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Research Article
Assessment of the Supply and Needs of Sexual and Reproductive Health Services for Women of Childbearing Age at the Bouake Psychiatric Hospital
Koua Asseman Medard,
Djo Bi Djo Francois*,
Silue Yegnigui Marie Michèle,
Konandri Emeric,
Akpa Akme Sylvie,
Sreu Eric,
Koffi Danmaukan Dimitri Kevin
Issue:
Volume 12, Issue 1, April 2024
Pages:
1-5
Received:
4 December 2023
Accepted:
20 December 2023
Published:
8 January 2024
Abstract: Women Living with Mental Illness and Epilepsy (PVMME) represent a highly vulnerable minority. This population presents more risky sexual behaviors including early sexual intercourses, non-systematic use of condoms and ignorance of the serological status of their sexual partners. They present a high risk of unwanted pregnancy due to the low level of accessibility to sexual and reproductive health services. The results of this study are based on the exploitation of primary datas obtained during surveys of an exhaustive sample of 154 women living with mental illness or epilepsy in the psychiatric hospital of Bouake. This prospective cross-sectional study, with a descriptive aim, took place over a period of three (03 months) from January 17 to April 17, 2022. The age group between 20-39 years was the most represented with an average age of 34.5 years. They lived in urban areas with secondary education, unemployed and single. It appears that acute psychotic disorders (35.06%) and anxiety disorders (23.06%) 38%) are the most prevalent pathologies. Among these women, 84.42% were not made aware of contraceptive methods and family planning. 57.79% considered it necessary to be on contraceptives given their state of mental health. However, 29.22% of patients claimed to have contracted one or more unwanted pregnancies with cases of abuse and violence.
Abstract: Women Living with Mental Illness and Epilepsy (PVMME) represent a highly vulnerable minority. This population presents more risky sexual behaviors including early sexual intercourses, non-systematic use of condoms and ignorance of the serological status of their sexual partners. They present a high risk of unwanted pregnancy due to the low level of...
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Case Report
Cerebral Hematoma Following Scorpion Envenomation: A Case Report
Diallo Salimata,
Diallo Seybou Hassane*,
Coulibaly Awa,
Yalcouyé Abdoulaye,
Bagayogo Tenimba,
Saliou Mahamadou,
Bocoum Abdoulaye,
Daou Mariam,
Dao Karim,
Togo Mamadou,
Djibo Django,
Maiga Youssoufa
Issue:
Volume 12, Issue 1, April 2024
Pages:
6-8
Received:
13 December 2023
Accepted:
25 December 2023
Published:
8 January 2024
Abstract: Introduction: Scorpion stings are relatively common phenomenon encountered in many countries. Neurological complications post scorpion envenomation (SE) are rare and indicate a severe envenomation. We report the case of an 81-year-old, female, left-handed stung by a scorpion. Case presentation: She presented with severe headaches, vomiting, left hemiparesis following a scorpion sting. Neurological examination found altered consciousness with a Glasgow Coma Scale score of 9/15, motor aphasia, neck stiffness, facial asymmetry, left hemiparesis with absent tendinous reflexes on the left side, and a scar of the scorpion sting on the right thumb. Brain CT-scan showed spontaneous thalamo-caudate hyperdensity extending to the ventricles. The disease course was marked by clinical deterioration, leading to her death on the third day of hospitalization. Discussion: Cerebral hematomas are severe complications rarely described following scorpion envenomation.
Abstract: Introduction: Scorpion stings are relatively common phenomenon encountered in many countries. Neurological complications post scorpion envenomation (SE) are rare and indicate a severe envenomation. We report the case of an 81-year-old, female, left-handed stung by a scorpion. Case presentation: She presented with severe headaches, vomiting, left he...
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Research Article
Effectiveness of Video Assisted Teaching on Knowledge of Parents on Management of Their Children with Intellectual Disability, in Selected Special Schools of Berhampur, India
Issue:
Volume 12, Issue 1, April 2024
Pages:
9-18
Received:
11 December 2023
Accepted:
28 December 2023
Published:
11 January 2024
Abstract: Intellectual disabilities involve problems in general mental abilities that affect Intellectual functioning such as learning, problem solving, judgement and Adaptive behavior like activities of daily living such as communication and independent living. Moreover, a child with an intellectual disability (formerly called mental retardation) is not only a burden to the family but also to the society as whole. In addition, poor knowledge regarding care of such type of children adds additional stress on the parents and family. Studies in the specific subject area are scanty. This gap in knowledge prompted the design of the current study. One group pre-test and post-test Pre-experimental research design and evaluative approach was undertaken among 45 parents of children with ID studying then at Manovikas GEMM (Guidance and education centre for multiple and mental retardation) Berhampur, India, with the objective to assess the effectiveness of Video assisted teaching module on their knowledge in taking care of their children at home. Prior to implementation of VATM the Parents had average knowledge (37.84%) regarding home management of their children with ID whereas after administration of VATM the number increases to 53.87%; revealing good knowledge along with the difference in mean percentage of 16.03% which shows the effectiveness of the module undertaken in the study (VATM).
