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All Journal Majalah Kedokteran Bandung Althea Medical Journal Global Medical and Health Communication Medika Kartika : Jurnal Kedokteran dan Kesehatan Jurnal EduHealth
Primal Sudjana
Department Of Internal Medicine Faculty Of Medicine, Universitas Padjadjaran/Dr. Hasan Sadikin General Hospital Bandung,
Dentistry Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health Veterinary

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Antibiotic Conformity with Culture Results of Hospitalized Pneumonia Patients in Melati Ward at Dr. Hasan Sadikin General Hospital Bandung, Indonesia Rinaldi, Randhi; Supriatna, Yana Akhmad; Sitorus, Truly D.; Sudjana, Primal
Althea Medical Journal Vol 3, No 4 (2016)
Publisher : Althea Medical Journal

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (232.435 KB)

Abstract

Background: Pneumonia is an infection with the highest mortality rate in Indonesian hospitals. According to The American Thoracic Society and The Infectious Diseases Society of America (ATS/IDSA), empirical use of antibiotics is still effective for pneumonia treatment. Inappropriate use of antibiotics would cause negative effects such as prolonged hospitalization, a high cost of treatment, and increased antibiotic-resistant bacteria. The goal of this study was to clarify the empirical use of antibiotic conformity with a bacteria culture. Methods: This study was conducted from August to October 2013 using a descriptive retrospective method based on 116 medical records of pneumonia patients hospitalized in Melati Ward, Dr. Hasan Sadikin General Hospital Bandung during 2011–2012. The type of bacteria, conformity with antibiotics given to patients, and type of antibiotics were analyzed. The conformity of antibiotics was assessed based on the resistance test. If the results were sensitive, they would be put in the conforming group and in the non-conforming group if the results were resistant or intermediate. Data was derived with descriptive statistics, using percentage and frequency distribution, illustrated in tables and figures.Results: Based on culture results and sensitivity of antibiotic empirical therapy given, 55.17% cases were conformed. The most widely used antibiotic group was Third-generation Cephalosporin (60.34%). The most common bacterias were Klebsiella pneumonia (34.5%) and Acinetobacter baumanni (13.8%).Conclusions: Most of the antibiotics given to pneumonia patients are still appropriate with results of the bacteria culture test and resistance test. [AMJ.2016;3(4):504–8] DOI: 10.15850/amj.v3n4.931
Anxiety Level in Dyspeptic Patients at the Gastroenterohepatology Outpatient Clinic of Dr. Hasan Sadikin General Hospital Bandung, Indonesia Brahmanti, Radistrya Sekaranti; Saketi, Juke Roslia; Saroinsong, Harry; Sudjana, Primal
Althea Medical Journal Vol 2, No 1 (2015)
Publisher : Althea Medical Journal

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (662.082 KB)

Abstract

  Background: Dyspepsia is a disease with a high worldwide prevalence, including in Asia; however, the pathophysiology of the disease is still unclear. Recent studies suggest adapting a biopsychosocial model to understand the pathophysiology of dyspepsia that proposes the important role of anxiety.  The aim of this study was to assess the anxiety level in dyspeptic patients who visited the Gastroenterohepatology Outpatient Clinic in Dr. Hasan Sadikin General Hospital Bandung. Methods: A cross-sectional descriptive study using total sampling method was conducted from September–November 2012 to 19 patients aged 36−85 years old who consisted of 11 women and 8 men patients dyspepsia syndrome in the Gastroenterohepatology outpatient clinic Dr Hasan Sadikin General Hospital Bandung.  The anxiety levels were measured using the Zung Self-Rating Anxiety Scale. All data were analyzed based on gender, age, and occupational status of the patients. Results: Eleven of the nineteen patients had high anxiety levels. Women were more likely to experience high anxiety levels (8 of 11). The group with the highest number of patients with high anxiety was the 46−55 years old group, the high anxiety level was more common among patients who were government or private sector employees. Conclusion: The anxiety level in dyspeptic patients who visited the Gastroenterohepatology outpatient clinic in Dr. Hasan Sadikin General Hospital Bandung was high.Keywords: Anxiety levels, Dyspeptic patients, Zung Self-Rating Anxiety Scale DOI: 10.15850/amj.v2n1.429 
Characteristics of Asthma Patients Seeking Care at West Java’s Top Referral Hospital, Indonesia Yudistira, Juan Achmad; Pranggono, Emmy Hermiyanti; Tjandrawati, Anna; Sudjana, Primal
Althea Medical Journal Vol 4, No 1 (2017)
Publisher : Althea Medical Journal

