15 research outputs found
Gap in stroke patients' and carers' education
Stroke is a multidimensional illness as it affects various aspects in a person's quality of life. The rehabilitation team focuses mainly on complications but there seems to be a gap in the education of the patients and their carers in skills relevant to the competencies required for community, aged care, health, housing and disability support services. Stroke patients' and carers' education-training, as well as their satisfaction has not been studied adequately. The current article presents important studies in the field about the association of patients' and carers' satisfaction and based on authors' opinion suggests appropriate interventions in order to improve the health of the patients
Urinary frequency in a case of Neuro-Behcet disease involving the brainstem - Clinical, electrophysiological and urodynamic features
Micturitional disturbances are reported in 5-20% of patients with
Behcet disease (BD) affecting the central nervous system. However,
corresponding data regarding urodynamic and electrophysiological
findings are limited.
A patient with known BD presented with dysarthria, diplopia and urinary
frequency (36 times/day). MRI revealed an extensive lesion involving the
lateral and tegmental pons, reaching the pontomedullary junction.
Auditory evoked potentials indicated left-side lesion between superior
olivary nucleus and superior colliculus. Blink reflex examination
indicated a location caudal to the left trigeminal root. Pudendal nerve
somatosensory evoked potentials and transcranial magnetic stimulation of
the perineal muscles were slightly affected. Bulbocavernosus reflex
latencies were normal. EMG of the bulbocavernosus muscles showed a
normal maximal voluntary contraction activity. Urodynamic studies
revealed normal urine volume, maximum flow rate and residual volume.
After intravenous administration of methylprednisolone diplopia and
dysarthria resolved within 3 weeks. Urinary frequency remained almost
unchanged for the first 8 weeks, but clearly improved during the
following months. We assume that the present case of urinary frequency
is the result of vasculitic lesion affecting the pontine micturition
inhibitory area on the ground of Neuro-Behcet disease. (C) 2007 Elsevier
B.V. All rights reserved
Determinants of Refugee and Migrant Health Status in 10 European Countries: The Mig-HealthCare Project
In this study, we collect and synthesize information on the health status of the refugee/migrant population in ten European countries in order to map refugee/migrant health needs. With this information, we identify areas of intervention and healthcare system strengthening to provide the basis for future health planning and effective healthcare provision to migrants, asylum-seekers and refugees in the European Union (EU). Methods: 1407 migrants in ten European Union countries (consortium members of the Mig-HealthCare project) were surveyed on general health, mental health, and specific diseases using an interviewer-administered questionnaire. Descriptive statistics and multivariable linear regression analyses were conducted to investigate the risk factors on general quality of life for migrants and refugees in the EU. Results: Mean age was 31.9 (±11.05) years and 889 (63.1%) participants were males. The majority came from Syria, Afghanistan, Iraq, Nigeria, and Iran. Having a mental health disorder or a chronic disease such as a heart or respiratory disease was associated with worse general health. On the other hand, having permission to stay in the country of interview and being interviewed in the country of final destination was associated with better general health. Access to health care services was fragmented or unavailable for some interviewees because of linguistic, cultural, or administrative barriers. Conclusions: The management of chronic diseases and mental health conditions in European migrants and refugees is a key priority for health service provision. Further efforts should be made to guarantee healthcare access for migrant and refugee populations