scholarly journals UROVAGINAL FISTULA IN TERTIARY HOSPITAL OF WEST JAVA INDONESIA

2022 ◽  
Vol 29 (1) ◽  
Author(s):  
Muhammad Ilhamul Karim ◽  
Tjahjodjati
Keyword(s):  
General Hospital ◽  
Cervical Carcinoma ◽  
Tertiary Hospital ◽  
Ureterovaginal Fistula ◽  
West Java ◽  
Common Cause ◽  
Descriptive Research ◽  
Carcinoma Rectum ◽  
Vesicovaginal Fistulas ◽  
Age Range

Objective: This study was conducted to find out the frequency and characteristics of urovaginal fistula patients. Material & Methods: This study design used a retrospective descriptive research design conducted at a tertiary hospital in West Java, Indonesia (Hasan Sadikin General Hospital) from 1 January 2010 to 31 December 2016. Results: Of all 22 urovaginal fistula patients, the majority in the age range of 41-50 years, and there was one patient in the age range of 61-70 years. Fourteen patients (63.6%) had defects in the bladder, and 36.5% of patients had defects in the ureters. There were nine patients (40.9%) who had urovaginal fistula after undergoing a hysterectomy procedure. The other causes were cervical carcinoma (40.9%), difficult labor (9.1%), radiotherapy (4.5%), carcinoma rectum (4.5%), cesarean section procedure (9.1%), and other gynecological procedures such as myomectomy or cystectomy (9.1%). Based on the type and location of the fistula, the majority of patients had vesicovaginal fistula/VVF (59%), ureterovaginal fistula/UVF (36%), and a combination of ureterovesicovaginal fistula (5%). The causes of VVF and UVF are different from each other. In patients with VVF, the most common cause is cervical carcinoma (35.7%). Meanwhile, the most common cause of UVF is hysterectomy (75%). Conclusion: Of the various types of urovaginal fistulas, vesicovaginal fistulas are the most frequently encountered. In general, the characteristics of urovaginal fistula patients in Hasan Sadikin General Hospital is slightly different from the literature, especially the cause of fistula. At Hasan Sadikin General Hospital, vesicovaginal fistulas are mostly caused by cervical cancer, not a hysterectomy. For ureterovaginal etiology, the characteristics of patients in Hasan Sadikin General Hospital are caused mainly by hysterectomy.

SP5.1.7 What did we miss? A 5 - year retrospective cohort study calculating the endoscopy miss rate for UGI cancers in a Scottish district general hospital

2021 ◽  
Vol 108 (Supplement_7) ◽  
Author(s):  
M Rashid ◽  
D Clyde ◽  
P J Driscoll ◽  
H Jafferbhoy
Keyword(s):  
General Hospital ◽  
Meta Analysis ◽  
District General Hospital ◽  
Quality Standard ◽  
Health Records ◽  
Male Predominance ◽  
Patient Demographics ◽  
Reporting Tool ◽  
Age Range ◽  
Upper Gastrointestinal

Abstract Aims Despite the widespread use of endoscopy, upper gastrointestinal (UGI) cancers still present at an advanced stage. As survival is closely linked to stage and time of diagnosis, failure to detect subtle precancerous changes at endoscopy may compound poor prognoses. This study calculates the miss rate of UGI cancer over a 5-year period at a district general hospital. Methods All patients diagnosed with UGI cancer between January 2015 - December 2019 were identified from a prospectively collected cancer registry. Electronic health records and Unisoft GI reporting tool were used to identify patient demographics and previous UGI endoscopies. ‘Missed cancers’ were defined as patients who had a normal endoscopy within 3 years of their cancer diagnosis. Results The median age at diagnosis was 72.2 years (age range 24 - 98, n = 408) with a male predominance of 2:1 (66.6% male vs 33.4% female) in keeping with UK statistics. Within this 5 year study period, there were 22 missed cancers (5.4%, n = 408). A year by year break down shows miss rate in 2015 of 3% ( 3,n=100), 2016 of 4.2% (5,n=120), 2017 5.5% (5,n=91), 2018 6.4% (6,n=94) and most recently in 2019 3.2% (3,n=94). Conclusions In 2014, a meta-analysis by S.Menon et al recorded a miss rate of 11.3%. More recently published UK studies report miss rates between 6% - 7.3%, more in keeping with our local rate of 5.4%. Further assessment is required to assess whether the 2017 BSG and AUGIS UGI endoscopy quality standard statement will improve this rate.

