Giant ovarian cyst itself is defined as a cyst >10 cm in diameter from radiological- examination or the size of the cyst exceeds the umbilicus. Extra-large benign and malignant cysts of the ovary are uncommon and involve diagnostic and management challenges. We present the case of a 20-year-old nulliparous woman who was referred to our center with complaints of abdominal pain and heavy breathing. She benefited from a salphingo-oophorectomy laparotomy procedure. Benign and malignant gynecologic and non-gynecologic etiologies are included in the differential diagnosis of an abdominal mass. Because of the infrequent occurrence or absence of distinctive clinical presentation of the giant ovarian cyst, accurate preoperative diagnosis is challenging.

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Purpose: Maternal mortality rate (MMR) in Indonesia is still relatively high, at 305 per 100.000 live births (2015). Routine visit to antenatal care is the best way to reduce MMR. Inspite of this, the number of antenatal care visits among pregnant women is still low. This study aimed to measure the influence of behavioral ecological factors with the compliance of pregnant women to visit antenatal care. Patients and Methods: Study population was pregnant women living in Dumai City, Indonesia. This study was a quantitative research design with a cross-sectional. We used the cluster system to select participants. A total of 369 subjects participated with a gestation age between >12 until 40 weeks. The data were collected by face-to-face interviews using validated questioners. The analysis was done by bivariate analysis using the Spearman correlation test. Multivariate using multiple linear regression. Results: This study showed that factors of the ecological model of behavior were related to antenatal care compliance (p value<0.05) with a coefficient correlation (0.330-0.569). Multivariate analysis showed that all variables associated significantly (adjusted R 2 ; 0.104-0.311). Five variables were dominant; knowledge, cultural beliefs, family support, friend support, and health facilities with adjusted R 2 = 0.518. Conclusion: Five factors in an ecological model of behavior, such as knowledge, cultural beliefs, family support, friend support, and health facilities, proportion (51,8%) of contributing to antenatal care compliance. We recommend a health district program to make services more accessible to pregnant women. Health education programs need to increase the knowledge of pregnant women and families to provide support in antenatal care compliance. Local governments shall improve antenatal care quality by mapping, planning, and evaluating this program.

BACKGROUND: Ectopic pregnancy (EP) is the implantation of an embryo outside the eutopic cavity with the most location of EP is in the fallopian tube (FT), known as tubal EP (TEP). The FT of TEP expresses higher levels of pro-inflammatory cytokines such as interleukin-1 (IL-1), IL-6, and IL-8. AIM: The study aimed to look systematically into the current literature and carefully analyze the results to explore the role of IL in EP. METHODS: Three independent reviewers conducted the literature search through some electronic databases searching for articles fulfilling inclusion and exclusion criteria. The lead author independently assessed the risk of bias of each of the 313 articles identified in database searching, 12 articles met the criteria for this review. CONCLUSION: IL-6 and IL-8 have diagnostic significance in predicting EP with the cutoff levels of IL-6 and IL-8 which were 26.48 and 40 pg/mL. Further, research is needed for the role of other interleukins in EP.

Latar belakang dan tujuan:   Angka kematian bayi akibat Berat Bayi Lahir Rendah (BBLR) di Kota Semarang masih tinggi. Dari 509 bayi BBLR dengan 36.6% mengalami kematian pada tahun 2017. Penelitian ini bertujuan untuk mengetahui pengaruh pendidikan kesehatan melalui buklet terhadap perilaku ibu hamil terkait upaya pencegahan BBLR di Kota Semarang. Metode:   Penelitian eksperimen semu dengan desain pre post test with control group. Populasi dalam penelitian ini adalah semua ibu hamil di Kota Semarang pada Agustus – September tahun 2017. Subjek peneltian sejumlah 82 ibu hamil yang dipilih secara simple purposive sampling. Data dikumpulkan dengan wawancara menggunakan kuesioner terstruktur. Data dianalisis dengan  Mann whitney.Hasil:   Hasil penelitian menunjukan adanya peningkatan rerata skor pengetahuan pada kelompok intervensi dari 8,4 ± 2,1 (5-14) menjadi 13,4 ± 1,1 (11-15) dengan nilai p=0,001, sedangkan pada kelompok kontrol dari 7,3 ± 2,0 (3-11) menjadi  11,1 ± 1,3 (9-13) dengan nilai p=0,001. Peningkatan rerata skor sikap dari 37,5 ± 2,3 (28-41) menjadi 51,9 ± 3,2 (43-60) dengan nilai p=0,001, sedangkan pada kelompok kontrol dari 36,1 ± 2,2 (28-41) menjadi 37,2 ± 2,7 (28-43) dengan nilai p=0,001. Peningkatan rerata skor praktik dari 13,4 ± 1,9 (8-18) menjadi 18,1 ± 1,3 (13-20) dengan nilai p=0,001 sedangkan kelompok kontrol dari 14 ± 2,7 (7-18) menjadi 17,3 ±1,7 (12-19) dengan nilai p=0,018. Peningkatan skor pengetahuan (p<0,05), peningkatan sikap (p<0,05) dan praktik (p<0,05) pada kelompok intervensi lebih tinggi dibanding kelompok kontrol. Simpulan:     Pendidikan buklet kesehatan yang dilaksanakan di Kota Semarang meningkatkan perilaku ibu hamil terkait upaya pencegahan BBLR. Diharapkan buklet kesehatan menjadi penambahan sarana pendidikan pada ibu hamil.