Inside the Ukraine war: health and humanity

Awuah, Wireko Andrew; Mehta, Aashna; Kalmanovich, Jacob; Yarlagadda, Rohan; Nasato, Matthew; Kundu, Mrinmoy; Abdul‐Rahman, Toufik; Fosuah, Anastasia Deborah; Sikora, Vladyslav

doi:10.1136/postgradmedj-2022-141801

Cited by 17 publications

(14 citation statements)

References 6 publications

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“…Effective medical treatment is difficult to provide for those in need, especially in hospitals, due to a shortage of resources. Health care systems are essentially destroyed by war, resulting in more individuals without access to health care, particularly surgical care, and limited access to medical supplies 2,3 . Studies demonstrate that insufficient medical infrastructure and knowledge may profoundly impact the service grade.…”

Section: Management Gaps On Cmft Surgical Deliverymentioning

confidence: 99%

“…Before their wars, most of the war‐torn nations had low‐ and middle‐class incomes and lacked the resources to provide effective emergency, trauma, and surgical care; nevertheless, the wars have only worsened the situation. Massive damage to their health care infrastructure led to the exodus of highly trained medical professionals, particularly surgeons, and economic devastation, making it challenging to uphold traditional health care standards 2,3 …”

Section: Introductionmentioning

confidence: 99%

“…1 Before their wars, most of the war-torn nations had low-and middle-class incomes and lacked the resources to provide effective emergency, trauma, and surgical care; nevertheless, the wars have only worsened the situation.Massive damage to their health care infrastructure led to the exodus of highly trained medical professionals, particularly surgeons, and economic devastation, making it challenging to uphold traditional health care standards. 2,3 Despite having the highest needs, these war victims had the lowest surgical outcomes, necessitating a complex, multidisciplinary team (MDT) approach made up of a range of experts and other nonphysicians. In poor countries with political unrest and military conflict, CMFTs are major global sources of mortality and morbidity.…”

mentioning

confidence: 99%

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Craniomaxillofacial trauma in war‐torn nations: Incidence, management gaps, and recommendations

Adebusoye,

Awuah,

Alshareefy

et al. 2023

Acute Medicine & Surgery

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Craniomaxillofacial trauma (CMFT) is a type of injury that affects the face, neck, and scalp, and includes facial bone fractures, dentoalveolar trauma, and soft tissue injuries. Work, traffic accidents, sports, and daily activities commonly cause these injuries. However, they are widespread in war‐torn countries where armed conflict leads to a high incidence of CMFT. The lack of resources, health care infrastructure, and surgical personnel in these areas result in subpar treatment and poor patient outcomes, contributing to the high mortality and morbidity rates among war victims. The importance of a multidisciplinary approach to CMFT management cannot be overstated, but current obstacles, such as a lack of access to proper medical care and rehabilitation services, impede the development of effective treatments. CMFT treatment is complex and prohibitively expensive for war‐torn nations to afford, necessitating international intervention to provide life‐saving surgical procedures for those suffering from CMFT in conflict zones. Despite efforts to improve CMFT treatments in war‐torn countries, more must be done to improve treatment outcomes. Data collection and research must also be improved in order to develop effective evidence‐based treatment methods.

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Section: Management Gaps On Cmft Surgical Deliverymentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

mentioning

confidence: 99%

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Craniomaxillofacial trauma in war‐torn nations: Incidence, management gaps, and recommendations

Adebusoye,

Awuah,

Alshareefy

et al. 2023

Acute Medicine & Surgery

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“…Медична система -одна зі сфер, яку росіяни «денацифікують» в Україні. За три місяці повномасштабної війни вони пошкодили понад 600 лікарень, убито щонайменше 12 медиків, 47 -тяжко поранені [3].…”

Section: менеджмент пацієнтів із цукровим діабетом 1-го і 2-го типів ...unclassified

