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Knowledge and Awareness of Elementary School Teachers about Reading Disability (Dyslexia) in Kingdom of Saudi Arabia, Medina 2018 沙特阿拉伯王国小学教师对阅读障碍(失读症)的知识和意识,麦地那2018
Pub Date : 2023-07-17 DOI: 10.9734/indj/2023/v20i2392
Wala Saleh Albeladi, S. Al-Dubai
Introduction: For several years teachers have been concerned about students who appear normal, intelligent, and healthy, but struggle with reading and learning to read and write. These difficulties are identified under the concept of dyslexia [1]. Dyslexia is defined as learning disability that is neurobiological in origin. It is characterized by problems with fluent word recognition and by poor spelling and interpreting skills.Rationale of Study: Dyslexia  appears to be the most common learning disability in mainstream schools since the average number of children with dyslexia universally appears to be between 10-15% of the population [19].Objectives of the Study: To assess Knowledge and Awareness of al-medina elementary school teachers about reading disability (dyslexia).Methodology: Cross sectional study.This study was conducted in al-Medina city. It is located at the north western region of kingdom of Saudi Arabia. Al-Medina city has 208 Elementary female schools and 181 Elementary male schools (published in ministry of education website 1438 The study population included female and male Saudi teachers in primary schools in Al-Medina the total population (Saudi female and male  teachers in primary schools) 10,522 expected frequency =50% at 95% confidence level the sample size =371 (calculated by using  survey software A self-reported questionnaire was give to primary schools teachers.Results: A total of 380 teachers of elementary school in Madinah city, Saudi Arabia were included in the study. The personal characteristics of the studied subjects are presented in Table 1. The mean (±SD) age of the studied teachers was 40.6(±6.2) years and age ranged from 25-59 years. About 41.6% were above the age of 40 years and about half of the studied teachers were males (51.3%). The majority were married (92.6%), and had more than 3 children. The majority had bachelor degree (72.6%). Almost all the studied teachers reported to have monthly income of more than 8000 SR (97.1%). More than half of the studied teachers were teaching Arabic and Islamic subjects (56.8%), 22.4% of the teachers were teaching science and Mathematics. Teachers with work experience > 10 years were representing 58.2% of the studied sample with the mean years of experience was 8.4 ± 4.6 (1-19 years).Conclusions: The present study revealed that good level of knowledge on dyslexia among the studied elementary school teachers in Madinah City to account (42.9%). The results showed also that the majority of teachers to have positive opinion about the need of educational program and special training courses on dyslexia. Although not significant, good level of knowledge on dyslexia was varied by the socio-demographic characteristics of the studied teachers. The higher level was among teachers aged ≤ 40 years, male teachers, married teachers, teachers having 1-3 children, teachers having bachelor degree. The highest percent of good knowledge was found among science and mathematics teache
引言:几年来,老师们一直关注那些看起来正常、聪明、健康,但在阅读和学习读写方面却很吃力的学生。这些困难是在阅读障碍的概念下确定的[1]。阅读障碍是指起源于神经生物学的学习障碍。它的特点是单词识别不流利,拼写和口译能力差。研究理由:阅读障碍似乎是主流学校中最常见的学习障碍,因为阅读障碍儿童的平均人数普遍在人口的10-15%之间[19]。研究目的:评估阿麦地那小学教师对阅读障碍(阅读障碍)的知识和意识。方法:横断面研究。这项研究是在麦地那市进行的。它位于沙特阿拉伯王国的西北地区。麦地那市有208所小学女生和181所小学男生(公布在教育部网站1438上。研究人群包括麦地那小学的沙特女教师和男教师。总人口(小学的沙特男教师和女教师)10522预期频率=50%,置信水平为95%,样本量=371(使用调查软件计算。向小学教师发放自我报告问卷。结果:共有380名沙特阿拉伯麦地那市小学教师参与了研究。研究对象的个人特征如表1所示。研究教师的平均年龄(±SD)为40.6岁(±6.2),年龄范围为25-59岁。约41.6%的教师年龄在40岁以上,约一半的教师为男性(51.3%)。大多数教师已婚(92.6%),有3个以上的孩子。大多数教师拥有学士学位(72.6%)。据报道,几乎所有受访教师的月收入都超过8000 SR(97.1%)。超过一半的受访教师教授阿拉伯语和伊斯兰科目(56.8%),22.4%的教师教授科学和数学。工作经验>10年的教师占研究样本的58.2%,平均工作经验年限为8.4±4.6(1-19年)阅读障碍教育计划和特殊培训课程的需求。尽管不显著,但阅读障碍的良好知识水平因所研究教师的社会人口学特征而异。年龄≤40岁的教师、男教师、已婚教师、有1-3个孩子的教师、具有学士学位的教师水平较高。科学和数学教师的好知识比例最高。
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引用次数: 0
From Environment to Gene Expression: Epigenetics and the Development of Mental Health Disorders 从环境到基因表达:表观遗传学与心理健康障碍的发展
Pub Date : 2023-07-17 DOI: 10.9734/indj/2023/v20i2391
Jennings Hernandez
Psychiatric disorders have multifaceted origins, involving a combination of genetic and environmental factors that contribute significantly to their development. In recent times, researchers have emphasized the role of epigenetic mechanisms as the underlying molecular foundation for how environmental factors influence biological processes. Consequently, the field of epigenetics has gained growing prominence within the realm of psychiatry as a means to understand these intricate connections. This qualitative research paper explores the role of epigenetics in mental health disorders, focusing on the impact of environmental factors on gene expression. By examining the complex interplay between nature and nurture, the study provides insights into the influence of epigenetic modifications on psychiatric conditions such as schizophrenia, bipolar disorder, and post-traumatic stress disorder (PTSD). We performed semi-structured interviews with a broad range of psychiatric, genetic, and epigenetic specialists. In order to find pertinent studies looking at how epigenetic changes affect psychiatric diseases, including schizophrenia, bipolar disorder, and PTSD, a systematic literature analysis was carried out. Additionally, the paper discusses the potential implications of epigenetic research for personalized treatment approaches and early intervention strategies. Through a comprehensive literature review and qualitative analysis of expert interviews, this study enhances our understanding of the intricate relationship between epigenetics and mental health.
