A comparison of intravenous midazolam and diazepam in management of status epilepticus in children

Author(s):  
Ayesha Kazmi ◽  
Ghulam Abbas ◽  
Asim Khurshid ◽  
Shahid Shah ◽  
Tauqeer Hussain Malhi ◽  
...  

Abstract Objective: To compare the efficacy of intravenous midazolam and diazepam in the management of status epilepticus seizures in children. Method: The comparative study was conducted in the paediatric neurological emergency unit of The Children’s Hospital and the Institute Of Child Health, Multan, Pakistan, from December 15, 2018, to May 14, 2019, and comprised paediatric patients of status epilepticus seizures whi were divided into Diazepam and Midazolam groups.  Data was analysed using Graph-Pad Prism 5. Results: Of the 164 patients, 82(50%) were in each of the two groups. There was no significant difference between the groups in terms of weight, age, residence area of patients and mean duration of seizures (p>0.05). Status epilepticus seizures subsided after intravenous midazolam administration in 77(93.90%) cases, while success in the diazepam group 64(78.05%) (p<0.05). Mean time taken by midazolam to halt seizures was significantly shorter than diazepam (p<0.05) and less cases of treatment failure were observed with intravenous midazolam (p<0.05). Somnolence was observed after diazepam administration in 47(57.3%) cases (p=0.0001). Conclusion: Intravenous midazolam was found to be superior in efficacy than intravenous diazepam in controlling status epilepticus seizures. Key Words: Diazepam, Midazolam, Status epilepticus, Seizures

2021 ◽  
Vol 9 (01) ◽  
pp. 705-708
Author(s):  
Mohd Iqbal Dar ◽  

The objective of the present study was to access the comparative study different variables between athletes and non athletes of Kashmir division. Physical fitness is a dynamic concept and is continuously growing in its importance to everyday life and health. Although being an attribute that has a genetic basis, it is also sensitive to changes in type and amount of physical activity, mortality and injury. The criterion measures selected for the study were, Explosive Leg strength, Speed, Agility, Resting pulse rate, Blood pressure (Systolic and dia-Systolic),Breath holding capacity. The Mean, Standard deviation and T value of Athletes and Non-Athletes was calculated. The results showed significant difference between Athletes and Non-Athletes (p<0.005) in case of Explosive Leg strength, Speed, Agility, Resting pulse rate and Blood pressure (Systolic), but no significant difference between Breathing capacity and Diastolic Blood pressure of Athletes and Non-Athletes was observed. It is therefore concluded that the athletes are at higher levels of their physical and physiological fitness levels which enhance their performance in sports and also in daily life activities.


2018 ◽  
Vol 2 (04) ◽  
pp. 335-359
Author(s):  
Andreas Martinus ; Rahadhian Prajudi Herwindo

Abstract- There are allegations that elements of Javanese temples are also can be found at The Angkorian temples because the Java Middle Classic temples are older than Angkorian temples and Jayawarman II lived in Java at that time. This can be proved by a comparative process between the architecture elements: mass, plans, figures and ornaments owned by the temples that represents its era in both kingdom. Angkor Wat is a synthesis of the development in Angkor culture that reach its the peak of glory. Angkor Wat has architectural elements of Java Middle Classic temples, especially Prambanan and Borobudur. This led to the alleged of similarity from architectural elements between the temples in the two kingdoms. This Study approached by quantitative with semi qualitative method. Through the study on the main temple buildings of the Java Middle Classic and the main temples of the Angkor Wat era with purposive sampling in relation of mass, plan, figure, and ornament. Described descriptively.Angkor Wat is generally inspired by Borobudur-Prambanan. Broadly speaking, it shows the similarity of Prambanan-Borobudur architectural elements to Angkor Wat. Angkor Wat is a synthesis of combining the elements (eclecticism) of Borobudur-Prambanan, but Prambanan has stronger element (indoor temple, tower temple, Hindu temple). In principle (mass, plan, and figure) shows the incorporation of Borobudur-Prambanan, but by ornament on its processing indicates there is further development (dominated findings exist but not similar). Key Words: tipo-morphology, comparison, Angkor, Indochina, Java


