scholarly journals Seizure Impact on the School Attendance in Children with Epilepsy: Prospective Study in the Pediatrics Neurology Clinic at Tikur Anbessa Specialized Hospital,Addis Ababa, Ethiopia

2019 ◽  
Author(s):  
Oumer Hassen ◽  
Ayalew moges Beyene
Keyword(s):  
Prospective Study ◽  
Children And Adolescents ◽  
Behavioral Problems ◽  
School Attendance ◽  
Addis Ababa ◽  
School Absenteeism ◽  
School Aged Children ◽  
Neurology Clinic ◽  
The Impact

Abstract Abstract Background: Epilepsy is the most common chronic neurological disease seen in Pediatrics Neurology Units in developing countries and like other chronic disorders it has been found to negatively affect school attendance and academic performance influencing school life of children. An educational underachievement can also be due to comorbid learning and behavioral problems in these children. The impact of epilepsy on school attendance may also contribute to the academic difficulties of children with epilepsy. The purpose of this study is to assess school absenteeism and determine which factors influence school absenteeism in school aged children and adolescents with epilepsy. Methods: A hospital based prospective study was conducted among school aged children and adolescents with epilepsy between the ages of 7-18 years attending at the Paediatric Neurology Clinic and their primary caretakers. A sample of 183 children and adolescents were included in the study. The participants (children and their parents/caregivers) gave information concerning the socio-demographic data, primary caregiver’s information like educational status, information concerning child’s seizure and epilepsy status disclosures to teachers and peer. And medical cards were thoroughly reviewed. Descriptive statistics and bi-variate logistic regression analysis was done to assess determinants of school absenteeism. Results: The prevalence of school absenteeism among children aged 7-18years at PNC follow up was 69.4%.Among other factors female sex with AOR 2.19(95% CI 1.03-4.84), having symptomatic seizure AOR 2.51(95% CI 1.09-5.86), having seizure at school and having longer duration of seizure were statistically significant association with school absenteeism. Conclusion: This study demonstrated the school absenteeism is very common among children aged 7-18 years at PNC follow up (69.4%) and that seizure has a significant impact on children’s school attendance. Keywords: Epilepsy; School; Childhood; Absenteeism; Ethiopia Trial registration: N/A

scholarly journals Seizure Impact on the School Attendance in Children with Epilepsy: Prospective Study in the Pediatrics Neurology Clinic at Tikur Anbessa Specialized Hospital,Addis Ababa, Ethiopia

2019 ◽  
Author(s):  
Oumer Hassen ◽  
Ayalew moges Beyene
Keyword(s):  
Prospective Study ◽  
Children And Adolescents ◽  
Behavioral Problems ◽  
School Attendance ◽  
Addis Ababa ◽  
School Absenteeism ◽  
School Aged Children ◽  
Neurology Clinic ◽  
The Impact

Abstract Abstract Background: Epilepsy is the most common chronic neurological disease seen in Pediatrics Neurology Units in developing countries and like other chronic disorders it has been found to negatively affect school attendance and academic performance influencing school life of children. An educational underachievement can also be due to comorbid learning and behavioral problems in these children. The impact of epilepsy on school attendance may also contribute to the academic difficulties of children with epilepsy. The purpose of this study is to assess school absenteeism and determine which factors influence school absenteeism in school aged children and adolescents with epilepsy. Methods: A hospital based prospective study was conducted among school aged children and adolescents with epilepsy between the ages of 7-18 years attending at the Paediatric Neurology Clinic and their primary caretakers. A sample of 183 children and adolescents were included in the study. The participants (children and their parents/caregivers) gave information concerning the socio-demographic data, primary caregiver’s information like educational status, information concerning child’s seizure and epilepsy status disclosures to teachers and peer. And medical cards were thoroughly reviewed. Descriptive statistics and bi-variate logistic regression analysis was done to assess determinants of school absenteeism. Results: The prevalence of school absenteeism among children aged 7-18years at PNC follow up was 69.4%.Among other factors female sex with AOR 2.19(95% CI 1.03-4.84), having symptomatic seizure AOR 2.51(95% CI 1.09-5.86), having seizure at school and having longer duration of seizure were statistically significant association with school absenteeism. Conclusion: This study demonstrated the school absenteeism is very common among children aged 7-18 years at PNC follow up (69.4%) and that seizure has a significant impact on children’s school attendance. Keywords: Epilepsy; School; Childhood; Absenteeism; Ethiopia Trial registration: N/A

scholarly journals The effect of Seizure on School Attendance among Children with Epilepsy: A follow-up study at the Pediatrics Neurology Clinic, Tikur Anbessa Specialized Hospital, Addis Ababa, Ethiopia

