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Quality of Life of Caregivers of Epileptic Children at the Children’s Hospital Lahore 1

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Quality of Life of Caregivers of Epileptic Children at Children’s Hospital Lahore
Dr. Allah Rakha Roll No. 653-17 MPH 1
Institute of Public Health Lahore
Introduction
Epilepsy is one of the commonly occurring neurological disorders that
affect people of all nations, all ages and all races.
1
A neurological disorder
characterized by recurrent seizures, which are sudden surges of electrical
activity in the brain is epilepsy. Epilepsy tends to arise suddenly, as it has
highly changeable character and high psychological impact.
2
Epilepsy is also known as “seizure disorders”. Seizures are the periods in
which neurons finish their normal function and act more rapidly than
normal. Seizures usually ceased after few seconds or minutes, when brain
get control again over the excessive activity of neurons. International
League against Epilepsy divided epilepsy seizure into two further types,
partial seizure and generalized seizure. A partial seizure occurs in some
limited and specific area of brain. Opposite to the partial seizures,
generalized seizures involve both halves of the brain simultaneously when
abnormal discharge occurred. Children are more vulnerable to epilepsy.
3
Epilepsy has devastating consequences for people's lives. Some are
related to injuries and a high risk of premature death, including sudden
unexpected death associated with seizures.
4
Epilepsy is thought to affect more than hundred million individuals and
their families worldwide at some point of their lives, thus constituting a
major, universal, public health issue.
5

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Quality of Life of Caregivers of Epileptic Children at Children’s Hospital Lahore
Dr. Allah Rakha Roll No. 653-17 MPH 2
Institute of Public Health Lahore
Epilepsy is a multifactorial chronic disorder, which has diverse effects on
the overall well-being or subjective quality of life (QOL) of the patients. A
better understanding of how satisfied people living with epilepsy are with
their lives is necessary for clinicians to help the patients lead more fulfilling
lives.
6
Approximately 50 million people currently live with epilepsy worldwide.
The estimated proportion of the general population with active epilepsy
(i.e. continuing seizures or with the need for treatment) at a given time is
between 4 and 10 per 1000 people. However, some studies in low- and
middle-income countries suggest that the proportion is much higher,
between 7 and 14 per 1000 people. Globally, an estimated 2.4 million
people are diagnosed with epilepsy each year. In high-income countries,
annual new cases are between 30 and 50 per 100,000 people in the
general population. In low- and middle-income countries, this figure can be
up to two times higher.
7
Overall prevalence of epilepsy in Pakistan is estimated to be 9.99 per
1000 population. Highest prevalence is seen in people younger than 30
years of age. A slight decrease in prevalence is noted between the ages
of 40 and 59. Higher prevalence is observed in rural population.
8
Childhood epilepsy is an elevated hazard for poor psychological outcomes
and impacts on quality of life of children but also has a great affect on

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Quality of Life of Caregivers of Epileptic Children at Children’s Hospital Lahore Introduction Epilepsy is one of the commonly occurring neurological disorders that affect people of all nations, all ages and all races.1 A neurological disorder characterized by recurrent seizures, which are sudden surges of electrical activity in the brain is epilepsy. Epilepsy tends to arise suddenly, as it has highly changeable character and high psychological impact.2 Epilepsy is also known as “seizure disorders”. Seizures are the periods in which neurons finish their normal function and act more rapidly than normal. Seizures usually ceased after few seconds or minutes, when brain get control again over the excessive activity of neurons. International League against Epilepsy divided epilepsy seizure into two further types, partial seizure and generalized seizure. A partial seizure occurs in some limited and specific area of brain. Opposite to the partial seizures, generalized seizures involve both halves of the brain simultaneously when abnormal discharge occurred. Children are more vulnerable to epilepsy.3 Epilepsy has devastating consequences for people's lives. Some are related to injuries and a high risk of premature death, including sudden unexpected death associated with seizures.4 Epilepsy is thought to affect more than hundred million individuals and their families worldwide at some point of their lives, thus constituting a major, universal, public health issue.5 Dr. Allah ...
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