scholarly journals Disease awareness and dietary habits of patients with epilepsy in western China: a cross-sectional study

2021 ◽  
Vol 3 (1) ◽  
Author(s):  
Qi Zhang ◽  
Wenjing Li ◽  
Enzhi Li ◽  
Xiao Yang ◽  
Nanya Hao ◽  
...  
Keyword(s):  
Antiepileptic Drugs ◽  
Seizure Control ◽  
Dietary Habits ◽  
Cross Sectional Study ◽  
Western China ◽  
Chinese Patients ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
First Choice ◽  
Patients With Epilepsy

Abstract Background The optimal management of epilepsy includes engaging patients through education on knowledge of the disease, its treatment and diet control. Methods This was a cross-sectional survey-based cohort study, aimed to investigate the awareness of epilepsy in Chinese patients and to understand their dietary habits. Participants were consecutively enrolled from epileptic patients treated in a single epilepsy center from October 1, 2019 to February 29, 2020. A self-reported questionnaire (Cronbach’s α = 0.758) consisting of 3 parts was sent to 407 patients with epilepsy. The questionnaire included items on demographic information, epilepsy features, awareness of epilepsy treatment and dietary habits. Results About half of the patients (53.8%, 219/407) thought epilepsy was curable and only 80% knew that the first choice of treatment is medication. While 58.6% of the patients with low educational level preferred the use of antiepileptic drugs (p = 0.014), 52.7% believed that the medication should not be stopped immediately after seizure control (p = 0.026), especially after surgery (40.5%, p = 0.011). Patients with lower household monthly incomes had less awareness of the use of antiepileptic drugs than patients with higher incomes: only 39.2 and 49.8% of patients with lower incomes thought that the drugs could be stopped after epilepsy surgery or seizure control, respectively, compared to 51.6 and 66.1% with higher incomes. Alcohol (86.2%), caffeine (56.8%) and strong tea (49.1%) were top three foods considered by the patients to be avoided to prevent seizures. Approximately 30.2% of patients identified at least one food that made them susceptible to seizures. Conclusions Patient education on epilepsy, antiepileptic drugs and diet for management of seizures should be provided especially to patients with less education, lower income or inaccurate beliefs of epilepsy in Western China.

scholarly journals Nonadherence to Antiepileptic Medications: Still a Major Issue to be Addressed in the Management of Epilepsy

2019 ◽  
Vol 10 (01) ◽  
pp. 106-112 ◽  
Author(s):  
Azra Zafar ◽  
Rizwana Shahid ◽  
Saima Nazish ◽  
Danah Aljaafari ◽  
Fahd Ali Alkhamis ◽  
...  
Keyword(s):  
Statistical Analysis ◽  
Seizure Control ◽  
Statistical Significance ◽  
Cross Sectional Study ◽  
Seizure Freedom ◽  
Cross Sectional ◽  
The Social ◽  
Antiepileptic Medications ◽  
The University ◽  
Patients With Epilepsy

ABSTRACT Context: Medication nonadherence is a significant barrier in achieving seizure freedom in patients with epilepsy. There is a deficiency of data about the reasons for nonadherence in Saudi population. Aims: The aim of this study is to prove the existence of nonadherence to antiepileptic drugs (AEDs) in patients with epilepsy and identify the responsible factors. Setting and Design: This is a prospective, cross-sectional study carried in the Department of Neurology at King Fahd Hospital of the University affiliated with Imam Abdulrahman Bin Faisal University. Subjects and Methods: Patients of all ages diagnosed to have epilepsy as mentioned in their medical record and taking antiepileptic medications were interviewed using a questionnaire. Statistical Analysis Used: Statistical analysis was performed using IBM Statistical Package for the Social Sciences version 21 (IBM Corp., Armonk, NY, USA). Statistical significance was defined as two-tailed with a P ≤ 0.05. Results: Among 152 participants, 52.6% were male and 47.4% were female. Mean age of the patients was 28 ± 14.3 (mean ± standard deviation) years. Of 152 patients, 48.7% were found to be nonadherent to their AED therapy. The most commonly identified factor was forgetfulness. Nonadherence was significantly associated with poor seizure control (P = 0.002). Conclusion: Nonadherence to the AED is common among patients with epilepsy and affects seizure control adversely.

scholarly journals Dietary Habits, Perceptions and Barriers Among Government and Private College Intermediate Students in Karachi: A Cross-Sectional Survey

2021 ◽  
Vol 11 (02) ◽  
pp. 81-86
Author(s):  
Mariam Rashid ◽  
Sabeela Noor ◽  
Khadija Abdus Salam ◽  
Ramsha Irfan ◽  
Ayesha Siddique
Keyword(s):  
College Students ◽  
Dietary Habits ◽  
Cross Sectional Study ◽  
Private College ◽  
Government College ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Total N ◽  
Intermediate Students ◽  
The Government

