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Althea Medical Journal

amj
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Published by Universitas Padjadjaran

ISSN : - EISSN : 23374330 DOI : 10.15850/amj

Core Subject : Health,

Medicine & Pharmacology

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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Articles 60 Documents

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Search results for , issue "Vol 4, No 2 (2017)" : 60 Documents clear

Suspectable Risk Factors of Congenital Anomaly in Dr. Hasan Sadikin General Hospital Bandung, Indonesia Pradistya Syifa Yudiasari; Akhmad Yogi Pramatirta; Sharon Gondodiputro
Althea Medical Journal Vol 4, No 2 (2017)
Publisher : Faculty of Medicine Universitas Padjadjaran

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 parents’ 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 20–35 years (65%), fathers’ 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%, mother’s BMI was in normal term (18.5─24.9) 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 Azkane Adila Putri; Leonardo Lubis; Paulus Anam Ong
Althea Medical Journal Vol 4, No 2 (2017)
Publisher : Faculty of Medicine Universitas Padjadjaran

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 Java’s Top Referral Hospital, Indonesia. Nurain Yahya; Tetty Yuniati; Leonardo Lubis
Althea Medical Journal Vol 4, No 2 (2017)
Publisher : Faculty of Medicine Universitas Padjadjaran

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

Five Years Study of Recurrent Febrile Seizure Risk Factors Ausi Indriani; Nelly Amalia Risan; Titing Nurhayati
Althea Medical Journal Vol 4, No 2 (2017)
Publisher : Faculty of Medicine Universitas Padjadjaran

Background: Nearly one-third of febrile seizure patients suffered recurrent febrile seizures. Several risk factors contribute to this recurrence, namely young age, family history of febrile seizures, low body temperature and rapid duration of fever before onset of seizures. Recently, the types of seizure and gender have been stated increasing risk of this recurrence. The objectives of this study was to identify the risk factors of recurrent febrile seizures.Methods: A descriptive study was carried out by retrieving data from inpatient medical records during the period of January 1st, 2009 to December 31st, 2013 at one of the top referral hospitals in West Java, Indonesia. Variables of this study were the first febrile seizure age, gender, type of febrile seizure, a family history of febrile seizure, a family history of epilepsy, body temperature when febrile seizure occurred and duration of fever before onset of seizure. The collected data were tabulated by frequency and percentage and displayed in tables.Results: Out of 154 patients with febrile seizures 58 suffered recurrent febrile seizures. Forty three percent had a first febrile seizure at the age of under12 months, 72% were male, 46% had fever less than 24 hours before the onset of seizure, 65% had complex febrile seizures, 28% had positive family history of febrile seizures, and 5% had positive family history of epilepsy. Conclusions: The risk factors for recurrent febrile seizures are young age, male, rapid duration of fever before onset of seizure and complex febrile seizure. DOI: 10.15850/amj.v4n2.1086

Impact of Training on Improving Proper Handwashing Practices among Elementary School Students Theruna Huthamaputiran; Sunarjati Sudigdoadi; Andriana Purnama
Althea Medical Journal Vol 4, No 2 (2017)
Publisher : Faculty of Medicine Universitas Padjadjaran

Background: Hand washing is among the most effective ways to prevent diseases. In Indonesia, only a quarter of the entire population practice proper handwashing techniques. Of these, children are the most vulnerable group for contracting diseases. Nevertheless, they also are crucial agent for behavior transformation as they are keen and open to new ideas. Therefore, this study was conducted to determine if training would have an improvement on a proper hand washing practices among elementary school students.Methods:An observational descriptive study design using random sampling was conducted from September to November 2013 in Jatinangor Subdistrict, West Java, Indonesia using primary data of one hundred elementary school students from four elementary schools. Questionnaires were given after informed consent. A demonstration on hand washing techniques and education on proper hand washing practices was then given. Two weeks later, the same questionnaire was given to measure the influence of the training. The collected data were presented using frequency tabulation.Results: Before the training on proper hand washing practices was conducted, only 86.9% students were practicing it properly. After the training was given, 90.7% of the students were doing it properly. For the hand washing technique, only 66.8% of students knew the correct steps before the intervention was given and 78.7% students did them correctly after the intervention.Conclusions:The training shows an overall improvement on the students’ hand washing practices. DOI: 10.15850/amj.v4n2.1073

