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Althea Medical Journal
ISSN : -     EISSN : 23374330     DOI : 10.15850/amj
Core Subject : Health,
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
Characteristics of Thyroiditis Patients in Dr. Hasan Sadikin General Hospital in 2009–2013 Maryanti, Sri; Agustina, Hasrayati; Mifatuhrachman, Mifatuhrachman
Althea Medical Journal Vol 3, No 1 (2016)
Publisher : Althea Medical Journal

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Abstract

Background: It is reported that thyroid diseases affect around 200 milion people in the world. One of them is thyroiditis that may cause the risk of cancer. Moreover, thyroiditis can also cause hormonal disorders, such as hypothyroid and hyperthyroid. It is assumed that thyroiditis has distinctive clinical characteristics. The aim of this study was to evaluate the characteristics of thyroiditis based on age, gender, location, and clinical features of the patient.Methods: The study was conducted using descriptive-retrospective method. The data were collected from patients’ medical records through total sampling from January 2009 to Desember 2013 in Dr. Hasan Sadikin General Hospital, Bandung.Results: It was found 35 cases of thyroiditis. Based on the histopathological type, the most frequently found thyroiditis was Hashimoto’s thyroiditis. Based on age, thyroiditis mostly affected people at age 41–60 years old. Based on the gender, thyroiditis mostly affected female and the location of lesions were bilateral. The majority clinical features of patients were hypothyroid in Hashimoto’s thyroiditis, hyperthyroid in acute thyroiditis, and normothyroid in sub-acute granulomatous thyroiditis.Conclusions: Based on age, gender, and the location, the majority type of thyroiditis did not show specific characteristics. However, thyroiditis showed specific characteristics based on the clinical features of patient. [AMJ.2016;3(1):49–53]DOI: 10.15850/amj.v3n1.701
Association between Exclusive Breastfeeding and Child Development Khudri, Ghaniyyatul; Fadlyana, Eddy; Sylviana, Nova
Althea Medical Journal Vol 3, No 1 (2016)
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Abstract

Background: Child development highly correlates with child’s quality. The fastest child development period is during the first three years, also called golden period. This research was aimed to discover correlation between exclussive breastfeeding and child development in Cipacing Village Jatinangor, district of Sumedang.Methods: This research was conducted using cross-sectional method in thirteen Pos Pelayanan Terpadu (Posyandu) Cipacing Village in Jatinangor. One hundred and two children aged 12−24 months with their caregiver were recruited as respondents by using cluster sampling method. Hist ory of exclusive breastfeeding was assessed with questionnaire while child development status was assesed with Kuesioner Pra Skrining Perkembangan (KPSP) in September 2013 after informed consent was obtained. Chi-square test analysis was performed to determine correlation between exclusive breastfeeding and child development status.Results: Overall, children in Cipacing Village had non-exclusive breastfeeding history (83.3%), and only 16.7% respondents had exclusive breastfeeding history. Meanwhile, 89.2% of children had normal development status, and 10.8% had delayed development status. Statistic analysis using chi-square test in the level of 95% confidence between exclusive breastfeeding and child development showed p=0.686 and odds ratio 2.133.Conclusions: There is no significant relationship between history of exclusive breastfeeding and child development status. [AMJ.2016;3(1):79–84] DOI: 10.15850/amj.v3n1.726
Knowledge and Attitude of Senior High School Students toward Human Immunodeficiency Virus/Acquired Immunodeficiency Syndrome Reswari, Arnova; Mutyara, Kusmandewi; Lidyana, Lynna
Althea Medical Journal Vol 3, No 1 (2016)
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Abstract

Background: Indonesia has experienced more than 25% rise of Human Immunodeficiency Virus/Acquired Immunodeficiency Syndrome (HIV/AIDS) incidence. One of the provinces mostly affected is West Java. Proper knowledge of HIV/AIDS can develop attitude and practice to prevent the spread of HIV/AIDS, and in effect, its incidence. This study was conducted to describe the knowledge and attitude of Senior High School (Sekolah Menengah Atas, SMA) students toward HIV/AIDS.Methods: This descriptive study was conducted using a cross-sectional method and used secondary data with total sampling technique, from Jatinangor Cohort Research Team of the Faculty of Medicine, Universitas Padjadjaran. The samples were obtained by stratified cluster random sampling. Two hundred and seventy seven students’ knowledge and attitude were assessed in Senior High School in Jatinangor, on May 2013Results: Senior High School students in Jatinangor mostly (50.2%) had a poor level of knowledge, yet 51.3% positive attitude toward HIV/AIDS. There were still misconception regarding transmission media of HIV/AIDS and mode of transmission HIV/AIDS. Information source on HIV/AIDS were teachers (96.4%), followed by television (93.5%), internet (86.6%), friends (84.8%), health workers (69.7%), newspapers (62.1%), parents (61%), magazines (55.2%), and radio (33.2%).Conclusions: Although most of the Senior High School students in Jatinangor have a poor level of knowledge, they have a positive attitude toward HIV/AIDS. The main information source on HIV/AIDS is teacher. [AMJ.2016;3(1):73–8] DOI: 10.15850/amj.v3n1.712
Clinical and Histopathological Characteristic of Salivary Gland Carcinoma in Dr. Hasan Sadikin General Hospital in 2009–2012 Andriani, Fatimah Lidya; Nur, Ismet Muchtar; Mahdiani, Sally
Althea Medical Journal Vol 3, No 1 (2016)
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Abstract

