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Comparative Study of Prevalence and Correlates of Mental Health Problems in Deaf and Hearing Adolescents in a Semi-Inclusive Setting in Ibadan, Southwest Nigeria
Yetunde Adeniyi,
Olayinka Omigbodun,
Aderemi Adeosun
Issue:
Volume 7, Issue 1, March 2019
Pages:
1-7
Received:
18 January 2019
Accepted:
18 February 2019
Published:
5 March 2019
Abstract: Adolescents with deafness exhibit higher mental health problems when compared with their hearing peers. There is limited information on the mental health problems of adolescents with deafness living in the sub-Saharan Africa. The aim of this study was to determine the prevalence of mental health problems in a group of deaf adolescents and the relationship with socio-demographic characteristics and to compare with their hearing counterparts. Materials and Methods: Teachers of 102 deaf adolescents and 102 age- and sex-matched hearing adolescents completed the Strengths and Difficulties Questionnaire (SDQ). Severity of deafness was assessed using Pure Tone Audiometry, using a five-frequency average. Results: The results showed that 88.2% and 11.8% of the deaf participants had profound and severe forms of deafness respectively. The prevalence of behavioural problems was significantly higher in the deaf adolescents than the control, as assessed by their teachers’ (64.3% vs. 35.7%; p < 0.001). Ninety seven percent of the deaf participants reported no hearing aids use. Parental separation/divorce and mother’s educational status were significantly associated with higher rates of behavioural problems (p < 0.05). There was no significant association between severity of impairment and mental health problems. Conclusion: Almost all the factors associated with deafness that are highlighted in this study are preventable through appropriate health and social interventions such as hearing aids, and will require that appropriate policy measures are put in place.
Abstract: Adolescents with deafness exhibit higher mental health problems when compared with their hearing peers. There is limited information on the mental health problems of adolescents with deafness living in the sub-Saharan Africa. The aim of this study was to determine the prevalence of mental health problems in a group of deaf adolescents and the relat...
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Peduncular Hallucinosis and Overlapping Antiganglioside Antibody Syndrome
Alexis Demas,
Guillaume Costentin,
Vincent Langlois,
Yvan Vaschalde,
Jean Philippe Cochin
Issue:
Volume 7, Issue 1, March 2019
Pages:
8-11
Received:
15 November 2018
Accepted:
17 December 2018
Published:
27 May 2019
Abstract: Guillain Barre Syndrome (GBS), Miller Fisher Syndrome (MFS) and Bickerstaff Brainstem Encephalitis (BBE) form part of the same disease spectrum, sharing some clinical signs and auto-immune based mechanisms with antiganglioside antibodies. GBS, the most common cause of subacute flaccid paralysis, is a well-known and extensively described syndrome. MFS is characterized by subacute ophthalmoplegia, ataxia and areflexia. In 1957, Bickerstaff described some patients who, in addition to ataxia and ophthalmoplegia, had abnormal mental status, corresponding to brainstem involvment. Neurological manifestations associated with anti-GQ1b antibodies can occur in isolation or in association. We report the case of a woman with an unusual psychiatric presentation (peduncular hallucinosis) of anti-GQ1b antibody syndrome, with features of these three diseases, and a dramatic improvement with immunoglobulin therapy. Peduncular hallucinosis are a rare form of visual hallucination. They are often described as colourful visions of people and animals, and are usually associated with vascular lesions in the midbrain and thalamus. This provides further evidence of the broad spectrum of neurological diseases associated with antiganglioside antibodies. To the best of our knowledge this is the first description of PH complicating BBE. Clinicians should be aware of the existence of overlapping syndrome with combined central and peripherical neurological system involvement.
Abstract: Guillain Barre Syndrome (GBS), Miller Fisher Syndrome (MFS) and Bickerstaff Brainstem Encephalitis (BBE) form part of the same disease spectrum, sharing some clinical signs and auto-immune based mechanisms with antiganglioside antibodies. GBS, the most common cause of subacute flaccid paralysis, is a well-known and extensively described syndrome. M...
