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[Public Opinion Regarding Information on Porcine-Contained Medications ]]>
<![CDATA[Anindhita Paramita Wibowo]]>;
<![CDATA[Yoni Fuadah Syukriani]]>;
<![CDATA[Teguh Marfen Djajakusumah]]>
<![CDATA[ Althea Medical Journal Vol 4, No 3 (2017) ]]>
Publisher : <![CDATA[Faculty of Medicine Universitas Padjadjaran ]]>
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<![CDATA[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. ]]>
<![CDATA[Characteristics of Patients Who Underwent Mastoidectomy: A Two Years Experience ]]>
<![CDATA[Ashwini Gunasekaran]]>;
<![CDATA[Sally Mahdiani]]>;
<![CDATA[Fifi Veronica]]>
<![CDATA[ Althea Medical Journal Vol 4, No 3 (2017) ]]>
Publisher : <![CDATA[Faculty of Medicine Universitas Padjadjaran ]]>
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DOI: 10.15850/amj.v4n3.1206
<![CDATA[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. ]]>
<![CDATA[Incidence of Neonatal Hyperbilirubinemia based on Their Characteristics at Dr. Hasan Sadikin General Hospital Bandung Indonesia ]]>
<![CDATA[Namira Bening Nurani]]>;
<![CDATA[Fiva Aprillia Kadi]]>;
<![CDATA[Tiene Rostini]]>
<![CDATA[ Althea Medical Journal Vol 4, No 3 (2017) ]]>
Publisher : <![CDATA[Faculty of Medicine Universitas Padjadjaran ]]>
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<![CDATA[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.]]>
<![CDATA[Knowledge, Attitude and Practice towards Human Immunodeficiency Virus Infection among University Freshmen Students Year 2016/2017 ]]>
<![CDATA[Hervina Agustinawaty]]>;
<![CDATA[Bony Wiem Lestari]]>;
<![CDATA[Rudi Wisaksana]]>
<![CDATA[ Althea Medical Journal Vol 4, No 3 (2017) ]]>
Publisher : <![CDATA[Faculty of Medicine Universitas Padjadjaran ]]>
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<![CDATA[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. ]]>
<![CDATA[Characteristics of Maxillofacial Fractures Resulting from Road Traffic Accidents at Dr. Hasan Sadikin General Hospital ]]>
<![CDATA[Oldi Caesario]]>;
<![CDATA[Shinta Fitri Boesoirie]]>;
<![CDATA[Alwin Tahid]]>
<![CDATA[ Althea Medical Journal Vol 4, No 3 (2017) ]]>
Publisher : <![CDATA[Faculty of Medicine Universitas Padjadjaran ]]>
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<![CDATA[Background: Maxillofacial fracture is a serious injury in the head region which is frequently found in the emergency room. In Indonesia, the road traffic accident is the main etiology. Epidemiological assessments are important to assess trends and set the priorities for treatment and prevention of the injury. This study was conducted to identify the characteristics of maxillofacial fracture resulting from road traffic accidents. Methods: This descriptive retrospective study involved hospitalized patients with maxillofacial fracture resulting from road traffic accidents at Dr. Hasan Sadikin General Hospital in 2011–2013 using the total sampling technique. Data were collected in the period August–October 2014 which included patient demographics, detailed description of the accident and the fracture.Results: A total of 187 patients with male/female ratio of 5:1 and a mean age of 26.78 year. The majority of patients were motorcyclists (92%) with most of them were not wearing safety equipment. Most of the accidents took place in 2011 in Bandung. Mandible was the most common site of injury followed by the maxilla and nasal bone. Open reduction was performed in 69.52% patients).Conclusions: Maxillofacial fracture is more common in men with the mean age of 26.78 years. The majority of patients are motorcyclists. Most of them are not using safety equipment. Most of the accidents occurred in Bandung in 2011. Mandible is the most common site of fracture. Open reduction is the most commonly performed treatment]]>
<![CDATA[Relationship between Knowledge, Attitude and Practice of Student’s Personal Hygiene with Scabies Incidence in Pesantren Darul Fatwa, Jatinangor, West Java, Indonesia ]]>
<![CDATA[Karinna Dwi Purnama]]>;
<![CDATA[Dedi Rachmadi Sjambas]]>;
<![CDATA[Oki Suwarsa]]>
<![CDATA[ Althea Medical Journal Vol 4, No 3 (2017) ]]>
Publisher : <![CDATA[Faculty of Medicine Universitas Padjadjaran ]]>
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DOI: 10.15850/amj.v4n3.1198
<![CDATA[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]]>
<![CDATA[Five Years Data of Vaginal Swab Examination on Sexual Assault Cases inWest Java Top Referral Hospital, Indonesia ]]>
<![CDATA[Machrani Febriastry]]>;
<![CDATA[Chevi Sayusman]]>;
<![CDATA[Zulvayanti Zulvayanti]]>
<![CDATA[ Althea Medical Journal Vol 4, No 3 (2017) ]]>
Publisher : <![CDATA[Faculty of Medicine Universitas Padjadjaran ]]>
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<![CDATA[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.]]>
<![CDATA[Role of Satisfaction with Health Care Services in Increasing Patient Loyalty: an Ambulatory Setting ]]>
<![CDATA[Citra Restia Yusri]]>;
<![CDATA[Marlianti Hidayat]]>;
<![CDATA[Henni Djuhaeni]]>
<![CDATA[ Althea Medical Journal Vol 4, No 3 (2017) ]]>
Publisher : <![CDATA[Faculty of Medicine Universitas Padjadjaran ]]>