2021 ◽  
Vol 29 (2) ◽  
pp. 207-232
Author(s):  
Ali Trigiyatno

This article compares dowry regulations in Indonesia and Morocco. Bearing in mind that Indonesia and Morocco have different characteristics in dowry matter, the regulations are worth comparing for. As understood in Islamic marriages, dowry is an important obligation and must be fulfilled by the bridegroom for the bride. Normative Islamic teaching advocates for dowry that is simple and reasonable, but in practice, sometimes dowry becomes expensive and difficult to be given, and thus, causing unfavorable effects. In addition, dowry also has the potentials to be subjected to disputes between husband and wife if not regulated by legislation in details. The author uses a comparative study of law guided by a normative approach through library research. The main source is the statutes of two countries. Analysis technique used is content analysis. As a result, it is found that with different backgrounds of fiqh school in Indonesia and Morroco-one being strongly influenced by Shāfi‘ī school and the other is influenced by Mālikī school-have similar rules on dowry. The only significant difference is that the Mālikī School and its legislation in Morocco considers dowry as a marriage pillar. Meanwhile, the Shāfi‘ī school and its legislation in Indonesia, even though the dowry is regarded as compulsory, it does not become a condition or a marriage pillar. Other differences are the definition of dowry, regulation of wife’s luggage, lost dowry, defective dowry, introduction of mithil dowry, regulation of dowry disputes before entering the household, and regulation of furniture disputes other than the wife’s luggage.


2017 ◽  
Vol 5 (4) ◽  
pp. 285-291
Author(s):  
Montazeri Mahmood ◽  
Hiyam Hosseini ◽  
Behroz Jokar

Suicide, an act in which individuals sacrifice voluntarily themselves, is considered as a serious psychosocial problem. The main objective of the present study was to determine the comparative study of completed suicide based on season and diseases in Bushehr during 2006-2015. This consideration has been done as a retrospective cross-sectional study; the data were collected by the check list. After coordination to the medico legal 343 cases of completed suicide lead to death over a ten year period from 2006 to 2015 were extracted and the data were analyses by SPSS software. Completed suicides were most prevalent in spring 29.7% (102), whereas least prevalent in autumn 20.1% (69). There was no significantly in different seasons in year (P=0.065). But, was a statistically significant difference observed in the different gender and different seasons of the year (P=0.001). The maximum number of completed suicides 10.2% (35) was observed in April, while the minimum number 6.1% (21) was reported in September and October, too. The value Chi square test was statistically significant differences diseases and different seasons (P=0. 001). The psychological disease was observed most in spring and winter seasons. Also was a significant relationship between season of the year and the method of suicide (P=0.001). The number of completed suicides was higher in moderate and cold seasons.


2015 ◽  
Vol 1 (1) ◽  
Author(s):  
Milind A. Peshave ◽  
Rajashree Gujarathi

Productivity management is a big challenge to organizations especially when the product is in the form of a service. The characteristics of service industry make productivity management in such industries more difficult and challenging. Hotel industry being a part of such a service industry faces a similar problem. This study is aimed at analyzing the challenges faced by hotels in measuring employee productivity and to suggest the most suitable method of measuring employee productivity in hotel industry. In an effort to do so, a survey in the form of a questionnaire and interviews was conducted from the sample comprising of 365 hotel employees from the management and the associates categories to understand their views on the entire process. The findings of his research state that Intangible Product is the biggest challenge in measuring employee productivity in hotels and Number of guest praises / positive feedbacks received per department / person and Percentage of repeat guests generated are the most suitable methods to measure employee productivity in hotels. However, a significant difference has been observed in the comparative study of hotel industry of Pune, Hyderabad & Bangalore cities.


2019 ◽  
Vol 9 (1) ◽  
pp. 21-33
Author(s):  
Insan Praditya Anugrah

The paper examines the comparative study of subaltern between Papua in Indonesia’s New Order era and Rohingya in Myanmar during military rule. In Indonesia, the Papuan case is an example of how the centralistic military regime treats Papuan ethnic as an object and treats them as “the others” rather than considers them as a part of the “Indonesian entity” as the subject itself. Meanwhile, in Myanmar, Rohingya case is an example of how the centralistic military junta regime treats Rohingya ethnic as “the others” and considers them as foreigners in Myanmar. This paper found a significant difference between the treatment of the Indonesian military regime towards Papuan ethnic and the treatment of the Myanmar military junta regime towards Rohingya ethnic. In Indonesia, the military regime acknowledges Papuan as a citizen of Indonesia. However, the regime considers Papuan as the “different other” nonetheless. Their different race and ethnicity from Java and Malay ethnic as the majority ethnic are not the subjects of the cause, yet it is caused by Papuan traditional behavior which is regarded as “backward” as by the central regime. Meanwhile in Myanmar, since the enforcement of citizenship law in 1982, the military regime clearly does not acknowledge Rohingya from state citizenship because of their identities, such as religion and Rohingya's historical background.


