Introduction: Neglected ankle fractures are common in our regions. Patients first consult traditional healers and it is when the signs persist that they consult the surgeon for a swollen and painful ankle. Initially w...Introduction: Neglected ankle fractures are common in our regions. Patients first consult traditional healers and it is when the signs persist that they consult the surgeon for a swollen and painful ankle. Initially we always performed anatomical repairs with osteosynthesis, but the majority of patients still complained of pain and disability. We wondered whether a primary arthrodesis would not be indicated in old ankle fractures to avoid disabling pain for patients. We therefore performed a series of arthrodesis on neglected post-traumatic ankles. The objective of our study was to describe the results of arthrodesis on an old post-traumatic ankle and to propose a therapeutic indication in the face of any neglected ankle fracture. Material and Method: This was a prospective study over 8 years between December 2012 and November 2020, involving 36 cases of neglected ankle fractures treated by arthrodesis using Meary’s technique. We used AOFAS (American Orthopedic Foot and Ankle Score) preoperatively and postoperatively for an objective assessment. Results: The average follow-up was 4.2 years and our results were satisfactory (94.4%) with an average AOFAS score ranging from 27.8 preoperatively to 76.7 postoperatively. The fusion rate was 97.2%. Discussion: Arthrodesis appears here as an important alternative in the treatment of neglected ankle fractures with significant trophic disorders.展开更多
Viewed as hidden hunger, anemia is an indicator of poor nutrition and health status, especially for African pre-school children. Several actions are being carried out to combat anemia in Africa, without success. The f...Viewed as hidden hunger, anemia is an indicator of poor nutrition and health status, especially for African pre-school children. Several actions are being carried out to combat anemia in Africa, without success. The fundamental step to improve this situation is to determine 1) mothers’ knowledge regarding anemia (symptoms/signs and etiologies), and 2) their attitudes towards anemia. The present effort was to determine 1) and 2) on mothers (n</span><span style="font-family:""> </span><span style="font-family:Verdana;">=</span><span style="font-family:""> </span><span style="font-family:Verdana;">152) with children (1</span><span style="font-family:""> </span><span style="font-family:Verdana;">-</span><span style="font-family:""> </span><span style="font-family:Verdana;">5 years) through questionnaire. Data showed that the less educated the mother was, the more she gave the wrong definition of anemia. When these mothers have anemic children, 129 go to the hospital, 34 give grenadine (sweet soda), 14 go to the traditional healer, and 6 give the various decoctions. Our results showed that less-educated mothers had wrong anemia management, such as attachment to a visual logic that assimilates blood to food with red coloring. The actions must directly involve these mothers and the traditional healers to improve this situation.展开更多
Objective:To ascertain the role of traditional healers in malaria treatment and its impact on control of the disease.Methods:The study was cross-sectional in nature.Test-run structured and semi-structured questionnair...Objective:To ascertain the role of traditional healers in malaria treatment and its impact on control of the disease.Methods:The study was cross-sectional in nature.Test-run structured and semi-structured questionnaires were either interviewer or self administered to adult women aged 18 years old and above.House holds were selected using systematic random sampling methods.Information such as age,educational level,marital status,occupation and methods of malaria treatment were obtained.Focused group discussions about beliefs and perceptions on utilization of traditional healers and in depth discussions on treatment and control of malaria were also carried out.Results:Of the 2 075 respondents studied,49.7%(n=1 031) utilized traditional healers for treatment of malaria,including 16.7%(n=172) utilizing traditional healers strictly while 83.3%(n=859) combining it with other treatment methods such as hospital/clinic, pharmacy/chemist shop,herbs or spiritual healing.The major contributors to utilization of traditional healers were:illiteracy and ignorance,poverty,unemployment/underemployment and slow pace of the comprehensive package implementation of the "roll back malaria"(RBM) programme initiate in the community.Conclusions:Health education should be intensified while adequate facilities put in place to commence home management of malaria and probable free distribution of the artemisinin-based combination therapy(ACT).展开更多
