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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Balance, General Cognition and Lower Motoric Strength in Elderly: Tai Chi Versus Brisk Walking
Anam, Steven Kelvin;
Moelino, Marina A.;
Pratiwi, Yuni S.
Althea Medical Journal Vol 4, No 2 (2017)
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DOI: 10.15850/amj.v4n2.1063
Background: The number of elderly in Indonesia continues to increase. A better quality of life can be achieved by preventing reduction of elderlyâs cognition, balance and strength of the lower extremities. Tai Chi has been suggested as one of the sports to maintain cognition, balance and lower extremity strength for elder people. However, there are still few studies that compare Tai Chi to other exercises. The aim of this study was to compare the effects of practicing Tai Chi verrsus brisk walking.Methods: The study design was observational, cross-sectional. Elderly who practiced Tai Chi and Brisk-walk in Tegalega sport field were chosen as the target population. The respondents must be at least 60 years old, no history of cardiovascular disease in the last 3 months, no musculoskeletal complaints, no obvious signs and symptoms of chronic diseases. Afterwards, the respondents were examined using Timed Up and Go (TUG) Test for balance, Montreal Cognitive Assessment (MoCA) for cognition and leg dynamometer for the lower extrimities strength. The collected data was analyzed using Mann-Whitney statistical test and Kolmogorov-Smirnov test.Results: No significant difference was detected among the three parameters between Tai Chi group (TCG) and Brisk Walking group (BWG). Difference of 0.5 (p=0.314) and 0.6 (p=0.554) was found for TUG Test and MoCA Test between TCG and BWG using Mann Whitney. The leg dynamometer was tested using Kolmogorov-smirnov (p = 1.00).Conclusions: Similar result of balance, cognition, and lower motor strength are found between TCG and BWG. Â DOI:Â 10.15850/amj.v4n2.1063
Comparison of Shoulder Strength in Routinely Trained Badminton Players and Non-Badminton Players
Feng, Wong Zhen;
Rasyid, Hermawan Nagar;
Juliati, Juliati
Althea Medical Journal Vol 4, No 2 (2017)
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DOI: 10.15850/amj.v4n2.1083
Background: Shoulder pain is a common reason for patients to seek medical help in any healthcare center. Shoulder pain is influenced by a few factors such as gender, posture during daily activities, aging and psychological factors. Based on the study of Epidemiology of Injuries and Prevention Strategies in Competitive Swimmers, shoulder pain due to shoulder injuries can be reduced by strengthening the shoulder muscle. Badminton has become one of the most popular sports in Asia, especially in Indonesia. This study was conducted to determine if badmintonis able to strengthen the shoulder muscle group. Methods: A cross-sectional analytic experimental study was conducted on September 2015 at Lodaya Badminton Training Center and Bale Padjadjaran of Universitas Padjadjaran. Subjects were 30 healthy male routinely trained badminton players and 30 non-badminton players who voluntarily follow the rstudy procedures. Strength measurement procedures were provided to the subjects after getting informed consent. Data analysis was performed using T-test.Results: The shoulder strength in routinely trained badminton players was significantly different from non-badminton players (P<0.05).Conclusions: Shoulder strength can be improved through routine training of badminton to reduce risk of shoulder injury. DOI: 10.15850/amj.v4n2.1083
One Year Data of New Secondary Glaucoma Patients at Top Referral Eye Hospital in Indonesia
Rifqah, Elka;
Gustianty, Elsa;
Prajitno, Ihrul Prianza
Althea Medical Journal Vol 4, No 2 (2017)
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DOI: 10.15850/amj.v4n2.1060
