scholarly journals Role of Ambulatory Laparoscopy in Diagnosis of Ascites with Unknown Etiology

2021 ◽  
pp. 162-168
Author(s):  
Herbert Situmorang ◽  
Raymond Surya ◽  
Tantri Hellyanti
Keyword(s):  
Clinical Laboratory ◽  
Transvaginal Ultrasound ◽  
Abdominal Cavity ◽  
Minimal Invasive ◽  
Unknown Etiology ◽  
Literature Study ◽  
Massive Ascites ◽  
History Of ◽  
Underlying Diseases

Background: Ascites could be caused by many underlying diseases, mainly portal hypertension, malignancy, and heart failure. Other etiologies include tuberculosis and pancreatitis. Difficulties in confirming the cause of ascites have been seen in many clinical settings. Ambulatory laparoscopy is one of powerful tools to rule out many etiologies of ascites despite being invasive in its nature. This case report would like to show one case of peritoneal TB presenting with ascites. Patient has undergone many laboratory workups in search of ascites origin. Literature study is done to look for evidence about timing and role of laparoscopy in ascites work-up. Case illustration: A-26-year-old P2 woman came to hospital with a history of vaginal delivery 22 days before admission presenting with massive ascites. No obstetric complication was found. Transvaginal ultrasound revealed normal postpartum uterus and ovaries, surrounded with ascites. Both the liver and kidneys were found normal on ultrasound. Abdominal CT scan with contrast showed massive ascites with thickened omentum. ADA was 36 IU/L. We decided to perform diagnostic laparoscopy and biopsy for histopathology. We found massive yellowish ascites and hyperaemic tubal enlargement with thickening of the peritoneum. Pathology examination proved the appearance of chronic salpingitis and granulomatous peritonitis consistent with tuberculosis peritonitis. Conclusion: Laparoscopy as a minimal invasive tool can diagnose ascites with unknown etiology patients after failure to prove diagnosis from clinical laboratory and radiological examination. It is one best alternative to diagnose peritoneal TB presenting with ascites with its superiority in visualizing abdominal cavity and obtaining specimens for histology with lower risk of morbidity.

What Man has told Children about Death

1971 ◽  
Vol 2 (2) ◽  
pp. 84-90 ◽  
Author(s):  
Thomas J. Schur
Keyword(s):  
Picture Books ◽  
Children’S Literature ◽  
Literature Study ◽  
Death Attitudes ◽  
Dead Bird ◽  
History Of ◽  
Attitudes Towards Death ◽  
Attitude Toward Death ◽  
The Dead

This article begins with the assumption that one can gather some picture of the history of man's attitude toward death by examining the literature he has written for children. And so, it proceeds to survey death in children's literature from the early, anonymous works such as Mother Goose, to contemporary picture books like The Dead Bird. This literature is basically divided into four periods: Anonymous, Puritan, Intermediate and Contemporary. At least one representative example and further references follow the explanation of the values and principles of each period. The conclusion points out that, aside from the merits of this survey as a literature study and an indication of man's attitudes towards death through history, it can serve the important role of challenging the reader to examine his own death attitudes.

scholarly journals Peran Warga Islam Belalungan dalam Ritual Ngusaba Dangsil Di Desa Bungaya, Karangasem, Bali

HUMANIS ◽  
2019 ◽  
pp. 257
Author(s):  
Ni Putu Asri Widiyasari ◽  
Ni Made Wiasti ◽  
Aliffiati .
Keyword(s):  
Qualitative Research ◽  
Role Theory ◽  
Ethnographic Research ◽  
Small Community ◽  
Literature Study ◽  
Religious Rituals ◽  
History Of ◽  
The Right ◽  
The Village

