Search or add a thesis

Advanced Search (Beta)
Home > Prevalence and Factors Associated With Depression Among Patients With Epilepsy in a Kenyan Tertiary Care Hospital

Prevalence and Factors Associated With Depression Among Patients With Epilepsy in a Kenyan Tertiary Care Hospital

Thesis Info

Author

Kiko, Nduku

Department

Internal Medicine (East Africa)

Program

MMed

Institute

Aga Khan University

Institute Type

Private

City

Karachi

Province

Sindh

Country

Pakistan

Thesis Completing Year

2013

Thesis Completion Status

Completed

Subject

Medicine

Language

English

Added

2021-02-17 19:49:13

Modified

2024-03-24 20:25:49

ARI ID

1676728059298

Similar


Aim: To determine the prevalence and factors associated with depression in patients with epilepsy at Aga Khan University Hospital Nairobi. Design: Cross-sectional Survey Background: Depression is a recognized common co-morbidity of epilepsy that often goes untreated and has great impact on quality of life of patients and management of patients with epilepsy. Patients and Setting: Patients with epilepsy on follow up at the Aga Khan University Hospital were evaluated for presence and factors associated with depression. Methodology: The study recruited eligible patients with epilepsy who were on follow up in the neurology clinic. Beck Depression Inventory was administered to evaluate for presence of depression. Patients identified as having co-morbid depression were evaluated for associated factors. Results: Three hundred and twenty seven patients were evaluated for presence of depression in this study. The prevalence of depression based on the Beck Depression Inventory was 16.5 %, (95 % CI 12.7-21.0) representing a total of 54 patients diagnosed to have depression among the 327 patients with epilepsy. Twenty five patients (7.6%)[95% CI 5-11.1] as a subset of the total study population, had mild depression, 18 (5.5% [95% CI 3.3-8.6]) patients had moderate depression and 11 (3.4%[95% CI 1.7-5.9]) patients had severe depression. There was weak association between mild depression and polytherapy (use of two or more antiepileptic drugs), with OR 2.3, 95%CI 0.9-5.8 however, none between polytherapy and moderate or severe depression. No statistically significant association was found between depression and duration of epilepsy or number of seizures per month over last three months. Conclusion: Based on these results, we concluded that the prevalence of depression in patients with epilepsy at Aga Khan University Hospital, Nairobi was 16.5 %( 95% CI 12.7-21.0) and polytherapy was weakly associated with mild depression.
Loading...

Similar Thesis

Showing 1 to 20 of 100 entries
TitleAuthorSupervisorDegreeInstitute
MMed
Aga Khan University, Karachi, Pakistan
MSc
Quaid-i-Azam University, Islamabad, Pakistan
MMed
Aga Khan University, Karachi, Pakistan
MMed
Aga Khan University, Karachi, Pakistan
Mphil
Quaid-i-Azam University, Islamabad, Pakistan
Diploma
Aga Khan University, Karachi, Pakistan
MMed
Aga Khan University, Karachi, Pakistan
Mphil
Quaid-i-Azam University, Islamabad, Pakistan
MSc
Quaid-i-Azam University, Islamabad, Pakistan
Mphil
Quaid-i-Azam University, Islamabad, Pakistan
Mphil
Quaid-i-Azam University, Islamabad, Pakistan
Mphil
Quaid-i-Azam University, Islamabad, Pakistan
Mphil
Quaid-i-Azam University, Islamabad, Pakistan
Mphil
Quaid-i-Azam University, Islamabad, Pakistan
Mphil
Quaid-i-Azam University, Islamabad, Pakistan
Mphil
Quaid-i-Azam University, Islamabad, Pakistan
Mphil
Quaid-i-Azam University, Islamabad, Pakistan
Mphil
Quaid-i-Azam University, Islamabad, Pakistan
Mphil
Riphah International University, Lahore, Pakistan
MS
Riphah International University, Islamabad, Pakistan
TitleAuthorSupervisorDegreeInstitute
Showing 1 to 20 of 100 entries

Similar Books

Loading...

Similar Chapters

Loading...

Similar News

Loading...

Similar Articles

Loading...

Similar Article Headings

Loading...

