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[Motoric Clinical Symptoms in Late Onset Parkinsonâs Disease at Dr. Hasan Sadikin General Hospital Bandung ]]>
<![CDATA[Sivakurunathan, Jasvinee]]>;
<![CDATA[Syamsudin, Thamrin]]>;
<![CDATA[Tansah, Haryono]]>
<![CDATA[ Althea Medical Journal Vol 4, No 1 (2017) ]]>
Publisher : <![CDATA[Althea Medical Journal ]]>
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<![CDATA[Background: Parkinsonâs disease (PD) is a progressive neurological that disorder is characterized by a number of motoric symptoms which are resting tremor, bradykinesia, rigidity and postural disturbance. The main aim in carrying out this study was to observe the motoric clinical pattern in patients with late onset Parkinsonâs disease based on age, gender, and staging of the disease.Methods: This was a descriptive retrospective study to 89 medical record of patients with late onset Parkinsonâs disease from Neurology outpatient clinic of Dr. Hasan Sadikin General Hospital Bandung in the period January 2010 to January 2013. Total sampling was used to determine the population sample size The motoric clinical symptoms in patients with late onset Parkinsonâs disease were classified based on age at diagnosis, gender, and staging of the disease conducted using descriptive retrospective method. Besides, staging was made based on Hoehn and Yarl scale.Results: Overall, 92% of the patients with late onset Parkinsonâs disease had resting tremor, and postural instability was less frequently found in 21% of patients. Sixty one men suffered from this disease, 43% were from the age group 60â69, and 32% were in stage III.Conclusions: A majority of patients with the late onset Parkinsonâs disease show resting tremor that has the common motoric clinical pattern, followed by bradykinesia, rigidity, and some show postural instability. [AMJ.2017;4(1):11â5]DOI:Â 10.15850/amj.v4n1.1013]]>
<![CDATA[Undernutrition as Risk Factor of Hydrocephalus Prevalence in Children with Tuberculous Meningitis ]]>
<![CDATA[Sinaga, John Patria Maruli]]>;
<![CDATA[Risan, Nelly Amalia]]>;
<![CDATA[Gamayani, Uni]]>
<![CDATA[ Althea Medical Journal Vol 4, No 1 (2017) ]]>
Publisher : <![CDATA[Althea Medical Journal ]]>
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<![CDATA[Background: Hydrocephalus is the most frequent neurological complication in children with tuberculous meningitis. Tuberculosis infection cannot be separated from nutritional status. Children with undernutrition have decreased immunity thus could affect clinical manifestation of tuberculous meningitis. This study was conducted to identify the relationship between undernutrition and the prevalence of hydrocephalus in tuberculous meningitis.Methods: An analytic observational study was carried out to 38 medical records of children with tuberculous meningitis in Dr. Hasan Sadikin General Hospital from 2007 to 2015. Variables that were studied included gender, age, advanced stage of disease, motoric paralysis, history of seizure, nutritional status and hydrocephalus. The collected data were analyzed using Chi-Square test. Results: Out of 21 subjects with undernutrition, 11 subjects were found to have hydrocephalus. The analysis using chi-square was statistically significant (p=0.009). Prevalence ratio=4.45 (CI 95% 1.14â45.43), meaning tuberculous meningitis children with undernutrition were at risk of hydrocephalus 4.45 times greater than children with normal nutritional status.Conclusions: Undernutrition may increase the risk of hydrocephalus in children with tuberculous meningitis. [AMJ.2017;4(1):143â7]Â DOI:Â 10.15850/amj.v4n1.1036]]>
<![CDATA[Characteristics of Asthma Patients Seeking Care at West Javaâs Top Referral Hospital, Indonesia ]]>
<![CDATA[Yudistira, Juan Achmad]]>;
<![CDATA[Pranggono, Emmy Hermiyanti]]>;
<![CDATA[Tjandrawati, Anna]]>;
<![CDATA[Sudjana, Primal]]>
<![CDATA[ Althea Medical Journal Vol 4, No 1 (2017) ]]>
