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They are mostly women and children, and 40 of them are under five years old. Exhausted and traumatized by their displacement, they need basic health care, food, shelter and water and sanitation equipment. Talking to a qualified professional allows each person to express their feelings and points of view, but also to listen to the feelings and point of view of the other. In the first sessions, the therapist asks specific questions that help define the situation and set objectives between the therapist and the couple. Each of the components of the couple has вtheir truthв and вtheir version. в Throughout the treatment, the therapist will help, with his verbal interventions, to bring these two вtruthsв closer together so that each one can tune in to the вtruthв difusil the other. Obviously, each of the two will have to make changes in her behavior, so microvibrate both points of view come closer.
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PD cases identified through August 31, 2012 were retrospectively adjudicated using multiple data sources. Finally, multivariable Cox models were used to estimate hazard ratios HR and 95 confidence intervals CI. The present study contributes to the existing literature, which demonstrates that regular consumption of sugary drinks is associated with a higher prevalence of fatty liver disease, order difusil online in overweight and obese people. However, discussions with migrants in transit and other members of humanitarian organizations revealed the urgent need for a mental health program. Many people who have crossed the border have witnessed or experienced varying levels and forms of violence in Libya. They are now waiting to return to difusil country and live in uncertainty about their near future, which constitutes an additional stressor. This is why we decided to launch a mental health program which allows us to provide psychological consultations for patients referred to us by doctors at the border post.
It was extremely stressful. We had to sort through the patients who were pouring in between those who had a chance of surviving and the others while taking care of those who had to be operated on and those who were leaving the operating room. And there were patients that we could have been saved in our countries of origin, in calmer conditions. But faced with such an influx of victims, when you have to take care of so many wounded at the same time, it is unfortunately not always possible. It was a very difficult situation. Today we accompanied a dying child. Examel had been hit by a speeding motorcycle which split his skull. We have done everything we can, but there are always limits. Finally, we are also working on improving the data management system. Indeed, the existing system does not make it possible to obtain very important activity indicators, such difusil for example the rate of patients who continue to follow their treatment correctly.
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On days when there was fighting, and therefore a potential influx of wounded, the city was more dangerous and staff could not leave their homes to come to work. We then managed with the MSF expatriates and the few Central Africans who stayed to sleep in the hospital. These busiest days were generally the days when we had the fewest human resources available. MSF teams are present in several hospitals in Abidjan and provide aid to health centers.