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[Nutritional Status Among Elderly in Ambulatory Care Setting ]]>
<![CDATA[Karina Nurizky]]>;
<![CDATA[Putri Teesa Radhiyanti Santoso]]>;
<![CDATA[Muhammad Apriandi]]>
<![CDATA[ Althea Medical Journal Vol 4, No 2 (2017) ]]>
Publisher : <![CDATA[Faculty of Medicine Universitas Padjadjaran ]]>
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DOI: 10.15850/amj.v4n2.1087
<![CDATA[Background: Nutritional status is a final outcome from a balance between food intake and body’s needs of the nutrients. Elderly is people whose age more than 60 years old. In Indonesia, elderly population has increased. Its phenomena is also known as population aging. Population aging is related to malnutrition in elderly. Malnutrition is defined as the insufficient, excessive or imbalanced consumption of nutrients.The objective of this study was to describe the nutritional status among elderly outpatients in geriatrics clinic of Dr. Hasan Sadikin General Hospital Bandung.Methods: This study was a descriptive cross-sectional study that used primary data in geriatrics clinic Dr. Hasan Sadikin General Hospital Bandung from September 2013 to October 2013. The sampling method was convenience sampling. This study was done with 43 elderly ( women, n=27 and men, n=16) outpatients.The nutritional status was classified by the questionnaire of Mini Nutritional Assessment into malnourished, risk of malnutrition and without malnutrition (adequate). After collecting the data, it was analyzed by Microsoft Excel in presenting the proportion of the elderly nutritional status.Results: Among all the respondents, 27 (63%) respondents had adequate nutrition and 16 (37%) respondents had risk of malnutrition. There was no respondent who had malnutrition (undernutrition). Conclusions: Majority of elderly outpatients in geriatrics clinic Dr. Hasan Sadikin General Hospital had adequate nutrition. DOI: 10.15850/amj.v4n2.1087]]>
<![CDATA[Coverage of Vitamin A Supplementation among Under-Five Children in Hegarmanah Village, Jatinangor in August 2014 ]]>
<![CDATA[Nadia Asmarani Hidayat Putri]]>;
<![CDATA[Istriati Istriati]]>;
<![CDATA[Julistio T.B. Djais]]>
<![CDATA[ Althea Medical Journal Vol 4, No 2 (2017) ]]>
Publisher : <![CDATA[Faculty of Medicine Universitas Padjadjaran ]]>
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DOI: 10.15850/amj.v4n2.1079
<![CDATA[Background: The vitamin A supplementation program conducted every February and August aims to reduce children morbidity and mortality. Mother’s knowledge on the importance of vitamin A is crucial to succeeding this program. This study aimed to examine the coverage of the program among under-five children and the mother’s knowledge about vitamin A supplementation in Hegarmanah Village, Jatinangor in August 2014.Methods: This was a descriptive cross-sectional study involving mothers of children aged 6−59 months in eight RWs in Hegarmanah Village. The mothers were interviewed to find out whether their children received vitamin A supplementation. Additional questionnaire-based data about mother’s knowledge on vitamin A was also collected. The subjects in this study were the mothers of 220 under-five children. Data collection was obtained by direct interviews with the mothers during their visit to the Puskesmas or during home visits to children who missed the Posyandu appointments.Results: Two hundred and fourteen (97.27%) children received vitamin A supplementation and only 6 (2.73%) did not. The questionnaires revealed that 94 children (96%) received vitamin A, while 4 (4%) did not. The mother’s level of knowledge in vitamin A was either poor (1%), moderate (37%), or good (62%).Conclusions: The coverage of vitamin A supplementation in Hegarmanah Village reaches 97.27% and the mother’s understanding about vitamin A is generally good. DOI: 10.15850/amj.v4n2.1079]]>
<![CDATA[Level of Activity Daily Living in Post Stroke Patients ]]>
<![CDATA[Greesea Dinamaria Whitiana]]>;
<![CDATA[Vitriana Vitriana]]>;
<![CDATA[Aih Cahyani]]>
<![CDATA[ Althea Medical Journal Vol 4, No 2 (2017) ]]>
Publisher : <![CDATA[Faculty of Medicine Universitas Padjadjaran ]]>
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DOI: 10.15850/amj.v4n2.1068
<![CDATA[Background: Stroke is the leading cause of disability and dependency which directly decrease patient’slife quality . Disability caused by stroke can be prevented by holistic and comprehensive management plan of stroke. Until now, there was no study conducted to evaluate management for post stroke patients in Dr. Hasan Sadikin General Hospital (RSHS). Therefore, this studyaimed to describe level of activities of daily living (ADL) in post stroke patients in Neurology unit of RSHS as a basic evaluation for a better management hereafter.Methods: This descriptive quantitative study participated by 31 post-stroke outpatients in Neurology Policlinic of RSHS was conducted from September to October 2015. Interviews were done to assess level of ADL by the Barthel Index score. Variables correlated with ADL (age, gender, stroke type, stroke occurrence, stroke risk factors and muscle strength) were collected from medical records. Collected data was input and presented in tables. Results: There were 19 females and 12 males with the age group of 55-64 year old (35.5%). Most subjects had first stroke attack (71.0%). The most common type and risk factor were ischemic stroke (83.9%) and hypertension (81%) respectively. Patients with a maximum score in the entire extremity muscle strength were in the range of 60-70%. Out of the 31 patients, 18 (58.1%) were classified as independent in ADL. Conclusions: The majority of post stroke patients in the Neurology unit of RSHS wereindependent in ADL. DOI: 10.15850/amj.v4n2.1068]]>
