Simple febrile seizure: the role of serum sodium levels in prediction of seizure recurrence during the first 24 hours

Simple febrile seizures are the most common form of childhood seizures, often recurring within the first twenty-four hours. This study was conducted to determine the probable role of low serum sodium levels in predicting seizure recurrence in febrile children. For the study, 226 patients with seizures, aged between 6 months to 5 years, were divided into 3 groups of simple febrile seizure, simple febrile seizure with recurrence, and the control group of afebrile patients with seizures. For all groups, serum sodium levels were evaluated. The mean age of our cases, predominantly male, was 22 months. No significant difference was observed in the serum sodium levels between the simple febrile seizure and the simple febrile seizure with recurrence groups [P value 0.465]; however a significant relative hyponatremia was observed in the simple febrile seizure group as compared to the afebrile seizure control group [P value: 0.016]. Based on the findings, although serum sodium levels cannot assist in prediction of recurrence of simple febrile seizures in children, relative hyponatremia may predispose the febrile child to occurrence of simple febrile seizure

Blood Glucose Change and the Impact of Participation in Diabetes Mellitus Class of a Public Health Center / 農村醫學 地域保健

OBJECTIVES: Recently the care of cerebrovascular and cardiovascular disease is important as much as that of cancer care in public health, so the control of diabetes mellitus(DM) which is a risk factor of cerebrovascular and cardiovascular disease has been also important consideration. This study was carried out to investigate the blood glucose change of the participants in diabetes mellitus class(DM class) of a health center. METHODS: Study subjects were 54 participants of DM class in a health center that had been held once a month, from January 2005 to March 2006. RESULTS: Among the DM class participants, 67.3% participated by 50% or over in the DM class. After DM class, the level of random blood sugar decreased from 176mg/dl to 156mg/dl in DM class participants(p<0.05). In a comparison between more than 50% participation group and less than 50% participation group, more than 50% participation group got decreased level of blood sugar from 182mg/dl to 155mg/dl and less than 50% participation group also got decreased level from 172mg/dl to 156mg/dl. But there was no statistically significant difference between two groups. CONCLUSION: DM class of health center was effective program to manage diabetes mellitus patients in community.