Hubungan Perilaku Pola Makan Terhadap Kejadian Sindrome Dispepsia Pada Mahasiswa Keperawatan Angkatan 2018 Universitas Nasional

ABSTRACT : BEHAVIORAL RELATIONSHIP OF DIETARY TO THE INCIDENCE OF DYSPEPSIA SYNDROME IN NURSING STUDENTS FROM THE 2018 NATIONAL UNIVERSITY Introduction : Dyspepsia is a term used in a syndrome or a collection of symptoms of discomfort in the form of pain or burning in the epigastrium, early satiety, bloating in the upper gastrointestinal tract, feeling full after eating, nausea, vomiting, and belching in the upper abdomen. . This eating pattern is closely related to activity or eating habits. The diet consists of: frequency of eating, type of food and portion or amount of food.Purpose : This study aims to determine the relationship between eating pattern behavior and the incidence of dyspepsia syndrome in nursing students from the 2018 National University.Method : This study uses a descriptive correlation design with aapproach cross sectional. The time of the study was carried out on 14 - 27 December 2021. Sampling technique using themethod Accidental Sampling.Data were collected by distributing questionnaires on eating behavior and dyspepsia syndrome questionnaires to 83 respondents. The statistical test uses thetest Chi-square.Results : The results of this study found that the nursing students who had a regular diet with positive dyspepsia syndrome were 64 respondents with a percentage (77.1%). Obtained with p-value (0.574).Conclusions : There is no relationship between dietary behavior and the incidence of dyspepsia syndrome in nursing students class 2018 at the National University. Keywords: Behavior, Eating patterns, Dyspepsia syndrome. INTISARI: HIUBUNGAN PERILAKU POLA MAKAN TERHADAP KEJADIAN SINDROME DISPEPSIA PADA MAHASISWA KEPERAWATAN ANGKATAN 2018 UNIVERSITAS NASIONAL Latar Belakang : Dispepsia merupakan istilah yang digunakan dalam suatu sindrom atau kumpulan gejala rasa tidak nyaman berupa nyeri atau rasa terbakar pada epigastrium, cepat kenyang, kembung pada saluran cerna bagian atas, rasa penuh setelah makan, mual, muntah, dan sendawa pada perut bagian atas. Pola makan ini erat kaitannya dengan aktivitas atau kebiasaan makan. Pola makan terdiri dari: frekuensi makan, jenis makanan dan porsi atau jumlah makanan.Tujuan : Penelitian ini bertujuan untuk mengetahui hubungan Perilaku Pola Makan Terhadap Kejadian Sindrome Dispepsia Pada Mahasiswa Keperawatan Angkatan 2018 Universitas Nasional.Metode Penelitian : Penelitian ini menggunakan desain deskriptif korelasi dengan pendekatan cross sectional. Waktu penelitian dilaksanakan 14 - 27 Desember 2021.Teknik Sampling dengan menggunakan metode Accidental sampling.Data yang dikumpulkan dengan cara menyebarkan kuesioner perilaku pola makan dan kuesioner sindrome dispepsia kepada responden yang berjumlah 83 responden. Uji statistik menggunsksn uji Chi-square.Hasil : Hasil penelitian ini didapatkan bahwa mahasiswa keperawatan yang memiliki pola makan yang teratur dengan postif sindrome dispepsia sebanyak 64 responden dengan persentase (77,1%). Diperoleh dengan hasil p-value (0,574).Kesimpulan : Tidak terdapat hubungan anatara perilaku pola makan dan kejadian sindrome dispepsia pada mahasiswa keperawatan angkatan 2018 Universitas Nasional. Diharapkan untuk selalu menjaga perilaku pola makan yang teratur agar tidak menyebabkan kejadian sindrome dispepsia. Kata kunci : Perilaku, Pola makan, Sindrome Dispepsia.

Retroperitoneal Spindle Cell Tumor: A Case Report

Spindle cell tumor is very rare. Herein, we report a case of retroperitoneal spindle cell tumor in a 52-year-old female. The patient first presented with a complaint of persistent pain in the right upper abdomen. In the follow-up, a CT scan was performed and showed a retroperitoneal soft tissue density mass measuring 11 cm in diameter. Then, a subsequent operation was performed, and we completely removed the tumor and partially invaded lesions. The tumor was histologically diagnosed as a spindle cell tumor. Therefore, it is imperative for us to enhance the understanding of this seldom found tumor. Surgery remains the best option for treatment.

