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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Correlation between Gross Motor Function Classification System and Communication Function Classification System in Children with Cerebral Palsy
Margaretha, Vindy;
Prananta, Marietta Shanti;
Alam, Anggraini
Althea Medical Journal Vol 4, No 2 (2017)
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DOI: 10.15850/amj.v4n2.1092
Background: Cerebral Palsy (CP) is a group of movement and posture disorder commonly accompanied by comorbidities such as sensation, cognition, communication abnormalities and many more. This study aimed to identify the correlation between gross motor function(measured by Gross Motor Function Classification System, GMFCS) and communication function (measured by Communication Function Classification System, CFCS) in children with CP.Methods: Thirty six children with CP aged 0â12 years were examined. Samples were taken from Department of Physical Medicine and Rehabilitation Dr. Hasan Sadikin General Hospital Bandung on September to October 2015. Patientsâ descriptive data, levels of GMFCS and CFCS were collected by the researcher and residents previously standardized. Kendallâs tau b correlation coefficient was used to analyze the inter-relationship between the GMFCS and CFCS.Results: Levels of GMFCS and CFCS in all samples were moderately correlated (r=0.405; p=0.004). In patients with spastic quadripledic type, correlation were found moderate(r=0.495; p=0.014). No significant correlation was found when CP spastic quadriplegic patients were excluded (r=0.048, p=0.829).Conclusions: Levels of GMFCS and CFCS should be described to provide the complete gross motor and communication picture of CP children.Gross motor function in a child with spastic quadriplegic CP might be correctly predicted from his/ her communication function and vice versa. DOI: 10.15850/amj.v4n2.1092
Prevalence of Urinary Incontinence in Women aged 20â59 years in Community Dwellings
Wardani, Ratuafni Shafrina;
Judistiani, Raden Tina Dewi;
Siddiq, Amillia
Althea Medical Journal Vol 4, No 2 (2017)
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DOI: 10.15850/amj.v4n2.1070
Background: Urinary incontinene (UI) is the symptomof involuntary leakage of urine. Three types of urinary incontinence are stress UI, urge UI, and mixed UI. This study was aimed to determine the prevalence of urinary UI in women and to identify the most common type of UI.Methods: A descriptive study was conducted to 191 women age 20â59 in two villages in West Java, Indonesia. Subjects were visited door-to-door and interviewed using a standardized questionnaire for data collection. The study was conducted in February 2014. The variables of this study were age, parity, and the prevalence of urinary incontinence. The collected data were presented using frequency tabulation and percentage.Results: From 191 respondents, thirty eight subjects had UI. The prevalence of urinary incontinence was 19.90% which consisted of prevalence of stress UI (7.33%), urgency UI (9.43%), and mixed UI (3.14%). The prevalence of UI in 20â29 year age group was 3.23%, 30â39 year age group was 9.72%, 40â49 year age group was 27.69%, and 50â59 year age group was 52.17%. Prevalence of UI in nulliparous women was 5%, primiparous was 10.25%, multiparous with 2 childbirths was 23.61%, and multiparous with 3 childbirths or more was 26.67%.Conclusions: Prevalence of UI in women in community dwelling is 19.90%, which is higher than previous study from Indonesia and other Asian countries. Urgency UI is the most common type of UI. Prevalence of UI increases with age and parity. DOI: 10.15850/amj.v4n2.1070
Nutritional Status of Hospitalized Stroke Patients: Assessment by Body Mass Index and Subjective Global Assessment Method
Kartika, Gloria;
Amalia, Lisda;
Nugraha, Gaga Irawan
Althea Medical Journal Vol 4, No 2 (2017)
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DOI: 10.15850/amj.v4n2.1090
