Abstrak: Epilepsy is commonly found in the community. This study aimed to obtain the profile of epileptic patients at Prof Dr. R. D. Kandou Hospital Manado in 2014. This was a descriptive retrospective study using data of Department of Medical Record Prof. Dr. R. D. Kandou Hospital Manado 2014. The results showed that there were 144 subjects that fulfilled the criteria; 81 (56.3%) of them were males. Most of them were at the age 15-24 years, had profession as students, and were diagnosed as temporal lobe epilepsy EEG was performed on 35 subjects; 13 of them had lesion in the temporal lobes. Nearly half of the subjects were treated with phenytoin.Kata kunci: epilepsi, temporal, phenytoin Abstrak: Epilepsi merupakan penyakit yang sering ditemukan di masyarakat. Penelitian ini bertujuan untuk mengetahui gambaran penyandang epilepsi di RSUP Prof. Dr. R. D. Kandou Manado pada tahun 2014. Jenis penelitian ini deskriptif retrospektif dengan memanfaatkan data dari Bagian Rekam Medik RSUP Prof. Dr. R. D. Kandou Manado tahun 2014. Hasil penelitian memperlihatkan sebanyak 144 subjek yang memenuhi kriteria penelitian. Terdapat 81 subjek (56,3%) berjenis kelamin laki-laki. Golongan usia terbanyak ialah 15-24 tahun, sebagian besar berprofesi sebagai pelajar/mahasiswa, dan paling banyak terdiagnosis sebagai epilepsi lobus temporal. EEG dikerjakan pada 35 subjek; sebanyak 13 subjek memiliki letak lesi di lobus temporal. Hampir setengah dari keseluruhan subjek menggunakan terapi phenytoin. Kata kunci: epilepsi, temporal, phenytoin

Background: Adherence to medication is an important component of successful epilepsy treatment. However, the disease’s long-term treatment makes it difficult to achieve good adherence. This study aimed to assess the adherence level of anti-epileptic drugs (AEDs) among adult epilepsy patients in Indonesia and its associated factors.Methods: We reviewed the medical records of epilepsy patients in a tertiary public hospital between September 2018 and August 2019. Subjects were patients who were electro-clinically diagnosed with any type of epilepsy, have been taken at least one AED for at least three months, have a record of Morisky medication adherence scale 8 items (MMAS-8) score, and aged 20 years old and above. The level of adherence was measured by the MMAS-8 Indonesian version.Results: We found 97 eligible subjects and the majority were males (56.7%), unemployed (69.1%), and aged ≥30 years old (55.7%). Most subjects (41.2%) showed a high adherence level. The remaining 30.9% and 27.8% had a moderate and low adherence level respectively.Conclusions: This study reveals that high AEDs adherence is associated with being male, younger than 30 years of age, received monotherapy instead of polytherapy, and no memory impairment. A further investigation related to the reason why these factors play roles in the Indonesian setting is important to design appropriate strategies to improve AEDs adherence of epilepsy patients.

Background: Carpal tunnel syndrome (CTS) is the most common peripheral neuropathy entrapment and it interferes with the quality of life. Treatment for CTS can be divided into operative and non-operative treatment. Our objective was to compare the quality of life and pain intensity in a patient with CTS after oral treatment and local corticosteroid injection (LCI).Methods: A prospective cohort study was conducted in 18-65 years patients with CTS. Primary outcome was to compare the quality of life post oral treatment (NSAIDs, oral steroids, gabapentin) and LCI using the Short Form-36 questionnaire. Secondary output was to compare pain intensity using Numeric Rating Scale (NRS). Mann-Whitney and independent t-test were used to assess the comparison between the treatment.Results: Sixty CTS patients were included in this study, with 32 patients (53.33%) assigned to LCI. After observation one month, statistical analysis showed that LCI improved the quality of life better than oral in physical function and bodily pain components (p = 0.036 and p = 0.047). Injection treatment decreased pain intensity more than oral not statistically significant after 14 days (p=0.087), but was significant after one month (p=0.002).Conclusions: Local corticosteroid injection improved quality of life and decreased pain intensity better than oral treatment after one month.

No abstract