202 FACTORS AFFECTING COMPLIANCE IN THE TREATMENT OF CONGENITAL CLUBFOOT: THE UGANDA CLUBFOOT PROJECT.
Notice bibliographique
Résumé
<h3></h3> Clubfoot is a congenital deformity that affects approximately 1 in 1,000 live births per year worldwide. Neglected clubfoot can have a dramatic effect on quality of life, especially in developing countries in which economic survival and commmunity role may be highly dependent on physical ability. In 1999, a national awareness and treatment program for clubfoot was established in Uganda. Over 200 children were initially treated with the Ponseti Method, but despite excellent results, approximately 40% of children failed to complete the Phase 1 treatment. In this study, factors affecting this poor compliance were examined. Using the records at Mulago Hospital and Katalemwa Rehabilitation Home, patients who had previously or were currently being treated for congenital clubfoot were identified. Patients who had been born within the last 3 years with uncomplicated non-syndromic congenital clubfoot were considered for the study. Attempting to classify the patients as compliant or non-compliant was difficult as records in Uganda are extremely scarce and rarely accurate. However, with the aid of Ugandan social workers and orthopedic officers, we were able to identify over 40 patients for the study. A simple survey investigating demographic, socioeconomic, and cultural factors was completed. Patients who were not compliant with treatment were located in their villages around southern Uganda. There were many obstacles in tracing these patients because of poor records, patients relocating to different villages, and lack of roads and addresses. We were able to locate and complete the survey with 10 patients who had not complied with treatment. Preliminary results identified predominant factors such as inabiltiy to pay for transportation to the hospital, women relocating to different villages, and lack of support from the patient9s father. These results will help future development projects target specific socioeconomic and cultural issues to improve compliance with the treatment of clubfoot.
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Prédiction distillée sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Apprise à partir de 10 348 étiquettes directes de Codex et de 10 348 étiquettes directes de Gemma. Le mode candidate est l'union des têtes enseignantes seuillées; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont ni des étiquettes humaines ni des étiquettes directes de modèles de pointe.
Scores Codex et Gemma par catégorie
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,001 | 0,000 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,001 | 0,000 |
| Bibliométrie | 0,000 | 0,000 |
| Études des sciences et des technologies | 0,000 | 0,001 |
| Communication savante | 0,000 | 0,000 |
| Science ouverte | 0,000 | 0,000 |
| Intégrité de la recherche | 0,000 | 0,000 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,000 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule tête enseignante, pas un consensus.
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