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Patterns,procedures,and indications for pediatric surgery in a Tanzanian Refugee Camp:a 20-year experience

World Journal of Pediatric Surgery 2023年第3期6卷 161-167页

作者： Sarah Rapaport Zachary Obinna Enumah Hilary Ngude Daniel S Rhee Mohamed Abbas Amber Lekey Peter J Winch Joseph V Sakran Kent A Stevens Center for Global Surgery Johns Hopkins MedicineBaltimoreMarylandUSA Department of International health Johns Hopkins University Bloomberg School of Public HealthBaltimoreMarylandUSA Tanzania Red Cross Society Dar es SalaamTanzania Department of Pediatric Surgery Johns Hopkins MedicineBaltimoreMarylandUSA Department of Surgery Tulane University School of MedicineNew OrleansLouisianaUSA satcher health leadership institute Morehouse School of MedicineAtlantaGeorgiaUSA

Background There are 103 million displaced people worldwide,41%of whom are *** on the provision of surgery in humanitarian settings are *** scarcer is literature on pediatric surgery performed in humanitarian settings,particularly protracted humanitarian *** We reviewed patterns,procedures,and indications for pediatric surgery among children in Nyarugusu Refugee Camp using a 20-year retrospective *** A total of 1221 pediatric surgical procedures were performed over the study *** between the ages of 12 and 17 years were the most common age group undergoing surgery(n=991;81%).A quarter of the procedures were performed on local Tanzanian children seeking care in the camp(n=301;25%).The most common procedures performed were cesarean sections(n=858;70%),herniorrhaphies(n=197;16%),and exploratory laparotomies(n=55;5%).Refugees were more likely to undergo exploratory laparotomy(n=47;5%)than Tanzanian children(n=7;2%;p=0.032).The most common indications for exploratory laparotomy were acute abdomen(n=24;44%),intestinal obstruction(n=10;18%),and peritonitis(n=9;16%).Conclusions There is a significant volume of basic pediatric general surgery performed in the Nyarugusu *** are used by both refugees and local *** hope this research will inspire further advocacy and research on pediatric surgical services in humanitarian settings worldwide and illuminate the need for including pediatric refugee surgery within the growing global surgery movement.

关键词： surgery pediatric seeking

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Impact of Relaxation and Group Psycho-Education on health Outcomes Using Integrated Care Models and Quality Improvement

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Open Journal of Preventive Medicine 2014年第12期4卷 887-896页

作者： Martha Okafor Victor Ede Rosemary Kinuthia Debbie Strotz Cathryn Marchman Scott Weeks David satcher satcher health leadership institute Division of Behavioral Health Morehouse School of Medicine Atlanta GA USA Rehabilitation and Recovery Services Cobb and Douglas County Community Services Board Austell GA USA Advocacy and Compliance Mercy Care Atlanta GA USA Cobb and Douglas County Community Services Board Austell GA USA

The purpose of this Integrated Care Practice Change and Quality Improvement (ICPCQI) initiative was to evaluate the impact of wellness and relaxation and group psycho-education on health out-comes in an integrated care setting. Individuals diagnosed with mental illness and a co-occurring chronic medical condition participated in the ICPCQI initiatives which were run by peer support and wellness experts in an integrated care setting over the one-year project implementation period. Evaluation of outcome measures revealed an overall decline of 8.3% (p health outcomes among individuals with mental illness and chronic medical conditions.

关键词： Integrated Care Relaxation Group Psycho-Education health Outcomes Quality Improvement Peer Specialist Wellness Primary healthcare Behavioral health

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