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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 1,078 Documents
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Prevalence of Allergic Rhinitis based on World Health Organization (ARIA-WHO) questionnaire among Batch 2010 Students of the Faculty of Medicine Universitas Padjadjaran Fauzi, Fauzi; Sudiro, Melati; Lestari, Bony Wiem
Althea Medical Journal Vol 2, No 4 (2015)
Publisher : Althea Medical Journal

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Abstract

Background: Allergic rhinitis (AR) is a common disease affecting 5–45% of Asian population. Although it is not a life-threatening disease, AR significantly hampers the quality of life of the sufferers. The prevalence of AR among adults in Indonesia is still unknown. This study aimed to measure the prevalence of AR among batch 2010 students of the Faculty of Medicine, Universitas Padjadjaran.Methods: A cross-sectional study was conducted during June–October 2013 involving Indonesian class batch 2010 students of the Faculty of Medicine, Universitas Padjadjaran. The sampling was performed usingtotal sampling approach. The measurement tool used in this study was the Indonesian translation of the Allergic Rhinitis and its Impact on Asthma-World Health Organization (ARIA-WHO) questionnairee. Thosewho were aware of being diagnosed with AR or had two/more AR defining symptoms in the questionnaire form were considered to have AR. The statistical analysis was conducted by calculating frequencies.Results: A total of 207 questionnaire forms were adequately filled out and returned. Based on the questionnaire, the prevalence rate of AR was 38.2%. Of the 79 AR cases, 66% cases involved females. In addition, 54% of the the AR cases have a parental history of allergic diseases. Nasal obstruction and itchy nose were the most frequent symptoms (90%), followed by rhinorrhea (89%), sneezing (82%), and eye symptoms (62%). Based on the duration, the majority fell into the intermittent group (91%); whereas basedon severity, the majority was in the moderate-severe group (71%).Conclusions: The prevalence rate of AR obtained in this study is within the estimated range of Asian population. [AMJ.2015;2(4):620–5] DOI: 10.15850/amj.v2n4.658
Undernutrition Affects the Occurence of Acute Respiratory Infections in Children under Five Years Old in Cipacing Rural Elsanita, Windi; Kurniadi S, Deni; Wulandari, Diah Asri; Setiawati, Elsa Pudji
Althea Medical Journal Vol 2, No 3 (2015)
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Abstract

Background: Millennium Development Goals’ (MDGs) aims to decrease mortality in children will be achieved if the cause ofmortality include ARIs is eliminated. Acute respiratory infections are influenced by some factorssuch as nutritional status. The objective of this study was to analyze the correlation between nutritional status andthe occurrence of ARIs in children.Methods: This study used retrospective cohort approach during October─November 2012. One hundred and ten mothers with children under five years old with different nutritional status were randomly selected and then asked about their history of respiratory symptoms. Data were analyzed using chi square test.Results: About 66 under five children (60%) with good nutrition status had ARIs occurrence of <7 times and 5 children (4.5%) had ARIs≥7 times. In children with undernutrition, about 30 children (27.3%) had ARIs<7 times and 9 children (8.2%) had ARIs≥7 times. Bivariate analysis result showed that there was a correlation between nutritional status with the occurrence of ARIs in under five children (p<0.05).Conclusions: Acute respiratory tract infections are often experienced by undernutrition children. This study strengthens the essential to correct nutritional status to prevent the infections in children. DOI: 10.15850/amj.v2n3.497
Correlation between Postural Stability and Functional Mobility in Patients with Knee Osteoarthritis Hafsari, Arlinda De; Vitriana, Vitriana; Tahid, Alwin
Althea Medical Journal Vol 2, No 4 (2015)
Publisher : Althea Medical Journal