精神疾病有多方面的起源,涉及基因和环境因素的结合,这些因素对其发展有重大贡献。近年来,研究人员强调表观遗传学机制的作用,认为它是环境因素如何影响生物过程的潜在分子基础。因此,表观遗传学作为理解这些复杂联系的一种手段,在精神病学领域越来越突出。这篇定性研究论文探讨了表观遗传学在心理健康障碍中的作用,重点是环境因素对基因表达的影响。通过研究先天和后天之间复杂的相互作用,该研究深入了解了表观遗传学修饰对精神分裂症、双相情感障碍和创伤后应激障碍(PTSD)等精神疾病的影响。我们对广泛的精神病学、遗传学和表观遗传学专家进行了半结构化访谈。为了找到表观遗传学变化如何影响精神疾病的相关研究,包括精神分裂症、双相情感障碍和创伤后应激障碍,进行了系统的文献分析。此外,本文还讨论了表观遗传学研究对个性化治疗方法和早期干预策略的潜在影响。通过全面的文献综述和专家访谈的定性分析,本研究增强了我们对表观遗传学与心理健康之间复杂关系的理解。
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引用次数: 0
Effects of Listening to Music on Mental Health of Nigerian Undergraduate Students 听音乐对尼日利亚大学生心理健康的影响
Pub Date : 2023-07-13 DOI: 10.9734/indj/2023/v20i2390
Oluwaseun Omole
Aim: The impact of music on mental health, specifically among Nigerian undergraduate students, is an area yet to be fully explored. This study therefore sought to investigate the impact of music listening habits on the mental health of Nigerian undergraduate students. Methodology: This study employed a cross-sectional survey research design. The population of this study comprised of students from three tertiary institutions in Moor Plantation, Ibadan, Nigeria, namely: Federal College of Animal Health and Technology, Institute of Agricultural Research and Training, and Federal College of Agriculture. A random sampling technique was employed to select four hundred (400) undergraduate students who were studying for the National Diploma (ND) and Higher National Diploma (HND) respectively. Results: A majority of the respondents (56.75%) listen to music several times a week, with 78% admitting to listening to music while studying. The genres most listened to were Hip hop (35.15%) and Gospel (27.12%). Most students reported feeling happier (39.87%) and more relaxed (33.26%) after listening to music, indicating a positive influence on mood and emotion. Furthermore, 83% of respondents claimed their mood influenced the type of music they chose to listen to, and 71.50% noted that different genres affected their mood distinctly. When asked about their mental health status, most students rated their mental health as good (71.25%) or excellent (26.75%). The majority acknowledged that music significantly influences their mood (87.25%), reduces stress levels (84%), and helps with concentration (85.25%). Up to 95.25% of the students have used music as a coping mechanism during emotional distress. Despite these benefits, a small percentage (2%) observed negative impacts on their mental health linked to their music listening habits. Overall, a significant 86.25% of students believe music positively influences their mental health. Notably, only 2.75% of students have sought professional help for mental health issues, and of these, 72.73% were recommended music as a therapeutic tool. Up to 93% expressed openness to the idea of music therapy. Conclusion: These findings underscore the potential of music as a tool for enhancing mental health among Nigerian undergraduate students. However, the observed negative impacts on a minority of students highlight the need for further exploration and potential regulation of music-based interventions.