Ngusaba Dangsil is one of the religious rituals performed by Bungaya Villages. Despite their different beliefs, they remain respectful of each other. Tolerance among religious people in Bungaya Village is one of them can be seen during Ngusaba Dangsil ritual, a small community living in Bungaya Village called as Islam Belalungan is also involved in the big ritual procession. The aims of this research are to know: (a) Why Islam Belalungan play a role in Ngusaba Dangsil ritual and (b) How does Ngusaba Dangsil ritual mean for Islam Belalungan. The involvement of Islam Belalungan in Ngusaba Dangsil Ritual is studied through role theory, while the meaning of Ngusaba Dangsil Ritual for Islam Belalungan can be studied through interpretative theory. The concepts used as a guideline in this research is the concept of role, the concept of Islam Belalungan, and the concept of Ngusaba Dangsil Ritual. Thus, this study uses ethnographic research methods that belong to qualitative research with data collection techniques through observation, interview, and literature study. The results showed that the existence of Islam Belalungan in Bungaya Village can not be separated from the history of Islamic entry in Karangasem through several channels namely, government, trade, and kinship. The factors of involvement of Islam Belalungan in Ngusaba Dangsil Ritual are among others history and part of the village. In addition, the role of Islam Belalungan in Ngusaba Dangsil Ritual is at the time before, when the ritual, and after the ritual. Before the ritual begins, the Islam Belalungan participate to assist the preparation of making banten dangsil, when the ritual has taken place, Islam Belalungan are involved to help lift dangsil in the peak of the Ngusaba Dangsil Ritual. After Ngusaba Dangsil Ritual is completed, Islam Belalungan given the right to take or eat a surudan of banten that has been offered.

scholarly journals Nyanyian sebagai media pembelajaran pendidikan agama Kristen di sekolah

Kurios ◽  
2021 ◽  
Vol 7 (2) ◽  
Author(s):  
Branckly Egbert Picanussa
Keyword(s):  
Religious Education ◽  
Qualitative Method ◽  
Christian Faith ◽  
Literature Study ◽  
Study Approach ◽  
Musical Activity ◽  
Church Life ◽  
History Of ◽  
The Media

The effectiveness of learning of Christian Religious Education at school needs some media. Song, as a part of musical activity, is one of the media that is used by Christian Religious Education teachers to teach the Christian faith effectively. The aim of this article is to affirm the important role of the song as one of the learning media of Christian Religious Education at school. This Article is written in qualitative method with literature study approach and observation as its approach. This article explains the nature and the purpose of Christian Religious Education, music in church life, music in the history of thinking and practicing of Christian Religious Education, and the use of song as media in the learning of Christian Religious Education at school. 

scholarly journals Study of History of Al-Bukhari on the Differences and the Relevance of the Role of Islamic Education Institutions with Building Religious Plurality in Indonesia

2021 ◽  
Vol 3 (3) ◽  
pp. 438-448
Author(s):  
Shobirin ◽  
Guntur Dwi Purwanto ◽  
Naqiyah ◽  
Mohamad Anton Athoillah
Keyword(s):  
Qualitative Method ◽  
Islamic Education ◽  
Educational Institutions ◽  
Literature Study ◽  
Scientific Publications ◽  
Written Narratives ◽  
Religious Plurality ◽  
Analysis Technique ◽  
History Of

This article discusses the Hadith of Al-Bukhari's history about the differences and relevance of the role of Islamic educational institutions in building religious plurality in Indonesia. Indonesia is a country that has the motto bhinneka tunggal ika. The plurality of plurality is highly upheld and respected. This study was written using a qualitative method with a literature study as an approach. The type of data in this article is in the form of written narratives or documents contained in the publication of Hadith History of Al-Bukhari about the differences and related scientific works that have been published. The technique of collecting data is by tracing some related scientific publications. The analysis technique used is through the use of the takhrīj al-hadīth application which is followed by sharh al-hadīth, both al-turathi and al-mu'āsir. This article describes that the Hadith of Al-Bukhari's history regarding differences is seen as relevant to the role of Islamic educational institutions in building religious plurality in Indonesia.

scholarly journals REVITALISASI EPISTEMOLOGIS PENDIDIKAN KEWARGANEGARAAN: UPAYA MEMINIMALISIR BENCANA SOSIAL

2019 ◽  
Vol 6 (2) ◽  
pp. 49
Author(s):  
Bali Widodo ◽  
Egi Nurholis
Keyword(s):  
Qualitative Research ◽  
Character Education ◽  
Civic Education ◽  
Research Method ◽  
Young Generation ◽  
Social Phenomenon ◽  
Literature Study ◽  
The Social ◽  
History Of

