<p>Breast cancer is the most common cancer found in women worldwide, including Indonesia. Breast cancer was the most second cancer-related death in Indonesia with 22,000 mortality cases in 2018. The high mortality rate is worsened by the fact that 80% breast cancer cases in Indonesia was detected when its already in advanced stage, so the morbidity and mortality rate will be high. In response to those problems, we held a community service activity which comprises counselling of breast self-examination (BSE) methods and free breast ultrasonography examination. Counselling was held to improve knowledge and awareness regarding breast cancer, whereas free breast ultrasonography examination was held to give access of one of breast cancer early detection method for community. We found 9 people (16.4% of all participants) who had breast lesion and 11 people (20.0% of all participants) who had lymph node involvement. The mean of age of the community service participants was 47.4 years old, so our community service program is right on the target, matching with the riskiest age group of breast cancer. Improving knowledge and awareness regarding the importance of early detection for breast cancer, then contributing to add breast ultrasonography examination data in Indonesia, especially at Solo, were the aim for this community service program.</p>

Background: Ultrasonography (USG) is still the first imaging modality for initial examination in patients with obstructive jaundice. Abdominal ultrasonography is quite good in seeing the morphology of the biliary tract, although the diagnostic etiological sensitivity of various causes of obstruction is very low. Magnetic resonance cholangio pancreatography (MRCP) is a new technique and can show the same picture as ERCP examination and no contrast media is needed. Aim: Aim for this study is knowing the results of ultrasound diagnostic tests in detecting Obstruction jaundice which was confirmed by the results of MRCP examination at Dr. Moewardi public hospital. Method: This study uses a diagnostic test that assesses sensitivity, big specifications, negative predictive value and positive predictive value of ultrasound in detecting jaundice obstruction confirmed by the results of the MRCP examination. Sampling was done by purposive sampling, on 68 research subjects. Results: This study show the characteristics of jaundice in the form of stones with sensitivity and specificity values ​​of 84% and 83%, positive predictive value 75% and negative predictive value 90% and in biliary tract tumors 83% and 84%, positive predictive value 75% and predictive value negative 90%. Conclusions: Ultrasound has a high sensitivity and specificity value in diagnosing obstructive jaundice in the case of biliary tract stones and biliary tract tumors

Background: Intracranial hemorrhage is a complication of head injury. The initial assessment of the consciousness using Glasgow Coma Scale (GCS) shows severity level of head injury since arriving to the hospital. The GCS score is also known to have association with the presence of intracranial bleeding caused by head injury. This finding helps doctor lived in rural area with no facility of computed tomography (CT) scan to predict the intracranial haemorrhage by assessing the level of consciousness correctly using GCS score. Methods: This study is an observational analytic study using a cross-sectional design. The research was conducted in Dr. Moewardi Hospital for 6 months starting from July to October 2020. The population was all patients with head injury and were then examined by CT scan of head. The 61 subjects were established through the inclusion and the exclusion criteria. Results: There were 61 patients in this study. The reliability test of CT-Scan instrument used Kappa-Cohen test which showed the K value of 0.875 with p < 0.001. The finding of moderate-severe head injury (GCS score 3-12) was associated with the increased risk of intracranial bleeding in head CT scan by 20.70 (5.58-76.77) times significantly higher (p < 0.001). Conclusion: There is significant relationship between the patient's level of consciousness represented by Glasgow Coma Scale (GCS) and the intracranial bleeding based on the head CT scan in the patients with head injuries

COVID-19 merupakan penyakit infeksi yang telah menjangkiti banyak negara di seluruh dunia, termasuk Indonesia. Pemeriksaan RT-PCR merupakan metode standar penegakkan diagnosis COVID-19, namun kapasitas laboratorium di Indonesia belum mampu melakukan pemeriksaan tersebut dalam jumlah adekuat. Rontgen toraks merupakan salah satu modalitas radiologi, yang umum ditemukan dan harganya terjangkau, yang dapat digunakan untuk penapisan pasien suspek COVID-19 sebelum dilakukan pemeriksaan RT-PCR. Rontgen toraks dapat menjadi pilihan modalitas untuk membantu penegakan diagnosis COVID-19 lebih cepat, terutama di daerah dengan fasilitas pemeriksaan RT-PCR yang terbatas. RSUD Dr. Moewardi sebagai salah satu pusat rujukan Posko Kesehatan Siaga COVID-19 di Jawa Tengah melakukan pemeriksaan rontgen toraks sebagai program penapisan dan evaluasi keadaan pasien yang terindikasi terpapar COVID-19. Sejak 4 Mei 2020 hingga 28 Juni 2020, pemeriksaan rontgen toraks sebagai pemeriksaan awal yang dilakukan terhadap 109 subjek dengan lokasi di Instalasi Radiologi RSUD Dr. Moewardi, pemeriksaan kemudian dilanjutkan dengan pemeriksaan RT-PCR. Temuan abnormal pada rontgen toraks didapatkan pada 28 (25,7%) orang dengan adanya infiltrat mendominasi pada 17 (60,7%) orang, diikuti dengan gambaran air bronchogram pada 7 (25%) orang, dan GGO pada 4 (14,3%). Temuan abnormal yang ditemukan pada pemeriksaan rontgen toraks pada orang-orang yang bergejala dapat digunakan sebagai prediktor hasil tes RT-PCR untuk diagnosis COVID-19. Kata kunci: COVID-19, penapisan, rontgen toraks.

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