EP.TU.809Challenges in management of acute diverticulitis within a district general hospital

2021 ◽  
Vol 108 (Supplement_7) ◽  
Author(s):  
James William Butterworth ◽  
Guillaume Lafaurie ◽  
Blessing Fabowalwe-Makinde ◽  
Lois Aikins ◽  
Tayo Olatokunbo Oke
Keyword(s):  
General Hospital ◽  
Acute Diverticulitis ◽  
District General Hospital ◽  
Disease Classification ◽  
Perforated Diverticulitis ◽  
Cross Sectional ◽  
Unique Challenge ◽  
Review Management ◽  
Cross Sectional Imaging ◽  
Sigmoid Diverticular Disease

Abstract Aim Incidence of perforated sigmoid diverticular disease is estimated at 3.4 to 4.5 per 100,000. Perforation may be the first manifestation of complicated diverticulitis with a range of 50% to 70%. We aim to review management of systemically unwell patients with acute diverticulitis in a district general hospital against the 2019 NICE guidelines. Methods 29 patients presenting septic with acute diverticulitis, M:F ratio 12:17, median age 55 (range 24-82), median ASA 2 (range 0-3) were retrospectively reviewed over a 6-month period. Results Mean time to antibiotics was 3.96 hours (range 0-23.11). Of the 7 with perforated diverticulitis severity classification included: Hinchey I – n = 1, 3.4%; Hinchey IIa – 5 (17.2%), and; Hinchey IIb – 1 (3.4%). Time to CT abdomen pelvis was 3.38 hours (range 0-16.4 hours). Two pericolic abscesses met NICE drainage criteria at 3.7 cm and 3.9 cm respectively. The 3.7 cm abscess was drained radiologically at 7 days post-admission and was re-admitted 6 days later requiring further radiological drainage. The patient with a 3.9 cm abscess received a Hartmann’s procedure and had multiple re-admissions requiring a hospital stay of 34 days. There was 0% mortality at 30 days. Conclusion Management of acute diverticulitis continues to present a unique challenge. For systemically unwell patients, timely administration of antibiotics within an hour of sepsis recognition is encouraged to optimise outcomes. Timely cross-sectional imaging is pivotal in disease classification and decision-making regarding acute management. Interventional drainage and surgical resection remain important therapeutic strategies for unwell patients with Hinchey grade II diverticulitis.

HUBUNGAN ANTARA UMUR IBU DAN JARAK KEHAMILAN DENGAN KEJADIAN PERDARAHAN POSTPARTUM DI RUANG KEBIDANAN RSUD KOTA PRABUMULIH TAHUN 2016

2019 ◽  
Vol 7 (2) ◽  
Author(s):  
Desti Widya Astuti Desti Widya Astuti
Keyword(s):  
General Hospital ◽  
Post Partum ◽  
District General Hospital ◽  
Study Data ◽  
P Value ◽  
Chi Square ◽  
Cross Sectional ◽  
Significance Level ◽  
Chi Square Test ◽  
Post Partum Bleeding

