We demonstrated a simple, minimally invasive technique for treating extensive SE, using a readily available infant nasogastric tube, in a mechanically ventilated patient.PMID:35043733 | DOI:10.1177/00494755211066701 (Source: Tropical Doctor)
Source: Tropical Doctor - January 19, 2022 Category: Tropical Medicine Authors: Ravindra Chari M Sneha Leo Ramya Priya A Source Type: research

An Atypical Case of Complete Heart Block in Scrub Typhus
We report the case of a 41-year old male with complete heart block, which resolved with prompt initiation of treatment.PMID:35043726 | DOI:10.1177/00494755221074545 (Source: Tropical Doctor)
Source: Tropical Doctor - January 19, 2022 Category: Tropical Medicine Authors: Preeti Dalal Neeraj Singla Source Type: research

Construction of a low-cost, improvised, negative-pressure, closed tube surgical drain for low resource settings: A preliminary report
We describe construction of an improvised, low-cost, negative-pressure, closed tube surgical drain constructed from an empty intravenous fluid container and an infusion giving set used in the low-resource rural context.PMID:35043732 | DOI:10.1177/00494755221074756 (Source: Tropical Doctor)
Source: Tropical Doctor - January 19, 2022 Category: Tropical Medicine Authors: Barnabas Tobi Alayande Bashiru Omeiza Ismaila Emmanuel O Ojo Mercy Isichei Abebe Bekele Augustine Zoomsen Sule Source Type: research

Simple micro drainage system for palliation of severe subcutaneous emphysema
Trop Doct. 2022 Jan 19:494755211066701. doi: 10.1177/00494755211066701. Online ahead of print.ABSTRACTSubcutaneous emphysema (SE) occurs when air enters the tissues under the skin and passes into the soft tissues. We demonstrated a simple, minimally invasive technique for treating extensive SE, using a readily available infant nasogastric tube, in a mechanically ventilated patient.PMID:35043733 | DOI:10.1177/00494755211066701 (Source: Tropical Doctor)
Source: Tropical Doctor - January 19, 2022 Category: Tropical Medicine Authors: Ravindra Chari M Sneha Leo Ramya Priya A Source Type: research

14-month-old girl with prolonged fever, a desquamative rash, and a new left hemiplegia
We report a-14-month-old girl with a prolonged fever, a desquamating erythematous rash, and a new left hemiplegia. This was initially diagnosed as measles but her correct final diagnosis was Kawasaki disease (KD); she very rapidly defervesced and regained normal function of her limbs after appropriate treatment. We believe this is the first reported case in Liberia of KD in a child younger than two years of age.PMID:35037797 | DOI:10.1177/00494755211073271 (Source: Tropical Doctor)
Source: Tropical Doctor - January 17, 2022 Category: Tropical Medicine Authors: George Tengbeh Hadi Mohsenibod Source Type: research

Survey of off-label prescribing in a university paediatric outpatient in Brazil
Trop Doct. 2022 Jan 17:494755211068644. doi: 10.1177/00494755211068644. Online ahead of print.ABSTRACTOurs is a cross-sectional, descriptive, retrospective study evaluating the extent of off-label prescribing for patients attending a university paediatric outpatient department in Goiás, Brazil. 391 patients were treated in the outpatient, and 668 medicines were prescribed. Of these, 70.4% followed the terms of the marketing authorization; 0.3% were unlicenced, and 11% were off-label. Dose was the main factor in off-label prescribing. Infants (0-2 years) received 37.8% of the off-label prescriptions. Vitamins and dru...
Source: Tropical Doctor - January 17, 2022 Category: Tropical Medicine Authors: Francelle A S G Monteiro Cristina N Soares Let ícia G Chaveiro Valeska A Cabral Paulo M A Lima Source Type: research

14-month-old girl with prolonged fever, a desquamative rash, and a new left hemiplegia
We report a-14-month-old girl with a prolonged fever, a desquamating erythematous rash, and a new left hemiplegia. This was initially diagnosed as measles but her correct final diagnosis was Kawasaki disease (KD); she very rapidly defervesced and regained normal function of her limbs after appropriate treatment. We believe this is the first reported case in Liberia of KD in a child younger than two years of age.PMID:35037797 | DOI:10.1177/00494755211073271 (Source: Tropical Doctor)
Source: Tropical Doctor - January 17, 2022 Category: Tropical Medicine Authors: George Tengbeh Hadi Mohsenibod Source Type: research

