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003 EG-GICUC
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008 060917s2005 ua a f m 000 0 eng d
040 _aEG-GICUC
_beng
_cEG-GICUC
041 0 _aEng
049 _aDeposite
097 _aPh.D
099 _aCai01.11.08.Ph.D.2005.Th.S.
100 0 _aThanaa Mahmoud Rabah
245 1 0 _aSome Aspects of Health Status in Epileptic Children and Adolescents :
_b(with special reference to quality of life) /
_cThanaa Mahmoud Rabah ; Supervised Mona Soliman Mohammad , Samia Abd El Razzak Hemeida , Ebtesam Mohammed Fahmy
246 1 5 _aبعض النواحى الصحية الخاصة بالاطفال والمراهقين المصابين بمرض الصرع (مع الاهتمام الخاص بنوعية الحياة)
260 _aCairo :
_bThanaa Mahmoud Rabah ,
_c2005
300 _a213P :
_bill ;
_c25cm
502 _aThesis (PH.D.) - Cairo University - Faculty Of Medicine - Department Of Community Medicine
520 _aEpilepsy and its treatment have a direct bearing on major aspects of life styleDemographic , social and economic factors affect health status among epileptic children and adolescentsThe aim of this study was to evaluate some aspects of health status among epileptic children and adolescents mainly through quality of life scoringSubjects and methods : 150 epileptic patients with idiopathic epilepsy and 100 controls age and sex matched collected from kasr El - Aini out - patient clinic were includedSocial level scoring , IQ , identification of HRQoL score , clinical examination and laboratory tests for drug intoxication level and measuring the serum level of AEDs were doneResults : The mean scores of all domains of QoL were significantly lower in patients compared to controls (p < 001) Female patients had lower mean QoL scores as compared to males (p < 005) The educated group had better QoL scores except in stigma and anxietyPatients lived in rural areas had lower QoL scores except in social supportPatients with very low social level had significantly lower scores most QoL domains (p< 005) , while those with high social level had significantly lower score in a health perception (p< 005) Patients with focal fits had the best score in all QoL domains (p<001) Patients with 1ry generalized fits have the worst scores in almost all QoL domainsPatients with generalized fits only during sleep had much better scores in all QoL domains (p< 001) Patients with more frequent fits had lower scores in nearly all QoL domainsA better QoL scores were found in patients on monotherapy compared to patients on polytherapyPatients on polytherapy had higher toxicity score relative to monotherapy group (p<005) Positive correlation was found between QoL domains and IQ score except in stigma which showed a negative correlationThere was negative significant correlation between age and systemic toxicityA high significant negative correlation was found between toxicity scores and most QoL domains (p<001) Conclusions : Epileptic patients had lower mean scores of all domains of quality of life specially those with frequent fits , those on polytherapy and in patients with generalized fits
530 _aIssued also as CD
653 4 _aantiepileptic drug side effects
653 4 _aEpilepsy
653 4 _ahealth assessment
653 4 _aquality of life
700 0 _aEbtesam Mohammed Fahmy ,
_eSupervisor
700 0 _aMona Soliman Mohammad ,
_eSupervisor
700 0 _aSamia Abd El Razzak Hemeida ,
_eSupervisor
856 _uhttp://172.23.153.220/th.pdf
905 _aAmira
_eCataloger
905 _aMustafa
_eRevisor
942 _2ddc
_cTH
999 _c52110
_d52110