Diagnostic Accuracy of Lymph Nodes Fine Needle Aspiration Biopsy Based on The Sydney System for Reporting Lymph Node Cytology.

OBJECTIVE: To evaluate the diagnostic accuracy and malignancy risk of The Sydney System Reporting for Lymph Nodes Cytology. MATERIAL AND METHODS: This study utilized secondary data from 156 cases to conduct a retrospective analysis of a diagnostic test method. During 2019-2021, data were collected at Dr. Wahidin Sudirohusodo's Anatomical Pathology Laboratory in Makassar, Indonesia. The cytology slides of each case were split into five diagnostic groups using the Sydney method, which were then compared with the results of the histopathological diagnosis. RESULTS: There were six cases in the L1 category, thirty-two cases in the L2 category, thirteen patients in the L3 category, seventeen cases in the L4 category, and ninety-one cases in the L5 class. The malignant probability (MP) is computed for each diagnostic classification. L1 MP value is 66.7%, L2 MP value is 15.6%, L3 MP value is 76.9%, L4 MP value is 94.0%, and L5 MP value is 98.9%. The diagnostic value of the FNAB examination is as follows: 89.9% sensitivity, 92.9% specificity, 98.2% positive predictive value, 68.4% negative predictive value, and 90.47% diagnostic accuracy. CONCLUSION: The FNAB examination provides high sensitivity, specificity, and accuracy in diagnosing lymph node tumors. Using a classification based on the Sydney system promotes communication between laboratories and clinicians.
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Differences in elderly stress levels before Covid-19 vaccination: History of exposure to Covid-19 reduces stress before vaccination.

Background: The Covid-19 pandemic requires the government to take various prevention and countermeasures, one of which is the Covid-19 Vaccination program, however, the program experiences a high dropout at various doses and causes immunization stress related response (ISRR), especially in the elderly. The research aims to determine differences in the stress levels of the elderly before the covid-19 vaccination. Methods: Descriptive study with the elderly population who will take vaccinations at the Bojong Purbalingga Health Center. Sampling used random sampling, the inclusion criteria were 45-79 years old, with a total sample of 90 respondents. Research instruments developed by research, relating to vaccination containing cognitive responses (such as difficulty concentrating), physiological responses (such as shortness of breath, dry lips) feelings of fear, anxiety, trust in vaccination. Data were analyzed descriptively with percentages and proportions. Results: The results showed that the most moderate stress levels were middle age (22.2%), women 33.3% had higher stress levels than men (10%), the highest vaccination coverage was 26.7% at a distance of 1-2 KM. The level of stress is in the moderate category 33.3% in the elderly who have never been exposed to Covid-19 and 10% in the elderly who have been exposed. Non-family health workers, 36.7% higher than families of health workers (6.7%). Conclusion: Stress levels before vaccination are higher in the elderly who have never been exposed to Covid-19, compared to those who have been exposed to Covid-19. The need for family assistance to prepare for vaccination in the elderly.

Antecedentes: La pandemia de Covid-19 requiere que el gobierno tome varias medidas de prevención y contramedidas, una de las cuales es el programa de vacunación de Covid-19, sin embargo, el programa experimenta una alta deserción en varias dosis y provoca una respuesta relacionada con el estrés de la inmunización, especialmente en el anciano. Die Forschung zielt darauf ab, Unterschiede im Stresslevel älterer Menschen vor der Covid-19-Impfung festzustellen. Métodos: Estudio descriptivo con la población adulta mayor que se vacunará en el Centro de Salud de Bojong Purbalingga. El muestreo utilizó un muestreo aleatorizado, los criterios de inclusión fueron de 45 a 79 años, con una muestra total de 90 encuestados. Instrumentos de investigación desarrollados por la investigación, relacionados con la vacunación que contienen respuestas cognitivas (como dificultad para concentrarse), respuestas fisiológicas (como dificultad para respirar, labios secos) sentimientos de miedo, ansiedad, confianza en la vacunación. Los datos fueron analizados descriptivamente con porcentajes y proporciones. Resultados: Los resultados mostraron que los niveles de estrés más moderados fueron la mediana edad (22,2%), las mujeres 33,3% presentaron niveles de estrés más altos que los hombres (10%), la mayor cobertura de vacunación fue 26,7% a una distancia de 1­2 KM. El nivel de estrés está en la categoría moderado 33,3% en ancianos que nunca han estado expuestos al Covid-19 y 10% en ancianos que han estado expuestos. Trabajadores de la salud no familiares, 36,7% superior a los familiares de los trabajadores de la salud (6,7%). Conclusión: Los niveles de estrés antes de la vacunación son mayores en los adultos mayores que nunca han estado expuestos a Covid-19, en comparación con aquellos que han estado expuestos a Covid-19. La necesidad de asistencia familiar para preparar la vacunación en los ancianos.