Background: The number of breast cancer patients in Indonesia is increasing but there are still only a few researches that assess their quality of life. RAND SF-36 is a quality of life instrument that is widely used. In Indonesia, the validity and reliability of the instrument is still under development, especially in breast cancer patients. Various health status questionnaires have been used in physical rehabilitation studies involving patient with pacemaker, but for women with breast cancer, the usefulness of these questionnaires as measures of physical, mental, and social well-being has not been firmly established. Methods: A previously validated RAND SF-36 questionnaire in patients with pacemaker was given to 252 breast cancer survivor community members. We assessed the construct validity and the reliability by referring to its Pearson’s r table value and Cronbach’s α coefficient. Results: One hundred and fourteen breast cancer survivor community members participated and completed all 36 questions of the instrument between September- November 2018. Questions number 2, 28, and 35 showed lower Pearson’s r value (r<0,300) than other questions but still showed r value of >0.1548 indicating that these questions were valid. Cronbach’s α coefficient >0.90 indicated good internal consistency. Conclusions: The Indonesian version of the SF-36 quality of life questionnaire is a suitable instrument and can be used for research in Indonesian breast cancer patients.
Pericardial effusion (PE) is accumulation of fluid in the pericardial sac. There are broad etiologies of PE, such as inflammation, infection, and malignancy. The etiology must be discovered because the treatment will be focused based on the cause. We present a 40-year-old female who came to the cardiology clinic with exertional dyspnea as the only symptom. The patient had a history of unspecific joint pain two months prior. Physical examination, chest x-ray, and electrocardiography revealed no specific findings. However, on echocardiography, we found moderate circumferential pericardial effusion. The patient then admitted for further evaluation. Blood counts, peripheral blood smear, urinalysis, and immunoserology examination such as ANA and anti-dsDNA was ordered and the result led to the diagnosis of systemic lupus erythematosus (SLE). High dose steroid injection was given for five days and the symptoms disappeared. Follow-up echocardiography after a week of hospital admission revealed significant reduction of pericardial fluid.
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