<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>
<p class="AbstractNormal"><strong>Pendahuluan: </strong>Penurunan fungsi kognitif merupakan penyebab utama disabilitas dan ketergantungan akan perawatan lansia. Pemeriksaan dengan pencitraan memungkinkan kita untuk mengetahui perubahan struktural otak yang dapat menjadi prediktor munculnya demensia. Penelitian mengenai topik ini masih jarang dilakukan di Indonesia. Oleh karena itu, penelitian ini dilaksanakan untuk mempelajari hubungan antara hasil penilaian fungsi kognitif dengan <em>mini mental state examination</em> (MMSE) dan hasil CT scan kepala pasien lansia, yang distandarisasi dengan kriteria penilaian skala <em>global cortical atrophy </em>(GCA).</p><p class="AbstractNormal"><strong>Metode:</strong><strong> </strong>Penelitian ini merupakan penelitian kuantitatif dengan metode observasi. Populasi yang diteliti merupakan pasien yang berusia ≥60 tahun, menjalani pemeriksaan CT scan kepala pada tahun 2021, dan mampu menjalani pemeriksaan MMSE selama periode pengambilan data penelitian. Sampel diambil dengan <em>the</em> <em>rule of thumb </em>sebanyak 30 orang. Analisis data dilakukan dengan uji korelasi Rank Spearman.</p><p class="AbstractNormal"><strong>Hasil:</strong><strong> </strong>Penelitian ini diikuti oleh 18 pasien perempuan dan 12 pasien laki-laki. Sebagian besar pasien memiliki fungsi kognitif yang normal dengan rata-rata skor MMSE 26 (±3,42) dan skala GCA 1 - 2. Terdapat korelasi negatif yang signifikan secara statistik (r=-0,546/p<0,002) antara fungsi kognitif berdasarkan skor MMSE dengan hasil pemeriksaan CT scan kepala pasien lansia.</p><strong>Kesimpulan: </strong>Terdapat hubungan negatif berkekuatan moderat antara fungsi kognitif berdasarkan skor MMSE dengan hasil pemeriksaan CT scan kepala pasien lansia.
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
<p><strong>Latar belakang dan tujuan</strong> : Kanker merupakan penyebab kematian tertinggi setelah penyakit kardiovaskuler (jantung dan stroke). Penyakit kanker banyak memakan korban meninggal karena kebanyakan baru terdeteksi saat sudah memasuki stadium lanjut sehingga sulit disembuhkan.. Pada wanita kanker yang terbanyak adalah kanker payudara dan kanker leher rahim. Oleh karena itu perlu usaha pencegahan dan deteksi dini pada kanker payudara dan kanker leher rahim apalagi pada masa pandemic dimana akses ke fasilitas kesehatan terbatas.</p><p><strong>Metode Pelaksanaan</strong> : Kegiatan pengabdian masyarakat berupa seminar daring untuk memberikan pemahaman tentang kanker payudara dan kanker leher rahim meliputi gejala-gejala awal, cara deteksi dini, pencegahan dan tatalaksana apabila sudah didapatkan kanker. Peserta yang terdaftar sejumlah 164 orang dari berbagai kalangan masyarakat dan berbagai wilayah di Indonesia. Pada hari H seminar peserta yang hadir mencapai 121 orang, peserta antusias mengikuti presentasi dan diskusi hingga akhir acara. </p><p><strong>Hasil dan Pembahasan</strong> : Setelah acara dilakukan survey tentang sikap dan pemahaman mengenai kanker payudara dan kanker leher rahim. Sebanyak 89,6 persen khawatir kalau-kalau menderita kanker dan sebanyak 96,9 % responden berusaha mencari informasi tentang kanker, dengan demikian seminar daring ini dapat menjebatani masyarakat untuk mencari informasi yang tepat tentang kanker. Dari hasil survey pemahaman tentang kanker payudara dan kanker leher rahim diperoleh nilai rata-rata 90,73 namun ada beberapa hal penting seperti penyebab kanker leher rahim, penyeberan dan factor yang berpengaruh pada kanker payudara masih belum paham (yang menjawab benar 11 s/d 20 % responden). Peserta webinar mendapatkan sertifikat dan juga doorprize berupa masker. Setelah acara seminar peserta memberikan respon positif untuk ditindaklanjuti dengan acara berikutnya,</p><p><strong>Kata kunci</strong> : penyuluhan, kanker payudara, kanker leher rahim, deteksi dini</p>
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