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[Correlation between Mid Upper Arm Muscle Area/Size and Muscle Strength ]]>
<![CDATA[Tan Yong Bin]]>;
<![CDATA[Vitriana Vitriana]]>;
<![CDATA[Titing Nurhayati]]>
<![CDATA[ Althea Medical Journal Vol 3, No 4 (2016) ]]>
Publisher : <![CDATA[Faculty of Medicine Universitas Padjadjaran ]]>
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<![CDATA[Background: Muscle area/size reflects the true magnitude of muscle tissue changes. Muscle strength is an active tension generated by muscle that depends on its capacity to exert force on an object. The relation between the quantity of muscle area and the amount of muscle strength is suggested. The aim of this study was to analyze the correlation between mid-upper arm muscle area/size and muscular strength.Methods: This analytic study with ten subjects (medical students) who met the inclusion and exclusion criteriawas conducted at the Faculty of Medicine Universitas Padjadjaran in Jatinangor campus from 22th of April to 1st of November 2014. A skinfold calliper was used to measure triceps skinfold while a measuring tape measured the mid-upper arm circumference and a dynamometer measured the muscle strength. A formula was used to determine the mid-upper arm muscle area/size using mid-upper arm circumference and triceps skinfold. The collected data were analyzed statistically using correlation test and simple linear regression.Results: There was a strong correlation between mid-upper arm muscle area/size and muscular strength (correlation cooefficient 0.746). Moreover, the higher the Body Mass Index, the stronger the muscle strength was to some point. If the BMI was more than 25 kg/m2, this findings did not occurred.Conclusions: There is a strong positive correlation between mid-upper arm muscle area/size and arm muscle strength. [AMJ.2016;3(4):590–5]]]>
<![CDATA[Refractive Errors in State Junior High School Students in Bandung ]]>
<![CDATA[Sabila Tasyakur Nikmah]]>;
<![CDATA[Raden Maula Rifada]]>;
<![CDATA[Putri Teesa Radhiyanti Santoso]]>
<![CDATA[ Althea Medical Journal Vol 3, No 4 (2016) ]]>
Publisher : <![CDATA[Faculty of Medicine Universitas Padjadjaran ]]>
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<![CDATA[Background: Uncorrected refractive error is one of the avoidable causes of vision impairment in children and adults. Vision problem in children has been shown to affect their psychological and academic performance. This study aims at identifying and gaining more insights on the characteristic of the refractive errors in state junior high school students in Bandung to avoid uncorrected refractive errors.Methods: A cross-sectional study was conducted in September–November 2015 in state junior high schools in Bandung, West Java, Indonesia. Sample was selected using multistage random sampling technique. Children were examined using tumbling E examination; then students with visual acuity worse than 6/12 underwent Snellen Chart test, refractometry without pupil dilatation, correction with trial lens, then was followed by direct ophthalmoscopy.Results: From a total of 435 children who completed all the examination, 80 children (18.39%) had refractive errors; consisted of 151 eyes (94.38%) with myopia and 9 eyes (5.62%) with astigmatism. Refractive errors were found to be more common in female children (73.7%) than male children (26.3%). Among those with refractive errors, 45 children (56.3%) did not use any corrective glasses before the examination.Conclusions: Routine refractive error test in vision screening examination is needed for students. It is equally important to raise more awareness toward eye disease in community. [AMJ.2016;3(3):545–8]DOI: 10.15850/amj.v3n4.936]]>
<![CDATA[Correlation between Body Mass Index and Disability in Patient with Chronic Low Back Pain ]]>
<![CDATA[Tiang Soon Teck]]>;
<![CDATA[Tertianto Prabowo]]>;
<![CDATA[Nani Kurniani]]>
<![CDATA[ Althea Medical Journal Vol 3, No 4 (2016) ]]>
Publisher : <![CDATA[Faculty of Medicine Universitas Padjadjaran ]]>