ABSTRAK   Berdasarkan data di RSUD Kota Prabumulih bahwa terdapat peningkatan jumlah kejadian perdarahan post partum, tahun 2014 sebanyak 178 orang, tahun 2015 sebanyak 246 orang dan tahun 2016 sebanyak 151 orang. Penelitian ini bertujuan untuk mengetahui hubungan umur ibu dan jarak kehamilan terhadap kejadian perdarahan post partum di RSUD Kota Prabumulih Tahun 2016. Penelitian ini merupakan penelitian analitik dengan rancangan cross sectional. Populasi yang digunakan adalah semua ibu bersalin di RSUD Kota Prabumulih, sebanyak 1.296 ibu bersalin dan 306 sampel. Pengambilan sampel dengan mengunakan random sampling, analisa data menggunakan analisa univariat dan bivariat dengan menggunakan uji statistik chi-square dengan derajat kemaknaan 0,05. Hasil penelitian ini menunjukan bahwa dari 288 ibu bersalin terdapat 151 yang mengalami perdarahan post partum sebagian besar adalah ibu dengan umur resiko tinggi sebanyak 43 orang  (40,9%) dan ibu dengan jarak kehamilan resiko tinggi sebanyak 21 orang (17,3%). Hasil uju chi-square umur didapatkan p.value 0,000 < α 0,05 dan uji chi-square untuk jarak kehamilan didapatkan p.value 0,000 < α 0,05. Maka ada hubungan umur ibu dan jarak kehamilan terhadap kejadian perdarahan post partum di RSUD Kota Prabumulih Tahun 2016. ABSTRACK   Based on the data at District General Hospital (RSUD) Prabumulih, there was increasing of post-partum bleeding, in 2014, there were 178 people. In 2015, there were 246 people. And in 2016, there were 151 people. The purpose of the study was to know relationship between maternal mother and the distance and old post-partum bleedingat District General Hospital (RSUD) Prabumulih in 2013. The study was analytic researchwith cross sectional design. Population thas was used in the study was all maternal mother ar District General Hospital (RSUD) Prabumulih. It was about 1.296 maternal mother and from 306. Random sampilng was done in the study, data analyses used univariate and bivariate analyses by using chi-square statistic test with significance level 0,05. The study result showed that from 306 maternal mother, there were 151 mother who experienced old post-partum bleeding, the large of that was high maternal mother 43 people  (40,9%) and mother age high distance 21 people (17,3%). The result of chi-square test was p value 0,000 < α 0,05 and chi-square test for age was p value 0,000 < α 0,05. It meant that there was relationship between maternal mother and the distance and of post-partum bleeding at District General Hospital (RSUD) Prabumulih in 2016.

KELUHAN LOW BACK PAIN PADA PERAWAT RAWAT INAP RSUD SELASIH PANGKALAN KERINCI

2017 ◽  
Vol 11 (1) ◽  
pp. 75
Author(s):  
Kursiah Warti Ningsih
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
General Hospital ◽  
Quantitative Research ◽  
District General Hospital ◽  
Low Back ◽  
Cross Sectional ◽  
Exercise Habits ◽  
Bivariate Correlation ◽  
Surrounding Areas

<p><em>Low back pain </em>adalah rasa nyeri yang dirasakan pada punggung bawah yang sumbernya tulang belakang daerah spinal, otot, saraf, atau struktur lainnya disekitar daerah tersebut. Dari 10 perawat 6 perawat mengalami keluhan <em>low back pain</em>. Tujuan dari penelitian ini adalah untuk mengetahui faktor Keluhan <em>Low back pain</em>.</p><p>Jenis penelitian kuantitatif dengan desain <em>cross sectional</em>, pada 25 juni- 3 juli  di Rumah Sakit Umum Daerah Selasih Pangkalan Kerinci. Penelitian dilakukan pada 30 perawat dengan kuesioner. Analisa data yang digunakan secara univariat,</p><p>Hasil penelitian: 13 orang (43,3%) mengalami keluhan <em>low back pain</em>. Hasil uji bivariat terdapat hubungan antara sikap kerja, dan kebiasaan olahraga terhadap kejadian <em>low back pain</em>. Hasil analisis multivariate menunjukkan variable sikap kerja merupakan variable yang paling mempengaruhi kejadian low back pain deng nilai OR 43 kali. Dimana variable IMT merupakan <em>counfounding</em> terhadap variable sikap kerja dan kebiasaan olah raga dan variable kebiasaan olahraga merupakan <em>counfounding</em> terhadap variable IMT.</p><p>Peneliti mengharapkan pihak Rumah Sakit Umum Daerah Selasih Pangkalan Kerinci mengadakan seminar tentang sikap kerja yang baik, menjaga IMT karyawan &lt;25 dan  mengadakan kegiatan olah raga secara teratur di lingkungan Rumah Sakit Umum Daerah Selasih Pangkalan Kerinci.</p><p> </p><p><em>Low back pain is pain that felt in the lower back that is the source of the spine area of spinal, muscles, nerves, or other structures surrounding areas.</em><em> of the 10 nurses 6 nurses complain of low back</em><em> </em><em>pain. </em><em>the purpose of this study was to determine the factors complaint low backpain.</em></p><p><em>T</em><em>ype quantitative research cross-sectionaldesign,</em><em> </em><em>on 25 June-3 July at the General Hospital of </em><em>Selasih</em><em> Pangkalan Kerinci. The study was conducted on 30 nurses by questionnaires. Data analysis used univariate, </em><em>bivariate and multivariate.</em><em></em></p><p><em>E</em><em>esults of the study: 13 patients (43.3%) had complaints of low backpain.The result of bivariate correlation between working attitude and exercise habits on the incidence of low backpain.Results of multivariate analysis showed variable working attitude is the variable that most influences the incidence of low back pain deng OR value 43 times. Where the variable BMI is counfounding to variable working attitude and exercise habits and variable exercise habits is counfounding to variable IMT.</em></p><p><em>Researchers expect the Regional General Hospital Basil Pangkalan Kerinci hold a seminar on good working attitude, keep IMT employees &lt;25 and hold sports activities regular exercise in the District General Hospital Basil Pangkalan Kerinci.</em></p>