2020 ◽  
Author(s):  
Oumer Hassen ◽  
Ayalew moges Beyene
Keyword(s):  
Children And Adolescents ◽  
Behavioral Problems ◽  
School Attendance ◽  
Addis Ababa ◽  
School Absenteeism ◽  
Academic Difficulties ◽  
School Aged Children ◽  
Follow Up Study ◽  
Neurology Clinic

Abstract Backgound: Epilepsy is the most common chronic neurological disease seen in Pediatrics Neurology Units in developing countries negatively affecting school attendance and academic performance. Comorbid learning and behavioral problems may also contribute to the academic difficulties among children with epilepsy. The main aim of this study is to assess the extent and factors contributing school absenteeism among school-aged children and adolescents with epilepsy.Methods: A hospital based follow-up study was conducted among school-aged children and adolescents with epilepsy between the ages of 7-18 years attending an outpatient Pediatric Neurology Clinic. A sample of 183 children and adolescents were included in the study. The participants (children and their parents/caregivers) gave information concerning the socio-demographic characteristics of the child and the primary caregiver, information regarding the child’s presentation and whether or not they disclosed to teachers and peer. Medical charts were thoroughly reviewed on the diagnosis and prognosis. Study participants characteristics were described and logistic regression was used to determine factors associating with school absenteeism.Results: School absenteeism (≥1 days/month) over six month period among children aged 7-18 years with epilepsy was 69.4%. Factors which correlated with school absenteeism included female sex (AOR 2.19, 95% CI 1.03-4.84), children with known causes for seizures AOR 2.51, 95% CI 1.09-5.86), having seizure at school and longer epilepsy duration.Conclusion recommendation: School absenteeism was found in over two thirds of children aged 7-18 years with epilepsy attending an outpatient epilepsy clinic in Ethiopia.

scholarly journals Determinants of student’s MVPA level in school and neighborhood environment changing with age: a 12-month follow-up study in Ningxia province

2020 ◽  
Author(s):  
Wei Huang ◽  
Xiangrong Shi ◽  
Yujie Wang ◽  
Xiaoling Li ◽  
Pengpeng Gao ◽  
...  
Keyword(s):  
Physical Activity ◽  
Children And Adolescents ◽  
Influential Factors ◽  
Neighborhood Environment ◽  
School Aged Children ◽  
Sports Events ◽  
Significant Difference ◽  
The Impact ◽  
The Relationship

Abstract Background The benefits of physical activity have been identified in children and adolescents. However, the prevalence of physical inactivity in school-aged children and adolescents was high in China. Most time of students spends in neighborhood and school, and these play an important role in student’s MVPA level. Therefore, we will investigate the impact of implementing the national health promotion policy on PA behavior in school-aged children and adolescents and the effects that influence the changes in PA behavior in this study. Methods This is a longitudinal study with a 12-month follow-up. The study sample came from 2016 and 2017 Physical Activity and Fitness in China—The Youth Study, total 1611 students (aged 7–18 years) from 31 primary, junior high, and high schools were included in this study. The physical and social environment in school and neighborhood were measured by questionnaire at baseline and after 12 months. Multiple logistic regression was used to examine the relationship of influential factors and moderate- and vigorous MVPA. Results There is no significant difference in MVPA level between 2016 and 2017. Student’s attitudes to PA, neighborhood facilities, and organizations were improved significantly after 12 months. The influential factors changed after 12 months. In 2016 the top three contributors were attitude to MVPA(OR 3.08 with 95% CL 1.22, 7.76), neighborhood PA facilities(OR 1.52, 95% CL 1.24, 1.86) and age(OR 1.38, 95% CL 1.13, 1.69), and in 2017 the top three factors were student’s attitude to PA(OR 4.28, 95%CL 1.788,10.245), school extra time for PA(OR 2.29, 95% CL 1.56, 3.36) and the frequency of sports events in neighborhood(OR 1.84, 95% CL 1.34, 2.53). Conclusions The single health policy is not effective for student’s MVPA promotion. There may be some factors mediate the relationship between neighborhood environment and MVPA level with age and grade increasing. In the future, more studies are needed to explore the change of influential factors and mediators with age. The findings of this study may provide some evidence for future policy-making.

