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ABSTRACTThe AAOP Guidelines for Assessment, Diagnosis, and Management of Orofacial Pain is an invaluable resource for all health care professionals who evaluate and treat patients with orofacial pain and face the daunting task of "keeping up with the literature" in the rapidly emerging arena of pain management in clinical practice. This new edition continues to emphasize evidence-based knowledge and, for the first time, offers a summary of key points at the beginning of each chapter. Other important changes include an entirely new chapter on sleep and its relationship to pain and well-being; new imaging guidelines for the diagnosis of headache, TMD, and neuropathic pain; a new section on dysesthesias related to neuropathic pain; comprehensive descriptions of SUNCT/SUNA in the chapter devoted to primary headache disorders; and recommendations for quantitative sensory testing, narcotic agreement, and brief screening questionnaires used in patient assessment. Most important, the differential diagnosis and TMD chapters reflect the recommendations of the long-awaited RDC/TMD taxonomy, which will have a significant impact on clinical practice. "

"Gedung-gedung perkantoran umumnya dilengkapi dengan sistim sirkulasi udara atau pendingin secara buatan untuk menciptakan kondisi lingkungan kerja yang nyaman. Namun, masih terdapat gejala-gejala sindrom gedung sakit (SGS). Salah satu gejala SGS adalah nyeri kepala SGS (NK SGS) Oleh karena itu perlu dikaji diidentifikasi faktor-faktor risiko terhadap timbulnya NK SGS. Kasus dan kontrol diidentifikasi melalui survei terhadap seluruh pekerja di kantor tersebut pada bulan Mei - Agustus 2002 di suatu perkantoran di Jakarta. Kasus adalah subjek dengan NK SGS, kontrol adalah subjek tanpa keluhan NK SGS selama satu bulan terakhir. Subjek penelitian berjumlah 240 orang, dan yang menderita NK SGS sebanyak 36 orang (15%). Bila dibandingkan dengan kecepatan gerakan udara yang normal, maka kecepatan gerakan udara yang cepat memperkecil risiko timbulnya NK SGS sebesar 57% [(rasio odds (OR) suaian = 0,43; 95% interval kepercayaan (CI): 0,19-0,95]. Bila dibandingkan dengan pekerja laki-laki, pekerja perempuan mempunyai risiko NK SGS hampir 3 kali lipat lebih besar (OR suaian = 2,96; 95% CI: 1,29-6,75). Pekerja dengan kebiasaan kadang-kadang sarapan, mempunyai risiko terkena NK SGS lebih kecil dibandingkan dengan yang biasa sarapan (OR suaian = 0,27; 95% CI: 0,10-0,96). Faktor suhu, kelembaban dan kebiasaan merokok tidak terbukti berkaitan dengan NK SGS. Pegawai perempuan mempunyai risiko NK SGS jika dibandingkan dengan laki-laki. Di samping itu, kecepatan gerakan udara yang lambat mempertinggi risiko NK SGS. Oleh karena itu perlu menambah kecepatan gerakan udara untuk mengurangi risiko timbulnya NK SGS terutama terhadap tempat kerja perempuan. (Med J Indones 2003; 12: 171-7)

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Even though office buildings are usually equipped with ventilation system or air conditioning to create a comfortable working environment, yet there is still found a number of sick building syndrome (SBS) symptoms. One of the symptoms of SBS is SBS headache. Therefore, it is crucial to identify risk factors related to SBS headache. Cases were subjects who have suffered SBS headache, and controls were subjects who did not suffered headache for the last one month. Cases and controls were selected through a survey on all of employees in the said office during the period of May to August 2002. Total respondents were 240 employees including 36 people suffered SBS headache (15%). Compared to the normal air movement, faster air movement decreased the risk of SBS headache by 57% [adjusted odds ratio (OR) = 0.43; 95% confidence intervals (CI): 0.19-0.95]. Female employees, compared to the males ones, had a higher risk of getting SBS headache by almost three times (adjusted OR = 2.96; 95% CI: 1.29-6.75). Employees who had breakfast irregularly, had a lower risk to SBS headache than those who have breakfast regularly (adjusted OR=0.31; 95% CI: 0.09-0.84). Temperature, humidity and smoking habits were not noted correlated to SBS headache. Female workers had greater risk of suffering SBS headache. In addition slower air movement increased the risk of SBS headache. Therefore, it is recommended to improve the progress of air in order to reduce the risk of SBS headache, especially for female workplace. (Med J Indones 2003; 12: 171-7)"

