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The unfinished journey: A narrative review of inequities in secondary cleft lip and palate care in low- and middle-income countries. 未完成的旅程:对低收入和中等收入国家继发性唇腭裂护理不公平现象的叙述审查。
IF 0.6 4区 医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2026-01-16 DOI: 10.1177/00494755251405583
Pawan Agarwal, Sanjay K Yadav, Dhananjaya Sharma

Cleft lip and/or palate (CLP) is among the most common congenital anomalies worldwide. While primary surgical repair is essential, comprehensive CLP care also depends on equally important secondary services such as speech therapy, audiologic support, orthodontic care, and revision surgeries. In many low- and middle-income countries (LMICs), these services remain limited or inaccessible, resulting in suboptimal long-term functional, aesthetic, and psychosocial outcomes. Our narrative review searched across PubMed and Embase databases to identify the availability, delivery models, and outcomes of secondary CLP services in LMICs. We found 17 relevant studies and mapped existing evidence, identified key gaps, and explored barriers related to workforce shortages, training, infrastructure, and financial constraints. Our findings highlight the urgent need to strengthen multidisciplinary CLP care pathways beyond primary surgery. Investments in sustainable local capacity, tele-health enabled service models, task-sharing, and community-based interventions are crucial to achieving equitable, high-quality CLP outcomes in resource-limited settings.

唇腭裂(CLP)是世界上最常见的先天性畸形之一。虽然初级手术修复是必不可少的,但全面的CLP护理也依赖于同等重要的辅助服务,如言语治疗、听力学支持、正畸护理和翻修手术。在许多低收入和中等收入国家(LMICs),这些服务仍然有限或难以获得,导致长期功能、美学和社会心理结果不理想。我们的叙述性综述检索了PubMed和Embase数据库,以确定中低收入国家次级CLP服务的可用性、交付模式和结果。我们找到了17项相关研究,绘制了现有证据图,确定了关键差距,并探讨了与劳动力短缺、培训、基础设施和财政限制相关的障碍。我们的研究结果强调了在初级手术之外加强多学科CLP护理途径的迫切需要。投资于可持续的地方能力、支持远程保健的服务模式、任务分担和基于社区的干预措施,对于在资源有限的环境中实现公平、高质量的CLP成果至关重要。
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引用次数: 0
Isolated intracranial hypertension in neurobrucellosis. 神经布鲁氏菌病的孤立性颅内高压。
IF 0.6 4区 医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2026-01-16 DOI: 10.1177/00494755261415701
Venkata Jaya Divya Tenneti, Anjely Sebastian, Shagun Pareek, M Mukhayprana Prabhu, Nitin Gupta

Neurobrucellosis can present as raised intracranial pressure (headache, diplopia, and papilledema) without fever or meningeal signs. Steroids might be helpful in the management.

神经布鲁氏菌病可表现为颅内压升高(头痛、复视和乳头水肿),无发热或脑膜征象。类固醇可能对治疗有帮助。
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引用次数: 0
Beyond malignancy: Unravelling the Enigma of Meigs syndrome in ovarian fibroma. 超越恶性肿瘤:解开卵巢纤维瘤Meigs综合征之谜。
IF 0.6 4区 医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2026-01-14 DOI: 10.1177/00494755251414934
Arun Sudhakar Sanap, Medha Davile, Shuchita Mundle, Minal Pradip Dhanvij

Meigs syndrome is characterised by the triad of ovarian fibroma associated with ascites and pleural effusion, the latter of which resolves after removal of the fibroma. This uncommon but important clinical entity mimics malignancy in postmenopausal females. We present two such cases.

Meigs综合征的特征是卵巢纤维瘤的三联征,伴有腹水和胸腔积液,后者在纤维瘤切除后消退。这种不常见但重要的临床实体模仿绝经后女性的恶性肿瘤。我们提出两个这样的例子。
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引用次数: 0
Seroprevalence of chikungunya virus infection in East Delhi over a decade: A retrospective study. 十年来东德里基孔肯雅病毒感染的血清流行率:一项回顾性研究。
IF 0.6 4区 医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2026-01-08 DOI: 10.1177/00494755251411028
Swati Sinha, Anshdha Shah, Charu Jain, Sumana Bera, Narendra Singh Mogha, Shukla Das