目的:音乐对心理健康的影响,特别是对尼日利亚本科生的影响,是一个有待充分探索的领域。因此,本研究试图调查听音乐习惯对尼日利亚大学生心理健康的影响。方法:本研究采用横断面调查研究设计。本研究的人群包括来自尼日利亚伊巴丹摩尔种植园三所高等院校的学生,即:联邦动物健康与技术学院、农业研究与培训学院和联邦农业学院。采用随机抽样技术,选择了分别攻读国家文凭(ND)和国家高级文凭(HND)的四百(400)名本科生。结果:大多数受访者(56.75%)每周听几次音乐,78%的人承认在学习时听过音乐。最常听的音乐类型是嘻哈音乐(35.15%)和福音音乐(27.12%)。大多数学生在听音乐后感到更快乐(39.87%)和更放松(33.26%),这表明这对情绪和情绪有积极影响。此外,83%的受访者表示,他们的情绪会影响他们选择听的音乐类型,71.50%的受访者指出,不同的音乐类型会明显影响他们的情绪。当被问及他们的心理健康状况时,大多数学生的心理健康评分为良好(71.25%)或优秀(26.75%)。大多数学生承认音乐会显著影响他们的情绪(87.25%),降低压力(84%),并有助于集中注意力(85.25%)。高达95.25%的学生在情绪困扰时使用音乐作为应对机制。尽管有这些好处,但仍有一小部分人(2%)观察到,听音乐习惯对他们的心理健康产生了负面影响。总体而言,86.25%的学生认为音乐对他们的心理健康有积极影响。值得注意的是,只有2.75%的学生寻求过心理健康问题的专业帮助,其中72.73%的学生被推荐将音乐作为治疗工具。高达93%的人表示对音乐疗法持开放态度。结论:这些发现强调了音乐作为增强尼日利亚大学生心理健康工具的潜力。然而,观察到的对少数学生的负面影响凸显了对基于音乐的干预措施进行进一步探索和潜在监管的必要性。
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引用次数: 0
Application of Hyperbaric Oxygen in Middle-aged and Elderly Patients with Chronic Prostatitis and Depression 高压氧在中老年慢性前列腺炎和抑郁症患者中的应用
Pub Date : 2023-07-11 DOI: 10.9734/indj/2023/v20i2389
Zhao Song, Lilong Zhan, L. Nong
Purpose: This study aims to analyze the effects and safety of hyperbaric oxygen in middle-aged and elderly patients with chronic prostatitis and depression.Methods: A total of 120 middle-aged and elderly patients with chronic prostatitis and depression were enrolled at Qingdao's Jiaozhou Central Hospital. Before and after hyperbaric oxygen therapy, the symptom scoring scale (NIH) and Hamilton Depression Scale (ADMH) scores, testosterone levels, and clinical efficacy were all recorded, and the differences were analyzed using correlation analysis and an independent sample t-test.Results: Compared with patients before hyperbaric oxygen therapy, NIH-CPSIand AMDH scores were lower, and testosterone levels were higher, which was statistically significant (P <0.05).Conclusion: The effect of hyperbaric oxygen combination on patients with chronic prostatitis and depression is remarkable, and the level of testosterone is significantly improved, which can effectively improve their clinical symptoms and depressive symptoms and improve the quality of life for patients.
目的:分析高压氧治疗中老年慢性前列腺炎合并抑郁症患者的疗效及安全性。方法:选取青岛市胶州中心医院中老年慢性前列腺炎合并抑郁症患者120例。记录高压氧治疗前后患者症状评分量表(NIH)、汉密尔顿抑郁量表(ADMH)评分、睾酮水平及临床疗效,采用相关分析和独立样本t检验分析差异。结果:与高压氧治疗前比较,患者nih - cpsii、AMDH评分较低,睾酮水平较高,差异均有统计学意义(P <0.05)。结论:高压氧联合治疗慢性前列腺炎合并抑郁症患者效果显著,睾酮水平明显改善,可有效改善其临床症状及抑郁症状,提高患者生活质量。
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引用次数: 0
Associated Factors with Delay in Prehospital Myocardial Infarction 院前心肌梗死延迟的相关因素
Pub Date : 2023-06-29 DOI: 10.9734/indj/2023/v20i1388
Francisco de Sousa Holanda, W. B. D’Alessandro, I. A. M. Damasceno, P. Vellano, Leda Terezinha Freitas e Silva, Sávia Denise Silva Carlotto Herrera, Maykon Jhuly Martins De Paiva
Aims: The aim of this study is to review and analyze the associated factors that contribute to delay in prehospital myocardial infarction, based on published literature. Methodology: A systematic literature review was conducted to identify and analyze the associated factors with delay in prehospital myocardial infarction (MI). Relevant studies published between 2003 and 2022 were searched using predefined search terms in electronic databases. Study selection involved screening titles and abstracts, followed by a full-text evaluation of potentially relevant articles. Data from selected studies were extracted and analyzed qualitatively to identify common patterns and associations. The quality of included studies was assessed using appropriate tools, and the findings were synthesized narratively. Results: Sociodemographic and clinical factors, such as older age, female gender, lower socioeconomic status, and comorbidities like diabetes and hypertension, were consistently associated with delayed presentation to healthcare facilities. Individuals with a history of psychiatric disorders, including depression and anxiety, were also more likely to experience delays in seeking medical attention for MI symptoms. Psychosocial and behavioral factors, such as fear, denial, low health literacy, and misconceptions about the seriousness of the condition, further impeded timely recognition and response. Additionally, system-level factors, including inadequate infrastructure, limited resources, and overcrowding in emergency departments, contributed to diagnostic delays. Conclusion: The delay in prehospital myocardial infarction (MI) diagnosis is a significant issue influenced by various factors. Sociodemographic, clinical, psychosocial, and system-level factors contribute to this delay. Addressing these factors through targeted interventions, education, and improved access to healthcare can help mitigate delays, improve timely recognition, and enhance outcomes for individuals experiencing MI.