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<![CDATA[Background: Health care providers must be able to provide services that can satisfy the patient. This encourages patient loyalty so that competitiveness can be preserved. This study aimed to examine the correlation of patients’ satisfaction to their loyalty towards health care facilities.Methods: An analytic cross-sectional study was conducted on 50 respondents from Anggrek Specialist Polyclinic at Dr. Hasan Sadikin General Hospital Bandung (ambulatory setting) who met the inclusion criteria during the period of September to October 2014. Questionnaires that had been validated and tested for reliability were used. Rank Spearman test was used to analyze the correlation between patient satisfaction and patient loyalty. This study used five dimensions of service quality to measure patient satisfaction, i.e. tangibles, reliability, responsiveness, assurance, and empathy.Results: The study showed that most (84%) patients felt unsatisfied and only 14% was loyal towards the health care services they received. Satisfaction and loyalty showed positive correlation with p=0.001 (p<0.05) and r=0.439, which showed a moderate correlation. Conclusions: There is significant correlation between patient satisfaction and loyalty in Anggrek Specialist Polyclinic at Dr. Hasan Sadikin Hospital. This study can be an evaluative material for health care providers to encourage improvement of service quality as to increase patient satisfaction and loyalty. ]]>
<![CDATA[Quadriceps and Hamstring Muscle Strength in Elderly based on Lifestyle ]]>
<![CDATA[Pang Sze Lyn]]>;
<![CDATA[Marina A. Moeliono]]>;
<![CDATA[Sumartini Dewi]]>
<![CDATA[ Althea Medical Journal Vol 4, No 3 (2017) ]]>
Publisher : <![CDATA[Faculty of Medicine Universitas Padjadjaran ]]>
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DOI: 10.15850/amj.v4n3.644
<![CDATA[Background: Studies have shown that muscle strength will decline with aging and inactivity, with 1% to 3% loss of muscle strength each day. Nevertheless, different lifestyles have different effect on muscle strength. This study was conducted to analyze the differences in quadriceps and hamstring muscle strength in elderly from 60–79 years olds according to lifestyle.Methods: A cross-sectional study was conducted from September to November 2015. The subjects were 31 older persons from community who voluntarily participated the research procedure and were divided into 2 groups, active group and sedentary group according to International Physical Activity Questionnaire (IPAQ). Quadriceps and hamstring muscle strengths were measured using the push and pull dynamometer. The collected data were analyzed using the Wilcoxon rank sum test and the unpaired t-test. Results: This study discovered that the mean difference in hamstring muscle strength was 6.09 ± 0.70, p< 0.001; median difference in Quadriceps muscle strength was 5.00 (13.00, 6.50), p<0.001. Conclusions: There is a higher Quadriceps and Hamstring muscle strength in elderly active lifestyle compared to elderly sedentary lifestyle. ]]>
<![CDATA[Concentration Level Differences between Athletes of Body Contact and Non-Body Contact Sports ]]>
<![CDATA[Nisrina Tache]]>;
<![CDATA[Leonardo Lubis]]>;
<![CDATA[Lucky Saputra]]>
<![CDATA[ Althea Medical Journal Vol 4, No 3 (2017) ]]>
Publisher : <![CDATA[Faculty of Medicine Universitas Padjadjaran ]]>
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<![CDATA[Background: Concentration is one of the components of cognitive function, which is important for athletes in all sport branches. Every branch of sports has their own different characteristics, body contact or non-body contact, seen from the aspects of game activity that have direct or indirect physical contact, rules of the sports, behavior of the athlete and psychological demands. Basically, both sports branches need good level of concentration in order to display their best performance. The study aimed to determine the difference of concentration level between athletes of body contact and non-body contact sports. Methods: This study was an analytic observational study with cross-sectional design, conducted in the Indonesian National Sport Committee (Komite Olahraga Nasional Indonesia, KONI) Secretary Office in September 2015. Primary data were taken using the instrumental concentration test namely Grid Concentration Test. One hundred ninety three athletes were obtained and grouped in body contact (111 athletes) and non-body contact sports (82 athletes). Statistical analysis was performed using the non-parametric test of Mann-Whitney.Results: The result showed that the difference in the athlete’s concentration level between body contact and non-body contact sports was not significant (p=0.151). Nevertheless, the data collection of this study showed that body contact sports had a better concentration level than non-body contact sports however the data was not statistically significant.Conclusions: There is no significant difference in concentration level between athletes of body contact and non-body contact sports. ]]>
