Althea Medical Journal
Althea Medical Journal (AMJ) is a peer reviewed electronic scientific publication journal which is published every 3 months (March, June, September, and December). Althea Medical Journal publishes articles related to research in biomedical sciences, clinical medicine, family-community medicine, and public health.
Articles
60 Documents
Search results for
, issue
"Vol 3, No 2 (2016)"
:
60 Documents
clear
<![CDATA[Differences of Clinical and Laboratory Presentation in Positive and Negative Acid Fast Bacilli Pulmonary Tuberculosis Patients ]]>
<![CDATA[Amila Hanifan Muslimah]]>;
<![CDATA[ArtoYuwono Soeroto]]>;
<![CDATA[Enny Rohmawaty]]>
<![CDATA[ Althea Medical Journal Vol 3, No 2 (2016) ]]>
Publisher : <![CDATA[Faculty of Medicine Universitas Padjadjaran ]]>
Show Abstract
|
Download Original
|
Original Source
|
Check in Google Scholar
|
Full PDF (138.195 KB)
<![CDATA[Background: Based on bacteria status, tuberculosis is classified into positive and negative acid fast bacilli. This study was conducted to determine the differences of clinical and laboratory presentation in positive and negative acid fast bacilli pulmonary tuberculosis patients.Methods: This study was an observational analytic study with a cross-sectional approach which used 338 medical records of patients with pulmonary tuberculosis at Direct Observational Treatment Short-course(DOTS) clinic Dr. Hasan Sadikin General Hospital from January to December 2012. Data collected were clinical and laboratory presentation for analytic study. Data about comorbid were collected for descriptive data.Results: From 338 medical records, 223 were medical records of patients with pulmonary tuberculosis and 105 medical records of patients with comorbid. Twenty (18.01%) comorbid were Human Immunodeficiency Virus (HIV). Acid fast bacilli negative was more (121, 51.9%) than acid fast bacilli positive (112, 48.1%). Differences of laboratory presentation were found in hemoglobin count (p=0.037), red blood cell count (p=0.022), and erythrocyte sedimentation rate (p=0.006) and not found in white blood cell count (p=0.073), thrombocyte count (p= 0.766), serum glutamic oxaloacetic transaminase (p=0.169), and serum glutamicpyruvic transaminase (p=0.309). Difference of clinical manifestation was not found in fever (p=1), cough (p=0.608), night sweats (p=0.09), dyspnea (p=0.210), and weight loss (p=0.269).Conclusions: Differences between acid fast bacilli positive and negative are found in hemoglobin, red blood cell, and erythrocyte sedimentation rate laboratory examination. The highest comorbid of pulmonary tuberculosis patient is HIV. [AMJ.2016;3(2):286–5]DOI: 10.15850/amj.v3n2.786]]>
<![CDATA[Characteristics of Patient with Proliferative Diabetic Retinopathy Underwent Anti-Vascular Endothelial Growth Factors Injection in Cicendo Eye Hospital, Bandung in January–December 2013 ]]>
<![CDATA[Marsha Rayfa Pintary]]>;
<![CDATA[Arief S. Kartasasmita]]>;
<![CDATA[Juliati Juliati]]>
<![CDATA[ Althea Medical Journal Vol 3, No 2 (2016) ]]>
Publisher : <![CDATA[Faculty of Medicine Universitas Padjadjaran ]]>
Show Abstract
|
Download Original
|
Original Source
|
Check in Google Scholar
|
Full PDF (141.364 KB)
<![CDATA[Background: Proliferative Diabetic Retinopathy (DR) is one of the microvascular complications of diabetes mellitus (DM) that is prevalent to the blindness risk. The World Health Organization (WHO) considers Proliferative DR one of the priorities of eye diseases. This disease is caused by angiogenesis brought about by Vascular Endothelial Growth Factors (VEGF). The Anti-VEGF Bevacizumab (Avastin) injection is considered sufficient in preventing proliferative DR patients from blindness. This study aimed to identify the characteristics of patients with proliferative DR underwent Anti-VEGF injection at Cicendo Eye Hospital, Bandung.Methods: This was a retrospective study conducted from August−October 2014 using 40 medical records of patients with proliferative DR underwent Anti-VEGF Bevacizumab (Avastin) injection at the Cicendo Eye Hospital Bandung from January−December 