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Althea Medical Journal
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 3 (2017)" : 60 Documents clear
Quality of Life in Children with Atopic Dermatitis Wicaksana, Muhammad Akbar; Suwarsa, Oki; Dwiyatnaningrum, Fenny
Althea Medical Journal Vol 4, No 3 (2017)
Publisher : Althea Medical Journal

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (841.296 KB) | DOI: 10.15850/amj.v4n3.652

Abstract

Background: Atopic dermatitis (AD) is the most common chronic skin disease in children which caused significant morbidity and impaired quality of life (QoL). The main goal of AD therapy is to prevent flare -ups, prolong remission and increase QoL. Therefore, the study aimed to discover QoL in children with AD.Methods: The study was conducted at Pasundan Public Health Centre, Al Islam General Hospital and Kimia Farma Private Dermatology Clinic, from September to November 2015. This descriptive study used consecutive sampling with 24 outpatients who were admitted to the health facility and diagnosed as AD. A questionnaire on Infant Dermatitis Quality of Life for infants aged 0–4 years, and Children Dermatology Life Quality Index for children aged 5–16 years was used in this study to measure QoL.Results: Out of 24 patients, 9 patients aged 0–4 years had mean score of 4.44±4.36, and 15 patients aged 5–16 years had mean score of 5.80±3.95. Mean SCORAD Objective in patients aged 0–4 and 5–16 was 15.61±7.75 and 17.44±11.Conclusions: The QoL in children with AD vary among patients. Most of the patients have mild-moderate impairment in QoL. 
Familial Analysis of Patients with Hypertension in Jatinangor, West Java, Indonesia Hayati, Keumala; Sofiatin, Yulia; Rahayuningsih, Sri Endah; Roesli, Rully M.A.
Althea Medical Journal Vol 4, No 3 (2017)
Publisher : Althea Medical Journal

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (740.112 KB)

Abstract

Background: Hypertension is a disease that is influenced by genetic factors, although the single gene affecting the occurrence of the disease has not been yet discovered. Genetic analysis and familial analysis on hypertension are needed to be done but genetic analysis needs substantial fund, and familial analysis on hypertension has been never done in community. Besides sharing the genetic factors, family also shares similar environment and life style. Latest study showed that the association between genetic and environmental factors can affect the phenotype of chronic disease suchas hypertension. The study was aimed to explore the family history contribution of patients with hypertension in Jatinangor.Methods: This was a descriptive-quantitave study. The subjects were 283 hypertensive patients in Jatinangor with complete data of family history. The data was retrospectively obtained from secondary data of a previous study conducted in Community Health and Well-ness Study Center, Faculty of Medicine, Universitas Padjadjaran titled Epidemiology of Hypertension and Albuminuria in Jatinangor 2014. Familial analysis conducted in this study was modified trios analysis.Results: In this modified trios analysis, there was only 20% of total patients with hypertension who have history of hypertension in two generations of their family. The proportion of patients with hypertension who have history of hypertension in one generation of their family was greater. More than 45% from the total 283 patients with hypertension analyzed in this study have family history of hypertension.Conclusions: Familial analysis using modified trios analysis showed similar results with the study conducted using other genetical analysis.
Description of Treatment Outcomes among Pulmonary Tuberculosis Patients in Bandung City in 2014 Hamdan, Syafinaz; Rohmawaty, Enny; Lestari, Bony Wiem
Althea Medical Journal Vol 4, No 3 (2017)
Publisher : Althea Medical Journal

