在马达加斯加治理部脱疾病的挑战
Herijaona Manasse1, Arthur Poiri2, Dylan Moullac3
1Service de Chirurgie Orthopédique et Traumatologique, CHU Anosiala, Alakamisy, Ambohidratrimo 105, Madagascar. herijaona.mrakotoherisoa@gmail.com.
World journal of orthopedics
|November 3, 2025
概括
延迟诊断部发育性形 (DDH) 存在挑战,特别是在资源有限的环境中. 然而,及时管理可以为关节发育不良患者带来有利的结果.
科学领域:
- 整形外科 整形外科 整形外科
- 儿科整形外科 儿科整形外科
- 公共卫生 公共卫生
背景情况:
- 部发育性形 (DDH) 是一个重要的全球健康问题.
- 在许多地区,文化因素和有限的资源使管理变得复杂.
研究的目的:
- 确定管理部发育性形 (DDH) 的挑战.
- 在特定的医疗保健环境中评估治疗结果和相关因素.
主要方法:
- 从2015年到2023年对20名患有异常性DDH的患者 (26个部) 进行了回顾性研究.
- 数据包括诊断时的年龄,Tönnis分类,引时间和手术干预.
- 结果使用麦凯分数进行评估.
主要成果:
- 诊断时的平均年龄为35.6个月;69.2%的人患有严重的DDH (Tönnis 3-4).
- 治疗时的年龄较大,双侧位和严重的DDH与较差的结果相关.
- 在13/16名患者中,随着定期随访,获得了有利的结局.
结论:
- 延迟诊断和先进的DDH严重程度是主要的管理挑战.
- 适当的治疗产生了良好的结果,尽管资源有限和治疗并发症.
- 持续面临的挑战包括残留性发育不良和重新位移.
相关概念视频
Specialized Care Centers and Settings-II
1.1K
Rural Health Centers
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
1.1K
Healthcare Agencies I
1.2K
Healthcare agencies provide healthcare services to people. In the United States, voluntary agencies are often non-profit centers sponsored by donations, grants, or fundraisers. One such organization is Meals on Wheels, which provides meals to the elderly and homebound. The American Heart Association and the American Lung Association are other non-profit community organizations. Doctors and nurses are frequently active members of these organizations, which offer health checks and educational...
1.2K
Healthcare Agencies II
961
There are various healthcare agencies in the United States—some of which are managed by religious institutions and others by different government branches.
Parish nursing is a growing specialty nursing profession that focuses on holistic healthcare, health promotion, and illness prevention. It blends professional nursing practice with a health ministry, focusing on health and healing within the context of a Christian community. Parish nurses serve as health educators, referral sources,...
Parish nursing is a growing specialty nursing profession that focuses on holistic healthcare, health promotion, and illness prevention. It blends professional nursing practice with a health ministry, focusing on health and healing within the context of a Christian community. Parish nurses serve as health educators, referral sources,...
961
Methods of Documentation VI: Case Management Model
1.0K
The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic...
For example, a patient with a chronic...
1.0K
Chronic Obstructive Pulmonary Disease
3.2K
COPD is defined as a heterogeneous lung condition marked by persistent respiratory symptoms such as dyspnea, cough, and sputum production, caused by abnormalities in the airways that cause airflow obstruction.
Smoking is a primary risk factor for COPD, with over 80% of patients having a history of it. Patients typically experience progressive dyspnea or labored breathing, frequent coughing, and recurrent pulmonary infections. Many eventually succumb to respiratory failure, characterized by...
Smoking is a primary risk factor for COPD, with over 80% of patients having a history of it. Patients typically experience progressive dyspnea or labored breathing, frequent coughing, and recurrent pulmonary infections. Many eventually succumb to respiratory failure, characterized by...
3.2K
Community Based Intervention
628
Community-based interventions in mental health represent a paradigm shift from institution-centered care to treatments embedded within the fabric of local communities. By prioritizing inclusion and leveraging existing societal structures, this approach fosters a supportive environment conducive to addressing mental health challenges while promoting individual dignity and agency.
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
628