Background: Glaucoma is the second most common cause of blindness after cataract in the world and also in Indonesia. Based on the etiology, glaucoma is classified into primary and secondary glaucoma. Secondary glaucoma can cause severe visual function disorders and affect the patientâs quality of life. This study was carried out to indentify the characteristics of new secondary glaucoma patients at Cicendo Eye Hospital from January to December 2013. Methods: This descriptive study was carried out at Cicendo Eye Hospital from November to December 2014. Secondary data were retrieved from medical records of new secondary glaucoma patients who came to the Glaucoma unit from January to December 2013. Inclusion criteria were medical records comprising data about age, gender, location of the affected eyes by secondary glaucoma, etiology of secondary glaucoma and value of intraocular pressure. The collected data were recorded and analyzed to illustrate their frequency distribution and proportion.Results: Out of 63 patients, 42.9% was 40â59 years old and 63.5% was men. Most cases were unilateral (82.5%). It was found that 74 eyes (52 unilateral, 11 bilateral), diagnosed as secondary glaucoma, had intraocular pressure â¥30 mmHg which were 54.1%. Secondary glaucoma were caused by lens induced (36.5%), inflammation (22.2%), and trauma (9.5%).Conclusions: Most cases are middle-aged patients and dominated by men. The eye diagnosed as secondary glaucoma occurred more in the unilateral eye which has intraocular pressure â¥30 mmHg and is caused by lens induced and inflammation. DOI: 10.15850/amj.v4n2.1060
Relationship between Types of Cervical SpineTrauma and Occurrence of Neurological Deficits
Anwar, Syaiful;
Rahim, Agus Hadian;
Anwary, Farhan
Althea Medical Journal Vol 4, No 2 (2017)
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DOI: 10.15850/amj.v4n2.1084
Background: About 3,500 people died each year due to neck injury, according to a study in the USA. Trauma at cervical spine level causes injury in soft tissue, cervical vertebrae, and spinal cord that can cause neurological deficits. The aim of this study was to analyze the relationship between type of cervical trauma and the occurrence of neurological deficits.Methods: An analytic study was carried out to 121 medical records of patients diagnosed with cervical spine trauma at Dr. Hasan Sadikin General Hospital Bandung in the period of January 2010âDecember 2012. Data were classified according to age, sex, period of initial visit to hospital, mechanism of trauma, cervical trauma type, fractureâs or dislocationâs location (without any other vertebral injury) and neurological status. The collected data were analyzed using Chi-Square test and presented in tables.Results: There were 121 cases of cervical spine trauma. Most patients were male and in the productive age group (30â44 years). Most of the initial visits to the hospital were in 2010 and most of the mechanism was traffic accident (46.28%), while soft tissue injury was the most common type of cervical trauma (54.54%) and lower cervical vertebrae was the most common location of fractures or dislocations (76.36%). Sixty two patients were recorded with neurological deficits. Chi-Square test of relationship between the type of cervical trauma and the occurrence of neurological deficit was statistically significant (p=0.000).Conclusions: There is relationship between the type of cervical trauma and occurrence of neurological deficits. DOI: 10.15850/amj.v4n2.1084
Environmental Factor Contributed to The Onset of Schizophrenia
Yuleni, Yuleni;
A. Sapiie, Tuti Wahmurti;
Ekowati, RA. Retno
Althea Medical Journal Vol 4, No 2 (2017)
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DOI: 10.15850/amj.v4n2.1080
Background: Schizophrenia is a severe and chronic mental disorder that needs a long term treatment and social support. This condition may results in burden and disturbance in the family and society A number of studies have investigated some environmental factors that may potentially lead to schizophrenia. One of many suspected environmental factors is place of born or grew up. This study was conducted to investigate association between place of born or grew up and age of onset of schizophrenia.Methods: This analytical study using cross-sectional method was conducted by retrieving data from 72 medical records of hospitalized schizophrenic patients in Dr. Hasan Sadikin General Hospital from OctoberâNovember 2013. The variables in this study were age of onset and place (urban or rural) where the patients born or grew-up.The collected data were analyzed using Chi-Square statistical test.Results: This study discovered that 75% of subjects were born or grew up in urban area, 68% of subjects had age of onset at 20â40 years and there was no association between place of born or grew up and age of onset of schizophrenia (p-value was 0.108).Conclusions: More than half subjects were born and grew up in urban, who had age of onset of schizophrenia at 20â40 years and there is no significant association between place of born or grew up and age of onset of schizophrenia. DOI: 10.15850/amj.v4n2.1080