"Latar Belakang: Insidens postdural puncture headache menggunakan jarum spinal ukuran kecil belum pernah diteliti di RSUPNCM. Saat ini di tempat kami jarum spinal yang tersedia yaitu jarum spinal Quincke ukuran 25G, 26G, dan 27G. Metode: Penelitian observasional ini dilakukan secara prospektif untuk mencari insidens postdural puncture headache sampai 72 jam pasca-anestesia spinal. Faktor-faktor risiko yang berhubungan dengan pasien dan prosedur dihubungkan dengan PDPH dan dilakukan analisis regresi linear terhadap faktor-faktor tersebut. Hasil: Insidens postdural puncture headache pasca-anestesia spinal sebesar 6,6%. Kelompok usia <50 tahun memiliki kemungkinan 3 kali PDPH dibanding kelompok umur lebih tua. Jarum spinal 25G/26G Quincke memiliki kemungkinan 2 kali risiko MPDPH dibandingkan jarum 27G. Kesimpulan: Insidens postdural puncture headache setelah anesthesia spinal di RSUPNCM tidak berbeda dengan hasil laporan di tempat lain.

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Background : Incidence of postdural puncture headache using small spinal needles was not yet investigated in RSUPNCM. In our centre we use Quincke spinal needle sizes 25G, 26G, and 27G.

Methods : The incidence of postdural puncture headache was prospectively investigated until 72 hours after spinal anesthesia in 440 patients at RSUPNCM. Patient and procedure related factors were recorded and submitted to multiple logistic regression analysis to determine the relationship of these factors to postdural puncture headcahe.

Results: The incidence of postdural puncture headache after spinal anesthesia were 6,6%. The age <50 years old is identified increase three times for PDPH compare to older. Larger needles Quincke (25G/26G) is identified increase twice for PDPH compare to 27G.

Conclusion : The incidence of postdural puncture headache after spinal anesthesia at RSUPNCM is comparable to those reported elsewhere."

"ABSTRACTLatar belakang: Overjet dan overbite diluar batas normal dapat meningkatkan kontraksi otot mastikasi yang merupakan salah satu kemungkinan penyebab dari tension-type headache TTH . Tujuan: Mendapatkan informasi mengenai proporsi masalah overjet dan overbite pada remaja kelas XI yang mengalami TTH di SMAN 81 Jakarta. Metode: 324 murid kelas XI mengisi kuesioner nyeri kepala mengunakan metode wawancara terpimpin. Didapatkan 112 subjek penelitian dan diperiksa overjet dan overbite menggunakan periodontal probe. Hasil: Sebanyak 43,4 remaja mengalami TTH. Diantaranya, 40,2 mengalami masalah overjet 26,8 overjet berlebih, 13,4 crossbite anterior dan 30,4 mengalami masalah overbite berupa deepbite. Kesimpulan: Jumlah subjek dengan TTH yang memiliki masalah overjet dan overbite lebih sedikit dibandingkan jumlah subjek dengan overjet dan overbite normal.Kata kunci: tension-type headache, overjet berlebih, crossbite anterior, deepbite.

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ABSTRACTBackground Overjet and overbite beyond normal limits can lead to increased contraction of masticatory muscle which expected as one of the causes of tension type headache TTH . Objective To attain the proportion of overjet and overbite problems in adolescents on 11th grade at SMAN 81 Jakarta who sustain TTH. Methods 324 students on 11th grade were given headache questionnaires with guided interview. 112 subjects, who were chosen, were examined to measure their overjet and overbite using periodontal probes. Result 43,4 students experience TTH. From all of them, 40.2 having an overjet problems 26.8 of excessive overjet, 13.4 of anterior crossbite . Besides, 30.4 having an overbite problem as deepbite. Conclusion The number of adolescents with TTH who were having overjet and overbite problems is fewer than the number of adolescents with normal overjet and overbite.Keywords tension type headache, excessive overjet, anterior crossbite, deepbite."