Abstract: Intellectual disabilities involve problems in general mental abilities that affect Intellectual functioning such as learning, problem solving, judgement and Adaptive behavior like activities of daily living such as communication and independent living. Moreover, a child with an intellectual disability (formerly called mental retardation) is not onl...
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Case Report
Tuberculous Meningitis Complicated with Deep Sylvian Cerebral Infarction: About an Immunocompetent Patient Without HIV-AIDS
Muriel Amon Tanoh*,
Arlette Aka,
Constance Yapo-Ehounoud,
Christian Abel Tanoh,
Cédric Kadjo,
Cédric Agbo,
Delors Offoumou,
Evelyne Aka-Anghui Diarra,
Berthe Assi
Issue:
Volume 12, Issue 1, March 2024
Pages:
19-22
Received:
17 November 2023
Accepted:
19 December 2023
Published:
20 February 2024
DOI:
10.11648/j.ajpn.20241201.14
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Abstract: Introduction: Neuromeningeal tuberculosis is the most common form of extra-pulmonary tuberculosis in developing countries. It is the most serious form of Mycobacterium tuberculosis infection. Vascular complications of tuberculous meningitis involve functional prognosis of patients. Observation: In our daily practice, we frequently encounter cases of cerebral infarction associated with neuromeningeal tuberculosis in the infectious etiological balance. We report the case of an HIV immunocompetent patient hospitalized for neuromeningeal tuberculosis complicated with ischemic stroke. It was a 39-year-old patient, right-handed, admitted to the Neurology department of University Hospital of Cocody in whom the diagnosis of neuromeningeal tuberculosis was retained. She received treatment for tuberculosis in emergency. On the seventh day of hospitalization, she suddenly presented with a massive motor deficit of the left hemibody. The MRI performed was compatible with meningoencephalitis associated with recent deep right Sylvan ischemia foci. The evolution was marked by partial recovery of the left hemiplegia, right retro-bulbar neuritis, and iatrogenic hepatic cytolysis. Comments: Tuberculous meningitis remains today one of the most serious neurological conditions involving the vital and functional prognosis of patients. Association of cerebral infarction and tuberculous meningitis is of variable occurrence. There are reported cases in which cerebral infarction is a complication of tuberculous meningitis. On the other hand, the discovery of tuberculous meningitis can be observed in the assessment of a cerebral infarction in young subjects. Tuberculous meningovascularitis remains a rare condition in immunocompetent patients for HIVAIDS. It results from arterial occlusion by thrombosing and obliterating endarteritis. It represents a medical emergency requiring starting anti-tuberculosis treatment. The evolution depends on the precocity of the diagnosis and the speed of treatment. Conclusion: The sudden appearance of a neurological deficit in à patient with tuberculous meningitis even under specific treatment should suggest an ischemic stroke, especially if the symptomatology respects an anatomo-functional vascular systematization.
Abstract: Introduction: Neuromeningeal tuberculosis is the most common form of extra-pulmonary tuberculosis in developing countries. It is the most serious form of Mycobacterium tuberculosis infection. Vascular complications of tuberculous meningitis involve functional prognosis of patients. Observation: In our daily practice, we frequently encounter cases o...
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Case Report
Capgras Syndrome with Pregnant Woman: A Case Report and Literature Review
Issue:
Volume 12, Issue 1, March 2024
Pages:
23-27
Received:
14 February 2024
Accepted:
5 March 2024
Published:
19 March 2024
DOI:
10.11648/j.ajpn.20241201.15
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Abstract: Background: Capgras syndrome is one of the delusional misidentification syndromes characterized by the delusional belief by the patient that the close person is replaced by an imposter who looks physically the same. Capgras syndrome was initially considered a purely psychotic disorder, but recently, Capgras syndrome understands as a neurological disorder, in which the delusion primarily results from organic brain lesions or degeneration. The case report aims to review previous literature on topic and present a case of pregnant woman experiencing Capgras delusion under full consciousness and whose expediencies are not linked to any psychiatric or neurological illness. Case presentation: A 29 year old, pregnant woman was brought for psychiatric consultation by her family with chief complaints of belief that her husband had been replaced by identical impostor, associated with irritability, anger and hostility since 4 months and aggravated in the last month. This pregnant woman showing absence of emotional response, no familiarity toward her husband and delusion that her husband replaced by imposter. Conclusion: Capgras syndrome is not necessarily pathological and can occur in a healthy population. Capgras syndrome may happen spontaneously under full consciousness in the healthy subjects; like in neurological and psychiatric patients. In this case report the phenomenological aspects of Capgras syndrome may similar in the content of the delusion to other studies were carried out with psychiatric or neurological patients, but no evidence of depersonalization, physical violence or aggression.
Abstract: Background: Capgras syndrome is one of the delusional misidentification syndromes characterized by the delusional belief by the patient that the close person is replaced by an imposter who looks physically the same. Capgras syndrome was initially considered a purely psychotic disorder, but recently, Capgras syndrome understands as a neurological di...
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