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克什米尔山谷儿童品牌案件概况。

A profile of child branding cases in Kashmir valley.

作者信息

Rashid Arsalaan F, Ahmed Kaiser, Noor Farida

机构信息

Department of Forensic Medicine, Government Medical College, Srinagar, J & K, India.

Department of Pediatrics, Govt. Medical College, Srinagar, J & K, India.

出版信息

J Forensic Leg Med. 2017 Jul;49:50-53. doi: 10.1016/j.jflm.2017.05.001. Epub 2017 May 4.

Abstract

The article deals with child branding cases that were researched over a period of two years. Child branding practice is a common occurrence in the rural areas of the Kashmir valley where it is often practiced by faith healers [quacks] having no knowledge of underlying disease processes or the possible differentials of the same; leaving treatment protocols a distant possibility for the same. These illiterate so called healers possibly relieve the initial stigmata of the disease process that is pain by many procedures including burning the affected population with hot coals; embers; and various other pain inducing processes. In this way cutting a painful condition by stimulating another painful condition by possible intervention of body's "pain gating mechanisms" bring a somewhat temporary relief to the sufferer. This undiagnosed and mistreated underlying disease condition meanwhile continues to linger on with increasing severity often causing morbid relapses and ultimately resulting in a highly mortal course when the patient is actually brought for tertiary hospitalization. The present study aims to establish a pattern between child branding and its medical; social and economic correlations .Among these correlations the study will focus on disease related morbidity and mortality; role of community based faith healers ["quacks"]; poverty and illiteracy. The study will also reveal how bits and pieces of scientific information have been used to misdiagnose and mistreat a significant population belonging to pediatric age group. It will further try to evaluate the role of "pain gating" mechanisms as a means of pain relief and the partial success in motivating a significant population by these healers to be part of such practices. A positive outcome of this study is educating a significant part of affected population to shun such practices and follow proper treatment regimens.

摘要

本文论述了在两年时间里对儿童烙印案例的研究。儿童烙印行为在克什米尔山谷的农村地区很常见,通常由对潜在疾病过程或相同疾病可能的鉴别诊断一无所知的信仰治疗师(庸医)实施;因此根本不存在治疗方案。这些所谓的文盲治疗师可能通过包括用热煤、余烬灼烧患病者以及各种其他引发疼痛的过程等多种方法,缓解疾病过程最初的耻辱标记——疼痛。通过身体“疼痛闸门机制”的可能干预,用另一种疼痛状况刺激来减轻一种疼痛状况,从而给患者带来某种暂时的缓解。与此同时,这种未被诊断和治疗的潜在疾病状况持续存在且病情日益严重,常常导致病情复发,最终当患者实际被送往三级医院住院治疗时,会导致极高的死亡率。本研究旨在确立儿童烙印与其医学、社会和经济相关性之间的模式。在这些相关性中,研究将聚焦于与疾病相关的发病率和死亡率、基于社区的信仰治疗师(“庸医”)的作用、贫困和文盲。该研究还将揭示科学信息的片段是如何被用于对大量儿科年龄组人群进行误诊和误治的。它还将进一步尝试评估“疼痛闸门”机制作为一种缓解疼痛手段的作用,以及这些治疗师在促使大量人群参与此类行为方面取得的部分成功。这项研究的一个积极成果是教育很大一部分受影响人群摒弃此类行为并遵循适当的治疗方案。

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