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Biomedical subjects

K Solheim

Publications and source records attributed to K Solheim.

At least 19 recordsLinked to original sources
PubMed2005

Patterns of community relationship: nurses, non-governmental organizations and internally displaced persons.

BACKGROUND: Internally displaced persons (IDPs) are one of the largest at-risk populations in the world. Nurses provide health services to IDPs as staff of non-governmental organizations (NGO). IDPs are also employed to deliver NGO services. The way that NGOs and field staff (nurses and others) interact with employed IDPs can enhance or diminish IDP quality of life. AIM: This report describes patterns of relationships in a community formed by an American NGO, its field staff and IDPs as they worked together in a refugee camp at the Thai-Cambodian border over 13 years. METHODS: This qualitative case study describes relational patterns from the NGO perspective. Content analysis was used to process data from in-depth interviews with organizational leaders (n = 4) and organizational documents (n = 234). FINDINGS: A health care training and service mission, carried out between an NGO, its field staff and IDPs, was based on a philosophy that turned programme activity and authority over to IDP staff. Over 400 IDPs, assisted by 235 field staff, delivered effective health care to 85,000 people over 13 years. CONCLUSIONS: Work-centred relationships between NGOs, field staff and IDPs are significant; they can be consciously created to promote effective, autonomous IDP management of health care.

Cambodia↗
PubMed1999

Faculty and student cross-cultural learning through teaching health promotion in the community.

Cross-cultural learning for nursing students and faculty increased through a collaborative venture of teaching health promotion classes in a Hmong community. Through the learning process, nursing students and faculty learned about Hmong culture, and Hmong participants learned about health. The purpose of this article is to describe the process and evaluation of health promotion classes in a Hmong community.

Community Health Nursing↗
PubMed1998

[When children fall].

Second only to traffic accidents, accidental falling is the most significant cause of death in children. Included in this category is a special group of accidents--falling from a height--where preventative measures would give good results. Cases of child abuse have also been found in this group. From 1989 to 1994 64 children, 19 girls and 45 boys, were treated in our surgical department after accidental falls. There were 99 injuries in all, most of them caused by falls from heights less than 2.5 m. Only two children suffered penetrating injuries. Two of the 64 children died from cerebral injuries after falling from great heights. One child died from heart tamponade, caused by rupture of the right auricle after falling down a steep staircase. One child survived a fall from a great height despite multiple injuries. In such cases, treatment is dependent on a multiple trauma team being available on a 24-hour basis. Measures to prevent falls in the home, as well as in children's playgrounds and in kindergartens are not only very important, but also easy to apply. Suspicion of child abuse must be raised where unusual injuries are observed in children who have reportedly fallen from low heights.

Accidental Falls↗
PubMed1997

[Violence].

Explore the source record for details and available documents.

Humans↗
PubMed1997

Diaphragmatic injuries.

A 6-year series of 26 patients with diaphragmatic injury is presented, 15 with rupture from blunt injuries and 11 after penetrating injuries. All had associated injuries and seven died because of these. The diagnosis may be difficult and was consequently delayed in two patients. Eleven ruptured diaphragms were diagnosed before operation, 14 on the operating table and one at autopsy (dead on arrival). Herniation of abdominal organs was seen in nine of 15 patients after blunt injuries. In most patients repair was via laparotomy using absorbable sutures. It is still essential that the surgeon should be aware of the possibility of the diagnosis and the associated severe injuries.

Accidents, Traffic↗
PubMed1997

Routine ultrasonography in the diagnosis of acute appendicitis: a valuable tool in daily practice?

Initial clinical examination, laboratory inflammation parameters, and routine ultrasonography (US) were evaluated prospectively in 205 patients admitted for suspected acute appendicitis. The purpose of the study was to compare initial clinical examination and laboratory tests with the accuracy of US obtained in daily practice. All ultrasonographic examinations were performed by residents in radiology and radiologists qualified for routine abdominal US but not specifically trained in the diagnostics of appendicitis. Initial clinical examination had the highest sensitivity, but the specificity was poor. The single laboratory tests were of limited value in predicting appendicitis. The accuracy of US was disappointing, and the reported promising results of previous studies were not confirmed. Sonographers with less experience had a higher sensitivity but a poorer specificity compared with more experienced sonographers, who had a high specificity at the cost of extremely poor sensitivity. Biases, dichotomization problems, and factors influencing the accuracy of US in patients with suspected acute appendicitis are discussed.

Acute Disease↗