Background. Dementia is a syndrome due to brain disease, usually chronic or progressive and there is a disturbance of sublime function. Lack of knowledge and awareness of health workers about the occurrence of dementia can worsen dementia due to delays in diagnosis and treatment. Method. This study is a descriptive study with a cross sectional design involving 66 respondents who have agreed to the informed consent and are general practitioners who work in Primary Health Care Facilities. Sampling using consecutive sampling technique, samples that meet the inclusion and exclusion criteria. Data collection was carried out in November 2021. Data analysis used SPSS 22.0 ver. Results. The average knowledge of respondents before the training was described from the pretest score of 5.2. Conclusion. Lack of knowledge about dementia in general practitioners who work in primary health care facilities in the Semarang.
Introduction: Intracerebral hemorrhage refers to primary, spontaneous, and non-traumatic bleeding that occurs in the brain parenchyma. Intracerebral hemorrhage accounts for approximately 10-20% of all stroke. The most common risk factor for non-traumatic hemorrhagic stroke is hypertension. The increase in Mean Arterial Pressure leads to the incidence of intracerebral hemmorhage. The NIHSS is a systematic assessment tool that quantitatively measures stroke associated with neurologic deficits. Neurological deficits that occur in intracerebral hemorrhage occur because blood enters the brain parenchyma. The incoming blood was measured by the Automatic Volume Method (software volume evaluation), namely the calculation of volume by computer software on the CT Scan tool.Aim: To determine the correlation between Mean Arterial Pressure and bleeding volume with NIHSS score in intracerebral hemorrhage patients.Methods: The research design used in this study was cross sectional. The sample of this study was 40 research subjects using purposive sampling, this study has independent variables, namely Mean Arterial Pressure and bleeding volume, while the dependent variable is the NIHSS score (National Institute of Health Stroke Scale). This study conducted an analysis using Spearman's.Results: : The results of this study indicate that there is no significant relationship between bleeding volume and NIHSS score (p = 0,157, r = 0,228) and there is no significant relationship between MAP and NIHSS score (p = 0,268, r = -0,179)Conclusion: There is no statistically significant relationship between Mean Arterial Pressure and bleeding volume with the NIHSS scoreKeywords: Mean Arterial Pressure, Bleeding Volume, National Institute of Health Stroke Scale, Intracerebral Hemorrhage
<p><strong>Background </strong>Epilepsy is a brain disease characterized by repeated unprovoked seizures at least two times with an interval of more than 24 hours between the first seizure and subsequent seizures. Valproic acid is an anti-seizure drug. Long-term use of valproic acid may be associated with metabolic disorders such as weight gain, and lipid profile changes, including vitamin D levels.</p><p><strong>Objectives</strong><strong> </strong>To determine the correlation between the duration of valproic acid therapy and serum vitamin D levels in adults using valproic acid.</p><p><strong>Methods </strong>An observational analytic study with a cross-sectional design. The demographic and duration of valproic acid use were determined using questioner, and the serum vitamin D levels were measured using the ELISA method. The normality test was carried out using the Shapiro-Wilk test and then continued with the Pearson test to determine the correlation between the duration of valproic acid therapy and serum vitamin D levels. The results showed significance if the p-value <0.05.</p><p><strong>Results </strong>The mean serum vitamin D level among subjects was low (16.44+4,24 ng/mL), furthermore, there is no significant correlation between the duration of valproic acid therapy and serum vitamin D levels (p=0.956, r=-0,011).</p><p><strong>Conclusion </strong>There is vitamin D deficiency among adults with epilepsy but, the duration of valproic acid therapy does not correlate with serum vitamin D levels.</p>
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