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<![CDATA[Background: The increasing incidence of asthma in many countries in recent decades makes asthma a global health problem. The aim of the study was to determine the characteristics of asthma patients at the Respirology Outpatient Clinic of Dr. Hasan Sadikin General Hospital as West Javaâs Top referral hospital. Methods: The study used a cross-sectional design. The study population was the medical record data of asthma patients at the Respirology Outpatient Clinic during June 2012âJune 2013. There were 1,591 patientâs medical records at the Respirology Outpatient Clinic of Dr. Hasan Sadikin General Hospital Bandung in that period and 140 medical records were diagnosed with asthma. Seventy medical records were excluded because of inadequate data and 70 medical records were the sample of this study. The collected data were presented using percentage. Results: Seventy percent of the cases were female. From these cases 34% of patients  were aged 51â60 years. The partially controlled type was the most frequent type of asthma (62%). The most common sign and symptom was shortness of breath (86%). The most common drug used was Beta 2 agonist drugs (90%).Conclusions: The characteristic of asthma is that the patients are mostly female. Mostly the patients were in the age range of 51â60 years. The partially controlled type is the most frequent type of asthma. Shortness of breath is the most common clinical manifestation in asthma. Beta 2 agonist is the most used drug for asthma. [AMJ.2017;4(1):78â82]DOI: 10.15850/amj.v4n1.1025]]>
<![CDATA[Characteristics of Eye Tumor in Children ]]>
<![CDATA[Juanarta, Pieter]]>;
<![CDATA[Dahlan, Mohamad Rinaldi]]>;
<![CDATA[Rezano, Andri]]>
<![CDATA[ Althea Medical Journal Vol 4, No 1 (2017) ]]>
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<![CDATA[Background: Eye tumors are commonly found and fatal among pediatric patients. The immediacy of management depends on the diagnosis, and is increased when the patientâs characteristics are known. This study aims to describe the characteristics of pediatric patients diagnosed with eye tumors.Methods: This is a descriptive retrospective study using secondary data involving 102 medical records of pediatric patients diagnosed with eye tumors in the National Eye Center Cicendo Eye Hospital Bandung in the period from January 2013 to December 2014.Results: The characteristics of 102 subjects: 54 (52.9%) were female, 59 (57.8%) were 1 to 4 years old, and 79 (77.5%) were from West Java. The characteristics of the tumors: 42 (41.2%) presented with a chief complaint of leukocoria, 73 (71.6%) were malignant, 68 (66.7%) were retinal, and the most common management was surgery (64.7%). The most common malignant tumor was retinoblastoma (93.2%) while the most common benign tumor was dermoid cyst (31%).Conclusion: Patients were frequently 1â4 years old and the most common diagnosis were retinoblastoma and dermoid cyst. DOI: 10.15850/amj.v4n1.970]]>
<![CDATA[Clinical Profile and Outcome of Myocarditis in Children at Dr. Hasan Sadikin General Hospital Bandung from 2008 to 2012 ]]>
<![CDATA[Nurtriandari, Erza]]>;
<![CDATA[Budi, Rahmat]]>;
<![CDATA[Soeherman, R. B.]]>
<![CDATA[ Althea Medical Journal Vol 4, No 1 (2017) ]]>
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<![CDATA[Background: Diagnosis of myocarditis in children is still challenging due to its inconsistent and wide spectrum of clinical manifestations. There is no specific laboratory test available. This may obscure the true incidence of myocarditis. The purpose of this study was to describe clinical profile and outcome of myocarditis in children.Methods: A descriptive study was performed using 80 medical records of hospitalized pediatrics patients with myocarditis in Dr. Hasan Sadikin General Hospital Bandung from January 2008 to December 2012. The obtained data were age, gender, nutritional status, etiology, chief complaint, physical examination, laboratory findings, other examinations and outcome of the disease. The collected data were analyzed and presented in the form of frequency distribution.Results: The mean age of the patients was 91.46 (45.93) months old, predominantly male. The most etiology was dengue infections (61%). High fever was found as the most common chief complaint (38%) and the most common found in physical examinations were tachypnea (65%) and hepatomegaly (55%). Electrocardiography (ECG) showed the first degree atrioventricular block (AV block) (35%), aspartate aminotransferase (AST) and creatine kinase myocardial band (CKMB) was increased in more than 80% of patients. The majority of patient was improved. Shock was the common complication.Conclusions: Dengue is the most etiology of myocarditis etiology. Tachypnea, hepatomegaly, the first degree AV block in ECG, elevated AST and CKMB were the most common presentations. Most of the patients were improved during treatment. [AMJ.2017;4(1):118â24DOI:Â 10.15850/amj.v4n1.1031Â ]]>
