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All Journal Althea Medical Journal Global Medical and Health Communication
Rudolf Andean
Departemen Ilmu Penyakit Dalam, RSUP Dr. Hasan Sadikin, Bandung
Dentistry Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health

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Nilai Mean Corpuscular Volume (MCV) Sebagai Petunjuk Ketaatan Minum Obat pada Penderita HIV Manullang, Rudolf Andean; Wisaksana, Rudi; Sumantri, Rachmat
Global Medical & Health Communication (GMHC) Vol 1, No 1 (2013)
Publisher : Fakultas Kedokteran Universitas Islam Bandung

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Abstract

Abstrak Pengobatan Anti Retroviral (ARV) pada penderita HIV merubah secara dramatis prognosis penderita HIV tetapi memerlukan ketaatan pengobatan yang sempurna. Hingga saat ini penilaian ketaatan pengobatan ARV merupakan hal yang sulit dikerjakan karena ketiaadaan metoda penilaian yang ideal tetapi dapat digunakan sehari-hari diklinik. Pada makalah ini akan diutarakan mengenai peranan Mean Corpuscular Volume (MCV) sebagai metoda penilaian ketaatan pengobatan ARV pada penderita HIV.   Kata kunci: ARV, HIV, Ketaatan minum obat
Correlation between Six-Minutes’ Walk Test and Quality of Life in Heart Failure Patients Erwinanto, Erwinanto; Andean, Rudolf; Rahmani, Syifa
Althea Medical Journal Vol 2, No 4 (2015)
Publisher : Althea Medical Journal

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (570.606 KB)

Abstract

Background: The problem of heart failure patient relates with reduced functional capacity and eventually leads to declined quality of life (QoL). Improved QoL may not relate to better functional capacity since QoL is influenced by patient’s expectation to the on-going treatment. This study was conducted to investigate the correlation between  six-minutes’ walk test (6MWT) as a measure for functional capacity and QoL of heart failure patient in Dr. Hasan Sadikin General Hospital.Methods: This cross sectional study involved 32 patients who were on planned visit at the outpatient clinic of Dr. Hasan Sadikin General Hospital Bandung from September to October 2013. Subjects were chosen using consecutive sampling. The correlation of 6MWT and QoL assessed using modified Minnesota Living and Heart Failure Questionnaire (MLHFQ) was analyzed through Pearson’s correlation test.Results: There was a significant correlation between distance covered in 6MWT and QoL (r=-0.354, p<0.05).The mean of six-minute walk distance was 277.96 (±42.17) and mean of QoL score was 33.41 (±7.88). In accordance with the findings in previous studies, this study revealed correlation between the distance obtained in 6MWT and the QoL score in heart failure patient.Conclusions: There is correlation between 6MWT and quality of life in outpatients with heart failure at Dr. Hasan Sadikin General Hospital. [AMJ.2015;2(4):469–73] DOI: 10.15850/amj.v2n4.629
Significant Relationship between Overweight and Hypertension in the Elderly Suwanda Wahyudin; Rudolf Andean; Lilik Sukesi
Althea Medical Journal Vol 7, No 1 (2020)
Publisher : Faculty of Medicine Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15850/amj.v7n1.1727

Abstract

Background: Hypertension is one of the degenerative diseases that commonly occurs in the elderly, however, the etiology is still unclear. One of the risk factors is overweight. This study aimed to investigate the relationship between overweight and hypertension in the elderly living in Hegarmanah village.Methods: A cross-sectional analytic study was conducted from September to November 2013, including 100 elderly in Hegarmanah village Jatinangor, Sumedang, using a cluster sample technique. The data of body weight, height, and blood pressure were obtained after informed consent.Results: In total, 58 females and 42 males were included. The nutritional status was underweight (9%), normal (45%), overweight (31%), and obese (15%).  Hypertension among the elderly was normal (4%), prehypertension stage 1 (18%), hypertension stage II (24%), and hypertension stage III (54%). The hypertension was occurred in 43.6% non-overweight group and 56.4% in the overweight group, resulting in a significant relationship between overweight and hypertension in the elderly (p=0.001).Conclusions: The high prevalence of hypertension among the elderly who were overweight suggests a better promotion in lifestyle control, a particularly nutritional program for the elderly to manage hypertension and its complication. 
Correlation between Six-Minutes’ Walk Test and Quality of Life in Heart Failure Patients Syifa Rahmani; Erwinanto Erwinanto; Rudolf Andean
Althea Medical Journal Vol 2, No 4 (2015)
Publisher : Faculty of Medicine Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (570.606 KB)