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Abstract

Background: The increasing incidence of asthma in many countries in recent decades makes asthma a global health problem. The aim of the study was to determine the characteristics of asthma patients at the Respirology Outpatient Clinic of Dr. Hasan Sadikin General Hospital as West Java’s Top referral hospital. Methods: The study used a cross-sectional design. The study population was the medical record data of asthma patients at the Respirology Outpatient Clinic during June 2012–June 2013. There were 1,591 patient’s medical records at the Respirology Outpatient Clinic of Dr. Hasan Sadikin General Hospital Bandung in that period and 140 medical records were diagnosed with asthma. Seventy medical records were excluded because of inadequate data and 70 medical records were the sample of this study. The collected data were presented using percentage. Results: Seventy percent of the cases were female. From these cases 34% of patients   were aged 51–60 years. The partially controlled type was the most frequent type of asthma (62%). The most common sign and symptom was shortness of breath (86%). The most common drug used was Beta 2 agonist drugs (90%).Conclusions: The characteristic of asthma is that the patients are mostly female. Mostly the patients were in the age range of 51–60 years. The partially controlled type is the most frequent type of asthma. Shortness of breath is the most common clinical manifestation in asthma. Beta 2 agonist is the most used drug for asthma. [AMJ.2017;4(1):78–82]DOI: 10.15850/amj.v4n1.1025
Efek Antidiabetes Kombinasi Ekstrak Bawang Putih (Allium sativum Linn.) dan Rimpang Kunyit (Curcumma domestica Val.) dengan Pembanding Glibenklamid pada Penderita Diabetes Melitus Tipe 2 Setiawan, Ame Suciati; Yulinah, Elin; Adnyana, I Ketut; Permana, Hikmat; Sudjana, Primal
Majalah Kedokteran Bandung Vol 43, No 1
Publisher : Faculty of Medicine, Universitas Padjadjaran

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Abstract

Kombinasi ekstrak bulbus bawang putih (Allium sativum Linn.) dan rimpang kunyit (Curcumma domestica Val.) dapat digunakan sebagai obat antidiabetes oral pada penderita diabetes melitus (DM) tipe 2, dan secara klinis telah terbukti dapat menurunkan kadar glukosa darah dengan dosis 2,4 g/hari. Penelitian klinis dilakukan untuk melihat efek antidiabetes kombinasi ekstrak dibandingkan dengan antidiabetik oral, glibenklamid. Subjek adalah usia >35 tahun dengan DM tipe 2 yang berobat ke poliklinik Penyakit Dalam dan Endokrin Rumah Sakit Hasan Sadikin Bandung periode November 2007–Agustus 2008 dan telah mendapat terapi gizi medis selama 2 minggu. Penelitian dilakukan secara paralel, acak, dan tersamar ganda. Penggunaan kombinasi ekstrak menunjukkan penurunan kadar glukosa darah puasa rata-rata 9,25 mg/dL, glukosa darah 2 jam postprandial (PP) 22,25 mg/dL, HbA1c 1,30%, serta insulin 12,57 mg/dL bila dibandingkan dengan baseline glibenklamid rata-rata kadar glukosa darah puasa 72,37 mg/dL, glukosa darah 2 jam PP 114,25 mg/dL, dan HbA1c 4,12%, tetapi meningkatkan insulin 3,34 mg/ dL. Kombinasi ekstrak tidak mempengaruhi fungsi hati, ginjal, dan profil hematologi. Kesimpulannya kombinasi ekstrak memiliki efek antidiabetes tetapi efek yang ditimbulkan tidak sebaik glibenklamid. [MKB. 2011;43(1):26–34].Kata kunci: Bawang putih, kunyit, diabetes melitus tipe 2, glibenklamid, glukosa darah Antidiabetic Effect of Garlic Extract (Allium sativum Linn.) and Curcumin Extract (Curcumma domestica Val.) Combination Compared to Glibenclamide in Type 2 Diabetes MellitusThe combination of garlic (Allium sativum Linn.) and curcumin extract (Curcumma domestica Val.) can be used as an oral antidiabetic in type 2 diabetes mellitus (DM) patients. The clinical trial has shown that the extract can decrease blood glucose at a dose of 2.4 g/day. This clinical trial  was conducted to explore the antidiabetic effect of garlic and curcumin extract combination compared to oral antidiabetics, glibenclamide. The subjects were >35 years old patients with type 2 DM who visited the internal and endocrine clinic of Dr. Hasan Sadikin Hospital Bandung and has been treated with medical nutrition therapy for 2 weeks during the period of November 2007–December 2008. This study was a parallel, randomized and double blind study. The garlic and curcumin extract combination decreased the mean value of fasting blood glucose 9.25 mg/dL, 2h PP blood glucose 22.25 mg/dL, HbA1c 1,30% and insulin 12.57 mg/dL  compared to baseline whereas glibenclamide decreased the mean value of fasting blood glucose to 72.37 mg/dL, 2h PP 114,25 mg/dL, HbA1c 4.12% and increased the insulin to 3.34 mg/dL. In conclusion, the extract combination has antidiabetic effect even though it is lower than the glibenclamide. [MKB. 2011;43(1):26–34].Key words: Blood glucose, curcumin, garlic, glibenclamide, type 2 diabetes mellitus DOI: http://dx.doi.org/10.15395/mkb.v43n1.41
Antibiotic Conformity with Culture Results of Hospitalized Pneumonia Patients in Melati Ward at Dr. Hasan Sadikin General Hospital Bandung, Indonesia Randhi Rinaldi; Yana Akhmad Supriatna; Truly D. Sitorus; Primal Sudjana
Althea Medical Journal Vol 3, No 4 (2016)
Publisher : Faculty of Medicine Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (232.435 KB)