Tujuan tulisan ini untuk mengetahui bagaimana peranan Pendidikan Kewarganegaraan dalam meminimalisir terjadinya bencana sosial. Dalam perjalanan panjang sejarah bangsa Indonesia, diuraikan secara jelas bahwa negara Indonesia dibangun atas adanya perbedaan suku bangsa, budaya, adat istiadat dan agama. Keberagaman ini rentan untuk terjadinya bencana sosial. Ketegangan sosial dan konflik horisontal serta teror masih acapkali terjadi. Pendidikan Kewarganegaraan sebagai pendidikan nilai dan karakter Pancasila menyiapkan generasi muda menjadi warga negara Pancasilais yang cinta tanah air, mempunyai sikap untuk membela negara dan siap berkorban demi keutuhan bangsa dan negara. Metode penelitian yang digunakan adalah jenis penelitian kualitatif yang bersifat deskriptif terhadap realitas yang ada dengan tujuan untuk mendapatkan kebenaran ilmiah yang alamiah dengan melakukan penafsiran terhadap fenomena sosial dalam bentuk studi literatur. Dari hasil kajian literatur didapat bahwa revitalisasi epistemologis Pendidikan Kewarganegaraan dapat menguatkan karakter bangsa untuk meminimalisir terjadinya bencana sosial.This paper is intended to find out how is the role of Civic Education in minimizing the social disasters. In the history of Indonesia’s struggle, it is clearly explained that the state of Indonesia is built on the differences in ethnicity, culture, customs and religion. This diversity is vulnerable to social disasters. Terror, social tensions and horizontal conflicts among groups or communities still occur frequently. Civic Education as character education based on Pancasila values prepares young generation to become Pancasilais citizens who love the motherland, have attitudes to defend the country and are ready to sacrifice for the integrity of the nation and state of Indonesia. The research method used is a type of qualitative research that is descriptive towards the existing reality with the purpose of obtaining natural scientific truths by interpreting social phenomenon in the form of literature review. From the results of the literature study it was found that the epistemological revitalization of Civic Education can strengthen the nation's character in order to minimize the social disasters.

scholarly journals Diagnostic and therapeutic role of laparoscopy in chronic abdominal pain: a retrospective study in a rural tertiary care teaching hospital

2018 ◽  
Vol 6 (7) ◽  
pp. 2256
Author(s):  
Anbarasu Sasivannan ◽  
Shanthi Ponnusamy ◽  
Iyanar Kannan
Keyword(s):  
Abdominal Pain ◽  
Retrospective Study ◽  
Abdominal Cavity ◽  
Tertiary Care ◽  
Chronic Abdominal Pain ◽  
Medical College ◽  
Common Complaint ◽  
History Of ◽  
Entire Abdominal Cavity

Background: Abdominal pain was the third most common complaint of individuals often recurrent and needs immediate care. The ability of the method to access and inspect the entire abdominal cavity and retro-peritoneum without harming the structures of it places laparoscopy as the procedure of choice in the diagnosis of abdominal pain.Methods: The study is a retrospective study conducted in Tagore Medical College and Hospital, Chennai during the period of 1st January 2013 to 31st December 2017. Patients of age above 18 years with history of abdominal pain for 6 months or more were included in the study. Basic investigations were also done for the patient. Based on the clinical examinations, patients were subjected to diagnostic laparoscopy. All cases were done as elective surgeries.Results: A total of 48 patients were found in the record, in which the diagnosis remained uncertain despite of all important investigations. The majority of the patients 19 (40%) were in the age group of 21-40 years followed by 17 (36%) in 41-65 years. The duration of pain ranged between 6 months to 1 years. On laparoscopic examination, majority of patients (46%) were diagnosed with chronic appendicitis.Conclusions: Laparoscopy is not only safe, but also quick and effective investigation tool for chronic abdominal pain.

scholarly journals Pembentukan Negara Islam Pakistan: Tinjaun Historis Peran Ali Jinah

2019 ◽  
Vol 15 (2) ◽  
pp. 201-218
Author(s):  
Ischak Suyo Nugroho
Keyword(s):  
Islamic State ◽  
Literature Study ◽  
Study Approach ◽  
Independence Movement ◽  
History Of ◽  
National Congress ◽  
Joint Plan ◽  
Descriptive Qualitative