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<![CDATA[Background: Low back pain is discomfort presented below the margin of the 12th thoracic rib and above the inferior gluteal fold with or without leg pain. It is also a major cause of disability. Several risk factors have been identified for contributing low back pain. It is important to determine whether body mass index (BMI) can affect the disability in patients with chronic low back pain. Oswestry disability index (ODI) questionnaire has been used to measure the severity of disability. Thus, the focus of study was to determine correlation between BMI and disability in patients with chronic low back pain. Methods: Sixty two patients aged 18 years old or more who were clinically diagnosed as having low back pain at least 3 months participated in this study in the period of October to November 2015 in the Department of Physical Medicine and Rehabilitation of Dr. Hasan Sadikin General Hospital Bandung. Total sampling method was used. Gender, age, weight, height, BMI and disability were recorded using ODI questionnaire. This analytical study was cross sectional study and the ordinal variable was analyzed using linear regression analysis.Results: Females had higher proportion (77). Chronic low back pain patients were equally distributed on normal weight and overweight categories. Patient with chronic low back pain had higher chances of developing moderate disability. There were positive correlation between BMI and disability. Nevertheless, there was no statistically analysis difference between model 1 and 2.Conclusions: The BMI affects the disability in patients with chronic low back pain. [AMJ.2016;3(4):624–8] DOI: 10.15850/amj.v3n4.949]]>
<![CDATA[Salmonella Species Detection in Chicken Noodle Toppings Prepared by the Food Vendors around Jatinangor Campus of Universitas Padjadjaran ]]>
<![CDATA[Luk Lee Zia]]>;
<![CDATA[Imam Megantara]]>;
<![CDATA[Suryosutanto Suryosutanto]]>
<![CDATA[ Althea Medical Journal Vol 3, No 4 (2016) ]]>
Publisher : <![CDATA[Faculty of Medicine Universitas Padjadjaran ]]>
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<![CDATA[Background: Salmonellae is Gram negative Enterobacteriaceae which are commonly found in water. It can cause diseases in human through improper hygiene and sanitation practice, contamination of poultries, cross contamination from other food during storage, and also from Salmonella species carriers. Chicken noodle toppings are usually prepared early in the morning and not heated up upon serving. There are possibilities for bacterial contamination if the food vendors lack of hygienic practices. The risk of Salmonella species contamination is increased too as it can be spread through inappropriate hygiene and sanitation. Hence, the objective of the study was to detect the presence of Salmonella species in the chicken noodle toppings prepared by the food vendors around Jatinangor Campus of Universitas Padjadjaran.Methods: A descriptive laboratory study was conducted in September 2013. A total of 44 samples of chicken noodle toppings were collected from the food vendors in Jatinangor. The samples were cultured on Salmonella-Shigella agars. Then, Gram staining and biochemical tests were performed.Results: The chicken noodle toppings were not contaminated by Salmonella species, but other bacteria species such as Klebsiella pneumoniae, Serratia, Enterobacter, Escherichia coli, and Shigella species were found.Conclusions: There is no Salmonella species found. However, there are some other bacteria found such as Klebsiella pneumoniae, Serratia, Enterobacter, Escherichia coli, and Shigella species. It means that the food vendors lack of hygienic and sanitation aspects. Thus, proper actions should be taken to educate and increase the awareness of food vendors on the importance of sanitation. [AMJ.2016;3(4):566–9] DOI: 10.15850/amj.v3n4.940]]>
<![CDATA[Antibiotic Conformity with Culture Results of Hospitalized Pneumonia Patients in Melati Ward at Dr. Hasan Sadikin General Hospital Bandung, Indonesia ]]>
<![CDATA[Randhi Rinaldi]]>;
<![CDATA[Yana Akhmad Supriatna]]>;
<![CDATA[Truly D. Sitorus]]>;
<![CDATA[Primal Sudjana]]>
<![CDATA[ Althea Medical Journal Vol 3, No 4 (2016) ]]>
Publisher : <![CDATA[Faculty of Medicine Universitas Padjadjaran ]]>
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<![CDATA[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]]>
<![CDATA[Health Belief Model Theory Application on Voluntary Counseling and Testing among Homosexual Men in Bandung Greater Area ]]>
<![CDATA[Argya Nareswara]]>;
<![CDATA[Chrysanti Murad]]>;
<![CDATA[Irvan Afriandi]]>
<![CDATA[ Althea Medical Journal Vol 3, No 4 (2016) ]]>
Publisher : <![CDATA[Faculty of Medicine Universitas Padjadjaran ]]>