Abstract

Background: Pneumonia is an infection with the highest mortality rate in Indonesian hospitals. According to The American Thoracic Society and The Infectious Diseases Society of America (ATS/IDSA), empirical use of antibiotics is still effective for pneumonia treatment. Inappropriate use of antibiotics would cause negative effects such as prolonged hospitalization, a high cost of treatment, and increased antibiotic-resistant bacteria. The goal of this study was to clarify the empirical use of antibiotic conformity with a bacteria culture. Methods: This study was conducted from August to October 2013 using a descriptive retrospective method based on 116 medical records of pneumonia patients hospitalized in Melati Ward, Dr. Hasan Sadikin General Hospital Bandung during 2011–2012. The type of bacteria, conformity with antibiotics given to patients, and type of antibiotics were analyzed. The conformity of antibiotics was assessed based on the resistance test. If the results were sensitive, they would be put in the conforming group and in the non-conforming group if the results were resistant or intermediate. Data was derived with descriptive statistics, using percentage and frequency distribution, illustrated in tables and figures.Results: Based on culture results and sensitivity of antibiotic empirical therapy given, 55.17% cases were conformed. The most widely used antibiotic group was Third-generation Cephalosporin (60.34%). The most common bacterias were Klebsiella pneumonia (34.5%) and Acinetobacter baumanni (13.8%).Conclusions: Most of the antibiotics given to pneumonia patients are still appropriate with results of the bacteria culture test and resistance test. [AMJ.2016;3(4):504–8] DOI: 10.15850/amj.v3n4.931
Characteristics of Asthma Patients Seeking Care at West Java’s Top Referral Hospital, Indonesia Juan Achmad Yudistira; Emmy Hermiyanti Pranggono; Anna Tjandrawati; Primal Sudjana
Althea Medical Journal Vol 4, No 1 (2017)
Publisher : Faculty of Medicine Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (541.508 KB)

Abstract

Background: The increasing incidence of asthma in many countries in recent decades makes asthma a global health problem. The aim of the study was to determine the characteristics of asthma patients at the Respirology Outpatient Clinic of Dr. Hasan Sadikin General Hospital as West Java’s Top referral hospital. Methods: The study used a cross-sectional design. The study population was the medical record data of asthma patients at the Respirology Outpatient Clinic during June 2012–June 2013. There were 1,591 patient’s medical records at the Respirology Outpatient Clinic of Dr. Hasan Sadikin General Hospital Bandung in that period and 140 medical records were diagnosed with asthma. Seventy medical records were excluded because of inadequate data and 70 medical records were the sample of this study. The collected data were presented using percentage. Results: Seventy percent of the cases were female. From these cases 34% of patients   were aged 51–60 years. The partially controlled type was the most frequent type of asthma (62%). The most common sign and symptom was shortness of breath (86%). The most common drug used was Beta 2 agonist drugs (90%).Conclusions: The characteristic of asthma is that the patients are mostly female. Mostly the patients were in the age range of 51–60 years. The partially controlled type is the most frequent type of asthma. Shortness of breath is the most common clinical manifestation in asthma. Beta 2 agonist is the most used drug for asthma. [AMJ.2017;4(1):78–82]DOI: 10.15850/amj.v4n1.1025
Anxiety Level in Dyspeptic Patients at the Gastroenterohepatology Outpatient Clinic of Dr. Hasan Sadikin General Hospital Bandung, Indonesia Radistrya Sekaranti Brahmanti; Juke Roslia Saketi; Harry Saroinsong; Primal Sudjana
Althea Medical Journal Vol 2, No 1 (2015)
Publisher : Faculty of Medicine Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (662.082 KB)

