Faculty of Arts and General studies
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Browsing Faculty of Arts and General studies by Author "Amorin, Manuela"
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Item Prevalence of depression and associated factors among patients with diabetes in an outpatient clinic In Dar Es Salaam, Tanzania(British Journal of Medical & Health Sciences, 2021-06) Dos Santos, Carla J. Mulambo; Adzika, Vincent; Ayim-Abogye, Desmond; Amorin, Manuelaepression and diabetes mellitus are chronic diseases with profoundly negative effects on people’s health and life expectancy. Depression is a state of low mood and aversion to activities previously most enjoyed, affecting a person's thoughts, behavior, feelings, and a sense of wellbeing. Diabetes mellitus (DM) is a chronic disease in which blood sugar levels are too high. Depression is the second leading cause of disability in young to middle-aged adults in low and middle-income countries, following HIV/AIDS. Depression and DM co-occur in a bidirectional relationship, with a stronger association noted for the depression-predicting onset of diabetes. This co-occurrence is a major problem impacting the lives of DM patients. The purpose of this research was to uncover the links between depression and DM, aiming to propose strategies to manage depression in DM patients. Key objectives of the study were to:(i) identify key socio-demographic factors associated with the prevalence of depression among DM patients in an outpatients’ clinic in Tanzania; and (ii) propose a model health care practitioners and institutions can adopt for the prevention and management of depression among DM patients. Quantitative methods helped to uncover the impact of socio-demographic factors in the prevalence of depression in DM patients and establish the correlation between depression and diabetes as they co-occur. The research established a positive correlation between undetected and late identification of depression and the deterioration of the health condition and quality of life of DM patients; significantly higher health care bills occur when socio-demographic determinants of depression prevalence are not being well understood and managed; and a significant improvement in the quality of life when educated and counselled DM patients collaborate in managing their status. Finally, the research proposes a patient-physician Collaborative Care Model as an effective strategy for managing the pathology.Item Psychiatric patients in modern Ghana and their adaptive various sanctuaries(CPQ Neurology and Psychology, 2021-05-18) Ayim-Aboagye, Desmond; Adzika, Vincent; Amorin, Manuela; Dos Santos, Carla MulamboThis study aims to firstly find out how patients deal with their mental disorders using the traditional resources without entering into the psychiatric hospital for treatments. What psychiatric problems do they suffer? What are the various pharmaceutical drugs administered by these practitioners? What roles do group support play in the lives of these patients? The method used was the structured and in-depth interviews, which consisted of background information and other relevant themes about their psychiatric related problems. Interviews were given to patients after we have attended their Sunday worships in their localities. Open-ended interviews were also administered to them and arrangements were made to meet them next week in the same worship service to gather them. Overall, 300 informants agreed to participate in the study. Method The results revealed that there have been attacks concerning the manner of treatments, abuse,emotional abuse, sexual abuse, and manipulation which these practitioners utilize in their various churches. Modern psychiatric hospitals where these patients could have gone in the first place to receive treatments are not many. The findings show that different relationship problems exist that male as well as female patients of all age groups undergo. Traditional pharmaceutical drugs were prevalently utilized but most of them were placebo in kind.In conclusion, it can be asserted that the social function of these mental treatments outweighs the abuse in general, which is tremendously circulated and reported by the media. The healing sanctuaries have important social functions, which without them modern mental institutions in Ghana will be over flooded with a tremendous number of unconventional patients. The prolific employment and glorification of Akwankyere, to psychologically speedy up treatment, makes healing methods affordable to all faithful adherents