A Study of Hypoalbuminemia and Pleural Effusionin Pediatric Nephrotic Syndrome
Perinandika, Tovan;
Rachmadi, Dedi;
Dwiyatnaningrum, Fenny
Althea Medical Journal Vol 4, No 2 (2017)
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DOI: 10.15850/amj.v4n2.1075
Background: Nephrotic syndrome (NS) is a kidney disease that is most often found in children. Hypoalbuminemia in NS can cause a decrease in oncotic pressure causing extravasation of fluid into the interstitial space. In conditions of severe hypoalbuminemia, fluid extravasation may cause occurrence of pleural effusion. The objectives of this study was to analyze the correlation between hypoalbuminemia and pleural effusion in children with NS. Methods: An analytical study was conducted on 69 medical records of pediatric nephrotic syndrome from 1 January 2008â31 December 2013 in dr. Hasan Sadikin General Hospital. Inclusion criteria were pediatric patients between 1-14 years old with NS. Exclusion criteria were patients who already had albumin transfusion, malnutrition, patients with chronic disease, and incomplete medical record information. Contingency coefficient test was carried out to discover the correlation between variables. Results: Out of 89 samples, 69 samples were included. Characteristics of the included patients are male (n=48), female (n=21), age 1â5 (n=24), 6â10 (n=22), 11â14 (n=23), mild hypoalbuminemia (n=3), moderate hypoalbuminemia (n=27), severe hypoalbuminemia (n=39), patients with pleural effusion (n=23), and non-pleural effusion (n=46). There was a significant correlation between hypoalbuminemia and pleural effusion with p=0.000 (p<0.05) and moderate correlation (r=0.437). Conclusions: Hypoalbuminemia has correlation with pleural effusion in pediatric nephrotic syndrome.Keywords: Hypoalbuminemia, pediatric nephrotic syndrome, pleural effusionDOI: 10.15850/amj.v4n2.1075
Drug Allergy Clinical Characteristics in Pediatrics
Almira, R. Devina Fathia;
Sapartini, Gartika;
Dewi, Vycke Yunivita Kusumah
Althea Medical Journal Vol 4, No 2 (2017)
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DOI: 10.15850/amj.v4n2.1097
Background: A drug allergy causes a morbidity and a mortality due to its various range of clinical manifestation. Unfortunately, a study focusing in pediatric drug allergy is insufficient, especially in Bandung. Thus, this study is conducted to determine the clinical characteristic of pediatric drug allergy in Dr. Hasan Sadikin General Hospital Bandung.Methods: This study was a retrospective descriptive study using medical records of pediatric drug allergy patients between 2010â2015 in Dr. Hasan Sadikin General Hospital Bandung taken with total sampling method. The variables were patient age, gender, causative drug, and clinical manifestation. Clinical manifestation was then divided into exanthem, urticaria, erythema multiforme, Steven-Johnsonâs syndrome/toxic epidemiolytic necrosis (SJS/TEN), and fixed drug eruption (FDE). Results: Out of 101 patients, only 71 were included in the study due to incomplete medical records of the rest. There were 34 (47.89%) males and 37 (52.11%) females. Patientsâ age ranged from 1â18 years old with the mean of 7.4 years old. The most common clinical manifestation was SJS/TEN with 25 (35.21%) patients, followed by exanthem with 22 (30.98%) patients. The most common suspected causative drug was non-steriodal anti inflammatory drugs (NSAID) (24%), followed with penicillin (21%).Conclusions: Most common manifestation of pediatric drug allergy in female is SJS/TEN, meanwhile in male is exanthema. Steven-Johnsonâs syndrome/toxic epidemiolytic necrosis mostly occurs at the age group of 12â18 years old, and exanthema at the age group of 0â3 years old. This condition is mostly caused by NSAID and penicillin.DOI: 10.15850/amj.v4n2.1097
Suspectable Risk Factors of Congenital Anomaly in Dr. Hasan Sadikin General Hospital Bandung, Indonesia
Yudiasari, Pradistya Syifa;
Pramatirta, Akhmad Yogi;
Gondodiputro, Sharon
Althea Medical Journal Vol 4, No 2 (2017)
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DOI: 10.15850/amj.v4n2.1095