Background: Stroke is a disease with a high mortality rate and common cause of disability. Nutritional factors are strongly associated with this disease. Malnutrition in hospitalized patients increases the incidence of complications, prolonged the length of stay and also the cost of hospitalization. Furthermore, nutritional status of stroke patients can deteriorate during hospitalization. The prevalence of malnutrition in hospitalized stroke patients is about 6% to 62%. The objective of this study was to identify the nutritional status of hospitalized stroke patient.Methods: This was a descriptive cross-sectional study. Population of the study was hospitalized stroke patients at Neurology Ward, Kemuning Building Dr. Hasan Sadikin General Hospital Bandung, Indonesia from August until October 2014 who meet the inclusion criteria. Nutritional status was measured objectively using Body Mass Index (BMI) and subjectively using Subjective Global Assessment (SGA) method. The collected data were processed using frequency tabulation and percentage.Results: Twenty six hospitalized stroke patients were included in this study. The hospitalized patients with normal BMI were about 12 people (46.15%), 8 people were overweight (30.77%), 4 people were undernourished (15.39%) and 2 people (7.69%) were obese. According to SGA measurement, approximately 18 people (69.22%) were moderately malnourished, and as much as 4 people (15.39%) were in good nutrition, whereas 4 people (15.39%) were severely malnourished.Conclusions: Majority of the hospitalized stroke patients has normal BMI and moderately malnourished based on SGA. DOI: 10.15850/amj.v4n2.1090
Hemoglobin Level, Energy Intake, and Body Mass Index of Kebersihan, Keindahan, Kenyamanan Lingkungan Workers in an Academic Institution
Maharani, Carmelia Cantika;
Farenia, Reni;
Fianza, Pandji Irani
Althea Medical Journal Vol 4, No 2 (2017)
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DOI: 10.15850/10.15850/amj.v4n2.1089
Background: Productivity is a priority that is required from every worker. Work productivity of each person is different. The important factors of work productivity are hemoglobin level, energy intake, and body mass index (BMI). The objective of the study was to identify hemoglobin level, energy intake, and BMI of Kebersihan, Keindahan, Kenyamanan Lingkungan (K3L) workers in Universitas Padjadjaran, Jatinangor. Methods: A descriptive study was carried out to 80 K3L workers in Universitas Padjadjaran on October 2014. The total number of 80 workers was chosen with cluster random method. Primary data consisted of hemoglobin level measured by Hemocue®Hb 201+, dietary consumption recall (2x24 hours), and anthropometry data (weight and height). The collected data were analyzed and presented by frequency tabulation and percentage.Results:The study showed that more than a half of subjects (77%) had normal hemoglobin level. The majority of subjects (47%) had low energy intake. Most of subjects (59%) had normal BMI, 12% subjects were underweight, 18% subjects were overweight, and 11% subjects were obesity. Conclusions: The majority of K3L workers have normal hemoglobin level, energy intake deficiency, and normal BMI. DOI: 10.15850/amj.v4n2.1089
Correlation between Heredity Factor and Menarcheal Age among Adolescent Aged 9â15 Years Old
Khotimah, Nurul;
Fadil, R.M. Ryadi;
Tansah, Haryono
Althea Medical Journal Vol 4, No 2 (2017)
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DOI: 10.15850/amj.v4n2.1081
Background: Menarche is a sign of maturity of the female reproductive function. It is influenced by many factors, such as heredity, general health status, nutrition, and socioeconomic status. The purpose of this study is to determine the correlation of heredity and menarcheal age.Methods:This study was a cross-sectional analytic study conducted from SeptemberâOctober 2014 in Bandung using a multi-stage sampling technique and it was conducted in twelve elementary schools and junior high schools. A total of 123 subjects were included in this study. The instrument of this study was questionnaire containing menarcheal age of subject, older sister, biological mother, and maternal grandmother. The data were analyzed using Spearman correlation and linear regression test with the level of significance was determined at p<0.05. Results: Among 123 data, the majority of subjects had experienced menarche at the age of 11 (39%) and 12 years (36.6%) with an average of 11.46 years old. Based on the Spearman correlation and multiple linear regression tests, there was a correlation between heredity and menarcheal age. (P=0.00).Conclusions: There is a correlation between heredity and menarcheal age, with the highest correlation is between subjectâs and older sisterâs menarcheal age.  DOI: 10.15850/amj.v4n2.1081
Two Years Profile of Anemia in Systemic Lupus Erythematosus Patients at West Javaâs Top Referral Hospital, Indonesia
Usman, Stefanie Yuliana;
Hamijoyo, Laniyati;
Tjandrawati, Anna
Althea Medical Journal Vol 4, No 2 (2017)