目的:本研究的目的是根据已发表的文献,回顾和分析导致院前心肌梗死延迟的相关因素。方法:进行系统的文献综述,以确定和分析院前心肌梗死(MI)延迟的相关因素。2003年至2022年间发表的相关研究使用电子数据库中预定义的搜索词进行了搜索。研究选择包括筛选标题和摘要,然后对潜在相关文章进行全文评估。从选定的研究中提取数据并进行定性分析,以确定常见的模式和关联。使用适当的工具评估纳入研究的质量,并对研究结果进行叙述性综合。结果:社会形态和临床因素,如年龄较大、女性、社会经济地位较低以及糖尿病和高血压等合并症,始终与延迟到医疗机构就诊有关。有精神病史的人,包括抑郁症和焦虑症患者,也更有可能因MI症状而延迟就医。心理社会和行为因素,如恐惧、否认、健康知识水平低以及对病情严重性的误解,进一步阻碍了及时识别和应对。此外,系统层面的因素,包括基础设施不足、资源有限和急诊室人满为患,也导致了诊断延误。结论:院前心肌梗死(MI)诊断的延迟是一个受多种因素影响的重要问题。社会形态、临床、心理社会和系统层面的因素导致了这种延迟。通过有针对性的干预、教育和改善获得医疗保健的机会来解决这些因素,可以帮助缓解延误,提高及时识别,并提高MI患者的预后。
{"title":"Associated Factors with Delay in Prehospital Myocardial Infarction","authors":"Francisco de Sousa Holanda, W. B. D’Alessandro, I. A. M. Damasceno, P. Vellano, Leda Terezinha Freitas e Silva, Sávia Denise Silva Carlotto Herrera, Maykon Jhuly Martins De Paiva","doi":"10.9734/indj/2023/v20i1388","DOIUrl":"https://doi.org/10.9734/indj/2023/v20i1388","url":null,"abstract":"Aims: The aim of this study is to review and analyze the associated factors that contribute to delay in prehospital myocardial infarction, based on published literature. \u0000Methodology: A systematic literature review was conducted to identify and analyze the associated factors with delay in prehospital myocardial infarction (MI). Relevant studies published between 2003 and 2022 were searched using predefined search terms in electronic databases. Study selection involved screening titles and abstracts, followed by a full-text evaluation of potentially relevant articles. Data from selected studies were extracted and analyzed qualitatively to identify common patterns and associations. The quality of included studies was assessed using appropriate tools, and the findings were synthesized narratively. \u0000Results: Sociodemographic and clinical factors, such as older age, female gender, lower socioeconomic status, and comorbidities like diabetes and hypertension, were consistently associated with delayed presentation to healthcare facilities. Individuals with a history of psychiatric disorders, including depression and anxiety, were also more likely to experience delays in seeking medical attention for MI symptoms. Psychosocial and behavioral factors, such as fear, denial, low health literacy, and misconceptions about the seriousness of the condition, further impeded timely recognition and response. Additionally, system-level factors, including inadequate infrastructure, limited resources, and overcrowding in emergency departments, contributed to diagnostic delays. \u0000Conclusion: The delay in prehospital myocardial infarction (MI) diagnosis is a significant issue influenced by various factors. Sociodemographic, clinical, psychosocial, and system-level factors contribute to this delay. Addressing these factors through targeted interventions, education, and improved access to healthcare can help mitigate delays, improve timely recognition, and enhance outcomes for individuals experiencing MI.","PeriodicalId":90556,"journal":{"name":"International neuropsychiatric disease journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-06-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44416744","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Neurocognitive Impairment in Patients with HIV and Depression in Nigeria 尼日利亚HIV和抑郁症患者的神经认知障碍
Pub Date : 2023-06-28 DOI: 10.9734/indj/2023/v20i1387
M. Umar, Z. G. Habib, Usman M. Umar, A. Yakasai, Kawther I. Inuwa, A. Salihu, M. A. Habib, Sumayya I. Inuwa, M. Gudaji, Shakirah D. Owoloabi, A. Baguda, A. Taura, C. N. Aghukwa, Ahmad M. Abubakar, Z. Habib, F. Babandi