Survey of off-label prescribing in a university paediatric outpatient in Brazil
Trop Doct. 2022 Jan 17:494755211068644. doi: 10.1177/00494755211068644. Online ahead of print.ABSTRACTOurs is a cross-sectional, descriptive, retrospective study evaluating the extent of off-label prescribing for patients attending a university paediatric outpatient department in Goiás, Brazil. 391 patients were treated in the outpatient, and 668 medicines were prescribed. Of these, 70.4% followed the terms of the marketing authorization; 0.3% were unlicenced, and 11% were off-label. Dose was the main factor in off-label prescribing. Infants (0-2 years) received 37.8% of the off-label prescriptions. Vitamins and dru...
Source: Tropical Doctor - January 17, 2022 Category: Tropical Medicine Authors: Francelle A S G Monteiro Cristina N Soares Let ícia G Chaveiro Valeska A Cabral Paulo M A Lima Source Type: research

Platelet rich fibrin: A novel treatment for trophic ulcer in Hansen's disease
Trop Doct. 2022 Jan 12:494755211069440. doi: 10.1177/00494755211069440. Online ahead of print.ABSTRACTPatients with Hansen's disease are liable to develop non-healing trophic ulcers. The aim of this study was to determine the efficacy of autologous platelet rich fibrin (PRF) applied at weekly intervals in the management of trophic ulcers. The mean age of the patients, duration and size of ulcer were 44.3 years, 7.4 months and 6.25cm2 respectively. After the third sessions of weekly dressing, there was a significant reduction in the ulcer area (p value = 0.015). All ulcers healed by a maximum of six weeks. No adverse events...
Source: Tropical Doctor - January 12, 2022 Category: Tropical Medicine Authors: Konchok Dorjay Sidharth Tandon Ajeet Singh Satish Sharma Kabir Sardana Source Type: research

Platelet rich fibrin: A novel treatment for trophic ulcer in Hansen's disease
Trop Doct. 2022 Jan 12:494755211069440. doi: 10.1177/00494755211069440. Online ahead of print.ABSTRACTPatients with Hansen's disease are liable to develop non-healing trophic ulcers. The aim of this study was to determine the efficacy of autologous platelet rich fibrin (PRF) applied at weekly intervals in the management of trophic ulcers. The mean age of the patients, duration and size of ulcer were 44.3 years, 7.4 months and 6.25cm2 respectively. After the third sessions of weekly dressing, there was a significant reduction in the ulcer area (p value = 0.015). All ulcers healed by a maximum of six weeks. No adverse events...
Source: Tropical Doctor - January 12, 2022 Category: Tropical Medicine Authors: Konchok Dorjay Sidharth Tandon Ajeet Singh Satish Sharma Kabir Sardana Source Type: research

Platelet rich fibrin: A novel treatment for trophic ulcer in Hansen's disease
Trop Doct. 2022 Jan 12:494755211069440. doi: 10.1177/00494755211069440. Online ahead of print.ABSTRACTPatients with Hansen's disease are liable to develop non-healing trophic ulcers. The aim of this study was to determine the efficacy of autologous platelet rich fibrin (PRF) applied at weekly intervals in the management of trophic ulcers. The mean age of the patients, duration and size of ulcer were 44.3 years, 7.4 months and 6.25cm2 respectively. After the third sessions of weekly dressing, there was a significant reduction in the ulcer area (p value = 0.015). All ulcers healed by a maximum of six weeks. No adverse events...
Source: Tropical Doctor - January 12, 2022 Category: Tropical Medicine Authors: Konchok Dorjay Sidharth Tandon Ajeet Singh Satish Sharma Kabir Sardana Source Type: research

Platelet rich fibrin: A novel treatment for trophic ulcer in Hansen's disease
Trop Doct. 2022 Jan 12:494755211069440. doi: 10.1177/00494755211069440. Online ahead of print.ABSTRACTPatients with Hansen's disease are liable to develop non-healing trophic ulcers. The aim of this study was to determine the efficacy of autologous platelet rich fibrin (PRF) applied at weekly intervals in the management of trophic ulcers. The mean age of the patients, duration and size of ulcer were 44.3 years, 7.4 months and 6.25cm2 respectively. After the third sessions of weekly dressing, there was a significant reduction in the ulcer area (p value = 0.015). All ulcers healed by a maximum of six weeks. No adverse events...
Source: Tropical Doctor - January 12, 2022 Category: Tropical Medicine Authors: Konchok Dorjay Sidharth Tandon Ajeet Singh Satish Sharma Kabir Sardana Source Type: research

