APLICACIÓN DE ESCALA DE EVALUACIÓN PEDIÁTRICA DEL INVENTARIO DE DISCAPACIDAD-PRUEBA ADAPTATIVA POR COMPUTADORA (PEDI-CAT) EN PACIENTES CON EPILEPSIA.

Introducción: La epilepsia representa una de las principales causas de morbilidad en neuropediatría. El inicio temprano de las crisis epilépticas, se relaciona con menor desempeño intelectual a largo plazo, y alteraciones en las habilidades adaptativas. Objetivo: Aplicar escala de evaluación pediátrica del inventario de discapacidad-prueba adaptativa por computadora (PEDI-CAT) en pacientes pediátricos con epilepsia. Métodos: Se realizó un estudio de nivel descriptivo, tipo observacional, prospectivo, trasversal y analítico, realizado el Departamento de Neurología Pediátrica del Hospital Infantil de México Federico Gómez, en la Ciudad de México. El reclutamiento de los pacientes fue durante abril y diciembre de 2020. Resultados: los pacientes con epilepsia presentaron un percentil <5 en sus habilidades de movilidad 22 (35,4%), actividades diarias 19(30,6%), social-cognitivas 19(30,6%), lo que significa que están por debajo de rango normal comparado con niños de su edad. Conclusiones: los pacientes con epilepsia presentaron un percentil <5 en el dominio de actividades diarias, movilidad y social-cognitiva, lo que significa que están por debajo de rango normal comparado con niños de su edad. Por tanto, la epilepsia debe ser considerado un trastorno que afecta la capacidad adaptativa de los pacientes y no sólo una patología cuya manifestación son las crisis, su detección temprano con el uso de escalas como PEDI-CAT se traduce en la identificación y planificación de estrategias terapéuticas eficaces para mejorar calidad de vida de los pacientes Palabras Clave: Epilepsia, Conducta Adaptativa, Trastornos del Neurodesarrollo. ABSTRACT Introduction: Epilepsy represents one of the main causes of morbidity in pediatric neurology. The early onset of epileptic seizures is related to lower long-term intellectual performance, and alterations in adaptive skills. Objective: To apply the Pediatric Evaluation of Disability Inventory Computer Adaptive Test (PEDI-CAT) report in pediatric patients with epilepsy. Methods: A descriptive, observational, prospective, cross-sectional and analytical study was carried out in the Department of Pediatric Neurology at Hospital Infantil de México Federico Gómez, in Mexico City. Patient recruitment took place between April and December 2020. Results: patients with epilepsy presented a <5 percentile in their mobility skills 22 (35.4%), daily activities19 (30.6%), social-cognitive 19 (30.6%), which means that they are below of normal range compared to children his age. Conclusions: patients with epilepsy presented a <5 percentile in the domain of daily activities, mobility and social-cognitive, which means that they are below the normal range compared to children of their age. Therefore, epilepsy should be considered a disorder that affects the adaptive capacity of patients and not just a pathology whose manifestation is seizures, its early detection with the use of scales such as PEDI-CAT translates into the identification and planning of strategies effective therapeutics to improve the quality of life of patients Keywords: Epilepsy, Adaptation, Psychological, Neurodevelopmental Disorders.

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Features of affective disorders correction in patients with epilepsy (therapy, rehabilitation, prevention)

Медицина сьогодні і завтра ◽

10.35339/msz.2021.90.01.06 ◽

2021 ◽

Vol 90 (1) ◽

pp. 52-61

Author(s):

H. Kozhyna ◽

I. Strelnikova ◽

M. Khaustov

Keyword(s):

