Search Results

Abstract : The quality of life of children with epilepsy can be disrupted due to unresolved seizures and psychological disorders. One of the instruments for assessing the quality of life of children with epilepsy is the Quality of Life in childhood epilepsy questionnaire-parent form (QOLCE-55). This study analyzes factors related to the quality of life in children with epilepsy. A total of 80 children were analyzed. Based on the qolce-55 measurement of cognitive function, there were four significant independent variables, namely age (p<0.001), duration of treatment (p=0.021), parents' education (p=0.001), and seizures (p=0.007). Cognitive function obtained two significant independent variables, namely gender (p=0.001) and attacks (p<0.001). Social function is obtained by one significant independent variable, namely age. In terms of physical function, there were two significant independent variables, namely age (p<0.001) and the number of anti-epileptics (p=0.001). Age, gender, parental education, nutritional status, type of epilepsy, duration of treatment, type of treatment, seizures, and regularity of taking medication are factors associated with the quality of life of children with epilepsy.

Abstract : The study aims to assess the shear bond strength of modified- 3M orthodontic adhesive Transbond™ XT with different concentrations of Titanium Dioxide and zirconium oxide nanoparticles. In a retrospective cross-sectional study a hundred sound-extracted human upper premolars were collected. 3M orthodontic adhesive Transbond™ XT was modified by (0,02%, 0.04%, and 0.06% Zirconium Oxide), and (0,02%, 0.04%, and 0.06% Titanium Dioxide) nanoparticles, and (0,02%, 0.04%, and 0.06% Zirconium Oxide and Titanium Dioxide). dentaurum discovery pearl ceramic bracket were bonded to buccal enamel surfaces of the samples of control and nine modified adhesive groups. At 24 h after bonding, shear bond strength was measured. Adhesive remnant index was scored under (10X) magnification power of stereomicroscope after de-bonding. The chemical characteristics of orthodontic adhesive material were explored before and after mixing with Titanium Dioxide and zirconium oxide nanoparticles by using FTIR. (Zirconium Oxide nanoparticles) group and combination (Zirconium Oxide and Titanium Dioxide nanoparticles) had a higher shear bond strength mean value than the control group, 0.06% combination (Zirconium Oxide and Titanium Dioxide nanoparticles) group had the highest mean value. About adhesive remnant index, no significant differences were founded among the studying groups. The addition of 0.06% combination ( Zirconium Oxide and Titanium Dioxide nanoparticles) had the best performance and improved shear bond strength of 3M orthodontic adhesive Transbond™ XT.

Abstract : Shift workers refers to a work schedule that involves irregular or unusual hours, such as morning and evening shifts, as opposed to regular day work. Sleep disturbance is the main problem faced by night shift workers, especially security workers. Growing evidence has shown that vitamin D plays a role in sleep regulation. Therefore, vitamin D supplementation may have positive effects on sleep disturbances, including decreased sleep latency, increased sleep efficiency, and longer sleep duration. This research is a quasi-experimental study with a case-control design. The intervention group was the Security Unit which was given Vitamin D at a dose of 1000 IU and standard care at Prof. Dr. I.G.N.G Ngoerah. The control group is a Security Unit unit that is given standard care without giving vitamin D 1000 IU according to the standard of care at Prof IGNG Ngoerah Hospital. The mean age in the intervention group was 41.7 ± 9.7 and that in the intervention group was 42.6 ± 8.8. the highest level of education is high school and the majority of subjects are married. The median sleep quality score after the intervention fell to 2.0 (IQR 2) with the median improvement in sleep quality score in the intervention group being 7.0 (IQR 3). Whereas in the control group the average score for sleep quality after 8 weeks was 6.0 (IQR 1) with an average score for improving sleep quality was 0.0 (IQR 1). Based on multivariable analysis, the acquisition of vitamin D significantly affected sleep quality improvement (B=5.9, 95% CI=4.809-6.981, P<0.001) while sleep quality improvement was not significantly affected by age (P = 0.992), last education level (P = 0.683) and marital status (P = 0.616). Providing vitamin D supplements can be a useful strategy to help improve sleep quality in security units who often work night shifts.

Abstract : Coronary artery disease (CAD) occurring in less than 40 years of age is termed as young CAD. Recent studies show a prevalence of 1.2% of CAD cases in this age group. the present study was undertaken for assessing the profile of CAD in young patients. A total 50 patients of CAD in young patients [age < or = 40 years] were study who were a mix of urban and rural population. Mean age of the patient in our study was 34.6 years. About 62% of our patients reported to have a BMI more than 25 kg/m2. In our study 62% of our patients were smokers, 22% were alcoholics and 12 % were tobacco addict. 40% of the patients were diabetics, 20% were hypertensive and remaining 22 % of them had a family history of ischemic heart disease. 96 % of the patients presented with CCS class 4 symptoms. On ECG anterior wall MI was the commonest 64%. Out of all the ACS patients 80 % had STEMI, 20% had NSTEMI and 20% had Unstable Angina. On ECG anterior wall MI was the commonest 64%. Single vessel disease was seen in 34 numbers of patients. [68%]. Single vessel disease [LAD] was the commonest in our study.

Abstract : Premature babies are at risk of shortness of breath because their lungs are immature. Asphyxiation due to shortness of breath carries a risk of disruption of cerebral blood flow that can be measured by transcranial Doppler ultrasound. This study used a cross-sectional design of preterm infants with respiratory distress and preterm infants without respiratoy distress treated according to inclusion and exclusion criteria at RSUP H. Adam Malik Medan. All specimens underwent transcranial Doppler ultrasound at the hospital. Statistical analysis using the Mann-Whitney test and t-test for p<0.05 were considered significantly different. This study used a cross-sectional design of preterm infants with and without dyspnea treated in the neonatal intensive care unit and perinatal unit of H. Adam Malik General Hospital, Medan. Baseline data and results for transcranial doppler ultrasound parameters were obtained from medical records from January 2019 to January 2022. Parameter assessment included peak systolic velocity (PSV), end-diastolic velocity (EDV), mean velocity (MV), resistance index (RI), and pulsatility index (PI) are included. Results showed mean ultrasound parameters in preterm infants with respiratory distress and without respiratory distress in ACA were PSV 33.73 vs 35.28 (p = 0.627), EDV 8.4 vs 8.12 (p = 0.718), MV 16.18 vs 16.84. (p = 0.492), PI 1.61 vs 1.64 (p = 0.390), RI 0.74 vs 0.76 (p = 0.787). On the other hand, the mean ultrasound parameter results for MCA were PSV 38.72 vs 40.47 (p = 0.173), EDV 9.93 vs 10.43 (p = 0.574), MV 17.38 vs 18.04 (p = 0.573), PI 1.66 vs 1.66. (p = 0.515) and RI 0.74 vs 0.736 (p = 0.600). Based on statistical tests, t-test and Mann-Whitney showed insignificant results of transcranial ultrasound parameters for both variables (P > 0.05).