Platelet rich fibrin: A novel treatment for trophic ulcer in Hansen's disease
Trop Doct. 2022 Jan 12:494755211069440. doi: 10.1177/00494755211069440. Online ahead of print.ABSTRACTPatients with Hansen's disease are liable to develop non-healing trophic ulcers. The aim of this study was to determine the efficacy of autologous platelet rich fibrin (PRF) applied at weekly intervals in the management of trophic ulcers. The mean age of the patients, duration and size of ulcer were 44.3 years, 7.4 months and 6.25cm2 respectively. After the third sessions of weekly dressing, there was a significant reduction in the ulcer area (p value = 0.015). All ulcers healed by a maximum of six weeks. No adverse events...
Source: Tropical Doctor - January 12, 2022 Category: Tropical Medicine Authors: Konchok Dorjay Sidharth Tandon Ajeet Singh Satish Sharma Kabir Sardana Source Type: research

Rare snake bite- A case report
Trop Doct. 2022 Jan 10:494755211066680. doi: 10.1177/00494755211066680. Online ahead of print.ABSTRACTSnake bite is an acute life threating medical emergency and is included amonst neglected tropical diseases.1 Every year in India 200,000 people bitten by snakes and>25% are fatal.2In Maharashtra, Konkan area, the green pit viper (Trimeresurus gramineus) is uncommon, though this snake has become more common. [ Figure 1].PMID:35006016 | DOI:10.1177/00494755211066680 (Source: Tropical Doctor)
Source: Tropical Doctor - January 10, 2022 Category: Tropical Medicine Authors: Santosh Govind Rathod Afaq Ahmad Khan Sajad Ahmed Geelani Reshma Roshan Javid Rasool Bhat Source Type: research

Who operates on the children?
Trop Doct. 2022 Jan 10:494755211066191. doi: 10.1177/00494755211066191. Online ahead of print.ABSTRACTAn unexpectedly high burden of elective paediatric surgery is being performed by the Ear, Nose and Throat (ENT) surgeons in Moshi, Tanzania.We believe this brief survey demonstrates the capacity for elective paediatric surgery in the sub-Saharan setting, comparable to the elective operative numbers of an equivalent tertiary centre in Liverpool, UK.PMID:35006017 | DOI:10.1177/00494755211066191 (Source: Tropical Doctor)
Source: Tropical Doctor - January 10, 2022 Category: Tropical Medicine Authors: K Mlay T Hampton R Sharma D Howard D Chussi P Shija Source Type: research

Cutaneous ulceration as a presenting feature of type 1 lepra reaction: A case report
Trop Doct. 2022 Jan 10:494755211068661. doi: 10.1177/00494755211068661. Online ahead of print.ABSTRACTReactions in leprosy represent sudden shift in the immunological response and are seen in 11-25% of affected patients. It can be seen before, during or after the completion of multidrug therapy (MDT).1 Two types of reactions are recognized; Type 1 reaction (T1R), seen in borderline leprosy, affecting mainly skin and nerves; type 2 reaction (T2R) or erythema nodosum leprosum (ENL), seen in lepromatous leprosy, characterized by systemic features in addition to cutaneous lesions. Trophic ulcers and ulcerating ENL are well kno...
Source: Tropical Doctor - January 10, 2022 Category: Tropical Medicine Authors: Pallavi Hegde Deepti Jaiswal Varsha M Shetty Kanthilatha Pai Raghavendra Rao Source Type: research

Rare snake bite- A case report
Trop Doct. 2022 Jan 10:494755211066680. doi: 10.1177/00494755211066680. Online ahead of print.ABSTRACTSnake bite is an acute life threating medical emergency and is included amonst neglected tropical diseases.1 Every year in India 200,000 people bitten by snakes and>25% are fatal.2In Maharashtra, Konkan area, the green pit viper (Trimeresurus gramineus) is uncommon, though this snake has become more common. [ Figure 1].PMID:35006016 | DOI:10.1177/00494755211066680 (Source: Tropical Doctor)
Source: Tropical Doctor - January 10, 2022 Category: Tropical Medicine Authors: Santosh Govind Rathod Afaq Ahmad Khan Sajad Ahmed Geelani Reshma Roshan Javid Rasool Bhat Source Type: research

