Annual mammography remains the gold standard of asymptomatic breast cancer screening for women starting at the age of 40. However, Indonesia has not designated mammography as its national screening ...program. To help policymakers decide whether mammography should be introduced into a national program, it is important to comprehensively understand the knowledge and acceptance of both consumers and providers. A total of 25 subjects including a range of women and health care professionals (HCPs) in Yogyakarta Province were recruited using purposive, maximum variation sampling and then interviewed in-depth. The interviews were recorded and all data were taken and transcribed from the audio recording, which were subsequently translated to English and analyzed thematically. Almost all of Yogyakarta women had heard about the term of mammography. However, only few of them have let themselves be screened, mainly because of their perceived lack of urgency to screen for asymptomatic breast cancer. Another important reason was the high cost of mammography. Meanwhile, several HCPs believed that breast cancer has not been a priority for the government and hence the government limited mammography screening’s access and excluded it from the national insurance coverage. Most women in Yogyakarta have a good understanding about breast cancer screening, but their acceptance of mammography as a breast cancer screening tool is significantly influenced by high cost, limited access, and lack of urgency.
Although mammography is the gold standard for breast cancer screening, the World Health Organization recommends clinical breast examination (CBE) as the preferred early detection method in countries ...with limited resources. However, its effectiveness as a 'stand-alone' screening modality compared with other techniques remains unclear. Therefore, we evaluated a risk-based opportunistic breast cancer screening programme using three modalities. Between June and December 2018, we conducted a cross-sectional study in Yogyakarta, Indonesia, of women aged >40 years with at least one risk factor for breast cancer. Subjects underwent CBE, mammography, and ultrasonography. We calculated the proportion of breast lesions detected through each modality and compared their mass size. A total of 503 eligible subjects were screened. Five cases of potential malignant lesions were detected; pathological tests conducted for 4 of them confirmed breast cancer diagnoses. A combined assessment of mammography and ultrasonography examinations revealed 343 breast lesions (68.2%), whereas CBE screening detected only 76 breast lesions (15.1%). The mean lesion sizes detected by mammography or ultrasonography, but not through CBE, were significantly smaller (p-values of 0.037 and 0.007 for mammography and ultrasonography, respectively). In conclusion, mammography and ultrasonography produced higher detection rates for benign and malignant breast lesions compared with CBE.
Severe diarrhea from rotavirus remains an important cause of illness in infants. In this trial, investigators in Indonesia assessed the potential benefit of a neonatal rotavirus vaccine.
Cognitive Behavioral Therapy (CBT) has been proven an effective treatment for anxiety disorders. However, CBT still dominantly uses concepts and constructs rooted in Western cultures, and most ...research focuses on Western populations. It is unsure how this translates to non-Western cultures like Southeast Asia.
Our objective is to explore which types of cultural adaptations in CBT have been implemented for anxiety disorders in Southeast Asia and their effectiveness.
We systematically searched PubMed, PsycINFO, Embase, CENTRAL, GARUDA, and Google Scholar for CA-CBT for anxiety disorders in local communities in Southeast Asian countries. Data were analyzed using a narrative approach distinguishing between peripheral and core component adaptations. PROSPERO database preregistration number was CRD42022336376.
Seven studies (one randomized controlled trial, three quasi-experimental studies, and three case reports) were selected. Two studies made cultural adaptations in multiple components. Two studies modified core treatment components by incorporating local values in the CBT restructuring process. Three studies conducted cultural adaptation on peripheral treatment components: adaptation to materials and semantics, cultural examples and themes, and session structure. Three studies did not provide detailed information. One RCT study showed better improvement for those who got CA-CBT than those in treatment as usual (TAU).
The findings suggest some components to consider when conducting cultural adaptation. We could not establish the degree of superiority of CA-CBT over non-CA-CBT nor identify components with the most influence due to the limited number of studies found. Employing standard documentation in reporting trials is also important to increase transparency.
•Studies on Culturally Adapted CBT (CA-CBT) focusing on anxiety disorders in Southeast Asia are still very limited.•Types of CA-CBT implemented in Southeast Asia could be a modification in the core or/and peripheral treatment components.•One RCT study showed that participants who got CA-CBT improved better than those in treatment as usual (TAU).•Employing standard reporting for trials is very important to increase the transparency of the research.
Latar Belakang: Permintaan pemeriksaan radiologi di kalangan profesional kesehatan terus meningkat. Meskipun Picture Archiving and Communication System (PACS) dan Radiology Information System ...(RIS) telah diterapkan di RSUP Dr. Sardjito selama dua tahun, tetapi sistem tersebut masih kurang dimanfaatkan. Sistem tersebut sangat penting diterapkan untuk interpretasi yang akurat dan distribusi hasil pencitraan yang tepat waktu.Tujuan: Penelitian ini bertujuan untuk mengevaluasi pemanfaatan PACS dan RIS oleh tenaga medis di RSUP Dr. Sardjito.Metode: Penelitian ini merupakan penelitian kualitatif dengan metode wawancara mendalam. Responden dipilih berdasarkan metode purposive-maximum variety sampling. Metode wawancara menggunakan rekaman audio dan transkrip secara verbatim yang dianalisis secara tematik.Hasil: Penelitian ini menghasilkan 3 tema, yaitu: a) Manfaat PACS dan RIS; b) Feedback terhadap PACS dan RIS; c) Pelatihan meningkatkan pemahaman & pemanfaatan PACS dan RIS. PACS dan RIS dapat mempersingkat waktu pelayanan kesehatan dan membantu staf medis bekerja secara efisien. Selain itu, sosialisasi dan pelatihan PACS dan RIS juga membawa dampak positif dalam implementasinya, meskipun beberapa responden masih mengandalkan hard film karena keterbatasan akses komputer.Kesimpulan: Penerapan PACS dan RIS meningkatkan kualitas pelayanan rumah sakit. Optimalisasi pemanfaatan sistem PACS dan RIS memerlukan lebih banyak komputer di rumah sakit, pembaruan fitur di telepon seluler, dan pelatihan bagi pengguna
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