73 research outputs found
CARING FOR CHILD PSYCHOTRAUMA: LESSONS FROM BOSNIA
The war in Bosnia and Herzegovina (1992-1995) was an extremely hard traumatic event with different losses, separations of
people, injuries, hard physical and psychical suffering of everyone. Children were especially in difficult conditions.
One of the most remarkable things about children, as anyone who works with them soon finds out, is their resilience. While
children are vulnerable to psychic damage and, if the damage is deep enough, to delays in emotional and even physical growth, they also have an astonishing capacity to bounce back. This is one of the most rewarding things about treating traumatized children. For many children, it takes very little, perhaps only some words of understanding, to help them tap into their own ability to heal. Taking care of child war psycho-trauma was a difficult task for me, as the war-time head of Department of psychiatry, without enough knowledge in child psycho-trauma and as person with a high responsibility, to organize together with other psychological caretakers of children, especially refugee children. This presentation will be some kind of my remembrance of period of 20-25 years ago when we, I think did good work of what we could and what we knew
COVID-19 PANDEMIA: NEUROPSYCHIATRIC COMORBIDITY AND CONSEQUENCES
Infection with the new corona virus (SARS-CoV-2) was first registered in December 2019 in China, and then later spread rapidly to the rest of the world. On December 31, 2019, the World Health Organization (WHO) informed the public for the first time about causes of pneumonnia of unknown origin, in the city of Wuhan (Hubei Province, China), in people who were epidemiologically linked to a seafood and wet animal whole sale local market in Wuhan. Coronavrus disease, called COVID-19 (Corona virus disease 2019), after China quickly spread to most countries in the wold, and the WHO on March 11, 2020 declared a pandmic with this virus. SARS-CoV-2, has a high level of sequential similarities to the SARS-CoV-1 and uses the same receptors when it enters the human body (angiotensin-converting enzyme 2/ACE2). COVID-19 is respiratry infection that is primarily transmitted via respiratry droplets. Typical symptoms of COVID-19 infection can be very moderate (infected can be even asymptomatic) to very severe, with severe respiratory symptoms (bilateral severe pneumonia), septic schock, and fatal outcome. Numeous unknows regarding the biological, epidemilogical adn clinical characteristics of COVID-19, still exist, and make it impossible to predict with certainty the further course of the current pandemic.
COVID-19 is primarily a disease of the respiratory system, but SARS CoV-2, in a number of patients also penetrates the CNS, and apparently could be responsible for fatal outcome in some cases. The entrry of the virus into the brain can lead to neurological and psychiatric manifestationss, which are not uncommon, including headache, paresthesia, myalgia, impaired consciousnessm, confusion or delirum and cerebrovascular diseases.
SARS-CoV-2 positive individuals should be evaluated in a timely manner for neurological and psychiatic symptoms because tretament of infection-related neurological and psychiatric complications is an important factor in better prognosis of severe COVID-19 patients.From the current point of view, it seems that in COVID-19 survivors, in the coming years and decades, the inflammatory systemic process and/or the inflammatory process of the brain could trigger long-term mechanisms that generally lead to an increase of neurological and neurodegenerative disorders.
Psychosocial consequences as well as consequences for mental health are also significant, both for the general population and especially for health workers of all profiles.
COVID-19 pandemia is associtaed with negative psychosocial consequences, including depressive symptoms, anxiety, anger and stress, sleep disorders, simpotms of posttrauamtic stres disorder, social isolation, loneliness and stigmatization
SPEECH AND LANGUAGE ABILITIES OF PERSONS WITH FRONTOTEMPORAL DEMENTIA
The review outlines the importance of understanding speech and language difficulties that occur among the first symptoms of
frontotemporal dementia, as well as the role of speech therapists in the management of people with frontotemporal dementia.
Frontotemporal dementia is one of the most common types of dementia in adults under the age of 65. The main variations of
frontotemporal dementia are behavioral, progressive nonfluent aphasia, semantic dementia, and logopenic progressive aphasia.
Speech and language difficulties are often among the first indicative signs of frontotemporal dementia, and their proper recognition
and understanding play a significant role in the differential diagnosis. Speech and language therapists have to be involved both in the
diagnosis of frontotemporal dementia and its treatment to provide the highest quality services to people with dementia and their carers
SPEECH AND LANGUAGE ABILITIES OF PERSONS WITH FRONTOTEMPORAL DEMENTIA
The review outlines the importance of understanding speech and language difficulties that occur among the first symptoms of
frontotemporal dementia, as well as the role of speech therapists in the management of people with frontotemporal dementia.
Frontotemporal dementia is one of the most common types of dementia in adults under the age of 65. The main variations of
frontotemporal dementia are behavioral, progressive nonfluent aphasia, semantic dementia, and logopenic progressive aphasia.
Speech and language difficulties are often among the first indicative signs of frontotemporal dementia, and their proper recognition
and understanding play a significant role in the differential diagnosis. Speech and language therapists have to be involved both in the
diagnosis of frontotemporal dementia and its treatment to provide the highest quality services to people with dementia and their carers
Attention Defifi cit Hyperactivity Disorder in Children with Intellectual Disability in Bosnia and Herzegovina
Attention defi cit hyperactivity disorder (ADHD) is very frequent in children with intellectual disability. The aim of this
study was to examine the occurrence of ADHD in children with intellectual disability in Bosnia and Herzegovina with
regard to their sex, etiology and level of intellectual disability. The method for data collection was the examination of the
childrenās medical records. The sample consisted of 167 children attending two special education facilities in Sarajevo.
Overall occurrence of the disorder was found to be 20.4%, a fi nding which is in accordance with existing studies. The
results in this study revealed different male to female ratio (1.5:1) of the disorder as compared to existing studies. A difference
in the prevalence of ADHD was found in relation to the level of intellectual disability. There are many children
with dual diagnosis of intellectual disability and ADHD. It is necessary that multidisciplinary team is involved in the
creation of behavioral and educational programs for these children
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