Asian Australasian Neuro and Health Science Journal (AANHS-J)

Carpal Tunnel Syndrome Incidence In Teachers and Employees at SMP Negeri 1 Pematangsiantar

2024-12-20T13:43:02+07:00

Background. Median nerve compression at the wrist (carpal tunnel syndrome) is
the most common disorder affecting the median nerve and is the most common
nerve compression syndrome. Problems usually arise from excessive hand use and
work microtrauma.
Objectives. To determine the incidence, severity, characteristics of respondents
detected, and risk factors that allow for CTS.
Methods. The study was an analytic-descriptive study with a cross-sectional
approach. Using 70 samples of data from educators and employees at SMP Negeri
1 Pematangsiantar. Data were analyzed using univariate and bivariate analysis.
Results. This study involved 70 educators and employees, 59 (84.3%) were found
with the majority of respondents experiencing complaints with asymptomatic
symptom severity 46 people (65.7%), mild 22 people (31.4%), and moderate 2
people (22.9%). Of the 59 respondents detected, 50 people (71.4%) had mild
functional symptom status. The majority of respondents detected with CTS were
female (74.6%) and were in the age range of 51-60 years (44%). Respondents
detected with CTS had nutritional status type I obesity (34%). Of the 59
respondents detected with CTS, 54 people (91.5%) were educators who had a
working duration of â‰¥8 hours a day (52.5%) and experienced complaints in the left
hand (69.5%).
Conclusion. Most predominantly female in the age range of 51-60 years who
worked as educators with a working duration of â‰¥8 hours and the majority
experienced complaints in the left hand.
Keywords: Carpal tunnel syndrome, educators, incidence

Challenges of Spine Surgery in Obese Patients: A Case Report with a Review of the Literature

2024-12-22T19:22:30+07:00

Introduction: Obese patients face unique challenges across all phases of spine care and surgery, including preoperative, intraoperative, and postoperative periods. Significantly higher risks are associated with spinal surgery in obese patients. This study explores the challenges of managing spinal conditions in obese patients and offers strategies to mitigate these risks.

Case report: A 56-year-old female with a BMI of 42 was referred for evaluation of chronic lower back pain and radicular leg pain. Imaging results were lumbar fusion for degenerative disc disease at the L4-5 and L5-S1 levels. During surgery, the patient required a prolonged operating time due to her increased soft tissue, which made visualization more difficult. The surgical team had to use longer instruments to navigate through the deeper tissue layers. Fluoroscopy was employed to ensure accurate placement of the fusion hardware. Postoperatively, the patient developed delayed wound healing, which required close monitoring and wound care interventions. She had significant reduction in back pain and improved mobility at her 6-month follow-up.

Conclusion: Obese patients present numerous challenges to spine surgeons, ie. elective and non-elective surgeries, anesthetic issues, operative challenges, post-operative issues, complications, and outcomes. To mitigate associated risks and optimize outcomes, specific precautions can be taken during the preoperative, intraoperative, and postoperative phases.

Outcome of Subaxial Spinal Cord injury (Early vs Late Decompression surgery)

2024-12-22T19:25:01+07:00

Introduction: Cervical spine injuries can cause severe neurological deficits, and the timing of decompression surgery is critical for influencing recovery. Early decompression, performed within hours to days, improves outcomes by preventing irreversible spinal cord damage, while delayed decompression may lead to worsened recovery due to prolonged spinal cord compression.

Case Description: Two cases were discussed: Case 1 involved a 22-year-old male with severe spinal cord compression, who showed rapid improvement following immediate decompression surgery. Case 2 involved a 20-year-old male with a C3 vertebra dislocation, who underwent delayed decompression surgery three months after injury, resulting in substantial recovery after rehabilitation.

Discussion: Early decompression surgery, as seen in Case 1, leads to faster recovery by minimizing spinal cord ischemia and preventing further neuronal damage, resulting in significant functional improvement. In contrast, delayed decompression, demonstrated in Case 2, results in slower recovery due to prolonged spinal cord compression, but meaningful improvement is still possible with intensive rehabilitation. The timing of decompression surgery plays a crucial role in recovery outcomes, although patient-specific factors, including injury severity and rehabilitation, also influence the extent of recovery.

Conclusion: Early decompression surgery for subaxial spinal cord injuries generally results in better outcomes, with faster recovery, while late decompression can still provide significant recovery, albeit with a slower trajectory and increased risk of residual deficits.

Clinical Characteristics of Traumatic Brain Injury (TBI) Patients in Grha Bhakti Medika Hospital FROM 2020-2024 : Clinical Outcome from a Trauma Center in East Bali

2024-12-20T13:54:04+07:00

Introduction: Head trauma is a common emergency department presentation, yet epidemiological data on traumatic brain injury (TBI) remains limited. This study aimed to evaluate the clinical characteristics and outcomes of TBI patients at Grha Bhakti Medika Hospital.

Methods: A retrospective cohort study was conducted on TBI patients treated between July 2020 and June 2024. Data from medical records were analyzed, with chi-square tests performed to identify predictors of in-hospital mortality.

Results: A total of 159 TBI cases were recorded, predominantly male (54.1%) and aged 19-40 years (32.1%). Isolated head trauma was most common (81.1%), and traffic accidents accounted for 62.2% of injuries. Non-referral cases (55.9%) exceeded referrals (44.1%). Most patients had no prior head trauma (98.2%), were conscious on admission (50.9%), had mild TBI (GCS 13-15, 80.6%), and showed no airway obstruction or oxygen desaturation (97.5%). Blunt injuries (94.3%), absence of intracranial bleeding (56.6%), and conservative treatment (64.1%) were predominant. Significant predictors of in-hospital mortality included unconscious history, duration of unconsciousness, GCS at admission, types of intracranial bleeding, and treatment modality.

Conclusion: TBI patients were predominantly young males with isolated, traffic-related injuries and mild clinical presentations. Key factors such as unconsciousness, GCS, and intracranial bleeding types significantly influenced mortality. These findings emphasize the need for targeted interventions to improve TBI outcomes.

Factors Associated with Neck Pain Among the Local Gamer Community in IndonesiaIntroduction: There has been a notable rise in smartphone usage among youth, with many exceeding 3 hours of screen time each day. This is a high-risk factor for suffering from n

2024-12-19T20:28:16+07:00

Introduction: There has been a notable rise in smartphone usage among youth, with many exceeding 3 hours of screen time each day. This is a high-risk factor for suffering from neck muscle fatigue due to the static posture of the cervical spine.

Objective: This study is to determine factors associated with neck pain among the local gamer community in Indonesia.

Methods: This study is multivariate predictive study with a cross-sectional approach to members of the AiMSTAR, one of the online gaming communities in Indonesia. The sample was selected using the total sampling technique. Data collection in this study used a questionnaire.

Results: Based on the results of multivariate analysis, it was found that the frequency of smartphone use among gamers in the AiMSTAR community had a significant influence on the occurrence of neck pain, with a p-value of 0.002 (p < 0.05) and a six-fold increased risk compared to a usage frequency of less than 30 minutes (95% CI = 1.96–18.57).

Conclusion: This study shows that the frequency of using smartphone is the most significant contributing factor to the occurrence of neck pain among the local online gaming community in Indonesia.