<![CDATA[Correlation between Gross Motor Function Classification System and Communication Function Classification System in Children with Cerebral Palsy ]]>
<![CDATA[Vindy Margaretha]]>;
<![CDATA[Marietta Shanti Prananta]]>;
<![CDATA[Anggraini Alam]]>
<![CDATA[ Althea Medical Journal Vol 4, No 2 (2017) ]]>
Publisher : <![CDATA[Faculty of Medicine Universitas Padjadjaran ]]>
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DOI: 10.15850/amj.v4n2.1092
<![CDATA[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 0–12 years were examined. Samples were taken from Department of Physical Medicine and Rehabilitation Dr. Hasan Sadikin General Hospital Bandung on September to October 2015. Patients’ descriptive data, levels of GMFCS and CFCS were collected by the researcher and residents previously standardized. Kendall’s 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]]>
<![CDATA[Prevalence of Urinary Incontinence in Women aged 20–59 years in Community Dwellings ]]>
<![CDATA[Ratuafni Shafrina Wardani]]>;
<![CDATA[Raden Tina Dewi Judistiani]]>;
<![CDATA[Amillia Siddiq]]>
<![CDATA[ Althea Medical Journal Vol 4, No 2 (2017) ]]>
Publisher : <![CDATA[Faculty of Medicine Universitas Padjadjaran ]]>
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DOI: 10.15850/amj.v4n2.1070
<![CDATA[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 20–59 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 20–29 year age group was 3.23%, 30–39 year age group was 9.72%, 40–49 year age group was 27.69%, and 50–59 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]]>
<![CDATA[Nutritional Status of Hospitalized Stroke Patients: Assessment by Body Mass Index and Subjective Global Assessment Method ]]>
<![CDATA[Gloria Kartika]]>;
<![CDATA[Lisda Amalia]]>;
<![CDATA[Gaga Irawan Nugraha]]>
<![CDATA[ Althea Medical Journal Vol 4, No 2 (2017) ]]>
Publisher : <![CDATA[Faculty of Medicine Universitas Padjadjaran ]]>
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DOI: 10.15850/amj.v4n2.1090
<![CDATA[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]]>
<![CDATA[Hemoglobin Level, Energy Intake, and Body Mass Index of Kebersihan, Keindahan, Kenyamanan Lingkungan Workers in an Academic Institution ]]>
<![CDATA[Carmelia Cantika Maharani]]>;
<![CDATA[Reni Farenia]]>;
<![CDATA[Pandji Irani Fianza]]>
<![CDATA[ Althea Medical Journal Vol 4, No 2 (2017) ]]>
Publisher : <![CDATA[Faculty of Medicine Universitas Padjadjaran ]]>
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DOI: 10.15850/10.15850/amj.v4n2.1089
<![CDATA[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]]>
<![CDATA[Correlation between Heredity Factor and Menarcheal Age among Adolescent Aged 9–15 Years Old ]]>
<![CDATA[Nurul Khotimah]]>;
<![CDATA[R.M. Ryadi Fadil]]>;
<![CDATA[Haryono Tansah]]>
<![CDATA[ Althea Medical Journal Vol 4, No 2 (2017) ]]>
Publisher : <![CDATA[Faculty of Medicine Universitas Padjadjaran ]]>
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DOI: 10.15850/amj.v4n2.1081
<![CDATA[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 September–October 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 subject’s and older sister’s menarcheal age. DOI: 10.15850/amj.v4n2.1081]]>
<![CDATA[Two Years Profile of Anemia in Systemic Lupus Erythematosus Patients at West Java’s Top Referral Hospital, Indonesia ]]>
<![CDATA[Stefanie Yuliana Usman]]>;
<![CDATA[Laniyati Hamijoyo]]>;
<![CDATA[Anna Tjandrawati]]>
<![CDATA[ Althea Medical Journal Vol 4, No 2 (2017) ]]>
Publisher : <![CDATA[Faculty of Medicine Universitas Padjadjaran ]]>
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DOI: 10.15850/amj.v4n2.1094
<![CDATA[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 21–30 years old; and 49 (51%) had SLE for 1–5 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: 10.15850/amj.v4n2.1094]]>
<![CDATA[Knowledge, Attitude and Behavior Related to Antibiotic Use in Community Dwellings ]]>
<![CDATA[Rocci Jack Parse]]>;
<![CDATA[Eva Mardiana Hidayat]]>;
<![CDATA[Bachti Alisjahbana]]>
<![CDATA[ Althea Medical Journal Vol 4, No 2 (2017) ]]>
Publisher : <![CDATA[Faculty of Medicine Universitas Padjadjaran ]]>
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DOI: 10.15850/amj.v4n2.1082
<![CDATA[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 ≤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]]>
