Kanker payudara merupakan penyebab kematian tertinggi kanker pada perempuan di Indonesia. Hal ini disebabkan penderita kanker payudara pergi ke pelayanan kesehatan saat kanker payudara sudah stadium lanjut. Keterlambatan penanganan ini disebabkan kurangnya pengetahuan masyarakat tentang kanker payudara dan belum tahunya cara periksa payudara sendiri (SADARI) untuk deteksi dini kanker payudara. Penanganan kanker payudara sejak stadium dini diharapkan dapat mengurangi angka kematian dan meningkatkan angka harapan hidup. Pengetahuan kanker payudara dan SADARI di mayoritas masyarakat terutama ibu ibu Semutan Jatimulyo Dlingo masih rendah dan banyak yang belum tahu cara deteksi dini dengan SADARI. Berdasarkan kondisi tersebut, kegiatan pengabdian masyarakat ini bertujuan untuk meningkatkan pengetahuan kanker payudara dan meningkatkan ketrampilan SADARI pada masyarakat Semutan Jatimulyo Dlingo. Kegiatan yang dilakukan adalah pemberian edukasi dengan pemaparan materi dan diskusi, pelatihan ketrampilan SADARI dengan manekin, pelatihan praktek mandiri terbimbing dengan manekin. Tingkat pengetahuan diukur dengan tes sebelum dan sesudah rangkaian seluruh kegiatan. Analisis hasil tes didapatkan hasil terdapat peningkatan pengetahuan setelah edukasi dan pelatihan SADARI dibanding sebelumnya. Kesimpulannya terdapat peningkatan pengetahuan tentang kanker payudara dan ketrampilan SADARI pada masyarakat di Semutan Jatimulyo Dlingo setelah pemberian edukasi dan pelatihan.

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Background: Heart failure is a major health problem in the world. It is associated with high morbidity and high mortality especially in elderly patients. Most studies reported that N terminal pro-B type natriuretic peptide (NT-proBNP) is used in the diagnosis of heart failure, but tests in determining severity levels of heart failure in the elderly remains unclear.Objective: This study is to determine differences of NT-pro BNP levels based on severity of heart failure in elderly patients. Methods: This was an observational study with a cross sectional design. Its subjects were patients with heart failure and age of ≥ 60 years. Patients were divided into two groups: mild and severe heart failure groups according to severity of heart failure based on New York Heart Association (NYHA). The NT Pro-BNP levels were measured for all subjects in both groups. All obtained data was analysed by using unpaired t test and was considered significant if p <0.05. Results: This study involved 24 subjects. The mean age of the subjects was 64.50 ± 4.65 years with a minimum age of 60 years and a maximum age of 78 years. The NT pro-BNP levels in the severe heart failure group (1.2587.58 ± 574.85 pg/ml) was higher than the mild heart failure group (867.83 ± 333.27 pg/ml), andit was statistically significant with p = 0.040. Conclusion:The levels of NT-pro BNP serum in the elderly patients with severe heart failure (NYHA III-IV) were significantly higher than in patients with mild heart failure (NYHA I-II).

Covid-19 pandemic has been spreading throughout the world for almost 2 years. Hypertension was one of the most common comorbidities among Covid-19 patients. We conducted this study to investigate the correlation between hypertension and mortality in Covid-19 patients. We collected 159 medical records of Covid-19 patients at dr. Soehadi Prijonegoro Hospital, Sragen, Central Java, Indonesia between March 2020 and March 2021, which met the following inclusion criteria: diagnosed as Covid-19 from RT PCR or Antigen test of SARS-CoV-2, age more than 18 years old, inpatient hospitalization and had complete medical record data. We investigated the independent variables i.e. sex, age, length of stay in hospital, antiviral treatment, oxygen saturation and history of hypertension, increased blood pressure upon arrival, and a dependent variable i.e. mortality. We used Chi-square and logistic regression to analyze the correlation between the independent variables with mortality. Using Chi-square analysis we found that there was no significant correlation between sex (p 0.604) and history of hypertension (p 0.378) with mortality. However, there was a significant correlation between mortality and the following variables: length of stay more than 14 days, decreased oxygen saturation (<93%) upon arrival, age more than 60 years, using Favipiravir rather than Remdesivir as antiviral treatment, and increased blood pressure upon arrival (p 0.000; 0.000; 0.004; 0.021; 0.049 accordingly). Logistic regression showed that length of stay of more than 14 days, oxygen saturation of less than 93% upon arrival, age more than 60 years, and hypertension upon arrival were significantly correlated with mortality among Covid-19 patients (p 0,000; 0,000, 0,005 and 0,049 respectively). History of hypertension was not found to be correlated with mortality among Covid-19 patients. However, increased blood pressure upon arrival was significantly correlated with mortality in Covid-19 patients, along with other factors such as age more than 60 years, decreased oxygen saturation upon arrival, and length of stay more than 14 days.