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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Validity of Immunoglobulin M Anti Salmonella typhi Serologic Test in Childhood Typhoid Fever
Hilda Marsela;
Djatnika Setiabudi;
Agnes Rengga Indrati
Althea Medical Journal Vol 4, No 1 (2017)
Publisher : Faculty of Medicine Universitas Padjadjaran
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Background: Typhoid fever, which mostly affects children, remains a major health problem in developing countries. Early diagnosis will help the management and thus, reduce morbidity and mortality. However, a rapid diagnostic test that detects the presence of immunoglobulin M (IgM) directed towards Salmonella typhi (S. typhi) antigen remains controversial despite its popularity. This study was aimed to assess the validity of IgM anti S. typhi serologic test in childhood typhoid fever. Methods: This retrospective diagnostic test, used blood culture as gold standard. Forty-one typhoid fever children with fever of 1–14 days admitted to Dr. Hasan Sadikin General Hospital Bandung from 2013 to 2015 were recruited. Diagnosis of typhoid fever is made clinically. Data were analyzed by Receiver Operating Characteristic (ROC) curve and diagnostic test.Results: Forty one children diagnosed with typhoid fever, 37 were positive for IgM anti S. typhi, but only 18 were positive for S. typhi in blood culture. IgM anti S. typhi (cut-off ≥4) test had an Area Under the Curve (AUC) of 59%, sensitivity of 100% and specificity of 17.39%. IgM anti S. typhi with cut-off >8 showed the highest AUC with sensitivity of 55.56% and specificity of 73.68%.Conclusions: IgM anti S. typhi test of cut-off >8 performs better than cut-off ≥4 in terms of AUC..[AMJ.2017;4(1):138–42] DOI: 10.15850/amj.v4n1.1035
Characteristics of Asthma Patients Seeking Care at West Java’s Top Referral Hospital, Indonesia
Juan Achmad Yudistira;
Emmy Hermiyanti Pranggono;
Anna Tjandrawati;
Primal Sudjana
Althea Medical Journal Vol 4, No 1 (2017)
Publisher : Faculty of Medicine Universitas Padjadjaran
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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 Java’s 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 2012–June 2013. There were 1,591 patient’s 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 51–60 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 51–60 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):78–82]DOI: 10.15850/amj.v4n1.1025
Characteristics of Eye Tumor in Children
Pieter Juanarta;
Mohamad Rinaldi Dahlan;
Andri Rezano
Althea Medical Journal Vol 4, No 1 (2017)
Publisher : Faculty of Medicine Universitas Padjadjaran
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Background: Eye tumors are commonly found and fatal among pediatric patients. The immediacy of management depends on the diagnosis, and is increased when the patient’s 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 1–4 years old and the most common diagnosis were retinoblastoma and dermoid cyst. DOI: 10.15850/amj.v4n1.970
Characteristics of Malignant Eyelid Basal Cell Carcinoma in Cicendo Eye Hospital Bandung from 2013 to 2015
Yee She Hui;
Raden Angga Kartiwa;
Resti Gradia Dwiwina
Althea Medical Journal Vol 4, No 1 (2017)
Publisher : Faculty of Medicine Universitas Padjadjaran
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Background: Basal cell carcinoma (BCC) has been proved to have the highest incidence among eyelid malignancies. Basal cell carcinoma is the most common invasive cancer in humans. It is capable of causing extensive tissue destruction. The aim of the study was to identify the characteristics of adult patients with malignant eyelid BCC in Cicendo Eye Hospital Bandung.Methods: A descriptive retrospective study was conducted to determine the characteristics of adult patients with malignant eyelid BCC in Cicendo Eye Hospital Bandung from March 2013 to October 2015. Age and sex distribution of the lesions, location and histopathological results of the tumors were stratified as variables. The inclusion criteria were patients over age of 20, histopathologically diagnosed with periocular BCC. Results: A total of 37 cases histopathologically diagnosed with periocular BCC were evaluated. Females had a slight predominance. The mean age was 61.7 years. The most common site was on the lower lid. The tumors occurred more on the left side. The most common histological subtype was represented by solid growth pattern.Conclusions: The majority of periocular BCC cases occur in females and elderly. Most tumors develop on the lower lid with a left-side preference and have a solid growth pattern histologically. [AMJ.2017;4(1):148–51] DOI: 10.15850/amj.v4n1.1037
Clinical Profile and Outcome of Myocarditis in Children at Dr. Hasan Sadikin General Hospital Bandung from 2008 to 2012
Erza Nurtriandari;
Rahmat Budi;
R. B. Soeherman
Althea Medical Journal Vol 4, No 1 (2017)
Publisher : Faculty of Medicine Universitas Padjadjaran
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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):118–24DOI: 10.15850/amj.v4n1.1031
