在埃塞俄比亚的泌尿科医生劳动力和服务
Anteneh Tadesse Kifle1, Chandra Shekhar Biyani2, Jacques Bogdanowicz3
1Department of Surgery, Mudulla Hospital, Po Box 16, Snnpr, Ethiopia. antyeneh@gmail.com.
World journal of surgery
|September 8, 2023
概括
埃塞俄比亚的泌尿外科服务面临挑战,因为先进设备有限,专家也很少. 虽然大多数泌尿外科医生进行开放式手术,但大多数也提供内泌尿外科,尽管获得像灵活的泌尿突镜 (URS) 这样的专业工具很少.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 手术创新 在外科创新.
- 在发展中国家获得医疗保健的机会
背景情况:
- 泌尿病状况显著影响生活质量和生产力.
- 从历史上看,泌尿器科治疗在全球卫生倡议中缺乏优先级.
- 撒哈拉以南非洲主要依赖于开放式手术,限制了对最小侵入性手术的准入.
研究的目的:
- 描述埃塞俄比亚泌尿科医生的社会人口统计学.
- 概述这些泌尿科医生提供的服务.
- 评估他们获得必要的内分泌学设备的机会.
主要方法:
- 在埃塞俄比亚泌尿病学会 (USE) 的成员中进行了一项调查.
- 收集了有关泌尿科医生资格,实践范围和设备可用性的数据.
- 在43位泌尿科医生中,有33位参与,达到76.5%的应答率.
主要成果:
- 大多数泌尿科医生 (66.7%) 在埃塞俄比亚完成了住院;21.2%在国外接受了奖学金培训.
- 所有受访者都进行开放式手术,75.8%的受访者提供内分泌学.
- 虽然基本设备如视频内镜和囊镜套件可用,但先进的工具如灵活的泌尿突镜 (URS) 和激光石灰管最难获得.
结论:
- 埃塞俄比亚的泌尿病学还处于起步阶段,面临着重大的障碍.
- 缺乏合格的泌尿科医生和先进的医疗设备阻碍了服务提供.
- 改善对内泌尿器科设备和培训的准入对于推动泌尿器科护理的发展至关重要.
相关概念视频
01:30Urinary Tract Infection III: Diagnostic Studies and Interprofessional Care
14
A healthcare provider can diagnose a urinary tract infection (UTI) through several methods:Medical History and Symptoms: The provider will take a detailed medical history and ask about symptoms such as frequent urination, burning sensation during urination, and lower abdominal pain.Urinalysis: A clean-catch urine sample is collected in a sterile container and tested for the presence of bacteria, white blood cells (leukocytes), nitrites, blood, and protein. The presence of leukocytes and...
14
01:28Urologic Endoscopic Procedure: Cystoscopic Examination
46
Meaning of Cystoscopic Examination:Cystoscopy is an essential diagnostic tool in urology that is used to assess the structure and function of the genitourinary system. It provides a direct view of the urethra, bladder, and, in some cases, the ureteral openings. This procedure helps detect structural abnormalities, infections, cancers, and blockages in the urinary tract. There are two types of cystoscopy:Flexible cystoscopy is commonly performed in outpatient settings due to its less invasive...
46
01:29Urine Studies I: Urinalysis
38
Urinalysis is a widely used diagnostic test that analyzes urine's physical, chemical, and microscopic characteristics. Healthcare providers use it to detect and monitor various health conditions, including renal disease, urinary tract infections (UTIs), diabetes, and metabolic or systemic disorders.Components of UrinalysisUrinalysis consists of three primary components: physical, chemical, and microscopic examination. Each provides unique insights into the urine sample and, by extension, the...
38
01:21Nursing Assessment of the Genitourinary System I: Health History
27
The genitourinary system is critical to maintaining fluid balance, waste elimination, and reproductive function. Nurses play a vital role in assessing this system, beginning with a thorough health history. This process involves gathering patient information, identifying risk factors, and recognizing symptoms of genitourinary disorders. Early detection is vital for timely interventions and management.1. Gathering Patient InformationA complete health history includes the patient’s personal,...
27
01:26Urine Studies II: Urine Culture and Sensitivity Test
52
A urine culture and sensitivity test is a diagnostic procedure used to identify urinary tract bacterial infections and determine the most effective antibiotics for treatment. This test is generally preferred when a patient shows manifestations of a urinary tract infection, such as frequent or painful urination, cloudy or foul-smelling urine, or lower abdominal pain.Purpose of the TestThe primary goals of a urine culture and sensitivity test are to:Determine the specific bacteria causing the...
52
01:22Ureters
551
The ureters are retroperitoneal tubes located on either side of the vertebral column. They are responsible for transporting urine from each kidney to the urinary bladder. These tubes have thick walls and are approximately 25-30 cm long. Their diameter is around 10 mm at the renal pelvis, gradually narrowing to 1 mm as the ureter obliquely enters the posterior bladder wall through the ureteric orifices. The shape of these orifices is slit-like, which helps to prevent urine backflow toward the...
551