Introduction Epilepsy is a neurological disease that interferes negatively with many areas of the patient’s life. Sexual dysfunction is a frequent comorbidity in epileptic patients. Quality of life is particularly affected in women, who are also culturally stigmatized because of their illness. Objectives To assess the sexual function of women with epilepsy compared to healthy women. Methods This was a case-control study of female patients with generalized epilepsy, carried out at the national institute of neurology in Tunisia in 2018. The controls were the patients’ companions in the department. They were matched by age with the cases. Sexual function was assessed by the female sexual function index (FSFI). Results We included 40 cases and 40 controls.Their averge age was 30.45years. In comparison to the controls,the women with epilepsy had less kids ( p=0.04) and more miscarriages (p=0.032). On the other hand, women with epilepsy presented more sexual dysfunctions (p=0. 03) and had a lower total score on the FSFI (p=0.015) as well as significantly lower scores in the domains “desire” (p=0.009), “orgasm” (p=0.026), “satisfaction” (p=0.001) and pain (p=0.015). Conclusions The findings of this study are consisting with the literature, the women with epilepsy in this survey had impaired sexual function. More attention should be paid to these sexual disorders, previously considered secondary or even neglected. Disclosure No significant relationships.
Introduction General Lockdown was first declared in Tunisia from March 20th to May 4th 2020 to contain the spread of COVID19 pandemic, the last sanitary lockdown period was declared from July 12th to august 1st in 2021. Psychiatric emergency access and consultation has been affected by the confinement. RAZI Hospital Emergency Department (RHED) is the only emergency department in Tunisia specialized in psychiatry. Thus making it the most representative psychiatric emergency health care service in Tunisia. Objectives To assess changes in patients flow and admission rates in RHED in the context of the COVID-19 lockdown Methods We examined emergency room records and the hospital’s computer admission database during the first and the last COVID19 lockdowns and compared it to the same period of the previous year. Results The number of consultations was significantly lower in 2020 lockdown (N = 577) compared the same period in 2019 (N = 1525) (p<10−3). We observed a drop in RHED emergency hospitalization rate from 45.57% to 29.81% during this study period. The number of consultations per day was significantly lower during the first lockdown (N= 12.44) compared to the last lockdown (N=26.61) (p<10−3), the hospitalization rate rose from 29.81% during the first lockdown to 44.36% during the last. Conclusions Fear of COVID19 contamination and lockdown limitation had a huge impact on RHED visits and admissions. Medical team had to adjust in order to prevent further delay in acute psychiatric care. Disclosure No significant relationships.
Introduction Contagious disease outbreaks can have major repercussions on medical stuff. Doctors in Tunisia were requested to act as the first-line filter in managing active cases during the beginning of COVID19 pandemic. Objectives This study aims to assess perceived stress in Tunisian doctors during COVID19 pandemic early stages and to identify factors associated to stress in order to guide prevention strategies. Methods This was a cross-sectional study conducted through an online survey, from April 18th 2020 to June 6th 2020. A 62-item semi-structured survey was created, consisting of 5 series of questions and scales. Linear regression models were performed to identify the associations between the study variables and the perceived stress score of the participants. Results We included 203 physicians in this study. Stress levels were high among Tunisian doctors with a mean perceived stress score (PSS) of 28.6. One hundred fifteen participants (56.3%) scored for high PSS. This study identified vulnerable subgroups too stress. The female gender, working in the capital and working in critical medicine units were risk factors for high PSS. Managing COVID19 patients was not itself correlated to stress, however social isolation, stigma and luck of access to information were correlated to high stress levels. Conclusions Several stressors can affect the well-being of doctors during the COVID-19 pandemic, which can lead to adverse psychosocial outcomes. The findings of this study may guide decision-makers to implement early mental health interventions for doctors. Disclosure No significant relationships.
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