scholarly journals The Quality of Life Chronic Renal Failure (CRF) Patients in Hemodialysis Unit at District General Hospital Pringsewu Regency Lampung Province in 2018

2018 ◽  
Vol 68 ◽  
pp. 01009
Author(s):  
Virna Widora Saputri ◽  
Rico Januar Sitorus ◽  
H. M. Zulkarnain
Keyword(s):  
Quality Of Life ◽  
Family Support ◽  
General Hospital ◽  
Emotional Health ◽  
Sampling Technique ◽  
District General Hospital ◽  
Cross Sectional ◽  
Hemodialysis Unit ◽  
The Mean

The purpose of this study was to determine the factors that affect the quality of life of CRF patients in Hemodialysis Unit at Pringsewu District General Hospital. This study was conducted from February to May 2018 with cross sectional study design. The sampling technique using total sampling technique. Measurement of quality of life using KDQOL-SFTM version 1.3. The results found that quality of life scores were quite low in some domains and subscales. The mean of total score was 55.70 ± 21.30 with mean of Physical Health Composite (PHC) = 38.85 ± 9.26 and mean of Mental Health Composite (MHC) = 36.13 ± 7.08. Regarding the targeted area of ESRD, the scale of renal disease burden and occupational status scale resulted in the lowest score. The sleep quality scale score was 56.18 ± 20.72. Only 61 patients responded to questions of sexual activity with a score of 55.53 ± 27.44 on the scale of sexual function. In the 36-item health survey, the mean total score was 45.90 ± 21.95. The lowest score represented the limitations of roles caused by physical and emotional health problems. The result of statistical test showed that the variables significantly related to the quality of life of CRF patients were age, income, duration of hemodialysis and family support. Thus, family support was the variable that had the greatest impact on determining the quality of life of CRF patients. The CRF patients who lacked family support were 4.6 times more likely to lead poorer life compared to CRF patients who received good family support after being controlled by age, income, duration of hemodialysis, gender, working status, and diabetes mellitus variables.

scholarly journals RISK FACTORS OF LUNG ADENOCARCINOMA IN PATIENTS AT DR. SOETOMO DISTRICT GENERAL HOSPITAL SURABAYA IN 2018

