Kurnia Wahyudi, Kurnia
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Journal : Althea Medical Journal

Burden of Pediatric Cancer Treatment: Results of Online Pediatric Cancer Registry Prototype 1 at A Third Referral Hospital in Indonesia Sari, Nur Melani; Reniarti, Lelani; Suryawan, Nur; Susanah, Susi; Wahyudi, Kurnia
Althea Medical Journal Vol 4, No 3 (2017)
Publisher : Althea Medical Journal

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (606.214 KB) | DOI: 10.15850/amj.v4n3.1204

Abstract

Background: Despite the impressive progress of high-income countries, childhood cancer survival remains low in low and middle-income countries. Cancer is yet to be considered as a significant public health issue which has implicate only few pediatric cancer registry has been well established. The study aimed to describe the burden of pediatric cancer treatment in a third referral hospital in Indonesia through pediatric cancer registry.Methods: A-three-year retrospective analysis of 15 pediatric cancer diagnosed in children aged under 14 years was conducted at Dr Hasan Sadikin General Hospital, Bandung.  Data were extracted from Online Bandung Pediatric Cancer Registry Prototype 1 and analyzed for age, gender, type of cancer. The outcomes were classified as treatment abandonment, treatment refusal, interrupted treatment, death during treatment, and completed treatment.Results: Seven-hundred and seventy-three children, 452 males and 321 females, were diagnosed with 15 types of malignancies.  Peak incidence for each malignancy was different: at a young age was found in retinoblastoma and hepatoblastoma (mean; 3yo) while at adolescence in bone tumor and chronic myelocytic leukemia (9.1; 10 yo respectively). Distribution of the foremost malignancies recorded was: acute lymphoblastic leukemia (44.5%), retinoblastoma (15.2%), and non-Hodgkin lymphoma (8.9%). The cancer cure rate was very low (9.5%), treatment abandonment was still high (41.7%) and most patients died (27.8%) in the course of therapy either from advanced disease, infection, or late presentation. Meanwhile, 167 patients still continued the interrupted treatment.Conclusions: Cancer management is the burden for hospital, however the general outcome is very poor. 
Anxiety Levels of Medical Students in Online Learning During COVID-19 Pandemic Amadeus, Joachim Kenneth; Veronica, Fifi; Oktavia, Nandina; Wahyudi, Kurnia; Lydiana, Lynna
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.v11n2.3187

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Background: The COVID-19 pandemic has affected the education sector and caused major changes. This situation provides challenges for students, resulting in increased anxiety, especially for medical students who tend to have higher level of anxiety. This study aimed to determine the proportion of anxiety levels among undergraduate medical students in online learning during the COVID pandemic.Methods: This cross-sectional descriptive study was conducted in September–November 2022, involving 156 undergraduate medical students at Universitas Padjadjaran, Indonesia batch 2019–2021 who had no history of somatic or psychiatric disease. The stratified simple random sampling method was used. Anxiety levels was assessed using the Hamilton Anxiety Rating Scale (HAM-A) questionnaire. Data was analyzed using Pearson’s Correlation.Results:  Participants were dominated by females (71.1%), average age 19.9 years with a grade point average (GPA) of 3.51-4.00 (88.5%). The anxiety level of most participants was mild (67.9%) and 19.2% were at the severe level. Interestingly, severe levels of anxiety seemed to occur more commonly in females, group batch 2020, GPA 2.51-3.00, living alone and in a place other than in the family home or rented house. Furthermore, respiratory manifestations tended to be the mildest, whereas intellectual manifestations were more often severely impacted.Conclusions: The anxiety level of undergraduate medical students in Universitas Padjadjaran is mostly mild. Female more often experience anxiety at a more severe level. Further research is needed to identify and analyze more comprehensively other possible anxiety factors in medical students.
Determinant of Hypertension among Adults in West Java, Indonesia: Analysis of National Basic Health Research Data 2018 Karlen, Jannatin; Berbudi, Afiat; Wahyudi, Kurnia
Althea Medical Journal Vol 10, No 4 (2023)
Publisher : Faculty of Medicine Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15850/amj.v10n4.2826

Abstract

Background: Hypertension is a serious health problem worldwide. Many studies on the determinants of hypertension have been done, however studies in West Java are still very minimal. This study aimed to determine the risk factors for hypertension among adults in West Java, Indonesia.Methods: This study used a cross-sectional method with a quantitative approach using secondary data from the National Basic Health Research 2018. The final number of individuals sampled was 46,186 people. Data analysis was performed using simple logistic regression and multiple logistic regression methods.Results: The mean age of the sample was 42.97 years (SD=15.37), and females were the predominant (52.95%). The majority of samples consumed sweet beverages (31.06%) and salty foods more than once a day (29.22%), did not smoke (59.17%), had a normal body mass index (BMI) (53.78 %), and had experienced gum disease and dental problems in the last year (56.75 %). Physical activity in metabolic equivalent task (MET) minute was 5,917.79. There was a significant positive association between age and hypertension, with an odds ratio (OR) of 1.06 and a 95% confidence interval (CI) of 1.05–1.06. Furthermore, the analysis found a significant negative correlation between physical activity and hypertension, with an OR of 0.999 and a 95% CI of 0.9999874–0.9999962.Conclusions: Hypertension is significantly associated with age, whereas physical exercise is negatively associated. Priority should be given to elderly individuals and people with a high BMI for interventions such as routine blood pressure monitoring and education.