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Late Presentation of Testicular Torsion : A Case Report Kalangi, Ottofianus Alvedo Hewick; Ardiyansyah , Muhammad Fadhil; Andre, Laurentius
Asian Australasian Neuro and Health Science Journal (AANHS-J) Vol. 4 No. 1 (2022): AANHS Journal
Publisher : Talenta Universitas Sumatera Utara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/aanhsj.v4i1.8484

Abstract

Introduction: Testicular torsion is a twisting of the spermatic cord, which results in impaired blood flow to the testicle. This urological emergency occurs 3.8 per 100,000 males annually, most often observed younger than 18 years. The left testis is more frequently involved. Bilateral cases report for 2% of all torsions. We describe a male with a late presentation of more than 24 hours of acute testicular pain. Patients hesitate to seek advice from doctors for testicular pain because of unawareness. Case Reports: A 16-year-old man arrived at the Emergency Room with more than 24 hours history of sudden severe left testicular pain after taking up two gas cylinders, but he was not aware. After more than 24 hours, he came to the emergency room with worsening testicular pain. The physical examination found tender, slightly swollen, and high-riding left testes. Phren test and cremaster reflex were negative on the left testes. TWIST score of the patient was 7 (high risk for testicular torsion). We made quick order for ultrasound, which shows left testicular torsion. Emergency exploration of testes was done, found the necrotic left testes with rotation more than three times. After complete derotation of the cord, the testes were still necrotic, and we decided to do left side orchidectomy after enough observation. Conclusion: Late presentation to the hospital is one of the causes of delay in treatment and mostly leads to orchidectomy in testicular torsion. Every case of testicular pain should be treated as testicular torsion until proven otherwise. Keyword: Emergency, Late presentation, Orchidectomy, Testicular torsion.
The Relationship Between Mother Knowledge About Complementary Feeding To Toddler’s Nutritional Status In Playground And Kindergarten At Ketindan Village Lawang District Malang Regency Sugianto, Julius Albert; Andre, Laurentius; Djuari, Lilik
Asian Australasian Neuro and Health Science Journal (AANHS-J) Vol. 4 No. 1 (2022): AANHS Journal
Publisher : Talenta Universitas Sumatera Utara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/aanhsj.v4i1.8486

Abstract

Introduction :Nutritional status is the reflection of daily nutrient intake. Determinants affecting nutritional status are adequate dietary intake, sanitation, clean water, infectious diseases, food availability, breastfeeding, supplementary feeding, mother's knowledge and parenting. Incorrect complementary feeding can cause nutritional problems in children. Method : This research is an observational analytic study with cross sectional method. Research sample involved 39 pairs of mother and toddler. Primary data were obtained from complementary feeding questionnaires to mothers and measurement of nutritional status of toddler using weight and height measurement. The research data were processed by statistics at 5% significance level and 95% confidence interval through SPSS 23.0.0 for Windows edition 64 bit, 2015, SPSS Inc. Chicago, IL, USA and Microsoft Office 2016. Result :The results of the research data tested with chi square method, due to the unfulfilled expected value, the Fischer test is used. Research showed mothers knowledge about complementary feeding majority is good (74,4%), majority of toddlers in playground and kindergarten have good nutrition status (82,1%). Fisher exact test gave p>0.05 (p=0,242 (CI = 95%; PR 2.679 (0.482-14.893)) in determining relation between mother knowledge about complementary feeding with nutritional status of toddler at playground and kindergarten in Ketindan Village, Lawang District, Malang Regency. Conclusion : There is no relation between mother's knowledge about complementary feeding to nutritional status of toddler at playground and kindergarten in Ketindan Village, Lawang District, Malang Regency (p=0,242 (CI = 95%; PR 2.679 (0.482-14.893)). Keyword: Nutritional Status, Toddler, Complementary Feeding, Mothers’ Knowledge