This study increasing the role of cadres as public health providers in the initial screening of high-risk patients and colorectal cancer patients in the community, especially in the era of the COVID-19 pandemic, and as public health providers who can help increase awareness and knowledge about colorectal cancer, to help reduce the incidence of colorectal cancer and early detection. The research design was cross sectional with pre and post test conducted in October 2020. The sample was divided into 3 groups based on region. All groups received education on colorectal cancer online and were evaluated through pre / post-tests both directly and via google form. The sampling technique used was accidental sampling by distributing questionnaires to respondents in order to obtain secondary data. Repetition of the test on education that has been given previously within 2 months without the provision of active material from the counselor, to evaluate the retention of the educational understanding that has been given is attached or not. The results obtained, have a very good response by evaluating that there is a pre- / post-test, although they still have not achieved the expected results, namely more than 70% success, but achieved success as much as 100% from the attendance of invited participants which indicates that memory retention is still good. The counseling that was carried out received positive responses from cadres and many enthusiasts in the counseling that was carried out.There was an increase in participants' knowledge of colorectal cancer after counseling by the authors. All participants showed improved knowledge outcomes as measured by the posttest score indicator and showed good memory retention
Introduction: Colorectal cancer is the fourth most common cancer in the world. Stage IV colorectal cancer are often late for treatment and have poor prognosis. Knowledge and attitude factors are known to play a role in treatment delay. Therefore, this study aims to determine the relationship between knowledge and attitudes on treatment delay of stage IV colorectal cancer patients at Saiful Anwar Hospital, Malang (RSSA). Material and Methods: The research design was a cause-effect retrospective study conducted at RSSA from June 2021 to December 2021. Measurement of patient knowledge and attitudes using questionnaires while patient delays in seeking treatment are obtained from medical records. Statistical analysis using structural equation modelling (SEM) using the WarpPLS application with a significance level of p<0.05. Results: The result of this research indicated that the knowledge of symptoms is associated with the patient's anxiety attitude (p<0.01; r=-0.31) and attitude to screening (p=0.03; r=0.21). Knowledge of a healthy lifestyle was associated with attitudes to screening (p<0.01; r=0.27). Screening attitude was associated with treatment delay in colorectal cancer patients (p<0.01; r=-0.42). Conclusion: The conclusion is the knowledge and attitudes of patients about colorectal cancer are associated with the treatment delay. Increasing knowledge and attitudes of patients can reduce the treatment delay on stage IV colorectal cancer patients to come to RSSA.
Background: Lung cancer is the most common cause of cancer-related death globally. Moreover, metastatic cancer from the lungs frequently occurs and is commonly identified at the first diagnosis. The primary cancer must be identified in order to establish the most effective treatment. However, colonic metastases are rare with incidence of 0,1%. Aim: This report describes an unusual case of colonic metastases from lung adenocarcinoma. Methods: Patient (58-year-old male) was examined with Fiber Optic Bronchoscopy and core biopsy in the lungs, and the results were suspicious for squamous cells. The patient had severe abdominal pain and bloating for 1 week and had signs of gastrointestinal obstruction in his second visit. The result of urgent laparotomy was adenosquamous and the result of immunohistochemical examination was negative P40 and positive Napsin A in both lungs and colon. Results: The lung biopsy result indicated squamous cell and the ceccum showed adenosquamous. The immunohistochemical examination using P40 and Napsin A of both lung and ceccum specimens indicated that the lung was the primary source of metastases to the colon. Conclusion: The patient suffered from a squamous cell lung tumor and reported severe abdominal pain due to metastases to the colon with adenosquamous results.
Introduction: The report of doctors who died with COVID-19 in Indonesia was high and influenced by several factors. This study examined COVID-19 infected doctors and mortality risk factors in East Java. Material and Methods: This observational cohort study was conducted among doctors infected with COVID-19 in East Java during March 2020-September 2021 and collected the COVID-19 infected doctors’ deaths report. Doctors received a questionnaire on the status of COVID-19, history of covid-19 infection, age, sex, type of doctor, type of specialization and resident, pregnancy, underlying disease and nutritional status. All data were described and potential risk factors’ association was analyzed. Results: We reported 2041 doctors infected with COVID-19. Majority of them (52,5%) was male, 162 doctors were more than 59 years old, 162 doctors (7,9%) were died and 41,4% was general practitioner. The odds ratio in each risk factor for mortality was older age doctors 15,468 (95% CI 10,587-22,601), male 6,128 (95% CI 3,906-9,614), general practitioner 2,461 (95% CI 1,769-3,423), doctors with underlying disease 39,842 (95% CI 23,077-68,798), Type II diabetes mellitus 82,504 (95% CI 42,767-159,162), cardiovascular disease 50,152 (95% CI 16,672-150,866), hypertension 19,425 (95% CI 10,528-35,840), Chronic Obstructive Pulmonary Disease 5,52 (95% CI 0,610-49,992), Asthma 2,091 (95% CI 0,626-6,986), Obesity 30.750 (95% CI 15,293-61,828) and Pregnant doctors 43.013 (95% CI 10.986-168.414) (p<0,05). Conclusion: Older age, male, general practitioner, doctors with underlying disease, cardiovascular disease, Type II diabetes mellitus, hypertension, chronic obstructive pulmonary disease, asthma, obesity, pregnant doctors had been mortality risk factors among COVID-19 infected doctors.
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