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DOI: 10.15850/amj.v4n2.1094
Background: Anemia is a common clinical manifestation in Systemic Lupus Erythematosus (SLE) patients. Anemia can be caused by an ineffective hematopoietic process or excessive red blood cell destruction. The aim of this study was to classify and characterize anemia in SLE patients.Methods: This study involved 97 outpatients visiting the Rheumatology Clinic of Dr. Hasan Sadikin General Hospital Bandung, from January 2013 to September 2014. Patient data was collected from medical records and study subjects were selected according to the American College of Rheumatology 1997 criteria for SLE, and the characteristic of anemia among outpatients were described according to the World Health Organization criteria.Results: The characteristics among 97 respondents showed 95 (98%) were female; 32 (33%) were 21â30 years old; and 49 (51%) had SLE for 1â5 years. The characteristics and classification of anemia, 57 (59%) had normocytic normochromic, and 33 (34%) had microcytic hypochromic anemia. According to the severity classification, 48 (50 %) had moderate anemia, only 8 (8%) had severe anemia. Four (4%) subjects had anemic conjunctiva, 45 (46%) had fatigue and 48 (50%) had no clinical manifestations of anemic conjunctiva and fatigue.Conclusions: Moderate anemia, normocytic normochromic anemia are the most prevalent among the subjects. Half of the anemic SLE patient has no clinical manifestation of anemic conjunctiva and fatigue.DOI:Â 10.15850/amj.v4n2.1094
Knowledge, Attitude and Behavior Related to Antibiotic Use in Community Dwellings
Parse, Rocci Jack;
Hidayat, Eva Mardiana;
Alisjahbana, Bachti
Althea Medical Journal Vol 4, No 2 (2017)
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DOI: 10.15850/amj.v4n2.1082
Background: Irrational antibiotic use is the major reason for insidence of antibiotic resistance. Antibiotic misuse in community is influenced by environmental and behavioral factors. Environment included community preference for purchasing antibiotics, lack of health care infrastructure, lack of general practitioner and policy in regulating antibiotic use. Behavior is influenced by lack of information in antibiotic use and unawareness of antibiotic resistancy. The aim of the study was to assess the level of knowledge, attitude and behavior regarding antibiotic use in community dwellings.Methods: A cross sectional descriptive study was carried out to 96 respondents who were selected by a rapid survey sampling method in Cileles village Jatinangor, Sumedang, West Java, Indonesia in August 2013. Data were collected using questionnaires. The data was analyzed in the form of frequency and percentage.Results: Out of 96 respondents, only 40.6% had good knowledge regarding antibiotic use, 12.5% of respondents were prescribed antibiotics, but in the last course did not purchased all the antibiotics prescribed by the clinician and 55.2% of respondents did not complete their treatment course.Conclusions: Most of the community still have poor knowledge regarding antibiotic use and its consequences such as allergy, and resistancy based on the knowledge questions has a total score â¤6. Their attitude and behavior regarding antibiotic use are still poor which is also based on incompletion of the antibiotic treatment and irregular use.DOI: 10.15850/amj.v4n2.1082
Effect of Sappan Wood Ethanol Extracts (Caesalpinia sappan. L) to the Sperm Motility, Viability, and Concentration of Male Wistar Rats
Nadiyah, Nadiyah;
Rezano, Andri;
Sudigdoadi, Sunarjati
Althea Medical Journal Vol 4, No 2 (2017)
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DOI: 10.15850/amj.v4n2.1078
Background: Idiopathic male infertility becomes an issue because of the limited management options and increasing number of infertile couples. Sappan wood (Caesalpinia sappan. L) is an herbal plant predicted to have fertility and spermatogenesis enhancing effects through antioxidant properties. This study aimed to observe the effects of sappan wood ethanol extract in improving sperm quality of male wistar rat based on sperm motility, viability, and concentration. Methods: This was an experimental laboratory study by using sappan wood ethanol extracts as material and male wistar rat as the experimental animal. Twenty-four adult male wistar rats were divided into 4 groups including rats which were treated with aquades, 30, 60, and 120 mg/kg/day/orally of ethanol extract of sappan wood, respectively, during 35 days. After this period, the animals were