Who operates on the children?
Trop Doct. 2022 Jan 10:494755211066191. doi: 10.1177/00494755211066191. Online ahead of print.ABSTRACTAn unexpectedly high burden of elective paediatric surgery is being performed by the Ear, Nose and Throat (ENT) surgeons in Moshi, Tanzania.We believe this brief survey demonstrates the capacity for elective paediatric surgery in the sub-Saharan setting, comparable to the elective operative numbers of an equivalent tertiary centre in Liverpool, UK.PMID:35006017 | DOI:10.1177/00494755211066191 (Source: Tropical Doctor)
Source: Tropical Doctor - January 10, 2022 Category: Tropical Medicine Authors: K Mlay T Hampton R Sharma D Howard D Chussi P Shija Source Type: research

Cutaneous ulceration as a presenting feature of type 1 lepra reaction: A case report
Trop Doct. 2022 Jan 10:494755211068661. doi: 10.1177/00494755211068661. Online ahead of print.ABSTRACTReactions in leprosy represent sudden shift in the immunological response and are seen in 11-25% of affected patients. It can be seen before, during or after the completion of multidrug therapy (MDT).1 Two types of reactions are recognized; Type 1 reaction (T1R), seen in borderline leprosy, affecting mainly skin and nerves; type 2 reaction (T2R) or erythema nodosum leprosum (ENL), seen in lepromatous leprosy, characterized by systemic features in addition to cutaneous lesions. Trophic ulcers and ulcerating ENL are well kno...
Source: Tropical Doctor - January 10, 2022 Category: Tropical Medicine Authors: Pallavi Hegde Deepti Jaiswal Varsha M Shetty Kanthilatha Pai Raghavendra Rao Source Type: research

Circular frames without x-ray - lessons learned regarding radiation exposure during tibial deformity correction from Low & amp; Middle Income Countries?
Trop Doct. 2022 Jan 7:494755211043309. doi: 10.1177/00494755211043309. Online ahead of print.ABSTRACTCircular frames are a successful way of treating difficult fractures and non-unions. At our institution (CSC) in Phnom Penh, Cambodia, our method differs from developed healthcare systems in that we do not use x-ray to site the frames. A retrospective cohort study was performed between CSC and a UK LRS unit. Demographics, diagnosis, frame type, pre- and post-op deformity, proximal and distal construct alignment comparative to the tibia, and time to union or failure. 70 patients in total were identified and were randomly sel...
Source: Tropical Doctor - January 7, 2022 Category: Tropical Medicine Authors: James Shelton Sara Dorman Yinna Kim Phillipa Thorpe Badri Narayan Jim Gollogly Source Type: research

Quantification of chronic diseases presenting in the Emergency Department and their disposition outcomes: A hospital-based cross-sectional study in north India
Trop Doct. 2022 Jan 7:494755211069450. doi: 10.1177/00494755211069450. Online ahead of print.ABSTRACTA knowledge of the extent and distribution of chronic comorbidity plays an essential role in providing appropriate care, and allocating health resources to the patients admitted to the emergency department. We performed a cross-sectional study to quantify the chronic diseases presenting in the Emergency Department of PGIMER, Chandigarh (India). Out of 205 patients, 133 (64.9%) had pre-existing comorbidity. Common were chronic kidney disease (29, 14.1%), chronic liver disease (23, 11.2%), diabetes mellitus (21, 10.2%), malig...
Source: Tropical Doctor - January 7, 2022 Category: Tropical Medicine Authors: Ashok Kumar Pannu Atul Saroch Mohan Kumar Ashish Behera Gursimran Singh Nayyar Navneet Sharma Source Type: research