HIV has been associated with neurocognitive impairment which may be due to the direct effect of the virus, indirect effect or due to medications side effects or due to a combination of factors. HIV and depression have been shown separately to have neurocognitive deficits. Aim: Determine the prevalence of NCI and factors associated with it among depressed and non-depressed patients with HIV on combined antiretroviral treatment (cART). Methodology. A descriptive comparative cross-sectional study was conducted among People living with HIV (PLHIV) at Aminu Kano Teaching Hospital in Kano State, northern Nigeria. Participants were grouped into HIV with depression and HIV without depression groups based on current diagnosis using the depression module of the MINI International Neuropsychiatric Interview (MINI)-7th edition. A multi-domain neuropsychological battery (MDNPT) of 5 tests (assessed 5 cognitive domains) was used to diagnose Neurocognitive impairment. Results: Fifty-seven percent of the study sample were females, and the mean age of the participants was 37.54 (±10.04) years with an age range of 18-65 years. The prevalence of NCI was 74% among the depressed 68.3% among the non-depressed group (p=0.484). Years of education and IHDS score were significantly associated with NCI in the depressed group (p < 0.05 respectively). While among the non-depressed group, Years of education, average monthly income and IHDS score were significantly associated with NCI (p < 0.05 respectively). Conclusion: Neurocognitive impairment occurs in HIV-positive patients but is worsened by a depressive disorder. There is a need to adequately assess and treat HIV patients with depression. Treatment may improve neurocognitive impairment in depressed HIV patients.
艾滋病毒与神经认知障碍有关,这可能是由于病毒的直接作用,间接作用或由于药物副作用或由于多种因素的综合作用。HIV和抑郁症分别被证明有神经认知缺陷。目的:确定在接受联合抗逆转录病毒治疗(cART)的HIV抑郁和非抑郁患者中NCI的患病率及其相关因素。方法。在尼日利亚北部卡诺州Aminu Kano教学医院对艾滋病毒感染者(PLHIV)进行了描述性比较横断面研究。根据目前的诊断,使用MINI国际神经精神病学访谈(MINI)-第7版的抑郁模块,将参与者分为患有抑郁症的艾滋病毒组和无抑郁症的艾滋病毒组。采用5项测试(评估5个认知领域)的多域神经心理测试(MDNPT)来诊断神经认知障碍。结果:57%的研究样本为女性,参与者的平均年龄为37.54(±10.04)岁,年龄范围为18-65岁。抑郁组NCI患病率为74%,非抑郁组为68.3% (p=0.484)。抑郁组受教育年限、IHDS评分与NCI有显著相关(p < 0.05)。非抑郁组受教育年限、平均月收入、IHDS评分与NCI显著相关(p < 0.05)。结论:hiv阳性患者出现神经认知障碍,但抑郁障碍加重。有必要对患有抑郁症的艾滋病毒患者进行充分的评估和治疗。治疗可能改善抑郁HIV患者的神经认知障碍。
{"title":"Neurocognitive Impairment in Patients with HIV and Depression in Nigeria","authors":"M. Umar, Z. G. Habib, Usman M. Umar, A. Yakasai, Kawther I. Inuwa, A. Salihu, M. A. Habib, Sumayya I. Inuwa, M. Gudaji, Shakirah D. Owoloabi, A. Baguda, A. Taura, C. N. Aghukwa, Ahmad M. Abubakar, Z. Habib, F. Babandi","doi":"10.9734/indj/2023/v20i1387","DOIUrl":"https://doi.org/10.9734/indj/2023/v20i1387","url":null,"abstract":"HIV has been associated with neurocognitive impairment which may be due to the direct effect of the virus, indirect effect or due to medications side effects or due to a combination of factors. HIV and depression have been shown separately to have neurocognitive deficits. \u0000Aim: Determine the prevalence of NCI and factors associated with it among depressed and non-depressed patients with HIV on combined antiretroviral treatment (cART). \u0000Methodology. A descriptive comparative cross-sectional study was conducted among People living with HIV (PLHIV) at Aminu Kano Teaching Hospital in Kano State, northern Nigeria. Participants were grouped into HIV with depression and HIV without depression groups based on current diagnosis using the depression module of the MINI International Neuropsychiatric Interview (MINI)-7th edition. A multi-domain neuropsychological battery (MDNPT) of 5 tests (assessed 5 cognitive domains) was used to diagnose Neurocognitive impairment. \u0000Results: Fifty-seven percent of the study sample were females, and the mean age of the participants was 37.54 (±10.04) years with an age range of 18-65 years. \u0000The prevalence of NCI was 74% among the depressed 68.3% among the non-depressed group (p=0.484). Years of education and IHDS score were significantly associated with NCI in the depressed group (p < 0.05 respectively). While among the non-depressed group, Years of education, average monthly income and IHDS score were significantly associated with NCI (p < 0.05 respectively). \u0000Conclusion: Neurocognitive impairment occurs in HIV-positive patients but is worsened by a depressive disorder. There is a need to adequately assess and treat HIV patients with depression. Treatment may improve neurocognitive impairment in depressed HIV patients.","PeriodicalId":90556,"journal":{"name":"International neuropsychiatric disease journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47780965","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Migraine: Prevalence, Predisposing Factors, and Impact on Quality of Life among Saudi Board Family Medicine Residents in Riyadh, KSA 偏头痛:沙特阿拉伯利雅得沙特家庭医学委员会居民的患病率、易发因素及其对生活质量的影响