2013. Inclusion criteria were the patients underwent anti-VEGF injection with complete medical records with minimum follow up of 3 weeks.Results: Among 40 patients, 55% were male and 45% were female. Furthermore, there was 100% found for DM Type 2. Moreover, random blood glucose varied among 140–200mg/dl (50%), while the hypertension was mostly at stage 2. Some of these patients had proliferative DR with vitreal hemorrhage (25%), macular edema (40%), and/or tractionalablasio retina (22.5%). Most patients had an improvement in their visual acuity (60%).Conclusions: Most of patients are male, aged 50–59 years old, random blood glucose among 140– 200mg/dl, followed DM Type 2 and hypertension stage 2. Anti-VEGF injection improves visual acuity. [AMJ.2016;3(2):280–5]DOI: 10.15850/amj.v3n2.781]]>
<![CDATA[Computer Vision Syndrome among Call Center Employees at Telecommunication Company in Bandung ]]>
<![CDATA[Ghea Nursyifa]]>;
<![CDATA[Putri Teesa Radhiyanti Santoso]]>;
<![CDATA[Ine Renata Musa]]>
<![CDATA[ Althea Medical Journal Vol 3, No 2 (2016) ]]>
Publisher : <![CDATA[Faculty of Medicine Universitas Padjadjaran ]]>
Show Abstract
|
Download Original
|
Original Source
|
Check in Google Scholar
|
Full PDF (130.816 KB)
<![CDATA[Background: The occurrence of Computer Vision Syndrome (CVS) at the workplace has increased within decades due to theprolonged use of computers. Knowledge of CVS is necessary in order to develop an awareness of how to prevent and alleviate itsprevalence . The objective of this study was to assess the knowledge of CVS among call center employees and to explore the most frequent CVS symptom experienced by the workers.Methods: A descriptive cross sectional study was conducted during the period of September to November 2014 at Telecommunication Company in Bandung using a questionnaire consisting of 30 questions. Out of the 30 questions/statements, 15 statements were about knowledge of CVS and other 15 questions were about the occurrence of CVS and its symptoms. In this study 125 call center employees participated as respondents using consecutive sampling. The level of knowledge was divided into 3 categories: good (76–100%), fair (75–56%) and poor (<56%). The collected data was presented in frequency tabulation.Results: There was 74.4% of the respondents had poor knowledge of CVS. The most symptom experienced by the respondents was asthenopia.Conclusions: The CVS occurs in call center employees with various symptoms and signs. This situation is not supported by good knowledge of the syndrome which can hamper prevention programs. [AMJ.2016;3(2):181–21]DOI: 10.15850/amj.v3n2.789]]>
<![CDATA[Epidemiology of Giant Cell Tumor in Dr. Hasan Sadikin General Hospital Bandung from 2010-2013 ]]>
<![CDATA[Kirtana Gunasegaran]]>;
<![CDATA[M.Naseh Sajadi Budi Irawan]]>;
<![CDATA[Anglita Yantisetiasti]]>
<![CDATA[ Althea Medical Journal Vol 3, No 2 (2016) ]]>
Publisher : <![CDATA[Faculty of Medicine Universitas Padjadjaran ]]>
Show Abstract
|
Download Original
|
Original Source
|
Check in Google Scholar
|
Full PDF (116.554 KB)
<![CDATA[Background: Giant cell tumor (GCT) of bone is a primary bone tumor. It is commonly seen in South East Asia and found in female around 20–45 years old. The GCT mostly occurs in epiphysis around the knee. The patients normally suffer from pain, swelling, limitation of joint movement, and pathologic fracture. This study aimed to determine the epidemiology of GCT of the bone based on age, sex, location, type, metastases, and recurrence in Dr. Hasan Sadikin General Hospital Bandung.Methods: A descriptive study with retrospective cohort using total sampling method was used to obtain 33 medical records of patients with GCT of bone in Department of Orthopedic & Traumatology and Anatomical Pathology Dr. Hasan Sadikin General Hospital Bandung in the period of January 2010–December 2013.Results: The GCT of bone was mostly found in female of 20 to 29 years old and around 32 years old in male. Distal femur will be the most common site while zygoma, mandibular vertebrae, proximal tibia were rare sites. Twenty nine cases were benign lesion and the rest (4 cases) were malignant. The probability of GCT of bone to metastasize to lungs was very low. Four recurrences occurred within a year.Conclusions: The GCT of bone in male mostly occurs in the third and fourth decade of age. It is found around the knee, mostly benign, rarely metastasize to the lungs and recurrence happens within a year. [AMJ.2016;3(2):244–7] DOI: 10.15850/amj.v3n2.477]]>