The Himalayan region is the treasure house of natural wealth,particularly of medicinal and aromatic plants.These plants are used by the Indian traditional healers for the past many centuries to treat various ailments ...The Himalayan region is the treasure house of natural wealth,particularly of medicinal and aromatic plants.These plants are used by the Indian traditional healers for the past many centuries to treat various ailments such as skin disorders,asthma,diabetes,snake bite,fever,pain,eye diseases,diarrhoea,indigestion,jaundice,burn,wound,liver disorder,CNS disorders and urinary tract infection.The indigenous traditional knowledge of medicinal plants and therapies of various local communities has been lost due to changes in traditional culture and the introduction of modern technologies.Therefore,it is essential to explore the traditional knowledge of the indigenous medicinal plants mainly in such areas where there is a severe threat to natural vegetation owing to human inhabitation.The present study aimed to explore the medicinal plants of Chakrata region(Jaunsar-Bawar Hills),Uttarakhand,India used in the folk medicine for the management of diabetes by Jaunsari Tribe.In a comprehensive feld survey,the information about the medicinal plants have been mainly collected from the traditional healers and other elderly people belong to the tribal community.All the information about the medicinal plants of the study area was documented in a feld book.Various tools have been used to collect the samples for identifcation purpose and the authentication of the plants was done with the help of taxonomists.The literature on these plants was also searched from online(PubMed and Scopus)as well as from some textbooks and Ayurvedic classical texts.The present survey-based work described a total of 54 plants belonging to 47 genera and 30 families used in the traditional medicine for the management of diabetes in Chakrata region.The information gathered from the local community revealed that the plants are efective in diabetes and one can use most of them without consulting a practitioner or traditional healer.The literature revealed that most of the surveyed plants are already used in the preparation of various antidiabetic formulations s展开更多
Societies have varied attitude and perception on the forest resources nearby them.Ethnobotanical knowledge should be integrated with biophysical studies in order to be used for managing and conserving forests.The obje...Societies have varied attitude and perception on the forest resources nearby them.Ethnobotanical knowledge should be integrated with biophysical studies in order to be used for managing and conserving forests.The objectives of the study were to assess the existing knowledge about the uses of plant species and to examine the plant species.Three sites were selected around central Ethiopia encompassing three church forests.Focus group discussion,questionnaire-based social survey and vegetation inventory were undertaken.The focus group discussants were selected from traditional healers,elders of the society,development agents,and people who are knowledgeable about the vegetation of the areas.Voucher specimens were collected for those species difficult to identify.The data analysis was done by descriptive statistics using Excel 2010 and SPSS v20.The results indicated agricultural expansion,charcoal making and fuel wood as the major causes of deforestation in Site 1,Site 2 and Site 3 respectively.Religious preaching was stated by group discussants as the most effective solution to reverse the degradation and to protect the church forests.The plant species have varied uses as traditional medicine,food,construction wood,household utensils,and firewood but higher percent of the mentioned species were used either for human or livestock medicine.Sørensen similarity index indicated Site 1 and Site 2 have 12.5%,Site 1 and Site 3 have 10.9%and Site 2 and Site 3 have 43.5%similarities.Documenting the wealth of indigenous knowledge and in situ conservation of the plant species are key recommendations.展开更多
Peasants in Turkey are mostly wise, worldly, down-to-earth people. Superstitions do play a role in their line of thinking though it is not only the peasant mind which is exclusively preoccupied with superstitions. Pea...Peasants in Turkey are mostly wise, worldly, down-to-earth people. Superstitions do play a role in their line of thinking though it is not only the peasant mind which is exclusively preoccupied with superstitions. Peasants＇ other beliefs mostly fall into the scope of religious creed. Folk healing is mingled with some beliefs but some healing methods are just primitive but consistently logical modes of treatment of diseases and if people resort to them, it is mainly because of the inaccessibility of modem medical ways. Folk healing, besides, is being replaced by modem treatment more and more.展开更多
Today,traditional Chinese medicine(TCM)is a relatively new product of the People’s Republic of China.About 1950 Chairman Mao aimed atthe standardization and simplification of many traditional medical schools to guara...Today,traditional Chinese medicine(TCM)is a relatively new product of the People’s Republic of China.About 1950 Chairman Mao aimed atthe standardization and simplification of many traditional medical schools to guarantee a stable health care for the population.As academic exchange between east and west increased during the last 60 years,TCM appears today more and more as the“real”and“old”Chinese medicine.But is that really the case?There is a famous saying in China:Medicine is also idea(医者意也Yi Zhe Yi Ye),so what are the ideas about a good healer?In my article I try to find it out.Searching through the old classical books,there are some good ideas about a good healer,especially in the Ling Shu(《灵枢》Spiritual Pivot).The root of all is the spirit(神Shen).There are many other requirements to be a good healer,but without a stable Shen,no treatment can really touches the cause of the disease!展开更多