Management of type 1 type 2 diabetes mellitus in conditions of armed conflict

Mykytyuk

Караченцев

2022

Mìžnarodnij endokrinologìčnij žurnal

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Humanitarian crises caused by armed conflict are constantly growing and present a serious global problem for health systems. The war in Ukraine produced about 4.8 million Ukrainians seeking temporary protection abroad, and about 10 million received the status of an internally displaced person. The situation in Ukraine has been described as potentially the largest migration crisis in Europe in the last century. As humanitarian crises become widespread and prolonged, chronic diseases such as diabetes mellitus (DM) are becoming increasingly important. Food security, limited access to medical facilities and medicines, and economic difficulties are just some of the many difficulties faced by patients with DM in armed conflict. The experience of the functioning of the health care system in conditions of armed conflict, on the example of other countries, shows that in the short term, the priority should be to ensure the continuity of insulin therapy and access to basic oral sugar-lowering agents and educational programs for patients on self-control of the disease with an emphasis on recognizing the symptoms of hypoglycemia, diabetic ketoacidosis, and dehydration; in the long term — ensuring access to high-quality medical care and medicines, training of local and international providers of medical services for the diagnosis and treatment of DM and its acute complications and the development of clinical guidance on the management of patients in these conditions. Humanitarian crises in the world have become more protracted, and therefore health workers must go beyond direct basic primary care and address the long-term health consequences of those affected. Further research is needed to be aimed at improving the quality of medical care for patients with DM in the context of the humanitarian crisis caused by the armed conflict, there is a need to develop simplified, cost-effective models of monitoring the condition of patients, the quality of medical care and the availability of medicines to patients in this category.

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“…All available means and forms of exercise therapy should be used in the system of motor activity of a patient with stage I hypertension, taking into account the use of certain methodological guidelines and rules (Shalimova, 2022;Krivenko et al, 2021). An important problem is the development of a comprehensive program of physical rehabilitation for this category of patients (Maksymenko et al, 2020;Schenström, Rönnberg, Bodlund, 2006), the need for a deeper study of the pedagogical basis for the use of physical exercises in rehabilitation treatment in stressful conditions in Ukraine especially (Awuah et al, 2022).…”

Section: Introductionmentioning

confidence: 99%

Complex Physical Rehabilitation of Women of Reproductive Age with Stage I Hypertensive Heart Disease

Stratiy

Sychova

Kachailo

et al. 2023

Teor. metod. fiz. vihov.

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Background. Hypertensive heart disease (HD) is a chronic abnormality that affects various systems of the body and is especially unfavorable for women of reproductive age. The purpose of the study was to develop a comprehensive program of physical rehabilitation for young women suffering with stage I hypertensive heart disease at the outpatient stage of rehabilitation and evaluate its effectiveness. Materials and methods. 42 young women with a diagnosis of HD were randomly divided into two groups: one performing traditional physical rehabilitation (control group) and the other following a method based on the Pilates system. Questionnaire, Martinet-Kushelevsky test, modified Romberg test, and Deshin test were performed. Results. Questionnaire and examination for determination of therapeutic tasks in the application of physical rehabilitation show improvement due to the use of the suggested methodology. Indicators of Martinet-Kushelevsky test improved from 2.46 points to 5.48 points (p<0.01) which is better (p<0.05) than in the case of the traditional methodology where they changed from 2.44 to 4.61 (p<0.01). Kotov-Deshin test results show improvement in both groups evenly but the test results of the women of the main group improved from “unsatisfactory” to “good”, and those of the women of the control group improved from “unsatisfactory” to “satisfactory” with significantly better results in the main group (p<0.05). Distribution of the Romberg test results show improvement of vestibular stability in all participants of the main group. Conclusions. The proposed program of complex physical rehabilitation of patients with stage I hypertensive heart disease using the Pilates method proved to be effective. Due to this program, there was a significant decrease in heart rate, systolic and diastolic pressure, an improvement in the response of the cardiovascular system to the Martinet-Kushelevsky functional test as well as in the state of the respiratory and nervous systems, as evidenced primarily by the indicators of hypoxic tests, spirometry, clino- and orthostatic tests, with the Romberg and Deshin methods.

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Inside the Ukraine war: health and humanity

Cited by 17 publications

References 6 publications

Craniomaxillofacial trauma in war‐torn nations: Incidence, management gaps, and recommendations

Craniomaxillofacial trauma in war‐torn nations: Incidence, management gaps, and recommendations

Management of type 1 type 2 diabetes mellitus in conditions of armed conflict

Complex Physical Rehabilitation of Women of Reproductive Age with Stage I Hypertensive Heart Disease

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