Backgrounds Bowel cancer is the second most common non‐cutaneous cancer diagnosed in Australia among both genders. Colonoscopy withdrawal time of at least 6 min has been accepted as the standard to achieve the target polyp detection rate (PDR) and adenoma detection rate (ADR). A retrospective review was conducted in Bundaberg Hospital to evaluate the relationship between colonoscopy withdrawal time against polyp, adenoma and cancer detection rates. Methods A retrospective study was carried out in Bundaberg Hospital on patients who had colonoscopies performed between 1 October 2016 and 30 September 2017 by the general surgical team. Data collection was conducted by reviewing patient charts, general practitioner referral letters and endoscopy reports. Statistical analysis was performed with chi‐squared test using Prism 8.2.1. Results A total of 1579 colonoscopies were analysed. The median age of patients undergoing a colonoscopy was 64 years (95% confidence interval (CI) 60.55–61.93). Median total duration of colonoscopy was 19 min (95% CI 20.9–22.0), with median withdrawal time of 9 min (95% CI 10.06–10.95). PDR, ADR and sessile serrated adenoma (SSA) detection rates were 43.3%, 33.1% and 5.4%, respectively. Cancer detection rate was 2.8%. Longer withdrawal times were associated with higher PDR, ADR and SSA detection rates (P < 0.0001) and higher mean number of polyp/adenoma/SSA detected. Conclusion Colonoscopies with withdrawal times of less than 6 min did not achieve the target detection rates. It is clear that achieving the advocated withdrawal time for screening colonoscopy improves detection rates.

We conducted a retrospective study to evaluate the safety of non‐obstetric surgery during pregnancy by studying 106 pregnant women who underwent non‐obstetric surgery at a regional Australian hospital over a 10‐year period. The study showed that maternal and foetal outcomes were comparable to that of the general population. Subgroup analysis did not demonstrate any statistically significant differences between groups, except for an increased rate of delivery by caesarean section in pregnant women who underwent laparotomy compared to those who underwent laparoscopy.

Background: Objective assessment of grit and its association with burnout in obstetrics and gynaecology (O&G) training is underexplored.Aim: This study utilises the Short Grit Scale and the Oldenburg Burnout Inventory to investigate the association of grit with burnout, thriving and career progression among O&G trainees and Fellows in Australia/New Zealand. Materials and Methods:A cross-sectional survey of the RANZCOG (Royal Australian and New Zealand College of Obstetricians and Gynaecologists) members was conducted. Participants were categorised by seniority level (core trainees, advanced trainees and Fellows). Mean grit and burnout scores were compared with one-way analyses of variance. Correlation between grit and burnout was estimated using Pearson's correlation coefficient. Logistic regression models were used to determine factors associated with high vs low burnout. Grit was categorised as low/medium/high for regression models.Results: A total of 751 (26%) participants completed the survey. Fellows reported higher mean grit than core (P = 0.02) and advanced trainees (P = 0.03), and lower mean burnout than core trainees (P < 0.001). Moderate negative correlation was demonstrated between grit and burnout scores (r = −0.34). In the multivariable model, only seniority (adjusted adds ratio (OR): 0.40 for Fellows vs core trainees, P = 0.008) and grit levels (adjusted OR:4.52 for low versus high, P < 0.001; 2.32 for low vs medium, P = 0.001) were significantly associated with burnout. Conclusion:This study demonstrates the protective role of grit in combating burnout among RANZCOG trainees and Fellows. While further well-designed studies are warranted, findings from our study are expected to help the College in developing targeted interventions and subsequently minimise burnout-related adverse outcomes in high-risk groups.

Tujuan penelitian ini adalah untuk mengetahui implementasi nilai-nilai pendidikan Pancasila pada kegiatan kurikuler, kokurikuler dan ekstra kurikuler di Sekolah Tinggi Keguruan dan Ilmu Pendidikan (STKIP) Bima, dengan mempelajari dan mengkaji muatan materi kurikulum pembelajaran maupun dokumen-dokumen pendukung kegiatan kegiatan kokurikuler dan ekstra kurikuler yang ada, apakah-dokumen tersebut memuat secara konsisten materi-materi penguatan nilai-nilai pendidikan Pancasila sesuai dengan tujuan pembelajaran pendidikan Pancasila yaitu untuk menghasilkan mahasiswa Indonesia yang beriman dan bertakwa kepada Tuhan Yang Maha Esa dengan sikap dan perilaku, yaitu memiliki kemampuan untuk mengambil sikap yang bertanggung jawab, memiliki kemampuan untuk mengenali perkembangan ilmu pengetahuan dan teknologi, dan memiliki kemampuan sikap untuk menggalang persatuan. Penelitian ini merupakan library research yaitu penelitian kepustakaan. Adapun jenis data adalah data sekunder. Teknik pengambilan data dilakukan studi literatur atau analisis dokumen.  Penelitian ini menggunakan pendekatan penelitian kualitatif secara deskriptif dengan menerapkan teknik studi dokumentasi. Analisis data hasil penelitian ini dilakukan secara kualitatif yaitu menguraikan data secara deskriptif berdasarkan fakta-fakta yang ada. Adapun implementasi nilai-nilai pendidikan pancasila di STKIP Bima dilaksanakan melalui kegiatan kurikuler, kokurikuler dan ekstrakurikuler.

