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.
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<![CDATA[Metabolic Syndrome Components and Nutritional Status among Hypertensive Outpatiens at Dr. Hasan Sadikin General Hospital Bandung ]]>
<![CDATA[Lira Mirandus]]>;
<![CDATA[Hikmat Permana]]>;
<![CDATA[Siti Nur Fatimah]]>
<![CDATA[ Althea Medical Journal Vol 3, No 3 (2016) ]]>
Publisher : <![CDATA[Faculty of Medicine Universitas Padjadjaran ]]>
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<![CDATA[Background: Metabolic syndrome and overnutritional status (overweight and obesity) are examples of determinants that can give rise to hypertension, so the three diseases are correlated with each other. This study aimed to reveal metabolic syndrome components and nutritional status among hypertensive outpatients.Methods: This study involved 44 hypertensive outpatients who visited the Nephrology and Hypertension Clinic of Dr. Hasan Sadikin Hospital, Bandung in September to October 2013. Anthropometric and blood pressure measurements, anamnesis, and medical record data collection were carried out to describe the patient’s metabolic syndrome components by using International Diabetes Federation criteria on South Asian people and nutritional status by WHO classification in Asian people.Results: Among respondents, 25 (57%) had abdominal obesity, 14 (32%) had hypertrygliceridemias, 14 (32%) had low HDL cholestrol, 19 (43%) were taking lipid-lowering medications, 20 (45 %) had high level of fasting blood glucose, 21 (48%) had been diagnosed as mellitus type 2, 15 (34%) had high blood pressure, 40 (91%) were taking antihypertensive medications, 19 (43%) had metabolic syndrome, and 31 (70%) were overweight or obese.Conclusions: Less than a half of the respondents meet the metabolic syndrome criteria and over two third of them are at overnutrition state (overweight or obesity). [AMJ.2016;3(3):476–80]DOI: 10.15850/amj.v3n3.862 ]]>
<![CDATA[Profile of Knowledge on Stroke among Paramedics at Jatinangor and Tanjungsari Public Health Centers ]]>
<![CDATA[Rangga Kusuma Wardhana]]>;
<![CDATA[Andi Basuki]]>;
<![CDATA[Suryosutanto Suryosutanto]]>
<![CDATA[ Althea Medical Journal Vol 3, No 3 (2016) ]]>
Publisher : <![CDATA[Faculty of Medicine Universitas Padjadjaran ]]>
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<![CDATA[Background: A knowledge of stroke is important for paramedics, to minimize delays and increase the numbers of potentially treatable patients. Paramedics are health workers who devote themselves in the field of health, have knowledge and/or skills through education in the health field that requires authority in running health services. The aim of this study was to measure the level of knowledge of paramedics about stroke in Jatinangor and Tanjungsari Public Health Center.Methods: A cross–sectional descriptive study was conducted from August to October 2013. An 11-item questionnaire has been established and were submitted to 43 paramedics at Jatinangor and Tanjungsari Public Health Center.The determination of level of knowledge was based on the T–score of each respondent compared with the mean T–score of the subject population.Result: The most respondents were female. Midwifery had the highest frequency of respondents. Largely, the source of information about stroke derived from education.The mean of T-score was 50. There were 28 respondents had a good level of knowledge about stroke and 15 respondents had a poor level of knowledge about stroke.Conclusions: Most paramedics have a good level of knowledge of stroke. [AMJ.2016;3(3):355–8]DOI: 10.15850/amj.v3n3.879 ]]>
<![CDATA[Correlation between Forced Expiratory Volume One Second and Vital Capacity with VO2 Maximum ]]>
<![CDATA[Siti Khadijah Rahmania]]>;
<![CDATA[Tertianto Prabowo]]>;
<![CDATA[Putri Tessa]]>
<![CDATA[ Althea Medical Journal Vol 3, No 3 (2016) ]]>
Publisher : <![CDATA[Faculty of Medicine Universitas Padjadjaran ]]>
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<![CDATA[Background: Medical students need to cope with their tight schedule, which also demand a good physical fitness to do those activities. Insufficient leisure time and exhausting activities impede students’ capacity on having routine physical exercise to maintain their physical fitness. Cardiopulmonary endurance describes a person physical fitness level, and lung function is one basic component of cardiopulmonary endurance. Without optimal lung function, circulatory system in the body cannot work properly. This study aimed to determine whether lung function giving a significant correlation with the cardiorespiratory endurance which are measured by Forced Expiratory Volume One Second (FEV1), Vital Capacity (VC), and VO2Maximum (VO2max), respectively.Methods: This study was conducted in September–October 2013 to the students of Faculty of Medicine at Universitas Padjadjaran academic year 