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All Journal Community Empowerment Homeostasis: Jurnal Mahasiswa Pendidikan Dokter
Budiwinata, Winardi
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Arts Humanities Biochemistry, Genetics & Molecular Biology Education Immunology & microbiology Medicine & Pharmacology Public Health Social Sciences

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HUBUNGAN USIA DENGAN DERAJAT DIFERENSIASI KANKER PAYUDARA PADA WANITA Hasfira, Fairuz Izdihar; Oktaviyanti, Ika Kustiyah; Budiwinata, Winardi; Priyono, Sasongko Hadi; Rosida, Lena
Homeostasis Vol 7, No 2 (2024)
Publisher : Universitas Lambung Mangkurat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20527/ht.v7i2.13219

Abstract

Abstract: Breast cancer is a type of cancer that starts in the breast tissue and spreads to the duct or lobule epithelium. As people age, the incidence of breast cancer rises. The aim of this research is to determine the correlation between age and the level of breast cancer differentiation in female patients at RSUD Ulin Banjarmasin. This study used a cross-sectional technique and an analytical observational research design. Purposive sampling was the method used to collect the samples. A total of 64 breast cancer slides met the inclusion criteria for the sample size. A 95% confidence level was used to evaluate the relationship between the two variables using the chi-square test. People under the age of 40 received grade 1 (8.7%), grade 2 (39.1%) and grade 3 (52.2%), while people beyond the age of 40 received grade 1 (14.6%), grade 2 (63.4%), and grade 3 (22%). The chi-square statistical results suggest p-value=0,047. The results showed a correlation between a woman's age and the degree of breast cancer differentiation at RSUD Ulin Banjarmasin. Keywords: breast cancer, grade, age  Abstrak: Kanker payudara ialah suatu keganasan pada jaringan payudara yang berasal dari epitel duktus ataupun lobulus. Insiden dari kanker payudara meningkat sejalan dengan bertambahnya usia. Derajat diferensiasi ialah ukuran perbandingan sel kanker dengan sel normal yang membantu dalam memprediksi prognosis. Penelitian ini memiliki tujuan untuk mengetahui apakah adanya hubungan antara usia dengan derajat diferensiasi kanker payudara pada wanita. Penelitian ini memakai rancangan penelitian observasional analitik melalui pendekatan cross sectional. Sampel diambil melalui teknik purposive sampling. Sampel yang memenuhi inklusi ialah 64 slide kanker payudara. Hubungan dari kedua variabel dianalisis menggunakan uji chi-square dengan tingkat kepercayaan 95%. Usia ≤40 tahun didapatkan grade 1 (8,7%), grade 2 (39,1%), dan grade 3 (52,2%), sedangkan usia >40 tahun didapatkan grade 1 (14,6%), grade 2 (63,4%), dan grade 3 (22%). Hasil dari statistik chi-square menunjukkan p-value=0,047. Penelitian ini mendapatkan hasil bahwa adanya hubungan antara usia dengan derajat diferensiasi kanker payudara pada wanita di RSUD Ulin Banjarmasin. Kata-kata kunci: kanker payudara, derajat diferensiasi, usia
HUBUNGAN FAKTOR PREDISPOSISI DENGAN KETERLAMBATAN BEROBAT PASIEN KANKER PAYUDARA LANJUT LOKAL Juliana, Adies; Budiwinata, Winardi; Oktaviyanti, Ika Kustiyah
Homeostasis Vol 7, No 2 (2024)
Publisher : Universitas Lambung Mangkurat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20527/ht.v7i2.13175

