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全球健康:儿科神经病学

Global Health: Pediatric Neurology.

作者信息

Bearden David R, Ciccone Ornella, Patel Archana A

机构信息

Division of Child Neurology, Department of Neurology, University of Rochester School of Medicine, Rochester, New York.

Department of Pediatrics, Arthur Davison Children's Hospital, Ndola, Zambia.

出版信息

Semin Neurol. 2018 Apr;38(2):200-207. doi: 10.1055/s-0038-1649336. Epub 2018 May 23.

Abstract

Neurologic disorders contribute significantly to both morbidity and mortality among children in resource-limited settings, but there are a few succinct studies summarizing the epidemiology of neurologic disorders in these settings. A review of available literature was performed to identify data on the prevalence, etiology, outcomes, and treatment of neurologic disorders in children in resource-limited settings. The burden of neurologic disorders in children is high in resource-limited settings. Barriers to optimal care include lack of trained personnel, limited access to diagnostic technology, and limited availability of drugs used to treat common conditions. Several solutions have been suggested to deal with these challenges including increased collaborations to train neurologists willing to practice in resource-limited settings and increased training of physician extenders or community health workers. Further studies are necessary to improve our understanding of the epidemiology of neurologic disorders in resource-limited settings. Future epidemiologic studies should incorporate multiple countries in resource-limited settings and utilize standardized definitions and methodologies to enable comparison across regions.

摘要

在资源有限的环境中,神经系统疾病对儿童的发病率和死亡率有重大影响,但很少有简明扼要的研究总结这些环境中神经系统疾病的流行病学情况。我们对现有文献进行了综述,以确定资源有限环境中儿童神经系统疾病的患病率、病因、结局和治疗方面的数据。在资源有限的环境中,儿童神经系统疾病的负担很重。最佳护理的障碍包括缺乏训练有素的人员、难以获得诊断技术以及用于治疗常见疾病的药物供应有限。已经提出了几种应对这些挑战的解决方案,包括加强合作以培训愿意在资源有限环境中执业的神经科医生,以及增加对医师助理或社区卫生工作者的培训。有必要进行进一步研究,以增进我们对资源有限环境中神经系统疾病流行病学的了解。未来的流行病学研究应纳入多个资源有限环境中的国家,并采用标准化的定义和方法,以便能够跨地区进行比较。

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