2010–2012, using the cross-sectional method. Sample was taken through simple random sampling process. There were 34 male and 34 female students after controlling for covariates. Direct measurement using spirometer used to determine lung function and maximum oxygen uptake was measured by assessing Rhyming Step Test result. Correlation coefficient was then calculated by Pearson correlation test.Results: The correlation between FEV1with VO2max of male students giving a value of p=0.442, while for VC obtained a value of p=0.259. Female students result giving a value of p=0.746 for the FEV1with VO2max, and p=0.489 for the VC with the VO2max.Conclusions: There is no significant correlation between FEV1 and VC with the VO2max of the respondents. [AMJ.2016;3(3):430–3] DOI: 10.15850/amj.v3n3.868]]>
<![CDATA[Correlation between Physical Activity Level and Health–Related Quality of Life among Elderly ]]>
<![CDATA[Ricky Anguda]]>;
<![CDATA[Setiawan Setiawan]]>;
<![CDATA[Irma Ruslina Defi]]>
<![CDATA[ Althea Medical Journal Vol 3, No 3 (2016) ]]>
Publisher : <![CDATA[Faculty of Medicine Universitas Padjadjaran ]]>
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<![CDATA[Background: The elderly population will keep growing in Indonesia. Decreased body function in elderly will affect their health–related quality of life. The aim of this study was to know the correlation between physical activity level and health–related quality of life among elderlyMethods: A cross-sectional analytical study was conducted from September to November 2014 in Panti Sosial Tresna Wredha Budi Pertiwi. The level of physical activity was measured with General Practice Physical Activity Questionnaire (GPPAQ) and health–related quality of life using the 36–Item Short Form Health Survey version 2 (SF–36v2). There were 14 out of 29 female elderly who met the inclusion criteria. The data were collected using validated questionnaires and tested with simple linear regression.Results: The physical activity level includes one inactive, three moderately inactives, eight moderately actives, and two actives. The average score of the health–related quality of life was 41.121±8.88 for the physical component scale (below average) and 57.629±7.54 (above average) for the mental component scale. No significant correlation was found between the level of physical activity with the physical component scale (p–value = 0.731) and mental component scale (p–value = 0.901).Conclusions: The most frequently found physical activity level is the moderately active level. The score for the physical component scale is under average, while the mental component scale is above average. There is no correlation between the physical activity level and health–related quality of life for the physical component scale and the mental component scale. [AMJ.2016;3(3):405–10]DOI: 10.15850/amj.v3n3.890]]>
<![CDATA[Effect of Mangosteen Pericarp Extract on Gastric Mucosal Damage Induced by Aspirin ]]>
<![CDATA[Jansen Budiono]]>;
<![CDATA[Achadiyani Achadiyani]]>;
<![CDATA[Dolvy Girawan]]>
<![CDATA[ Althea Medical Journal Vol 3, No 3 (2016) ]]>
Publisher : <![CDATA[Faculty of Medicine Universitas Padjadjaran ]]>
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<![CDATA[Background: Peptic ulcer disease is commonly found in the community. Nonsteroidal anti-inflammatory drug (NSAID) such as aspirin is one of the predisposing factors to ulcers. According to various studies, plant extracts have been shown to produce promising results in the treatment of peptic ulcers. Xanthone, the active substance contained in the mangosteen pericarp extract has been extensively studied for its role in various diseases. The present study was undertaken to identify the effect of mangosteen pericarp extract on gastric mucosal damage.Methods: This study was carried out from September−November 2014 in the Animal Laboratory of the Department of Pharmacology and Therapy, Faculty of Medicine, Universitas Padjadjaran/Dr. Hasan Sadikin General Hospital, Bandung. Thirty two rats were randomly divided into 2 groups with different treatments and were induced by aspirin. Histologic studies were conducted to determine the score of gastric mucosal damage. The parameters used were Wattimena’s criteria for damage of gastric mucosa. Data was analyzed using Chi Square test and the outcome was measured in relative risk.Results: The study revealed a significant association between pretreatment with mangosteen pericarp extract and incidence of gastric mucosal damage induced by aspirin (p < 0.05). Calculation with a modified 2 × 2 table revealed a relative risk of 0.625.Conclusions: Rats pretreated with mangosteen pericarp extract exhibit less gastric mucosal damage, in experimentally aspirin-induced ulcer. [AMJ.2016;3(3):388–91] DOI: 10.15850/amj.v3n3.885]]>
<![CDATA[Intrinsic Risk Factors of Falls in Elderly ]]>
<![CDATA[Yasmin Amatullah]]>;
<![CDATA[Sunaryo B. Sastradimaja]]>;
