Publication Search

The purpose of this study is to better understand potential variables causing delays in diagnosis by examining the link between early symptoms and tumor location in colorectal cancer. Retrospective data from Hospital University Baghdad Iraq (Al sheikh zayed general hospital) patients diagnosed with colorectal cancer between 2010 and 2018 was gathered. The majority of the 212 patients in the research (43.4%) had rectal tumors, which were followed by left-sided tumors (37%) and right-sided tumors (18.9%). Upon analyzing the symptoms, it was found that rectal bleeding had a strong correlation (34%), but changes in bowel habits were more common in rectal tumors (32%) and left-sided tumors (22.6%). There was a strong correlation found between abdominal mass and right-sided tumors (7.5%) and left-sided tumors (11.3%) and intestinal obstruction. The most common sign of straining, called tendesmus, was observed in rectal tumors (8%). There was no discernible relationship between the location of the tumor and stomach discomfort. These results emphasize the need of taking early symptoms into account when identifying colorectal cancer and the necessity of customized screening and diagnostic strategies depending on the location of the tumor.

Hemorrhoids are swellings of tissue containing veins located in the walls of the rectum and anus. Mass or bulge in the anal area accompanied by anal bleeding is the main symptom. Proper diagnosis and management of hemorrhoids is very important to reduce morbidity and improve the patient's quality of life. This case report was obtained from primary data through history taking, physical examination and supporting examination. The patient complains of a lump in the anus accompanied by bloody stools since 5 years. Initially the lump came out if the patient strained and could still go in on its own if the patient was not straining anymore. But since 1 year, the lump can't go in on its own, but must be helped to push it with a finger. Heavy bleeding from the anus since 2 months ago. On physical examination the rectal toucher found: good anal sphincter tone, palpable mass with a flat surface, solid, chewy consistency, reddish color, firm boundaries, tenderness (+), lumps can be inserted with fingers, blood on gloves (-), mucus (-), feces (-). Colonoscopy examination revealed grade III internal hemorrhoids. The treatment is hemorrhoidectomy.

One of the causes of bleeding is due to perineal rupture. This type of research is an analytic survey with a cross-sectional research design. The number of samples used was 34 people obtained by using the total sampling technique. Data analysis technique using chi square. The results obtained in this study were that most of the mothers who had good knowledge of the absence of Perineal Rupture were 18 people (52.9%), and most of the mothers who had poor knowledge of the occurrence of Perineal Rupture were 7 people ( 20.6%). Based on the results of the chi square test, there is a relationship between Knowledge of Straining Techniques in Maternal Birth and Perineal Rupture with a P value = 0.014 <0.05. There is a relationship between Knowledge of Straining Techniques in Maternity Mothers with Perineal Rupture. It is recommended that mothers in labor seek more information to increase their knowledge, especially about pushing techniques to avoid perineal rupture through media on the internet, health workers, and so on.

Childbirth is a series of processes that end with the expulsion of the products of conception by the mother. The World Health Organization (WHO) estimates that there are more than 585,000 maternal deaths caused by complications of pregnancy and childbirth worldwide every year. Of the many who go through labor, not all of them experience tearing of the birth canal or perineal rupture. 1 in 4 women who experience perineum intact during labor. Due to the birth process, the perineum is widened by 170% from the transverse position (side to side) and 40-6-% in the vertical position (front to back) during the crowing process, so that there is a greater risk of perineal rupture. In Indonesia, out of a total of 1951 vaginal births, 1465 or 75% experienced perineal rupture, 158 or 8% received perineal sutures due to episiotomy and 566 or 29% experienced spontaneous tears. The purpose of this study was to determine the relationship between the technique of straining in childbirth and the incidence of perineal rupture at the Kapasa Health Center The research method used was an analytic survey, using the Cross Sectional Study approach, which is a form of observational (non-experimental) study to find the relationship between the independent variable and the dependent variable by taking momentary measurements in the research conducted by analyzing the relationship between knowledge of Maternity Straining Techniques and Events Perineal Rupture at the Kapasa Health Center. The results showed that the level of knowledge was not good with the incidence of perineal rupture as many as 11 respondents (52.3%) and knowledge.