Abstract

  Background: Dyspepsia is a disease with a high worldwide prevalence, including in Asia; however, the pathophysiology of the disease is still unclear. Recent studies suggest adapting a biopsychosocial model to understand the pathophysiology of dyspepsia that proposes the important role of anxiety.  The aim of this study was to assess the anxiety level in dyspeptic patients who visited the Gastroenterohepatology Outpatient Clinic in Dr. Hasan Sadikin General Hospital Bandung. Methods: A cross-sectional descriptive study using total sampling method was conducted from September–November 2012 to 19 patients aged 36−85 years old who consisted of 11 women and 8 men patients dyspepsia syndrome in the Gastroenterohepatology outpatient clinic Dr Hasan Sadikin General Hospital Bandung.  The anxiety levels were measured using the Zung Self-Rating Anxiety Scale. All data were analyzed based on gender, age, and occupational status of the patients. Results: Eleven of the nineteen patients had high anxiety levels. Women were more likely to experience high anxiety levels (8 of 11). The group with the highest number of patients with high anxiety was the 46−55 years old group, the high anxiety level was more common among patients who were government or private sector employees. Conclusion: The anxiety level in dyspeptic patients who visited the Gastroenterohepatology outpatient clinic in Dr. Hasan Sadikin General Hospital Bandung was high.Keywords: Anxiety levels, Dyspeptic patients, Zung Self-Rating Anxiety Scale DOI: 10.15850/amj.v2n1.429 
Perception of Health Workers on Preventing COVID-19 Transmission Behavior based on Work Area and Exposure Rio Dananjaya; Rudi Wisaksana; Primal Sudjana; Shelly Iskandar
Global Medical & Health Communication (GMHC) Vol 10, No 2 (2022)
Publisher : Universitas Islam Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (131.979 KB) | DOI: 10.29313/gmhc.v10i2.9882

Abstract

Coronavirus disease 2019 (COVID-19) emerged at the end of 2019 and spread worldwide, becoming a pandemic on March 11, 2020. Agents, hosts, and the environment influence disease transmission. Perception influences healthy behavior in preventing disease transmission. This study aims to determine differences in the perception of health care workers (HCWs) on COVID-19 prevention behavior based on the area of work and exposure. This study is a cross-sectional study with a survey method using the health belief model questionnaire with research subjects who were HCWs on duty during the COVID-19 pandemic from May to July 2021 in Dr. Hasan Sadikin General Hospital. Statistical tests used were chi-square and Kruskal-Walis tests. From 346 subjects, it was found that the perception of susceptibility and self-efficacy of HCW in the yellow and red zones was higher than in the green zone (p=0.002). In comparison, the perception of barriers in the yellow zone was higher than in the red area (p=0.014). Health care workers had relatively similar mean scores in terms of knowledge (median 7 of 9), perceived benefits (median 27 of 30), cues to action (median 20 of 20), and perceived severity (median 19 of 30). Based on the history of exposure, the parameter of cues to the action of HCWs exposed to COVID-19 was better than those never exposed (p=0.009). HCW of Dr. Hasan Sadikin General Hospital has good knowledge and perception of the prevention of COVID-19. Differences in the perception of HCW between the work area and exposure history require more targeted and specific educational interventions and actions.
The relationship between the cholesterol-low density lipoprotein/cholesterol-high density lipoprotein ratio with the incidence of acute coronary syndrome at RSUD kota Bandung in 2019-2022 Feranika Feranika; Jihan Saskia Nursyabani; Primal Sudjana
Jurnal EduHealth Vol. 15 No. 01 (2024): Jurnal eduHealt, Edition January - March, 2024
Publisher : Sean Institute