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<![CDATA[Background: The number of human immunodeficiency virus (HIV) cases is high and is constantly increasing. Homosexual men as a transmission niche is not only significant in terms of numbers, but also in natural aspects of anal sex, tropism of HIV-1, and high-risk behavior. Voluntary Counseling and Testing (VCT) is important for accelerating diagnosis and management plan; yet the uptake on high-risk population in Indonesia is low. A behavior-reasoning theory, Health Belief Model (HBM), attempts to explain whether or not individuals engage in certain health behavior. This study tries to assess participation rate of VCT, to portray HBM variables perception, and to depict significance of HBM variables towards VCT uptake or VCT intention. Methods: This study was conducted in October-November 2014 using cross-sectional design; 127 respondents were gathered according to Respondent Driven Snowball Sampling. This study used an internet-based questionnaire derived from Champion’s 1984 mammogram HBM questionnaire. Privacy and compensation were obtained. The Chi square test and logistic regression of HBM variables were done. Results: The VCT uptake was low (15.7%). Certain sexual experience and commitment were significant (Commitment to Men p=0.027, Oral Sex experience with men p=0.001, Anal Sex Experience with men p=0.038). Chi Square test revealed significance on Perceived Susceptibility, Perceived Benefit, and Cues to Action. Conclusions: Uptake of VCT is considerably low compared with total high risk population and other similar studies. Personal Susceptibility to HIV/AIDS is recommended to be emphasized; while VCT Benefit and Cues to Action in young homosexual men communities are better encouraged. [AMJ.2016;3(4):595–604]DOI: 10.15850/amj.v3n4.945]]>
<![CDATA[Correlation of Personal Hygiene Knowledge, Attitude and Practices among School Children in Sumedang, Indonesia ]]>
<![CDATA[Briska Sudjana]]>;
<![CDATA[Irvan Afriandi]]>;
<![CDATA[Julistio T. B. Djais]]>
<![CDATA[ Althea Medical Journal Vol 3, No 4 (2016) ]]>
Publisher : <![CDATA[Faculty of Medicine Universitas Padjadjaran ]]>
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<![CDATA[Background: School-age children make up the largest proportion of Indonesian youth population. One of the ways to maintain children’s health is by making personal hygiene as a habit. The aim of this study was to analyze the correlation of personal hygiene knowledge, attitude and practices among school children. Methods: A cross-sectional analytic study, was carried out to 123 sixth graders at five elementary schools in Jatinangor , Sumedang, Indonesia, who were selected using a multi-stage sampling technique. This study was carried out in October 2013. A validated questionnaire was used to collect data of demographic characteristics of the subjects, knowledge, attitude and practice related to personal hygiene.The collected data was analyzed using Rank Spearman correlation with the level of significance was set at p< 0.05.Results: This study revealed that there was a significant correlation between knowledge and personal hygiene practice (p=0.016<0.05 and rs=0.358) and attitudes and personal hygiene practice (p=0.027<0.05 and rs=0.267).Conclusions: There is correlation of personal hygiene knowledge, attitudes and practices, however, the correlation is weak. [AMJ.2016;3(4):549–55]DOI: 10.15850/amj.v3n4.937]]>
<![CDATA[Polypharmacy Treatment of Hypertensionin Public Health Centers ]]>
<![CDATA[Vasanthi A/P Nayagam]]>;
<![CDATA[Afiatin Afiatin]]>;
<![CDATA[Herri S. Sastramihardja]]>
<![CDATA[ Althea Medical Journal Vol 3, No 4 (2016) ]]>
Publisher : <![CDATA[Faculty of Medicine Universitas Padjadjaran ]]>
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<![CDATA[Background: Hypertension is one of the most prominent global diseases. Despite the availability of effective therapies, hypertension remains poorly controlled in Indonesia. In many cases, patient’s noncompliance may be attributable to the low patients’ knowledge, attitude, and life-style practices such as polypharmacy. Polypharmacy is defined as the administration of many drugs at in one prescription. Polypharmacy increases expenses, possible adverse reaction to a single agent, incidence of drug interactions, and decreases patient’s compliance This study aimed to identify the practice of polypharmacy in hypertension treatment in primary health centers.Methods: A cross-sectional descriptive observational study was carried out on 60 patients from two primary health centers in Jatinangor, West Java, Indonesia in October 2013. Sociodemographic profile, degree of hypertension, types of antihypertensive drugs, concomitant drugs given together with antihypertensive drugs, and treatment compliance data were collected and presented in tables and figures.Results: The incidence of hypertension was more common among male patients compared to female patients. Thirty-three patients (55%) have low compliance to their medication. Twenty-nine patients (48%) received single drug and 31 patients (52%) received more than one drugs.Conclusions: The percentage of polypharmacy practice in treating hypertension in primary health centers is 52%. The most frequently prescribed anti-hypertensive are angiotensin-converting enzyme (ACE) inhibitors and calcium-channel blockers (CCB). Most of hypertensive patients have low compliance to therapy. [AMJ.2016;3(4):633–9] DOI: 10.15850/amj.v3n4.951]]>