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Abstract

Background: Pulmonary Tuberculosis (pulmonary TB) is an infectious lung disease which is still a major health problem in the world. In Indonesia, pulmonary TB treatment outcomes are monitored and assessed in Directly Observed Treatment Short Course (DOTS) as an indicator of national TB control program performance. Therefore, the study was conducted to determine the treatment outcomes among pulmonary TB patients in Bandung City.Methods: This cross-sectional study was conducted using secondary data. The sample sizes were 1,598 pulmonary TB patients taken by total sampling with data collected from TB Registration database of Bandung city at Infectious Disease Control Unit, Bandung City Health Office (Unit Kontrol Penyakit Menular, Dinas Kesehatan Kota Bandung) from January to December 2014. The treatment outcomes were classified as successful (cured and treatment completed) and unsuccessful (failed, defaulted, and died).Results: Out of the 1,598 TB patients, most of the respondents were male, aged 15–24 years old and from Public Health Center (Pusat Kesehatan Masyarakat, Puskesmas) and hospital. A total of 1,008 treatments (63.08%) were cured, 292 (18.27%) were completed, 47 (2.94%) were failed, 211 (13.21%) were defaulted, and 40 (2.50%) were died. Total of transferred outpatients were 134 and  not considered as treatment outcome.Conclusions: From the results, it can be concluded that 81.35% and 18.65% were considered as successful and unsuccessful outcome respectively, thus, did not achieve WHO target of 85%. Therefore, DOTS program implemented in Bandung City should be reviewed to improve success rate of the treatment outcome.
Early Detection of Suspected Systemic Lupus Erythematosus in Community-Dwellings in West Java Indonesia Ghassani, Nadia Gita; Hamijoyo, Laniyati; Hadi, Soeseno
Althea Medical Journal Vol 4, No 3 (2017)
Publisher : Althea Medical Journal

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Abstract

Background: Prevalence of systemic lupus erythematosus (SLE) has been known in almost all countries around the world.  Contrary to this, in Indonesia, neither a national epidemiologic study on SLE nor any direct study on SLE in the general population has been conducted. Early detection of SLE is needed as a first step to determine prevalence of SLE in Indonesia as well as to prevent further complications. This study aimed to obtain the prevalence of suspected SLE in community-dwellings.Methods: This study was conducted in the period September to November 2015 and used the descriptive cross-sectional method. The respondents were people who were at least 18 years old and lived in selected blocks in three different villages in Jatinangor, West Java. Data were obtained from secondary sources of a previous SLE screening study that was incorporated in a study on “Epidemiology of hypertension and albuminuria in Jatinangor” in 2014, using the multistage sampling method. Suspected SLE was based on the Liang screening questionnaire. The collected data were presented in tables.Results: There were 72 respondents (8%) suspected to have SLE. Most of the cases were female (Odds ratio:1.47) and 51–60 years old.  The most clinical manifestation was painful swollen joints >3 months.Conclusions: The existence of suspected SLE cases in Jatinangor’s population, as an example of Indonesian population should be a concern so that examinations could be carried out to make sure that  respondents with SLE can be provided  prompt interventions  to prevent further complications. 
Characteristics of Patients Who Underwent Mastoidectomy: A Two Years Experience Gunasekaran, Ashwini; Mahdiani, Sally; Veronica, Fifi
Althea Medical Journal Vol 4, No 3 (2017)
Publisher : Althea Medical Journal

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (619.148 KB) | DOI: 10.15850/amj.v4n3.1206

Abstract

Background: Mastoidectomy is a surgical procedure to remove an infected portion of the bone behind the ear called mastoiditis when medical treatment is not effective. Patients with chronic suppurative otitis media (CSOM) complications mostly need this surgery in order to maintain the normal function of hearing. Chronic mastoiditis and cholesteatoma are the most common indications of CSOM. This study was conducted to identify the characteristics of patients who underwent mastoidectomy at Dr. Hasan Sadikin General Hospital, from 2012– 2013.Methods: A descriptive study using total sampling method was conducted. Data were collected from medical records of 41 patients who underwent mastoidectomy at Dr. Hasan Sadikin General Hospital from 2012–2013. Inclusion criteria were medical records of patients who  underwent  mastoidectomy, and consisted of variables studied, such as  age, gender, chief complaint, main etiology, method of surgery,  and presence of abnormalities in the structure of middle ear. Incomplete medical records were excluded. The collected data were presented using percentage.Results: Age ranged from 15–64 years (85.37%), male patients were higher (65.9%) compared to female patients (34.1%). Otorrhea (70.73%) was the main chief complaint and infection (100%) was the main cause. Majority of patients had canal wall down (CWD) surgery (63.41%) and many abnormalities were found in the inner ear structure during the surgery.Conclusions: Infection is the only cause and otorrhea is the main indication for mastoidectomy. Most patients have been operated with CWD technique. 
Incidence of Neonatal Hyperbilirubinemia based on Their Characteristics at Dr. Hasan Sadikin General Hospital Bandung Indonesia Nurani, Namira Bening; Kadi, Fiva Aprillia; Rostini, Tiene
Althea Medical Journal Vol 4, No 3 (2017)
Publisher : Althea Medical Journal