Abstract Jinnah is a supporter of Hindu-Muslim unity. He joined the All India National Congress, which became the leader of the Indian independence movement with more than 15 million members. In 1913, Jinnah decided to join the All India Muslim League. He worked for Hindu-Muslim unity through the League. Based on the results of the Muslim League Session held in Lucknow, a joint plan, known as the "Lucknow Pact", wich has many actions had finally led to divisions between Muslims and Hindus. The interests of Muslims could only be guaranteed by forming a separate state from the Hindu state in India. Ali Jinnah determination to separate Indian Muslim as known as Pakistan. The methodology used in this paper is descriptive qualitative with a literature study approach that focuses on the history of the formation of the Islamic State of Pakistan and the role of Ali Jinnah in realizing Muslim rights as a minority in India. Jinnah is a Nationalist who loves her country (India) and even the formation of Pakistan was a form of his love for India and Muslims. The formation of the Islamic State of Pakistan in the thoughts and movements and efforts undertaken by Jinnah as a form of attention to the rights of minorities and to unify the differences between Islam and Hinduism Keywords: Ali Jinnah, Pakistan, India Abstrak Jinnah adalah pendukung persatuan Hindu-Muslim, ia bergabung dengan  All India National Congress. Kongres ini menjadi pemimpin gerakan kemerdekaan India dengan lebih dari 15 juta anggota pada tahun 1913, Jinnah memutuskan bergabung dengan All India Muslim League (Liga Muslim India). Ia bekerja untuk kesatuan Hindu-Muslim dari dalam Liga. Dalam pelaksanaan “Pakta Lucknow” banyak perbuatan yang akhirnya menimbulkan perpecahan antara Muslim dan Hindu. Sehingga Jinnah berupaya untuk membentuk Negara Islam Pakistan. Metodologi yang digunakan dalam paper ini adalah kualitatif deskriptif dengan pendekatan studi pustaka yang menitik beratkan kepada sejarah terbentuknya negara Islam Pakistan dan peran Ali Jinnah dalam mewujudkan hak-hak muslim sebagai minoritas di India. Jinnah adalah seorang Nasionalis yang mencintai negaranya (India) bahkan terbentuknya negara Pakistanpun merupakan wujud  kecintaannya terhadap India dan Umat Islam. Pembentukan negara Islam Pakistan dalam pemikiran dan pergerakan serta upaya yang dilakukan oleh Jinnah sebagai bentuk perhatiannya terhadap hak-hak minoritas dan mempersatukan perbedaan antara Islam dan Hindu.  Kata Kunci : Ali Jinnah, Pakistan, Negara Islam

scholarly journals Epistemology of Islamic Education Al-Jabiri Perspective of the Conservative-Modernist-Neo Modernist Flow and Burhani-Bayani-Irfani

2020 ◽  
Vol 22 (2) ◽  
pp. 162
Author(s):  
Sigit Tri Utomo ◽  
Nur Alfi Mu’anayah
Keyword(s):  
Data Analysis ◽  
Human Heart ◽  
Islamic Education ◽  
Human Beings ◽  
Literature Study ◽  
Collection Method ◽  
History Of Thought ◽  
History Of ◽  
Good Space

<em>This research is a qualitative study using a library approach, the object is the epistemology of Islamic education, conservative-modernist-neo-modernist and burhani-bayani-irfani. The data collection method in this research uses literature study. In this stage, the researcher tries to select data (books) in the epistemology of Islamic education, conservative-modernist-neo-modernist and burhani-bayani-irfani. In this writing, the analysis used with hermeneutics, namely the author explains that behind the text there is context meaning or behind the explicit meaning there is an explicit meaning if interpreted literally can be interpreted as an interpretation or interpretation of the epistemology of Islamic education, conservative-modernist-neo-modernist and burhani-bayani- irfani. The author also uses content analysis, namely research conducted on information documented in recordings, both images, sounds, writing and others. With this method, data analysis and scientific processing will be carried out on the epistemological content of Islamic education, the conservative-modernist-neo-modernist and burhani-bayani-irfani schools. The results showed that science continues to develop throughout the history of thought such as rational flow of viewing educational activities as actualizing the potentials of individuals so that according to this flow the essence of education is the transformation of various potential potentials into actual abilities. The success of the transformation of the various potentials that exist in this rational flow, is largely determined by how much the optimization of the functions of sense powers and ratios. Baby epistemology is an epistemology that emphasizes the authority of the text as an indicator of truth. Reason in this epistemology is only as a support text and does not have a good space or in other words lower when compared to the text. In object Bayani tradition can be seen in fiqh. Second, Burhani epistemology is knowledge gained from demonstrative analogies which in this case gives the role of reason and senses in human beings. Third, the epistemologist irfani is knowledge gathered from the human heart.</em>

