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Báo cáo y học: "Survivors of war in the Northern Kosovo (II): baseline clinical and functional assessment and lasting effects on the health of a vulnerable population"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Critical Care giúp cho các bạn có thêm kiến thức về ngành y học đề tài: Survivors of war in the Northern Kosovo (II): baseline clinical and functional assessment and lasting effects on the health of a vulnerable population. | Wang et al. Conflict and Health 2010 4 16 http www.conflictandhealth.eom content 4 1 16 I CONFLICT AND HEALTH RESEARCH Open Access Survivors of war in the Northern Kosovo II baseline clinical and functional assessment and lasting effects on the health of a vulnerable population 1 2 2 3 1 Shr-Jie Wang Sebahate Pacolli Feride Rushiti Berina Rexhaj Jens Modvig Abstract Background This study documents torture and injury experience and investigates emotional well-being of victims of massive violence identified during a household survey in Mitrovice district in Kosovo. Their physical health indicators such as body mass index BMI handgrip strength and standing balance were also measured. A further aim is to suggest approaches for developing and monitoring rehabilitation programmes. Methods A detailed assessment was carried out on 63 male and 62 female victims. Interviews and physical examination provided information about traumatic exposure injuries and intensity and frequency of pain. Emotional well-being was assessed using the WHO-5 Well-Being score. Height weight handgrip strength and standing balance performance were measured. Results Around 50 of victims had experienced at least two types of torture methods and reported at least two injury locations 70 had moderate or severe pain and 92 reported constant or periodic pain within the previous two weeks. Only 10 of the victims were in paid employment. Nearly 90 of victims had experienced at least four types of emotional disturbances within the previous two weeks and many had low scores for emotional wellbeing. This was found to be associated with severe pain higher exposure to violence and human rights violations and with a low educational level unemployment and the absence of political or social involvement. Over two thirds of victims were overweight or obese. They showed marked decline in handgrip strength and only 19 victims managed to maintain standing balance. Those who were employed or had a higher education level