Background: Neck pain is a musculoskeletal pain that often occurs in the community. The prevalence of neck pain in the community for 1 year is 40% and higher in women. Neck pain can reduce neck joint movement and functional activity of the neck so that it can disturb one's activities. Neck pain also often occurs in medical students, usually caused by how to use a bag, bag weight, duration of carrying bag, gender and body weight. Objectives: To determine the prevalence of neck pain and to determine whether there was a comparison between the use of backpacks and messenger bags with the occurrence of neck pain in the students of the Faculty of Medicine University of Sumatera Utara, 2016-2018. Methods: This study is an analytic study with cross sectional design. The sampling technique used was simple random sampling. The research subjects were 170 people. Results: Based on comparison of backpack users who experienced neck pain as many as 74 people and messenger bag users who experienced neck pain as many as 65 people with a chi-square analysis (p = 0.112) means it does not have a significant relationship. Conclusion: the use of backpacks is more likely to cause neck pain than messenger bags, but it is not significant among students of the Faculty of Medicine, University of Sumatera Utara 2016-2018. Keywords: backpacks, messenger bags, neck pain, risk factors for neck pain Latar Belakang: Nyeri leher adalah salah satu nyeri muskuloskeletal yang kerap terjadi di masyarakat. Prevalensi nyeri leher yang terjadi di masyarakat selama 1 tahun besarnya 40% dan lebih tinggi pada wanita. Nyeri leher dapat mengurangi gerakan sendi leher dan aktivitas fungsional leher sehingga dapat mengganggu kegiatan seseorang. Nyeri leher juga sering terjadi pada mahasiswa kedokteran, biasanya disebabkan oleh cara penggunaan tas, berat beban tas, durasi membawa tas, jenis kelamin dan berat badan. Tujuan: Untuk mengetahui apakah terdapat perbandingan antara penggunaan tas ransel dan tas sandang dengan kejadian nyeri leher pada mahasiswa Fakultas Kedokteran Universitas Sumatera Utara angkatan 2016-2018. Metode: Penelitian ini merupakan penelitian analitik dengan desain cross sectional. Teknik pengambilan sampel yang digunakan adalah teknik simple random sampling. Subjek penelitian adalah 170 orang. Hasil: Berdasarkan perbandingan pengguna tas ransel yang mengalami nyeri leher sebanyak 74 orang dan pengguna tas sandang yang mengalami nyeri leher sebanyak 65 orang dengan analisa chi-square (p=0,112) yang maksudnya tidak memiliki hubungan yang signifikan. Kesimpulan: penggunaan tas ransel lebih banyak menimbulkan kejadian nyeri leher dibanding tas sandang namun tidak signifikan pada mahasiswa Fakultas Kedokteran Universitas Sumatera Utara angkatan 2016-2018. Kata Kunci: faktor risiko nyeri leher, nyeri leher, tas ransel, tas sandang
BACKGROUND: The proportion of HIV patients with hyponatremia was significantly higher in hospital compared to those without hyponatremia. HIV patients with hyponatremia had significantly lower CD4 cell counts, about twice the HIV viral load and an approximately four-fold higher prevalence. Hyponatremia was positively correlated with a decrease in CD4 cell count. AIM: The aim of this study was to determine the correlation between hyponatremia and CD4 cells in response to HAART treatment in patients with HIV cerebral toxoplasmosis. METHODS: The design of this study was correlative analytic with retrospective data collection method with secondary data sources obtained from the medical records of HIV-toxoplasma cerebral patients with hyponatremia at Haji Adam Malik Hospital Medan who met the inclusion and exclusion criteria and were included in this study. The research started from December 2021 to January 2022. RESULT: This study was conducted on 30 samples of medical records consisting of 24 males and six females with a mean (min-max) age of 36.1 (23–53). There were 28 subjects (83.3%) with an effective response to treatment and two subjects (6.6%) with a less effective response to treatment. There was a significant correlation between hyponatremia and CD4 cells in response to HAART treatment (p < 0.005; r = 0.0462). There was a significant correlation between hyponatremia and CD4 cell count before receiving HAART treatment (p < 0.005; r = 0.0526). CONCLUSION: There is a significant correlation between hyponatremia and CD4 cells in response to HAART treatment in patients with HIV cerebral toxoplasmosis.
BACKGROUND: Stroke has been the second leading cause of death and the third cause of disability worldwide. A record of hypertension and an increase in diastolic blood pressure (DBP) after the first stroke were associated with an increased risk of a second stroke. DBP has historically been considered as the leading cause of cardiac arrest in adults with hypertension. In the previous studies, it was found a relationship between DBP with stroke and functional outcomes. AIM: This research was carried out to determine the relationship between DBP and the event of ischemic stroke for the 1st time in hypertension patients. METHODS: This research is a case–control that was selected using a consecutive sampling technique, where 47 hypertensive patients with ischemic stroke as the case group were matched with 47 hypertensive patients without stroke as the control group. The research was conducted at H. Adam Malik Hospital, Medan and a network hospital. RESULTS: In this research, most samples in the case and control groups were men with 30 subjects (63.8%) with a mean age value of 58.11 ± 10.85 years. At TDD ≥90 mmHg, 34 subjects (72.3%) had ischemic stroke and 21 subjects (44.7%) did not. At TDD <90 mmHg, the percentage of ischemic stroke was 13 subjects (27.7%) and 26 subjects (55.3%) were non-ischemic stroke with p = 0.006, OR = 3.02. CONCLUSION: There is a significantly close relationship between diastolic blood pressure and the event of ischemic stroke.
Introduction: Sleep disorders are common in stroke patients and can affect 20% - 78% of patients. Stroke patients also often experience depression and anxiety associated with a decrease in the patient's sleep quality. The purpose of this study was to determine the relationship between depression and anxiety with sleep quality in post-stroke patients. Method: This study used a cross-sectional design. The research subjects were post-stroke patients at the neuro polyclinic at H. Adam Malik General Hospital Medan and Satellite Hospital during July - December 2022 who met the inclusion criteria. Assessment of depression, anxiety and sleep quality used Hamilton Depression Rating Scale (HDRS), Hamilton Anxiety Rating Scale (HARS), and Pittsburgh Sleep Quality Index (PSQI) Questionnaires, respectively. Data were analyzed using Spearman's correlation test. Results: Bivariate analysis found that there was a strong relationship between the HDRS score and the PSQI score (r = 0.708; p <0.001), and the HARS score and PSQI (r = 0.650; p <0.001). Conclusion: There was strong correlation between depression and anxiety with sleep quality in post-stroke patients.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.