PENGEMBANGAN MODUL UNTUK MENINGKATKAN EMOSI POSITIF PASIEN DI RUMAH SAKIT

Setiap penyakit, betapapun ringannya, seperti flu, sakit perut, kepala pusing dirasakan oleh seseorang sebagai suatu gangguan dalam kehidupan sehari-hari. 0leh sebab itu penyakit tidak disambut baik. Pasien rumah sakit sering menunjukkan berbagai simtom psikologik, terutama kecemasan dan depresi (Pennebaker, dkk.,dalam Taylor, 1995). Pasien bahkan merasa tidak berdaya (Taylor, 1995). Pennebaker, dan kawan-kawan (dalam Taylor, 1995) juga menyatakan bahwa kecemasan, depresi dan gangguan psikologik lain sering menyertai simtom fisik. Pasien yang dirawat dirumah sakit biasanya mengalami kecemasan karena memikirkan gangguan atau penyakitnya, merasa bingung dan cemas rnengenai harapan hasil perawatan, serta risau dengan peran yang ditinggalkan. Pasien harus melakukan penyesuaian terhadapsituasi baru, yang sukar. Rumah sakit kurang dapat menenangkan pasien yang cemas, bahkan memperburuk kondisi tersebut (Mason, dkk., dalam Taylor, 1995)

Fatal transfusion related acute lung injury following coronary artery by-pass surgery: a case report

which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Background: Transfusion related acute lung injury (TRALI) is a potentially fatal Acute Lung Injury following transfusion of blood components. Hypotheses implicate donor-derived anti-human leukocyte antigen or granulocyte antibodies reacting with recipients ' leukocytes, releasing inflammatory mediators. Lack of agreement on underlying cellular and molecular mechanisms renders improving transfusion safety difficult and expensive. Case Presentation: Literature search has not revealed any case of TRALI from Pakistan. We report the case of fatal TRALI in a 68 year old male who received blood products after coronary artery by-pass surgery. Conclusion: This article aims to create awareness about this complication and suggests that post transfusion cardiopulmonary instability should alert to the possibility of TRALI. Background TRALI is a potentially fatal complication of transfusion occurring in 1 per 5000[1]. However, being an under recognize

Role of antimullarian hormone in the diagnosis of sonographically inconclusive polycystic ovary syndrome

Antimullarian hormone (AMH) is found to be a vital tool for the diagnosis of polycystic ovary syndrome (PCOS). AMH may help in the diagnosis of sonographically inconclusive cases of PCOS. This study measured the AMH level in PCOS to assess its impacts on the diagnosis of the syndrome. This cross-sectional study included 160 newly diagnosed females with PCOS who were diagnosed using a modified revised Rotterdam criteria. Fasting blood was collected to measure AMH by enzyme-linked immunosorbent assay and other hormones [total testosterone, luteinizing hormone and follicle-stimulating hormone] were measured by chemiluminescent microparticle immunoassay. Ovarian USG was done in the follicular phase of the menstrual cycle. Serum AMH≥ 3.5 ng/mL and ovarian volume >10 mL was considered as a combined marker of polycystic ovary (PCO). USG-PCO criteria could detect 84.38% PCO, whereas AMH-PCO criteria 67.5%. There was a lack of agreement between USG-PCO and AMH-PCO criteria [κ=-0.004] in PCOS. AMH-PCO criteria identified 68% of PCO patients undiagnosed by USG-PCO criteria [17/25]. Age [β=-0.172, p=0.040], systolic [β =-0.213, p=0.037] and diastolic blood pressure [β=0.301, p=0.004] had significant predictive associations with AMH by linear regression. AMH had a fair discriminating index for combined-PCO [AUC=0.824] in PCOS patients. In conclusion, AMH assessment can help detect PCOS patients who are inconclusively diagnosed by USG-PCO criteria. BSMMU J 2022; 15(2): 65-6

Insulinoma Presenting with Psychiatric Manifestations: A Case Report

Insulinomas, the most common of pancreatic endocrine tumors, usually present with neuroglycopenic and adrenergic features. Chronic or long standing recurrent hypogycaemia can produce intellectual deterioration and neuropsychiatric manifestations. Diagnosis of insulinoma relies on clinical features along with laboratory tests and imaging investigations to aid in localization. A 32-year-old male who presented with prominent neuropsychiatric manifestations and received anti-epileptics as a case of epilepsy and was ultimately diagnosed as insulinoma is reported here. The patient experienced fasting hypoglycemia with neuropsychiatric manifestations; computerized tomography (CT scan) and magnetic resonance imaging (MRI) revealed a diffusely enhanced mass in the head area of pancreas which was histopathologically found to be an insulinoma after hand assisted laparoscopic enucleation. Surgical excision is the treatment of choice and is curative in most cases. Key words: Insulinoma; Psychiatric Manifestation.DOI: 10.3329/bsmmuj.v2i1.3710 BSMMU J 2009; 2(1): 39-4

48 Insulinoma Presenting with Psychiatric Manifestations: A Case Report

Insulinomas, the most common of pancreatic endocrine tumors, usually present with neuroglycopenic and adrenergic features. Chronic or long standing recurrent hypogycaemia can produce intellectual deterioration and neuropsychiatric manifestations. Diagnosis of insulinoma relies on clinical features along with laboratory tests and imaging investigations to aid in localization. A 32-year-old male who presented with prominent neuropsychiatric manifestations and received anti-epileptics as a case of epilepsy and was ultimately diagnosed as insulinoma is reported here. The patient experienced fasting hypoglycemia with neuropsychiatric manifestations; computerized tomography (CT scan) and magnetic resonance imaging (MRI) revealed a diffusely enhanced mass in the head area of pancreas which was histopathologically found to be an insulinoma after hand assisted laparoscopic enucleation. Surgical excision is the treatment of choice and is curative in most cases