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Abstract

Background: Osteoarthritis (OA) is a degenerative joint disorder caused by progressive erosion of articular cartilage. The joint which is commonly affected is theknee joint. Patient with knee OA has increasing pain with decreasing postural stability, and may cause decrease infunctional mobility of the body. The aim of this study was to analyze the correlation between stability and mobility in patients with knee OA.Methods: A cross sectional study was performed to 43 patients from the Rheumatology Clinic of Dr. HasanSadikin General Hospital, Bandung, during  September−October 2013. The ‘Timed Up and Go’ (TUG) test and stabillometric platform examination were performed to analyze the mobility and stability in subjects. The data were analyzed with Spearman’s Correlation.Results: Four subjects (9.30%) had normal functional mobility, 31 subjects (72.09%) had good mobility and need no help of others in their activities, and 8 subjects  (18.60%) had problems and could not stand and walk without help. This study also found 39 subjects (90.69%) had high risk of fall. The p value were 0.005 for correlation between knee OA and lateral static postural stability, 0.138 with anteroposterior static stability, 0.067 with dynamic to position of top right stability, 0.344 with dynamic to position of top left stability, 0.384 with dynamic to position of bottom left stability and 0.357 with dynamic to position of bottom right stability.Conclusions: There is a strong correlation between functional mobility with static postural stability, especially to the lateral position. [AMJ.2015;2(4):550–4] DOI: 10.15850/amj.v2n4.639
The Effect of Programmed Physical Exercise to Attention and Working Memory Score in Medical Students Muhammad, Kevin Fachri; Ong, Anam; Shahib, M. Nurhalim
Althea Medical Journal Vol 2, No 2 (2015)
Publisher : Althea Medical Journal

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Abstract

Background: Attention and working memory are two cognitive domain crucial for activities of daily living. Physical exercise increases the level of BDNF, IGF-1, and VEGF which contributes in attention and working memory processes.This study was conducted to analyze improvement of attention and working memoryafter programmed physical exercise of Pendidikan Dasar XXI Atlas Medical Pioneer (Pendas XXI AMP).Methods: An analytic observational study was conducted on 47 students from Faculty of Medicine, Universitas Padjadjaran during September-November 2012. Attention was assessed using digit span backward test, stroop test, visual search task, and trail making test. Working memory was assessed using digit span forward test and digit symbol test. Assessment was done on the 11th and 19th week of Pendas XXI AMP. Data distribution was tested first using a test of normality, and then analyzed using T-Dependent Test and Wilcoxon TestResults: Significant improvement was noted for attention in males based on working time for stroop test (26.50±5.66 to 22.03±3.78 seconds), working memory in males based on digit symbol test score (43.96±6.14 to 53.36±5.26 points), attention in females based on reaction time of visual search task for target absent (0.92±0.07 to 0.87±0.07 seconds), and working memory in females based on digit span forward score (5.42±1.30 to 6.63±1.07 points) and digit symbol test score (42.47±5.95 to 53.84±5.33 points.Conclusions: Exercise in Pendas XXI AMP improves attention and working memory for college students in Faculty of Medicine Universitas Padjadjaran. [AMJ.2015;2(1):291–97]
Nutritional Status and Infectious Disease of Undernourished Children under five in Desa Cipacing, Jatinangor Subdistrict, West Java, from April to December 2012 Nurhasanah, Palomina Caesarea; Herawati, Dewi Marhaeni Diah; Resnaldi, Resnaldi
Althea Medical Journal Vol 2, No 3 (2015)
Publisher : Althea Medical Journal

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Abstract

Background: Undernutrition frequently occurs in children under five. If not treated, it will cause acute health effects and affect on cognitive development, social, physical work capacity and productivity. Undernutrition  can be accompanied by the presence of infectious disease that can worsen the children’s nutritional status. This study aimed to describe the nutritional status and infectious disease of undernutrition children under five in Jatinangor Subdistrict.Methods: A qualitative study was carried out to 7 parents and undernourished children under five, in Desa Cipacing, Jatinangor. It was conducted from April to December 2012. The inclusion criterias were undernourished children under five with a history of infectious disease in the previous year, and the parents were willing to participate in this study. Exclusion criteria were parents and/or  the children who were not at home when the collection of the data was conducted.. Data collection was conducted using measurement of nutritional status, in depth interview and environmental observation. The data were presented in tables, figures and narration.Results: Three subjects with undernutrition (-3SD to -2SD) and four subjects with severe undernutrition (<-3SD). Factors affecting poor nutritional status were weight loss, no significant weight gain, diet and eating habit, and onset of disease. Commonly occurred infectious diseases were common cold, diarrhea, fever and cough. Some factors affecting infectious diseases were family member transmission, immunization, and treatment behavior.Conclusions: Poor nutritional status and infectious diseases contribute to undernutrition in children under five. DOI: 10.15850/amj.v2n3.553
Profile of Head and Neck Cancer Patients at Department of Otorhinolaringology-Head and Neck Surgery Dr. Hasan Sadikin General Hospital Bandung Rakhmawulan, Inez Aulia; Dewi, Yussy Afriani; Nasution, Nursiah
Althea Medical Journal Vol 2, No 4 (2015)
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Abstract