Increasing Immunization Compliance

2004 ◽  
Vol 20 (4) ◽  
pp. 203-208 ◽  
Author(s):  
Kimberly Toole ◽  
Cynthia S. Perry
Keyword(s):  
Inner City ◽  
School Attendance ◽  
Transportation Cost ◽  
School Nurses ◽  
Working Parents ◽  
Record Keeping ◽  
Access To Primary Care ◽  
The Impact ◽  
City Schools

School nurses often have the responsibility to ensure that students meet all immunization requirements for school entry and school attendance. In large inner-city school districts, many obstacles exist which make this task daunting and often result in lengthy absences and exclusions for students. It is critical that school nurses find creative and systematic ways to meet these challenges, which include working parents, lack of access to primary care, lack of transportation, cost of immunizations, poor compliance and follow-up, myths regarding immunizations, and the impact of the Health Insurance Portability and Accountability Act (HIPAA) legislation. This article describes an immunization project that removed most of those barriers for high-risk students and gave the school nurses tools to succeed in achieving higher levels of immunization compliance in inner-city schools. Since the immunization project’s conception, compliance in the district has risen from an overall level of 50–60% to 90–100%, along with better record-keeping and the prevention of exclusions.

scholarly journals Association between the Use of Backpack and Static Foot Posture in Schoolchildren with Static Pronated Foot Posture: A 36-Month Cohort Study

Children ◽  
2021 ◽  
Vol 8 (9) ◽  
pp. 800
Author(s):  
Pilar Alfageme-García ◽  
Julián Fernando Calderón-García ◽  
Alfonso Martínez-Nova ◽  
Sonia Hidalgo-Ruiz ◽  
Belinda Basilio-Fernández ◽  
...  
Keyword(s):  
Body Mass Index ◽  
Multivariate Analysis ◽  
Cohort Study ◽  
Prospective Study ◽  
Odds Ratio ◽  
Univariate Analysis ◽  
Foot Posture ◽  
The Mean ◽  
The Impact

Background: Schoolchildren often spend a lot of time carrying a backpack with school equipment, which can be very heavy. The impact a backpack may have on the pronated feet of schoolchildren is unknown. Aims: The objective of this study was to evaluate the association of the backpack use on static foot posture in schoolchildren with a pronated foot posture over 36 months of follow-up. Methods: This observational longitudinal prospective study was based on a cohort of consecutive healthy schoolchildren with pronated feet from fifteen different schools in Plasencia (Spain). The following parameters were collected and measured in all children included in the study: sex, age, height, weight, body mass index, metatarsal formula, foot shape, type of shoes, and type of schoolbag (non-backpack and backpack). Static foot posture was determined by the mean of the foot posture index (FPI). The FPI was assessed again after 36 months. Results: A total of 112 participants used a backpack when going to school. Over the 36-month follow-up period, 76 schoolchildren who had a static pronated foot posture evolve a neutral foot posture. Univariate analysis showed that the schoolchildren using backpacks were at a greater risk of not developing neutral foot (odds ratio [OR]: 2.09; 95% CI: 1.08–4.09). The multivariate analysis provided similar results, where the schoolchildren using a backpack (adjusted OR [aOR]: 1.94; 95% CI: 1.02–3.82) had a significantly greater risk of not developing a neutral foot posture. Conclusions: A weak relationship was found between backpack use and schoolchildren aged from five to eleven years with static pronated feet not developing a neutral foot posture over a follow-up period of 36 months.

scholarly journals The effect of diabetes mellitus on evolution and outcome of tuberculosis in a prospective study

2021 ◽  
Vol 64 (5) ◽  
pp. 16-20
Author(s):  
Alina Malic ◽  
◽  
Evelina Lesnic ◽  
Keyword(s):  
Diabetes Mellitus ◽  
Prospective Study ◽  
Treatment Effectiveness ◽  
Similar Rate ◽  
Control Group ◽  
Diabetic Patients ◽  
A Prospective Study ◽  
Prospective Longitudinal ◽  
The Impact

Background: In the Republic of Moldova almost 5% of the cases with tuberculosis are diagnosed annually among diabetic patients. The aim of this study was to assess the impact of diabetes mellitus on the evolution and anti-tuberculosis treatment effectiveness in a prospective study. Material and methods: A prospective, longitudinal and case-control study, which included a total number of 252 patients diagnosed with pulmonary tuberculosis and distributed in a study group, consisting of 93 patients diagnosed with diabetes mellitus and a control group, consisting of 159 patients without glycemic disorders, was performed. Results: This study identified that one half of the group with diabetes was detected by active screening and one third received anti-tuberculous treatment before actual episode. A similar rate of diabetic and non-diabetic patients was microbiologically positive, as well confirmed with drug-resistance. The anti-tuberculous treatment effectiveness was lower in diabetic patients, the death rate and the low treatment outcome (lost to follow-up and failed) were higher than in non-diabetic patients. The main causes of unfavorable evolution were: glycemic disorders (hyperglycemia), diabetes complications and the history of the anti-tuberculous treatment in the anamnesis. Conclusions: The individualized approach and a tight follow-up should be performed regularly in all patients with glycemic disorders and tuberculosis for the improvement of the disease outcome.

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