Characterization of Electroencephalographic Findings at an Electrodiagnostic Unit of a Tertiary Hospital, North-central Nigeria

2021 ◽  
Vol 2 (1) ◽  
pp. 49-55
Author(s):  
E U Iwuozo ◽  
J O Enyikwola ◽  
I O Obekpa ◽  
O O Ijachi ◽  
A A Godwin ◽  
...  
Keyword(s):  
Tertiary Hospital ◽  
Seizure Disorder ◽  
Cross Sectional ◽  
North Central ◽  
Younger Age ◽  
High Prevalence ◽  
Diagnosis And Classification ◽  
Age Range

Electroencephalography (EEG) remains an important investigative tool in supporting the diagnosis and classification of various seizure types. We sought to examine and characterize the EEG findings from all patients referred for the procedure. This cross-sectional retrospective study was carried out at an EEG unit in Federal Medical Centre, Makurdi, Benue State, North Central Nigeria from May 2016 to December 2020. Relevant patients' information were extracted and analysed using SPSS version 21. A total of 484 patients were seen over the study period with age range of 1-87 years and median age of 23 years. They comprised of 254 (52.5%) male and 230 (47.5%) female. The psychiatrist and the Physicians/Neurologist referred most of them for EEG, 201 (41.5%) and 124 (25.6%) respectively. The most reported indication for EEG was clinical suspicion of seizure disorder 291 (60.1%), whilst some did not have a clear indication 111 (22.9%). About 417 (86.2%) of our patients had abnormal EEG finding out of which 414 (99.3%) were diagnostic of seizure disorder made up of generalized seizure in 255 (61.6%) and focal seizure in 159 (38.4%). About 237 (48.9%) of them were already on antiepileptic drugs (AEDs) at referral of which 190 (80.2%0 were taking carbamazepine. This study showed a high prevalence of abnormal EEG with most of them diagnostic of seizure disorder especially generalized seizure. They were mostly of younger age group with about half of them already on AEDs at referral, majority of who were sent by the Psychiatrist.

scholarly journals Free Flaps in a Resource Constrained Environment: A Five-Year Experience—Outcomes and Lessons Learned

2015 ◽  
Vol 2015 ◽  
pp. 1-6 ◽  
Author(s):  
Wanjala F. Nangole ◽  
Stanley Khainga ◽  
Joyce Aswani ◽  
Loise Kahoro ◽  
Adelaine Vilembwa
Keyword(s):  
Free Flaps ◽  
Developed Countries ◽  
Tertiary Hospital ◽  
Lessons Learned ◽  
Resource Constrained ◽  
Free Flap Surgery ◽  
Flap Monitoring ◽  
The Many ◽  
A Prospective Study ◽  
Age Range

Introduction. Free flap surgery is a routine procedure in many developed countries with good surgical outcomes. In many developing countries, however, these services are not available. In this paper, we audit free flaps done in a resource constrained hospital in Kenya. Objective. This is a five-year audit of free flaps done in a tertiary hospital in Kenya, between 2009 and 2014. Materials and Methods. This was a prospective study of patients operated on with free flaps between 2009 and 2014. Results. A total of one hundred and thirty-two free flaps in one hundred and twenty patients were performed during the five-year duration. The age range was eight to seventy-two years with a mean of 47.2. All the flaps were done under loupe magnification. The overall flap success rate was eighty-nine percent. Conclusion. Despite the many limitations, free flaps in our setup were successful in the majority of patients operated on. Flap salvage was noted to be low due to infrequent flap monitoring as well as unavailability of theatre space. One therefore has to be meticulous during surgery to reduce any possibilities of reexploration.

scholarly journals Profile of Osteomyelitis Patients Visiting the Orthopedic Clinic of Dr. Hasan Sadikin General Hospital, Indonesia, in 2017–2018

