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"ABSTRACTPurposeGeriatric surgery poses specific challenges due to patient vulnerability in relation to aging. We analyzed perioperative challenges concerning super-elderly patients with breast cancer.MethodsBetween 2013 and 2018, 908 patients with breast cancer were treated surgically. Of these, two patient groups were compared: Group A (≥ 85 years old, n = 34, 3,7%) and Group B (75-84 years old, n = 136, 15%).ResultsIn Groups A and B, 26,4% and 36,8% of patients lived alone, respectively. Group A patients had higher rates of psychiatric and cardiovascular disease (32,4% and 41,2%) than Group B (8,8% and 16,2%) (p = 0,0009 and p = 0,0031, respectively). There was no marked difference in the type of surgery or length of hospital stay between groups, and most complications involved surgical site disorders. Postoperatively, Group A had a higher rate of delirium (29,4%) than Group B (3,7%) (p < 0,0001). The 30-day postoperative mortality rate was 0, and 76,5% of Group A and 45,6% of Group B patients received no adjuvant therapy (p = 0,0024).ConclusionsAge alone does not constitute a contraindication for appropriate surgery, although there are some challenges necessary to consider for super-elderly patients."

"Objective: The number of gynecological cancer survivors isincreasing in Indonesia, and these women often require physicaland emotional support from their male partners as primarycaregivers. However, the male caregiver`s need for biological,psychological, and social support is often neglected. This studyaims to assess the demographic and clinical determinantsaffecting the unmet supportive care needs of the gynecologicalcancer survivors` husbands in Indonesia. Methods: Thiscross‑sectional survey involved 152 husbands of survivors whowere recruited by a consecutive sampling method in two nationalreferral hospitals. A self‑administered Cancer Survivors` PartnersUnmet Needs Questionnaire was used for data collection.Multiple linear regression was performed to analyze the data.Results: The majority of participants (97.4%) reported at least oneunmet need. The primary unmet needs were legal services (71.1%),financial support (70.4%), cancer recurrence concerns (69.7%), andongoing health support (66.4%). These needs were significantlyassociated with the wife`s radio‑chemotherapy and lowerhousehold income (P < 0.01) and also related to the husband`seducation level, duration of caregiving, and wife`s cancer stage.Conclusions: Husbands of gynecological cancer survivors inIndonesia reported a need for legal, financial, and health‑careinformation and assistance. Multidisciplinary professionalsshould be involved in developing policy and interventions whichfacilitate the social‑economic protection of survivors and theirhusbands, as well as comprehensive care needs to enhance thewomen`s survival rate."

"ABSTRAKCa buli merupakan salah satu masalah kesehatan masyarakat perkotaan, faktor resiko pada individu perkotaan meliputi lingkungan, gaya hidup dan asupan makanan yang mengandung amin aromatik, benzena, dan zat karsinogen lainnya. Karya ilmiah akhir ini bertujuan untuk memberikan gambaran asuhan keperawatan pada ca buli dengan kateterisasi post TURBT. Pencegahan infeksi saluran kencing pada pasien dengan kateterisasi irigasi dilakukan dengan cara perawatan kateter perhari serta teknik aseptik dalam intervensi keperawatan. Perawatan dengan menggunakan chlorhexidin 2% mampu mencegah komplikasi infeksi akibat kateter.

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ABSTRACT

Bladder cancer is the most problem people who live in city, environment, smoke and lifestyle is risk factor who get bladder cancer. This paper aims to show how to care patient with bladder cancer on bladder irrigation with cathteter. To prevention cathteterisation associated urinary tract infection by doing care of cathteter everyday using chlorhexidin 2%. To reduce urinary tract infections."

"Cytomegalovirus (CMV) is a double-stranded DNA virus and a member of the Herpesviridae family. Cytomegalo- virus infection is one of the important causes of mortality and morbidity in immunocompromised patients. This is a case report of 72 year-old immunocompromised male patient with worsening cough needing an intubation despite previous adequate antibiotic administration. Further examination showed positive CMV infection. The patient showed improvement after administration of ganciclovir."

"ABSTRAKNama : Tina MawardikaProgram Studi : Magister Ilmu Keperawatan Universitas IndonesiaJudul :Perbedaan Kebutuhan Perawatan Suportif Pasien Kanker Ginekologi di Rawat Inap dan Rawat Jalan. Pelayanan kesehatan yang diterima di rawat inap dan rawat jalan dapat memunculkan perbedaan kebutuhan perawatan suportif. Penelitian cross-sectional ini bertujuan untuk mengidentifikasi perbedaan antara kebutuhan perawatan suportif pada pasien kanker ginekologi di rawat inap dan rawat jalan. Tehnik consecutive sampling diakukan untuk memilih 200 pasien kanker ginekologi. Hasil penelitian menunjukkan bahwa sebagian besar 83 pasien di rawat inap memerlukan kebutuhan perawatan suportif terutama pada domain fisik 80 dan domain psikologi 84 dan 40 pasien di rawat jalan memerlukan kebutuha perawatan terutama pada domain sistem informasi kesehatan 78 . Terdapat perbedaan yang signifikan secara statistik antara kebutuhan perawatan pada pasien kanker ginekologi di rawat inap dan rawat jalan ? value = 0,000 p le; 0,05 dan nilai OR 43,9, maka dapat disimpulkan pasien di rawat inap kebutuhan perawatan suportifnya meningkat 43,9 kali dibandingkan dengan pasien di rawat jalan. Penilaian kebutuhan perawatan suportif berguna untuk mengevaluasi kebutuhan perawatan suportif pasien kanker ginekologi di rawat inap maupun rawat jalan sehingga intervensi yang diberikan tepat guna dan tepat sasaran. Kata Kunci: Kebutuhan perawatan suportif, status perawatan, kanker ginekologi.

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ABSTRACTName Tina MawardikaProgram Study Faculty Of Nursing Indonesia UniversityTittle The difference of Supportive Care Needs in inpatient and outpatient gynecologic cancer patient. Health services that performed at inpatient and outpatient care can cause different supportive care needs. This cross sectional study aims to identify the differences of supportive care needs in inpatient and outpatient gynecologic cancer patient. Consecutive sampling techniques were undertaken to select 200 gynecological cancer patients. The results showed that of patients undergoing hospitalization required supportive care needs, especially in the physical 80 and pshycologic domain 84 , 40 of patients who underwent outpatient care require treatment especially in the information system domain 78 . Acording to statistical result, there was a different between inpatients and outpatients supportive care needs value 0,000 p le 0.05 OR 43,9. It means that inpatient rsquo s supportive care needs increase 43,9 compared with outpatient supportive care needs. Assessment of care needs is useful to evaluate the supportive care needs of gynecological cancer patients not only inpatient but also outpatient. That rsquo s way the intervention is given efficient and on target. Key Words Supportive Care Needs, Care Status, Gynecology Cancer. "