This journal is funded by CBM
A practical tool to help health workers in the clinical and operational management of multidrug-resistant tuberculosis with special focus on the introduction, implementation and management of the nine-month treatment regimen.
Prepared as an outcome of ICMR Subcommittee on Tongue Cancer | This Consensus Document on Management of Tongue Cancers summarizes the modalities of treatment including the site-specific anti-cancer therapies, supportive and palliative care and molecular markers and research questions. It also interw...eaves clinical, biochemical and epidemiological studies.
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This first edition of our national neonatal care clinical guidelines is an initiative that aims to ensure that all the neonates in the Kingdom of Eswatini are offered standard, best quality of care and the best possible start in life. The guidelines have been formulated from various global sources a...nd tailored to the needs and health practises of the country. They are designed to serve as a guide to all healthcare providers in the country to provide standardized quality neonatal care.
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Die Würde des Menschen ist unantastbar – wird dieses Gebot auch bei der gesundheitlichen Versorgung von Geflüchteten eingehalten? Die gesundheitliche Versorgung von Asylsuchenden in Deutschland ist geregelt durch das bundesdeutsche Asylbewerberleistungsgesetz (AsylbLG). Die Bundesregierung sieht... allein die Länder in der Verantwortung für die Umsetzung des AsylbLG. Dabei kommt sie bei der Frage der Gesundheitsversorgung von Asylsuchenden jedoch ihren eigenen Hausaufgaben nicht nach: Seit 2015 ist in Deutschland zwingend die EU-Aufnahmerichtlinie von 2013 umzusetzen. Jedoch sind im AsylbLG weder die Leistungsansprüche besonders schutzbedürftiger Asylsuchender nach Definition der EU-Aufnahmerichtlinie geregelt, noch gibt es Hinweise zum Umgang mit erkrankten besonders schutzbedürftigen Asylsuchenden, die leistungsrechtlichen Sanktionen unterliegen. Das Policy Paper gibt einen Überblick über die rechtlichen Rahmenbedingungen auf nationaler und supranationaler Ebene und leitet unter Einbeziehung von wissenschaftlichen Forschungsbefunden Handlungsempfehlungen ab.
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Buruli ulcer caused by Mycobacterium ulcerans is a neglected tropical disease characterized by extensive ulceration involving predominantly the upper and lower limbs of patients. The disease is common in rural tropical communities in West and Central Africa, where access to proper health care is lim...ited. Pathogenesis of the characteristic painless ulcers is linked to the elaboration by M. ulcerans of a lipid toxin called mycolactone that has potent cytopathic, immunosuppressive, and analgesic effects on a host of cells in cutaneous tissues. Mycolactone is known to profoundly inhibit secretion of a plethora of proteins that are essential for wound healing. Even though a combination antibacterial therapy of streptomycin and rifampicin for 8 weeks is effective for treatment, it relies on good and appropriate wound management to prevent secondary bacterial infections and improve healing. Evidence-based interventions for wound care in Buruli ulcer disease are often lacking and have relied on expert advice and recommendations. Surgical interventions are limited to debridement of necrotic tissue and grafting of extensive ulcers, usually after antibiotic therapy. Patients’ rehabilitation is an important component of care to reduce disabilities associated with the disease and proper integration into the community after treatment.
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