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Biomedical subjects

W Hoskyns

Publications and source records attributed to W Hoskyns.

5 recordsLinked to original sources

Paediatric tuberculosis.

Children are important in the epidemiology of tuberculosis as a marker of recent disease transmission and a reservoir for the future. Once infected they have a higher risk of progressing to tuberculous disease. Chest radiography and tuberculin testing with or without tissue for culture are still the standard tools for confirming the diagnosis once this is considered. Well researched treatment protocols are available but multidrug resistant tuberculosis and coexistent HIV are a challenge. Ensuring compliance with treatment is a major concern. Controversy still surrounds the place of BCG. Advances in the molecular genetics of tuberculosis hold out the possibility of better vaccines.

AIDS-Related Opportunistic Infections↗

Tuberculous meningitis in children: problem to be addressed effectively with thorough contact tracing.

UNLABELLED: Worldwide, tuberculosis is the most common cause of death from a single infectious agent in children. There has been an increase in its incidence in Europe in recent years. Early diagnosis of tuberculous meningitis in children is extremely difficult because of its nonspecific early presentation and it is universally fatal if not recognised and treated. Young children are at increased risk of acquiring tuberculosis and it is more likely to be disseminated in neonates. In summarising the cases of three children with tuberculous meningitis admitted to our centre, we highlight the importance of diagnosis and contact tracing of the source case. CONCLUSION: Diagnosis of tuberculous meningitis requires a high index of suspicion, thorough contact tracing, and appropriate investigations with early treatment as the key to reducing morbidity and mortality.

Antitubercular Agents↗

Frustrated readers at Khon Kaen Medical School.

Ability in English is essential for Thai medical students. 34 fifth-year students completed two cloze tests from two standard English language text-books to assess their comprehension. One of these tests was from a recommended text-book. 65% of students had poor understanding of the recommended text (Text A). Results were significantly better from the other text (Text B), but only one student had good understanding. The medical course needs more appropriate English teaching and more appropriate English text-books. More information is needed about which books students learn from.

Education, Medical, Undergraduate↗