Abstract

Abstract: Breast cancer patients often come to the doctor diagnosed at a locally advanced stage. The cause of delay in treatment is influenced by predisposing factors, namely knowledge, family history, education level, attitude, action to seek health facilities, fear, and family income. The study aimed to analyze the relationship between predisposing factors and the delay in treatment of locally advanced breast cancer patients. The study used an analytic observational method with a cross sectional approach. The study respondents were 51 patients with locally advanced breast cancer who sought treatment at the Oncology Surgery Polyclinic and were recorded in the medical records of RSUD Ulin Banjarmasin for the period January 2020-November 2023. Data were collected based on a questionnaire of predisposing factors for delay in treatment. Data analysis used Fisher's test on SPSS and was said to have a significant relationship if p < 0.05. As a result, the majority of respondents were in the inoperable category 96.1% with poor knowledge (84.3%; p=0.022), low education level (51%; p=1), no family history (56.9%; p=0.5), poor attitude (92.2%; p=0.152), poor action to seek health facilities (90.2%; p=0.188), fear of symptoms (82.4%; p=0.152), and low family income (60.8%; p=1). In conclusion, there was a significant association between knowledge and delay in seeking treatment for locally advanced breast cancer patients. Meanwhile, the level of education, family history, attitude, action to seek health facilities, fear and family income did not have a significant relationship with the delay in treatment of locally advanced breast cancer patients. Keywords: breast cancer, locally advanced, predisposing factor, treatment delay Abstrak: Pasien kanker payudara seringkali datang ke dokter terdiagnosis pada stadium lanjut lokal. Penyebab keterlambatan berobat tersebut dipengaruhi oleh faktor predisposisi, yaitu pengetahuan, riwayat keluarga, tingkat pendidikan, sikap, tindakan mencari fasilitas kesehatan, rasa takut, dan penghasilan keluarga. Penelitian bertujuan menganalisis hubungan faktor predisposisi dengan keterlambatan berobat pasien kanker payudara lanjut lokal. Penelitian menggunakan metode observasional analitik dengan pendekatan cross sectional. Responden penelitian adalah 51 pasien kanker payudara lanjut lokal yang berobat ke Poliklinik Bedah Onkologi dan terdata di rekam medis RSUD Ulin Banjarmasin periode Januari 2020-November 2023. Data dikumpulkan berdasarkan kuesioner dan analisis data menggunakan uji Fisher pada SPSS, dikatakan memiliki hubungan signifikan apabila p < 0,05. Hasilnya, mayoritas responden dalam kategori inoperable 96,1% dengan pengetahuan kurang (84,3%; p=0,022) tingkat pendidikan rendah (51%; p=1), tidak memiliki riwayat keluarga (56,9%; p=0,5), sikap kurang (92,2%; p=0,152), tindakan mencari fasilitas kesehatan kurang (90,2%; p=0,188), takut gejala (82,4%; p=0,152), dan penghasilan keluarga rendah (60,8%; p=1). Kesimpulannya, terdapat hubungan signifikan antara pengetahuan dengan keterlambatan berobat pasien kanker payudara lanjut lokal. Aspek tingkat pendidikan, riwayat keluarga, sikap, tindakan mencari fasilitas kesehatan, rasa takut dan penghasilan keluarga tidak terdapat hubungan signifikan dengan keterlambatan berobat pasien kanker payudara lanjut lokal. Kata-kata kunci: kanker payudara, stadium lanjut lokal, faktor predisposisi, keterlambatan berobat
HUBUNGAN DERAJAT DIFERENSIASI DENGAN JUMLAH SEL RADANG LIMFOSIT PADA HISTOPATOLOGI KANKER KOLOREKTAL Wahyuni, Dina; Wibowo, Agung Ary; Oktaviyanti, Ika Kustiyah; Budiwinata, Winardi; Rosida, Lena
Homeostasis Vol 6, No 3 (2023)
Publisher : Universitas Lambung Mangkurat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20527/ht.v6i3.11450