2015 ◽  
Vol 4 (1) ◽  
pp. 4
Author(s):  
Yaoping Yu ◽  
Zhengbin Huang

<strong>Objective: </strong>A comparative study between two methods of open and laparoscopic partial hepatectomy. <strong>Method: </strong>64 cases of patients with partial hepatectomy were choosing from our hospital from January 2014 to December 2014. Two groups were assigned according to the principle of random allocation of the open group and laparoscopic group, respectively and were observed its operation index, post-operative recovery indicators and other indicators. <strong>Results: </strong>Abdominal incision length, intra-operative bleeding volume, post-operative advanced liquid time, and hospitalization time were significantly better in Laparoscopic than laparotomy group (<em>p</em> &lt; 0.05). There was no significant difference in the operation time and complications between the open and laparoscopic group (<em>p </em>&gt; 0.05). <strong>Conclusion: </strong>Laparoscopic partial hepatectomy is obviously superior to open liver resection where it is worth promoting in clinical practice.


ANCIENT LAND ◽  
2020 ◽  
Vol 01 (02) ◽  
pp. 5-22
Author(s):  
Əli Umud oğlu Əliyev ◽  

The comparative study of such important issues as the formation of the ethnogenetic process of the Azerbaijani people, covering the period from the beginning of the first millennium BC to the VIII-XII centuries AD, is a topical issue in terms of the ethnogenesis of our nation. One of the historical facts is that ethnoses engraved toponyms in history by naming the areas inhabited by them by their ethnic names. Therefore, the fact that the ethnic names of the ancient Turkic, Sumerian and Albanian ethnoses are found in the territory of Azerbaijan in modern times is evidence that these places belong to our ancestors. Key words: Ancient Turks, Caucasian Albania, Sumerians, ancient toponyms, ethnic history


2021 ◽  
Author(s):  
Shreya Shah ◽  
Mehul A Shah ◽  
Shkshi Makhloga ◽  
Ashvini Korane ◽  
Meera Sanghani

Abstract Introduction:Monocular elevation deficiency syndrome (MEDS) is a monocular elevation deficiency in abduction and adduction characterised by the hypofunction of superior rectus (SR) and inferior oblique muscles. Only a limited number of studies are published on the management of this problem. Herein, the indications and types of surgery for monocular elevation deficiency syndrome are reported.Methods: In this retrospective cohort study, all MEDS patients reported during 2010 to 2020 were retrieved from Electronic Medical Records after approval from the Hospital Ethical Committees. The data were exported in a pre-tested online format. The demographic and clinical information and data of surgeries, including strabismus and ptosis, were reported. The follow-up data were collected in a specific format. Strabismus was managed using Knapp procedure, Inferior Rectus recession and a combination of both approaches. Ptosis was corrected by Levator Palpebral Superioris (LPS) resection and brow suspension. The data were analysed using SPSS 22 based on descriptive analysis and cross-tabulation.Results: The cohort consists of 62 cases (females 26, males 36) of patients with mean age 17.00±12.31 years 40/62 cases comprised the paediatric age group. Knapp was carried out in 39, IR recession was carried out in 35, and combined Knapp+IR recession was performed in 17 cases based on FDT and FGT data. The comparative study found significant difference amongst these techniques (P=0.04). Ptosis correction was carried out by LPS resection in 21 and brow suspension in 23 cases depending on LPS function. This comparative study did not find any significant difference in the results (P=0.234).Conclusion: MEDS is a rare disease with various clinical features. The surgical management of strabismus may have more success for the combined technique than for those applied alone.


Author(s):  
Sapaeva Bibijon Rustamovna ◽  
Saparbaeva Gulandom Masharipovna

The article reveals the comparative study of situation motives in European and Central Asian epics. It provides the detailed information about similar motives, in which an extraordinary and adventurous life styles of epic heroes, their courage and undergoing a risky occasions. KEY WORDS: epic characters, situation motives, magical birth, comparative study of epics, European and Central Asian epics, adventurous life, courage and proud.


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