Background: Head and neck cancer is a health problem with a high mortality rate. Head and neck cancer are increasing and effect many individuals from diverse backgrounds. Usually patients come with advanced stages, therefore these conditions could lead to decrease their quality of life. Aim of this study was to describe the profile of head and neck cancer patients at the Otorhinolaringology-Head and Neck Surgery Department, Dr. Hasan Sadikin General Hospital Bandung.Methods: A descriptive cross-sectional method was used from medical records of head neck cancer patients at Department of Otorhinolaringology-Head and Neck Surgery, Dr. Hasan Sadikin General Hospital Bandung from 2008 to 2012 that used the total sampling method.Results: There were 665 patients included in this study, which men who participated were 388 and women were 277. Most of them were elementary educated (44.96%), housewives (32.03%), and those aged 46–55 years old (28.33%). There were nasopharyngeal (38.20%), sinonasal (17.29%), larnyx (13.08%), oropharnyx (6.32%), thyroid gland (6.17%), oral cavity (3.91%), hypopharynx (2.41%), and parotid gland (2.26%) cancer. The major histopathological findings were undifferentiated carcinoma (45.41%) and squamous cell carcinoma (22.26%), those were presented with stage I (7.4%), II (13.5%), III (24.4%), and IV (54.7%).Conclusions: Nasopharyngeal carcinoma was the most predominant cases which majority were presented in advanced stage and major histopathology features was undifferentiated carcinoma, while demografic characteristic mostly were in middle aged and older, men with low education background. [AMJ.2015;2(4):474–9] DOI: 10.15850/amj.v2n4.630
Comparison of Functional Capacity using Primary Percutaneous Coronary Intervention with Pharmacological Therapy on ST Elevation Acute Coronary Syndrome Patients Wardhani, Andini Nurkusuma; Achmad, Chaerul; Sastradimaja, Sunaryo B.
Althea Medical Journal Vol 2, No 2 (2015)
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Abstract

Background: Acute Coronary Syndrome (ACS) is a shift manifestations pattern of ischemic myocardium. Revascularization either with Primary Percutaneous Coronary Intervention (PCI) or pharmacological therapy is an optional treatment for ST Elevation Acute Coronary Syndrome (STEACS) patients. The aim of the study was to compare the functional capacity using six-minute walking test on STEACS patients who underwent Primary PCI or pharmacological therapy.Methods: A cross sectional study was conducted from September to October 2012 to 35 STEACS patients who were treated after two years. The samples were obtained from the list of patients at Dr. Hasan Sadikin General Hospital. Inclusion criteria consisted of patients diagnosed as STEACS, cooperative and not experiencing cognitive disturbance. The exclusion criteria were STEACS patients with unstable angina or myocardial infarct in the last month, stable exertional angina, and pregnant women. The patients underwent 6 minutes walking test,VO2max was measured using theCalahin and Cooper formula, then Metabolic Equation Task (METs) was calculated. Data were analyzed by unpaired T-test.Results: There were 19 Primary PCI and 16 pharmacological therapy patients. The average of age between the two groups was distributed evenly. Most of the STEACS patients were male, had a college/academic degree and were retired. Patients treated with pharmacological therapy had higher average of VO2 max and METs than patients with Primary PCI. There was no significantly differences of METs between those groups (p>0.05)Conclusions: There were no significantly differences of functional capacity in STEACS patients treated with Primary PCI or Pharmacological therapy. [AMJ.2015;2(1):162–6]
Characteristic, Emotional, and Behavioral Problems of Street Adolescent in Bandung October–December 2012 Nurfitriani, Annisa; Pandia, Veranita; Wiwaha, Guswan
Althea Medical Journal Vol 2, No 2 (2015)
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Abstract