<![CDATA[Lazuardhi Dwipa]]>
<![CDATA[ Althea Medical Journal Vol 3, No 3 (2016) ]]>
Publisher : <![CDATA[Faculty of Medicine Universitas Padjadjaran ]]>
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<![CDATA[Background: Falls are common geriatric problems. The risk factors of falls are the intrinsic and extrinsic risk factors. Studies on falls are scarcely conducted in Indonesia, especially in Bandung. Therefore, this study was conducted to identify the intrinsic risk factors of falls among elderly.Methods: A descriptive study was carried out from August to October 2013 at the Geriatric Clinic of Dr. Hasan Sadikin General Hospital Bandung. Fifty three participants were selected according to the inclusion and exclusion criteria using consecutive sampling. The determined variables in this study were classification of the risk of falls, demographic profile, history of falls, disease, and medications. After the selection, the participants were tested by Timed up-and-go test (TUGT). Moreover, an interview and analysis of medical records were carried out to discover the risk factors of falls. The collected data were analyzed and presented in the form of percentages shown in tables.Results: From 53 patients, women (35.66%) were considered to have higher risk of fall than men (18.34%). The majority of patients (66%) with the risk of fall were from the age group 60–74 years. The major diseases suffered by patients were hypertension, osteoarthritis and diabetes mellitus. Drugs that were widely used were antihypertensive drugs; analgesic and antipyretic drugs and antidiabetic drugs.Conclusions: There are various intrinsic risk factors of falls in elderly and each of the elderly has more than one intrinsic risk factor of falls. [AMJ.2016;3(3):334–9] DOI: 10.15850/amj.v3n3.875 ]]>
<![CDATA[Prevalence and Characteristics of Low Back Pain among Productive Age Population in Jatinangor ]]>
<![CDATA[Dini Diwayani Novitasari]]>;
<![CDATA[Henny Anggraini Sadeli]]>;
<![CDATA[Arifin Soenggono]]>;
<![CDATA[Yulia Sofiatin]]>;
<![CDATA[Hadyana Sukandar]]>;
<![CDATA[Rully M. A. Roesli]]>
<![CDATA[ Althea Medical Journal Vol 3, No 3 (2016) ]]>
Publisher : <![CDATA[Faculty of Medicine Universitas Padjadjaran ]]>
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<![CDATA[Background: Low back pain is one of the global health issues which prevalence is high among productive ages. It oftentimes corresponds with one’s physical activity during work . The purpose of this study was to determine theprevalence and characteristics of low back pain among productive age population in Jatinangor, West Java, Indonesia.Methods: This study was a cross-sectional descriptive study conducted during the period of August to October 2014 in the three villages in Jatinangor, West Java, Indonesia. In order to determine the demographic data and history of low back pain in the last three months, about 1075 productive age populations were selected through validated questionnaire as the secondary data. These data consisting of 310 subjects were then described according to the pain characteristics and physical activity during work.Results: During three months of examination, s the prevalence of low back pain was 38.4%, with the average age 50–59 years old. Furthermore, about 22.3% subjects were indicated chronic low back pain. The most prevalent qseverity of the pain was dull pain (29.4%), followed with pins and needles pain (23.1%), As the intensity of the pain increased, there was a tendency of increasing interference in daily activities. Static posture was also the most frequent physical activity during work (53.2%).Conclusions: The prevalence of low back pain is more than one third (38.4%) among productive age populations in Jatinangor, West Java, Indonesia.[AMJ.2016;3(3):468–75]DOI: 10.15850/amj.v3n3.863]]>
<![CDATA[Comparison of Tissue Preservation using Formalin and Ethanol as Preservative Formula ]]>
<![CDATA[See Woan Shian]]>;
<![CDATA[Arifin Soenggono]]>;
<![CDATA[Sawkar Vijay Pramod]]>
<![CDATA[ Althea Medical Journal Vol 3, No 3 (2016) ]]>
Publisher : <![CDATA[Faculty of Medicine Universitas Padjadjaran ]]>
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<![CDATA[Background: Tissue preservation can be performed through embalming, by providing the chemical embalming fluid to the human remains. Formalin’s preservative formula is the foundation for modern methods of embalming. Unfortunately, this preservative formula has several disadvantages. While Ethanol’s preservative formula is a considerable agent to replace formalin’s preservative formula. The aim of this study was to compare the tissue preservation using formalin and ethanol as preservative formula.Methods: This study was carried out from September–October 2014 in the Laboratory of the Department of Anatomy, Faculty of Medicine, Universitas Padjadjaran. The study used the laboratory experimental method with