Quality Of Life ◽

Affective Disorders ◽

Depressive Disorders ◽

Epileptic Seizures ◽

Psychosocial Adaptation ◽

Keywords Epilepsy ◽

Constant Attention ◽

Clinical Prognosis ◽

Patients With Epilepsy

For many decades, epilepsy has remained a serious medical and social problem that requires constant attention not only from neurologists, psychiatrists, but also from medical psychologists and social workers. The priority in the treatment of epilepsy is not only to prevent seizures, but also to help the patient maintain social functioning and restore quality of life. Achieving drug remission of epileptic seizures is only part of the management of the disease, it is necessary to help restore the patient's psychosocial adaptation and form a correct understanding of their disease and related limitations in daily functioning. A comprehensive examination which involved 65 patients with epilepsy of both sexes aged 18–40 years was conducted in compliance with the principles of bioethics and medical deontology. The mean age of the subjects ranged from (34.0±1.6) years, duration of the disease in patients did not exceed 10 years. All subjects had disorders of the emotional sphere of non-psychotic level, which were recorded in the interictal period of the disease. Selected comprehensive system of correction of affective disorders in patients with epilepsy helped to achieve following results, especially: reduction of anxiety and depressive disorders (73.5 %), reducing the level of motor and ideational inhibition (65.2 %), reducing the intensity and duration of depressive affect (72.5 %), restoration of interest in activities that previously interested patients (69.5 %), improvement of psychosocial adaptation (81.3 %), managed to achieve the transition of maladaptive types of attitudes to the disease to adaptive (66.5 %) and improve quality of life (83.2 %). A study of affective disorders in patients with epilepsy allowed us to make following conclusions: epilepsy is often combined with affective disorders. Depressive disorders are more common among all affective disorders. Epilepsy and affective disorders interact with each other and complicate clinical prognosis. Keywords: epilepsy, affective disorders, rehabilitation, psychoeducation.

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Salud oral de los estudiantes de primer ingreso del área de la Salud de la Universidad Autónoma de Nayarit

UVserva ◽

10.25009/uvserva.v0i0.2658 ◽

2019 ◽

pp. 50-58

Author(s):

María Gabriela Corona Tabares ◽

Irene Gutiérrez Dueñas ◽

Delfino Cruz Rivera ◽

Ana Gabriela López Corona ◽

Roberto Hernández Urías

Keyword(s):

Oral Health ◽

University Students ◽

Dental Health ◽

Health Examination ◽

Cross Sectional ◽

Calidad De Vida ◽

Palabras Clave ◽

Comprehensive Health ◽

Dmft Index ◽

Prevention Methods

El conocimiento de la salud bucal de la población constituye una tarea fundamental desde la perspectiva de la salud pública, pues la caries es el padecimiento con mayor incidencia y prevalencia alrededor del mundo a pesar de los métodos de prevención. La salud bucodental es importante para el desarrollo físico y mental de las personas, desempeña un papel fundamental en la calidad de vida. El objetivo de esta investigación fue determinar el índice de dientes cariados, perdidos, obturados (CPOD) entre un grupo representativo de universitarios de ambos sexos de nuevo ingreso del área de la salud en las carreras de: nutrición, químico farmacobiólogo, medicina, odontología y cultura física, de una Universidad del estado de Nayarit. Dicho Sujetos se remitieron a la unidad académica de odontología para su atención, lo que permitió integrar resultados al macro-proyecto de investigación: Diagnóstico y seguimiento del estado integral de salud en estudiantes universitarios de nuevo ingreso. Este constituyó un estudio transversal, descriptivo, observacional, mediante la aplicación del examen de salud integral odontológica, se realizó una exploración clínica a partir de la cual se efectuó el registro en odontogramas. Se revisaron 200 alumnos con edad promedio de 18 años, 90% hombres y 10% mujeres. Se logró identificar que el porcentaje del índice CPOD fue de 2.2; con respecto al número de dientes cariados fueron: 195; dientes perdidos: 20; dientes obturados: 230; dientes sanos: 5155.Palabras clave: índice; caries; CPOD; OMS; salud dental AbstractThe knowledge of oral health of the population is a fundamental task from the perspective of public health, since caries is the disease with the highest incidence and prevalence around the world despite the prevention methods. Oral health is important for the physical and mental development of people since it plays a fundamental role in the quality of life. The objective of this research was to determine the index of teeth, decayed, lost, obturated (DMFT), among a representative group new university students of both sexes from the health area including the careers of: nutrition, chemical pharmacobiologist, medicine, dentistry and physical culture in the state of Nayarit and send them to the academic unit of dentistry for their attention, as well as append results a macro-research project entitled Diagnosis and monitoring of the comprehensive health status of new university students. Material and method: a cross-sectional, descriptive, observational study was carried out, through the application of the integral dental health examination, which consisted in a clinical exploration, the results were registered in odontograms. Being reviewed 200 students with an average age of 18.2. 90% men and 110% women. Results: The percentage of the DMFT index was 2.2. Regarding the number of teeth, decayed were: 195; lost teeth: 20; sealed teeth: 230; healthy teeth: 5155.Keywords: index; caries; CPOD; WHO; dental health

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Infrequent Monitoring of the Effects of Valproate and Carbamazepine Therapy in Patients With Epilepsy in Nigeria

Journal of Central Nervous System Disease ◽

10.1177/1179573520925934 ◽

2020 ◽

Vol 12 ◽

pp. 117957352092593

Author(s):

