cancer is a malignant tumor that begins in the cells in the breast derived from normal cells in the breast can come from the mammary glands, milk ducts, or supporting tissues such as fat. Delay in cancer management can be caused by several things, namely patient delay, doctor or medical personnel's ignorance (doctor delay) and pre-hospital delay (pre-hospital delay). Hospital delay is also a cause of delay in treatment in breast cancer patients, namely the time from the patient's arrival to the point of care until the start of the prescribed medical therapy guidelines. From some of these causes, it can also be grouped the factors that cause cancer delay in the form of predisposing factors, precipitation factors and supporting factors. The purpose of this study was to determine how the factors of delay in breast cancer treatment were treated at the Cut Meutia General Hospital, Aceh Utara. This type of research is descriptive analytic with a retrospective approach. The population in this study were inpatients and outpatients for breast cancer totaling 85 respondents using the Lemeshow formula. The results of the study showed that the value of knowledge was 37 people (43.5%), there was fear as many as 56 people (65.9%), low socioeconomic conditions as many as 40 people (47.1%), affordable health facilities were 64 people (75.3%), had insurance. As many as 77 people (90.6%), had visited alternative medicine as many as 49 people (57.6%) and had family support as many as 65 people (76.5%). The conclusion of this research is the importance of BSE (Breast Self-Examination) education to the public.
Located at Bersia Timur, the Rafflesia Conservation and Interpretive Centre (RCIC) was initiated by the Forest Research Institute Malaysia (FRIM) and FELDA to boost research and conservation efforts of the iconic Rafflesia species in the state of Perak. It also plays a role in supporting the economy of local communities by promoting local eco-tourism, providing trainings to local tour-guides and involving them in conserving the Rafflesia population. As part of the R & D and conservation effort, genetic diversity assessment of Rafflesia cantleyi from RCIC and Gerik Forest Reserve (FR) was carried out. Bract samples from a total of eight and 35 R. cantleyi individuals of different flowering / anthesis stages were collected from RCIC and Gerik FR, respectively. We used nine polymorphic microsatellite markers for genotyping. Despite the small sample size (∼75% lesser compared with Gerik FR), the total number of alleles observed in RCIC is > 50% than that of Gerik FR, i.e., 33 compared to 57. The genetic diversity measure in terms of observed (Ho) and expected (He) heterozygosities from both sites are comparable (RCIC: Ho = 0.5298, He = 0.5347; Gerik FR: Ho = 0.5145, He = 0.5868). Our findings suggest that the R. cantleyi population in Gerik FR is a suitable source for future translocation activities.
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