2021 ◽  
Vol 8 (1) ◽  
Author(s):  
Aditya Nugraha ◽  
Hermawan Nagar Rasyid ◽  
Hadyana Sukandar
Keyword(s):  
Staphylococcus Aureus ◽  
General Hospital ◽  
Sampling Method ◽  
Operative Procedure ◽  
Bone Destruction ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Male Patients ◽  
The Common ◽  
Age Range

Background: Osteomyelitis is an inflammatory process caused by microorganism infection that leads to bone destruction. Osteomyelitis may affect all bones, particularly long bones, and infects all ages. This disease is hard to diagnose and the treatment is complex due to the disease’s heterogenicity, pathophysiology, clinical presentation, and management. This study aimed to determine the profile of osteomyelitis inpatients and outpatients presented to the Orthopedic Clinic of Dr. Hasan Sadikin General Hospital Bandung, IndonesiaMethods: This was a descriptive cross-sectional study conducted from July to October 2019 using the total sampling method. Data were collected from the medical records of osteomyelitis inpatients and outpatients presented to the Orthopedic Clinic of Dr. Hasan Sadikin General Hospital Bandung, Indonesia from 2017–2018. Data were then analyzed descriptively and the results were presented in frequencies.Result: In total, 90 data were retrieved. Most of data presented male patients (n= 69, 76.7%) with the age range of 20–29 years old (24.4%). The majority of these patients experienced chronic onset of disease (94.4%) located on the tibia (51.1%), which was caused by a post-operative procedure (61.1%). The most common treatment was operative procedure without antibiotic beads (51.1%). Staphylococcus aureus was the common pathogens identified in these patients (22.2%).Conclusion: The majority of osteomyelitis patients are males in productive age with chronic onset of disease located on the tibia caused by a post-operative procedure. Staphylococcus aureus is the common pathogen involved and the most common treatment is an operative procedure without antibiotic beads.

scholarly journals BENIGN PAROXYSMAL POSITIONAL VERTIGO: OUR EXPERIENCE AT A TERTIARY CARE CENTRE OF CENTRAL INDIA

2020 ◽  
pp. 1-3
Author(s):  
Patel Meghraj Singh
Keyword(s):  
Benign Paroxysmal Positional Vertigo ◽  
Tertiary Care ◽  
Care Centre ◽  
Tertiary Care Centre ◽  
Duration Of Symptoms ◽  
Common Cause ◽  
Patient Profile ◽  
Positional Vertigo ◽  
Age Range ◽  
Paroxysmal Positional Vertigo

Background: - Benign paroxysmal positional vertigo (BPPV) is a common cause of vertigo. The diagnosis is often delayed and patients are unnecessarily investigated and treated with drugs. Aim: To analyze the patient profile, duration of symptoms, etiology, associated co-morbidities, type of canal involvement and response to CRP in cases of BPPV. Material & Methods: The present prospective study was conducted at a tertiary care centre from January 2015 to December 2016 in 90 patients with a clinical diagnosis of BPPV. Patient particular and disease specific data were recorded in preset profoma and analyzed. All these patients were treated by different CRP specific for the canal involved. All cases were reassessed for post procedural response. Results: Total 90 patients were included in the study with age range of 20 to 76 year. Mean age was 46.74. Maximum patients (26.67%) were in the age range of 41-50 year with male: female was 1:1.43. The duration of symptoms was in from 2 days to more than 3 years. Most common morbidity was diabetes and most common cause was Idiopathic (82.22%). Most of these patients presented with positional vertigo (94.44%). Right posterior canal was involved in 52 cases (57.78%) and left in 30 (33.33%) cases. Conclusion: BPPV is a common cause of vertigo. More awareness needed about its symptoms, early application of Dix-Hallpike test and Epley’s procedure to reduce the suffering of patients and to reduce unnecessary diagnostic tests and costs.

scholarly journals Studi Eksplorasi Potensi Pariwisata Kreatif Kawasan Hutan Mangrove Desa Sedari, Kecamatan Cibuaya, Kabupaten Karawang, Jawa Barat