Analgesic Usage in Elderly at Public Health Center: A study in West Java, Indonesias
Gembong Soeyono Putro;
Herri S. Sastramihardja;
Lazuardhi Dwipa
Althea Medical Journal Vol 4, No 1 (2017)
Publisher : Faculty of Medicine Universitas Padjadjaran
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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):16–9]DOI: 10.15850/amj.v4n1.1014
Distribution of Skin Prick Test Results in Rhinitis Allergic Patients at Dr. Hasan Sadikin General Hospital Bandung
Gama Antares;
Arif Dermawan;
Yenti Permata
Althea Medical Journal Vol 4, No 1 (2017)
Publisher : Faculty of Medicine Universitas Padjadjaran
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Background: Allergic Rhinitis (AR) is an inflammation condition in nasal mucous because of type 1 hypersensitivity. Skin prick test is one of the diagnostic tests to diagnose AR. Purpose of this study was to know the distribution of skin prick test in AR patients.Methods: This study used retrospective descriptive method as cross sectional design. This study was performed from 1 August to 31 October 2014. This study used medical record as secondary data at Department of Otorhinolaryngology–Head and Neck Surgery of Dr. Hasan Sadikin General Hospital. There were 175 cases which fulfilled the inclusion criteria of the study. The data were then analyzed using computer program.Results: Forty seven cases were positive for house dust (26.8%), 127 cases were positive for dust mite (72.5%), 85 cases were positive for rice pollen (48.5%), 62 cases were positive for maize pollen (35.5%), 56 cases were positive for mixed fungi (32%), 100 cases were positive for cockroach (57.1%), 63 cases were positive for horse dander (36%), 50 cases were positive for cat dander (28.5%), 93 cases were positive for dog dander (53.1%), and 38 cases were positive for chicken feather (21.9%).Conclusions: The most aeroallergen making positive result in skin prick test is dust mite. [AMJ.2017;4(1):129–32] DOI: 10.15850/amj.v4n1.1033
Fall Risk Based on Timed Up and Go Test in Elderly at Nursing Home in West Java, Indonesia
Thiruchelvam Selvadurai;
Tertianto Prabowo;
Yuni S. Pratiwi
Althea Medical Journal Vol 4, No 1 (2017)
Publisher : Faculty of Medicine Universitas Padjadjaran
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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 ‘timed up and go test’(TUG).Methods:This cross-sectional descriptive study was conducted at Karitas Cimahi Nursing Home from June–November 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 ‘Timed up and go test’ 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):83–6] DOI: 10.15850/amj.v4n1.1025
Severity of Allergic Rhinitis and Body Mass Index: Is There Any Correlation?
Gomathi Paramasivam;
Fifi Veronica;
Yovi Yoanita
Althea Medical Journal Vol 4, No 1 (2017)
Publisher : Faculty of Medicine Universitas Padjadjaran
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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):20–4]DOI: 10.15850/amj.v4n1.1018
Factors Related to Malnutrition in Children Under Five Years with Congenital Heart Disease
Amani Sakinah Augiani;
Sri Endah Rahayuningsih;
Dewi Marhaeni Diah Herawati
Althea Medical Journal Vol 4, No 1 (2017)
Publisher : Faculty of Medicine Universitas Padjadjaran
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Background: Congenital heart disease (CHD) is the most frequent type of heart disease that occurs in children. Children with CHD are more vulnerable to suffer impaired nutritional status related to morbidity and mortality. The nutritional status, however, may not be influenced only by CHD, but also by other factors.. The study was conducted to identify factors related to malnutrition in children with CHDMethods: This cross-sectional study involved 86 children with CHD recruited from Dr. Hasan Sadikin General Hospital Bandung from October to November 2015. Data collected in this study were obtained by conducting anthropometric measurements, interviewed the parents (obstetric history, patient’s medical history and socioeonomic status) and from medical records (the type and time of CHD diagnosis, other diseases that accompanied the CHD). The collected data were presented by frequency distribution. Results: There were 46.5% patients who had nutritional disturbance. Malnutrition in males and patients with Tetralogy of Fallot were higher than other groups. Almost half patients with maternal history of passive smoking during pregnancy had nutritional disturbance. The most common disease found was diarrhea followed by lower respiratory infection. Percentage of normal children in low-income parents group was lower than the high-income group. Conclusions: Nearly half of patients have nutritional disturbance. Percentage of nutritional disturbance in male was higher compared to female. Active and passive smokers, Tetralogi Fallot, diarrhea, lower respiratory infection and lower income were factors contributed to malnutrition. [AMJ.2017;4(1):111–7]DOI: 10.15850/amj.v4n1.1031