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Jawa timur
INDONESIA
Qanun Medika - Medical Journal Faculty of Medicine Muhammadiyah Surabaya
ISSN : 25412272     EISSN : 25489526     DOI : -
Core Subject : Health,
Arjuna Subject : -
Articles 333 Documents
Relationship between Clinical Examination, Ultrasonography, and Histopathological Findings in Breast Tumors Muh Asri Jaya; Nasrudin Andi Mappaware; Berry Erida Hasbi; Reeny Purnamasari; Febie Irsandy
Qanun Medika - Jurnal Kedokteran FK UMSurabaya Vol 10 No 02 (2026): Qanun Medika Vol 10 No 02 July 2026
Publisher : Universitas Muhammadiyah Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/jqm.v10i02.31552

Abstract

Breast cancer is a global health issue and one of the leading causes of death among women in Indonesia, accounting for approximately 65% of cases. Various factors, such as lifestyle, genetics, and delayed diagnosis, contribute to the high mortality rate. This study aims to analyze the application of triple diagnosis, which includes clinical examination, ultrasound, and histopathology in the diagnosis of breast tumors at Ibnu Sina Hospital in Makassar. This study used an observational analytic design with a cross-sectional approach. A total sampling method was applied to all breast tumor patients who underwent clinical examination, ultrasonography, and histopathological examination during 2023–2024. Data were obtained from medical records and analyzed descriptively using frequencies and percentages. The association between clinical examination, ultrasonography, and histopathological findings was assessed using the Chi-square test. The results showed that most patients were young women and that benign tumors were more common than malignant tumors. Clinical examination and ultrasonography findings were predominantly benign. Histopathological examination showed that fibroadenoma mammae was the most common benign tumor, while invasive breast carcinoma of no special type was the most common malignant tumor. The Chi-square test showed a significant association between clinical examination, ultrasonography, and histopathological findings. These findings indicate diagnostic concordance among the three examination methods and support the role of integrated diagnostic assessment in assisting clinical decision-making for breast tumor management.
The Relationship Between Spirituality and Anxiety Levels in Third-Trimester Pregnant Women Syafiq Putra Adiyatma; Nasrudin Andi Mappaware; Susdiaman; Muhammad Alim Jaya; Zulfitriani Murfat
Qanun Medika - Jurnal Kedokteran FK UMSurabaya Vol 10 No 02 (2026): Qanun Medika Vol 10 No 02 July 2026
Publisher : Universitas Muhammadiyah Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/jqm.v10i02.31553

Abstract

The third trimester is a phase of pregnancy that is prone to increased anxiety before delivery, and spirituality is thought to play an essential role in helping to reduce this anxiety. This study aims to analyze the relationship between spirituality levels and anxiety levels in pregnant women in the third trimester. This study employed an analytical observational design with a cross-sectional approach and was conducted at RSIA Sitti Khadijah 1, Muhammadiyah Branch, Makassar, from November 10 to December 8, 2025. This study employed a total sampling approach to recruit 31 pregnant women in the third trimester who met the inclusion criteria. Spirituality levels were measured using the Daily Spiritual Experience Scale (DSES), and anxiety levels were measured using the Generalized Anxiety Disorder-7 (GAD-7). The results showed that most respondents had minimal anxiety levels (77.4%) and high spirituality levels (83.9%). The correlation test results showed a significant relationship between spirituality levels and anxiety levels (p = 0.000). This study suggests that higher spirituality is associated with lower anxiety levels. Therefore, it can be concluded that spirituality plays a vital role in helping pregnant women manage anxiety before childbirth and can be considered as part of a holistic approach to antenatal care.
Post-Pandemic Measles Resurgence in Indonesia: Longitudinal Evidence of Immunisation Debt Across 34 Provinces, 2018–2024 Dwiva Wulan Guri; Anggita Rana Sasmita Lestari
Qanun Medika - Jurnal Kedokteran FK UMSurabaya Vol 10 No 02 (2026): Qanun Medika Vol 10 No 02 July 2026
Publisher : Universitas Muhammadiyah Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/jqm.v10i02.31842

Abstract

The COVID-19 pandemic disrupted routine immunisation services globally, creating immunisation debt that may drive measles resurgence. This longitudinal ecological study examined measles outbreak (KLB) frequency and MR1 vaccination coverage across 34–38 Indonesian provinces from 2018 to 2024, divided into pre-pandemic (2018–2019), pandemic (2020–2021), and post-pandemic (2022–2024) phases. Data were extracted from the Profil Kesehatan Indonesia 2018–2024. KLB frequency differed significantly across phases (Kruskal-Wallis H = 32.530, p < 0.001): pandemic-era KLB was suppressed to 6–8 events/year, then rebounded to pre-pandemic levels in 2022–2024 (Mann-Whitney U = 3563.5, p = 0.578) despite lower MR1 coverage, peaking at 137 events in 2023. Negative binomial regression indicated the pandemic phase was associated with an 88.0% reduction in KLB frequency (IRR = 0.120, p < 0.001). Exploratory Spearman correlation between MR1 coverage and KLB frequency was non-significant across all strata (pooled rₛ = +0.089, p = 0.165). Thirty-one high-risk province-year observations were identified across 13 provinces, concentrated in Aceh and Papua. Post-pandemic KLB trends are consistent with the immunisation debt hypothesis. Targeted catch-up vaccination and province-specific strategies for Aceh and Papua are urgently needed.