2021 ◽  
Vol 12 (2) ◽  
pp. 151-158
Author(s):  
Alexander Fiandre Readi ◽  
Jessica Christina ◽  
Myrza Rahmanita ◽  
Fetty Asmaniati
Keyword(s):  
Mangrove Forest ◽  
Secondary Data ◽  
Active Participation ◽  
Forest Area ◽  
Literature Study ◽  
West Java ◽  
The Public ◽  
Descriptive Research ◽  
Exploratory Approach ◽  
Tourism Potential

Abstrak Pariwisata kreatif merupakan bentuk pariwisata alternatif yang prospektif untuk dikembangkan di Desa Sedari. Penelitian yang ada menunjukkan bahwa daya tarik utama kawasan hutan mangrove selama ini semata pemandangan yang cenderung tidak melibatkan partisipasi dan pengalaman wisatawan dalam kegiatan pariwisata. Hal ini mengindikasikan potensi yang ada belum sepenuhnya termanfaatkan optimal. Terlebih kegiatan pariwisata ditunda dan dihentikan sementara dengan adanya Pemberlakuan Pembatasan Kegiatan Masyarakat (PPKM) untuk mencegah meluasnya penyebaran pandemi COVID-19. Tujuan penelitian ini mengeksplorasi potensi pariwisata kreatif kawasan hutan mangrove di Desa Sedari, Kecamatan Cibuaya, Kabupaten Karawang, Provinsi Jawa Barat, Indonesia. Penelitian ini menggunakan metode deskriptif dengan pendekatan eksploratif. Data primer dan sekunder diperoleh melalui wawancara serta studi pustaka. Penelitian ini menemukan bahwa (1) Hutan mangrove Desa Sedari memiliki potensi untuk pengembangan pariwisata kreatif; (2) Pengembangan ke arah pariwisata kreatif baru dimulai pada tahun 2021 namun belum terlaksana optimal dimana belum ada pengelolaan, pengelola maupun program yang terencana baik. (3) Bentuk pariwisata kreatif yang dapat dikembangkan di kawasan hutan mangrove, diantaranya birdwatching, pengolahan produk berbasis mangrove, maupun kegiatan wisata yang melibatkan partisipasi aktif wisatawan, juga kerjasama wisatawan dengan masyarakat lokal dan pengelola kawasan hutan mangrove. Penelitian ini merekomendasikan dilakukannya renovasi dan revitalisasi sejumlah infrastruktur fisik kawasan hutan mangrove untuk pengembangan kegiatan pariwisata kreatif, peningkatan kompetensi dan kualifikasi sumber daya manusia pariwisata serta penguatan kemitraan kerja diantara para pemangku kepentingan terkait. Kata Kunci: pariwisata kreatif, partisipasi aktif, hutan mangrove, desa sedari, pandemi COVID-19 Explorative Study of the Creative Tourism Potential of the Mangrove Forest Area Sedari Village, Cibuaya District, Karawang Regency, West Java Abstract Creative tourism is an alternative tourism that is prospective to be developed in Sedari Village. Existing research shows that the main tourist attraction of mangrove forest area in Sedari Village so far is mere the scenery which tends not to involve the participation and experience of tourists within the tourism activities. This indicates that the existing potential has not yet fully utilized. Moreover, tourism activities were temporarily postponed and stopped during the Public Activity Restrictions (PPKM) that carried out to prevent the spread of the COVID-19 pandemic. The purpose of this study was to explore the creative tourism potential of mangrove forest area in Sedari Village, Cibuaya District, Karawang Regency, West Java Province, Indonesia. This study utilised descriptive research method with exploratory approach. Primary and secondary data were obtained through interviews and literature study. This study found that (1) The mangrove forest of Sedari Village has the potential for the development of creative tourism; (2) Development towards creative tourism has not yet optimally implemented. It was just started in 2021 that there are no well-planned programs, managers nor management. At present; (3) Types of creative tourism can be developed in Sedari mangrove forest areas, including birdwatching, processing mangrove based tourism products; tourism activities involving tourist active participation, as well as tourist cooperation with local communities and mangrove forest area managers. This study recommends for the renovation and revitalization of a number of physical infrastructures for the development of creative tourism activities; the enhancement of tourism human resources qualifications and competencies; as well as strengthening the working partnership amongst relevant stakeholders. Keywords: creative tourism, active participation, mangrove forest, sedari village, pandemic COVID-19

scholarly journals The pattern of urine cytology among patients with clinical diagnosis of bladder tumor in a tertiary hospital northwest Nigeria