consecutive sampling of 16 Wistar Rats. Thirty two soleus muscles and thirty two colons were collected and divided into two groups. Each group consisted of 16 soleus muscles and 16 colons. Group 1 was preserved with formalin’s preservative formula and Group 2 was preserved with ethanol’s preservative formula. The two groups were preserved for six weeks. The tissue’s color, consistency, odor and the growth of bacteria were determined before and after treatment.Results: Tissues preserved with ethanol’s preservative formula had better tissue preservation in the aspect of color and odor, compared with formalin’s preservative formula. Both preservative formulas showed no growth of bacteria in tissues but failed to retain the consistency. All the data were analyzed with Chi-square test.Conclusions: Ethanol’s preservative formula preserves better quality of tissue compared to formalin’s preservative formula. [AMJ.2016;3(3):359–63] DOI: 10.15850/amj.v3n3.880 ]]>
<![CDATA[Comparison of Maternal Health Service Satisfaction Level of National Health Coverage and Non National Health Coverage Patients in Bandung Mother and Child Hospital ]]>
<![CDATA[Rika Yuntiani]]>;
<![CDATA[Eppy Darmadi Achmad]]>;
<![CDATA[Henni Djuhaeni]]>
<![CDATA[ Althea Medical Journal Vol 3, No 3 (2016) ]]>
Publisher : <![CDATA[Faculty of Medicine Universitas Padjadjaran ]]>
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<![CDATA[Background: Healthcare is financially inaccessible to some people. This results in deterioration of patients’ condition or even death, which is proven by the high level of Maternal Death Rate in Indonesia. The government implemented the National Health Coverage (NHC) system to ensure the provision of quality health care for the entire community. This study aimed to examine the NHC and non-NHC patients’ perception to quality maternal healthcare services.Methods: This study was an analytic cross-sectional study conducted from August–October 2014. One hundred and twenty six respondents from Kota Bandung Mother and Child Hospital were included. The tool used in this study was a validity and reliability-tested questionnaire encompassing five dimensions of service quality: tangibles, reliability, responsiveness, assurance, and empathy. The Kolmogorov-Smirnov test was used to test the hypothesis.Results: The study showed that the majority of NHC(75%) and non-NHC patients (89%) ware unsatisfied with the maternal healthcare services. Most patients felt unsatisfied towards the reliability dimension which involved complicated referral procedures and examination time that failed to comply with what was promised.Conclusions: There is no difference between NHC and non-NHC patients’ level of satisfaction of maternal health care service in Bandung Mother and Child Hospital. [AMJ.2016;3(3):425–29]DOI: 10.15850/amj.v3n3.869]]>
<![CDATA[Comparison of Life Quality between Diabetic and Diabetic with Tuberculosis Patients ]]>
<![CDATA[Widuri Wita Andriati Shariefuddin]]>;
<![CDATA[Sri Yusnita Irda Sari]]>;
<![CDATA[Tri Damiati Pandji]]>
<![CDATA[ Althea Medical Journal Vol 3, No 3 (2016) ]]>
Publisher : <![CDATA[Faculty of Medicine Universitas Padjadjaran ]]>
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<![CDATA[Background: There are increasing double burden disease in the world. One of the double burden problems is diabetes mellitus (DM) and Tuberculosis (TB). DM is a metabolic disease while TB is an infectious disease. The increasing number of people with DM and TB will affect the relationship between the two diseases (DM-TB). DM is an incurable disease that if it is not controlled properly will affect the person’s quality of life. This study was conducted to determine the quality of life (QoL) in people with diabetes compared to diabetic patients who also suffer from tuberculosis at Dr. Hasan Sadikin General Hospital, Bandung.Methods: This was a cross sectional study which included fifty three respondents in each DM and DM-TB group using the consecutive samplingmethod. The World Health Organization Quality of Life (WHOQoL-BREF) questionnaire was given after written informed consent was obtained from respondents. This study was conducted from April to November 2014 at the Endocrine and metabolism policlinic in Dr.Hasan Sadikin General Hospital.Results: The result showed that the total QoL score of DM patients was 58.8, DM-TB patients was 53.59 which was significantly different between the two groups (p=0.004). Out of four domains, physical (p=0.008), psychological (p=0.008) and environmental health (p=0.001) were significantly different between the two groups. There was no significant difference in social relationships domain (p=0.771).Conclusions: Lower QoL among DM-TB patients indicates that improvement in education or counseling particularly about physical, psychological and environment changes is recommended. [AMJ.2016;3(3):440–5]DOI: 10.15850/amj.v3n3.891]]>