Chikungunya fever is an arboviral disease and remains a major public health concern in India ever since its first emergence in 1963 in Kolkata. Delhi has witnessed several outbreaks over the years. This retrospective study was performed to examine the epidemiological dynamics on all clinically suspected Chikungunya cases tested by ELISA for anti-CHIK virus IgM antibodies from 2010 to 2020 at a tertiary care hospital in Delhi. Archived data of suspected patients screened for CHIKV IgM by ELISA were retrieved for the period 2010-2020. Epidemiological data was used in the study. GIS mapping was done for the positive cases. Among the 445 samples tested, 57.3% were positive with the greatest number of cases (76.5%) in 2016 and significantly higher number of cases in monsoon & post-monsoon periods (p < 0.005). Seropositivity was highest in patients aged 45-54 years (69.6%); however, the disease did not show predilection for a specific gender. GIS mapping showed the burden of Chikungunya infection was concentrated in a 5-10 km radius from the study site with significant presence of cross-border cases. Our study indicates a geographically concentrated burden of Chikungunya in East and South East Delhi with ebbs and flow over time in the past decade. In view of non-availability of any licensed vaccine for this disease, surveillance of active cases, vector management and mapping of disease may help in prevention strategies.

基孔肯雅热是一种虫媒病毒性疾病,自1963年在加尔各答首次出现以来,一直是印度的一个主要公共卫生问题。多年来,德里发生了几次疫情。本回顾性研究旨在检查2010年至2020年在德里一家三级保健医院通过ELISA检测抗chik病毒IgM抗体的所有临床疑似基孔肯雅病例的流行病学动态。检索2010-2020年期间ELISA筛查的疑似CHIKV IgM患者的存档数据。本研究采用流行病学资料。对阳性病例进行GIS制图。在检测的445个样本中,57.3%呈阳性,2016年的病例数最多(76.5%),季风和季风后时期的病例数显著增加(p
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引用次数: 0
Beyond cost-saving: Adding value to frugal and context-specific innovations in global surgery. 超越成本节约:在全球手术中为节俭和具体情况的创新增加价值。
IF 0.6 4区 医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2026-01-08 DOI: 10.1177/00494755251413142
Dhananjaya Sharma, Sanjay Kumar Yadav, Michael Cotton
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引用次数: 0
Fatal brucellosis presenting with multi-organ dysfunction and leukaemoid reaction: A case report. 以多器官功能障碍和白血病样反应为表现的致命性布鲁氏菌病1例报告。
IF 0.6 4区 医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2026-01-07 DOI: 10.1177/00494755251413831
Thotanolla Surya Prakash, Jeeja Jaya Janardhanan, Namesh Kamat
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引用次数: 0
Microfilaria at a post-mastectomy surgical site: An incidental cytological finding. 乳房切除术后手术部位的微丝蚴:偶然的细胞学发现。
IF 0.6 4区 医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2026-01-05 DOI: 10.1177/00494755251411434
Srilata Chitti, Prajwala Gupta, Tanvi Jha
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引用次数: 0
Bias in epidemiology: Evolution of concepts and implications for research validity. 流行病学中的偏见:概念的演变及其对研究有效性的影响。
IF 0.6 4区 医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2026-01-05 DOI: 10.1177/00494755251411745
Dheeraj Sharma
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引用次数: 0
Melioidosis masquerading as other tropical diseases: Diagnostic lessons from three challenging cases. 伪装成其他热带病的类鼻疽病:来自三个具有挑战性的病例的诊断教训。
IF 0.6 4区 医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2026-01-01 Epub Date: 2025-10-01 DOI: 10.1177/00494755251384377
Ram Arvind Viswanathan, Rangarajan Devanathan, Manokaran Chinnusamy

Melioidosis, an infection caused by the Gram-negative bacterium Burkholderia pseudomallei, has earned the nickname 'the great mimicker' owing to its tendency to resemble common infections, often leading to a delayed diagnosis and high mortality. We report three cases where it mimicked scrub typhus, tubercular arthritis, and Klebsiella pneumoniae infection. The diagnosis of melioidosis was achieved by extensive workup; our case series sends the lesson that none should stop and settle for less, but continuously search for the actual pathogen where no adequate response to treatment is perceived.

类鼻疽病是一种由革兰氏阴性细菌假马利氏伯克霍尔德菌引起的感染,由于其倾向于与普通感染相似,往往导致诊断延误和死亡率高,因此获得了“伟大的模仿者”的绰号。我们报告了三个病例,其中它模拟恙虫病,结核性关节炎和肺炎克雷伯菌感染。类鼻疽的诊断是通过广泛的检查实现的;我们的病例系列给我们的教训是,任何人都不应该停止并满足于更少的治疗,而应该不断地寻找对治疗没有充分反应的实际病原体。
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引用次数: 0
Bloodlines of a crisis: How arboviruses are positioning South Asia at the pandemic forefront. 危机的血统:虫媒病毒如何使南亚处于大流行的前沿。
IF 0.6 4区 医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2026-01-01 Epub Date: 2025-08-28 DOI: 10.1177/00494755251370779
Moiz Ahmed Khan, Saad Ahmed Mughal, Alizeh Noor
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引用次数: 0
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Tropical Doctor
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