2020 ◽  
Vol 15 (3) ◽  
pp. 295
Author(s):  
Luluk Lady Laily ◽  
Santi Martini ◽  
Kurnia Dwi Artanti ◽  
Sri Widati
Keyword(s):  
Risk Factors ◽  
Lung Adenocarcinoma ◽  
General Hospital ◽  
Sampling Technique ◽  
District General Hospital ◽  
Smoking History ◽  
Inclusion Criteria ◽  
Cross Sectional ◽  
Lung Cancers ◽  
Lung Cancer Patients

Lung adenocarcinoma is one type of lung cancers that increases in number every year globally. Smoking is one of the risk factors for lung adenocarcinoma. This study aimed to determine the distribution of the risk factors of lung adenocarcinoma in patients. The risk factors observed in this study included age, gender, smoking history, number of cigarettes, types of cigarettes, and smoking duration. This study was descriptive and performed a cross sectional design. The study’s population was all lung cancer patients who were treated at Dr. Soetomo District General Hospital Surabaya. The samples were drawn using the accidental sampling technique from the population that met the inclusion criteria. The inclusion criteria for this respondents were patients who were diagnosed with lung adenocarcinoma and were willing to be interviewed. While the exclusion criteria involved patients with incomplete medical record data and patients who were not willing to be interviewed. The results indicate that the majority of lung adenocarcinoma patients at Dr. Soetomo District General Hospital Surabaya were male who were light smokers, diagnosed at more than 50 years old. Most of them used filter cigarettes and had smoked for more than 30 years. Keywords: Lung adenocarcinoma, risk factors, cross-sectional. 

scholarly journals A rare case of COVID-19 vaccine-induced thrombotic thrombocytopaenia (VITT) involving the veno-splanchnic and pulmonary arterial circulation, from a UK district general hospital

2021 ◽  
Vol 14 (9) ◽  
pp. e244223
Author(s):  
Huma Asmat ◽  
Folusho Fayeye ◽  
Hameed Alshakaty ◽  
Jay Patel
Keyword(s):  
District General Hospital ◽  
Liver Function Tests ◽  
Intravenous Immunoglobulins ◽  
Cross Sectional ◽  
Vein Thrombosis ◽  
Arterial Circulation ◽  
Acute Medical Unit ◽  
Cross Sectional Imaging ◽  
Low Platelet Count ◽  
Spread Of Infection

A 47-year-old woman presented with a headache to the acute medical unit, 10 days after receiving AstraZeneca vaccination for COVID-19. Brain imaging was normal, but her blood tests showed a remarkably low platelet count, mildly deranged liver function tests and a high D-dimer. Further within her hospital admission, she developed right-sided abdominal pain and chest pain, and subsequent cross-sectional imaging confirmed a small segmental pulmonary embolism, and an acute portal vein thrombosis extending to the splenic and superior mesenteric veins. On the basis of her investigations, she was diagnosed as a case of vaccine-induced thrombotic thrombocytopenia and was treated with intravenous immunoglobulins. In a time where there is a strategic goal to vaccinate the global population from COVID-19 to inhibit the spread of infection and reduce hospitalisation, this particular clinical scenario emphasises the need of all clinicians to remain vigilant for rare complications of the COVID-19 vaccination.

scholarly journals Hubungan Mutu Pelayanan Terhadap Kepuasan Pasien: Studi Kasus Pasien Rawat Inap Rumah Sakit Umum Kabupaten Bombana 2021

2021 ◽  
Vol 5 (2) ◽  
pp. 221-230
Author(s):  
Salfia Salfia ◽  
Sartiah Yusran ◽  
Juminten Saimin
Keyword(s):  
Patient Satisfaction ◽  
General Hospital ◽  
District General Hospital ◽  
Cross Sectional Study ◽  
Quality Model ◽  
Design Data ◽  
Cross Sectional ◽  
Physical Evidence ◽  
A Value ◽  
Study Results