<![CDATA[Lipid Profile in Type 2-Diabetic Women with Central Obesity and Non-central Obesity ]]>
<![CDATA[Scholastica Diana Nurvitasari]]>;
<![CDATA[Nanny Natalia MS]]>;
<![CDATA[Yovi Yoanita]]>
<![CDATA[ Althea Medical Journal Vol 3, No 4 (2016) ]]>
Publisher : <![CDATA[Faculty of Medicine Universitas Padjadjaran ]]>
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<![CDATA[Background: Type 2 Diabetes Mellitus and central obesity are associated with higher risk of cardiovascular diseases especially in women. Lipid profile may reflect dyslipidemia which includes hypertriglyceridemia, increased level of LDL-C, total cholesterol, and reduced HDL-C level in the blood. Patients with central obesity tend to have dyslipidemia compared to those without central obesity counterpart. The study aimed at comparing lipid profile in central-obese diabetic women and non–central-obese diabetic women. Methods: This study was an analytical study with cross–sectional approach conducted in Dr. Hasan Sadikin General Hospital, Bandung, Indonesia in 2013. A total of 160 data contained of waist circumference (WC) and the level of total cholesterol, triglyceride, HDL-C and LDL-C were obtained from medical record of Diabetic patients within the period of January 2010–January 2012. Women patients whose WC of ≥80 cm were classified as central obesity while WC of <80 cm were classified as non-central obesity. The t-test was used to compare means of different variables, p<0.05 was considered as statistically significant.Results: Central obese diabetic women when compared to non-central obese diabetic women showed statistically significant increase in the level of total cholesterol serum, triglyceride serum and decrease in HDL-C serum level (p<0.05). The LDL-C serum level did not show statistical significant difference in the two groups (p>0.05).Conclusions: Diabetic patients with central obesity tend to have higher level of total cholesterol and triglyceride and lower level of HDL-C compared to diabetic patients without central obesity. [AMJ.2016;3(4):570–6] DOI: 10.15850/amj.v3n4.941]]>
<![CDATA[Knowledge and Attitude about Multidrug-Resistant Tuberculosis among Healthcare Workers in Public Health Centres ]]>
<![CDATA[Bony Wiem Lestari]]>;
<![CDATA[Arto Yuwono Soeroto]]>
<![CDATA[ Althea Medical Journal Vol 3, No 4 (2016) ]]>
Publisher : <![CDATA[Faculty of Medicine Universitas Padjadjaran ]]>
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<![CDATA[Background: Multidrug-resistant Tuberculosis (MDR-TB) is a significant public health problem and poses a threat to global tuberculosis (TB) control. In 2015, at least 504 new MDR-TB cases were identified in Indonesia. Treating MDR-TB patients is very challenging. It may take more than two years for MDR-TB treatment. Therefore, it is crucial healthcare workers (HCWs) are knowledgeable about MDR-TB. The aim of this study was to measure level of knowledge and attitude regarding MDR-TB among HCWs in public health centres.Methods: A cross-sectional study was conducted at 73 Public Health Centres in Bandung the capital of West Java Province from August until November 2015. The samples were 73 TB nurses and 32 laboratory staff. A self-administered questionnaire was given comprising 27 knowledge questions and 29 attitude questions. Correlation between knowledge and attitude scores was calculated by Pearson correlation test.Results: The majority of study participants were women (82.9%), married (92.4%), nursing staff (65.7%) with history of TB training (98.1%). Most of the participants were 40-59 years old (69.5%) with working experience in TB programme < 10 years (69.5%). Less than half (38.1%) of study participants had good knowledge. In terms of attitude, more than half (53.3%) of study participants had a positive attitude towards MDR-TB.Conclusions: The level of knowledge among HCWs about MDR-TB is still at an unacceptable level. Certain educational interventions aim to ensure prompt diagnosis, implement infection control and accurate treatment should be established among those HCWs. [AMJ.2016;3(4):509–13]DOI: 10.15850/amj.v3n4.932]]>
