Asian Australasian Neuro and Health Science Journal (AANHS-J) <p>Asian Australasian Neuro and Health Science Journal is a forum to accommodate and publish for research results and writings from fellow writers Every college is required to implement the tri dharma tertiary institution consisting of teaching, community service and research. One of the research outputs is scientific work published in a journal. By publishing scientific work, an academic or researcher can introduce his work nationally and internationally. Based on the circular letter Director General of Higher Education No. 152 of 2012 that every bachelor degree, master degree and doctoral degree&nbsp; must publish their final assignments in national, nationally accredited and international journals, so the need for journal managers becomes very important.</p> <p>This Journal has E-ISSN: <a href="http/">http/</a></p> Talenta Universitas Sumatera Utara en-US Asian Australasian Neuro and Health Science Journal (AANHS-J) 2686-0848 <div id="coptf"> <p align="justify">The Authors submitting a manuscript do understand that if the manuscript was accepted for publication, the copyright of the article shall be assigned to <span id="result_box" lang="en">Asian Australasian Neuro and Health Science Journal (AANHSJ) and Faculty of Medicine as well as TALENTA Publisher Universitas Sumatera Utara</span> as publisher of the journal.</p> <p align="justify">The copyright encompasses exclusive rights to reproduce and deliver the article in all forms and media. The reproduction of any part of this journal, its storage in databases and its transmission by any form or media will be allowed only with a written permission from Asian Australasian Neuro and Health Science Journal (AANHSJ).</p> <p align="justify">The Copyright Transfer Form can be downloaded here. <br />The Copyright form should be signed originally and sent to the Editorial Office in the form of original mail or scanned document.</p> </div> The Neuromodulator Effect of Vagal Nerve Stimulation as the Treatment of Medically Refractory Epilepsy in Comparison with Surgical Approach: A Systematic Review <p><strong>Background</strong>: Restorative options in medically refractory epilepsy are restricted to ablative brain surgery, the trial of antiepileptic medications, or palliative procedures. Vagal nerve stimulation (VNS) is an accessible palliative method of which the mechanism of action isn't well understood, yet with set up adequacy for medically refractory epilepsy and low occurrence of incidental effects.</p> <p><strong>Objectives:</strong> This systematic review aimed to evaluate the action of epilepsy treatment options.</p> <p><strong>Methods:</strong> We searched for relevant studies published in 2016-2021 with PRISMA charts. For English published statistical analyses, we include all studies conducted on pediatric epileptic patients who have undergone epilepsy surgery and VNS.</p> <p><strong>Results</strong>: Antiepileptic impacts of VNS incorporate expanded movement of the locus coeruleus (LC) neurons with a raised norepinephrine (NE) discharge in the hippocampus, cortex, and amygdala. VNS-modulatory consequences for other synapse frameworks such as cholinergic, GABAergic, and glutamatergic depend on the activation of the LC-NE pathway. While in pediatric epilepsy, early surgical intervention is frequently recommended to work on cognitive and behavioral outcomes that unequivocally portray the epileptogenic zone.</p> <p><strong>Conclusion:</strong> The general rate of complication caused by epilepsy surgery was sensibly low (5%), suggesting that epilepsy medical procedures, particularly primarily temporal lobe resection, can be safe preferably with recent procedure options, while VNS could be more effective as therapy begins at early stages pre- or post-seizure onset to decide the preventative role of VNS in human epileptogenesis when the treatment is given promptly.</p> Muhammad Al Anas Dwi Herawati Ritonga Copyright (c) 2022 Asian Australasian Neuro and Health Science Journal (AANHS-J) 2022-04-23 2022-04-23 4 1 10.32734/aanhsj.v4i1.8477 A Rare Case “Human Tail” Associated with Lipomeningocele and Tethered Cord <p>The human tail is perhaps the most exciting sign of a neural tube defect in the skin. From the appendix until creating a 20 cm long tail-like lesions are reported in this literature. They may occur associated with an underlying pathology condition such as a lipoma or teratoma, but mostly, they hide the underlying spinal dissrafism. Here, we are presenting a case of a 5-year-old female who presented with an 18-cm long tail, which the tail hid till this age because of social stigma and shame. This is the most extended human tail reported of our knowledge in Indonesia. Many classifications about the human tail have been suggested in history. However, regardless of the type, the primary approach to this lesson is always the same. They investigated the possibility of spinal dissrafism with pathology that occurs concurrently and planned treatment based on the patient. In neurosurgery, our goal is to determine the pathology that co-occurred accurately, fixes defects, and correct aesthetics so that the patient can be more confident and for the follow-up on pediatric patients regarding their development.