Circular frames without x-ray - lessons learned regarding radiation exposure during tibial deformity correction from Low & amp; Middle Income Countries?
Trop Doct. 2022 Jan 7:494755211043309. doi: 10.1177/00494755211043309. Online ahead of print.ABSTRACTCircular frames are a successful way of treating difficult fractures and non-unions. At our institution (CSC) in Phnom Penh, Cambodia, our method differs from developed healthcare systems in that we do not use x-ray to site the frames. A retrospective cohort study was performed between CSC and a UK LRS unit. Demographics, diagnosis, frame type, pre- and post-op deformity, proximal and distal construct alignment comparative to the tibia, and time to union or failure. 70 patients in total were identified and were randomly sel...
Source: Tropical Doctor - January 7, 2022 Category: Tropical Medicine Authors: James Shelton Sara Dorman Yinna Kim Phillipa Thorpe Badri Narayan Jim Gollogly Source Type: research

Quantification of chronic diseases presenting in the Emergency Department and their disposition outcomes: A hospital-based cross-sectional study in north India
Trop Doct. 2022 Jan 7:494755211069450. doi: 10.1177/00494755211069450. Online ahead of print.ABSTRACTA knowledge of the extent and distribution of chronic comorbidity plays an essential role in providing appropriate care, and allocating health resources to the patients admitted to the emergency department. We performed a cross-sectional study to quantify the chronic diseases presenting in the Emergency Department of PGIMER, Chandigarh (India). Out of 205 patients, 133 (64.9%) had pre-existing comorbidity. Common were chronic kidney disease (29, 14.1%), chronic liver disease (23, 11.2%), diabetes mellitus (21, 10.2%), malig...
Source: Tropical Doctor - January 7, 2022 Category: Tropical Medicine Authors: Ashok Kumar Pannu Atul Saroch Mohan Kumar Ashish Behera Gursimran Singh Nayyar Navneet Sharma Source Type: research

Successful management of complex scalp wounds with exposed calvarial bones by customized Negative pressure wound therapy (NPWT): Case series and review of the literature
Trop Doct. 2022 Jan 5:494755211043377. doi: 10.1177/00494755211043377. Online ahead of print.ABSTRACTScalp wounds with exposed calvarial bones continue to be a challenge especially when no local flap options are available and no microvascular flaps can be performed. Our prospective study looked at 19 patients (14 males) where customized negative pressure wound treatment was used till the complex scalp wounds, mostly from animal bites, were covered with healthy granulation and grafted. Scalp wounds ranged from 6 × 4 cm to 17 × 11 cm in size whereas the area of exposed bone ranged from 1 × 2 cm to 10 ×...
Source: Tropical Doctor - January 5, 2022 Category: Tropical Medicine Authors: Haroon R Zargar Mir Mohsin Raheeb A Shah Mir Yasir Tanveer A Bhat Adil H Wani Source Type: research

Total hip arthroplasty in Cambodia - Our experience of two hundred and fifty six consecutive total hip arthroplasties in a low-income country & amp; the challenge of service delivery in this setting
Trop Doct. 2022 Jan 5:494755211047670. doi: 10.1177/00494755211047670. Online ahead of print.ABSTRACTThe Children's Surgical Centre has performed 256 THAs since 2007, We aim to assess the outcome of arthroplasty in a LMIC. Primary outcome: all cause of re-operation, Secondary outcome: any other complication. A retrospective review of all consecutive THA since 2007 was conducted. Electronic and physical case notes were reviewed. Statistical analysis was performed using MedCalc. 256 THA. Mean age: 43, gender M2:1F. Common pathologies include (1) AVN (44%), (2) OA (11%) and (3) DDH (11%). Revision rate 13%. Time to revision w...
Source: Tropical Doctor - January 5, 2022 Category: Tropical Medicine Authors: J Shelton S Dorman K Long H Oy O Ngiep J Gollogly Source Type: research

Predictors of prolonged hospitalisation and mortality among children admitted with blackwater fever in eastern Uganda
Trop Doct. 2021 Dec 23:494755211046782. doi: 10.1177/00494755211046782. Online ahead of print.ABSTRACTOur study aimed at determining clinical factors associated with prolonged hospitalisation and death among children admitted with blackwater fever (BWF). We analysed 920 eligible records for the period January - December 2018 from Mbale and Soroti Regional Referral Hospitals in Eastern Uganda. The median hospitalisation was 3 (IQR: 2-5 days) days. Prolonged hospitalisation was in 251/920 (27.3%). Clinical features independently associated with prolonged hospitalisation included abdominal tenderness, body pain and mild fever...
Source: Tropical Doctor - December 23, 2021 Category: Tropical Medicine Authors: George Paasi Carolyne Ndila Francis Okello Peter Olupot-Olupot Source Type: research