Objective: To determine differences in eating practices, perceptions, and perceived barriers among intermediate students of government and private sectors in Karachi. Study design and setting: A cross-sectional study was conducted in six intermediate colleges of Karachi from October to December 2018. Methodology: Total N=390 students aged 16-24 years were selected via non-probability convenience sampling. The study team developed a questionnaire to assess the dietary habits and barriers among the students. Results: Mean BMI of government college students was 20.41 ± 4.15 kg/m2 while that of private college students was 22.25 ± 5.43 kg/m2. The proportion of underweight participants was higher (36.8%) in government college students, and overweight students being higher in private (23.8%). Similar responses were recorded for daily meals and weekly fastfood and fruit consumption. Skipping meals was found out to be a common practice among students. Breakfast was most commonly skipped meal among both groups (23.9% & 39.2%, respectively). Watching television during meals was common in both groups (58.7% & 67.7% respectively). The majority of the students from both groups did not familiar with the term body mass index BMI (84.6% & 82.5%, respectively). Smoking was more common among the private sector, 16.9%, compared to 3.5 % of the government sector. Fruit juice was considered a healthier option (58.7% & 52.9%, respectively). Similarly, white bread against bran bread was perceived healthier by the majority in both groups (70.1% & 59.3%, respectively). Carbohydrate was reported as a major nutrient in the diet by (51.7% & 57.1% respectively). Factors like educational stress, time, will-power to maintain the diet, availability of junk food, and climate were some of the significant influencers of diet/lifestyle recorded. Conclusion: Students from both groups shared similar eating and lifestyle practices irrespective of their educational institutes’ status.

scholarly journals Asymptomatic malaria parasitaemia and seizure control in children with nodding syndrome; a cross-sectional study

BMJ Open ◽  
2018 ◽  
Vol 8 (10) ◽  
pp. e023624 ◽  
Author(s):  
Rodney Ogwang ◽  
Ronald Anguzu ◽  
Pamela Akun ◽  
Albert Ningwa ◽  
Edward Kayongo ◽  
...  
Keyword(s):  
Parasite Density ◽  
Seizure Control ◽  
Cross Sectional Study ◽  
Asymptomatic Malaria ◽  
Sectional Study ◽  
Cross Sectional ◽  
Nodding Syndrome ◽  
The Past ◽  
Asymptomatic Infections ◽  
Patients With Epilepsy

ObjectivePlasmodium falciparumis epileptogenic and in malaria endemic areas, is a leading cause of acute seizures. In these areas, asymptomatic infections are common but considered benign and so, are not treated. The effects of such infections on seizures in patients with epilepsy is unknown. This study examined the relationship betweenP. falciparuminfection and seizure control in children with a unique epilepsy type, the nodding syndrome.DesignThis cross-sectional study was nested in an ongoing trial ‘Doxycycline for the treatment of nodding syndrome (NCT02850913)’. We hypothesised that, in patients with epilepsy, infection byP. falciparum,including asymptomatic infections, increases the risk of seizures and impairs seizure control.Setting and participantsParticipants were Ugandan children with nodding syndrome, age ≥8 years, receiving sodium valproate. All had standardised testing including documentation of the number of seizures in the past month, a rapid malaria test and if positive, the peripheral blood parasite density.OutcomesThe primary outcome was the number of seizures in the past month (30 days).ResultsA total of 164/240 (68%) had malaria. Asymptomatic infections (without fever) were seen in 160/240 (67%) and symptomatic infections in 4/240 (2.7%). In participants without malaria, the median (IQR) number of seizures in the past month was 2.0 (1.0–4.0) and it was 4.0 (2.0–7.5) in participants with malaria, p=0.017. The number of seizures in asymptomatic persons was 3.0 (IQR 2.0–7.3) and 6.0 (IQR 4.0–10.0) in symptomatic individuals, p=0.024. Additionally, in asymptomatic patients, a positive correlation was observed between the parasite density and number of seizures, r=0.33, p=0.002.ConclusionIn patients with nodding syndrome, both asymptomatic and symptomatic malaria are associated with an increased risk of seizures and poorer seizure control. Similar effects should be examined in other epilepsy disorders. Malaria prevention should be strengthened for these patients and chemotreatment and prevention studies considered to improve seizure control.

scholarly journals Current status of international medical education in China: A cross-sectional study

2019 ◽  
Vol 02 (02) ◽  
pp. 75-84
Author(s):  
Yu-Xia Chu ◽  
Ming Gao ◽  
Hai-Feng Gao ◽  
Ye Liu ◽  
Xun-Jia Cheng ◽  
...  
Keyword(s):  
Language Proficiency ◽  
Career Planning ◽  
Medical Science ◽  
Curriculum Evaluation ◽  
Cross Sectional Study ◽  
Current Status ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Native Languages ◽  
First Choice