<![CDATA[Existence of Antibiotics in Stalls at Jatiroke Village, Jatinangor Sub District ]]>
<![CDATA[Elan Jaelani]]>;
<![CDATA[Istriati Istriati]]>;
<![CDATA[Deni Kurniadi Sunjaya]]>
<![CDATA[ Althea Medical Journal Vol 3, No 2 (2016) ]]>
Publisher : <![CDATA[Faculty of Medicine Universitas Padjadjaran ]]>
Show Abstract
|
Download Original
|
Original Source
|
Check in Google Scholar
|
Full PDF (211.764 KB)
<![CDATA[Background: Improper use of antibiotics can lead to lack of drug efficacy against bacteria, and cause resistance to the antibiotics itself. Antibiotics are classified into prescription drugs that should not be available over the counter because of its dangerous effect. It is important to study the presence of antibiotics in traditional stalls. Objective of this study was to investigate existence of antibiotics in stalls, and to investigate reasons of stall- owners for selling antibiotics.Methods: This study used mixed method design, and sequential explanatory approach, and conducted direct observation, spatial mapping, and interview with stall-owners selling drugs in Jatiroke village, Jatinangor sub district from September to November 2013. Total sampling was conducted in this study.Results: Fifty percent from 24 surveyed stalls sold Antibiotics Amoxicillin. The map showed stalls selling antibiotics at roadside. Amoxicillin sold package with Dexamethasone and Non-Steroid Anti Inflammatory Drugs (NSAID) was soldby several stalls. Shopkeepers sold antibiotics due to lack of knowledge about thedrug, need for self-medication, demand, and availability of drugs supply.Conclusions: Antibiotics can be found in several stalls in Jatiroke village, and improper of use of this drug can lead to resistance and less efficacy for treating infections. Although the Act for prescription drugs still exists, low of monitoring and enforcement the regulation by the Badan Pengawas Obat dan Makanan (BPOM) may be one of many factors that influence the existence of antibiotics in the stalls. [AMJ.2016;3(2):239–43]DOI: 10.15850/amj.v3n2.779]]>
<![CDATA[Correlation between Computer Workstation and Location of Musculoskeletal Disorders ]]>
<![CDATA[Hafiz Ambyo Bagaskoro]]>;
<![CDATA[Tertianto Prabowo]]>;
<![CDATA[Setiawan Setiawan]]>
<![CDATA[ Althea Medical Journal Vol 3, No 2 (2016) ]]>
Publisher : <![CDATA[Faculty of Medicine Universitas Padjadjaran ]]>
Show Abstract
|
Download Original
|
Original Source
|
Check in Google Scholar
|
Full PDF (182.984 KB)
<![CDATA[Background: The use of computer has been widely increased. This intensifies the risk of musculoskeletal disorders on long-term office workers. This study aims to find out the characteristics of musculoskeletal disorders in office workers with computer workstation which then lead to the presence or absence of the correlation between the two in order to avoid the pains endured.Methods: This was a cross-sectional study carried out from September–November 2014 in Faculty of Medicine, Universitas Padjadjaran, Bandung, Indonesia. Seventeen samples were obtained from three different departments (finance and academics) by total sampling. The data was collected by validated questionnaire and it was analyzed by using simple linear regression method.Results: From 17 samples in total, 16 claimed that their workstation needs to be evaluated. Furthermore, the prevalent areas of musculoskeletal were shoulders (12 persons), lower back (10 persons), neck (9 persons), knee (9 persons), upper back (7 persons). The analysis using simple linear regression method showed no significant correlation between workstation characteristics and musculoskeletal disorders (p-value = 0.515).Conclusions: There is no correlation found between workstation characteristics and musculoskeletal disorders. [AMJ.2016;3(2):323–8]DOI: 10.15850/amj.v3n2.793]]>
