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The Indian journal of surgery · 2011

Proboscis lateralis of nose-a case report.

СтатьяНазвание и аннотация: Перевод пока не подготовлен
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Bousquet J Jean, Schünemann Holger J, Togias Alkis, Erhola Marina, Hellings Peter W, Zuberbier Torsten, Agache Ioana, Ansotegui Ignacio J, Anto Josep M, Bachert Claus, Becker Sven, Bedolla-Barajas Martin, Bewick Michael, Bosnic-Anticevich Sinthia, Bosse Isabelle, Boulet Louis P, Bourrez Jean Marc, Brusselle Guy, Chavannes Niels, Costa Elisio, Cruz Alvaro A, Czarlewski Wienczyslawa, Fokkens Wytske J, Fonseca Joao A, Gaga Mina, Haahtela Tari, Illario Maddalena, Klimek Ludger, Kuna Piotr, Kvedariene Violeta, Le L T T, Larenas-Linnemann Desiree, Laune Daniel, Lourenço Olga M, Menditto Enrica, Mullol Joaquin, Okamoto Yashitaka, Papadopoulos Nikos, Pham-Thi Nhân, Picard Robert, Pinnock Hilary, Roche Nicolas, Roller-Wirnsberger Regina E, Rolland Christine, Samolinski Boleslaw, Sheikh Aziz, Toppila-Salmi Sanna, Tsiligianni Ioanna, Valiulis Arunas, Valovirta Erkka, Vasankari Tuula, Ventura Maria-Teresa, Walker Samantha, Williams Sian, Akdis Cezmi A, Annesi-Maesano Isabella, Arnavielhe Sylvie, Basagana Xavier, Bateman Eric, Bedbrook Anna, Bennoor K S, Benveniste Samuel, Bergmann Karl C, Bialek Slawomir, Billo Nils, Bindslev-Jensen Carsten, Bjermer Leif, Blain Hubert, Bonini Mateo, Bonniaud Philippe, Bouchard Jacques, Briedis Vitalis, Brightling Christofer E, Brozek Jan, Buhl Roland, Buonaiuto Roland, Canonica Giorgo W, Cardona Victoria, Carriazo Ana M, Carr Warner, Cartier Christine, Casale Thomas, Cecchi Lorenzo, Cepeda Sarabia Alfonso M, Chkhartishvili Eka, Chu Derek K, Cingi Cemal, Colgan Elaine, de Sousa Jaime Correia, Courbis Anne Lise, Custovic Adnan, Cvetkosvki Biljana, D'Amato Gennaro, da Silva Jane, Dantas Carina, Dokic Dejand, Dauvilliers Yves, Dedeu Antoni, De Feo Giulia, Devillier Philippe, Di Capua Stefania, Dykewickz Marc, Dubakiene Ruta, Ebisawa Motohiro, El-Gamal Yaya, Eller Esben, Emuzyte Regina, Farrell John, Fink-Wagner Antjie, Fiocchi Alessandro, Fontaine Jean F, Gemicioğlu Bilun, Schmid-Grendelmeir Peter, Gamkrelidze Amiran, Garcia-Aymerich Judith, Gomez Maximiliano, González Diaz Sandra, Gotua Maia, Guldemond Nick A, Guzmán Maria-Antonieta, Hajjam Jawad, O'B Hourihane John, Humbert Marc, Iaccarino Guido, Ierodiakonou Despo, Illario Maddalena, Ivancevich Juan C, Joos Guy, Jung Ki-Suck, Jutel Marek, Kaidashev Igor, Kalayci Omer, Kardas Przemyslaw, Keil Thomas, Khaitov Mussa, Khaltaev Nikolai, Kleine-Tebbe Jorg, Kowalski Marek L, Kritikos Vicky, Kull Inger, Leonardini Lisa, Lieberman Philip, Lipworth Brian, Lodrup Carlsen Karin C, Loureiro Claudia C, Louis Renaud, Mair Alpana, Marien Gert, Mahboub Bassam, Malva Joao, Manning Patrick, De Manuel Keenoy Esteban, Marshall Gailen D, Masjedi Mohamed R, Maspero Jorge F, Mathieu-Dupas Eve, Matricardi Poalo M, Melén Eric, Melo-Gomes Elisabete, Meltzer Eli O, Menditto Enrica, Mercier Jacques, Miculinic Neven, Mihaltan Florin, Milenkovic Branislava, Moda Giuliana, Mogica-Martinez Maria-Dolores, Mohammad Yousser, Montefort Steve, Monti Ricardo, Morais-Almeida Mario, Mösges Ralf, Münter Lars, Muraro Antonella, Murray Ruth, Naclerio Robert, Napoli Luigi, Namazova-Baranova Leila, Neffen Hugo, Nekam Kristoff, Neou Angelo, Novellino Enrico, Nyembue Dieudonné, O'Hehir Robin, Ohta Ken, Okubo Kimi, Onorato Gabrielle, Ouedraogo Solange, Pali-Schöll Isabella, Palkonen Susanna, Panzner Peter, Park Hae-Sim, Pépin Jean-Louis, Pereira Ana-Maria, Pfaar Oliver, Paulino Ema, Phillips Jim, Picard Robert, Plavec Davor, Popov Ted A, Portejoie Fabienne, Price David, Prokopakis Emmanuel P, Pugin Benoit, Raciborski Filip, Rajabian-Söderlund Rojin, Reitsma Sietze, Rodo Xavier, Romano Antonino, Rosario Nelson, Rottem Menahenm, Ryan Dermot, Salimäki Johanna, Sanchez-Borges Mario M, Sisul Juan-Carlos, Solé Dirceu, Somekh David, Sooronbaev Talant, Sova Milan, Spranger Otto, Stellato Cristina, Stelmach Rafael, Suppli Ulrik Charlotte, Thibaudon Michel, To Teresa, Todo-Bom Ana, Tomazic Peter V, Valero Antonio A, Valenta Rudolph, Valentin-Rostan Marylin, van der Kleij Rianne, Vandenplas Olivier, Vezzani Giorgio, Viart Frédéric, Viegi Giovanni, Wallace Dana, Wagenmann Martin, Wang De Y, Waserman Susan, Wickman Magnus, Williams Dennis M, Wong Gary, Wroczynski Piotr, Yiallouros Panayiotis K, Yorgancioglu Arzu, Yusuf Osman M, Zar Heahter J, Zeng Stéphane, Zernotti Mario, Zhang Luo, Zhong Nan S, Zidarn Mihaela, ARIA Study Group, MASK Study Group

