Tropical doctor
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The viral haemorrhagic fevers are a group of diseases that share many clinical features. Ebola, Marburg and Lassa are diseases that cause a relatively small number of deaths globally, but pose special risks to medical staff due to the ease of transmission, and can have a profound impact to the communities they affect. This article gives a brief overview of diseases caused by the Ebola, Marburg and Lassa viruses. It gives some practical advice to the clinician on the diagnosis and management of these diseases.
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Otogenic tetanus is common in a developing country like India. However, adequate sedation and elimination of spasms by medical treatment is sufficient in most cases. ⋯ The authors report a 2-year-old girl who relapsed twice after near complete recovery. This communiqué is intended to highlight that tetanus is still a significant health problem in third-world countries and a relapse after such a dreadful disease is terrifying.
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This study attempts to determine the anaesthetic death rate, the causes of deaths and the avoidable mortality rate (AMR) in consecutive cases. The number of anaesthetics given was 1464: 30 cases died within 24 h. ⋯ The AMR was 1.5% (anaesthetic AMR: 0.75%, administrative AMR: 0.68%, surgical AMR: 0.07%). Insufficient or no blood available is the only factor for administrative AMR.
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This review discusses the problem of abortion in adolescents across the world and highlights the gaps in knowledge. It also examines the need for adolescent-friendly services.