The Basics for Comprehension of Adhesive Process Formation in Abdominal Cavity. Perioperative Prevention by means of Anti-Adhesive Drugs (Review of Literature)

10.12737/5929 ◽  
2014 ◽  
Vol 21 (3) ◽  
pp. 169-173 ◽  
Author(s):  
Кондратович ◽  
L. Kondratovich
Keyword(s):  
Abdominal Cavity ◽  
Reproductive Technologies ◽  
Time Interval ◽  
Review Of Literature ◽  
Stage Of Development ◽  
Process Formation ◽  
History Of ◽  
The Moment

The review of literature presents a brief history of study of adhesive process from the beginning of XX century to the present, the modern concepts of the pathogenesis of adhesive process in the abdominal cavity after surgery on the organs of the small pelvis, taking into account the development of molecular biology, biochemistry, immunology. Problems of study of adhesive process are relevant at this stage of development of surgery of high reproductive technologies and the use of surgical energies, careful approach to the tissues. The processes that occur in the peritoneum after surgery are described in detail. The mechanism of neoangiogenesis in the newly formed growths is presented in detail, conditionally and schematically. The role of growth factors of cytokines, fibrinolysis in the process of formation of adhesions is reflected. The sequence of processes leading to the formation of adhesions is presented in the time interval: from the moment of peritoneal damage during operation up to 12 days of the postoperative period, the time of formation of fibrous adhesions. The structure of connective tissue fibres by components fibres, i.e. the structure of collagen fibers of different types is examined. The review presents conditional classification of anti-adhesive drugs with description of the properties and characteristics by the method of their application, the composition of constituent substances, the forms of release.

Post-menopausal bleeding – Is transvaginal ultrasound a useful first-line investigation in tamoxifen users?

2018 ◽  
Vol 24 (2) ◽  
pp. 72-78 ◽  
Author(s):  
A Abdaal ◽  
Y Mushtaq ◽  
L Khasati ◽  
J Moneim ◽  
F Khan ◽  
...  
Keyword(s):  
Endometrial Thickness ◽  
Transvaginal Ultrasound ◽  
Outcome Data ◽  
Tamoxifen Treatment ◽  
First Line ◽  
Tamoxifen Group ◽  
History Of ◽  
Post Menopausal ◽  
Endometrial Pathology

Objective To evaluate the role of transvaginal ultrasound triage in women with a history of tamoxifen treatment who present with post-menopausal bleeding. Study design A retrospective review was undertaken of patients who presented with symptoms of post-menopausal bleeding and underwent ultrasound triage. Endometrial thickness and ultrasonographic features were then correlated with hysteroscopic and histopathological outcome data. The findings and outcomes for women with a history of tamoxifen use (tamoxifen group) were compared to those who had not taken tamoxifen (non-tamoxifen group). Results A total of 614 women with post-menopausal bleeding underwent transvaginal ultrasound triage, of whom 53 had a history of current or previous tamoxifen treatment. An endometrial thickness of ≥5 mm or the presence of other abnormal features was used to triage women to further investigation by hysteroscopy and biopsy. Endometrial thickness was significantly greater in the tamoxifen group (11 mm vs. 6 mm). Nearly all of the tamoxifen group were triaged to further investigation (98.1%), compared with significantly fewer in the non-tamoxifen group (68.3%) Overall, the incidence of endometrial pathology was also significantly higher in tamoxifen patients (43.4% vs. 31.7%). Conclusion For women presenting with post-menopausal bleeding, the use of transvaginal ultrasound as a triage tool is rarely helpful in evaluating women who have a history as tamoxifen use, as most will require further investigation with hysteroscopy and biopsy. A post-menopausal bleeding protocol that omits transvaginal ultrasound for women with a history of tamoxifen use may be an appropriate and effective pathway for managing these patients.

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