Аннотация

INTRODUCTION: People living in rural and remote areas have poorer health and more limited access to health services than those in urban areas. Adolescence, generally a period of optimum health, is fraught with risky health behaviours, increasing morbidity and mortality. Increasingly, mental health problems including depression, alcohol and drug use, suicide, self-harm, sexual health, inappropriate nutrition and physical activity are key areas of adolescent health concern in Queensland, Australia. To address the health and well being needs of young people the School Based Youth Health Nurse (SBYHN) Program was introduced into State high schools in Queensland in 1998. SBYHN responsibilities include individual consultations and health promotion within the high school environment. This study was undertaken to explore the referral role of SBYHN in provincial, rural and remote Queensland and to ascertain the availability of referral services.

METHOD: A self-report survey was posted to all SBYHN in Queensland. Forty-four (62%) nurses participated; 27 from provincial, 11 from rural and 6 from remote areas.

RESULTS: SBYHN consult with young people in provincial, rural and remote State high schools in the areas of psychological concerns, drug and alcohol concerns and/or abuse, family conflict and/or abuse, sexual and reproductive health, social and isolation concerns and nutritional advice. However, the frequency with which SBYHN reported themselves as an appropriate source for young people to seek assistance from varied from over 90% for areas such as sexual and nutritional advice to approximately 30% for areas such as physical abuse and drug and alcohol abuse. When required by the SBYHN, referral services were locally accessible to young people less than 50% of the time. Access to some referral services was reduced because some young people do not want parental involvement in their health and the service requires parental consent. When referral services were unavailable SBYHN used phone counselling, available generalists, supported and monitored the young people until a service was available, or they accepted this as an aspect of residing outside the metropolitan areas and did the best they could. Sometimes, when a young person was reluctant to attend a recommended service or there was a long wait for an appointment, SBYHN provided ongoing support while endeavouring to persuade attendance at the recommended service. Situations like these, experienced by at least half those studied, place SBYHN in the precarious position of practicing beyond their scope of practice.

CONCLUSIONS: Health problems during adolescence can be reduced by ensuring assistance and support are available for young people when and if they require it. Thorough confidential individual consultations are provided by SBYHN and young people are availing themselves of this service. SBYHN are practicing at an advanced level and need to be recognised as such. Additionally, the availability of services in rural and remote regions needs consideration. As rural youth are more vulnerable to a number of health concerns, it is imperative that services are available for them. The issue of parental consent remains a barrier to young people seeking health services and it may be timely for community debate on this issue.

ИП Урсолов Владлен Сергеевич

ИНН 500118482352 · ОГРНИП 314500117700049

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