Pub Date : 2023-06-27 DOI: 10.9734/indj/2023/v20i1386
R. Ali, Fahad G. Alshareef, M. Al-qahtani, O. Almuqrin, H. Aloraini, Assaf Alshibani, A. Hommadi
Background: Migraine is a prevalent and incapacitating neurological illness that affects a considerable section of the global population. In a community context, the purpose of this study was to examine the prevalence of migraine and its associated comorbidities, triggers, and impact on quality of life. Methodology: A cross-sectional study was undertaken among Saudi Board Family residents. A standardized questionnaire was used to collect information on migraine prevalence, related comorbidities, triggers, and impact on quality of life. Additionally, demographic information was collected. Using descriptive statistics, chi-square tests, and logistic regression analysis, the data were evaluated. Results: The prevalence of migraine was 23.8% among the individuals. Multiple comorbidities, including bronchial asthma, depression, and irritable bowel syndrome, were found to be strongly linked with migraine. Participants cited stress, sleep deprivation or disturbance, and dehydration as the most prevalent migraine triggers. Participants with migraine reported a considerably higher prevalence of physical activity limitation, missed work, and abstinence from social events as a result of their migraine headache compared to participants without migraine. Conclusion: This study provides important insights into the prevalence, comorbidities, triggers, and impact of migraine on quality of life among Saudi Board Family residents. The findings underscore the substantial impact of migraine on individuals and society and emphasize the need for appropriate therapy techniques that account for the unique nature of migraine and its associated comorbidities and triggers.
背景:偏头痛是一种普遍的、使人丧失能力的神经疾病,影响着全球相当一部分人口。在社区背景下,本研究的目的是检查偏头痛的患病率及其相关的合并症、诱因和对生活质量的影响。方法:在沙特董事会家庭居民中进行了一项横断面研究。使用标准化问卷收集偏头痛患病率、相关合并症、诱因和对生活质量的影响等信息。此外,还收集了人口统计信息。使用描述性统计、卡方检验和逻辑回归分析对数据进行评估。结果:偏头痛的患病率为23.8%。多种合并症,包括支气管哮喘、抑郁症和肠易激综合征,被发现与偏头痛密切相关。参与者指出,压力、睡眠剥夺或紊乱以及脱水是最常见的偏头痛诱因。与没有偏头痛的参与者相比,患有偏头痛的参与者报告称,由于偏头痛导致的体力活动受限、错过工作和社交活动禁欲的发生率要高得多。结论:本研究为了解沙特寄宿家庭居民偏头痛的患病率、合并症、诱因以及对生活质量的影响提供了重要见解。这些发现强调了偏头痛对个人和社会的重大影响,并强调了对适当治疗技术的必要性,这些技术可以解释偏头痛的独特性质及其相关的合并症和诱因。
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引用次数: 0
A Comparison of Antenatal Depressive Disorders in Urban and Rural Pregnant Women in Nigeria 尼日利亚城乡孕妇产前抑郁症的比较
Pub Date : 2023-06-21 DOI: 10.9734/indj/2023/v20i1385
F. Babandi, Z. G. Habib, U. M. Usman, M. I. Gudaji, A. S. Salihu, Maryam A. Habib, Sumayya I. Inuwa, Kawther I. Inuwa, Abdulfatai Bakare, A. M. Ahmad
Background: The prevalence of antenatal depression (AND) is consistently higher in urban areas in developed counties while the reverse is the case in developing counties developing countries. This highlights that socioeconomic gaps and health disparities between different settings could have important implications on perinatal mental health. Nigeria, the most populous nation in Africa, is home to multiple ethnic and cultural groups and about half of the population is rural. But then a majority of Nigerian studies on and were conducted in the urban and semi-urban southern regions. Few, if any, such studies were ever conducted in the urban or rural settings of northern Nigeria. The study aimed to determine and compare the prevalence and factors associated with AND among pregnant women in urban and rural northern Nigeria settings. A descriptive comparative cross-sectional study was conducted among antenatal clinic attendees of an urban and a rural health facility in Kano State, northern Nigeria. Data were collected from pregnant mothers. A socio-demographic and clinical characteristics questionnaire was used to obtain the relevant data. Edinburgh Postnatal Depression Scale (EPDS), Hamilton Depression Rating Scale (HDRS) and the major