This study analyzes Patient Satisfaction at the BLUD General Hospital Bombana Regency in terms of service quality model aspects (reliability, assurance, physical evidence, attention, and responsiveness. This research is a quantitative study with a cross-sectional study design—data collection techniques using a questionnaire. The results showed a significant relationship between reliability, assurance, tangibles, empathy, and responsiveness with patient satisfaction with a value (ρ value = 0.000 <0.05). From the study results, it was concluded that from the aspect of reliability, assurance, physical evidence, attention, and responsiveness of officers in providing services and education to patients at the BLUD of Bombana District General Hospital, it could affect the level of patient satisfaction. In this study, assurance and empathy become the dominant criteria for assessing patient satisfaction

scholarly journals KELENGKAPAN ANTENATAL CARE (ANC) DENGAN KEJADIAN BBLR

2020 ◽  
Vol 5 (2) ◽  
pp. 42-51
Author(s):  
Neli Sunarni ◽  
Elis Noviati ◽  
Rudi Kurniawan ◽  
Nur’aeni Mulyati
Keyword(s):  
Birth Weight ◽  
Low Birth Weight ◽  
Antenatal Care ◽  
General Hospital ◽  
Significant Relationship ◽  
District General Hospital ◽  
Cross Sectional ◽  
Low Birth Weight Babies ◽  
Complete Category ◽  
Analytical Research

Low Birth Weight Babies (LBW) are babies born less than 2,500 grams. The LBW birth rate at the Ciamis District Regional General Hospital is quite high. One of the efforts to reduce the incidence of LBW is to improve the antenatal care at least 4 times during pregnancy.   This study uses a type of quantitative analytical research using the Cross Sectional approach. The population in the study were all mothers who gave birth at the Ciamis District Regional General Hospital. The study sample was 30 people.   The results showed that the completeness of antenatal care (ANC) was mostly in complete category, namely 17 people (56.7%). LBW incidence was mostly in the category of LBW as many as 17 people (56.7%). There is a relationship between the completeness of antenatal care (ANC) and the incidence of low birth weight because the values of ?> ? values (0.05> 0.007) and incomplete antenatal care (ANC) have a chance of 10.083 (10) times greater than the incidence of low birth weight. The conclusion in this study is that there is a significant relationship between the completeness of antenatal care (ANC) and the incidence of LBW at the District General Hospital of Ciamis   Suggestions are expected to improve ANC services by providing counseling to patients about the importance of ANC visits   The conclusion in this study is that there is a significant relationship between the completeness of antenatal care (ANC) and the incidence of LBW at the District General

scholarly journals COMPLIANCE AND SOME FACTORS RELATED TO COMPLIANCE OF USING MEDICINE ON PATIENTS WITH TYPE 2 DIABETES

2020 ◽  
Vol 62 (1) ◽  
Author(s):  
Lộc Ninh Tô ◽  
Văn Mãi Đỗ ◽  
Đặng Minh Trí Bùi ◽  
Quốc Thắng Trần
Keyword(s):  
Type 2 Diabetes ◽  
General Hospital ◽  
District General Hospital ◽  
Cross Sectional Study ◽  
Adherence Rate ◽  
Diabetic Patients ◽  
Type 2 Diabetic Patients ◽  
Cross Sectional ◽  
Compliance Level

Objective: To assess compliance and some factors related to medicine use of patients with type 2 diabetes mellitus at Nam Can District General Hospital, Ca Mau Province. Objects and methods: Cross-sectional study on 528 outpatients with type 2 diabetes treatment at Nam Can District General Hospital, Ca Mau province from July 2019 to April 2020. Results: Adherence rate to drug use in type 2 diabetic patients: 40 patients (7.6%) had high compliance level with using medicine, 274 patients had moderate compliance level (51.9%) and 214 patients had poor compliance level (40.5%). There was one factor related to drug adherence: occupation (OR = 0.053; 95% CI = 0.372-1.007. Conclusion: mainly patients with moderate and low compliance levels. Occupation was related to compliance of using medicine.

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