sacrificed. Then the epididymis were taken for samples to calculate sperm motility percentage, sperm viability percentage and sperm concentration. Comparison between control group and the treated group was analyzed by one-way Annova.Results: There were significant differences between the control group and the group with 120 mg/kg of sappan wood ethanol extracts in the percentage of motility (36.39% and 51.75%; p-value 0.001), viability percentage (55.36% and 66.63%, p-value 0.031), and sperm concentration (54.47 million/ml and 47.79 million/ml; p-value 0.001).Conclusions: The ethanol extract of sappan wood with a dose of 120 mg/kg for 35 days is able to improve sperm motility percentage, sperm viability percentage, and sperm concentration of male wistar rat. DOI:Â 10.15850/amj.v4n2.1078
Antimicrobial Sensitivity of Neonatal Bacterial Sepsis
Iswandari, Nadya;
Primadi, Aris;
Sudigdoadi, Sunarjati
Althea Medical Journal Vol 4, No 2 (2017)
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DOI: 10.15850/amj.v4n2.1072
Background: Appropriate treatment on neonatal bacterial sepsis is important based on the exact etiology to prevent bacterial resistance, but bacterial identification using blood cultures requires a considerable time. The newest data of various bacteria and their sensitivity can be used to assist empirical antibiotics usage. This study was conducted to identify bacterial profile that caused neonatal sepsis and their sensitivity to antibiotics at Dr. Hasan Sadikin General Hospital Bandung..Methods: A total of 275 neonatal sepsis cases and 288 blood cultures results were collected from a database provided by Dr. Hasan Sadikin General Hospital Bandung during the period of July 2011 toDecember 2012 (three semesters). Etiology of the bacteria and antimicrobial sensitivity profile data were taken from positive bacteria results. Then, these variables were processed using the descriptive method and classified by semesterResult: The most common bacteria that caused neonatal sepsis in the second semester 2011 is Serratia marescens, the first semester 2012 was Enterobacter aerogenes and in the second semester 2012 was Burkholderia cepacia. The most sensitive antibiotics were piperacillin tazobactam, cefepime, meropenem and amikacin in all three semesters, gentamycin in the second semester 2011 and 2012, and amoxicillin clavulanic in the second semester 2012.Conclusions: Bacterial and antimicrobial sensitivity profile is varied in every semester.Keywords: Antimicrobial sensitivity profile, bacterial profile, neonatal sepsisDOI: 10.15850/amj.v4n2.1072
Profile of Cardiorespiratory Fitness, Flexibility and Fat Percentage of Junior High School Students in Jatinangor
Akbar, Gemuruh Putra;
Purba, Ambrosius;
Suhadi, Yenni Zuhairini
Althea Medical Journal Vol 4, No 2 (2017)
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DOI: 10.15850/amj.v4n2.1085
Background: Obesity and physical inactivity is a major risk factor for non-communicable disease and global mortality in adolescent. Lack of physical activity will lead the condition into poor physical fitness, measured by cardio respiratory fitness (maximum oxygen volume, VO2 max), and other components such as flexibility. The study aimed to describe VO2 max, flexibility and fat percentage among junior high school students in Jatinangor.Methods: The study was a descriptive observational study using descriptive analysis. VO2 max was assessed using Astrand Ryhming step test, flexibility was measured using flexometer sit and reach test, and fat percentage was determined using bioelectrical impedance analysis scale. The subjects were junior high school students who were study in 1st, 2nd and 3rd grade in Jatinangor Junior High School based on stratification sampling method. It was conducted from SeptemberâOctober 2013.Results: Total subjects were 110 students consisted of male (n=52) and female (n=58). The VO2 max were in good and above category, 57.69% of male (50.37 ± 9.80 ml/kg/min), and 60.34% of female (37.66±7.03 ml/kg/min). The flexibility for both males and females were within excellent category (67.31%, 26.56 ±7.14 cm and 67.24%, 27.29±6.64 cm respectively). The fat percentage in females were within healthy category (67.24%, 25.28 ± 6.85 %), meanwhile male were within underfat category (48.08%, 11.66 ± 5.83 %).Conclusions: The majority of VO2 max, and flexibility both in male and female were good. The fat percentages were good in female students, while in male students were under normal range.DOI: 10.15850/amj.v4n2.1085