{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,14]],"date-time":"2025-10-14T00:40:06Z","timestamp":1760402406966,"version":"build-2065373602"},"reference-count":25,"publisher":"MDPI AG","issue":"1","license":[{"start":{"date-parts":[[2020,1,10]],"date-time":"2020-01-10T00:00:00Z","timestamp":1578614400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"National Research Fund of Korea","award":["This study was supported by the National Research Fund of Korea (Grant No.: NRF-2019M2D2A1A01031560)."],"award-info":[{"award-number":["This study was supported by the National Research Fund of Korea (Grant No.: NRF-2019M2D2A1A01031560)."]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Medicina"],"abstract":"<jats:p>Background and Objectives: Medical volunteering seeks to meet the clinical needs of underserved areas, but has been criticized for difficulties in addressing local health issues and resultant lack of sustainability. Our team has visited rural Cambodia annually since 2012. This study reports the illnesses encountered during the recent mission and share our experiences to improve the efficiency of medical volunteering. Materials and Methods: Infrastructure, such as public electricity or water, was unavailable, hence most medical care and records were hand-performed. We categorized (1) primary diagnoses (chief complaints) by duration of symptoms, and (2) primary and secondary diagnoses (illnesses that were not related to the chief complaint) by severity of illness since patients commonly reported multiple symptoms. Blood pressure and anthropometric values were also checked and analyzed. Results: We encountered 317 adult and 141 pediatric patients. Among adults, 61.3% had persistent chronic (&gt;6 month) symptoms of their chief complaints. The commonest diagnoses of chronic symptoms were musculoarthritis (31.5%) and gastroesophageal reflux disease and\/or gastritis (21.7%). Hypertension and\/or cardiac problems were relatively common among males (13.6%). The most common diagnosis among the severest cases (specialized or intensive care recommended) was cardiac problems (14.8%), often with abnormalities in sonography or electrocardiogram. For children, the overwhelming majority of diagnoses were related to acute symptoms and low severity, and approximately half were cases of the common cold. Commonly prescribed drugs were antacids or mucosal protectors (31.3%), Non-steroidal anti-inflammatory drugs (NSAIDs) or other painkillers (27.6%), and antiparasites (17.7%) in adults, and NSAIDs (44.7%) and antiparasites (23.2%) in children. Among adults, 32.7% were diagnosed with hypertension, and body mass index (p = 0.003) and age (p &lt; 0.001) were both correlated with hypertension and its grade. Conclusions: Our study offers practical help to volunteer health workers planning to visit Southeast Asia.<\/jats:p>","DOI":"10.3390\/medicina56010030","type":"journal-article","created":{"date-parts":[[2020,1,13]],"date-time":"2020-01-13T04:05:51Z","timestamp":1578888351000},"page":"30","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Illnesses Encountered during Medical Volunteering in Takeo Province, Cambodia"],"prefix":"10.3390","volume":"56","author":[{"given":"Hye-Yoon","family":"Lee","sequence":"first","affiliation":[{"name":"Division of Breast and Endocrine Surgery, Department of Surgery, Korea University Ansan Hospital, Gyeonggido 15355, Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sung Hun","family":"Choi","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Barun Mind Hospital, Daejeon 35220, Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jae Suk","family":"Rim","sequence":"additional","affiliation":[{"name":"Department of Oral and Maxillofacial Surgery, Korea University Guro Hospital, Seoul 08308, Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4083-7721","authenticated-orcid":false,"given":"Ho-Kyung","family":"Lim","sequence":"additional","affiliation":[{"name":"Department of Oral and Maxillofacial Surgery, Korea University Guro Hospital, Seoul 08308, Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Young Soo","family":"Heo","sequence":"additional","affiliation":[{"name":"Department of Dermatology, Guro Hospital, Korea University College of Medicine, Seoul 08308, Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jeonghee","family":"Shin","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Guro Hospital, Korea University College of Medicine, Seoul 08308, Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rinet","family":"Aieng","sequence":"additional","affiliation":[{"name":"Tokyo Beauty Clinic, Chomkamon, Phnom Penh 12300, Cambodia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7431-4588","authenticated-orcid":false,"given":"Chai Hong","family":"Rim","sequence":"additional","affiliation":[{"name":"Department of Radiation Oncology, Korea University Ansan Hospital, Gyeonggido 15355, Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2020,1,10]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","unstructured":"Maki, J., Qualls, M., White, B., Kleefield, S., and Crone, R. (2008). Health impact assessment and short-term medical missions: A methods study to evaluate quality of care. BMC Health Serv. Res., 8.","DOI":"10.1186\/1472-6963-8-121"},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"272","DOI":"10.3399\/bjgp14X679945","article-title":"Boost or burden? Issues posed by short placements in resource-poor settings","volume":"64","author":"Dowell","year":"2014","journal-title":"Br. J. Gen. Pract."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"1491","DOI":"10.1001\/jama.295.13.1491","article-title":"A piece of my mind: Duffle bag medicine","volume":"295","author":"Roberts","year":"2006","journal-title":"JAMA"},{"key":"ref_4","doi-asserted-by":"crossref","unstructured":"Martiniuk, A.L., Manouchehrian, M., Negin, J.A., and Zwi, A.B. (2012). Brain Gains: A literature review of medical missions to low and middle-income countries. BMC Health Serv. Res., 12.","DOI":"10.1186\/1472-6963-12-134"},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"317","DOI":"10.1016\/j.ambp.2007.04.003","article-title":"A model for sustainable short-term international medical trips","volume":"7","author":"Suchdev","year":"2007","journal-title":"Ambul. Pediatr."