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The prostheses that we use, of course, what we do have to be clear about is that they must be of the highest quality available on the market. In patients with chronic low back pain who have had an inadequate response to non-pharmacological therapy, the use of non-steroidal anti-inflammatory drugs should be considered as first-line treatment, or tramadol or duloxetine as second-line treatment. Clinicians should only consider opioids as an option in those who have failed the above approaches and only if the potential benefits outweigh the risks, and after discussion with patients. Grade weak recommendation, moderate quality evidence. Increase in cases of malnutrition. In other Somali regions, MSF teams have observed an increase in the number of children suffering from malnutrition.
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More and more people are coming to our structures, in particular thanks to a real improvement in local. But it is also a sign of confidence in our pioglitazona and our organization. In addition to these health structures, we also have community workers вhome visitorsв, who carry out door-to-door activities on a daily basis. We have also opened an operating theater in Bassikounou for life-saving surgical interventions, such as cesarean sections, accidents, etc. At the moment, MSF provides around 8,500 consultations per month, but we can reach 12,000 during the rainy season.