Background: Street adolescents were psychosocial problem that increased in number each year and was worsened by their low-moral subculture-value that could cause them more vulnerable in having emotional and behavioral problems. This study aims to describe the characteristics, emotional and behavioral problems of the street adolescent in Bandung.Methods: A descriptive study was carried out in October–December 2012. From 22 shelters in Bandung, two shelters (RPA GANK and Pesantren Kolong Nurul Hayat) were selected and organized into 4 areas: Cihampelas, ‘Samsat’, Laswi Street and Kiaracondong. A hundred-seven street adolescents aged 11 to 16 years were participated in this study. They were divided into small groups and filled in the sociodemographic questionnaire and the Indonesian version of standardized Strength and Difficulty Questionnaires (SDQ).  Only 100 questionnaires were filled in completely. Data were analyzed using frequency tabulation and bar chartResults: Sixty-five percent were boys, 53% were aged 11–13 years, and 53% were students, 76% related to more than one sibling, still lived with their families (81%), and had parents. Their parents had low educational background, had job, and implemented  authoritative parenting pattern (41%). In becoming street adolescent, 63% were caused by their own motivation, 81% were children on street, and 55% had lived in the street more than 5 years. Approximately 27% of street adolescents were rated as abnormal on the total difficulty score.  Conclusion: Street adolescent in Bandung still have emotional and behavioral problems, which mostly were boys, in the early adolescence stage, school student, had more than one sibling, permissive parenting pattern, and lived in the street for more than 5 years. [AMJ.2015;2(1):172–8]
Body Mass Index and Western Ontario & McMaster Universities Osteoarthritis Index in Patients with Knee Osteoarthritis in Dr. Hasan Sadikin General Hospital, Bandung in November 2012 Mohamad Dat, Ainna Binti; Prabowo, Tertianto; Tahid, Alwin
Althea Medical Journal Vol 2, No 3 (2015)
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Abstract

Background: Osteoarthritis is one of the major disabilities among elderly. One of its well-recognized potent risk factors is obesity. The aim of this study was to identify the body mass index and severity of knee osteoarthritis patients who were treated in Dr. Hasan Sadikin General Hospital Bandung.Methods: A descriptive study was carried out to 9 patients of the Medical Rehabilitation Policlinic at Dr. Hasan Sadikin General Hospital Bandung in November 2012. Patients were diagnosed as having knee Osteoarthritis based on American College of Rheumatology clinical classification. Exclusion criteria were patient having previous trauma in spine and lower limb, having bleeding disorder like hemophilia, incomplete data in medical records and incomplete data in questionnaire. Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) was used to measure the intensity of pain, stiffness, and functional difficulty.  The weight (kg) and height (cm) of the patients were measured and the Body Mass Index was calculated by Weight (kg)/Height² (m). The data were analyzed using frequency distribution.Results: The patients who came to the Medical Rehabilitation Policlinic had ranged in age from 57 to78 years, mostly female with knee Osteoarthritis bilateral. Out of 9 patients, 5 patients were overweight, followed by normal BMI and obese type I. Patient with obese type 1 had the highest WOMAC score.  Conclusions: Most of the patients with knee osteoarthritis bilateral are overweight and the patient with obese type 1 has the highest WOMAC score. DOI: 10.15850/amj.v2n3.521
Students’ Perception on Ideal Age of Marriage and Childbearing Subranmiam, Mohanambehai; Mutyara, Kuswandewi; Syam, Hanom Husni
Althea Medical Journal Vol 2, No 4 (2015)
Publisher : Althea Medical Journal

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Abstract

Background: Early-age marriage is still common in Indonesia, especially in the rural areas. There are many negative effects of the marriage; the young brides may get lower education, lower social status, minimum reproduction control, higher maternal mortality, higher domestic violence rate and others. Thus, this study is conducted to identify the students’ perception on the ideal age of marriage and childbearing.Methods: A cross-sectional descriptive study was conducted from June to September 2013 in Jatinangor using secondary data from Jatinangor Cohort Survey Team. The data comprised two hundred and twenty students from Jatinangor Senior High School and PGRI Vocational School. A hundred and ten males and a hundred and ten females were chosen by random sampling. Questionnaires were given after the written informed consent was obtained from the students.Results: The results showed 74.55% of the students chose 19¬–24 years old as the ideal age of marriage for a woman and 68.64% students chose 25–30 years old as the ideal age of marriage for a man. Moreover, forchildbearing, 25–30 years old was chosen to be the ideal age for both man and woman. The percentage of students agreed to this was 74.55% and 54.09% respectively.Conclusions: Majority of the students agreed on 19–24 years old and 25–30 years old as the ideal age of marriage for woman and man respectively. For childbearing, 25–30 years old was concluded as the ideal agefor both genders. [AMJ.2015;2(4):591–6] DOI: 10.15850/amj.v2n4.661

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