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首页> 外文期刊>Journal of health care for the poor and underserved >Ambulatory medical care in rural Haiti.
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Ambulatory medical care in rural Haiti.

机译:海地农村的非卧床医疗服务。

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摘要

INTRODUCTION: In 2005, a team of U.S. physicians, nurse practitioners, nurses, pharmacists, emergency medical technicians and lay support personnel provided health services in an isolated town in rural Haiti. METHODS: During one week, the team saw 788 patients. They recorded age, sex, vital signs, diagnoses, and treatments in an electronic database. A descriptive analysis is presented. RESULTS: Intestinal parasitosis was the third most common diagnosis overall, and the most common diagnosis for children. For adults aged 50 years or older, 52% of women and 37% of men had elevated blood pressures, significantly more than adults aged 15-49 years. DISCUSSION: This paper focuses on intestinal parasitosis and hypertension. Periodic anti-helminthic treatment and community sanitation are discussed as ways to reduce the burden of parasites and secondary malnutrition. Challenges to implementing a sustainable antihypertensive program are discussed, including patient education, medication availability and prioritization, and adequate follow-up in a very austere rural setting.
机译:简介:2005年,一支由美国医师,护士,护士,药剂师,急诊医疗技术人员和非专业支持人员组成的团队在海地农村一个偏僻的城镇提供了医疗服务。方法:在一周内,该团队共观察了788名患者。他们在电子数据库中记录了年龄,性别,生命体征,诊断和治疗方法。介绍了描述性分析。结果:肠道寄生虫病是总体上第三常见的诊断,也是儿童最常见的诊断。对于50岁或以上的成年人,有52%的女性和37%的男性具有较高的血压,明显高于15-49岁的成年人。讨论:本文主要研究肠道寄生虫病和高血压。讨论了定期的抗蠕虫药治疗和社区卫生,以减轻寄生虫和继发性营养不良的负担。讨论了实施可持续性降压计划所面临的挑战,包括患者教育,药物可获得性和优先次序,以及在非常严峻的农村环境中进行足够的随访。

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