1.Breast Cancer Patients’ Experience of Current Health Services as A Holistic Care: A Qualitative Study
Yelmi Reni Putri ; Yati Afiyanti ; Sri Dewi ; Atun Raudotul Ma&rsquo ; rifah
Malaysian Journal of Medicine and Health Sciences 2023;19(No.6):127-135
Introduction: Breast cancer is now one of the leading causes of death and morbidity worldwide, including in Indonesia. Every health care professional and community member should pay close attention to these issues. Women
diagnosed with breast cancer will experience physical, psychological, and social issues. Methods: This study looked
into breast cancer patients’ experiences with holistic nursing care. The complexity of the difficulties confronting
breast cancer patients will influence their experiences and perceptions, necessitating a holistic approach to nursing
services. A qualitative exploratory, descriptive method was adopted in the investigation. During data collection,
fifteen participants were recruited and interviewed. Focus Group Discussion (FGD) was utilized to collect data.
Result: The study’s findings provide five significant themes: (1) knowledge and understanding of breast cancer; (2)
experiences felt at the beginning of breast cancer complaints; (3) non-health breast cancer treatment; (4) perception
of nursing services received by breast cancer patients; (5) facts and holistic needs during and beyond treatment; and
(6) patients’ expectations of nursing services to help their needs. Conclusion: The findings provide information on
how breast cancer patients understand the examination procedure, accept a diagnosis, and proceed to treatments.
2.Computed Tomography Assessment of Severity of Acute Pancreatitis in Bangladeshi Children
Kaniz FATHEMA ; Bazlul KARIM ; Salahuddin AL-AZAD ; Md. RUKUNUZZAMAN ; Mizu AHMED ; Tasfia JANNAT RIFAH ; Dipanwita SAHA ; Md. BENZAMIN
Pediatric Gastroenterology, Hepatology & Nutrition 2024;27(3):176-185
Purpose:
Acute pancreatitis (AP) is common among children in Bangladesh. Its management depends mainly on risk stratification. This study aimed to assess the severity of pediatric AP using computed tomography (CT).
Methods:
This cross-sectional, descriptive study was conducted in pediatric patients with AP at the Department of Pediatric Gastroenterology and Nutrition, BSMMU, Dhaka, Bangladesh.
Results:
Altogether, 25 patients with AP were included, of whom 18 (mean age, 10.27±4.0 years) were diagnosed with mild AP, and 7 (mean age, 10.54±4.0 years) with severe AP.Abdominal pain was present in all the patients, and vomiting was present in 88% of the patients. Etiology was not determined. No significant differences in serum lipase, serum amylase, BUN, and CRP levels were observed between the mild and severe AP groups. Total and platelet counts as well as hemoglobin, hematocrit, serum creatinine, random blood sugar, and serum alanine aminotransferase levels (p>0.05) were significantly higher in the mild AP group than in the severe AP group (p=0.001). The sensitivity, specificity, positive predictive value, and negative predictive value of CT severity index (CTSI) were 71.4%, 72.2%, 50%, and 86.7%, respectively. In addition, significant differences in pancreatic appearance and necrosis were observed between the two groups on CT.
Conclusion
CT can be used to assess the severity of AP. In the present study, the CTSI effectively assessed the severity of AP in pediatric patients.