British Journal of Healthcare and Medical Research

Endoscopy is a Resource With Diagnostic/Therapeutic Power

Aldebharán Avila Ríos — 2025-11-12

Introduction: endoscopy is in a unique position at the interface between various medical and surgical disciplines. Endoscopy is a medical procedure that allows the interior of the entire gastrointestinal tract to be visualized by means of an instrument, among other organs and/or systems of the human body. Objective: To carry out art history based on an exhaustive search of the national and international medical literature on endoscopy in the medical field. Discussion: endoscopic studies have evolved the form of better diagnosis, in prevention, or as a screening, for an early cure, for a timely treatment or, failing that, in a palliation in the prognosis of patients in symptomatologic scenarios, to a degree as specific or even surprising. From procedures where only observation is performed to specialized surgical treatments with effective, decisive techniques and in a multi-application environment. Conclusions: endoscopy is currently a resource that has evolved by leaps and bounds due to abrupt and constant technological progress, allowing its application in such a varied way in the medical and/or surgical field, with the aim of a diagnostic/therapeutic approach, which benefits patients in their health exponentially, facilitates medical work and reduces costs exorbitantly.

Exploring the Challenges of Senior Midwives in Providing Mentorship to Pre-service Student Midwives at Women and Newborn Hospital, University Teaching Hospital, Lusaka, Zambia

Miyanda-Mwiinga Betty — 2025-11-09

The aim of this study was to explore the barriers and strategies experienced by senior midwives in mentoring pre-service student midwives during clinical placements at the Women and Newborn Hospital within the University Teaching Hospital in Zambia. An existential phenomenological design was used. Data were collectively engaged in employment when analyzing the qualitative data obtained from the interviews and focus group discussions. Senior midwives reported multiple barriers to mentorship, including overwhelming student numbers, short clinical rotations, staff and resource attitudes, inconsistent use of supervision manuals, limited time for feedback, and overcrowded clinical spaces. Patient care responsibilities were frequently prioritized over mentorship, limiting opportunities for guided learning. Despite these challenges, midwives employed adaptive strategies such as improvising with limited resources, encouraging students to bring their own equipment, and mentoring during less busy shifts. This study underscores the importance of addressing barriers and innovating current strategies in daily nursing midwives' routines. The key results highlight the need to create a sustainable, continuous mentoring process. Further research should focus on developing frameworks to improve mentoring for senior midwives.

Colon Fistula: A Conditioning Treatment

Carlos Alberto Martínez Cordero — 2025-11-09

Introduction: colon or rectal fistula is a medical/surgical challenge that, with precedents and resilience, is presented as a complication of another real cause and fistula is defined as the path in abnormal communication between one epithelium and another. Objective: to present the experience of seven years in diagnosis and treatment in four hospitals in Mexico City. Method: this is a study with a multicenter, retrospective, longitudinal, observational and descriptive design. In the Colon and Rectal Surgery services, as well as General Surgery of the second and third level of health care. Results: from 118 records, a total of 46 patients with colon fistula were chosen, of which 17 were male (36.95 %) and 29 were female (63.04 %). With an age range of 21 to 82 years, with an average of 61 years and a bimodal value of 33 and 64 years. Its etiology was diverse, but its presentation was documented as entero-cutaneous, entero-bladder, entero-vaginal, entero-uterine, entero-enteric fistulas. Discussion: the diagnosis of colon fistula is made with a complete medical history, which is mostly clinically evident with the classic triad. The gold standard for confirming a diagnosis of acute diverticulitis and evaluating complications is CT scan with contrast of the abdomen; the treatment alternatives for colon fistulas to another organ varies according to the case, the clinical conditions and/or their prognosis of cure according to the Chapman and Sheldon stages; successful conservative management or treatment in hemodynamically stable patients, offering less invasive alternatives in selected clinical scenarios, or even fecal transplants in patients with complicated diverticulitis; however, surgical intervention remains the definitive treatment for symptomatic or complicated fistulas. Conclusions: regarding the treatment of colon fistulas, this will be conditioned according to each patient, by the hemodynamic conditions, the etiology, the characteristics of nutrition/infection and of course the surgeon's expertise, as well as the infrastructure of the installed capacity that is available.

Is it a Wasp or is it a Wasp? The Human Cost of Algorithmic Decision-Making: Why Connection and Judgement Matter

Wendy Thomson — 2025-11-11

Traumatic Birth and Chronology of Losses

Faida Barazi — 2025-11-12

This study examines the impact of traumatic birth experiences on parents of children with cerebral palsy. Background: Traumatic births affect 9-45% of women, potentially causing significant psychological consequences. Objectives: To investigate the losses experienced by parents following traumatic deliveries and their impact on family dynamics and identity. Methods: Twenty-four parents (21 mothers, 3 fathers) from diverse backgrounds in northern Israel participated in qualitative interviews analyzed through thematic and narrative approaches. Results: Six domains of loss emerged: idealized birth experience, autonomy during labor, initial bonding, normative family structure, financial stability, and health security. Parents experienced profound identity disruption while navigating between idealized expectations and the reality of raising a child with special needs. Conclusions: Traumatic births create a domino effect that necessitates reconstruction of family life and self-perception. These findings highlight the need for comprehensive support systems for affected families, addressing both immediate and long-term consequences of traumatic birth experiences.