Impact MSF USAIn many places, Doctors Without BordersMdecins Sans Frontires MSF is able to have an impact beyond its immediate activities, reaching populations or pioneering the use of practices in ways that have far reaching and lasting consequences. The following case studies, which document instances in which MSFs medical work did indeed have an impact beyond the moment, are adapted from MSF USAs 2. Annual Report A Burn Unit in Port au Prince. MSF has been working in Haiti since 1. Through it all, MSF teams have tended to patients, assisted in births, and provided access to medical care for hundreds of thousands of Haitians who otherwise would have gone without. Get-to-Know-Someone-Better-Step-1-Version-2.jpg/aid1385166-v4-728px-Get-to-Know-Someone-Better-Step-1-Version-2.jpg' alt='30 Activities For Getting Better At Getting Along With Difficult' title='30 Activities For Getting Better At Getting Along With Difficult' />Among them have been innumerable people suffering from burn injuries, many of them linked to cramped living conditions. The dangers of burns also increased after the 2. Port au Prince. More than 3. How to Sleep Better Simple Steps to Getting a Good Nights Sleep. Espaol. Sleeping well directly affects your mental and physical health and the quality of your. Seeing the high mortality rates and overall damage caused by these types of injuries, MSF incorporated major burn treatment into its programs. Before the earthquake, teams at MSFs Trinit Hospital had been caring for burn victims, but last year, MSF went further and opened the first dedicated burn unit in the country, in the 1. Drouillard Hospital MSF built to replace Trinit, which was damaged by the earthquake, in the Cit Soleil neighborhood. In 2. 01. 2, staff at the Drouillard burn unit treated 4. Port au Prince are far from solved, they will likely remain busy in the year ahead. Unfortunately, the unit is always full, says Dr. Guyguy Manangama. On average, we receive more than one new admission every day. The program draws on MSFs experience in Haiti and on collaboration with other specialist hospitals, Dr. Manangama notes MSF has developed expertise in burn treatment over the last 1. Edouard Herriot Hospital in Lyon, France. The care doesnt happen in a vacuum, either. Drouillard offers a range of complementary treatments for burn patients. The emergency, surgery, physical therapy, and mental health departments work closely with the burn unit, doing all they can to speed care and recoverymarshaling everything thats been learned during past work in Haiti in order to treat the patients of the present and the future. Surgery in War Zones. Themed books and activities to inspire active learning all year long. Soon after Syria descended into all out war between the national army and an array of opposition groups, the countrys once capable health system completely collapsed. Medical structures were targeted and destroyed, health care workers threatened or killedall at a time when people whod been shot or injured in bombing or missile attacks desperately needed surgery and trauma care. Treating war injuries is never easy, but the situation in Syria has been particularly challenging. At first, MSF provided medical supplies to networks of doctors already in the country while trying to lay the groundwork to eventually provide direct care to victims of the war. With the government in Damascus refusing to grant MSF or most other NGOs access to the country, however, our teams were forced to work clandestinely. MSF set up its first ad hoc hospital facility in a house in an opposition held area in northern Syria. Thereafter, teams set up other hospitals in northern Syria where it was possible and safe to do so, including one in a cave. Activities For Getting Better At Getting Along With Difficult' title='30 Activities For Getting Better At Getting Along With Difficult' />Despite the challenges, MSF performed more than 1,0. Syria in 2. 01. 2 and many more in 2. The work has been specific to the context in Syria, but its also an extension of the surgical care MSF has delivered in war zones and other extreme circumstancesthe Lebanese Civil War of the 1. Soviet Afghan conflict and the Afghan civil war that followed, or, more recently, in Port Harcourt, Nigeria, where MSF surgeons pioneered the use of internal fixation for orthopedic care in settings with limited resources, and in post earthquake Haiti. Staff still must adapt to their surroundings and the limitations they present. When youre faced with casualties, the surgery is fairly straightforward, said MSF surgeon Paul Mc. Master, who worked in Syria and had previously worked in Sri Lanka, Haiti, and other emergencies. You do whats called damage limitation, surgery to stop hemorrhages, and deal with damaged internal organs. The difficulty came when we moved to the reconstructive phasethings like physiotherapy and rehabilitation and more complex orthopedicsthis was work we just couldnt do in a cave. Having encountered similar issues in the past, MSF had some sense of how to respond when war convulsed Syria. Additionally, when possible, patients requiring major reconstructive surgery followed by extensive physiotherapy were sent to MSFs program in Amman, Jordan, which was opened in 2. Iraq during a time when it was too dangerous to work inside the country itself. The hospital now serves people from across the greater Middle East who need more advanced care than they can get in their home countries. It also testifies to what MSF has learned over time reaching people in conflict areas requires persistence, creativity, and a willingness to be flexible within the confines of war. A Medical Mystery in Nigeria. In 2. 01. 0, MSF doctors and nurses responded to outbreaks of measles and meningitis in northern Nigeria by traveling across vast landscapes, visiting remote villages to provide treatment and vaccines. Linux For Dummies 1St Ed Credit. Along the way, team members heard a disturbing rumor in the village of Yargalma in Zamfara State, a settlement of only 2,0. An MSF team sent to investigate arrived to find six children at the local health dispensary suffering from high fevers and seizures. When we see a child with these symptoms, we first think of infection, recalled MSF nurse Kaci Hickox, who was part of the team. Malaria is always present in this part of the world. Meningitis also affects the brain and can cause fevers and seizures. Every symptomatic child was given treatment for severe malaria and meningitis, which seemed like plausible diagnoses, but they didnt get better. Something else was responsible for the sickness. It was known that gold mining was taking place in the village, but the picture didnt become clear until MSF logistician Frank Peters started asking questions. He saw women breaking stones, their babies on their backs, Hickox said. He was shown machines used to grind down rocks, sending fine dust far and wide. He realized that a heavy metal such as lead, arsenic, or mercury was probably getting released as well. Samples were sent to Europe for testing. Results confirmed the theory the children were suffering from severe lead poisoning. It wasnt just Yargalma. In total, an estimated 4. Zamfara State died as a result of lead poisoning associated with gold mining. Through late 2. 