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Community Services, Progression Rate, and Nursing Home Placement In Persons with Alzheimer’s Disease
Jocelyn Shealy McGee,
Dennis R. Myers,
Haley Groce
Issue:
Volume 7, Issue 1, March 2019
Pages:
12-18
Received:
22 March 2019
Accepted:
15 May 2019
Published:
12 June 2019
Abstract: There are many factors influencing when a person with Alzheimer’s disease (AD) or another dementia is placed in a nursing home (NHP). The aims of this study were to determine if introducing home and community-based services (HCBS) at different stages of disease severity influenced time to NHP in a sample of persons living with AD (n = 1210); examine if disease pre-progression rate (PPR) influenced time to NHP; and explore the interaction between disease severity at first use of HCBS and PPR on time to NHP. Findings suggested that earlier introduction of HCBS delayed time to NHP in a univariate model (p = 0.03), but not when covariates were adjusted (p = 0.39); faster PPR resulted in earlier NHP in both univariate (p < 0.001) and covariate adjusted models (p < 0.01); and earlier introduction of HCBS delayed time to NHP (even when PPR was taken into consideration). Implications are discussed.
Abstract: There are many factors influencing when a person with Alzheimer’s disease (AD) or another dementia is placed in a nursing home (NHP). The aims of this study were to determine if introducing home and community-based services (HCBS) at different stages of disease severity influenced time to NHP in a sample of persons living with AD (n = 1210); examin...
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Perceptions of Appropriateness of Psychiatric Referrals by Healthcare Professionals in a General Hospital
Leslie Lim,
Jeremy Heng,
Yiong Huak Chan
Issue:
Volume 7, Issue 1, March 2019
Pages:
19-23
Received:
3 April 2019
Accepted:
2 June 2019
Published:
12 June 2019
Abstract: Objective: We assessed hospital staff recognition of certain psychiatric symptoms and whether they considered it appropriate to refer patients with these symptoms to the consultation-liaison psychiatric service. Methods: An online questionnaire was sent to all healthcare professionals working in the hospital. We presented several vignettes describing the typical symptoms and behaviors of a case of schizophrenia, major depression, generalized anxiety disorder, delirium and dementia. Staff were asked whether they considered it appropriate for a patient with these symptoms to be referred to the psychiatrist. Results: Doctors were significantly more likely to endorse psychiatric referrals for depression (p = 0.023) and schizophrenia (p < 0.001). Although there appeared to be non- significant responses for the remaining conditions, within group analyses suggested that the more experienced staff and foreign born and foreign trained staff were more likely to endorse psychiatric referrals for anxiety, dementia and delirium. Conclusions: Knowledge deficits exist among hospital staff in our hospital. This highlights the possibility of non- detection and non-referral of certain psychiatric comorbidities among patients receiving medical care.
Abstract: Objective: We assessed hospital staff recognition of certain psychiatric symptoms and whether they considered it appropriate to refer patients with these symptoms to the consultation-liaison psychiatric service. Methods: An online questionnaire was sent to all healthcare professionals working in the hospital. We presented several vignettes describi...
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Prevalence and Profile of Migraine Patients in Brazzaville, Congo
Ossou-Nguiet Paul Macaire,
Mpandzou Ghislain Armel,
Ongoly Ikora Héloïse Stéphanie,
Diatewa Josué Euberma,
Obondzo Aloba Karen Lise Charmel,
Motoula Latou Dinah Happhia
Issue:
Volume 7, Issue 1, March 2019
Pages:
24-29
Received:
14 March 2019
Accepted:
27 April 2019
Published:
18 June 2019
Abstract: Migraine is a chronic disease evolving through recurrent seizures; it constitutes a frequent reason of consultation in neurology. Epidemiological data on migraine in the world are available, but no study has been conducted in general population in Congo. To determinate the prevalence of migraine in population of Brazzaville, we conducted a prospective cross-sectional, door-to-door study. This study took place from March 1st to July 31st, 2018, in the city of Brazzaville. Regarding all subjects over 18 years old, living in Brazzaville for over ten years. The statistical analysis was performed using SPSS 20.0 software for Mac. The prevalence of migraine was 11,3% in Brazzaville, with 6% definite migraine and 5,3% of probable migraine. Women are more affected than men respectively 63,5% and 36,5%. Migraine without aura is more common than migraine with aura. Migraine is a public health problem because of its prevalence. Its affects the young adult and more preferably the woman The knowledge of the epidemiology of migraine in Brazzaville will lead to better awareness-raising actions.
Abstract: Migraine is a chronic disease evolving through recurrent seizures; it constitutes a frequent reason of consultation in neurology. Epidemiological data on migraine in the world are available, but no study has been conducted in general population in Congo. To determinate the prevalence of migraine in population of Brazzaville, we conducted a prospect...
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