scholarly journals THE RELATIONSHIP BETWEEN URIC ACID LEVELS AND THE OCCURRENCE OF BENIGN PAROXYSMAL POSITIONAL VERTIGO

Background: Benign Paroxysmal Positional Vertigo (BPPV) is associated with a fundamental condition that causes the release of large amounts of otoconia, due to deficits in the structure of the interotoconial filament matrix which implants otoconia in the gelatinous matrix. Increased uric acid levels cause an inflammatory response in the gelatinous matrix so that it can cause BPPV attacks. Objective: To determine the relationship between uric acid levels with BPPV events Research Methods: This research uses a case control design. Sampling was conducted at H. Adam Malik General Hospital Medan and RS. University of Sumatera Utara. The research sample consisted of 36 BPPV cases and 36 non BPPV cases. subject on a consecutive basis. Anamnesis and physical examination are performed to diagnose BPPV and examination of uric acid levels for hyperuricemia status. Data analysis using chi-square test Results: The majority of BPPV patient characteristics were found in women (63,9%), age range 41-50 years (36,1%), high school education level (33,3%), working as a housewife (30,6%), and Batak ethnicity (69,4%). The distribution of uric acid levels in BPPV patients was 6.59 (± 1.30) mg / dl. The distribution of hyperuricemia of BPPV patients was 58.3%. There is a significant relationship between uric acid levels with BPPV events. (p = 0.033; OR = 3.18). Conclusion: there is a significant relationship between uric acid levels with BPPV.

2012 ◽  
Vol 19 (03) ◽  
pp. 336-340
Author(s):  
SOHAIL BABAR NIAZI ◽  
Muhammad TAHIR ◽  
Muhammad Ali BHATTI

Objective: To compare the efficacy of Vestibular sedative versus Epley manoeuvre in the management of benign paroxysmalpositional vertigo. Study design: Interventional Quasi experimental study. Place and duration of study: This study was conducted in ENTOPD Combined Military Hospital Rawalpindi from 1st January 2008 till 30th June 2008. Results: In this study out of 30 cases managed byvestibular sedative, 10 cases showed complete relief of symptoms after 01 month. Out of 30 cases managed by Epley manoeuvre, 28 casesshowed complete recovery after 01 month. The results were compared by Chi square test, as the data was mainly qualitative in nature. Theresults of both the groups were compared on day 3, day 7 and day 30, which revealed that Epley manoeuvre, is more effective than vestibularsedative in treatment of BPPV. Conclusions: Epley manoeuvre is more effective than vestibular sedative for treating the patients of benignparoxysmal positional vertigo.


2021 ◽  
Vol 71 (Suppl-3) ◽  
pp. S437-39
Author(s):  
Muhammad Sohail Babar Niazi ◽  
Khawar Kamal ◽  
Zaheer Ul Hassan ◽  
Aisha Qaiser ◽  
Shahid Farooq Khattak ◽  
...  

Objective: To carry out the comparison of the effectiveness of Epleys manoeuvre and Vestibular Sedative in the management of benign paroxysmal positional vertigo. Study Design: Quasi experimental study. Place and Duration of Study: Department of ENT, Combined Military Hospital Peshawar, from Jul 2019 to Dec 2020. Methodology: The study was conducted on 60 patients who were diagnosed Benign Paroxysmal Positional Vertigo by Dix Hallpike test. The patients were divided into 2 groups of 30 each. Group A was treated with vestibular sedative and group B was treated with Epleys manoeuvre. The examination of all patients was done on day 3, day 7 and day 14 and the results were documented. Results: The study revealed that the 30 cases which were managed by Epleys manoeuvre, 27 cases were completely symptom free after 14 days. Meanwhile from the 30 patients who were treated by oral vestibular sedation, only 5 patients had total recovery on 14th day. Chi square test was used to compare the results. The results showed that Epleys manoeuvre has greater efficacy in the treatment of Epleys man oeuvre than vestibular sedative. Conclusion: Epleys manoeuvre is more effective for the management of benign paroxysmal positional vertigo than vestibular sedative.