Objective: This study aims to understand the current learning state, curriculum evaluation, and career planning of international Bachelor of Medicine, Bachelor of Surgery (MBBS) students in China in order to support educators and policy makers in developing interventions to support international MBBS students. Methods: A cross-sectional survey was conducted at Fudan University from March 2017 to May 2018. A self-administered questionnaire regarding medical teaching and evaluation methods and recommendations was used to collect the data from international MBBS students ([Formula: see text]) and native Chinese medical students ([Formula: see text]) currently at the school as well as teachers directly involved in teaching activities with these students ([Formula: see text]). Data were analyzed using GraphPad Prism 6, and all results are presented as frequencies (percentages). Results: Most of the international MBBS students had never studied at a university before (76%). The first and second most common reasons for choosing the MBBS program were an interest in medical science (79%) and relieving patients’ sufferings and realizing self-value (61%). The learning motivation of international MBBS students came mainly from the interests in medicine (90%). A total of 74% of international MBBS students considered the course setting to be appropriate or neutral. The top biggest problem in clinical practice reported by international MBBS students was communication barriers caused by the lack of language proficiency. The first choice of future work after graduation for international MBBS students was studying or working abroad. The top two recommendations among teachers for improving academic achievement were providing textbooks in students’ native languages (64%) and reading more medical books (47%). Conclusions: International MBBS students generally thought that the course setting was rational, and were mostly satisfied with the international MBBS program. The use of textbooks in the international MBBS students’ native languages was reported to be helpful for improving these students’ academic achievements.

scholarly journals Metabolic bone disease in patients with epilepsy and the use of antiepileptic drugs – Insight from a Danish cross-sectional study

Seizure ◽  
2021 ◽  
Vol 86 ◽  
pp. 29-34
Author(s):  
Daniel Roger Baddoo ◽  
Alexander Andrew Mills ◽  
Randa Bismark Kullab ◽  
Hassan Al-Mashat ◽  
Noémi Becser Andersen ◽  
...  
Keyword(s):  
Antiepileptic Drugs ◽  
Bone Disease ◽  
Metabolic Bone Disease ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Metabolic Bone ◽  
Patients With Epilepsy

scholarly journals The second pregnancy has no effect in the incidence of macrosomia: A cross sectional survey in two western Chinese regions

2019 ◽  
Author(s):  
Li Luo ◽  
Lianlian Wang ◽  
Huan Zeng ◽  
Feng Peng ◽  
Zumin Shi ◽  
...  
Keyword(s):  
Cross Sectional Study ◽  
Western China ◽  
Fetal Macrosomia ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Second Child ◽  
First Child ◽  
Significant Difference ◽  
Adverse Pregnancy ◽  
The Impact

Abstract After the implementation of the universal two-child policy in 2015 in China, the increase in parity has led to an increase in adverse pregnancy outcomes. The impact of parity on the incidence of fetal macrosomia has not been fully confirmed in China.This study aimed to explore the differences in the incidence of fetal macrosomia between first and second pregnancies in Western China. A total of 1598 pregnant women from three hospitals were investigated by means of a cross-sectional study from August 2017 to January 2018. Participants were recruited by a convenience sampling method and divided into first and second pregnancy groups. These groups included 1094 primiparas and 504 women giving birth to their second child. Univariate and multivariate logistic regression analyses were performed to discuss the differences in the incidence of fetal macrosomia in first and second pregnancies. No significant difference was found in the incidence of macrosomia in the first pregnancy group (7.2%) and the second pregnancy group (7.1%). In the second-time pregnant mothers, no significant association was found between the macrosomia of the second child (5.5%) and that of the first child (4.7%). In conclusion: the incidence of macrosomia in Western China is not affected by second childbirth, that is not affected by low parity. History of first child macrosomia was not a predictor of second child macrosomia.

MORBIDITY PATTERN AMONG ADOLESCENT SCHOOL GIRLS IN RURAL AND URBAN SCHOOL OF JHANSI (U.P.)- A COMPARATIVE CROSS-SECTIONAL SURVEY

2019 ◽  
Vol 3 (9) ◽  
Author(s):  
Shubhanshu Gupta ◽  
Sanjeev Kumar ◽  
Piyush D Swami ◽  
Anjana Niranjan
Keyword(s):  
Health Status ◽  
Adolescent Girls ◽  
Low Socioeconomic Status ◽  
Optimal Level ◽  
Cross Sectional Study ◽  
World Health ◽  
World Population ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Rural And Urban

Background: According to World Health Organization, adolescents constitute about one fifth of the world population, and in India they constitute about 21% of the total population. Most of the surveys show that health status of adolescent girls is at sub-optimal level. Objectives: To assess nutritional status and morbidity pattern among the adolescent girls and to suggest measures for improvement of health status of adolescent girls.  Method: A community based cross-sectional study was carried out among 250 adolescent schoolgirls in Rural and urban field practice area of Jhansi school from January 2017 to July 2014. Results: Among the various morbidities eye problem was seen in maximum no of adolescent girls. Eye problem was present in 44.8% of adolescent girls followed by respiratory 14.7% and ear 13.06% disease. Skin disease was present in 3.2% of adolescent girls, which was more in rural girls 6.7% than in urban girls 1.7%, may be due to better hygienic practice in urban schoolgirls. Conclusions: Rural background, low socioeconomic status, illiteracy, birth rate and order, income and number of members in a family have shown to be significant determinants of morbidity pattern in the adolescent girls. Keywords: Adolescent, anemia, morbidity, vaginal discharge.

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