Unyime Israel Eshiet ◽

Chukwuemeka Michael Ubaka ◽

Chinwe Victoria Ukwe

Keyword(s):

Antiepileptic Drug ◽

Epileptic Seizures ◽

Cross Sectional ◽

Severe Hepatotoxicity ◽

Carbamazepine Therapy ◽

Medical Facilities ◽

Hematopoietic Disorders ◽

Patients With Epilepsy ◽

Drug Use Study

Background: Carbamazepine and valproate are widely used in the treatment of epileptic seizures. However, these agents exhibit certain adverse effects including hematopoietic disorders (carbamazepine) and severe hepatotoxicity (valproate). Purpose: To determine the extent of monitoring of the hematologic effects of carbamazepine as well as the extent of monitoring of the hepatic effects of valproate in patients with epilepsy receiving treatment with these agents. Method: A cross-sectional antiepileptic drug use study using case notes of patients with epilepsy managed at the neurologic clinics of 2 tertiary medical facilities in Nigeria between January and December 2017. Results: Carbamazepine was the most frequently prescribed antiepileptic drug (48.24%), followed by valproate (29.34%) and levetiracetam (9.24%). Pretreatment monitoring of hematologic effect was carried out in only 61.11% of patients placed on carbamazepine therapy while follow-up monitoring was done in 3.7% of these patients. Also, in patients placed on valproate therapy, pretreatment and follow-up monitoring of the hepatic effect was done in only 33.71% and 19.0% of the patients, respectively. Conclusions: The extent of monitoring of the hematologic effects of carbamazepine, as well as the hepatic effects of valproate in the cohort studied, is poor.

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Profil Penyakit Malaria Di Rumah Sakit Islam Siti Rahmah Padang Tahun 2018

Health & Medical Journal ◽

10.33854/heme.v2i2.546 ◽

2020 ◽

Vol 2 (2) ◽

pp. 08-15

Author(s):

Rahma Triyana ◽

Salmi Salmi

Keyword(s):

Observational Study ◽

Frequency Distribution ◽

Cross Section ◽

Laboratory Tests ◽

Age Group ◽

Normal Range ◽

Cross Sectional ◽

West Sumatra ◽

Severity Of The Disease

Malaria is one of the health problems in Indonesia, especially West Sumatra. Determination of the description of Malaria disease in an area is needed to determine the spread and severity of the disease. This study aims to determine the frequency distribution according to age, sex and place of residence, description of the types of Plasmodium causes of Malaria and hematological features in Malaria patients at Siti Rahmah Padang Hospital in 2018. This type of research is a descriptive observational study with an approach or design cross section (cross sectional). The frequency distribution of Malaria sufferers in Siti Rahmah Padang Hospital in 2018 according to the highest age was in the age group 21-30 years as many as 28 cases (36.8%), the highest sex among men was 46 (60.5%) and the highest number of residences was found in Koto Tangah sub-district there were 31 cases (40.8%). The type of Plasmodium found in Malaria cases in Siti Rahmah Padang Hospital in 2018 was P. vivax (73 cases (96.05%)) and P. falciparum (3 cases (3.95%)). The results of laboratory tests on Hb, hematocrit, platelet and leukocyte levels in Malaria positive patients in Siti Rahmah Padang Hospital in 2018 were in the normal range.

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Profil Penyakit Malaria di Rumah Sakit Islam Siti Rahmah Padang Tahun 2018

Health & Medical Journal ◽

10.33854/heme.v2i2.452 ◽

2020 ◽

Vol 2 (2) ◽

pp. 08-15

Author(s):

Rahma Triyana Y ◽

Salmi Salmi

Keyword(s):

Observational Study ◽

Frequency Distribution ◽

Cross Section ◽

Laboratory Tests ◽

Age Group ◽

Normal Range ◽

Cross Sectional ◽

West Sumatra ◽

Severity Of The Disease

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The use of progesterone during pregnancy in women with epilepsy as an alternative to the correction of doses of anticonvulsants

GYNECOLOGY ◽

10.26442/20795696.2019.6.190708 ◽

2020 ◽

Vol 21 (6) ◽

pp. 12-15

Author(s):

Elena V. Tsallagova ◽

Vasily O. Generalov ◽

Timur R. Sadykov

Keyword(s):