Author(s):  
Ajayan P. V. ◽  
Aleena P. F. ◽  
Anju Mariam Jacob

Background: Benign paroxysmal positional vertigo (BPPV) is characterized by brief but violent attacks of paroxysmal vertigo provoked by certain positions of the head. BPPV is the most common cause of vertigo, resulting from migration of otoconia into the semicircular canals. Majority of patients have posterior canal BPPV. Epley’s Canalith Repositioning and Semont Liberatory Maneuver have been shown to be highly efficacious in the successfultreatment of posterior canal BPPV. The main objective of this study was to compare the efficacy of Epley’s maneuver versus Semont’s maneuver in the management of benign paroxysmal positional vertigo.Methods: This study was conducted in the Department of Otorhinolaryngology of a rural Medical College in Kerala, for a period of one and half year, from January 2015 to June 2016. It was an observational prospective cohort study. 200 patients with posterior canal BPPV were enrolled in this study based on inclusion and exclusion criteria. Patients were allotted alternatively to Epley’s group and Semont’s group, 100 patients in each group based on the treatment maneuvers they underwent. Efficacy of maneuvers were assessed at the end of 1st week, 1st month and 3rd month on the basis of resolution of symptoms and Dix-Hallpike negativity.Results: Of the 100 cases managed by Epley’s maneuver 95 cases showed complete relief of symptoms after 3 months. Out of 100 cases managed by Semont’s maneuver, 94 cases showed complete recovery after 3 months. The results were compared by Chi square test, as the data was mainly qualitative in nature. The results of both the groups were compared at the end of 1st week, 1st month and 3rd month, which revealed that both the Semont’s and Epley’s maneuver are equally effective in the treatment of posterior canal BPPV.Conclusions: Both Epley’s and Semont’s maneuver are equally effective for treating the patients of posterior canal benign paroxysmal positional vertigo.


2021 ◽  
Vol 71 (Suppl-3) ◽  
pp. S539-41
Author(s):  
Muhammad Sohail Babar Niazi ◽  
Khawar Kamal ◽  
Zaheer Ul Hassan ◽  
Aaisha Qaiser ◽  
Shahid Farooq Khattak ◽  
...  

Objective: To carry out the comparison of the effectiveness of Semont manoeuvre and Vestibular Sedative in the management of benign paroxysmal positional vertigo (BPPV). Study Design: Quasi experimental study. Place and Duration of Study: Department of ENT, Combined Military Hospital Peshawar Pakistan, from Jan to Jul 2020. Methodology: The study was conducted on 60 patients who were diagnosed Benign Paroxysmal Positional Vertigo by Dix Hallpike test. The patients were divided into 2 groups of 30 each. Group A was treated with vestibular sedative and group B was treated with Semont manoeuvre. The examination of all patients was done on day 3, day 7 and day 14 and the results were documented. Results: The study was conducted on 60 patients who were diagnosed benign paroxysmal positional vertigo by Dix Hallpike test the study revealed that the 30 cases which were treated by Semont manoeuvre, 25 cases were completely symptom free after 14 days. Meanwhile out of 30 cases which were managed by oral vestibular sedative, only 4 cases showed complete recovery after 14 days. Chi square test was used to compare the results. The results revealed that Semont manoeuvre is more effective in the treatment of benign paroxysmal positional vertigo than vestibular sedative. Conclusion: Semont manoeuvre is more effective in the management of benign paroxysmal positional vertigo than vestibular sedative.


2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Ambrose Lee ◽  
Fatemeh Hassannia ◽  
Michael J. Bergin ◽  
Khalid Al Zaabi ◽  
Priyanka Misale ◽  
...  

2015 ◽  
Vol 10 (2) ◽  
pp. 344
Author(s):  
Sutarman 01

This study aimed to examine the extent to which the relationship variables (gender, age, level of education and class) to the discipline of civil servants in the General Section of the Regional Secretariat Bengkayang, to analyze the factors that have a positive and significant relationship with the discipline in General District Secretariat Office Bengkayang. The sample in this study population using all Civil Servants in the General Section Regional Secretariat Bengkayang of 60 people (saturated sampling technique). The analytical method used was a bivariate analysis with chi square test (χ2) and the hypothesis testing. Based on the analysis results of the chi square test showed that four factors have a positive and significant relationship with the discipline of civil servants, namely Gender, the value of χ2 count = 6173> Asymp. sig. (1-sided) = 0.013. Age to calculate χ2 = 23.741> Asymp.Sig. (1-sided) = 0.000. Education level with χ2 count = 11 507> Asymp.Sig. (1-sided) = 0.009. and a group with a value of χ2 count = 10 446> Asymp. sig. (1-sided) = 0.005.