depression module of the Mini International Neuropsychiatric Interview (MINI-7) were used to screen, rate and diagnose depression among the respondents respectively. Results: The urban pregnant women were older (28.3±5.7 versus 26.0±5.6 years, p=0.001), better educated (12.8±2.8 versus 8.9±4.3 years of schooling, p<0.001), earning higher average monthly income (36.0 USD vs 13.0 USD, p<0.001), in the second trimester of the pregnancy (22% versus 9.7%, p=0.004). While the rural women were more likely to have planned to get pregnant (84.1% versus 69.3%, p=0.003) and used psychoactive substances while pregnant (20.7% versus 8.7%, p=0.003). The prevalence of AND was significantly higher among the rural respondents as compared to the urban respondents (33.1% versus 14.7% p<0.001). Anaemia in pregnancy (AIP), a history of a background medical problem (BMP) was significantly associated with AND in the urban setting (p= 0.032 and p= 0.001 respectively). While in the rural setting, AIP and a history of BMP were significantly associated with AND (p=0.0063 and p=0.008 respectively). Furthermore, among the multigravid urban and rural respondents, previous pregnancy complication was found to be significantly associated with AND (p=0.030). Among the urban women, the predictor for AND was a history of BMP (OR=5.049, 95%CI=1.451-17.570). The significant predictors for AND in the rural setting were AIP (OR=3.337, 95%CI=1.468-7.798) and history of BMP (OR=3.298, 95%CI=1.267-8.885). Conclusion: Rural prevalence of AND was significantly much higher than the urban rate. Certain factors, such as BMP and AIP, were associated with AND in both urban and rural settings.
背景:在发达国家的城市地区,产前抑郁(AND)的患病率一直较高,而在发展中国家的城市地区,情况则相反。这突出表明,不同环境之间的社会经济差距和健康差异可能对围产期心理健康产生重要影响。尼日利亚是非洲人口最多的国家,是多个民族和文化群体的家园,大约一半的人口是农村人口。但是大多数尼日利亚的研究都是在城市和半城市的南部地区进行的。在尼日利亚北部的城市或农村环境中进行的此类研究很少,如果有的话。该研究旨在确定和比较尼日利亚北部城市和农村孕妇中与and相关的患病率和因素。在尼日利亚北部卡诺州的一个城市和一个农村卫生机构的产前诊所参加者中进行了一项描述性比较横断面研究。数据是从孕妇中收集的。使用社会人口学和临床特征问卷来获取相关数据。采用爱丁堡产后抑郁量表(EPDS)、汉密尔顿抑郁评定量表(HDRS)和Mini国际神经精神病学访谈(Mini -7)中的重度抑郁模块分别对被调查者进行抑郁筛查、评分和诊断。 结果:城市孕妇年龄较大(28.3±5.7岁对26.0±5.6岁,p=0.001),受教育程度较高(12.8±2.8年对8.9±4.3年,p=0.001),妊娠中期平均月收入较高(36.0美元对13.0美元,p=0.001)(22%对9.7%,p=0.004)。而农村妇女在怀孕期间计划怀孕(84.1%比69.3%,p=0.003)和使用精神活性物质(20.7%比8.7%,p=0.003)的可能性更高。农村受访者的AND患病率明显高于城市受访者(33.1%对14.7%,p < 0.001)。在城市环境中,妊娠贫血(AIP)、背景病史(BMP)与AND显著相关(p= 0.032和p= 0.001)。而在农村地区,AIP和BMP病史与and显著相关(p=0.0063和p=0.008)。此外,在多胎的城市和农村受访者中,既往妊娠并发症与and有显著相关性(p=0.030)。在城市女性中,发生AND的预测因子是BMP病史(OR=5.049, 95%CI=1.451-17.570)。AIP (OR=3.337, 95%CI=1.468 ~ 7.798)和BMP病史(OR=3.298, 95%CI=1.267 ~ 8.885)是农村地区发生AND的显著预测因子。结论:农村AND患病率明显高于城市。某些因素,如BMP和AIP,在城市和农村环境中都与and有关。
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引用次数: 0
Prolonged Hemodynamic Instability with Hypotension and Bradycardia Following Carotid Artery Stenting: A Case Report 颈动脉支架植入术后长期血流动力学不稳定伴低血压和心动过缓1例报告
Pub Date : 2023-06-14 DOI: 10.9734/indj/2023/v20i1383
Ilaha Karimova, A. Kratovska, Sanita Ponomorjova, Ieva Buce, Arturs Silovs, A. Ligers, R. Mohammadian
Introduction: Carotid artery stenting (CAS) is a commonly performed procedure for the treatment of carotid artery stenosis. However, the occurrence of prolonged hemodynamic instability, characterized by hypotension and bradycardia, can present challenges during and after CAS. Interestingly, this phenomenon does not seem to be related to the patients' underlying cardiac conditions but may be more prevalent in elderly women. Case Presentation: In this case report, we describe the clinical case of a 60-year-old male patient with a history of multiple cardiac conditions who encountered prolonged bradycardia and hypotension following CAS. The management approach focused on continuous monitoring and prompt intervention to stabilize the vital signs. Conclusion: By enhancing our understanding of these complications and associated risk factors, healthcare providers can develop safer and more effective treatment strategies for patients undergoing CAS for carotid artery stenosis. This knowledge will contribute to improved patient care and better outcomes in this particular clinical setting.