01. MSF had treated more than 2,0. In addition, MSF worked with experts from the World Health Organization and the US based Centers for Disease Control to define new protocols for chelation therapy in situations with such widespread lead poisoning none had previously existed. Some unsafe mining practices continue, however, and the Nigerian governments promise to fund further clean ups went too long unfulfilled. MSF therefore launched a public advocacy campaign designed to spur the government to devote the necessary resources to remediate the problem. At any time, MSF is ready and willing to treat those who need careto finish a job that started when teams on the ground chased down a rumor and figured out how they could help. Small Steps, Big Impact in Battle Against Maternal Mortality. Ahhhh bedtime. Peaceful. Quiet. The perfect time for parents to relax, recharge and reconnect with each other. After the kids have smiled their last sleepy smile you close the door and drift downstairs ready to let the adult time begin. Doesnt that bedtime routine sound fabulous and well UNREALISTIC I would have agreed until about 6 months ago. I was in search of a way to fix our bedtime woes. Awesome update This bedtime routine has now been working for us for 4 years. I couldnt be happier. I hope you will find the same success getting the kids to go to bed and making bedtime a wonderful experience for everyone. The Bedtime Battle when I was NOT getting the kids to go to bedM and M had become out of control at bedtime. Begging for one more drink, yelling for me or at each other, crying for me to stay in the room. It was awful and of course I made terrible parenting choices. I was so, so exhausted by that point in the evening that I was doing things I dont even consider during the day. Bribery, bending um breaking set rules, yelling ick, and worst of all letting guilt sway my parenting choices. I just kept picturing their dreams being filled with my angry exhausted frustrated face since that was the last thing they had seen. So I would go soft and let them get away with anything. It got to the point where Hubs had to put them to bed for me I had lost ALL credibility at bedtime. A Better Bedtime Routine getting the kids to go to bed. I came across a bedtime routine while reading Parenting With Love And Logic that sounded so crazy I had to read it three times before deciding to put it into action. Affiliate link. Let the kids decide when to go to sleep. My brain was spinning. WHAT We would be nuts to consider itNo way, no way NO WAY Hmmmm. Trying it out couldnt hurt. Why not were mostly nuts anyway. So we set a plan decided on the boundaries and braced ourselves for a very long night. We had the kids prepped for sleep by 7 0. Teeth brushed, jammies on, stories read. Then we let them in on the rules for the evening. We told them very honestly that we had enjoyed spending the day with them but now we needed some adult time. They were welcome to stay awake, but they were to play quietly in their room. We would know they were ready for bed when they came out of their room. The hidden meaning there is that they can only come out once  We told them to enjoy their rest and then walked down the stairs. Would you believe they played quietly for 1 hour and then ASKED to go to bed You read that right they actually said Im tired. I want to go to sleep. It worked It worked It worked Best part is its still working. After 6 months it is still working. I love awesome parenting tricks that are so easy to execute Extra Tips for this bedtime routine In the beginning we were really strict although kind, patient and calm about the once out straight to sleep rule. There were NO exceptions. After a month or so we were able to be a bit more flexible. Sometimes Big M will have a Lego structure to show us and we can look then send him back up with no problem. It will be easy to go back to being strict if coming out becomes a problem though. Rowdy play, fighting or just plain being loud are grounds for sleep time. M and M have rarely been ready for bed past 8. If you have a real set time that you want your little ones off to dreamland the transition should be easy. Just guide them into bed with a kiss and hug. I bet they wont even notice it wasnt their choice after quietly playing for so long. I know how scary and challenging the first night of this bedtime routine can be. Ive read the comments So to make things a little easier, Ive created a first night survival guide. Ready for bedtime Let me know if this bedtime routine works for you too Its working Here are some great experiences from the comment section Larissa says Weve used this concept with our children and the great part about doing it with your first, and then subsequently having more childrenthey learn the process off the older one. So the battle we had with our first at around 2yrs old, wasnt even an issue when we had our second child. She just saw what her big brother was doing they share a room and we had no battle with her. We have three children now, and when the baby is old enough to move in with her sister, same thing wonderful bedtimes. I always feel for the parents that have to stay with their child until they fall asleep. My alone time is so precious starting at 7 3. I dont know what kind of a mother Id be without it Kat says  my sons 2 12 now and ive been doing this since he was around 1. Lydia says THANK YOU My husband insisted I write and thank you We have been doing this with our children for about a month. I was a little skeptical at first but it has proven effective. I have 2 boys 5 3 and one girl 2. I am expecting my fourth in 2 weeks and have very little patience at the end of the day. We tried this after a particularly taxing day and are amazed how well it is working. We would sit in our boys room until they were asleep, then they would come into our room in the middle of the night because they were scared. The first night was a dreamThey went into their room at 7 and didnt come out until they were ready to go to bed. We have family close by so some nights we are out later than bedtime. However, when we are at home, they understand the process and jump right back into our bedtime routine. My boys are sleeping better than ever and I am getting some much needed talk time with my husband after the kids go to bed and am much more patient with them. We dont yell at them as they are going to bed anymore. Our daughter has been a good sleeper from the beginning but she is also still in her crib in her own room. We will do this with her when she moves into a big girl bed so hopefully that transition will be a little easier. A better bedtime routine getting kids to go to bed was post originally appeared  March 1.