The future of global health is inclusive and anti-racist
Trop Doct. 2021 Dec 23:494755211061899. doi: 10.1177/00494755211061899. Online ahead of print.ABSTRACTIn global health, a discipline with a racist and colonial history, white supremacy, white privilege and racism are still present today.1 Although many believe we are witnessing a resurgence of racism in global health, because of a recent rise of extreme right comments and racism in the community and online2, 3. In reality racism has always been an inherent aspect of global health and its predecessors: tropical health and international health by prioritizing the health issues of the colonizers over those of the native popul...
Source: Tropical Doctor - December 23, 2021 Category: Tropical Medicine Authors: Manon Pigeolet Batool Al-Wahdani Omnia El Omrani Osahon Enabulele Rispah Walumbe Flavia Senkubuge Barnabas Alayande Lwando Maki John G Meara Kee B Park Source Type: research

Neonatal chikungunya encephalitis
Trop Doct. 2021 Dec 23:494755211063268. doi: 10.1177/00494755211063268. Online ahead of print.ABSTRACTChikungunya is a tropical viral disease and can present in the new born with perinatal transmission. Presentation usually mimics sepsis and high index of suspicion is needed for diagnosis specially at times of outbreak. Characteristic skin rash and perioral blotchy hyperpigmentation can point to diagnosis along with laboratory confirmation with RTPCR.PMID:34939861 | DOI:10.1177/00494755211063268 (Source: Tropical Doctor)
Source: Tropical Doctor - December 23, 2021 Category: Tropical Medicine Authors: R Sreekanth Lakshmi Venugopal B Arunkrishnan Somya Chaturvedi Shanmugha Sundaram Source Type: research

Predictors of prolonged hospitalisation and mortality among children admitted with blackwater fever in eastern Uganda
Trop Doct. 2021 Dec 23:494755211046782. doi: 10.1177/00494755211046782. Online ahead of print.ABSTRACTOur study aimed at determining clinical factors associated with prolonged hospitalisation and death among children admitted with blackwater fever (BWF). We analysed 920 eligible records for the period January - December 2018 from Mbale and Soroti Regional Referral Hospitals in Eastern Uganda. The median hospitalisation was 3 (IQR: 2-5 days) days. Prolonged hospitalisation was in 251/920 (27.3%). Clinical features independently associated with prolonged hospitalisation included abdominal tenderness, body pain and mild fever...
Source: Tropical Doctor - December 23, 2021 Category: Tropical Medicine Authors: George Paasi Carolyne Ndila Francis Okello Peter Olupot-Olupot Source Type: research

The future of global health is inclusive and anti-racist
Trop Doct. 2021 Dec 23:494755211061899. doi: 10.1177/00494755211061899. Online ahead of print.ABSTRACTIn global health, a discipline with a racist and colonial history, white supremacy, white privilege and racism are still present today.1 Although many believe we are witnessing a resurgence of racism in global health, because of a recent rise of extreme right comments and racism in the community and online2, 3. In reality racism has always been an inherent aspect of global health and its predecessors: tropical health and international health by prioritizing the health issues of the colonizers over those of the native popul...
Source: Tropical Doctor - December 23, 2021 Category: Tropical Medicine Authors: Manon Pigeolet Batool Al-Wahdani Omnia El Omrani Osahon Enabulele Rispah Walumbe Flavia Senkubuge Barnabas Alayande Lwando Maki John G Meara Kee B Park Source Type: research

Neonatal chikungunya encephalitis
Trop Doct. 2021 Dec 23:494755211063268. doi: 10.1177/00494755211063268. Online ahead of print.ABSTRACTChikungunya is a tropical viral disease and can present in the new born with perinatal transmission. Presentation usually mimics sepsis and high index of suspicion is needed for diagnosis specially at times of outbreak. Characteristic skin rash and perioral blotchy hyperpigmentation can point to diagnosis along with laboratory confirmation with RTPCR.PMID:34939861 | DOI:10.1177/00494755211063268 (Source: Tropical Doctor)
Source: Tropical Doctor - December 23, 2021 Category: Tropical Medicine Authors: R Sreekanth Lakshmi Venugopal B Arunkrishnan Somya Chaturvedi Shanmugha Sundaram Source Type: research

