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.
Articles
1,078 Documents
Health Seeking Behavior among Patients with Tuberculosis in Dr. Hasan Sadikin General Hospital Bandung, Indonesia in November 2012
Putrie, Maya Valentina;
Ruslami, Rovina;
Apriani, Lika
Althea Medical Journal Vol 2, No 3 (2015)
Publisher : Althea Medical Journal
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Background: Dr. Hasan Sadikin General Hospital is the main referral hospital in West Java, Indonesia, treating yearly 1.000 tuberculosis cases of whom most are in severe condition. The severity of the disease is probably affected by the poor patientâs health seeking behavior.The objective of this study was to assess the pattern of patients with tuberculosisâs health seeking behavior before being treated in Dr. Hasan Sadikin General Hospital, Bandung.Methods: A descriptive study was carried out in November 2012 on 56 patients in the Drug Observed Treatment Shortcourse (DOTS) Clinic at Dr. Hasan Sadikin General Hospital (RSHS) to assess the number and type of health services visited prior to RSHS. The inclusion criteria were patients who were diagnosed with TB for the first time, aged at least 19 years old. The data were collected using an open-ended questionnaire and presented as percentage.Results: A total of 32 respondents (57%) sought for initial treatment by going to professional health care centers (the medical doctors, puskesmas, or hospitals), the rests sought for traditional treatment (7%), self-treatment (29%), or no medication prior to the treatment at RSHS (7%). Fifty five percent of respondents did more than one type of health seeking behavior. The average time between the first complaint until the respondents got treatment was 5 months.Conclusions: The patients with tuberculosisâs treatment seeking behavior is various prior to the treatment at RSHS and there are still patients who seek treatments to the non-profesional health care. DOI: 10.15850/amj.v2n3.490
Familial Predisposition of Primary Dysmenorrhea among Senior High School Girl Students
Sharlini, Prema;
Sukandar, Hadyana;
Fadil, Ryadi
Althea Medical Journal Vol 2, No 4 (2015)
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Background: Dysmenorrhea is a common female reproductive problem in women of active reproductive agewhich is characterized by menstrual pain or cramps in a womenâs lower abdomen or back. Dysmenorrhea can be classified into primary and secondary. One of the associated risk factor of primary dysmenorrhoeais the family history, however the study on the family history of primary dysmenorrhea with recurrent menstrual pain is limited. This study was conducted to identify the correlation between family history and primary dysmenorrhea in high school girls.Methods: This cross sectional study was conducted at several senior high schools in Jatinangor from AprilâJune 2013. One hundred and sixty two students were included in this study. The sample size was calculated based on the unpairedâdichotomous variable for the twoâsided formula. A self administered questionnaire was distributed to the senior high school girl students who were in their menarche age, menstrual cycle characteristics, presence or absence of dysmenorrhea, severity of pain and presence dysmenorrhea in mothers and in sisters were inquired. Data were analyzed using chi square test.Results: Overall, there were association between positive family history and primary dysmenorrhea among the students with (p<0.001). The prevalence of dysmenorrhea in the students was 92.6% with 95% confidence interval which was 87.5â95.7%. The prevalence rate was 67.9% in mothers with 95% confidence interval which is 60.4â74.6% and 80.2% prevalence of primary dysmenorrhoea in sisters with 95% confidence interval which is 73.4â85.6%.Conclusions: There is a significant association between positive family history and primary dysmenorrhea.[AMJ.2015;2(4):579â83] DOI: 10.15850/amj.v2n4.643
Profile of Physical Fitness of Young Football Players at SDN Cibeusi
Periasamy, Subashini;
Farenia, Reni;
Tedjokusumo, Pintoko
Althea Medical Journal Vol 2, No 2 (2015)