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Abstract

Background: Hyperbilirubinemia is the most frequent clinical condition that occurs in neonates identified by yellow discoloration of the skin and other tissues. It is caused by elevations of bilirubin level as the effect of increased breakdown of red blood cells, impaired conjugation of indirect bilirubin, and incomplete bilirubin excretion. This study was conducted to discribe the characteristics of neonates with hyperbilirubinemia.Methods: This study used descriptive quantitative method which took retrospective data from medical record of neonates with hiperbilirubinemia in 2014. The population of this study was neonates which were born in the perinatology division at Dr. Hasan Sadikin General Hospital, Bandung. The variables collected were gender, gestational age, weight birth, general condition ad treatment options. The collected data were tabulated and presented by percentage and in the form of a table.Results: One hundred and seventy four of 230 medical records of neonates with hyperbilirubinemia were collected based on the inclusion criteria. The results showed that 8.04% of 2,531 neonates born at Dr. Hasan Sadikin General Hospital in 2014 suffered from hyperbilirubinemia. Males (56.9%) were higher than females to have hyperbilirubinemia. Neonates born at term gestational age (55.2%) were more likely to have hyperbilirubinemia with low birth weight category (51.7%), healthy general condition (60.4%). The most treatment option was  phototherapy (54.6%).Conclusions: Most neonates with hyperbilirubinemia are males, who were born at aterm gestational age, with low birth weight. Most of the neonates are in healthy general condition and the most common treatment given to neonates is phototherapy.
Knowledge, Attitude and Practice towards Human Immunodeficiency Virus Infection among University Freshmen Students Year 2016/2017 Agustinawaty, Hervina; Lestari, Bony Wiem; Wisaksana, Rudi
Althea Medical Journal Vol 4, No 3 (2017)
Publisher : Althea Medical Journal

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Abstract

Background: Human Immunodeficiency Virus (HIV) infection is one of the most serious public health and social problems in the world. Transmission of HIV occurs in the age group of 20 years or below. One of the ways to prevent HIV transmission is to improve the knowledge so the attitude and practice can be changed. The objectives of this study was to identify  the knowledge, attitude, and practice of HIV infection among university freshmen students year 2016/2017.Methods: This was a descriptive cross sectional quantitative study. Samples were selected using proportional random sampling and primary data were collected using questionnaires which were self-completed by 122 Universitas Padjadjaran freshmen students year 2016/2017 in November 2016. Questionnaire consisted of sociodemographic, knowledge, attitude, and practice data regarding to HIV infection. The collected data was analyzed dan presented in the form of tables and figure.Results: Respondents had a median age criterion of 18 years, 52.5% were female, 73.8% high school originated outside Bandung and 19.4% knew information about HIV/AIDS through the internet. There were 18.9% of the respondents classified as having “Good” knowledge, 63.9% classified as “Satisfactory” and the other 17.2% were classified as having “Poor” knowledge of HIV. There were 52.5% respondents who had negative attitude towards HIV discussion and 96.7% of the respondents had good practice.Conclusions: Lack of knowledge and negative attitude towards HIV infection and the presence of high risk practice for HIV infection demanded that students should receive reproduction health education to support the prevention of HIV infection. 
Public Opinion Regarding Information on Porcine-Contained Medications Wibowo, Anindhita Paramita; Syukriani, Yoni Fuadah; Djajakusumah, Teguh Marfen
Althea Medical Journal Vol 4, No 3 (2017)
Publisher : Althea Medical Journal

