A study of general practitioner needs of a new child psychiatric service

1996 ◽  
Vol 13 (1) ◽  
pp. 30-32 ◽  
Author(s):  
Neil Adamson ◽  
Deirdre Killelea

AbstractObjectives: General practitioners were surveyed by questionnaire for their opinions on their needs and usage of a new child psychiatric service in the Midwestern Health Board.Methods: The questionnaire was returned by 72% of GPs. Their practices included inner city, new towns, country town, and rural communities.Results: It was found that 160 children were awaiting referral to the new service of which the most prominent presenting problems were hyperactivity, learning difficulties, enuresis, poor parenting skills, dysfunctional families, anorexia/eating disorders and psychosomatic problems. Primary school children required more frequent referral than secondary school children. GPs appreciated telephone access to the psychiatrist and for the service to be available for emergencies. A few GPs requested discussion meetings following referral. Most GPs were satisfied with any member of the multi-disciplinary child psychiatric team assessing the children.Conclusions: This study was a useful method of assessing the numbers and nature of problems which might present to a new child psychiatric service in order that staff and treatment programmes could be organised. Results suggest that further research is necessary.

2020 ◽  
Vol 18 (2) ◽  
Author(s):  
Muhammad Rusyaidi Azali ◽  
Nor Faiza Mohd Tohit ◽  
Razman Mohd Rus

Introduction: Pediculosis capitis among primary school children is always known as the problem of the lower socio-economic class and rural communities. It carries significant consequences to the school children and caregivers. Limited studies have been conducted among the urban populations. Thus, this study aims to investigate the prevalence and predictors of Pediculosis capitis among Urban primary school children in Kuantan. Materials and method: An analytical cross-sectional study using cluster random sampling was carried out in Kuantan, Pahang, Malaysia. A selfadministered validated questionnaire was issued to the participants with purpose to collect socio-demographic data related to age, gender and factors that associated with head lice infestations among primary school children from standard one to six. It was then followed by hair and scalp examination by a well-trained examiners to check the infestation status. The results were analyzed using the chi-squared test and logistic regression analysis. Results: A total of 1347 students from 5 schools  were included in this study. Majority of them were males (53.6%), Malays (61.0%), household income between RM1000-RM2999 (32.1%). The overall prevalence was 9.1% (n=122). Multivariate analysis showed that predictors for pediculosis capitis were female gender (OR= 6.02, 95% CI= 2.97-12.21), Indian ethnicity (OR= 5.55 , 95% CI=3.26-9.45), sibling of more than 5 (OR= 2.72 , 95% CI=1.04-7.12) and contact with infested person (OR=2.42, 95% CI=1.58-3.71). Conclusion: The prevalence of Pediculosis capitis among urban primary school children in Kuantan, Pahang is endemic (9.1%) and predictors are female genders, Indian ethnicity, having siblings of more than 5 and contact with infested person. Hence, preventive measures are necessary to reduce the transmission of head lice among school children.


2020 ◽  
Vol 4 (3) ◽  
pp. 663-667
Author(s):  
Adamu Mohammed Saba ◽  
A. Muhammad ◽  
J. Baba ◽  
A. Mustapha ◽  
H. B. Hussaini

Ameobiasis is an infection caused by Entamoeba histolytica, which is a serious problem especially in developing countries and ranks third among the parasitic infections that lead to death mostly in primary age children.The aim of the present study was to investigate the prevalence of E. histolytical in young children.Three hundred (300) children aged 0-14 years were sampled for E. histolytica infection in five rural communities in Wushishi Local Government Area, Niger State, North Central Nigeria.   The stool samples were examined for cysts of E. histolytica using saline and iodine preparations. The prevalence rate of 17 % was recorded. The prevalence by sex had a higher infection rate in males (19.3 %) than females (14.6%) which was not significantly (P>0.05). The prevalence of the infection in relation to age was highest (23%) in 7 to 10 year age group, while the least infection of 12 (12%) was recorded in 11 to 14 year age group A significant association was found between the sources of drinking water and prevalence of E. histolytica (P<0.05).  The highest was recorded in those using stream/pond (89.2%) and least recorded from Borehole/Tap (40.3%). Therefore, it become necessary need for improved sanitation, personal hygiene, health education  policy and a proper deworming scheme amongst school children in the study areas in order to decrease infections rate.