</p> Teguh Pangestu Prihartomo Gatot Aji Copyright (c) 2022 Asian Australasian Neuro and Health Science Journal (AANHS-J) 2022-04-23 2022-04-23 4 1 10.32734/aanhsj.v4i1.8479 Late Presentation of Testicular Torsion : A Case Report <p><strong>Introduction: </strong>Testicular torsion is a twisting of the spermatic cord, which results in impaired blood flow to the testicle. This urological emergency occurs 3.8 per 100,000 males annually, most often observed younger than 18 years. The left testis is more frequently involved. Bilateral cases report for 2% of all torsions. We describe a male with a late presentation of more than 24 hours of acute testicular pain. Patients hesitate to seek advice from doctors for testicular pain because of unawareness.</p> <p><strong>Case Reports: </strong>A 16-year-old man arrived at the Emergency Room with more than 24 hours history of sudden severe left testicular pain after taking up two gas cylinders, but he was not aware. After more than 24 hours, he came to the emergency room with worsening testicular pain. The physical examination found tender, slightly swollen, and high-riding left testes. Phren test and cremaster reflex were negative on the left testes. TWIST score of the patient was 7 (high risk for testicular torsion). We made quick order for ultrasound, which shows left testicular torsion. Emergency exploration of testes was done, found the necrotic left testes with rotation more than three times. After complete derotation of the cord, the testes were still necrotic, and we decided to do left side orchidectomy after enough observation.</p> <p><strong>Conclusion: </strong>Late presentation to the hospital is one of the causes of delay in treatment and mostly leads to orchidectomy in testicular torsion. Every case of testicular pain should be treated as testicular torsion until proven otherwise.</p> <p><strong>Keyword:&nbsp; </strong>Emergency, Late presentation, Orchidectomy, Testicular torsion.</p> Ottofianus Alvedo Hewick Kalangi Muhammad Fadhil Ardiyansyah Laurentius Andre Copyright (c) 2022 Asian Australasian Neuro and Health Science Journal (AANHS-J) 2022-04-23 2022-04-23 4 1 10.32734/aanhsj.v4i1.8484 Peripartum Cardiomyopathy: Challenges in Diagnostic and Management in Limited Resources Hospital in Kalabahi, Indonesia <p>Peripartum cardiomyopathy is a rare condition of heart failure between the last month of pregnancy and the first five months post-delivery. A 22 years old female G1P0A0 was experiencing dyspnea during her labor phase. Patient was assessed with PPCM and pulmonary edema based on her signs and symptoms of heart failure with no history of cardiac abnormalities, rales on both lungs, vascular congestion bilaterally, and left ventricle ejection fraction (LVEF) of 43%. Patient was managed with heart failure management including inotropes, furosemide, ACE inhibition, and on a mechanical ventilator. Patient was extubated, and inotropic and furosemide free on the sixth day of care, but redevelop pulmonary edema. Patient then reintubated, and inotrope and furosemide were recontinued.&nbsp; Patient was stable and extubated on the ninth day of care and discharged on the fifteenth day of care. The diagnosis and management of PPCM can be challenging especially in limited resources hospitals. Evaluation of the clinical characteristics of the patient are the keys of this management.</p> <p>Keyword: [peripartum cardiomyopathy, PPCM, pulmonary edema, limited resources hospital]</p> Copyright (c) 2022 Asian Australasian Neuro and Health Science Journal (AANHS-J) 2022-04-23 2022-04-23 4 1 10.32734/aanhsj.v4i1.8485 The Relationship Between Mother Knowledge About Complementary Feeding To Toddler’s Nutritional Status In Playground And Kindergarten At Ketindan Village Lawang District Malang Regency <p><strong>Introduction :</strong>Nutritional status is the reflection of daily nutrient intake. Determinants affecting nutritional status are adequate dietary intake, sanitation, clean water, infectious diseases, food availability, breastfeeding, supplementary feeding, mother's knowledge and parenting. Incorrect complementary feeding can cause nutritional problems in children.</p> <p><strong>Method :</strong> This research is an observational analytic study with cross sectional method. Research sample involved 39 pairs of mother and toddler. Primary data were obtained from complementary feeding questionnaires to mothers and measurement of nutritional status of toddler using weight and height measurement. The research data were processed by statistics at 5% significance level and 95% confidence interval through SPSS 23.0.0 for Windows edition 64 bit, 2015, SPSS Inc. Chicago, IL, USA and Microsoft Office 2016.</p> <p><strong>Result :</strong>The results of the research data tested with chi square method, due to the unfulfilled expected value, the Fischer test is used. Research showed mothers knowledge about complementary feeding majority is good (74,4%), majority of toddlers in playground and kindergarten have good nutrition status (82,1%). Fisher exact test gave p&gt;0.05 (p<em>=</em>0,242 (CI = 95%; PR 2.679 (0.482-14.893)) in determining relation between mother knowledge about complementary feeding with nutritional status of toddler at playground and kindergarten in Ketindan Village, Lawang District, Malang Regency.</p> <p><strong>Conclusion :</strong> There is no relation between mother's knowledge about complementary feeding to nutritional status of toddler at playground and kindergarten in Ketindan Village, Lawang District, Malang Regency (p<em>=</em>0,242 (CI = 95%; PR 2.679 (0.482-14.893)).</p> <p><strong>Keyword:</strong> Nutritional Status, Toddler, Complementary Feeding, Mothers’ Knowledge</p> Julius Albert Sugianto Laurentius Andre Lilik Djuari Copyright (c) 2022 Asian Australasian Neuro and Health Science Journal (AANHS-J) 2022-04-23 2022-04-23 4 1 10.32734/aanhsj.v4i1.8486