<![CDATA[Characteristics of Patient with Benign Paroxysmal Positional Vertigo in Dr. Hasan Sadikin General Hospital Bandung from 2009‒2013 ]]>
<![CDATA[Intan Datya Kirana]]>;
<![CDATA[Yussy Afriani Dewi]]>;
<![CDATA[Titing Nurhayati]]>
<![CDATA[ Althea Medical Journal Vol 3, No 2 (2016) ]]>
Publisher : <![CDATA[Faculty of Medicine Universitas Padjadjaran ]]>
Show Abstract
|
Download Original
|
Original Source
|
Check in Google Scholar
|
Full PDF (126.48 KB)
<![CDATA[Background: Benign Paroxysmal Positional Vertigo (BPPV) is a vestibular disorder marked by episodes of vertigo and triggered by a change in the head position. It is characterized by short yet severe episodes of vertigo and possibly accompanied by nausea and vomiting. The BPPV is usually idiopathic and foundamong people aged 46‒50 years old. There are pharmacological and non pharmacological treatment used for BPPV. Non-pharmacological treatment includes Epley, Semont, Lempert, Forced Prolonged Position, andBrandt-Daroff maneuvers and pharmacological onebenzodiazepine and antihistamines. This study aimed to examine the characteristics of patient with BPPV based on their complaint and prescribed treatment.Methods: This was a descriptive-retrospective study conducted on April–June 2014 using secondary data from medical records of patient with BPPV in Dr. Hasan Sadikin General Hospital Bandung from 2009‒2013. The variables include gender, age, occupation, accompanying disease, complaints, supporting examinations, and treatment.Results: There were 74 subjects; 66.22% were female and 33.78% were male. Most of patients with BPPV aged around 41‒50 years old (39.19%). Furthermore, 93.24% had a major complaint of headache and spinning sensation, and >60% nausea and vomiting. The most prescribed therapy was Betahistine (86.49%). Meanwhile, a maneuver of non-pharmacological treatment was rarely done (8.11%).Conclusions: The BPPV occurs more in older women. The major complaint is headache and spinning sensation affected by the head position and accompanied by nausea and vomiting. Lastly, non-pharmacological treatment is rarely performed in handling patient with BPPV. [AMJ.2016;3(2):275–9]DOI: 10.15850/amj.v3n2.800]]>
<![CDATA[Misdiagnosis of Epilepsy Attributed to Inadequate History Taking ]]>
<![CDATA[Levina Tri Ratana]]>;
<![CDATA[Suryani Gunadharma]]>;
<![CDATA[Arifin Soenggono]]>
<![CDATA[ Althea Medical Journal Vol 3, No 2 (2016) ]]>
Publisher : <![CDATA[Faculty of Medicine Universitas Padjadjaran ]]>
Show Abstract
|
Download Original
|
Original Source
|
Check in Google Scholar
|
Full PDF (190.711 KB)
<![CDATA[Background: There was a noticeable amount of patient with epilepsy who were misdiagnosed at Dr. Hasan Sadikin General Hospital. Misdiagnosis of epileptic seizure will expose patients to inappropriate managements, and subsequently leads to complications. History taking is an important part for the diagnosis of epileptic seizure. This study aimed to see the improvement of diagnosis based on the adequacy and inadequacy of history taking attributed to misdiagnosis of epileptic seizure by the epilepsy consultant at Dr. Hasan Sadikin General Hospital.Methods: This was a descriptive study using medical records of misdiagnosis of epilepsy. It was indicated by different initial (before epilepsy consultant’s confirmation) and final (after epilepsy consultant’s confirmation) seizure diagnosis at Epilepsy Outpatient Clinic at Dr. Hasan Sadikin General Hospital during the period of January 2007−October 2012.Results: There were 61 medical records with different initial and final seizure diagnosis. This study indicated inadequate history taking in 83.6% patients. Misdiagnosis occurred due to incomplete history taking, absence of reliable witnesses, and misinterpretation of history taking result. History taking by epilepsy consultant improved the misdiagnosis in 27.9% patients. While it is used simultaneously with Electroencephalography (EEG), the result increased to 72.2%.Conclusions: The adequate history taking improved the accuracy of epileptic seizure diagnosis. The simultaneous used of history taking and EEG increased the result. [AMJ.2016;3(2):304–9]DOI: 10.15850/amj.v3n2.775]]>
