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Query: UMLS:C0024530 (malaria)
 44,886 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

Local abscess formation, septicaemia and median nerve palsy occurred as complications of radial artery cannulation in a 24-year-old man with malaria. The case is described and the nosocomial infection hazard of arterial cannulation is discussed.
Anaesthesia 1987 Jun
PMID:Abscess following cannulation of the radial artery. 361 2

Plasmodium inui malaria is an infrequently reported disease of Macaca mulatta. In this report a total of 21 of 48 monkeys in a closed colony of diabetic animals developed hematological evidence of P. inui infection with five showing overt clinical signs of the disease. Diagnosis was confirmed morphologically, serologically and by transmission studies. Since six of these animals were born in the colony, a means of transmission was sought and it was determined that multiple use of a syringe to administer intravenous anesthesia was the probable means of cross transmission.
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PMID:An outbreak of Plasmodium inui malaria in a colony of diabetic rhesus monkeys. 399 1

At the invitation of the Chinese government a New Zealand delegation visited the People's Republic of China to observe medical administration and public health. The use of "barefoot doctors" and the integration of western and traditional medicine has led to a revision of the organization of medical care. Acupuncture has been implemented for anesthesia, diagnosis, treatment and drug addiction. Herbal medicine, treatment of fractures and burns and cupping and mixibustion are additional methods of treatment employed with success by the Chinese. The emphasis on preventive medicine has led to education of the people and "barefoot doctors" and to the elimination of various pests such as flies, mosquitoes, rats, bedbugs the semination of a wide range of endemic bacterial and viral diseases such as plague, cholera and leprosy and the elimination of diseases such as malaria, hookworm and venereal diseases. Population control is emphasized in schools (premarital sex is strongly disapproved of) and through the revolutionary philosophy that women can only gain equality when they are freed from endless childbearing. Birth rates have been reduced to 6.5 per 1000 in urban Shanghai. Medical training has been shortened to 3 1/2 years and is taught with the philosophy that it will be used to serve the people.
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PMID:Where health is patriotism. Visit of New Zealand medical delegation to China: 20 August-9 September 1974. 453 4

Uninfected male and female BALB/c mice were given a twice weekly intraperitoneal injection, of supernatants obtained from 24-h cultures of Plasmodium berghei-infected and control mouse red blood cells, for 5 weeks. The mice were then weighed along with uninjected controls. All the animals were sacrificed by chloroform anaesthesia and their spleen weights measured. Mice receiving malaria culture supernatants had statistically similar spleen weights to those receiving control culture supernatants. The results fail to show the involvement of a malaria 'mitogen' in the pathogenesis of the splenomegaly associated with this infection.
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PMID:Failure to induce splenomegaly in BALB/c mice using rodent malaria culture supernatants. 635 8

A child in heart failure with homozygous sickle cell disease underwent corrective surgery on cardiopulmonary bypass. The use of early intra-operative exchange transfusion produced a rapid fall in the level of HbS. Postoperatively she developed falciparum malaria which responded to treatment. She was eventually discharged home to Nigeria 8 weeks after her operation.
Anaesthesia 1982 Mar
PMID:Open heart surgery in a patient with homozygous sickle cell disease. 709 7

Dapsone is used to treat several systemic inflammatory diseases, many of which have head and neck manifestations, such as leprosy, systemic lupus erythematosus, rhinosporidiosis, relapsing polychondritis, dermatitis herpetiformis, pemphigus vulgaris and bullous pemphigoid. It has also been recently used prophylactically alone or in combination against malaria and in AIDS patients against Pneumocystis carinii infections. This is significant to the otolaryngologist-head and neck surgeon since approximately 40% of AIDS patients will have head and neck manifestations. Thus, the likelihood that otolaryngologists will be treating patients who are taking dapsone regularly is significant. We present a case of a 16-year-old female who presented with a presumptive diagnosis of discoid lupus for biopsy confirmation of her disease. Induction of general anesthesia was complicated by methemoglobinemia, an uncommon side effect of dapsone. We will discuss recognition and prevention of this side effect, its potential anesthetic implications, complications and treatment.
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PMID:Dapsone-induced methemoglobinemia: an anesthetic risk. 755 44

A married couple presented simultaneously with malignant tertian malaria and rapidly developed septicaemia and severe multiple-system organ failure. Despite schizonticidal treatment and multisystem support in intensive care the husband died. The selection of chemoprophylactic agents for this couple was not ideal and the duration of therapy before exposure to risk was inadequate. Severe infection with plasmodium falciparum is life-threatening and requires early diagnosis. It is best managed in an intensive care unit where continuous assessment may enable rapid detection of clinical deterioration and allow appropriate treatment to be instituted. The diagnosis should be considered in symptomatic patients who have travelled through areas where malaria is endemic. Recognised guidelines for the prescription of malarial chemoprophylaxis should be followed to ensure adequate protection.
Anaesthesia 1994 Aug
PMID:Intensive care management of multiple-organ dysfunction due to falciparum malaria in a married couple. 794 97

