scholarly journals Behaviour and therapeutic itinerary of epileptic patients in Marrakech city and surrounding regions in South Morocco

2021 ◽  
Vol 3 (1) ◽  
Author(s):  
Abdelaati El Khiat ◽  
Najib Kissani ◽  
Abdellatif Abbaoui ◽  
Mohamed Chraa ◽  
Mohamed Loukid ◽  
...  

Abstract Background Epilepsy is a chronic, universal disorder with various etiologies and prognoses. It is still laden with myths in the majority of the Moroccan population. Despite the existence of well-established medicinal treatments and increasingly comprehensive care, access to antiepileptic care is still limited, especially for rural populations. We aim herein to identify the therapeutic itinerary of patients with epilepsy (or epileptic disorders) as well as the behaviour of patients and their families towards this disease in Marrakech and the surrounding region of Marrakech-Safi. Methods We carried out a retrospective study Questionnaire filled by 110 patients data was analysed with SPSS version 18. Results Our results showed that 69.96% of the patients believed in a supernatural origin of the disease and 76.4% attended for professional medical care after their first seizure. In addition, more than half of our patients (51.8%) consulted a religious leader for the initial consultation, 51.0% of whom were women and 49.0% were male. The low socioeconomic status of patients with epilepsy, 74.5% of whom were unemployed, impeded the effective management of this disease. Conclusions These results suggest that the management of patients with epilepsy (or epileptic disorders) in Africa, and particularly in Morocco requires, in addition to the reinforcement of human and material resources, an effort to educate and positively influence the family and the social environment as a whole.

Author(s):  
Jane Buckingham

Historical analyses, as well as more contemporary examples of disability and work, show that the experience of disability is always culturally and historically mediated, but that class—in the sense of economic status—plays a major role in the way impairment is experienced as disabling. Although there is little published on disability history in India, the history of the Indian experience of caste disability demonstrates the centrality of work in the social and economic expression of stigma and marginalization. An Indian perspective supports the challenge to the dominant Western view that modern concepts of disability have their origins in the Industrial Revolution. Linkage between disability, incapacity to work, and low socioeconomic status are evident in India, which did not undergo the workplace changes associated with industrialization in the West.


2013 ◽  
Vol 21 ◽  
pp. 86 ◽  
Author(s):  
Natalia Krüger

This paper analyzes the impact of high school socioeconomic segregation on educational equity in Argentina. The presence of segregation means that students are unevenly distributed throughout the system, concentrating in certain schools according to their social origin. The aim is to assess whether this process can increase educational attainment inequality. Using the PISA 2009 database, multilevel models are estimated in order to examine the effects of schools` social composition on individual reading performance. The evidence supports the existence of significant compositional effects which help explain test score dispersion. This suggests that young people of low socioeconomic status face a double educational risk: i) an initial disadvantage related to their social and family background; and ii) a high probability of assisting a school with a vulnerable student population, where they may be exposed to negative peer effects. The findings support the need to consider the social composition of schools as a key educational policy factor, and the relevance of analyzing ways to promote social inclusion in the system.


2021 ◽  
Author(s):  
Jaap Nieuwenhuis ◽  
Xinyi Shen

This article explores the effect of meeting opportunities between local urban and nonlocal residents on locals’ prejudice against migrant children in China by focusing on three contexts: friendships, schools, and neighborhoods. China’s hukou policy creates a boundary between urban and rural residents, which also takes the form of locals and nonlocals in rural-to-urban migration. Urban public schools with a mix of local and migrant students offer a chance to observe the intergroup relationships between local and nonlocal students as well as their parents. Using the two waves of data of the China Education Panel Survey (CEPS), this study examines how changes in the migrant friends, schoolmates, and neighbors of local children affect changes in their parents’ prejudice among a sample of 1,630 student-parent pairs. With longitudinal data, this study mitigates the effect of reverse causality between intergroup contact and prejudice. The findings show that parents whose children have more migrant friends have less prejudice, under certain conditions. Additionally, more nonlocal students in the school are related to less prejudice, especially among parents who are more embedded in the school. Furthermore, local families with low socioeconomic status experience an increase in prejudice, potentially due to an increased feeling of threat. Besides, this article finds that prejudiced attitudes spread through the social networks of children and parents at the school level. This study emphasizes the importance of different contexts of meeting opportunities and sheds new light on the generalizability of the contact hypothesis to the understudied context of Chinese internal migration.


