Impact of Poorly Controlled Epilepsy in the Republic of Guinea
Publication date: Available online 24 July 2018Source: SeizureAuthor(s): Minyoung Jang, Foksouna Sakadi, Nana R. Tassiou, Cissé F. Abass, Sara J. Grundy, Arcer Woga, Bah A. Kenda, Condé M. Lamine, Balde A. Talibé, Hongxiang Qiu, Joseph M. Cohen, Marco Carone, Farrah J. Mateen, for the Guinea Epilepsy ProjectAbstractPurposeTo characterize people with epilepsy (PWE) presenting to a free neurology consultation and antiepileptic drug (AED) service in the Republic of Guinea.MethodsGuinea is a low-income country in West Africa that recently experienced an Ebola Virus Disease epidemic. Community-dwelling PWE were seen at a public referral hospital in Conakry, the capital city. During two visits in 2017, an African-U.S. team performed structured interviews and electroencephalograms and provided AEDs.ResultsOf 257 participants (143 children, 122 female), 25% had untreated epilepsy and 72% met our criteria for poorly controlled epilepsy. 59% had>100 lifetime seizures, and 58% reported a history consistent with status epilepticus. 38 school-aged children were not in school and 26 adults were unemployed. 115 were not currently taking an AED, including 50 participants who had previously taken an AED and stopped. Commonly cited reasons for AED discontinuation were perceived side effects, unaffordability, and unavailability of AEDs. Traditional medicine use was more frequent among children versus adults (92/143 vs. 60/114, p = 0.048). 57 participants ha...
Vacuum sealing drainage (VSD) vacuum suction in the hospital burn department with an ozone bath dressing is used to enhance the rate of arterial ulcer healing in lower extremity arterial ulcers.
Here ’s a guide to the first federal case in which local governments seek redress for the financial toll of a 20-year epidemic.
Publication date: Available online 19 October 2019Source: Polymer TestingAuthor(s): Yu Qiao, Shuping Wang, Fei Gao, Xiangmei Li, Minghao Fan, Rongjie YangAbstractPyrolysis gas chromatography-mass spectrometry (Py-GC-MS) test, smoke toxicity analysis and mouse biological toxicity test were carried out on the second use lithium-ion battery separator and electrolyte. It was found that the types of cracked products of separator and electrolyte under different state of health (SOH) were basically the same, mainly phosphoryl fluoride (POF3) and long-chain F-containing alkanes, alcohols and esters. The content of POF3 in the crac...
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ConclusionThis study shows that psychiatric lifetime diagnoses are associated with worse surgical outcome and highlighted the importance of the inclusion of these diagnoses in the evaluation of the potential success of the surgery.
This study aimed to examine the effect of training given to nursing students using simulation and standard child mannequins on their childhood epileptic seizure management knowledge, skills, and attitudes.MethodsParticipants (n = 72) were recruited from a Nursing Faculty in Izmir, Turkey. Students were randomly assigned to the intervention and control groups (n = 36 in each). The intervention group received simulation-based training on epilepsy while the control group received standard child mannequin training on epilepsy. One week after the training, the students were asked to demonstrate their epileptic seizure m...
ConclusionI proposed a new semiological classification system for PNES based on this systematic review. This includes three major classes of motor seizures, nonmotor seizures, and mixed semiology. A universally accepted and appropriate semiological classification system for PNES may lead to better standardization of future studies and may also help in better understanding of the pathophysiological basis of this condition.
ConclusionsWe ascertained that HIHARS with AA is a relatively common occurrence in children and most likely represents an age-related nonepileptic phenomenon. When associated with fidgeting or yawning, it can help differentiate this phenomenon from absence seizures. However, recording the concomitant presence of generalized spike wave discharges on the EEG remains essential to confirm the diagnosis of absence seizures.
This study aimed to compare long-term physical and psychological outcomes for individuals with SIB and non-SIB injuries.MethodsRecords of adult SIB (n = 125) and non-SIB (n = 3604) injuries were collected from U.S. burn centers within the Burn Model System between 1993 and 2018. Assessments were administered at discharge, 6 months, 24 months, 5 years, and 10 years.ResultsSIB patients were more often younger, unmarried, unemployed, male, struggling with pre-morbid psychiatric issues, and injured by fire/flame (all p
CONCLUSIONS: By mid- to late-2017, the Treat All strategy was the standard of care at almost all IeDEA sites, including rural, primary-level health facilities in low-resource settings. While further assessments of site-level capacity to provide high-quality HIV care under Treat All and to support sustained viral suppression after ART initiation are needed, the widespread introduction of Treat All at the service delivery level is a critical step towards global targets for ending the HIV epidemic as a public health threat. PMID: 31623428 [PubMed - in process]