Predictors of prolonged hospitalisation and mortality among children admitted with blackwater fever in eastern Uganda
Trop Doct. 2021 Dec 23:494755211046782. doi: 10.1177/00494755211046782. Online ahead of print.ABSTRACTOur study aimed at determining clinical factors associated with prolonged hospitalisation and death among children admitted with blackwater fever (BWF). We analysed 920 eligible records for the period January - December 2018 from Mbale and Soroti Regional Referral Hospitals in Eastern Uganda. The median hospitalisation was 3 (IQR: 2-5 days) days. Prolonged hospitalisation was in 251/920 (27.3%). Clinical features independently associated with prolonged hospitalisation included abdominal tenderness, body pain and mild fever...
Source: Tropical Doctor - December 23, 2021 Category: Tropical Medicine Authors: George Paasi Carolyne Ndila Francis Okello Peter Olupot-Olupot Source Type: research

The future of global health is inclusive and anti-racist
Trop Doct. 2021 Dec 23:494755211061899. doi: 10.1177/00494755211061899. Online ahead of print.ABSTRACTIn global health, a discipline with a racist and colonial history, white supremacy, white privilege and racism are still present today.1 Although many believe we are witnessing a resurgence of racism in global health, because of a recent rise of extreme right comments and racism in the community and online2, 3. In reality racism has always been an inherent aspect of global health and its predecessors: tropical health and international health by prioritizing the health issues of the colonizers over those of the native popul...
Source: Tropical Doctor - December 23, 2021 Category: Tropical Medicine Authors: Manon Pigeolet Batool Al-Wahdani Omnia El Omrani Osahon Enabulele Rispah Walumbe Flavia Senkubuge Barnabas Alayande Lwando Maki John G Meara Kee B Park Source Type: research

Neonatal chikungunya encephalitis
Trop Doct. 2021 Dec 23:494755211063268. doi: 10.1177/00494755211063268. Online ahead of print.ABSTRACTChikungunya is a tropical viral disease and can present in the new born with perinatal transmission. Presentation usually mimics sepsis and high index of suspicion is needed for diagnosis specially at times of outbreak. Characteristic skin rash and perioral blotchy hyperpigmentation can point to diagnosis along with laboratory confirmation with RTPCR.PMID:34939861 | DOI:10.1177/00494755211063268 (Source: Tropical Doctor)
Source: Tropical Doctor - December 23, 2021 Category: Tropical Medicine Authors: R Sreekanth Lakshmi Venugopal B Arunkrishnan Somya Chaturvedi Shanmugha Sundaram Source Type: research

Predictors of prolonged hospitalisation and mortality among children admitted with blackwater fever in eastern Uganda
Trop Doct. 2021 Dec 23:494755211046782. doi: 10.1177/00494755211046782. Online ahead of print.ABSTRACTOur study aimed at determining clinical factors associated with prolonged hospitalisation and death among children admitted with blackwater fever (BWF). We analysed 920 eligible records for the period January - December 2018 from Mbale and Soroti Regional Referral Hospitals in Eastern Uganda. The median hospitalisation was 3 (IQR: 2-5 days) days. Prolonged hospitalisation was in 251/920 (27.3%). Clinical features independently associated with prolonged hospitalisation included abdominal tenderness, body pain and mild fever...
Source: Tropical Doctor - December 23, 2021 Category: Tropical Medicine Authors: George Paasi Carolyne Ndila Francis Okello Peter Olupot-Olupot Source Type: research

The future of global health is inclusive and anti-racist
Trop Doct. 2021 Dec 23:494755211061899. doi: 10.1177/00494755211061899. Online ahead of print.ABSTRACTIn global health, a discipline with a racist and colonial history, white supremacy, white privilege and racism are still present today.1 Although many believe we are witnessing a resurgence of racism in global health, because of a recent rise of extreme right comments and racism in the community and online2, 3. In reality racism has always been an inherent aspect of global health and its predecessors: tropical health and international health by prioritizing the health issues of the colonizers over those of the native popul...
Source: Tropical Doctor - December 23, 2021 Category: Tropical Medicine Authors: Manon Pigeolet Batool Al-Wahdani Omnia El Omrani Osahon Enabulele Rispah Walumbe Flavia Senkubuge Barnabas Alayande Lwando Maki John G Meara Kee B Park Source Type: research