<![CDATA[Cyanosis as Mortality Risk among Children with Severe Pneumonia ]]>
<![CDATA[Herza Fadlinda]]>;
<![CDATA[Adi Utomo]]>;
<![CDATA[Henni Djuhaeni]]>
<![CDATA[ Althea Medical Journal Vol 3, No 2 (2016) ]]>
Publisher : <![CDATA[Faculty of Medicine Universitas Padjadjaran ]]>
Show Abstract
|
Download Original
|
Original Source
|
Check in Google Scholar
|
Full PDF (130.341 KB)
<![CDATA[Background: Pneumonia is the second leading cause of infant death in Indonesia. The mortality of pneumonia in children is associated with cyanosis, malnutrition, and age less than 4 months. The aim of this study was to determine the relationship between cyanosis, malnutrition, and age less than 4 months with the mortality of infant patients with severe pneumonia at Dr Hasan Sadikin General hospital.Methods: A case-control study has been conducted using medical records of 80 patients with pneumonia at Dr. Hasan Sadikin General Hospital, period January 2007 to December 2013. The inclusion criteria were medical records consisting of information about infants with severe pneumonia, without comorbid diagnoses, who died during hospitalization. While controls were infants who have been discharged from hospital. The independent variables of this study were cyanosis, malnutrition, and age less than 4 months, while the dependent variable was the mortality. Data were analyzed by using univariate and bivariate analysis.Results: The study reported that only cyanosis was associated with mortality. Malnutrition and age less than 4 months were not associated with mortality.Conclusions: Cyanosis is known to be the only factor that has affected the mortality of infants with pneumonia who are hospitalized at Dr. Hasan Sadikin General Hospital. [AMJ.2016;3(2):186–9]DOI: 10.15850/amj.v3n2.799]]>
<![CDATA[Pattern of Bacteria and Its Susceptibility of Ventilator-Associated Pneumonia Patients in ICU at Dr. Hasan Sadikin General Hospital, Bandung ]]>
<![CDATA[Achmad Faisal Jundi]]>;
<![CDATA[Nurita Dian KSS]]>;
<![CDATA[Yanti Mulyana]]>
<![CDATA[ Althea Medical Journal Vol 3, No 2 (2016) ]]>
Publisher : <![CDATA[Faculty of Medicine Universitas Padjadjaran ]]>
Show Abstract
|
Download Original
|
Original Source
|
Check in Google Scholar
|
Full PDF (136.984 KB)
<![CDATA[Background: Incidence of ventilator-associated pneumonia (VAP) is common in intensive care unit (ICU). This pneumonia, becomes important due to its association to increased length of hospital stay, increased costs, and increased mortality. Irrational administration of antibiotics can lead to development of bacterial resistance. The objective of this study was to describe the pattern of bacteria and the susceptibility of VAP patients.Methods: A descriptive study was carried out to 10 medical records of VAP patients in the ICU at Dr. Hasan Sadikin General Hospital, Bandung in January–June 2014. Microbiological culture results and antibiotics susceptibility testing of patients’ sputum were identified and the collected data were analyzed in form of tables and percentages by using a computer program.Results: Out of 44 cultures taken from 10 patients with VAP, 43 cultures had microbiological findings. Gram negative bacteria were found in 90.6% cultures, the rests were Gram positive bacteria and fungi. The majority of findings were: Acinetobacter baumannii (41.9%), Pseudomonas aeruginosa (18.6%), andKlebsiella pneumoniae (16.9%). The laboratory test result showed varied degrees of antimicrobial resistance to antibiotics.Conclusions: Bacteria found in sputum cultures of ICU patient with VAP are mostly of Gram negative. The result of susceptibility testing of bacteria shows many of the bacteria have resistance to antibiotics in ICU at Dr. Hasan Sadikin General Hospital. [AMJ.2016;3(2):195–9]DOI: 10.15850/amj.v3n2.772]]>
