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Case Report | Volume 5 Issue 1 (Jan-June, 2024) | Pages 1 - 7
Management of Intestinal Obstruction in Child due to Ascariasis in Rural Hospital : A Case Report
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1
Department of Emergency, Leuwiliang General Hospital, Bogor, Indonesia, Bogor, Indonesia, 16129
2
Department of Surgery, Muhammadiyah Babat Hospital, Lamongan, Indonesia,16129
3
Department of Surgery, Leuwiliang General Hospital, Bogor, Indonesia,16129
4
Department of Surgery, Sebelas Maret University, Surakarta, Indonesia,79354
5
Department of Emergency, Hapsah Hospital, Bone, Indonesia,92914
6
Department of medicine, Muhammadiyah Malang University, Malang, Indonesia,65136
Under a Creative Commons license
Open Access
Received
Feb. 14, 2024
Revised
March 7, 2024
Accepted
May 25, 2024
Published
June 30, 2024
Abstract

Background: Ascaris lumbricoides is a nematode that causes ascariasis, localized in the human small intestine in most cases. Intestinal obstruction is an acute presentation that occurs in cases where clumps of worms form, causing partial or complete obstruction of the intestinal lumen. Worms that cause intestinal disorders in children are common at 1–14 years of age. Ascariasis is a rare cause of bowel obstruction. The aim of this study was to describe cases of Ascariasis that cause intestinal obstruction in children aged 7 years and over Indonesia which was treated with surgery. Case Presentation:  We report a case of ascariasis in a 7-year-old girl with total intestinal obstruction. She came to the hospital accompanied by her family with the main complaint being stomach pain. She was managed with exploratory laparotomy and enterotomy to remove the worm masses which causes intestinal obstruction. Conclusions: The prevalence of Ascaris lumbricoides is very common in developing countries. Although the majority of the intestinal obstruction that they cause may be treated conservatively, in some circumstances, surgery may be required.

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Important

Key findings:

The study found that adopting brainstorming strategy plays a significant role in achieving organizational excellence. Key findings include a positive correlation between brainstorming and organizational excellence, and that brainstorming exercises a moral influence in achieving excellence.

 

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The study explores the relationship between brainstorming and organizational excellence in a university setting. Known is the importance of brainstorming in generating ideas and improving organizational performance. New is the specific focus on examining the influence of brainstorming on achieving organizational excellence, providing insights into the effectiveness of this strategy in a governmental university context.

 

What is the implication, and what should change now?

The study highlights the importance of adopting brainstorming strategies to achieve organizational excellence in a university setting. The implication is that universities should foster a culture of creativity and collaboration by incorporating brainstorming exercises into their decision-making processes. This requires a shift from traditional top-down approaches to more participative and innovative methods that engage faculty and staff in generating ideas to drive excellence.

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