2019 ◽  
Vol 6 (10) ◽  
pp. 3521
Author(s):  
Ahmed M. Umar ◽  
Uzodimma E. Onwuasoanya ◽  
Emmanuel U. Oyibo ◽  
Adamu Dahiru ◽  
Ismaila A. Mungadi
Keyword(s):  
Bladder Cancer ◽  
Clinical Diagnosis ◽  
Bladder Tumour ◽  
Tertiary Hospital ◽  
Urine Cytology ◽  
Female Ratio ◽  
Non Invasive ◽  
And Gender ◽  
Low Sensitivity ◽  
Age Range

Background: Urine cytology is a simple, safe, non-invasive and cheap investigation that is used as adjunct to cystoscopy in the diagnosis of bladder cancer. Its low sensitivity is a major limitation against its use as a sole diagnostic test for bladder cancer. The objective of this study was to determine the pattern of urine cytology seen in patients with clinical diagnosis of bladder tumour in our practice.Methods: This is a retrospective study of patients with clinical diagnosis of bladder tumour that had urine cytology in our centre. The age and gender of the patients, number of urine cytology per patient per year and cytologic diagnosis were analysed using the SPSS 20.Results: During the period under review, a total of 512 urine cytology was done for patients with clinical diagnosis of bladder tumour. The age range of the patients was 6 to 90 years with modal age of 60 years. 457 (89.3%) were males while 54 (10.5%) were females and 1 (0.2%) was unspecified. Male to female ratio was 8.5:1. The highest number of urine cytology was done in 2013 with 64 (12.5%) while the least number was 1 (0.2%) recorded in 2001 and 2003. Only 68 (13.3%) specimens were reported to be malignant while 245 (47.9%) were reported as negative representing the most common cytological diagnosis in the study.Conclusions: Although urine cytology is useful in the diagnostic workup of patients with bladder mass, it is unlikely it would supplant cystoscopy and biopsy in the diagnosis of bladder cancer. 

scholarly journals Description of Hand Hygiene’s Compliance on Nurse of Hemodialysis at Haji Hospital Surabaya

2017 ◽  
Vol 5 (2) ◽  
pp. 240
Author(s):  
Rr Rizqi Saphira Nurani ◽  
Atik Choirul Hidajah
Keyword(s):  
Hand Hygiene ◽  
General Hospital ◽  
Hand Hygiene Compliance ◽  
Health Workers ◽  
Data Retrieval ◽  
Improve Hand Hygiene ◽  
Descriptive Research ◽  
Hemodialysis Unit ◽  
Audit Form ◽  
Hygiene Compliance

Thousands patients around the world die every day because of infections when they get treatment. This is because the transmission of microbacteria from the hands of health workers. Hand hygiene is the most important aspect to prevent the transmission of microbacteria and preventing HAIs. Hand hygiene awareness of health workers is a fundamental behavior to prevent cross-infection. The purpose of this study was to evaluate the hand hygiene compliance of nurse in Unit Hemodialysis of Hajj General Hospital Surabaya. Type of this research is descriptive research and observations by using a qualitative approach. Data retrieval on the research is an interview with nurse and audit hand hygiene. Research instrument using a questionnaire of hand hygiene and BSI knowledge, and hand hygiene audit form made by WHO. The population in this research was all nurses in Hemodialysis Unit General Hospital Surabaya Hajj that add up to 11 people. The results of this research obtained that compliance with hand hygiene Unit Hemodialysis nurse is 35%. The compliance were still less and has not reached the standards established by the PPI Hajj General Hospital Surabaya that is 100% and still has not reach compliance standards of WHO that is 40%. Hand hygiene compliance was low caused by the low participation of PPI base training and the lack of availability of hand hygiene facility in the Hemodialysis Unit General Hospital Surabaya Hajj. Advice from research were conducting on job training about how to perform hand hygiene and improve hand hygiene facilities in Hemodialysis Units. Keywords: hand hygiene, compliance, nurse

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