<![CDATA[Clinical Characteristics of Trigeminal Neuralgia Patients at Dr. Hasan Sadikin General Hospital Bandung Indonesia in 2010â2012 ]]>
<![CDATA[Widihastha, Sri Hudaya]]>;
<![CDATA[Sadeli, Henny Anggraini]]>;
<![CDATA[Sunggono, Arifin]]>
<![CDATA[ Althea Medical Journal Vol 4, No 1 (2017) ]]>
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<![CDATA[Background: Trigeminal neuralgia is a frequently found craniofacial neuralgia. The clinical characteristics of trigeminal neuralgia patients at Dr. HasanSadikin General Hospital, Bandung, Indonesia has never been described before. This study conducted an overview of clinical characteristics of trigeminal neuralgia to determine the characteristic features of trigeminal neuralgia.Methods: This was a non-experimental study using secondary data with a retrospective descriptive method. Data related to medical records of 76 patients with trigeminal neuralgia was collected over a period of 2010 to 2012, treated at Dr.HasanSadikin General Hospital Bandung, Indonesia. Results: Mean age was 57.6 years (range 11 to 84 years), no significant difference in gender (male:females 51.3%:48.7%). Chewing and swallowing was reported as triggering stimuli to 42 (55%) patients. Two patients (2.7%) had suffered pain on bilateral side of the face, 46 (60.5%) patients the right side, and 28 patients (36.8%) on the left side. Pain on maxillary nerve division was found in 58 (76.3%) patients. Sixty one of the patients (80%) received Carbamazepine.Conclusions: The peak age was between the fifth and sixth decades of life with equal representation of male to female incidence. Right side and the maxillary division was found to be the most frequently site of pain. Chewing and swallowing was reported to be the most frequent triggering stimuli and most of patients received Carbamazepine as therapy. [AMJ.2017;4(1):47â51]DOI:Â 10.15850/amj.v4n1.1020Â ]]>
<![CDATA[Analgesic Usage in Elderly at Public Health Center: A study in West Java, Indonesias ]]>
<![CDATA[Putro, Gembong Soeyono]]>;
<![CDATA[Sastramihardja, Herri S.]]>;
<![CDATA[Dwipa, Lazuardhi]]>
<![CDATA[ Althea Medical Journal Vol 4, No 1 (2017) ]]>
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<![CDATA[Background: Various analgesics prescriptions for elderly are not appropriate according to the guideline and can cause the increase of side effects such as gastric problems. Puskesmas as a public health center in Indonesia has an important role in anticipating this problem. The objectives of this study was to identify the analgesic usage in elderly patients at the public health center. Methods: This retrospective descriptive study was conducted for 3 months at Tanjungsari public health center, Sumedang, West Java, Indonesia, using total sampling. The data was taken from 417 medical records from 2013. The data taken from medical records were: sex, analgesic drug, diagnosis, and drug for gastric problem.Results: From the collected data, the most analgesics prescribed for the elderly patients was paracetamol, followed by Piroxicam, Mefenamic acid, and Ibuprofen. Not all of the elderly patients who received NSAIDs, were given gastric drug. Conclusions: The most prescribed analgesic drug given to elderly patients at the public health center is paracetamol. [AMJ.2017;4(1):16â9]DOI: 10.15850/amj.v4n1.1014]]>
<![CDATA[Relationship between Nutritional Status and Flat Foot in Children ]]>
<![CDATA[Fung, Joyce Phua Pau]]>;
<![CDATA[Ismiarto, Yoyos Dias]]>;
<![CDATA[Mayasari, Wulan]]>
<![CDATA[ Althea Medical Journal Vol 4, No 1 (2017) ]]>