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Abstract

Background: Drugs are biological products, a single or combination of active and additives components. Some additional components are derived from porcine, a substance that is haraam for Muslims. Patient’s rights, such as medication information, are substantial in decision-making process. Medical decision-making in the Eastern culture is not only the patient’s affair, but also family’s interest. This study aimed to determine the public opinion on that matter. Methods: This study was conducted in October–November 2014 using qualitative methods. Data collection was performed in the District of Jatinangor, Sumedang Regency by using the purposive sampling method. Six respondents were selected. Data were collected through in-depth interview techniques and were analyzed using content analysis technique.Results: There were 3 main responses regarding the respondent’s opinions. First, respondents showed several attitudes toward drugs in general and also several attitudes toward porcine-contained drugs. Respondents showed concern for the medications used and wished either to be informed or not about the prohibited substance in the drugs. The decision-making process of respondents was performed by each individual or family, with the guidance of religious scholars. In a doctor-patient relationship, the doctors should be more active in providing information on the medications and the opportunity for patients to choose drugs. Respondents also had a high dependency to the physicians in making medical decisions.Conclusions: Public opinion on patient’s rights regarding porcine-contained drugs shows the people’s attitude towards drugs in general and porcine-contained drugs in particular, the decision-making process and the relationship between physicians and patients. 
Relationship between Knowledge, Attitude and Practice of Student’s Personal Hygiene with Scabies Incidence in Pesantren Darul Fatwa, Jatinangor, West Java, Indonesia Purnama, Karinna Dwi; Sjambas, Dedi Rachmadi; Suwarsa, Oki
Althea Medical Journal Vol 4, No 3 (2017)
Publisher : Althea Medical Journal

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (621.223 KB) | DOI: 10.15850/amj.v4n3.1198

Abstract

Background: Scabies is a parasitic infection caused by Sarcoptesscabiei Hominis varian and Acarina order. Sarcoptes scabiei infects both male and female in any age groups, ethnics, and socio-economic levels. Transmission of scabies can pass through by a direct contact from skin-to-skin or indirect contact through sharing bed, clothes, and towels. Pesantren as an educational institution supplies facilities that are shared thus making students susceptible to scabies infection. This study was conducted to discoverrelationshipbetween knowledge, attitude, and practice of student’s personal hygiene with scabies incidence.Methods: An analytic observational study was conducted from October to November 2015 in Pesantren Darul Fatwa, Jatinangor. Study was conducted with cross-sectional design and total sampling for the sample size. Total of 37 students whoparticipated in this study were 22 malesand 15 females. This study was begun with a stand alone-questionnaire, fill out on knowledge, attitude, and practice of personal hygiene that was supervised by researcher, and physical examination for scabies diagnosis that was performed by doctors.Results: Based on history taking and physical examination, 15 out of 37 students were diagnosed with scabies positive. All of them were males, dominated by 13 year old students, 1st and 2nd Junior High School students. Statistical analysis with chi-square test showed that there were no relationship between knowledge, attitude and practice of student’s personal hygiene with  scabies incidence.Conclusions: There is no relationship between knowledge, attitude and practice of student’s personal hygiene with  scabies incidence in Pesantren
Five Years Data of Vaginal Swab Examination on Sexual Assault Cases inWest Java Top Referral Hospital, Indonesia Febriastry, Machrani; Sayusman, Chevi; Zulvayanti, Zulvayanti
Althea Medical Journal Vol 4, No 3 (2017)
Publisher : Althea Medical Journal

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Abstract

Background: Vaginal swab test is one of the way to prove that penile penetration has occurred by detection of spermatozoa or seminal fluid components in  vaginal fluid of sexual assault victims. It is also used for detecting sexually transmitted infection (STI) in  thevictims and identifying perpetrators’ DNA. The objective of this study was to describe vaginal swab examination result on sexual assault cases in Dr. Hasan Sadikin General Hospital, Bandung so it can be used as an evaluation material for the management of sexual assault cases and a reference for subsequent researches related to sexual assault.Methods: Descriptive study was carried out using medical records and visumetrepertum of sexual assault victims who underwent vaginal swab examination at Dr. HasanSadikin General Hospital, Bandung from2010 to2014. Of 62 medical records which met the inclusion criteria, 3 were excluded. A total of 59 medical records were included as study subjects. Data taken were victims’ age, sexual assault’s time, examination time, penile penetration and intra-vaginal ejaculation history, also vaginal swab and STI examination result.The data were processed and presented using a frequency distribution table.Results: Spermatozoa were found in 13 cases (22.03%). Spermatozoa were found at latest 96 hours since assault. None of the victims was detected with STI.Conclusions: The successful rate of Spermatozoa detection by conducting vaginal swab in Dr. HasanSadikin General Hospital, Bandung is 22.03%. Spermatozoa can be detected even 72 hours post assault.

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