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Background: Health-related physical fitness components are important in hypokinetic disease prevention and good sports performance. The aim of this research is to evaluate the physical fitness profile of the SDNCibeusi young football players based on Fitnessgram.Methods: This study was participated by 20 subjects ranging from 10 to 12 years old boys who played for the school football team in SDN Cibeusi. This descriptive study was conducted in the school field in the month of November 2012. Physical fitness components that were tested are aerobic capacity,V02 max using the one-mile run test, muscle endurance by performing push-up and curl-up test, flexibility using the flexometer and body composition by measuring the body mass index and fat fold measurement. The mean and standard deviation of the results were tabulated.Results: Aerobic capacity and percentage of body fat showed 100% of them scored in the category of healthy fitness zone. For body mass index, 55% scored in healthy fitness zone, 25% ni-some risk, and 10% each for ni-high risk and very lean. For push-up test and curl-up test, 80% and 65% scored in the healthy fitness zone while the remaining 20% and 35% respectively scored in the not healthy fitness zone. For flexibility, 75% of them scored in healthy fitness zone and 25% scored in not healthy fitness zone.Conclusions: The physical fitness level in these young football players is mostly in healthy fitness zone. [AMJ.2015;2(1):226â30]
Knowledge, Attitude and Practice of Hand washing among Street vendors in Campus of Universitas Padjadjaran, West Java from June-November 2012
Adib, Tajul Al;
Raksanagara, Ardini S.;
Hawani, Dewi;
Setiawati, Elsa Pudji
Althea Medical Journal Vol 2, No 3 (2015)
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Background: Hand washing is a moderate step in preventing communicable diseases. Communicable diseases like diarrhea and respiratory tract infection can be reduced significantly just by practicing hand washing. Most of the people already knew how to wash their hand, but some of them still did not understand the objective and the correct ways of performing hand washing. The aim of the study was to evaluate knowledge, attitude and practice of hand washing among street vendors.Methods: A descriptive study was conducted to 30 street vendors at the gate of Universitas Padjadjaran Campus from June to November 2012. The inclusion criterias were street vendors involved in food preparation, cooking, mixing, and willing to participate in this study. A questionnaire was developed to identify the knowledge, attitude and practice of hand washing. The level of the variable measured was divided into 3 categories: good, moderate, and poor. The collected data were analyzed and presented in table.Results: There were 12/30 of street vendors classified as having moderate knowledge and 25/30 as having good attitude and good practice of hand washing.Conclusions: The street vendors at the gate of Universitas Padjadjaran Campus had moderate knowledge, good attitude and good practice of hand washing. DOI: 10.15850/amj.v2n3.500
Profile of Hand Compartment Syndrome in Dr. Hasan Sadikin General Hospital, West Java, 2008â2012
Manogaran, Kajendaran;
Hidajat, Nucki Nursjamsi;
Soenggono, Arifin
Althea Medical Journal Vol 2, No 4 (2015)
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Background: Compartment syndrome is a serious disorder caused by elevated pressure in a muscle compartment that can progress to muscle and nerve damage. This disorder can happen to anyone but more frequently in young adults. The occurrence frequency of hand compartment syndrome is relatively low. The aim of this study is to identify the profile of compartment syndrome in patients handMethods: A descriptive study was perfomed to 15 cases that were collected from medical records from 2008-2012, in Dr. Hasan Sadikin General Hospital. The profile of the case consisted of age, sex, symptoms and signs, etiology, facsiotomy schedule after admission, length of stay and patientâs outcome. The collected data were presented using tables.Results: The study showed that 12 out of 15 cases were males and 7 out of 15 cases were 20â39 years oldpatients. The common clinical findings were swelling, pain, limited range of motion and normal sensibility. The faciotomy procedure was conducted 1 day after the admission with length of stay more than 1 week. The patients condition were improved after operation. Conclusions: Hand compartment syndrome is a rare case, mostly affects younger adults and male. Most of the symptoms and signs are swelling, limitation of movement, pain in the location area with normal sensibility. The faciotomy procedure is conducted 1 day after admission. The length of stay is more than 1 week with an improved outcome. [AMJ.2015;2(4):497â501]Â DOI:Â 10.15850/amj.v2n4.634
Peripheral Arterial Disease among Diabetic Patients in Dr. Hasan Sadikin General Hospital Bandung 2012
Azkiyah, Feriska Fairuz;
Djajakusumah, Teguh Marfen;
Ekowati, RA. Retno
Althea Medical Journal Vol 2, No 2 (2015)