Author(s):  
Bina Aquari Bina Aquari

ABSTRAK   Kontrasepsi Hormonal sebagai salah satu alat Kontrasepsi meningkat dan tajam. Menurut World Health Organization (WHO) 2014, Pengguna alat kontrasepsi suntik yaitu 35,3%, pil yaitu 30,5%, IUD yaitu 15,2%, Implant 7,3%, dan 11,7% Kontrasepsi lainnya. Tujuan penelitian ini untuk mengetahui apakah ada hubungan peningkatan berat badan dan ketidakteraturan siklus haid dengan KB suntik pada akseptor KB di Puskesmas Pembina Palembang Tahun 2018.Rumusan masalah penelitian ini adalah hubungan antara umur dan pengetahuan akseptor tentang KB Suntik di Puskesmas Pembina Palembang Tahun 2018.Penelitian ini menggunakan survey analitik dengan pendekatan cross sectional yang dilakukan dengan kuesioner.Uji Statistic yang dipakai adalah Uji Chi-Square. Populasi dalam penelitian ini berjumlah 62 orang dan seluruh Populasi dijadikan sampel. Dari hasil analisa univariat responden yang memakai KB Suntik lebih besar yaitu sebanyak 36 orang (58,1%), dan 26 orang (41,9%) yang tidak memakai KB Suntik. Responden yang berat badannya meningkat memakai kontrasepsi sebanyak 33 orang (53,2%), sedangkan responden yang berat badannya tidak meningkat sebanyak 29 orang (46,8%) dibandingkan dengan responden yang siklus haidnya tidak teratur adalah sebanyak 32 orang (51,6%). Hasil analisa statistik dengan menggunakan Uji Chi-Square dengan df = 1 ada hubungan yang bermakna peningkatan berat badan dengan KB Suntik pada akseptor KB diperoleh p value (0.006) lebih kecil dari (0,05) dan ada hubungan yang bermakna ketidakteraturan siklus haid dengan KB suntik pada akseptor KB diperoleh p value (0,011) lebih kecil dari (0,05). Saran agar petugas kesehatan meningkatkan kinerja dan sistem informasi mengenai masalah yang berhubungan dengan pemakaian KB Suntik.       ABSTRACT   The hormonal contraception as becoming on of the contraceptions tools which is increasing sharply. Based on world Health Organitation (WHO) the user of injected contraception is 35,3%, pill 30,5%, IUD 15%, implant 7,3%, and 11,7% for another contraception. The purpose of this research is for knowing wheter there is the increasing of weight and the irregular of monthly period with injected contraception for the acceptor at Puskesmas Pembina Palembang in 2014. The main case of this research is the relationship between the increasing of the weight and the irregular monthly period at Puskesmas Pembina Palembang in 2014. This research using analytic survey with cross sectional closing yhat was done by using questioner, the statistic test which take is Chi-Square test. The population in this reseacrh are 62 peoples, and all off them as becoming the sample from the result of respondent univariat analyze whom using the injected contraception in bigger that is exactly 36 people (58,1%) and 26 people (41,9%) whom do not using it. The respondent with their weight is increasing because of using contraception is 33 people (53,2%), while the respondent whom the weight do not increasing is 29 people (46,8%), when we compare with the respondent whom the monthly period is irregular are 32 people (51,6%). The result for statistic analyze by using the Chi-Square test with the df = 1 says that there is a significant relationship between the weight increasing with the injected contraception for the acceptor we get p value (0,006) is smaller than (0,05) and there is significant relationship between the injected contraception for the acceptor we get p value (0,011) with is smaller than (0,05). The sugestion of the health workes to increasing the performance the information sistem about the problem that is connected with the inject contraception using


2020 ◽  
Vol 11 ◽  
Author(s):  
Ke-Hang Xie ◽  
Ling-Ling Liu ◽  
Chu-Yin Su ◽  
Xiao-Feng Huang ◽  
Bao-Xing Wu ◽  
...  

Objective: To investigate the roles of serum uric acid (UA), bilirubin (BIL), albumin (ALB), and creatinine (CRE) as major intravascular antioxidants, in benign paroxysmal positional vertigo (BPPV).Methods: The serum levels of UA, BIL, ALB, and CRE were retrospectively analyzed in 70 patients with new-onset idiopathic BPPV and 140 age- and sex-matched healthy controls (HCs).Results: Serum UA, BIL, ALB, and CRE levels were significantly lower in the BPPV group than the HC group. Furthermore, serum levels of BIL and ALB were significantly lower in the BPPV group when compared by sex. Multiple stepwise logistic regression revealed that a reduction in serum ALB was independently related to BPPV (odds ratio = 0.688; 95% confidence interval = 0.607– 0.780). Receiver operating characteristic analyses revealed a cut-off value of 45.15 g/L for ALB with a sensitivity of 74.29% (62.97– 83.07%) and specificity of 73.57% (65.71– 80.18%).Conclusions: Serum levels of UA, BIL, ALB, and CRE were lower in BPPV patients, indicating a lower antioxidant status. Furthermore, a reduction in serum ALB was independently associated with BPPV. These results provide insights into the possible roles of oxidative stress in the pathogenesis of BPPV.


Sign in / Sign up

Export Citation Format

Share Document