Abstract

Colorectal cancer is the third most common cause of death in the world. Colorectal cancer was ranked third in Indonesia. Colorectal cancer patients had a statistically significant difference in lymphocyte inflammatory cell values compared to healthy controls. Colorectal cancer patients had much higher lymphocyte inflammatory cell values than healthy controls. Lymphocyte infiltration can provide additional prognostic information for treatment options in some situations. Histopathology is an essential factor in determining the diagnosis, treatment management, and prognosis. Histopathological examination of the degree of differentiation can determine whether a neoplasm is malignant. The prognosis of colorectal cancer depends on the presence or absence of metastases and the degree of differentiation; with a histopathological examination, we can see the spread of inflammatory cell infiltration at the degree of differentiation which can be used to determine the prognosis of colorectal cancer. The normality test results of the p-value of inflammatory lymphocyte cells were <0.001. Correlation data analysis using the rank-spearman test showed p>0.05 in colorectal cancer patients at Ulin Hospital Banjarmasin. 
HUBUNGAN RIWAYAT KELUARGA DENGAN KEJADIAN KANKER PAYUDARA USIA MUDA DI RSUD ULIN BANJARMASIN Zakia, Sukma Dina; Oktaviyanti, Ika Kustiyah; Budiwinata, Winardi; Rahman, Eka Yudha; Rosida, Lena
Homeostasis Vol 7, No 3 (2024)
Publisher : Universitas Lambung Mangkurat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20527/ht.v7i3.14601

Abstract

Abstract: Breast cancer is a malignant tumor that grows in breast tissue. Family history is the main risk factor for breast cancer because it plays a role in 5-10% of breast cancer cases. This is related to the inheritance of BRCA1 and BRCA2 gene mutations which are more often found at young ages compared to older ages. The research aims to analyze the relationship between family history and the incidence of breast cancer in young people at Ulin Hospital, Banjarmasin. Analytical observational research method, cross sectional design. The sample was taken as a total sampling of breast cancer patients who sought treatment at the Surgical Oncology Polyclinic, Ulin Banjarmasin Regional Hospital for the period January 2020-November 2023 according to the inclusion and exclusion criteria. Data was taken using a questionnaire and analyzed using Fisher's test. The results obtained were respondents who had a family history at a very young age (27.3%), young age (72.7%), who had no family history at a very young age (3.6%), young age (96.4%). ), p-value=0.034. The conclusion is that there is a significant relationship between family history and the incidence of breast cancer at a young age. Keywords: breast cancer, young age, family history. Abstrak: Kanker payudara adalah tumor ganas yang tumbuh dalam jaringan payudara. Riwayat keluarga merupakan faktor risiko utama kanker payudara dikarenakan berperan pada 5-10% kasus kanker payudara. Hal ini berkaitan dengan pewarisan mutasi gen BRCA1 dan BRCA2 yang lebih sering ditemukan pada usia muda dibandingkan usia yang lebih tua. Penelitian bertujuan untuk menganalisis hubungan riwayat keluarga dengan kejadian kanker payudara usia muda di RSUD Ulin Banjarmasin. Metode penelitian observasional analitik, desain cross sectional. Sampel diambil secara total sampling pasien kanker payudara yang berobat ke Poliklinik Bedah Onkologi RSUD Ulin Banjarmasin periode Januari 2020-November 2023 sesuai kriteria inklusi dan eksklusi. Data diambil menggunakan kuesioner dan dianalisis dengan uji Fisher. Hasil didapatkan responden yang memiliki riwayat keluarga pada usia sangat muda (27,3%), usia muda (72,7%), yang tidak memiliki riwayat keluarga pada usia sangat muda (3,6%), usia muda (96,4%), p-value=0,034. Kesimpulan terdapat hubungan yang bermakna antara riwayat keluarga dengan kejadian kanker payudara usia muda. Kata-kata kunci: kanker payudara, usia muda, riwayat keluarga.
HUBUNGAN PAPARAN ASAP ROKOK DENGAN KEJADIAN KANKER PAYUDARA PADA USIA MUDA Ambarita, Winona Vida Vita Nathania; Budiwinata, Winardi; Oktaviyanti, Ika Kustiyah; Priyono, Sasongko Hadi; Rosida, Lena
Homeostasis Vol 7, No 3 (2024)
Publisher : Universitas Lambung Mangkurat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20527/ht.v7i3.14611