Author(s):  
Laura Bures

Socioeconomic inequality continues to be a major concern both internationally and within Canada. Educational outcomes for children are one of the key areas affected by this reality. Schools are considered institutions responsible for promoting the social mobility of children. However, due to increasing social, political, and economic disparities among families, schools have redesigned themselves to ensure this idea persists. This paper examines how parental inconsistencies, lack of supportive home environments, and financial burdens associated with low socioeconomic status families have a negative influence on children’s educational outcomes. It investigates why schools have become concerned with implementing programs to help alleviate the effects of socioeconomic inequalities on children and their families. A discussion of the various strategies schools have put in place to integrate struggling children, families, and communities is included. Issues arise in regard to how these programs will be funded, who is responsible for these children within schools, and recommendations going forward. School boards need to be allocated more funding and support from macro level institutions such as the government and health boards if they hope to find a solution.


2006 ◽  
Vol 6 ◽  
pp. 30-34 ◽  
Author(s):  
Michal Hemmo-Lotem ◽  
Jacob Urkin ◽  
Liri Endy-Findling ◽  
Joav Merrick

The objective of this study was to assess the level of parental car safety knowledge and actual behavior regarding their children under the age of 15 years. This study forms part of the National Center for Child Safety and Health in Israel (Beterem) program to examine awareness on child safety. Seven hundred and five Jewish families with at least one child at home younger than 15 years (a total of 1,345 children) were used as a randomized sample of the Jewish population. A telephone survey was conducted by professional interviewers using a questionnaire developed by injury prevention specialists consisting of seven knowledge questions and a diagram that described the usual seating positions and restraining method of the family members in the family car. Concerning knowledge about injury prevention, the rate of incorrect answers was high,64% in regard to the proper car seats for age and 84% in regard to the age for booster seats. Sixty five per cent of parents did not know what a booster seat was and 54% did not know that the proper place for children was in the back seat. The average of incorrect answers was 4.86 out of 7 (SD=1.45) correlated with low socioeconomic status. Concerning care safety behavior 60% per cent of babies and 38% of toddlers were not restrained properly. This study should alert planners and policy makers to the need of implementation of educational prevention programs for the Israeli public of parents concerning car safety for children in order to reduce childhood injury.


2020 ◽  
Vol 48 (3) ◽  
Author(s):  
Bunga Ch Rosha ◽  
Andi Susilowati ◽  
Nurillah Amaliah ◽  
Yurista Permanasari

Abstract Stunting is a condition of chronic malnutrition that occurs during a critical period of the child's growth and development caused by several factors. The research objective was to explore the direct and indirect causes of stunting as part of the 2019 child development cohort study in Bogor City. The study used indepth interviews with 24 informants who had children under five (10-49 months) with a normal history of birth weight, but then experienced stunting. The data analysis was thematic and the results showed that the direct causes included the provision of colostrum and exclusive breastfeeding but without continued balance with adequate complementary feeding. Prelacteal feeding was given to replace breast milk after childbirth, the first feeding with factory food until more than 1 year old so that the nutritional needs of the child were insufficient. Moreover, the consumption of protein sources is still insufficient and the child has a history of recurrent infections. Meanwhile, the indirect causes included the low socioeconomic status and poor environmental sanitation conditions posing them at risks of infections. To overcome these problems, it is necessary to improve nutrition education for mothers, improve environmental sanitation and increase the family economy through community economic empowerment. Key words: Stunting, direct cause, indirect cause Abstrak Stunting merupakan kondisi kekurangan gizi kronis yang terjadi pada saat periode kritis dari proses tumbuh dan kembang anak yang dipengaruhi oleh banyak faktor. Tujuan penelitian ini untuk menggali penyebab langsung dan tidak langsung kejadian stunting yang merupakan bagian dari penelitian kohor tumbuh kembang anak tahun 2019 di Kota Bogor. Metode kualitatif deskriptif dilakukan melalui wawancara mendalam dengan 24 informan ibu yang memiliki balita (10-49 bulan) dengan riwayat lahir normal, tetapi kemudian mengalami stunting. Analisis data menggunakan analisis Tematik. Hasil penelitian menunjukkan penyebab langsung antara lain pemberian kolostrum serta ASI eksklusif sudah dilakukan tetapi belum diimbangi dengan MP-ASI yang adekuat, pemberian makanan prelakteal berupa susu formula diberikan untuk menggantikan ASI yang belum keluar pasca melahirkan, pemberian makanan pertama berupa makanan pabrikan diberikan sampai anak berusia lebih dari 1 tahun sehingga tidak mencukupi kebutuhan gizi anak seiringnya bertambahnya usia anak, konsumsi sumber protein masih kurang dan mengalami riwayat infeksi berulang. Sedangkan penyebab tidak langsung yaitu rendahnya status sosial ekonomi keluarga dan kondisi sanitasi lingkungan yang kurang baik dapat menjadi risiko anak mudah tertular penyakit infeksi. Untuk mengatasi masalah ini perlu ditingkatkan edukasi gizi pada ibu, peningkatan sanitasi lingkungan sekitar dengan menjalankan program bersih lingkungan dan peningkatan ekonomi keluarga melalui pemberdayaan ekonomi masyarakat. Kata kunci: Stunting, penyebab langsung, penyebab tidak langsung