Abstract

Background: The problem of heart failure patient relates with reduced functional capacity and eventually leads to declined quality of life (QoL). Improved QoL may not relate to better functional capacity since QoL is influenced by patient’s expectation to the on-going treatment. This study was conducted to investigate the correlation between  six-minutes’ walk test (6MWT) as a measure for functional capacity and QoL of heart failure patient in Dr. Hasan Sadikin General Hospital.Methods: This cross sectional study involved 32 patients who were on planned visit at the outpatient clinic of Dr. Hasan Sadikin General Hospital Bandung from September to October 2013. Subjects were chosen using consecutive sampling. The correlation of 6MWT and QoL assessed using modified Minnesota Living and Heart Failure Questionnaire (MLHFQ) was analyzed through Pearson’s correlation test.Results: There was a significant correlation between distance covered in 6MWT and QoL (r=-0.354, p<0.05).The mean of six-minute walk distance was 277.96 (±42.17) and mean of QoL score was 33.41 (±7.88). In accordance with the findings in previous studies, this study revealed correlation between the distance obtained in 6MWT and the QoL score in heart failure patient.Conclusions: There is correlation between 6MWT and quality of life in outpatients with heart failure at Dr. Hasan Sadikin General Hospital. [AMJ.2015;2(4):469–73] DOI: 10.15850/amj.v2n4.629
Spirometric Values of Patients with Chronic Obstructive Pulmonary Disease in Dr. Hasan Sadikin General Hospital Bandung Christopher Rinaldi; Rudolf Andean; Irma Ruslina Defi
Althea Medical Journal Vol 7, No 2 (2020)
Publisher : Faculty of Medicine Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15850/amj.v7n2.1687

Abstract

Background: Chronic obstructive pulmonary disease (COPD) is a frequently underdiagnosed disease. Definitive COPD has been diagnosed using spirometry to evaluate pulmonary function. This study aimed to explore the spirometric values of COPD patients to aid in the diagnosis of COPD.Methods: A descriptive study was conducted in Dr. Hasan Sadikin General Hospital Bandung from October to November 2015. Data on patients diagnosed with COPD, aged 40 to 60 years old, were collected during the year 2014 prior to ethical clearance. Spirometry values consisted of forced expiratory volume in one second (FEV1), forced vital capacity (FVC), and FEV1/FVC ratio were taken from the medical records.Results: Sixty-eight COPD patients, consisting of 48 males and 20 females, were included of with most were classified as moderate COPD. The FEV1 was 49.72±17.79, whereas the FVC was 55.90 (range 22.80–96.03), and the FEV1/FVC ratio was 0.70±0.12. Most patients were classified into moderate COPD who had FEV1 between 50 and 80% of normal as GOLD 2 standard.Conclusions: Even though patients seem to have no symptoms, spirometric values may show a silent insufficient lung function affecting patients’ daily life.
Nilai Mean Corpuscular Volume (MCV) Sebagai Petunjuk Ketaatan Minum Obat pada Penderita HIV Rudolf Andean Manullang; Rudi Wisaksana; Rachmat Sumantri
Global Medical & Health Communication (GMHC) Vol 1, No 1 (2013)
Publisher : Universitas Islam Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (2241.541 KB) | DOI: 10.29313/gmhc.v1i1.1511