简介:颈动脉支架术(CAS)是治疗颈动脉狭窄的常用方法。然而,在CAS期间和之后,以低血压和心动过缓为特征的长期血液动力学不稳定的发生可能会带来挑战。有趣的是,这种现象似乎与患者潜在的心脏病无关,但可能在老年女性中更为普遍。病例介绍:在本病例报告中,我们描述了一名60岁男性患者的临床病例,该患者有多种心脏病病史,在CAS后出现长时间缓慢和低血压。管理方法侧重于持续监测和及时干预,以稳定生命体征。结论:通过增强我们对这些并发症和相关危险因素的了解,医疗保健提供者可以为CAS颈动脉狭窄患者制定更安全、更有效的治疗策略。这些知识将有助于在这种特殊的临床环境中改善患者护理和更好的结果。
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引用次数: 0
Explanatory Models of Dementia among Caregivers of Elderly Persons with Dementia – Analysis of Secondary Data 老年痴呆照护者痴呆的解释模型——辅助资料分析
Pub Date : 2023-06-08 DOI: 10.9734/indj/2023/v19i4382
N. Gopalli, S. Loganathan, M. Murthy, S. Hossien
Rising life expectancy is associated with an increased prevalence of chronic diseases like dementia. The prevalence of dementia is significantly higher in low- and middle-income countries. The public's awareness of dementia in India is low. Help-seeking is largely dependent on one’s socio-cultural perspective of a sickness episode and one’s beliefs about the aetiology, course, and outcome of the illness. Dementia is still not conceptualised as a health problem, and it is believed to be a consequence of normal ageing. So carers are not concerned about seeking help. We interviewed 35 carers of persons with dementia (as per ICD-10) using the Short Explanatory Model Interview (SEMI). We explored the explanatory models of dementia given by caregivers of people with dementia. Qualitative data analysis was done using ATLAS.ti. We identified four main themes that carers expressed, namely, I) Problems of the patient: Many caregivers reported that memory loss, behavioural problems, and impaired biological functioning were their main concerns. II) Cause of problem: caregivers expressed that psychosocial stress, ageing, and black magic were causes of dementia. III) Reason to visit and expectation: most caregivers consulted doctors due to the worsening of their relatives' problems, and they were advised by others to visit. They expected medicines, better treatment, and a cure from doctors, and IV) Outcome of problem: caregivers were worried about problems with appetite, memory loss, impaired verbal communication, difficulty at work, and their relatives going missing. Caregivers have the idea that their relative had some problem that involved the brain, but most of them attribute this to the consequences of ageing due to psychosocial factors like excessive stress, bad interpersonal relationships, life events, economic crises, and black magic. There is a need for an awareness-raising campaign for dementia in the community at large concerning its cause, symptoms, course, progression, and most importantly, locally available services.
预期寿命的增加与痴呆症等慢性疾病的患病率增加有关。痴呆症的患病率在低收入和中等收入国家要高得多。印度公众对痴呆症的认识很低。寻求帮助在很大程度上取决于一个人对疾病发作的社会文化观点,以及一个人对疾病的病因、病程和结果的信念。痴呆症仍然没有被定义为一种健康问题,它被认为是正常衰老的结果。所以护理人员并不关心寻求帮助。我们使用简短解释模型访谈(SEMI)采访了35名痴呆症患者的护理人员(按照ICD-10)。我们探讨了痴呆症患者的照顾者给痴呆症的解释模型。采用ATLAS.ti软件进行定性数据分析。我们确定了护理人员表达的四个主题,即:1)患者的问题:许多护理人员报告说,记忆丧失、行为问题和生物功能受损是他们主要关注的问题。II)问题原因:护理人员表示,心理社会压力、衰老和黑魔法是痴呆症的原因。三)就诊原因及期望:大多数看护人就诊是由于亲属问题恶化,他人建议他们就诊。他们期待药物、更好的治疗和医生的治愈,以及问题的结果:照顾者担心食欲问题、记忆力减退、语言交流障碍、工作困难和亲人失踪。照顾者认为他们的亲戚有一些与大脑有关的问题,但大多数人认为这是由于过度的压力、糟糕的人际关系、生活事件、经济危机和黑魔法等社会心理因素导致的老龄化后果。有必要在整个社区就痴呆症的病因、症状、病程、进展以及最重要的是当地可获得的服务开展提高认识运动。
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引用次数: 0
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International neuropsychiatric disease journal
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