14۔اندھی تقلید

پاکستانی معاشرے میں مذہبی تقلید کا بہت زیادہ رواج ہے ۔ شریعت مطہرہ نے اجتہاد کا دروازہ قیامت تک کے لیے کھلا رکھا ہے اور مجتہد کے لیے اجر کا فیصلہ تو ہر صورت میں موجود ہے۔ ہم جب فقہ اسلامی کا مطالعہ کرتے ہیں تو واضح طور پر یہ نظر آتا ہے کہ متقدمین کے فیصلوں سے متاخرین نے اختلاف بھی کیا ہے اور اسے غلط روش بھی نہیں سمجھا گیا۔ حالات اورعرف کے مطابق فیصلوں میں تبدیلی کی گنجائش بہر حال موجود رہتی ہے، لیکن ہمارے ہاں اسے گناہ یا گناہ جیسا تصور کیا جاتاہے۔ لہذا اس امر کی اشد ضرورت ہے کہ حالات کے تناظر میں فقہی جمود سے پہلوتہی اختیار کرتے ہوئے فقہ المقارن سے استفادہ کرکے امت کو آسانی کی طرف لایا جائے ۔اس طرح سے کی جانے والی قانون سازی سے مجرموں کو سزا ہر صورت میں ملے گی۔ یہ اندھی تقلید شرعی سزاؤں میں معاون نہیں ہوتی بلکہ یہ حدود کے فیصلوں کو شبہ کی بنا پر تعزیرات کی طرف لے جانے کا سبب بن رہی ہیں ۔

COMPARISON OF PATELLAR MOBILIZATION AND TAPING IN PATIENT WITH PATELLOFEMORAL PAIN SYNDROME

Background of the Study: To compare patellar taping and mobilization plus conventional therapy for reducing knee pain in patients with patellofemoral pain syndrome (PFPS). Methodology: Controlled trial with 50 participants divided into two groups who received different treatments for 6 weeks: Group A had patellar taping and iliotibial band stretching, while Group B had patellar mobilization and quadriceps strengthening. Participants received three treatment sessions weekly for six weeks. The VAS was used to conduct pre and post-test pain evaluations for groups A and B. Results: Knee pain decreased in PFPS patients receiving patellar taping (Group A) or mobilization (Group B) using VAS (p<0.05). All treatments are effective for PFPS. The VAS scores after 6 weeks of post A and post B treatments assessed. After 6 weeks of taping, mean = 0.76±0.83. After 6 weeks, mean and SD = 1.20±1.12 from patellar mobilization. No significant difference between means (p = 0.12, α ≤ 0.05). Insignificance. Conclusion: The result of the study indicated that after 6 weeks of treatment for both patellar taping and patellar mobilization were effective in decreasing pain in PFPS.

Effect of Pq4r Preview, Question, Read, Reflect, Recite and Review Strategy on the Academic Achievement of Slow Learners in English at Secondary Level

PQ4R is an acronym which stands for Preview, Question, Read, Reflect, Recite and Review. This is a learning strategy both for teachers and students. It also helps old and young as well as slow learners. This study aimed to investigate the effect of PQ4R strategy on the academic achievement of slow learners in English at secondary level. The main objectives of the study were to investigate the effect of PQ4R strategy on slow learners’(i) Reading comprehension (ii) Oral Reading Fluency (iii) Reading speed/rate, accuracy and Prosody (iv) Level of Attention and Involvement. To achieve the mentioned objectives the following hypotheses were tested. (Ho1): There is no significant difference between the mean score of pre-test and post test of experimental group on reading comprehension test. (Ho2): There is no significant difference between the mean score of pre-test and post-test of experimental group on Reading Speed/Rate test. (Ho3): There is no significant difference between the mean score of pre-test and post-test of experimental group on Reading Accuracy test. (Ho4): There is no significant difference between the mean score of pre-test and post-test of experimental group on Reading Prosody scale.(Ho5): PQ4R study strategy does not enhance slow learners level of Attention.(Ho6): PQ4R study strategy does not enhance slow learners level of involvement. Govt. High School No:1 for boys Tordher Swabi was selected for the experiment through convenient sampling. A sample of 20 slow learners was selected from 9th class students of the sampled school. The instruments developed for the collection of data were Reading comprehension pre and post tests, Reading speed and reading accuracy pre and post tests and prosody scale as pre and post tests. An observational check list was also developed to observe experimental group level of attention and involvement during treatment. Preexperimental one group pre-test, post-test design was used. The students were prexiii tested and then exposed to six weeks treatment. They were taught through PQ4R strategy. After the completion of treatment the students were post-tested. For the analysis of data t-test at 0.05 significance level was used. Descriptive statistics and chi-square were also used for the analyses of data obtained through checklist regarding students’ levels of attention and involvement. Data analysis revealed that the experimental group scored significantly better on pos-test than pre-test in the areas of reading comprehension and in the three sub-skills of fluency that were reading speed, reading accuracy and prosody. The students also showed high level of attention and involvement observed through the analysis of observational checklist. Thus PQ4R strategy proved to be effective in increasing slow learners’ academic achievement. On the basis of findings, it was recommended that English teachers should use PQ4R strategy. For this purpose, English teachers need to be properly trained. It was also recommended that curriculum designer should also consider PQ4R strategy.