Splenectomy for Aseptic Splenic Abscess

Highlight :A 26-year-old woman have sterile aerobic and anaerobic bacterial cultures.Pus and splenic tissue examination revealed no bacterial proliferation, while the surgery revealed a splenic abscess.Abstract:We presented a rare case, a 26-year-old woman have sterile aerobic and anaerobic bacterial cultures. Clinical examination of the patient showed a dense cystic mass in the left upper abdomen. Ultrasonography examination suspected a dermoid cyst. However, MRI examination of the abdomen showed turbid cystic lesions. The surgery revealed a splenic abscess, while pus and splenic tissue examination revealed no bacterial proliferation. Based on the literature, the patient had a good prognosis.

Biodegradeable temporising matrix use in a traumatic chest wound

The Welsh Centre for Burns and Plastic Surgery is responsible for a population of 10 million people in Wales and England. We describe the use of biodegradable temporising matrix (BTM) in a large traumatic chest wound in a 23-year-old woman. BTM is a synthetic dermal substitute and has been utilised to achieve soft tissue coverage in complex wounds. This wound was sustained after the patient fell from a tractor into a large silage rake, resulting in injuries to her chest and limbs. Following meticulous debridement, her resulting full thickness skin defect measured 30 × 30 cm extending from the sternal notch to the upper abdomen, with bone, muscle and breast tissue exposure. The central chest area is complex to reconstruct due to the contours of the breasts and tendency to contracture following skin graft reconstruction. We demonstrate the first reported use of BTM for breast reconstruction, as far as we are aware.

A RARE CASE OF MUCINOUS CYSTADENOCARCINOMA OF LIVER PRESENTING AS HYDATID CYST

Hepatobiliary cystadenocarcinoma is a very rare cystic tumor that arises in the liver or, less frequently, in the extrahepatic biliary system mostly seen in elderly patients. It has been shown to arise in congenital liver cysts, bile ducts, biliary cystadenoma, in the context of bro- polycystic disease and in the hepatoduodenal ligament. In the present case report, we describe a case of rare entity of hepatobiliary cystadenocarcinoma presented in a 36 year old male patient presented to opd with complaints of pain abdomen in right side of upper abdomen since 2 months. Main concern of this case report is preoperative imaging is imprecise and frequently misdiagnosed as benign cystic lesions and delays in treatment.

Atypical presentation of cholecystitis with torsion of the gallbladder diagnosed preoperatively in an unusual location

Objective: An 87-year-old attended the emergency department with sharp upper abdominal pain, radiating to back with a pain score of 10/10. On examination, severe epigastric tenderness was noted. Past surgical history: bilateral salphingo-oopherectomy. Repair for paraumblical hernia and right total hip replacement. No history of cholecystectomy. Inflammatory markers were raised. Cholecystitis/gall bladder perforation was suspected and contrast CT was performed. Methods: CT abdomen and pelvis – in comparison to the previous CT scan which was done in 2018, where gall bladder was in the correct anatomical location, the gall bladder was not seen in the gall bladder fossa in the current study. However, a gall bladder like suspicious structure was noticed within the upper abdomen to the left of midline anterior to the gastric pylorus with significant inflammatory changes. Therefore, considering the clinical picture and CT findings, it was suggestive of acute cholecystitis with torsion of gall bladder. Results: Patient was started on i.v. antibiotics and laparoscopic assessment was carried out on the following day. Intraoperatively, the surgeons were unable to locate the gall bladder in its normal anatomical position, but incidentally found a mass in the left upper abdomen which appeared gangrenous. This was removed and sent for histopathology. Histology report confirmed that the specimen was gall bladder with features suggestive of pre-existing chronic cholecystitis, with recent venous infarction. Conclusion: Torsion of gall bladder is a very rare entity and if left untreated could lead to fatal sequelae of gangrene and perforation resulting in biliary peritonitis. There is evidence which suggest that torsion of gall bladder is more common in elderly females due to loss of visceral fat but the pre-operative diagnosis using imaging modalities has always been challenging. But in this particular case, the radiologist was able to make the precise diagnosis pre-operatively using the cross-sectional study of an advanced imaging modality like the CT scan with contrast which also helped the surgeons in making the decision for immediate surgery rather than planning for routine conservative management for acute cholecystitis. The importance of cross-sectional study with intravenous contrast in diagnosing unusual presentation of gall bladder related and potentially life-threatening abdominal pathology has been highlighted in this case study. It is also evident that how imaging modalities play a significant role in altering acute management plan.

A Rare Case Report of Splenic Abscess Caused by Burkholderia pseudomallei Progressing to Disseminated Melioidosis

Splenic abcess is a rare but potentially life threatening condition which can be less frequently caused by gram negative saprophytes, Burkholderia pseudomallei. Because of the challenges faced in the identification of this organism, it is often under diagnosed or misdiagnosed. Here, we report a case of splenic abcess eventually leading to disseminated melioidosis caused by Burkholderia pseudomallei in a 40 year old diabetic male from a tertiary-care hospital in southern India, who presented with fever and pain over left upper abdomen.