Rwanda starts its long healing process

1996 ◽  
Author(s):  
Nathan Seppa
Keyword(s):  
Phlebologie ◽  
2003 ◽  
Vol 32 (05) ◽  
pp. 115-120 ◽  
Author(s):  
A. Franek ◽  
H. Koziolek ◽  
M. Kucharzewski

SummaryAim: The study of the influence of sulodexide in the treatment of venous leg ulcers. Patients and method: 44 patients with chronic venous ulceration were randomly divided into two groups. Group I: 21 patients (ulceration area: 12.7-18.9 cm2), Group II: 23 patients (ulceration size: 12.1-20.3 cm2). Both groups were treated by using Unna’s boot. This dressing was changed every seven days until the ulcer had healed. Additionally, the patients in group II received the systemic pharmacological treatment with sulodexide. Results: After 7 weeks of treatment ulcers of seven patients (35%) from group I had healed, and 3 weeks later the ulceration of two more patients had healed completely. After further 7 weeks the ulcers of 12 patients had healed completely. Whereas in group II after 7 weeks of treatment ulceration of 16 (70%, p <0.05) patient had healed completely and after further 3 weeks the ulcers of the remaining 7 patients had healed, too. Conclusion: The use of sulodexide in patients with chronic venous leg ulcers accelerates the healing process.


1991 ◽  
Vol 4 (04) ◽  
pp. 112-115 ◽  
Author(s):  
Julia Blackmore ◽  
Lesley Phillips

SummaryA Kirschner-Ehmer device was used to stabilize caudal lumbar fractures/luxations in three dogs weighing 12 kg or less. A through and through Kirschner-Ehmer device maintained alignment during the healing process using the appropriate sized rods and clamps. Postoperative management included strict cage confinement and oral broad spectrum systemic antibiotics for up to two weeks after removal of the Kirschner-Ehmer device. In all three cases, the fractures/luxations were healed within six to eight weeks. The Kirschner-Ehmer device could then be removed with sedation or general anaesthesia.


2013 ◽  
Vol 1 (1) ◽  
pp. 13
Author(s):  
Javaria Manzoor Shaikh ◽  
JaeSeung Park

Usually elongated hospitalization is experienced byBurn patients, and the precise forecast of the placement of patientaccording to the healing acceleration has significant consequenceon healthcare supply administration. Substantial amount ofevidence suggest that sun light is essential to burns healing andcould be exceptionally beneficial for burned patients andworkforce in healthcare building. Satisfactory UV sunlight isfundamental for a calculated amount of burn to heal; this delicaterather complex matrix is achieved by applying patternclassification for the first time on the space syntax map of the floorplan and Browder chart of the burned patient. On the basis of thedata determined from this specific healthcare learning technique,nurse can decide the location of the patient on the floor plan, hencepatient safety first is the priority in the routine tasks by staff inhealthcare settings. Whereas insufficient UV light and vitamin Dcan retard healing process, hence this experiment focuses onmachine learning design in which pattern recognition andtechnology supports patient safety as our primary goal. In thisexperiment we lowered the adverse events from 2012- 2013, andnearly missed errors and prevented medical deaths up to 50%lower, as compared to the data of 2005- 2012 before this techniquewas incorporated.In this research paper, three distinctive phases of clinicalsituations are considered—primarily: admission, secondly: acute,and tertiary: post-treatment according to the burn pattern andhealing rate—and be validated by capable AI- origin forecastingtechniques to hypothesis placement prediction models for eachclinical stage with varying percentage of burn i.e. superficialwound, partial thickness or full thickness deep burn. Conclusivelywe proved that the depth of burn is directly proportionate to thedepth of patient’s placement in terms of window distance. Ourfindings support the hypothesis that the windowed wall is mosthealing wall, here fundamental suggestion is support vectormachines: which is most advantageous hyper plane for linearlydivisible patterns for the burns depth as well as the depth map isused.


2020 ◽  
Vol 99 (8) ◽  

Introduction: Despite the available guidelines, opinions of many surgeons are quite ambiguous when it comes to the therapy of pilonidal sinus disease. The treatment can be a frustrating problem both for the surgeon and the patient because it is associated with wound complications and high recurrence rate. The objective of this study was to analyze the results of patients with pilonidal sinus disease undergoing the Karydakis flap procedure. Methods: A total of 27 patients treated for primary and recurrent pilonidal disease using the Karydakis flap procedure at our department between October 23, 2018 and November 22, 2019 were analyzed prospectively. We evaluated postoperative wound healing, complications and recurrence of the disease in a short-term follow-up period. Disease recurrence was defined as prolonged healing or as a new disease requiring repeated surgery. Results: In December 2019 all 27 patients came for a follow-up visit. The result was a fully lateralized wound without any signs of a new disease in all patients. In May 2020 a follow-up visit by phone was performed. The median follow-up was 12 months. The healing process was free of any serious complications in 25 patients. Seroma formation cases were managed by puncture in the outpatient setting. Conclusion: According to the available evidence and guidelines, off-midline procedures – the Karydakis flap, Bascom cleft lift, and Limberg flap procedures – are associated with lower recurrence rates and better wound healing. An important goal is to achieve complete wound lateralization and to change the configuration of the gluteal cleft by reshaping it, which results in a nicely flattened gluteal crease.


2009 ◽  
Vol 5 (2) ◽  
pp. 133-144 ◽  
Author(s):  
Patricia Geist-Martin ◽  
Catherine Becker ◽  
Summer Carnett ◽  
Katherine Slauta

The big island of Hawaii has been named the healing island – a place with varied interpretations of healing, health, and a wide range of holistic health care practices. This research explores the perspectives of holistic providers about the communicative practices they believe are central to their interactions with patients. Intensive ethnographic interviews with 20 individuals revealed that they perceive their communication with clients as centered on four practices, specifically: (a) reciprocity – a mutual action or exchange in which both the practitioner and patient are equal partners in the healing process; (b) responsibility – the idea that, ultimately, people must heal themselves; (c) forgiveness – the notion that healing cannot progress if a person holds the burden of anger and pain; and (d) balance – the idea that it is possible to bring like and unlike things together in unity and harmony. The narratives revealed providers’ ontological assumptions about mind-body systems and the rationalities they seek to resist in their conversations with patients.


Imbizo ◽  
2017 ◽  
Vol 7 (1) ◽  
pp. 55-63
Author(s):  
Shingirirai Gabi

To interrogate the ambiguities of forgiveness it is important to understand the historicity of the Rwandan genocide and the complexities of the interchanging roles of victim/perpetrator and ‘the enemy other’. Ilibagiza is credited for including the historicity of the ethnic animosity in her memoir, as she acknowledges that the 1994 genocide did not just suddenly erupt, but the work will be critiqued for its persistent portrayal of the Tutsi as victims and the Hutu as perpetrators, and for not acknowledging that the Tutsi were a ‘historically privileged’ (Mamdani 2001) group before the 1959 revolution. This article interrogates Ilibagiza’s comprehension of forgiveness and its importance during the genocide and in post-genocide Rwanda. Left to tell centres on the power of religion, positive thinking and compassion as major steps towards forgiveness on an individual level, but shows limitations concerning justice after the commission of ‘crimes of state’, as Orentlicher (1991, 44) notes. Forgiveness is necessary in the healing process, but justice is a crucial component of national reconciliation. Forgiveness is only the first step towards restoring the humanity of the victim/ perpetrator, and should be followed by restorative justice.


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