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Abstract

The purpose of this study was to understand K-LDL levels with the incidence of acute coronary syndrome (ACS) in patients at the RSUD Kota Bandung Regional General Hospital (RSUD). The method used is a descriptive analytical method through a cross sectional approach to observe the Correlation of K-LDL/K-HDL Ratio with ACS (Acute Coronary Syndrome) events. The results of this study show that there is a correlation between the K-LDL/K-HDL ratio and ACS events at RSUD Kota Bandung in 2019 – 2021, this result can be concluded because it obtained a p value = 0.045. First, the majority of ACS patients at RSUD Kota Bandung in 2019 – 2021 are men, 65.6% of the total patients. Second, as many as 70.8% of the total patients of this study were active smokers. Third, the type of SKA that dominated in this study patient was APTS with 63.5% of the total respondents. Fourth, the average age of patients in these patients was 55.70 years. Fifth, the average ratio of LDL / HDL to ACS sufferers at RSUD Kota Bandung in 2019-2022 is 3,271. Sixth, the maximum and minimum values of LDL/HDL ratio in ACS patients at RSUD Kota Bandung in 2019 - 2022 are 7.037 and 0.215.
HUBUNGAN ANTARA TINGKAT PENDIDIKAN DENGAN PENGETAHUAN IBU HAMIL TENTANG BUKU KIA DI PUSKESMAS ANTAPANI TAHUN 2022 Astuti Setiawan, Shellita Melanie; Tsaniyassilmi, Shabrina; Sudjana, Primal
Medika Kartika : Jurnal Kedokteran dan Kesehatan Vol 6 No 4 (2023): Medika Kartika : Jurnal Kedokteran dan Kesehatan
Publisher : Fakultas Kedokteran Universitas Jenderal Achmad Yani

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Abstract

Kesehatan adalah kondisi kesejahteraan fisik, mental, dan sosial yang dapat dipengaruhi oleh pendidikan dan pengetahuan. Angka kematian ibu (AKI) dapat dikurangi dengan melakukan tindakan pencegahan berupa pemanfaatan buku kesehatan ibu dan anak atau buku Kesehatan Ibu dan Anak (KIA). Penelitian ini bertujuan untuk menganalisis hubungan antara tingkat pendidikan dengan pengetahuan ibu hamil mengenai buku KIA. Desain penelitian ini yaitu analitik observasional dengan pendekatan metode potong lintang. Sampel penelitian ini berjumlah 100 orang yang dipilih dengan teknik nonprobability sampling yaitu convenience sampling. Data diambil dengan menggunakan kuesioner yang sudah divalidasi dan uji reliabilitas. Analisis data menggunakan distribusi frekuensi dan uji Chi Square. Hasil dari penelitian ini diketahui bahwa tingkat pengetahuan ibu hamil berpengetahuan baik 73%, cukup 22%, dan kurang 5%. Tidak ada hubungan antara usia (p=0,239), pekerjaan (p=0,056), dan kehamilan (p=0,601) dengan pengetahuan ibu hamil mengenai buku KIA. Namun terdapat hubungan yang signifikan antara tingkat pendidikan dengan pengetahuan ibu hamil mengenai buku KIA (p=<0,001). Dapat disimpulkan bahwa dari hasil tersebut dengan nilai (p=<0,001) lebih kecil dari nilai signifikansi 0,05 maka H0 ditolak dan H1 diterima yang mana terdapat hubungan antara tingkat pendidikan dengan tingkat pengetahuan ibu hamil tentang buku KIA. Kata kunci: buku KIA, pendidikan, pengetahuan DOI : 10.35990/mk.v6n4.p364-373
Co-Authors Ame Suciati Setiawan Anna Tjandrawati Astuti Setiawan, Shellita Melanie Elin Yulinah Emmy Hermiyanti Pranggono Feranika Feranika Hadi Jusuf Harry Saroinsong Harry Saroinsong, Harry Hikmat Permana I Ketut Adnyana Jihan Saskia Nursyabani Juan Achmad Yudistira Juke Roslia Saketi Juke Roslia Saketi Radistrya Sekaranti Brahmanti Radistrya Sekaranti Brahmanti, Radistrya Sekaranti Randhi Rinaldi Rinaldi, Randhi Rio Dananjaya Rudi Wisaksana Shelly Iskandar Truly D. Sitorus Truly D. Sitorus Tsaniyassilmi, Shabrina Yana Akhmad Supriatna Yana Akhmad Supriatna, Yana Akhmad Yudistira, Juan Achmad