Cancer et Nutrition

Plusieurs recherches durant les quarante dernières années ont montré l'incrimination de la nutrition dans la survenue de certains cancers (WCRF/AICR, 2007 in INCa, 2009). Il faut prendre en compte tant la composante 'apports nutritionnels' que la composante dépenses, en particulier la dépense énergétique liée à l'activité physique, afin de maintenir un équilibre entre les deux. La nutrition recouvre à la fois l'alimentation et l'activité physique, et fait partie des facteurs comportementaux sur lesquels il est possible d'agir pour accroître la prévention des cancers. Les données convaincantes sur les facteurs qui augmentent le risque de cancer concernent principalement le surpoids et l'obésité, la consommation de boissons alcoolisées et l'excès de viandes rouges ou de charcuteries (WCRF/ AICR, 2007 in INCa, 2009)

The Experience and Psychosocial Needs of Patients with Traumatic Fractures Treated for More than Six Months at Doctors on Call for Service Hospital; Goma; Democratic Republic of Congo

Trauma-related consultations; admissions and complications are the leading problems at Doctors on Call for Service (DOCS) Hospital; Goma; Democratic Republic of Congo; and yet no studies have been carried out to document the experience of long-stay traumatic-fracture patients in this hospital. Aim: The aim of this study was to explore the experience and psychosocial needs of patients with traumatic fractures treated for more than six months at DOCS Hospital. Methods: Six free-attitude interviews were conducted with purposively selected patients. The interviews were recorded with a tape recorder and transcribed verbatim; and content analysis was used to identify themes from the interviews. Results: All patients could clearly connect the injury experience to severe pain that lingered on for weeks or months for some patients; accompanied by other symptoms such as insomnia; poor appetite and psychological symptoms. Most patients felt disabled; were abandoned by relatives or friends and experienced financial problems. Some benefited from the injury by way of strengthened marital links. Some patients complained of poor information about their illness and the management plan and did not appreciate the treatment from caregivers; while some disclosed their needs and expectations and appreciated the caregivers who showed interest in them. Conclusions: The experience of long-term trauma has negative effects on the whole person of the patient; including his or her work and family; and some patients continue to suffer from the effects of the traumatic event up to six months later. The needs of patients suffering from trauma include reassurance by physicians and nurses; more information and participation in the decision-making process; regular visits from friends and family; and better bedside manners from caregivers

The State of Uganda's children : child Abuse in Uganda

This paper examines child abuse in Uganda as reported by two eng dailies in the period of one year 1998-1999.The findings from clinical materials collected from assessment forms of children reporting abuse at a counselling centre for abused children is also presented. Children aged 14 years and below are abused most with a peak of 12-14 year age bracket. Sexual abuse of girls was reported most frequently . Other abuses were emotional and physical abuse. A single child may suffer multiple forms of abuse. Ritual sacrifices of children is causing panic amongst care between the months of May 1999 and June 1999. Civil strife in Northern and Western Uganda has caused a lot of suffering in the two regions. Children have been abducted; turned into child soldiers or married off against their will. UNICEF reported 10;000 cases of child abduction in 1998. The complications of child abuse include abraions; and wounds that turn into scars and deformities. The extremes are brain damage; and or death. Psychological impact of child abuse was found to be the commonest. Depression; post-traumatic stress disorder (PTSD); anxietty disorders; behaviour disorder; learning disability and human developmental delays are others. Infections such as HIB/AIDS and pregnancy are common results of defilement. Lack of awareness and life skills have been identified as prevantable causes of child abuse. There is need to sensitise the public and educate children about human development; sexuality and life skills