Carpal Tunnel Syndrome Prevalence and Characteristics among Administrative Staff at Dr.Hasan Sadikin General Hospital Bandung Andrian Andrian; Nushrotul Lailiyya; Novitri Novitri
Althea Medical Journal Vol 4, No 2 (2017)
Publisher : Faculty of Medicine Universitas Padjadjaran

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Background: Carpal tunnel syndrome (CTS) is a neurologic disease affecting hands, which is closely related to work, and is the most prevalent nerve compression disease. The incidence of CTS quite often occur in people working with their hands, for instance the administrative staff, especially in a busy workplace such as Dr.Hasan Sadikin General Hospital Bandung. CTS causes reduction in work productivity, and consequently degrading family welfare and the quality of public service. For that very reason, the prevalence and characteristics of CTS among administrative staff at Dr.HasanSadikin General Hospital Bandung needed to be revealed.Methods: This quantitative descriptive study involved 94 administrative staff in the Medical record department of Dr. Hasan Sadikin General Hospital using the Carpal-tunnel.net questionnaire and further examinations by neurologists. Variables involved in this study were the subject characteristics.Results: Out of the 90 subjects, 22 stated having symptoms related to CTS (prevalence, 24.4%). On further clinical examination, 3 were diagnosed of suffering from CTS (prevalence, 3.3%).Conclusions: Carpal tunnel syndrome is found among the administrative staff at Dr. Hasan Sadikin General Hospital Bandung and the prevalence is lower than in the general population. A further study is required to reveal ther specific division in the hospital with the most prevalent CTS case.DOI: 10.15850/amj.v4n2.1077

Comparison of Post-Stroke Functional Recovery between Ischemic and Hemorrhagic Stroke Patients: A Prospective Cohort Study Sabrina Anggi Lubis; Novitri Novitri; Ahmad Rizal
Althea Medical Journal Vol 4, No 2 (2017)
Publisher : Faculty of Medicine Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (178.853 KB)

pathophysiologic mechanism that underlies each stroke type may give different outcome in post-stroke patients. This study aimed to compare the improvement of functional outcome between both types of stroke among stroke patients admitted to Dr. Hasan Sadikin General Hospital (RSHS).Methods: Consecutive sampling was carried out on first-ever stroke patients admitted to neurological inpatient unit of RSHS from September 2015 to October 2015. Functional recovery, measured by subtracting Canadian Neurological Scale (CNS) on day-8 and day-1 of admission, was compared among two subgroups and analyzed using Mann-Whitney U test. Baseline characteristics were collected and analyzed.Results: Total of thirteen stroke patients was included in this study: ten ischemic stroke and three hemorrhagic stroke patients. CNS score improvement between ischemic and hemorrhagic stroke patients was not significantly different. However, hemorrhagic stroke had higher score than ischemic stroke with 0.30 CNS score difference.Conclusions: CNS improvement between ischemic and hemorrhagic stroke was not significantly different. DOI: 10.15850/amj.v4n2.1069

Blood Glucose Level and HbA1C in Pediatric Patients with Diabetes Mellitus Type 1 Anisha Sefina Priatna; R. Mohamad Ryadi Fadil; Nugroho Harry Susanto
Althea Medical Journal Vol 4, No 2 (2017)
Publisher : Faculty of Medicine Universitas Padjadjaran

Background: Diabetes mellitus (DM) is a common disease found all over the world, including Indonesia. The DM often found in pediatric patients is DM Type 1. The DM patients with uncontrolled blood glucose will likely suffer multiple organ damage, most notably to the kidneys, eyes, heart, and nerves. To help monitor blood glucose levels, lab checkups such as fasting blood glucose, 2 hours postprandial, and Hemoglobin A1C (HbA1C) levels are done. The aim of this study was to determine the profile of blood glucose and HbA1C in pediatric patients with DM Type 1.Methods: The study was held in August to October 2014, using descriptive method and cross sectional design. Data were obtained from 28 medical records of DM Type 1 patients in the Department of Child Health at Dr. Hasan Sadikin General Hospital. The variables of this study were blood glucose level and HbA1 in three consecutive examinations. The collected data was presented in tables.Results: The patients were 19 female and 9 male, most of the patients aged between 11–15 years old. Data reported that on first, second, and third examination, most subjects had both fasting blood glucose and 2 hours postprandial blood glucose levels over 180 mg/dl. On first and second HbA1c checkup, most subjects had values over 10%, and on third checkup had results ranging from 8 to 9.9%.Conclusions: Most patients are girls and aged between 11–15 years old. The most have uncontrolled blood glucoselevel and HbA1c levels. DOI: 10.15850/amj.v4n2.1074