2017 ◽  
Vol 6 (1) ◽  
pp. 243 ◽  
Author(s):  
Luis Alberto Mendez

A characteristic feature of the Spanish spoken in the Mexican state of Chihuahua is the pronunciation of the standard phoneme /tʃ/ (<ch>) as a non-standard allophone [ʃ] (<sh>). The present study analyzes the social and linguistic factors that influence variation in the Mexico-United States border community of Ciudad Juárez. Direct and indirect elicitations techniques were used to gather tokens of /tʃ/ from a sample of 40 local speakers who varied in age, sex, socioeconomic status, education level, and degree of bilingualism. The data was perceptually and acoustically interpreted and then statistically examined using variable rules analysis. On the linguistic side, the results show that [s], [i], [u] in preceding phonological context favor weakening. On the social side, the most prone participants to produce [ʃ] were: young men from low socioeconomic status, regardless of being Spanish monolinguals or Spanish-English sequential bilinguals. These findings indicate an ongoing gender shift with respect to previous research in the same community. 


2000 ◽  
Vol 28 (2) ◽  
pp. 119-123 ◽  
Author(s):  
Laurent BèGue ◽  
Vincent Fumey

This study was conducted to examine the role of the individual's social power on endorsement of belief in a just world in the social domain. We hypothesized that the greater social power an individual has, the stronger the belief which s/he has in a just world. One hundred subjects of low or high socioeconomic status were randomly given low or high diagnosis of their social power after having completed a test which was presented as an evaluation of their actual and future social power in the socioprofessional domain. Results showed that subjects with low socioeconomic status believed that the world was less just in the low social power diagnosis condition than in the high one, while the belief in a just world of subjects with high socioeconomic status was not significantly affected by the experimental design.


2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
A Rasmussen ◽  
C Overgaard

Abstract Background Health literacy has been used to explain the social inequalities in ischemic heart disease that exists globally. However, most conceptualizations of health literacy employ an isolated focus on the patient's cognitive abilities without considering the social context. By using the cultural health capital framework, this paper aims at exploring how differences in social dispositions influence the interaction between doctors and ischemic heart patients with low health literacy and low socioeconomic status. Methods The paper is based on 30 qualitative interviews with Danish ischemic heart patients with low health literacy and low socioeconomic status and supplementary, contextual observations. The data collection was nationwide and carried out between October 2018 and August 2019. Results The findings showed that the patients and the doctors derived from different social spheres, which meant that they had developed dissimilar habitus and therefore used different explanatory models to understand and articulate the patient's problem. The doctors were primarily oriented towards the biomedical understanding of the malfunctioning of the body and therefore less aware of the patients' psychosocial illness experience. For the patients, these contradictions resulted in feelings of not being acknowledged, lack of trust in the healthcare system and disruption of treatment. Conclusions The findings suggest that to understand barriers for treatment of socially disadvantaged ischemic heart patients it is not only relevant to look at the patient's individual cognitive abilities but also to explore class-based contradictions in explanatory models between the patients and doctors. Key messages Health literacy should be understood as something embedded in the interplay between social structures and interpersonal dynamics. Contradictions in explanatory models may help explain barriers for treatment of socially disadvantaged ischemic heart patients.


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