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"285","DOI":"10.1515\/med-2018-0044","article-title":"Common illnesses in tropical Asia and significance of medical volunteering","volume":"13","author":"Rim","year":"2018","journal-title":"Open Med. (Wars)"},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"7","DOI":"10.1186\/1744-8603-10-7","article-title":"Expanding the scope of medical mission volunteer groups to include a research component","volume":"10","author":"Rovers","year":"2014","journal-title":"Global Health"},{"key":"ref_8","unstructured":"National Institute of Statistics, Ministry of Planning (2013). Economic Census of Cambodia 2011, Provincial Report, 21 Takeo Province."},{"key":"ref_9","unstructured":"(2017, March 15). CIA World FactBook, Available online: https:\/\/www.cia.gov\/library\/publications\/resources\/the-world-factbook\/geos\/cb.html."},{"key":"ref_10","unstructured":"(2019, September 06). Trading Economics, Cambodia GDP per capita PPP. Available online: https:\/\/tradingeconomics.com\/cambodia\/gdp-per-capita-ppp."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"2560","DOI":"10.1001\/jama.289.19.2560","article-title":"The seventh report of the joint national committee on prevention, detection, evaluation, and treatment of high blood pressure: The JNC 7 report","volume":"289","author":"Chobanian","year":"2003","journal-title":"JAMA"},{"key":"ref_12","doi-asserted-by":"crossref","unstructured":"Ir, P., Men, C., Lucas, H., Meessen, B., Decoster, K., Bloom, G., and Van Damme, W. (2010). Self-reported serious illnesses in rural Cambodia: A cross-sectional survey. PLoS ONE, 5.","DOI":"10.1371\/journal.pone.0010930"},{"key":"ref_13","doi-asserted-by":"crossref","unstructured":"Kumaran, E., Doum, D., Keo, V., Sokha, L., Sam, B., Chan, V., Alexander, N., Bradley, J., Liverani, M., and Prasetyo, D.B. (2018). Dengue, knowledge., attitudes and practices and their impact on community-based vector control in rural Cambodia. PLoS Neglect. Trop. Dis., 12.","DOI":"10.1371\/journal.pntd.0006268"},{"key":"ref_14","doi-asserted-by":"crossref","unstructured":"Vong, S., Guillard, B., Borand, L., Rammaert, B., Goyet, S., Te, V., Try, P.L., Hem, S., Rith, S., and Ly, S. (2013). Acute lower respiratory infections in \u22655 year-old hospitalized patients in Cambodia, a low-income tropical country: Clinical characteristics and pathogenic etiology. BMC Infect. Dis., 13.","DOI":"10.1186\/1471-2334-13-97"},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"221","DOI":"10.1186\/1756-3305-7-221","article-title":"Prevalence and risk factors of Strongyloides stercoralis in Takeo Province, Cambodia","volume":"7","author":"Khieu","year":"2014","journal-title":"Parasit. Vectors"},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"179","DOI":"10.1016\/S0065-308X(10)72007-8","article-title":"Schistosoma mekongi in Cambodia and Lao People\u2019s Democratic Republic","volume":"72","author":"Muth","year":"2010","journal-title":"Adv. Parasitol."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"1633","DOI":"10.1016\/S0140-6736(05)67662-3","article-title":"Diabetes and associated disorders in Cambodia: Two epidemiological surveys","volume":"366","author":"King","year":"2005","journal-title":"Lancet"},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"181","DOI":"10.1016\/j.phrs.2018.12.021","article-title":"Gender-specific therapeutic approach in arterial hypertension: Challenges ahead","volume":"141","author":"Tadic","year":"2019","journal-title":"Pharmacol. Res."},{"key":"ref_19","doi-asserted-by":"crossref","unstructured":"Choi, H.M., Kim, H.C., and Kang, D.R. (2017). Sex differences in hypertension prevalence and control: Analysis of the 2010\u20132014 Korea National Health and Nutrition Examination Survey. PLoS ONE, 12.","DOI":"10.1371\/journal.pone.0178334"},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"e000235","DOI":"10.1136\/bmjgh-2016-000235","article-title":"Limited understanding limited, services, limited resources: Patients\u2019 experiences with managing hypertension and diabetes in Cambodia","volume":"2","author":"Jacobs","year":"2017","journal-title":"BMJ Glob. Health"},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"415","DOI":"10.1016\/0002-8703(81)90317-3","article-title":"Abrupt cessation of treatment in hypertension: Consideration of clinical features, mechanisms, prevention and management of the discontinuation syndrome","volume":"102","author":"Houston","year":"1981","journal-title":"Am. Heart J."},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"389","DOI":"10.1001\/archinte.1987.00370020207067","article-title":"Rebound hypertension following abrupt cessation of clonidine and metoprolol: Treatment with labetalol","volume":"147","author":"Mehta","year":"1987","journal-title":"Arch. Intern. Med."},{"key":"ref_23","unstructured":"WHO (2015, January 03). Country statistics and global health estimates by WHO and UN partners. Available online: http:\/\/who.int\/gho\/mortality_burden_disease\/en\/."},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"7","DOI":"10.1186\/s13033-018-0185-3","article-title":"Mental health in primary health care in a rural district of Cambodia: A situational analysis","volume":"12","author":"Olofsson","year":"2018","journal-title":"Int. J. Ment. Health Syst."},{"key":"ref_25","first-page":"010305","article-title":"The \u201ctriple win\u201d practice: The importance of organizational support for volunteer endeavors undertaken by health care professionals and staff","volume":"8","author":"Logan","year":"2018","journal-title":"J. Glob. 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