Abstract

Abstract: Breast cancer is often discovered and diagnosed at a young age which is associated with family history, gene mutations, and poor lifestyle. One of the risk factors is exposure to cigarette smoke. The aim of the research is to determine whether there is a relationship between exposure to cigarette smoke and the incidence of breast cancer at a young age at Ulin Regional Hospital, Banjarmasin. Analytic observational research method, cross sectional research design. Total sampling of breast cancer patients who seek treatment at the Oncology Surgery Polyclinic of Ulin Banjarmasin Hospital for the period January 2020-November 2023 according to the inclusion and exclusion criteria. Data collection using questionnaires related to cigarette smoke exposure. Analysis using the Fisher test. The results were young breast cancer respondents exposed to cigarette smoke (91.1%), very young age exposed to cigarette smoke (8.9%), young age not exposed to cigarette smoke (40.0%) and very young age not exposed to cigarette smoke (60.0%) with a p-value = 0.016. In conclusion, there is a significant relationship between exposure to cigarette smoke and the incidence of breast cancer at a young age. Keywords: breast cancer, young age, cigarette smoke exposure Abstrak: Kanker payudara sering ditemukan dan didiagnosa pada usia muda yang dikaitkan dengan riwayat keluarga, mutasi gen, serta gaya hidup yang buruk. Salah satu faktor risiko yaitu terpapar asap rokok. Tujuan penelitian mengetahui apakah terdapat hubungan paparan asap rokok dengan kejadian kanker payudara pada usia muda di RSUD Ulin Banjarmasin. Metode penelitian observasional analitik, desain penelitian cross sectional. Pengambilan sampel total sampling pasien kanker payudara yang berobat ke Poliklinik Bedah Onkologi RSUD Ulin Banjarmasin periode Januari 2020-November 2023 sesuai kriteria inklusi dan ekslusi. Pengambilan data menggunakan kuesioner terkait paparan asap rokok. Analisis menggunakan uji Fisher. Hasilnya responden kanker payudara usia muda yang terpapar asap rokok (91,1%), usia sangat muda yang terpapar asap rokok (8,9%), usia muda yang tidak terpapar asap rokok (40,0%) dan usia sangat muda yang tidak terpapar asap rokok (60,0%) dengan p-value = 0,016. Kesimpulannya terdapat hubungan bermakna antara paparan asap rokok dengan kejadian kanker payudara pada usia muda. Kata-kata kunci: kanker payudara, usia muda, paparan asap rokok.
Enhancing healthcare professionals’ capacity in early detection of prostate cancer Rahman, Eka Yudha; Panghiyangani, Roselina; Kania, Nia; Sutapa, Hendra; Yulizar, Deddy Rasyidan; Budiwinata, Winardi; Skripsiana, Nika Sterina; Rachman, M. Fathur; Fatharoni, Gusti Dicky; Fahdyanoor, Fahdyanoor
Community Empowerment Vol 10 No 5 (2025)
Publisher : Universitas Muhammadiyah Magelang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31603/ce.12241

Abstract

Prostate cancer is globally the second most common malignancy and the sixth leading cause of cancer-related death in men. The growing elderly population in Banjarbaru City, South Kalimantan, further elevates the risk of prostate cancer incidence in the region. Therefore, this community service initiative aimed to improve the knowledge and skills of healthcare professionals serving the elderly within the working area of the Banjarbaru City Health Office in early detection and prevention of prostate cancer. The activity was conducted as a comprehensive training involving 20 healthcare professionals, encompassing both theoretical and practical sessions. Training outcomes revealed a significant increase in participants' knowledge, evidenced by an average pre-test score of 55.91 which rose to an average post-test score of 84.35. Additionally, there was a noticeable improvement in healthcare professionals' skills in performing early detection and preventive measures for prostate cancer. Overall, this training successfully enhanced the capacity of healthcare professionals in Banjarbaru City in the early management of prostate cancer.
Co-Authors Agung Ary Wibowo, Agung Ary Ambarita, Winona Vida Vita Nathania Eka Yudha Rahman Fahdyanoor, Fahdyanoor Fatharoni, Gusti Dicky Hasfira, Fairuz Izdihar Ika Kustiyah Oktaviyanti Juliana, Adies Lena Rosida Nia Kania Priyono, Sasongko Hadi Rachman, M. Fathur Roselina Panghiyangani Skripsiana, Nika Sterina Sutapa, Hendra Wahyuni, Dina Yulizar, Deddy Rasyidan Zakia, Sukma Dina