IN ancient Greek mythology, Prometheusfetches fire from the heavens and bringslight to mankind. Today it is theophthalmologists who are using their skills tobring light to the unsighted - thePrometheus’ of the 20th c...IN ancient Greek mythology, Prometheusfetches fire from the heavens and bringslight to mankind. Today it is theophthalmologists who are using their skills tobring light to the unsighted - thePrometheus’ of the 20th century. Dr. LiXiaoxin from the People’s Hospital attachedto the Beijing Academy of Medical Sciencesis one such person whose torch shinesespecially brightly. Zhao Yunxia, with the Lanzhou ChemicalIndustrial Company, will never forget the dayof May 23, 1990. An accident caused seriousinjury to her face and left her badly scarred.展开更多
文摘Introduction: Neglected ankle fractures are common in our regions. Patients first consult traditional healers and it is when the signs persist that they consult the surgeon for a swollen and painful ankle. Initially we always performed anatomical repairs with osteosynthesis, but the majority of patients still complained of pain and disability. We wondered whether a primary arthrodesis would not be indicated in old ankle fractures to avoid disabling pain for patients. We therefore performed a series of arthrodesis on neglected post-traumatic ankles. The objective of our study was to describe the results of arthrodesis on an old post-traumatic ankle and to propose a therapeutic indication in the face of any neglected ankle fracture. Material and Method: This was a prospective study over 8 years between December 2012 and November 2020, involving 36 cases of neglected ankle fractures treated by arthrodesis using Meary’s technique. We used AOFAS (American Orthopedic Foot and Ankle Score) preoperatively and postoperatively for an objective assessment. Results: The average follow-up was 4.2 years and our results were satisfactory (94.4%) with an average AOFAS score ranging from 27.8 preoperatively to 76.7 postoperatively. The fusion rate was 97.2%. Discussion: Arthrodesis appears here as an important alternative in the treatment of neglected ankle fractures with significant trophic disorders.
文摘Viewed as hidden hunger, anemia is an indicator of poor nutrition and health status, especially for African pre-school children. Several actions are being carried out to combat anemia in Africa, without success. The fundamental step to improve this situation is to determine 1) mothers’ knowledge regarding anemia (symptoms/signs and etiologies), and 2) their attitudes towards anemia. The present effort was to determine 1) and 2) on mothers (n</span><span style="font-family:""> </span><span style="font-family:Verdana;">=</span><span style="font-family:""> </span><span style="font-family:Verdana;">152) with children (1</span><span style="font-family:""> </span><span style="font-family:Verdana;">-</span><span style="font-family:""> </span><span style="font-family:Verdana;">5 years) through questionnaire. Data showed that the less educated the mother was, the more she gave the wrong definition of anemia. When these mothers have anemic children, 129 go to the hospital, 34 give grenadine (sweet soda), 14 go to the traditional healer, and 6 give the various decoctions. Our results showed that less-educated mothers had wrong anemia management, such as attachment to a visual logic that assimilates blood to food with red coloring. The actions must directly involve these mothers and the traditional healers to improve this situation.
文摘Objective:To ascertain the role of traditional healers in malaria treatment and its impact on control of the disease.Methods:The study was cross-sectional in nature.Test-run structured and semi-structured questionnaires were either interviewer or self administered to adult women aged 18 years old and above.House holds were selected using systematic random sampling methods.Information such as age,educational level,marital status,occupation and methods of malaria treatment were obtained.Focused group discussions about beliefs and perceptions on utilization of traditional healers and in depth discussions on treatment and control of malaria were also carried out.Results:Of the 2 075 respondents studied,49.7%(n=1 031) utilized traditional healers for treatment of malaria,including 16.7%(n=172) utilizing traditional healers strictly while 83.3%(n=859) combining it with other treatment methods such as hospital/clinic, pharmacy/chemist shop,herbs or spiritual healing.The major contributors to utilization of traditional healers were:illiteracy and ignorance,poverty,unemployment/underemployment and slow pace of the comprehensive package implementation of the "roll back malaria"(RBM) programme initiate in the community.Conclusions:Health education should be intensified while adequate facilities put in place to commence home management of malaria and probable free distribution of the artemisinin-based combination therapy(ACT).
基金supported by National Medicinal Plants Board,Ministry of AYUSH,Govt.of India(Grant No.Z.18017/187/CSS/R&D/UK-01/2017-18-NMPB-IV A).