Background: Congenital anomaly is a disease of structural or functional alteration since birth. The cause of congenital anomaly is genetic, environtment, and unknown. The cause of congenital anomaly is unknown, made congenital anomaly is difficult to detect. Therefore, the objective of this study was to identify the suspectable risk factors of congenital anomaly.Methods: This was a descriptive study. About 78 samples were taken by purposive sampling from medical records of patients with congenital anomaly in pediatric surgery ambulatory unit at Dr. Hasan Sadikin General Hospital (RSHS), Bandung from September to November 2014. From the selected medical records, an interview was carried out to the parentsâ patient to identify some suspectable risk factors. The collected data were analyzed and presented in tables.Results: From 78 medical records, hirschprung disease was the highest among all type of congenital anomaly (29%). The characteristic of congenital anomaly was mothers in the age of 20â35 years (65%), fathersâ age was more than 20 years old, family history of congenital anomaly was 1%, there was no history of previous congenital anomaly in previous pregnancy, infection history was 3%, history of medication was 11.5%, motherâs BMI was in normal term (18.5â24.9) as much as 65%, no history of radiation, there was no history of chronic alcohol. History of smoking/passive smoking was high (65%).Conclusions: Hirschprung disease is the highest rate disease in congenital anomaly and smoking is a highest suspectable risk factor contribute to congenital anomaly. DOI: 10.15850/amj.v4n2.1095
Comparison of Spatial Ability Between Male and Female Athletes
Putri, Azkane Adila;
Lubis, Leonardo;
Ong, Paulus Anam
Althea Medical Journal Vol 4, No 2 (2017)
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DOI: 10.15850/amj.v4n2.1093
Background: Spatial ability is the ability to understand and memorize spatial relationship beneficial objects. This domain of cognition is crucial in sport activity for deciding strategy. Sex is one of the factors that determine spatial ability. This study aimed to determine the comparison of spatial ability between male and female athletes.Methods: This cross-sectional study was conducted by non-pairing comparative method. Data were taken on September 2015 in Indonesian National Sport Committee (Komite Olahraga Nasional Indonesia, KONI) Sport Center, Bandung, West Java, Indonesia. Spatial instrument used was Spatial Ability Test 1. Subjects were recruited from athletes of KONI, West Java, aged between 19-27 years old who were being trained for 19th National Sports Weeks (Pekan Olahraga Nasional, PON XIX) 2016. Mean value between male and female were compared using studies T-test with significance value (p)<0.05.Results: The total samples were 95 subjects, consisting of 44 males and 51 females. Results of the mean value in male were 29.16 (± 3.48) and female 28.80 (± 3.74).By using studies T-test, the significance outcome found was p = 0635 (p >0.05).Conclusions: There is no spatial ability differencesbetween male and female athletes of KONI, West Java DOI: 10.15850/amj.v4n2.1093
Characteristics of Neonatal Hyperbilirubinemia at West Javaâs Top Referral Hospital, Indonesia.
Yahya, Nurain;
Yuniati, Tetty;
Lubis, Leonardo
Althea Medical Journal Vol 4, No 2 (2017)
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DOI: 10.15850/amj.v4n2.1065
Background: Neonatal hyperbilirubinemia or neonatal jaundice is a common disorder and considered as one of the main problems in neonatal period worldwide with high incidence, especially in Asia and Southeast Asia region. This study was conducted to determine the characteristics of neonatal hyperbilirubinemia including the prevalence and frequency of neonatal hyperbilirubinemia causes at Dr. Hasan Sadikin General Hospital in 2012.Methods: This descriptive study was conducted at Dr. Hasan Sadikin General Hospital using the cross-sectional method. Four hundred and twenty five cases of neonatal hyperbilirubinemia in hospitalized and outpatients, from 1 January to 31 December 2012 were included in this descriptive study.Results: The prevalence of neonatal hyperbilirubinemia was about 4.08%. Causes were identified in 95 cases and the most common cause of neonatal hyperbilirubinemia during this period of time was physiological causes (23.2%). Other causes included neonatal hepatitis (14.7%), other hemolytic causes (13.7%), infection (12.6%), ABO incompatibility (11.6%) and breastfeeding (11.6%).Conclusions: Neonatal hyperbilirubinemia cases are common and remain as one of the neonatal problems in Dr. Hasan Sadikin General Hospital, thus prevention and proper management of neonatal hyperbilirubinemia should be implemented. DOI: 10.15850/amj.v4n2.1065