ABSTRACT
In Cameroon, the prevalence of deafness in children is 3.6%. The aim of this study was to describe the clinical profile of these hearing impaired children at the time of diagnosis. Patients and methods.This was a descriptive cross-sectional study that took place between November 2020 and June 2021 and involved 127 hearing impaired children. Results.The mean age of these children was 9.2 ± 3.9 years, with extreme values of 1 and 15 years. The sex ratio was 1.3. The average number of children in the siblings was 3.5 ± 1.8 children and 30.7% occupied the 1st rank in their siblings. The average birth weight was 3269 ± 0.685g. The neonatal history was found in 11.81% of the cases while the postnatal history related to 32.28% of the cases. Maternal alcoholism and parental genital infections were found during pregnancy. Familial deafness was found in one of the mothers (0.4%) and in the siblings in 3.1% (n=4). At the time of diagnosis, the median age was between 0 and 24 months, the mode of onset was old and 96.9% of children had bilateral deafness. The absence of reaction to noise and the delay of language were the most found modes of revelation. Moderate and severe deafness were the most represented and were mostly sensory or mixed. Among these deaf children, 4%presented a handicap or an associated pathology. Conclusion.The causes of child deafness in Yaoundé are acquired in perinatal period. This deafness is diagnosed in the perilingual period and remains dominated by bilateral deafness, whether severe or profound
Subject(s)
Child Health , Hearing Loss, Sudden , Aphasia , Pathology, Clinical , Health Profile , Prevalence , Health of the DisabledABSTRACT
L'objectif de ce travail était de déterminer les facteurs influençant la qualité de vie des patients aphasiques post-AVC suivis à Cotonou. Méthode : Il s'agit d'une étude transversale, prospective descriptive et analytique qui s'est déroulée au CNHU-HKM de Cotonou d'Octobre à Décembre 2012 ; elle a inclus les patients aphasiques post-AVC d'au moins six mois. Pour chaque patient, un questionnaire SIP-65 a été administré. Le logiciel Epi info 3.5 a servi de base à l'analyse des données. Une analyse multivariée a été effectuée pour déterminer les facteurs associés à la qualité de vie des aphasiques. Résultats : Au total, 41 patients ont été inclus dans l'étude avec une sex-ratio de 1,3. L'âge moyen était de 55,3 ± 2,5 ans. La durée moyenne d'évolution de l'aphasie était 10 mois. L'aphasie de Broca était prédominante (68,3%). 60,8% des aphasiques avaient une qualité de vie préservée. L'analyse multivariée a montré que l'âge, le soutien de la famille, le type d'AVC et d'aphasie et le traitement orthophonique étaient associés à la qualité de vie. Conclusion : La prise en charge des aphasiques post-AVC doit intégrer ces facteurs associés à la qualité de vie pour une meilleure récupération des patients
Subject(s)
Aphasia , Benin , Quality of Life , Stroke/complicationsABSTRACT
Objective: This study sets out to review the clinical profile and treatment program of children and adolescents with intellectual disability in Waverley Care Center (WCC). Method: A retrospective review was done of users from January to December 2004. Reviewed parameters included age; gender; length of stay; DSM IV diagnoses; current medical treatment; and level of functioning and mobility according to the Therapeutic Classification System for Children (TCS). Results: A total of 179 users were receiving care. Although the mean age of users was 14 to 15 years; their ages ranged from 3 to 34 years. The gender ratio of users was 1 (female) to 1.6 (male). The average length of stay was 6.73 years and the range of stay from 0.5 to 29 years. Attention deficit hyperactivity disorder was diagnosed in eight children and pervasive disorders were suspected in some. Intellectual impairment ranged from severe to profound. Specific interventions with regard to severe physical impairments were made by occupational therapy and physiotherapy