Introduction Breast cancer is the most common cancer in women in Indonesia. Patients' survival depends on various factors, namely patient-, tumor-, and treatment-related factors. Survival analysis on Indonesian patients has only been reported in a few studies. This study aimed to identify the factors that are associated with five-year overall survival (OS) among patients with breast cancer at a local tertiary hospital in Indonesia. Methods A retrospective cohort study was conducted at Dr Sardjito Hospital, Yogyakarta. Female patients diagnosed with breast cancer between January and December 2009 were studied. Socio-demographic and clinicopathological data were collected from the medical and pathological records. The five-year OS rate was assessed using Kaplan Meier method and prognostic factors were analyzed using Cox regression. Results A total of 213 eligible patients with breast cancer were recruited. The five-year OS probability of the breast cancer patient was 51.07%. The majority of the patients (151, 70.9%) presented an advanced stage at the time of diagnosis. In the bi-variable analysis, cases who were younger, of a lower educational status, at a more advanced stage, with a bigger tumor size, and a central tumor location showed a worse five-year OS compared to their counterparts (p = 0.005, 0.001, 0.004, 0.011 and 0.023, respectively). In the multivariable analysis, age was an independent predictor for the OS (HR = 3.73; 95% CI = 1.0-13.6, p = 0.046). Conclusion The five-year OS of breast cancer patients in the local tertiary hospital was 51.07%. The patients' age at diagnosis was the only significant prognostic factor for the patients' survival.

Currently, the entire population of the world is facing the Covid-19 pandemic. The beginning of this pandemic was known from the first report, an outbreak in the city of Wuhan, China, at the end of December 2019. Data in April 2022, Covid-19 has spread to 230 countries with the number of confirmed cases globally as many as 505,035,185 and 6,210,719 cases died. In Indonesia, confirmed cases of Covid-19 reached 6,042,595 cases, 5,855,361 cases recovered and 156,015 cases died. The three provinces with the highest number of confirmed Covid-19 cases and those who died from Covid-19 were DKI Jakarta, West Java, and Central Java. Vaccination is one of the efforts to overcome the Covid-19 pandemic, where the government is currently very serious about creating herd immunity. This community service provided free booster vaccinations to reduce the spread of Covid-19. The Covid-19 booster vaccination was carried out according to the five-day planned schedule. The community served 1314 (87%) from 1511 registrants, and as many as 20 people (1%) had their vaccine delayed due to health reasons. There was no adverse event following immunisation (AEFI) during the vaccination activities.

Salah satu indikator kesehatan yang dinilai pada Sustainable Development Goals (SDGs) di Indonesia adalah mengenai status gizi balita. Berdasarkan hasil Studi Status Gizi Indonesia (SSGI) 2021, diketahui prevalensi stunting menurun dari 27,7% pada tahun 2019 kemudian pada tahun 2021 menjadi 24,4%. Sedangkan prevalensi underweight meningkat pada tahun 2021 menjadi 17% yang sebelumnya pada tahun 2019 adalah 16,3%. Salah satu upaya pemerintah dalam mengatasi masalah kekurangan gizi adalah melalui program Pemberian Makanan Tambahan (PMT). Sasaran dalam pemberian makanan tambahan adalah balita kelompok usia 6-59 bulan. Pengabdian masyarakat ini ingin memantau konsumsi pemberian makanan tambahan pada balita dengan masalah gizi di Kelurahan Kebon Baru, melakukan penyuluhan pada orang tua balita dan melakukan penilaian status gizi dengan indikator keberhasilan yaitu peningkatan berat badan pada balita. Kemudian ditemukan hasil yaitu masih ada balita dengan masalah gizi yang belum mendapatkan makanan tambahan berupa proten, masih ada PMT yang tidak dihabiskan oleh balita selama satu bulan pemberian makanan tambahan, dan ditemukan terdapat PMT yang dikonsumsi tidak hanya oleh balita tapi juga anggota keluarga lainnya. Terdapat peningkatan pengetahuan pada orang tua balita setelah penyuluhan. Ada peningkatan status gizi balita berdasarkan BB/U yaitu dari status kurang (underweight) menjadi normal sebelum dan sesudah pemberian PMT.

Analysis of 5-year survival of patients treated for breast cancer at Sardjito Hospital in Yogyakarta province, IndonesiaPurposeThis study aimed to assess the length of life of breast cancer patients as well as factors related to the prognosis of survival of patients.MethodsThis research was a retrospective study. Samples in this study were patients with breast cancer who were first diagnosed with breast cancer from January 1, 2009 until December 31, 2009 at the Dr. Sardjito Hospital, Yogyakarta. The Kaplan Meier method was used for the data analysis, and final factors were reviewed and those that showed significant association were entered in a Cox regression model. Calculations were performed in Stata 12.0.ResultsResults showed the 5 year survival rate was 51.07%. In bivariate analysis, there was a correlation between the age of diagnosis, education, clinical stage, tumor size and tumor location on 5-year survival in patients with breast cancer. For multivariate analysis, age of diagnosis had the most powerful correlation (HR = 3.73; 95% CI = 1.0 to 13.6) on survival (p = 0.046).ConclusionSurvival rates of women with breast cancer aged less than 50 years were lower. Young women with breast cancer tended to have more aggressive breast cancer growth and recurrence risks were greater. Efforts are needed for early detection of breast cancer to improve survival in breast cancer patients.