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Background: As one of the most devastating complication in diabetes mellitus, peripheral arterial disease is still under detected in health care services. This study aimed to reveal the frequency of peripheral arterial disease in diabetic patients in Endocrine and Metabolism Clinic in Dr. Hasan Sadikin General Hospital Bandung.Methods: A cross sectional descriptive study was conducted during the period of October to November 2012 in Endocrine and Metabolism Clinic in Dr. Hasan Sadikin General Hospital Bandung. As many as 54 patients who met the inclusion criteria and agreed to participate in this study signed the informed consent form then underwent history taking, simple physical examination of lower extremities, and Ankle-Brachial Index (ABI) measurement. Normality of the data distribution was calculated by Kolmogorov-Smirnov test.Results: From a total 54 diabetic patients enrolled, it was found 18 cases of peripheral arterial disease, consisted of 10 patients with Ankle-Brachial Index measurement â¤0.9 and 8 patients with Ankle-Brachial Index measurement >1.4. Most of the cases occurred in the elderly group (>60 years old) and had been diagnosed diabetes less than 10 years.Conclusions: The frequency of peripheral arterial disease in diabetic patients attended Dr. Hasan Sadikin General Hospital Bandung is 33.3% and more prevalent in elderly patients. It occurred mostly in patients diagnosed with diabetes less than 10 years. [AMJ.2015;2(1):287â90]
Factors Related with Knowledge of Basic Life Support among Members of Student Body Volunteer Organizations at Universitas Padjadjaran
Fadilla, Nur;
Afriandi, Irvan;
Sitanggang, Rudi Herman;
Setiawati, Elsa Pudji
Althea Medical Journal Vol 2, No 2 (2015)
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Background: Mortality caused by accidents remains a public health challenge. Prompt response during first aid accident may prevent disability or death. At Universitas Padjadjaran three student body volunteer organizations provide training in Basic Life Support as the component of first aid. They are Korps Sukarela Palang Merah Indonesia (KSR PMI), Perhimpunan Mahasiswa Pecinta Alam (PMPA) Palawa, and Unit Search and Rescue (SAR). This study aims to assess the level of Basic Life Support knowledge of the members inthree organizations and the factors related with their knowledge.Methods: The method used was a descriptive study carried out on subjects diagnosed with PSS at the National EThis was a cross sectional study that included 59 members of three student body volunteer organizations of Universitas Padjadjaran that have received training in Basic Life Support. A questionnaireabout respondentâs characteristics, Basic Life Support-related experiences, and Basic Life Supportâs knowledge was administered to the participants during October 2012Results: The total mean for the three student body volunteer organizations on questionnaire was 64.12±19.40 with minimum score was 25 and maximum score was 100. The interval of last period of training and Basic Life Support-related experiences did not show statistically significant (p=0.647) and(p=0.357) however educational background related to Basic Life Support knowledge showed statistically significant (p<0.01).Conclusions: The level of Basic Life Support knowledge in three student body volunteer organizations was moderate and that educational background has relation with the knowledge. The increase in number of effective training and application in the field may increase the knowledge on Basic Life Support. [AMJ.2015;2(1):186â90]
Solanum muricatum Aiton Juice as A Hepatoprotective Agent in Wistar Rats Induced With Carbon Tetrachloride
Yang, Justine Sim Wei;
Istriati, Istriati;
Rostini, Tiene
Althea Medical Journal Vol 2, No 4 (2015)
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Background: Liver participates in various metabolic processes in human body. Exposures to toxins such as carbon tetrachloride (CCl4) results in hepatocyte destruction and release the cell contents. Enzymes such as serum glutamic pyruvic transaminase (SGPT) were used as a parameter to diagnose liver damage. Pepino (Solanum muricatum Aiton) contains antioxidants that protect liver from hepatoxicity. The aim of this experiment is to determine the effect of pepino in protecting the hepatocyte from hepatotoxic effect of CCl4.Methods: A total of 16 Wistar rats used as the subject were divided into Control and Therapeutic Group. The Control group was induced with CCl4 but was not given pepino juice. Meanwhile, the Therapeutic Group was given pepino juice for 10 days. For induction of hepatotoxicity, CCl4 10% was given at a dosage of 2.0 ml/kg intra-peritoneal. Each Wistar rat in Therapeutic Group was given 1.0 ml of 300 g/ml pepino juice via oral feeding. Spectrophotometer