Author(s):  
Okechukwu Paulinus Ossai ◽  
Raymond Dankoli ◽  
Chimezie Nwodo ◽  
Dahiru Tukur ◽  
Peter Nsubuga ◽  
...  

1970 ◽  
Vol 3 (2) ◽  
pp. 71-74 ◽  
Author(s):  
Masuma Pervin Mishu ◽  
Richard Marshal Hubbard ◽  
Sejuty Haque ◽  
M Abu Sayeed ◽  
Syed Touseef Imam ◽  
...  

Though early diagnosis and intervention of gingivitis in school children can eliminate progression to frank periodontal diseases, no such measures in Bangladesh are in place to detect gingivitis at an early stage in school children. This survey was conducted in 2007 in the primary schools of rural, suburban and urban areas of Bangladesh to evaluate oral hygiene with special emphasis on gingivitis prevalent among 6-13 years school children. The clinical examination of the gingiva was carried out using a mouth mirror and a periodontal probe. A total of 1,820 primary school students (m/f = 946/ 873) took part in the investigation. The crude prevalence of gingivitis, AS* and plaque were 17.5%, 9.2% and 56.0% respectively. The prevalence of gingivitis was significantly higher in males than females (20.3 vs. 14.3%, p<0.001), lower than upper social class (21.1 vs. 12.6%, p<0.001) and in rural than urban plus suburban children (22.5 vs. 15.1%, p<0.001). Likewise, the prevalence of AS and plaque were significantly higher in males, lower social class and rural children. Significantly lower prevalence of gingivitis, AS and plaque was found among those who used tooth brush and tooth paste than those who did not (15.4% vs 22.4%, p<0.001). The study concludes that the prevalence of oro-dental diseases is high in Bangladeshi children. The male children of low social class of rural communities are the most vulnerable group. Ibrahim Med. Coll. J. 2009; 3(2): 71-74 Key Words: Gingivitis, primary school children, oral health education. DOI: 10.3329/imcj.v3i2.4221


2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  

Abstract This workshop will be a skills building seminar aimed to present different instruments that have been used in measuring children or adolescents mental health, plus some results to illustrate their pertinence. It aims to render child psychiatric epidemiology accessible by presenting easy to use instruments for children and adolescents that allow to conduct surveys in schools or in other contexts. It will also present and discuss some results in order to stimulate the epidemiological approaches for child mental health problems as well as evaluating access to care,specialized and no specialized, and the relationships between school achievements and mental health problems. This will be based on two major studies: The School Children Mental Health Europe, an EU funded project designed to set up a kit of instruments enabling cross EU comparisons. For this project a literature review allows to select the SDQ (Strengths and Difficulties questionnaire) to be administered to the parents and teachers and the Dominic Interactive, a sort of video game designed to evaluate DSM more commune diagnoses since the children were primary school children 6 to 11 years old.Previously done in France, the project has collected around 1000 children per country in Germany, Italy, Netherlands, Lithuania, Bulgaria, Romania and Turkey. In addition it measured parental attitudes, domestic accidents, some physical diseases, parental mental health, access to care for mental health problems and some socio demographics. Teachers are asked to evaluate school achievements in addition to their own child mental health evaluation.The project allows evaluating relative concordance on the above instruments results with clinical judgments on separate clinical samples from each of the countries using the DAWBA (a clinical instrument).The lecture proposes to present the instruments and their usage and some of the comparative results among them the relationships between academic performances and mental health problems.The US National Comorbidity Survey Adolescent Supplement (N = 6256), in that survey the Composite International Diagnostic Interview (CIDI) assessed fifteen lifetime mental disorders and The Sheehan disability scale assessed disorder severity. ID was defined as: 1) IQ ≤ 76, measured using the Kaufman Brief Intelligence Test; and 2) an adaptive behavior score ≤76, measured using a validated scale. The lecture will present the instruments and some of the results concerning psychiatric comorbidity and intellectual disability. Key messages Children mental health problems are affecting around 12% of the children and should be evaluated and monitored. Easy to use instruments exist; as children could be surveyed in schools it becomes relatively easy and not too costly to conduct surveys that will integrate risk factors and access to care.


1997 ◽  
Vol 27 (3) ◽  
pp. 262-269 ◽  
Author(s):  
Z. TOROS SELCUK ◽  
T. CAG-LAR ◽  
T. ENUNLU ◽  
T. TOPAL

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