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<![CDATA[Background: Pediatric flatfoot has been reported as the highest clinical complains for foot problems in pediatric department. Nutritional status has showed great influence on the occurrence of flat foot. There are many debates regarding whether underweight or overweight children are more prone to flatfoot. The aim of this study was to analyze the relationship between nutritional status and flatfoot in children.Methods: A cross sectional study was conducted from July to October 2015 in 3 primary schools in Kecamatan Jatinangor. There were 259 children of grade 4 to 5 included in this study. Flatfoot screening was based on measurement of footprint and calculation using Chippaux-smirak index (CSI). The height and weight of children were measured to obtain their Body Mass Index (BMI). Nutritional status was classified based on CDC BMI-for-age growth charts. Analysis was done using chi-square test.Results: There was significant association between nutritional status and flatfoot with p value<0.001.The prevalence of flatfoot in children grade 4to5is40%. When compared to the normal weight children, the overweight children showed prevalence ratio of 1.97(95% CI:1.47 to 2.64) while the underweight children showed prevalence ratio of 1.34 (95% CI:1.78 to 2.25).This stated that the risk of developing flat foot was higher in overweight children.Conclusions: There is significant association between nutritional status with children grade4 to 5. Overweight children are more prone to flat foot. [AMJ.2017;4(1):152â6]Â DOI:Â 10.15850/amj.v4n1.1038]]>
<![CDATA[Fall Risk Based on Timed Up and Go Test in Elderly at Nursing Home in West Java, Indonesia ]]>
<![CDATA[Selvadurai, Thiruchelvam]]>;
<![CDATA[Prabowo, Tertianto]]>;
<![CDATA[Pratiwi, Yuni S.]]>
<![CDATA[ Althea Medical Journal Vol 4, No 1 (2017) ]]>
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<![CDATA[Background: Falls are major cause of morbidity and mortality in elderly patients. Mobility assessment is important in preventing falls in elderly. This study was conducted to determine the level of fall risk in elderly people at Karitas Cimahi Nursing Home, West Java, Indonesia by using âtimed up and go testâ(TUG).Methods:This cross-sectional descriptive study was conducted at Karitas Cimahi Nursing Home from JuneâNovember 2013. The risk of falls was categorized into two; high and low risk of falls. High risk of falls indicated when the participants complete the TUG test with time taken >10 seconds, and low risk of falls indicated when the time taken is <10 seconds. To identify the level of fall risk in elderly people the test which is recommended by the American Geriatric Society was used. The sampling technique used was total sampling. Data was analyzed and presented by using frequency tables.Results: From a total of 32 elderly population at Karitas Cimahi Nursing Home, a total of 20 participated in this study. The âTimed up and go testâ result for all the participants were >10 seconds. Conclusions: The level of fall risk in elderly people at Karitas Cimahi Nursing Home based on the test showed that all participants, both male and female, regardless of using assistive device have high level risk of falls. [AMJ.2017;4(1):83â6] DOI: 10.15850/amj.v4n1.1025]]>
<![CDATA[Severity of Allergic Rhinitis and Body Mass Index: Is There Any Correlation? ]]>
<![CDATA[Paramasivam, Gomathi]]>;
<![CDATA[Veronica, Fifi]]>;
<![CDATA[Yoanita, Yovi]]>
<![CDATA[ Althea Medical Journal Vol 4, No 1 (2017) ]]>
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<![CDATA[Background: Allergic rhinitis is the inflammation of the nasal mucosa. It will be resulting in nasal itching, sneezing, discharge, or blockage which occurs for more than an hour on most days. Allergens such as plant pollens, fungi, animal allergens, and dust mites are the factors which initiate allergic rhinitis. There are many risk factors for allergic rhinitis, such as family history of atopic disease, asthma, age, gender and others. Besides, overweight is also considered one of the risk factors for developing allergic rhinitis. Thus, this study was conducted to investigate the correlation between allergic rhinitis and body mass index.Methods: This study involved a cross-sectional analytic study. Seventy three respondents both male and female medical students of Universitas Padjadjaran completed a questionnaire, and had their height and weight measured by a trained researcher. This study was carried out from September to October 2015. Statistical analyses were performed included the Rank Spearman test.Results: There was no significant relationship between allergic rhinitis and body mass index.Conclusions: There is no correlation between severity of allergic rhinitis and body mass index. [AMJ.2017;4(1):20â4]DOI:Â 10.15850/amj.v4n1.1018]]>
