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  • 简介:AbstractBackground:Nearly 300 children and 20 mothers die from preventable causes daily, in Uganda. Communities often identify and introduce pragmatic and lasting solutions to such challenging health problems. However, little is known of these solutions beyond their immediate surroundings. If local and pragmatic innovations were scaled-up, they could contribute to better health outcomes for larger populations. In 2017 an open call was made for local examples of community-based solutions that contribute to improving maternal and child health in Uganda. In this article, we describe three top innovative community-based solutions and their contributions to maternal health.Main text:In this study, all innovations were implemented by non-government entities. Two case studies highlight the importance of bringing reproductive health and maternal delivery services closer to populations, through providing accessible shelters and maternity waiting homes in isolated areas. The third case study focuses on bringing obstetric imaging services to lower level rural health facilities, which usually do not provide this service, through task-shifting certain sonography services to midwives. Various health system and policy relevant lessons are highlighted.Conclusions:The described case studies show how delays in access to health care by pregnant women in rural communities can be systematically removed, to improve pregnancy and delivery outcomes. Emphasis should be put on identification, capacity building and research to support the scale up of these community-based health solutions.

  • 标签: Community-based solutions Maternal and child health Social innovations Social innovations in health Innovations in maternal and child health Case study research Uganda
  • 简介:Cochlearimplantationisoneofthebestamongstthevariousmanagementoptionsavailableforchildrenandadultswithseveretoprofoundsensorineuralhearingloss.Innerearandinternalauditorycanal(IAC)malformationsaccountstoapproximately25%ofcongenitalsensorineuralhearinglossinchildren.Theprimarygoalofthisreportwastoevaluatethecommunicationoutcomesaftercochlearimplantationinachildwithcysticcochleovestibularanomaly(CCVA).Thechildwasevaluatedthroughvariousstandardizedoutcomemeasuresatregularintervalstotracktheprogressintermsofauditoryandspokenlanguageskills.ThescoresonCategoriesofAuditoryPerception(CAP),MeaningfulAuditoryIntegrationScale(MAIS),SpeechIntelligibilityRating(SIR),MeaningfulUseofSpeechScale(MUSS),andlisteningandspokenlanguageskillsshowedasignificantleapin12monthsdurationpostimplantation.Thereportthushighlightsandcorrelatesthesignificantprogressinauditoryandspokenlanguageskillsofthechildwithcongenitalmalformationstoappropriateauditoryrehabilitationandintensiveparentaltraining.

  • 标签: COCHLEAR implants CYSTIC cochleovestibular ANOMALY Inner
  • 简介:CLINICALMATERIALSThepatientwas7year-oldboy,bodyweight20kg.HewasadmittedonMay10th,2002becauseoffever,rashes,enlargedlymphnodes,conjunctivaeinjection,strawberrytongue,edemaanderythemaofthehandsandfeet.Laboratorydataasfollow:1.Prominentincreaseinwhitebloodcell(WBC)14.3-22.7×109.2.Anemia,hemoglobin(Hb)121→103g/L.

  • 标签: 张旭
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  • 简介:摘要患儿女,87 d龄,出生后因右侧躯体片状红色斑块伴同侧肢体畸形于2012年1月就诊。皮肤科检查:右下腹、右臀部、右侧会阴部、右腿及右足部见明显红色斑块,表面附着黄色鳞屑,边界清楚,无明显渗出及异味;右下颌、右颈部、右腋下及右手第1~4指指背见淡黄色疣状增生;右足第2、3、4趾只有1个趾间关节且甲板缺如。右足X线片显示右足畸形及骨质缺损。诊断:CHILD综合征。患儿间断口服阿维A胶囊,外用凡士林、他卡西醇软膏、弱效糖皮质激素软膏6年余,用药时皮损可缓解,停药易反复,后改外用辛伐他汀软膏2年。皮损随年龄增长等比例增大,患肢较健侧肢体生长速度稍快。至2020年1月患儿右下颌、右颈部及右手第1~4指皮损消退,右手第5指出现新发带状疣状增生性斑块,右小腿皮损较前稍好转;无其他系统受累表现。

  • 标签: 皮肤表现 治疗结果 随访研究 CHILD综合征
  • 简介:ThePolicyIsOnlytoAllowingCoupleswithOneSpouseBeinganOnly-childtoHaveTwoChildrenbutNottheSecondParityforOnly-childThelaunchofthenewfertilitypolicyhasreceivedwideattention.Canfamilieswithtwinshave

  • 标签: 独生子女 配偶 孩子 奇偶校验
  • 简介:AbstractChronic hepatitis B virus (HBV) infection caused by mother-to-child transmission (MTCT, also known as vertical transmission) during the perinatal period is a major public health problem worldwide. Despite the availability of the combined active-passive immunization with a hepatitis B vaccine and hepatitis B immunoglobulin after birth, about 9% of newborns are still infected with HBV, especially those born to hepatitis B e antigen (HBeAg)-positive mothers. Currently, the management of HBV infection during pregnancy remains controversial. This article briefly reviews the recent advances in the epidemiology of HBV, immunization against it, and management strategies in the third trimester.

  • 标签: Hepatitis B virus Mother-to-child transmission Immunization Antiviral therapy