The family welfare program in India over the past 10.5 years has been devoted to disseminating knowledge and education about the use of family planning methods. It has had the aims of advancing basic human rights, achieving a balance between population, resources, and the environment, and helping people attain a higher quality of life. The policies have evolved from family planning and mass sterilizations, to family welfare, to the present family health. Maternal mortality in India constitutes a major proportion of world maternal mortality and averages 400-500/100,000 live births. The main causes are anemia, hemorrhage, and abortion. Malaria during pregnancy severely compromises the health of mothers and contributes to increased abortion and low birth weight infants. The general pattern for mothers is to become pregnant 8-9 times and to produce 6 live births, of which 4-5 survive. Infant survival is affected by a number of factors, including birth spacing. Maternal mortality in India is high due to poor nutrition from early ages. 15-20% of pregnant women are shorter than 5 feet, and the dietary intake of women is deficient by 500-600 calories. Delays also contribute to maternal mortality: delay in provision of care, in reaching the health center, and in receiving adequate treatment. The Safe Motherhood Program is aimed at improving maternal and child health: preventing at-risk pregnancies, increasing contraceptive prevalence from 40% to 60% by 1995, managing anemia and health through coverage of prenatal care for 75% of reproductive age women by 1995, increasing birth attendant deliveries to 80% of births by 1995, and providing full immunization for all infants. Village-based services will be improved by training personnel to recognize signs of danger, increasing the ratio of health personnel to 1/100 population, and establishing health centers for every 5000 population. There would be one primary health center for every 30,000 population. First level referral obstetric care would be available for every 500,000 population: surgery, anesthesia, medical treatment, support functions, manual assessment, blood replacement, at-risk management, and special neonatal care. Training and service delivery must be closely linked. 21 high-risk districts or states have been identified as needing upgrades services. Facilities will be improved throughout the system, but particularly in targeted districts. Health personnel must follow at all times the 5 "C's": clean hands, clean surfaces, clean blades, clean cord ties, and clean cord stump.
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PMID:Safe motherhood programme. 813 84

The author is a General Practitioner who worked at the Chogoria Hospital on the eastern slopes of Mount Kenya over the period 1984-86. The rural hospital of 350 beds has an outpatient facility and a large community health department which runs 30 outlying dispensaries. 6 doctors complement a total staff of about 300 Kenyans. The author served as the Director of the community health department in 1985 and 1986. He has since returned to work at the hospital and describes changes which seem to have taken place during his 5-year absence. Over the duration, the population of Nairobi seems to have grown and become more active. Schools are burgeoning with children and the growing population is exercising even greater pressure upon available public services. The community health department's outreach efforts to distribute contraceptives has, however, helped reduce the rate of population growth. Sections briefly describe conditions with malaria, HIV, mycobacteria, women's health, anaesthesia, surgery, and pediatrics. In general, severe infections diseases remain problematic; degenerative diseases are a relative rarity; and oesophageal, stomach, and liver cancers are common, while colonic cancer is unknown.
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PMID:Other people's practices. Kenya. 833 85

This article is based on the review of more than eighty references involving clinical treatment, analgesia, auriculoacupoint for diagnosis and its mechanism. In the first part, selection of acupoints, methods of manipulation, therapeutic effects and related experience in 56 kinds of respiratory, circulatory, digestive, urological, gynaecological, obstetrical, pediatric, otolaryngologic and ophthalmologic, dermatologic diseases and diseases of the nervous systems, as well as treatment of acute abdominal diseases, reduction of body weight, abstinence from smoking and drinking, etc. are discussed. A variety of stimulation methods, such as auriculoacupuncture with filform needles, needle embedding therapy, point injection, bloodletting, laser irradiation, aurioular plaster and pressing therapy, etc are also introduced. In the second part, experiences of surgical operation and endoscopy under auriculoacupuncture anesthesia are described. The third part deals with diagnosis using auriculoacupoints. Also described in this part is the clinical application of auricular acupoints in the diagnosis of cancers, coronary diseases, cholelithiasis, hepatitis, tertian malaria, etc. The correlation between the morphology and function of auricular acupoints, i.e. the relationship between auricular acupoints and visceral function, and main development in clinical therapy, diagnosis and mechanism of auriculoacupuncture are introduced in the fourth part, including the results of investigations of reactions of auriculoacupoints during disorders of the body and viscerae, reactions of viscerae during stimulation of auriculoacupoints and their transmission routes. Based on the analysis of the history and current status of research on auriculoacupuncture, the author emphasizes the necessity of attaching importance at the same time to prophylaxis and treatment of serious diseases and standardization of nomenclature. Suggestions in this connexion are also made.
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PMID:Recent studies on auriculoacupuncture and its mechanism. 841 88


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