Clinical Remission ◽

Epileptic Seizures ◽

Progesterone Concentration ◽

Teratogenic Effects ◽

Safe Alternative ◽

Patients With Epilepsy

Pregnancy is the most dangerous period in terms of interruption of even persistent and long-term remission. At the same time increasing the dose of anticonvulsant increases the risk of teratogenic effects. Aim. to assess the possibility of using progesterone to prevent relapse of epileptic seizures during pregnancy. Materials and methods. 38 pregnant patients with epilepsy with clinical remission before pregnancy, with relapse of epileptic seizures in I trimester of pregnancy, age 31.81.4 years. Dydrogesterone in a dose of 10 to 60 mg/day was prescribed after the relapse of remission. Anticonvulsant dosage was not changed. The blood progesterone concentration and EEG control was carried out. Results. During pregnancy, the level of progesterone in the blood gradually increased from 77.8 nmol/l at 78 weeks of pregnancy to 521.1 nmol/l at 3637 weeks of pregnancy, without exceeding the limits. EEG results did not deteriorate. None of the patients had seizures during pregnancy. Conclusion. Progesterone therapy is an adequate and safe alternative to increasing the dose of anticonvulsants in case of recurrent seizures during pregnancy.

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Causes of Epilepsy in Elderly Patients Presenting in a Tertiary Care Hospital of Karachi

Pakistan Journal of Medicine and Dentistry ◽

10.36283/pjmd9-4/009 ◽

2020 ◽

Keyword(s):

Elderly Patients ◽

Cerebrovascular Disease ◽

Neurodegenerative Disorder ◽

Tertiary Care ◽

P Value ◽

Care Hospital ◽

Traumatic Head Injury ◽

Keywords Epilepsy ◽

College Hospital ◽

Cross Sectional

Background: Epilepsy is fairly a frequent occurrence in the elderly. It is commonly diagnosed after the episode of two or more unprovoked seizures. Unprovoked seizures in elderly are recurrent rather than younger individuals. This study was designed to estimate the concrete burden of frequent causes of epilepsy. Methods: A descriptive cross-sectional study with a total of 153 patients diagnosed case of epilepsy were included in this study at Jinnah Medical College Hospital from February 2018-August 2018. Mean was calculated for age, duration of disease of the patients. Causes of epilepsy, gender, and education was calculated and presented as percentages. Electrolyte readings were taken i.e., Sodium, Calcium and Magnesium levels and imaging was planned to rule out stroke, primary neurodegenerative disorders and tumors. Post stratiﬁcation Chi square test was applied and p-value less than or equal to 0.05 was considered signiﬁcant. Results: The mean age of the patients was 63.91±5.68 years and mean duration of the disease was 4.61± 1.07 months. The common causes of epilepsy were found to be cerebrovascular disease 56.9%, cryptogenic 54.2%, neurodegenerative disorder 20.3%, traumatic head injury 11.8%, metabolic abnormalities or electrolyte disturbances 10.5% and brain tumor 7.8%. Conclusion: Elderly patients with ﬁrst seizure should present to a facility designed in a way that neurologist, cardiologist, rehabilitation and geriatrics work together to identify and treat the condition in a better way. Keywords: Epilepsy; Seizures; Cerebrovascular Disease; Neurodegenerative Disorder.

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Perception about Etiology of Epilepsy and Help-Seeking Behavior in Patients with Epilepsy

International Journal of Epilepsy ◽

10.1055/s-0041-1731933 ◽

2021 ◽

Author(s):

Gautam Das ◽

Samar Biswas ◽

Souvik Dubey ◽

Durjoy Lahiri ◽

Biman Kanti Ray ◽

...

Keyword(s):

Help Seeking ◽

Tertiary Care ◽

Epileptic Seizures ◽

Treatment Seeking ◽

Professional Help ◽

Epileptic Patients ◽

Seeking Behavior ◽

Tertiary Care Centers ◽

Patients With Epilepsy

Abstract Objectives Patients with epilepsy and their family have diverse beliefs about the cause of their illness that generally determine their treatment-seeking behavior. In this study, our aim was to find out different beliefs about epilepsy that lead to different help-seeking patterns, which act as barrier to the intended modern medical management of epilepsy. Materials and Methods One hundred and fifty consecutive consenting patients accompanied by a reliable informant/family member fulfilling the International Classification of Epileptic Seizures (ICES), simplified version, were included. Demographic and clinical data of all the eligible subjects was collected. Perceived cause of illness and help-seeking pattern were explored from patient/informant by administering proper instruments. Results Respondents identified varied causes of epilepsy and explored multiple help-seeking options before reaching tertiary care centers. We observed that, generally, epileptic patients/relatives who had belief in causes like supernatural causes sought help from nonprofessional personnel and those attributed their symptom to bodily pathology had professional help-seeking. Conclusions The belief in supernatural causes not being conformed to the biomedical models of the epileptic disorders increases the treatment gap.

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