with adjusted wavelength of 340 nm was used to measure SGPT level of the Wistar rats and statistical T-test was used to analyze the data.Results: Wistar rats in Therapeutic group showed a larger decrease (6898.9 IU/Lâ79.1 IU/L) in SGPT level compared to the Control group (6469.8 IU/Lâ418.5 IU/L). The SGPT level of the Wistar rat in Therapeutic group reached normal baseline (50 IU/Lâ150 IU/L). The significance of the experiment was supported by the T-test, P-value <0.05Discussion: Pepino juice had antioxidants that protect the hepatocyte of Wistar rats from free radicals. The synergistic action of antioxidants and hepatocyte regeneration of Wistar rats in Therapeutic group caused a decrease in SGPT level. Therefore, the experiment concluded that pepino juice at the dosage of 300 g/ml has hepatoprotective effect.Key words: Carbon tetrachloride, hepatotoxicity, Pepino, Solanum muricatum Aiton, SGPTÂ DOI:Â 10.15850/amj.v2n4.484
Knowledge, Attitude and Nutritional Status in Pregnant Women
Widiastuti, Wiwit;
Mutyara, Kuswandewi;
Siddiq, Amillia
Althea Medical Journal Vol 2, No 2 (2015)
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Background: Nutrition during pregnancy is essential for a healthy pregnancy and childbirth. Malnutritionduring pregnancy may cause a negative impact for both mother and fetus. Pregnant women have to replenishtheir nutritional intake so they have to know nutritional needs for pregnancy. This study aims to evaluatethe association between knowledge towards the attitude and nutritional status among pregnant women inJatinangor Primary Health Care.Methods: This was a cross-sectional study and the subjects were 75 pregnant women selected by consecutive sampling while they attending Puskesmas Jatinangor for antenatal follow up in October until November2012. Knowledge and attitude was assessed using a questionnaire. The level of knowledge and attitudes were categorized into insufficient, sufficient and good. Nutritional status was assessed by measuring themid upper arm circumference. The level of nutritional status was categorized into good nutritional statusand lower nutritional status.Result: Out of 75 respondents, 24 respondents had good knowledge, 39 respondents had sufficientknowledge and 12 respondents had insufficient knowledge. 15 respondents had good attitude, 51respondents had sufficient attitude, 9 had insufficient attitude. 62 respondents had good nutritional statusand 13 respondents had lower nutritional statusConclusion: Most of subjects have sufficient knowledge and attitude, and majority of the respondents havegood nutritional status. There was significant relationship between knowledge and attitude (p=0.02) andno significant relationship between knowledge and nutrition status (p=0.666). Based on this study, it isexpected to conduct further study about other factors which affect the knowledge, attitude, and practice ofpregnant women to improve the nutritional status. [AMJ.2015;2(1):231â4]
Rural and Urban Differences in the Eye Health of High School Students
Kusnawan, Andi;
Musa, Ine Renata;
Setiadinata, Jimmy
Althea Medical Journal Vol 2, No 3 (2015)
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Background: Visual impairment is a serious health problem. The World Health Organization (WHO) estimates that 80% of the incidence of visual impairment occurring globally could be prevented or treated. Several factors responsible for high rates of uncorrected refractive errors are the lack of awareness about the early detection on the unequal distribution regarding health services and a culture of compliance. This study was aimed to identify the differences of the level of visual acuity and self-perception of the visual functions between high school students in the urban and rural areas.Methods: A cross sectional study was conducted among 94 high school students in two different schools, urban and rural areas during November 2012, using the simple random sampling technique. The study was performed through interviews and examination of visual acuity using Rapid Assessments of Avoidable Blindness. The collected data were analyzed using Mann-Whitney test.Results: A total of 93.6% of respondents had good visual acuity. Self-perception of the visual functioning test showed that most respondents gave good answer. The statistical test using Mann-Whitney showed that there was no difference in level of visual acuity and self-perception of visual function between urban and rural students (p>0.05).Conclusions: Most of the high school students have good visual acuity and good self-perception of their visual function but there is no difference between rural and urban areas. DOI: 10.15850/amj.v2n3.507