No abstract

Hutan mangrove merupakan hutan yang tumbuh di daerah air payau dan dipengaruhi oleh pasang surutnya air laut. Keberadaan hutan mangrove sekarang ini cukup mengkhawatirkan karena ulah manusia untuk kepentingan konversi lahan sebagai tambak, pemukiman, perhotelan, ataupun tempat wisata. Praktek ini dilaksanakan pada 4 Maret hingga 10 April bertujuan untuk mengetahui jenis vegetasi, kerapatan dan Indeks Nilai Penting (INP) mangrove Wana Tirta di Kulon Progo Daerah Istimewa Yogyakarta. Pengambilan data dilakukan dengan menggunakan metode kombinasi antara metode transek dan metode kuadrat yaitu metode transek kuadrat.Analisis vegetasi meliputi kerapatan jenis, kerapatan relatif, frekuensi jenis, frekuensi relatif, dan indeks nilai penting. Ditemukan 6 jenis mangrove yaitu Acanthus ilicifolius, Avicennia alba, Avicennia marina, Nypa fruticans, Rhizophora mucronata, dan Sonneratia alba. Kerapatan jenis keseluruhan tingkat pohon di stasiun I adalah 12200 Ind/Ha dan di stasiun II adalah 5800 Ind/Ha. Stasiun I memiliki INP 198.11% untuk Rhizopora mucronata 52.67% untuk Avicennia alba dan 49.22% untuk Avicennia marina dan stasiun II memiliki INP 181.75% untuk Rhizopora mucronata 70.46% untuk Sonneratia alba dan 47.79% untuk Avicennia alba.

IntroductionComputer tomography colonoscopy (CTC) is an increasingly prevalent procedure for the investigation of colorectal symptoms, or as a component of colorectal cancer screening.  It is considered a low risk procedure, however colonic perforation is a recognized significant complication.Case ReportWe report the case of an 81-year-old female patient who underwent CTC after failed optical colonoscopy as part of routine colorectal cancer screening.  Perforation of the rectum with surrounding pararectal air was confirmed on CTC.  The patient had minimal symptoms and was treated successful non-operatively with bowel rest and antibiotics.ConclusionPerforation sustained during CTC is an uncommon complication.  The incidence of perforation during CTC is still lower than that during optical colonoscopy.  In the absence of significant abdominal signs and symptoms, this rare complication may be successfully managed non-operatively.

Abstract. Rosalina D, Jamil K, Arafat Y, Amalia R, Leilani A. 2023. Mapping of seagrass ecosystem on Bontosua Island, Pangkep District, South Sulawesi, Indonesia. Biodiversitas 24: 2023-2030. Bontosua Island is one of the islands in South Sulawesi, Indonesia, that has a seagrass ecosystem. The purpose of this study was to assess the density, cover, area, and condition of seagrass on Bontosua Island. The data collection involved the use of a quadratic transect method in the field and the Lyzenga method for remote sensing. The identification of seagrass areas was made using Landsat 8 OLI/TIRS satellite. Six seagrass species were identified, namely Cymodocea rotundata, Thalassia hemprichii, Halodule uninervis, Halodule pinifolia, Syringodium isoetifolium and Halophila sp. The results showed that C. rotundata had the highest density value of 89 Ind/m² and was categorized as rather dense, while C. rotundata also had the highest percentage cover of 58%, and Halophila sp. had the lowest percentage cover of 2%. The distribution area of seagrass beds on Bontosua Island was approximately 28.26 ha, out of a total area of 92 ha, of which approximately 6 ha was land. Observations on the condition of seagrass beds showed that 16.65 ha was healthy, 6.3 ha was unhealthy, while 5.31 ha was poor.