Neonatal chikungunya encephalitis
Trop Doct. 2021 Dec 23:494755211063268. doi: 10.1177/00494755211063268. Online ahead of print.ABSTRACTChikungunya is a tropical viral disease and can present in the new born with perinatal transmission. Presentation usually mimics sepsis and high index of suspicion is needed for diagnosis specially at times of outbreak. Characteristic skin rash and perioral blotchy hyperpigmentation can point to diagnosis along with laboratory confirmation with RTPCR.PMID:34939861 | DOI:10.1177/00494755211063268 (Source: Tropical Doctor)
Source: Tropical Doctor - December 23, 2021 Category: Tropical Medicine Authors: R Sreekanth Lakshmi Venugopal B Arunkrishnan Somya Chaturvedi Shanmugha Sundaram Source Type: research

Predictors of prolonged hospitalisation and mortality among children admitted with blackwater fever in eastern Uganda
Trop Doct. 2021 Dec 23:494755211046782. doi: 10.1177/00494755211046782. Online ahead of print.ABSTRACTOur study aimed at determining clinical factors associated with prolonged hospitalisation and death among children admitted with blackwater fever (BWF). We analysed 920 eligible records for the period January - December 2018 from Mbale and Soroti Regional Referral Hospitals in Eastern Uganda. The median hospitalisation was 3 (IQR: 2-5 days) days. Prolonged hospitalisation was in 251/920 (27.3%). Clinical features independently associated with prolonged hospitalisation included abdominal tenderness, body pain and mild fever...
Source: Tropical Doctor - December 23, 2021 Category: Tropical Medicine Authors: George Paasi Carolyne Ndila Francis Okello Peter Olupot-Olupot Source Type: research

The future of global health is inclusive and anti-racist
Trop Doct. 2021 Dec 23:494755211061899. doi: 10.1177/00494755211061899. Online ahead of print.ABSTRACTIn global health, a discipline with a racist and colonial history, white supremacy, white privilege and racism are still present today.1 Although many believe we are witnessing a resurgence of racism in global health, because of a recent rise of extreme right comments and racism in the community and online2, 3. In reality racism has always been an inherent aspect of global health and its predecessors: tropical health and international health by prioritizing the health issues of the colonizers over those of the native popul...
Source: Tropical Doctor - December 23, 2021 Category: Tropical Medicine Authors: Manon Pigeolet Batool Al-Wahdani Omnia El Omrani Osahon Enabulele Rispah Walumbe Flavia Senkubuge Barnabas Alayande Lwando Maki John G Meara Kee B Park Source Type: research

Neonatal chikungunya encephalitis
Trop Doct. 2021 Dec 23:494755211063268. doi: 10.1177/00494755211063268. Online ahead of print.ABSTRACTChikungunya is a tropical viral disease and can present in the new born with perinatal transmission. Presentation usually mimics sepsis and high index of suspicion is needed for diagnosis specially at times of outbreak. Characteristic skin rash and perioral blotchy hyperpigmentation can point to diagnosis along with laboratory confirmation with RTPCR.PMID:34939861 | DOI:10.1177/00494755211063268 (Source: Tropical Doctor)
Source: Tropical Doctor - December 23, 2021 Category: Tropical Medicine Authors: R Sreekanth Lakshmi Venugopal B Arunkrishnan Somya Chaturvedi Shanmugha Sundaram Source Type: research

Predictors of prolonged hospitalisation and mortality among children admitted with blackwater fever in eastern Uganda
Trop Doct. 2021 Dec 23:494755211046782. doi: 10.1177/00494755211046782. Online ahead of print.ABSTRACTOur study aimed at determining clinical factors associated with prolonged hospitalisation and death among children admitted with blackwater fever (BWF). We analysed 920 eligible records for the period January - December 2018 from Mbale and Soroti Regional Referral Hospitals in Eastern Uganda. The median hospitalisation was 3 (IQR: 2-5 days) days. Prolonged hospitalisation was in 251/920 (27.3%). Clinical features independently associated with prolonged hospitalisation included abdominal tenderness, body pain and mild fever...
Source: Tropical Doctor - December 23, 2021 Category: Tropical Medicine Authors: George Paasi Carolyne Ndila Francis Okello Peter Olupot-Olupot Source Type: research