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All Journal Indonesian Journal of Medicine International Journal of Community Service
Putra, Benaya
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Counseling on Iron Deficiency Anemia in Pregnant Women as an Effort to Prevent Stunting in Sukasirnarasa Village Sitompul, Yunita R.M.B; Sintabella, Amanda; Novelyn, Silphia; Putra, Benaya; Apriliani, Lucyana Lettisia
International Journal Of Community Service Vol. 5 No. 2 (2025): May 2025 (Indonesia - Malaysia - Timor-Leste)
Publisher : CV. Inara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51601/ijcs.v5i2.852

Abstract

Stunting and anemia are quite serious public health problems, especially in areas with high poverty rates and limited access to health services. Several contributing factors include lack of knowledge about nutrition, unbalanced diets, and limited access to health services. One of the factors that contributes to stunting is anemia in pregnant women. Given these conditions, efforts are needed to increase public understanding of anemia and stunting and prevent stunting from pregnancy. These efforts were realized through health education activities carried out in September 2023 in Sukasirnarasa Village, Sumedang Regency, West Java. Participants were 10 posyandu cadres and pregnant women. The service activity was in the form of education about iron deficiency anemia. The success of this activity was evaluated through measuring achievement indicators using a pretest and posttest with a true-false test type. The evaluation results showed an increase in participant understanding by 15.7% after participating in the education. This increase indicates that health education activities regarding stunting prevention through anemia prevention in pregnant women have been successfully implemented and achieved the expected goals..
The Diagnostic and Therapeutic Challenges of A Progressive Male Breast Cancer with Brain Metastases: A Case Report Putra, Benaya; Hamdani, Fakhriel Muhammad; Afnan, Alvin
Indonesian Journal of Medicine Vol.11 No.2 (2026)
Publisher : Masters Program in Public Health, Sebelas Maret University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/theijmed.2016.1.2.927

Abstract

Background: Male breast cancer (MBC) is a rare malignancy that is often associated with advanced stages and poor prognosis due to lack of public awareness and early screening, along with stigmatization of the disease. Aims: This case report aims to highlight the diagnostic and therapeutic challenges of rapidly-progressive MBC in resource-limited healthcare, particularly those compounded by systemic and patient-attributable delays, and emphasize the importance of prevention and early detection of breast cancer in the male population. Subject report: We report the case of a 71-year-old man with a three-month history of a progressively enlarging lump on right breast, weight loss, and right-sided hemiparesis. Medical history included chronic heart failure, dyslipidemia, heavy smoking, and labour work background. The diagnosis of invasive ductal breast carcinoma was established through clinical assessment, imaging, and biopsy. Results: The patient underwent primary tumor resection (PTR) in the form of radical mastectomy, where the main purpose was tumor debulking, revealing tumor invasion into the pectoralis major muscle (pT4 disease). The clinical course was severely impacted by Treatment Delay, encompassing Provider Delay and Patient Delay, which was caused by logistical, operational, and policy barriers. This delay critically postponed the scheduled non-contrast computed tomography (CT) of the head. The delayed CT subsequently revealed multiple metastases. The patient was then referred for immunohistochemistry (IHC) evaluation and systemic therapies but passed away before the scheduled workup due to a declining neurological state from confirmed brain metastases. Conclusion: This case underscores how the challenges of rapidly progressive MBC with brain metastases, combined with a variety of delays and constrained treatment options, resulted in a poor outcome. It highlights the critical need for increased awareness, stigma reduction, and streamlined resource pathways to improve early detection and timely intervention in resource-limited settings.
Co-Authors Afnan, Alvin Apriliani, Lucyana Lettisia Hamdani, Fakhriel Muhammad Novelyn, Silphia Sintabella, Amanda Sitompul, Yunita R.M.B