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All Journal E-Jurnal Medika Udayana Jurnal Penyakit Dalam Udayana ISM (Intisari Sains Medis) : Jurnal Kedokteran MEDICINUS The Indonesian Journal of Gastroenterology, Hepatology and Digestive Endoscopy
Gde Somayana
Divisi Gastroentero Hepatologi, Departemen Penyakit Dalam, Fakultas Kedokteran, Universitas Udayana, RSUP Sanglah, Denpasar, Bali, Indonesia
Biochemistry, Genetics & Molecular Biology Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Public Health

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Knowledge, Attitude and Obstacles of Colorectal Cancer Screening in Primary Health Care in Bali, Indonesia Mariadi, I Ketut; Somayana, Gde; Sindhughosa, Dwijo Anargha
The Indonesian Journal of Gastroenterology, Hepatology, and Digestive Endoscopy Vol 24, No 3 (2023): VOLUME 24, NUMBER 3, December, 2023
Publisher : The Indonesian Society for Digestive Endoscopy

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24871/2432023235

Abstract

Background: The knowledge of CRC and its screening methods of healthcare workers is the bedrock of CRC early detection particularly in countries lacking national screening programs. Unknown factors influencing colorectal cancer early detection program implementation. We aimed to evaluate the knowledge and attitudes of primary health care (PHC) provider regarding CRC screening and identify the barriers associated with the screening plan.Methods: A cross-sectional study was conducted among PHC physicians and nurses in public primary health care centers in Bali, Indonesia. A 44-item self-administered questionnaire was used to assess the knowledge, attitude and practice of CRC screening. The questionnaire was spread using google form. Results: Two hundred and five respondents have participated in this study. The average duration of doing practice in PHC is 6.6 years. In knowledge of CRC, 50.2% of them have good knowledge, and there is no difference between PCPs vs nurses (51.9% vs 47.3%; p=0.53). In attitude toward CRC screening, 58.5% out of the have good attitude, and there is no difference between PCPs vs nurses (60.3% vs 55.4%; p=0.50). The barriers of the screening was divided into two areas, a barrier from the health care system and patients. There was no association between knowledge and attitude towards CRC screening (p=0.63).Conclusion: The majority of health workers' knowledge and attitudes toward CRC screening were in the "good" category. The patient's fear of being diagnosed with cancer, as well as the patient's fear and anxiety of screening tests, is the most significant barrier to colorectal cancer screening.
Sebuah Kasus Pankreatitis Kronis pada Seorang Pria dengan Karsinoma Kaput Pankreas Gerry Setiawan; Gde Somayana
MEDICINUS Vol. 38 No. 10 (2025): MEDICINUS
Publisher : PT Dexa Medica

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56951/t993my22

Abstract

Chronic pancreatitis is a progressive inflammatory disease of the pancreas which leads to loss of exocrine and endocrine function, and is considered difficult to diagnose in the early stage. It is crucial for physicians to have a deep understanding indiagnosed and treated the disease as this could affect the patient’s quality of life and help to prevent further complications.Case report: A 51-year-old male patient, presented to the emergency unit with epigastric pain. Patients also reported yellowing of the eyes and body, followed by dark-colored urine and pale stools. The patient also experienced unintentionalweight loss. Physical examination indicated icteric conjunctiva. Laboratory test result demonstrated the patient had abnormal liver function test and elevated of tumor marker CA 19-9. After underwent magnetic resonance cholangiopancreatography (MRCP), and based on other collected clinical data, it was concluded that the patient had a pancreatic head carcinoma with cholestatic jaundice manifestation. Endoscopic retrograde cholangiopancreatography (ERCP) was performed to release the cholestatic obstruction, subsequently his condition was gradually improved. On follow-up evaluation, the patient underwent endoscopic ultrasonography (EUS) examination, and revealed to have chronic pancreatitis also with multiple stones in the pancreas. This case report will discuss the diagnostic approach and possible treatment for the patient with such condition.
Co-Authors Dwijo Anargha Sindhughosa, Dwijo Anargha Gerry Setiawan Godfried Erycesar Yeremia Saragih Hendra Koncoro Hendra Koncoro I Dewa Nyoman Wibawa I Gusti Agung Suryadarma I Ketut Mariadi I Nyoman Hardana Sasmita Purthana I Putu Darmayasa IDN Wibawa Jessica Raphaela Pranata Kumbara, Cokorde Istri Yuliandari Krisnawardani Made Wardhana Magat, Renaldy Frederich Nathanael Nyoman Purwadi Putu Prathiwi Primadharsini Wayan Arlis Saputra