Abstract

Pengobatan antiretroviral (ARV) pada penderita HIV mengubah secara dramatis prognosis penderita HIV tetapi memerlukan ketaatan pengobatan yang sempurna. Hingga saat ini penilaian ketaatan pengobatan ARV merupakan hal yang sulit dikerjakan karena ketiadaan metode penilaian yang ideal tetapi dapat digunakan sehari-hari di klinik. Pada penderita HIV yang mendapat pengobatan ARV, evaluasi ketaatan minum obat ARV sangat penting. Ketidaktaatan minum obat pada penderita HIV memberikan konsekuensi yang beragam, seperti kegagalan pengobatan, resistensi obat, dan terbentuk strain virus baru. Kegagalan pengobatan yang terjadi akan menimbulkan efek besar terhadap penderita dan keluarganya dari segi ekonomi maupun sosial mengingat sebagian besar penderita HIV adalah pria usia produktif. Evaluasi ketaatan minum obat dengan optimal lebih baik dibandingkan dengan menunggu terjadi kegagalan virologis. Nilai mean corpuscular volume (MCV) merupakan parameter hematologis yang sederhana dan dapat membantu proses evaluasi ketaatan minum obat. Perlu diperhatikan pada penderita HIV yang mendapat obat zidovudin atau stavudin, tidak terdapat makrositosis sebelum pengobatan, dan keadaan medis atau obat lain yang dikonsumsi penderita yang berpengaruh pada nilai MCV. Pemeriksaan viral load, CD4, dan keadaan klinis penderita tetap merupakan parameter utama yang harus digunakan dalam menilai respons pengobatan di sarana yang memadai. MEAN CORPUSCULAR VOLUME (MCV) AS AN ASSESSMENT OF ADHERENCE TO ANTI RETROVIRAL TREATMENT IN HIV PATIENTSAnti retroviral (ARV) in HIV patients dramatically changed the prognosis of patients with HIV but requires perfect adherence to treatment. Until now the assessment of adherence to ARV treatment is difficult because ideal method of assessment to use in day-to-day practice is unavailable. Adherence to treatment for HIV patients receiving ARV is very important since the inconstancy resulted in in several problem such as treatment failure, drug resistance, and development of new virus strain. Treatment failure will resulted in magnitude effect both for the patients and family since patients usually are productive age males. To evaluate treatment adherence is much better than waiting for virology failure. Mean corpuscular volume (MCV) value is a basic hematology parameter that can be used to evaluate the process of treatment adherence. The use of this parameter needed to take into account patients with zidovudine or stavudine treatment, ensure there is no macrocytosis before treatment and other medical status or drug consumed which can contribute to MCV value. Viral load, CD4, and patients clinical status still become the main parameter to be used to evaluate treatment responses on HIV patients in adequade facilities.
Relationship between Knowledge and Compliance Using Anti-dyslipidemic Drugs among Hypertensive Patients with Dyslipidemia in Bandung, West Java, Indonesia Batasalsabilla, Sitti Alifa; Kuswinarti, Kuswinarti; Andean, Rudolf
Althea Medical Journal Vol 11, No 2 (2024)
Publisher : Faculty of Medicine Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15850/amj.v11n2.3084

Abstract

Background: Dyslipidemia occurs in 60% of hypertensive patients. Effective treatment of hypertensive patients with dyslipidemia can reduce the risk of cardiovascular disease by more than 50%. However, compliance with dyslipidemia medication in dyslipidemia patients is still low. Low compliance can be attributed to poor knowledge. This study aimed to analyze the relationship between knowledge and compliance using antidyslipidemic drugs in hypertensive patients with dyslipidemia.Methods:  A cross-sectional analytical study was conducted from August to September 2022 at the Pasirkaliki Public Health Center (Pusat Kesehatan Masyarakat, Puskesmas), Bandung, Indonesia. The consecutive sampling method was used to collect 64 hypertensive patients with dyslipidemia who were taking anti-dyslipidemic drugs. Primary data on knowledge and compliance were obtained through valid and reliable questionnaires. The Chi-square test was used to determine the relationship between the two variables.Results: The study results showed that 95.3% of respondents had good knowledge. Respondent compliance showed obedience of 78.1%. Respondents with good knowledge had an obedience rate of 78.1%. There was a relationship between knowledge and compliance to using anti-dyslipidemic drugs in hypertensive patients with dyslipidemia (p=0.001).Conclusions: There is a relationship between knowledge and compliance with the use of anti-dyslipidemia drugs in hypertensive patients with dyslipidemia. Almost all patients have good knowledge.  Continuous maintenance and improvement of patient knowledge is required, which can be achieved by conducting health education to better understand the relationship between diseases and the importance of taking medication.
Co-Authors Batasalsabilla, Sitti Alifa Christopher Rinaldi Erwinanto Erwinanto Erwinanto, Erwinanto Irma Ruslina Defi Kuswinarti Kuswinarti, Kuswinarti Rachmat Sumantri Rachmat Sumantri Rudi Wisaksana Sukesi, Lilik Suwanda Wahyudin Syifa Rahmani Syifa Rahmani, Syifa