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All Journal Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Education JKKI : Jurnal Kedokteran dan Kesehatan Indonesia
Aditya, Azriel Farrel Kresna
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Health Professions Medicine & Pharmacology Public Health

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Paper-Based versus Mobile Apps for Colorectal Cancer Screening in COVID-19 Pandemic Setting Handaya, Adeodatus Yuda; Hardianti, Mardiah Suci; Rinonce, Hanggoro Tri; Werdana, Victor Agastya Pramudya; Fauzi, Aditya Rifqi; Andrew, Joshua; Hanif, Ahmad Shafa; Tjendra, Kevin Radinal; Aditya, Azriel Farrel Kresna
Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Education Vol. 11 No. 1 (2023): Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Educatio
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jpk.V11.I1.2023.19-25

Abstract

Background: The incidence of colorectal cancer (CRC) in Asia has kept increasing in the last decade. The morbidity and mortality for CRC can be reduced with early detection; however, mass CRC screening with imaging modalities such as colonoscopy, CT scan, or MRI is unfeasible in developing countries such as Indonesia. Asia Pacific Colorectal Screening (APCS) is utilized to stratify individual CRC risk. Online screening via mobile application is an alternative method to ensure the continuity of community screening without risking COVID-19 transmission. Objective: We conducted a descriptive study to evaluate CRC risk using APCS in two different villages. Methods: This is a cross-sectional study involving 925 and 207 subjects in 2019 and 2020, respectively. The APCS survey in 2019 was done before the COVID-19 pandemic with paper-based questionnaires and direct assessment by door-to-door approach. Meanwhile, the APCS survey in 2020 was done during the COVID-19 pandemic using websites and mobile apps available for Android and iOS. We gathered participants' characteristics and the APCS score in both groups and tabulated them. Results: In 2019, out of 925 subjects; 472 (51%) have been classified an average risk of CRC, 370 (40%) have been classified as having a moderate risk of CRC, and 83 (9%) have been classified as in high risk of CRC. In 2020, out of 207 subjects; 106 (51.2%) have been classified as the average risk of CRC, 86 (41.5%) have been classified as the moderate risk of CRC, and 15 (7.3%) have been classified as high risk of CRC. Conclusion: Although there was a decrease in the participation of the screening program with mobile applications in the pandemic era compared with paper-based questionnaires before the pandemic era, online screening using APCS in mobile applications is a preferred alternative for an effective screening method in this pandemic and possibly in the future in Indonesia.
Jejunal intussusception caused by metastatic scalp melanoma with synchronous gallbladder involvement: A case report Handaya, Adeodatus Yuda; Aditya, Azriel Farrel Kresna; Tianty, Belvia Adelaida Maia
JKKI : Jurnal Kedokteran dan Kesehatan Indonesia JKKI, Vol 17, No 1, (2026)
Publisher : Faculty of Medicine, Universitas Islam Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20885/JKKI.Vol17.Iss1.art14

Abstract

Adult jejunal intussusception due to metastatic melanoma originating from a scalp lesion represents an uncommon clinical entity. Despite being a relatively rare form of skin cancer, melanoma is known for its aggressive behaviour and high metastatic capacity. Although metastases to the gallbladder are infrequent, melanoma is considered the most prevalent source of secondary tumours in this organ. Gallbladder metastases often resemble asymptomatic polyps, solid lesions, or cholecystitis. These lesions are increasingly identified as incidental findings due to the advances in medical imaging. In this case, multislice computed tomography (MSCT) served as the primary diagnostic modality, identifying both the jejunal intussusception with an intraluminal lead point and multiple gallbladder polyps. We report a clinical course of a 65-year-old man with a history of scalp melanoma who presented with gastrointestinal symptoms. The patient underwent exploratory laparotomy, segmental resection of the jejunum with primary anastomosis, and cholecystectomy. Histopathological findings confirmed the diagnosis of metastatic melanoma involving the resected tissues. This report emphasizes an imperative of continuous monitoring and an early detection in melanoma survivors, as well as a critical role of timely surgical intervention in managing metastatic manifestations.
Co-Authors Adeodatus Yuda Handaya Andrew, Joshua Fauzi, Aditya Rifqi Hanggoro Tri Rinonce Hanif, Ahmad Shafa Mardiah Suci Hardianti Tianty, Belvia Adelaida Maia Tjendra, Kevin Radinal Werdana, Victor Agastya Pramudya