文摘The Himalayan region is the treasure house of natural wealth,particularly of medicinal and aromatic plants.These plants are used by the Indian traditional healers for the past many centuries to treat various ailments such as skin disorders,asthma,diabetes,snake bite,fever,pain,eye diseases,diarrhoea,indigestion,jaundice,burn,wound,liver disorder,CNS disorders and urinary tract infection.The indigenous traditional knowledge of medicinal plants and therapies of various local communities has been lost due to changes in traditional culture and the introduction of modern technologies.Therefore,it is essential to explore the traditional knowledge of the indigenous medicinal plants mainly in such areas where there is a severe threat to natural vegetation owing to human inhabitation.The present study aimed to explore the medicinal plants of Chakrata region(Jaunsar-Bawar Hills),Uttarakhand,India used in the folk medicine for the management of diabetes by Jaunsari Tribe.In a comprehensive feld survey,the information about the medicinal plants have been mainly collected from the traditional healers and other elderly people belong to the tribal community.All the information about the medicinal plants of the study area was documented in a feld book.Various tools have been used to collect the samples for identifcation purpose and the authentication of the plants was done with the help of taxonomists.The literature on these plants was also searched from online(PubMed and Scopus)as well as from some textbooks and Ayurvedic classical texts.The present survey-based work described a total of 54 plants belonging to 47 genera and 30 families used in the traditional medicine for the management of diabetes in Chakrata region.The information gathered from the local community revealed that the plants are efective in diabetes and one can use most of them without consulting a practitioner or traditional healer.The literature revealed that most of the surveyed plants are already used in the preparation of various antidiabetic formulations s
文摘Societies have varied attitude and perception on the forest resources nearby them.Ethnobotanical knowledge should be integrated with biophysical studies in order to be used for managing and conserving forests.The objectives of the study were to assess the existing knowledge about the uses of plant species and to examine the plant species.Three sites were selected around central Ethiopia encompassing three church forests.Focus group discussion,questionnaire-based social survey and vegetation inventory were undertaken.The focus group discussants were selected from traditional healers,elders of the society,development agents,and people who are knowledgeable about the vegetation of the areas.Voucher specimens were collected for those species difficult to identify.The data analysis was done by descriptive statistics using Excel 2010 and SPSS v20.The results indicated agricultural expansion,charcoal making and fuel wood as the major causes of deforestation in Site 1,Site 2 and Site 3 respectively.Religious preaching was stated by group discussants as the most effective solution to reverse the degradation and to protect the church forests.The plant species have varied uses as traditional medicine,food,construction wood,household utensils,and firewood but higher percent of the mentioned species were used either for human or livestock medicine.Sørensen similarity index indicated Site 1 and Site 2 have 12.5%,Site 1 and Site 3 have 10.9%and Site 2 and Site 3 have 43.5%similarities.Documenting the wealth of indigenous knowledge and in situ conservation of the plant species are key recommendations.
文摘Peasants in Turkey are mostly wise, worldly, down-to-earth people. Superstitions do play a role in their line of thinking though it is not only the peasant mind which is exclusively preoccupied with superstitions. Peasants＇ other beliefs mostly fall into the scope of religious creed. Folk healing is mingled with some beliefs but some healing methods are just primitive but consistently logical modes of treatment of diseases and if people resort to them, it is mainly because of the inaccessibility of modem medical ways. Folk healing, besides, is being replaced by modem treatment more and more.
文摘Today,traditional Chinese medicine(TCM)is a relatively new product of the People’s Republic of China.About 1950 Chairman Mao aimed atthe standardization and simplification of many traditional medical schools to guarantee a stable health care for the population.As academic exchange between east and west increased during the last 60 years,TCM appears today more and more as the“real”and“old”Chinese medicine.But is that really the case?There is a famous saying in China:Medicine is also idea(医者意也Yi Zhe Yi Ye),so what are the ideas about a good healer?In my article I try to find it out.Searching through the old classical books,there are some good ideas about a good healer,especially in the Ling Shu(《灵枢》Spiritual Pivot).The root of all is the spirit(神Shen).There are many other requirements to be a good healer,but without a stable Shen,no treatment can really touches the cause of the disease!
文摘IN ancient Greek mythology, Prometheusfetches fire from the heavens and bringslight to mankind. Today it is theophthalmologists who are using their skills tobring light to the unsighted - thePrometheus’ of the 20th century. Dr. LiXiaoxin from the People’s Hospital attachedto the Beijing Academy of Medical Sciencesis one such person whose torch shinesespecially brightly. Zhao Yunxia, with the Lanzhou ChemicalIndustrial Company, will never forget the dayof May 23, 1990. An accident caused seriousinjury to her face and left her badly scarred.