Vitamin C Intakeand Risk Factors for Knee Osteoarthritis Nadia Ayu Destiani; Siti Nur Fatimah; Sumartini Dewi
Althea Medical Journal Vol 4, No 2 (2017)
Publisher : Faculty of Medicine Universitas Padjadjaran

Background: Knee osteoarthritis (OA) is a degenerative disease of the knee joints characterized by progressive softening and disintegration of articular cartilage. In OA, which is influenced by several risk factors, free radicals are increased by local ischemia in the cartilage. As an exogenous antioxidant, vitamin C also plays an important role in collagen and glycosaminoglycan synthesis. This study was carried out to identify vitamin C intake as well as risk factors in knee OA. Methods: The study population was determined by non-probability sampling with convenient approach to knee OA patients at the Rheumatology Outpatient Clinic of Dr. Hasan Sadikin General Hospital in October–November 2013. Data were obtained through questionnaire interview about risk factors, severity index of OA and vitamin C intake profile. Data presentation was conducted by descriptive method.Results: There were 47 patients diagnosed with knee OA in the Rheumatology Outpatient Clinic. The result showed that 7 patients (14.9%) had low vitamin C intake for the last 3 months. There were 30 patients with family history of OA (63.8%). Thirty two patients (68.1%) were passive smokers, 44 patients (93.6%) had history of repeated use of knee joints and majority of respondents had obesity. Conclusions: Most of the subjects have sufficient vitamin C intake and more than half have risk factors that may contribute to the incidence of knee OA. DOI: 10.15850/amj.v4n2.1067

Quality Assesment of Antibiotic Prescription for Sepsis Treatment in Intensive Care Unit at Top Referral Hospital in West Java, Indonesia Shadrina Dinan Adani; Ardi Zulfariansyah; Putri Teesa Radhiyanti Santoso
Althea Medical Journal Vol 4, No 2 (2017)
Publisher : Faculty of Medicine Universitas Padjadjaran

Background: Sepsis is a common disease in intensive care unit (ICU) with high mortality rate. Administration of antibiotic has an important role to determine the outcome of sepsis patient. This study aimed to evaluate the quality of antibiotic prescription for sepsis treatment in intensive care unit (ICU). Methods: This descriptive study was conducted by retrieving data from 48 medical records of patients with sepsis, severe sepsis, and septic shock admitted to ICU Dr. Hasan Sadikin General Hospital (RSHS) in 2013. The study was conducted from August to October 2014. Empiric therapy in the ICUat RSHS and Surviving Sepsis Campaign (SSC) guidelines in 2012 were used as a standard for antibiotic prescription. The quality of antibiotic prescription was assessed then categorized based on Gyssens criteria. The collected data were analyzed in the form of frequency and percentage and presented in tables.Results: This study discovered that most of the patients had severe sepsis and septic shock. Based on Gyssens criteria, 35% antibiotic uses were included into category 0 (proper); 1.4% category I (improper timing); 10.5% category IIA (improper dosage); 9.1% category IIB (improper interval); 3.5% category IIC (improper route); 12.6% category IIIA (improper duration; too long); 1.4% category IIIB (improper duration; too short); 16.8% category IVA (improper; other antibiotics were more effective); 4.2% category IVD (improper; other antibiotics had narrower spectrum); and 5.6% category V (improper; no indication).Conclusions: There are still improper uses of antibiotic for sepsis, severe sepsis, and septic shock patients in the ICU. DOI: 10.15850/amj.v4n2.1088

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Editorial Address Gedung Rumah Sakit Pendidikan Unpad/Pamitran Unpad (Teaching Hospital Building) Faculty of Medicine Unpad, 3rd Floor Jl. Prof. Eyckman No. 38, Bandung, 40161, Indonesia

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Contact Name
-

Contact Email
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Journal Mail Official
chiefeditor.amj@gmail.com

Editorial Address
Gedung Rumah Sakit Pendidikan Unpad/Pamitran Unpad (Teaching Hospital Building) Faculty of Medicine Unpad, 3rd Floor Jl. Prof. Eyckman No. 38, Bandung, 40161, Indonesia

Location
Kota bandung,

Jawa barat

INDONESIA