Background: Salivary gland neoplasm is one of the rare neoplasm. The frequency of this neoplasm is lower than 2% of all type of tumors in human. Malignant salivary gland tumor comprises 6% of all head and neck tumors. Data about salivary gland carcinoma are still limited. The aim of this study was to determine the frequency of malignant salivary gland based on the patients’ age, gender, site of lesion and histopathology type. Methods: This study was conducted descriptively. There were 97 subjects found from histopathological form that had been examined in Department of Anatomical Pathology, Dr. Hasan Sadikin General Hospital in 2009–2012. Total sampling technique was used and all data about patients’ age, gender, site of lesion and histopathology type were collected and analyzed.Results: Of 97 cases, age group 50–59 years old had the highest frequency (29%). The prevalence in male was more frequent than female with male:female ratio was 1.4:1. The most common site of carcinoma was found in parotid gland (45%). Mucoepidermoid carcinoma was the most common histopathology type found in this study (28%).Conclusions: Salivary gland carcinoma is still a rare malignant case in Dr. Hasan Sadikin General Hospital. Carcinoma in parotid gland was the most common site and mucoepidermoid carcinoma was the most common histopathology type. [AMJ.2016;3(1):54–8]DOI: 10.15850/amj.v3n1.696
Upper Lower Segment Ratio Comparison between Obese and Normal Children Aged 7 to 10 Years Old Azhar, Muhammad Zulfikar; Fadil, R.M. Ryadi; Sahiratmadja, Edhyana K.
Althea Medical Journal Vol 3, No 1 (2016)
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Abstract

Background: Upper lower segment ratio is an anthropometric measurement that often used to detect the presence of abnormal growth. Growth is affected by many factor, one of them is nutrional status. Obesity prevalence in Indonesian children increases annually. These children show an accelerated growth in pre-puberty compared to normal children in their age. This study aimed to analyze the difference in upper lower segment ratio between obese and normal children aged 7 to 10 years old.Methods: A cross sectional study was carried out in children aged 7 to 10 years old in three Elemantary School in Bandung during September–October 2013. Height and weight were measured to calculate body mass index (BMI) score and were grouped into obese (BMI >95th percentile) and normal (BMI 10th–85th percentile). The upper lower segment ratio was compared between obese and normal children and the level of the significant difference were analyzed by unpaired T-test.Results: From a total of 200 children recruited, 90 were obese and 110 were normal. There was no significant difference between upper lower segment ratio in obese and normal children (p=0.603) with mean ratio 1.137 and 1.142 respectively. The mean of upper lower segment ratio in obese boys was higher than normal boys (mean ratio 1.15 and 1.14 respectively), but obese girls had a lower ratio compared to normal girls (mean ratio 1.12 and 1.14 respectively).Conclusions: There is no difference between upper lower segment ratio in obese and normal children aged 7 to 10 years old. [AMJ.2016;3(1):147–51] DOI: 10.15850/amj.v3n1.721
Streptococcus pneumoniae Drugs Resistance in Acute Rhinosinusitis Hao, Chong Jie; Chrysanti, Chrysanti; Nugrahadi, Trias
Althea Medical Journal Vol 3, No 1 (2016)
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Abstract

Background: Acute rhinosinusitis that usually caused by Streptococcus pneumoniae becomes the reason why patients seek for medical care. Drugs resistance in Streptococcus pneumoniae is increasing worldwide. This study was conducted to determine drugs resistance of Streptococcus pneumonia from acute rhinosinusitis in Dr. Hasan Sadikin General Hospital.Methods: A descriptive laboratory study was conducted in June–October 2014 at the Laboratory of Microbiology Faculty of Medicine Universitas Padjadjaran. The sample was taken using nasopharyngeal swabbing from 100 acute rhinosinusitis patients in Dr. Hasan Sadikin General Hospital and planted on tryptic soy agar containing 5% sheep blood and 5 μg/ml of gentamicin sulphate and then incubated in 5% CO2 incubator at 37°C for 24 hours. The identification of Streptococcus pneumonia was performed by optochin test. The susceptibility test against Streptococcus pneumoniae was done using disk diffusion method.The antibiotic disks were trimethoprim-sulfamethoxazole, oxacillin, levofloxacin, azithromycin, and doxycycline.Results: Out of 100 samples, 8 of them were tested positive for Streptococcus pneumoniae. Three of Streptococcus pneumoniae isolates died with unknown reason after it were stored at -80 .The drugs resistance test showed the resistance of Streptococcus pneumonia to oxacillin, azithromycin and trimethoprim were 6, whereas levofloxacin and doxycycline are 4.Conclusions: Streptococcus pneumonia drugs resistance in acute rhinosinusitis shows the resistance of Streptococcus pneumoniae to oxacillin, azithromycin and trimethoprim are 6, whereas the resistance to levofloxacin and doxycycline are 4. [AMJ.2016;3(1):64–8]DOI: 10.15850/amj.v3n1.722
Hypertension Treatment and Control in Older Adult at Tanjung Sari Primary Health Care Fauziah, Rahmi; Rohmawaty, Enny; Dwipa, Lazuardhi
Althea Medical Journal Vol 3, No 1 (2016)
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Abstract

Background: Hypertension is considered as a major health problem in Indonesia, especially in older adult population because of its prevalence increases by age. Treatment strategy and control management of hypertension in Public Health Center (Pusat Kesehatan Masyarakat, Puskesmas) as primary health care should be enhanced to overcome this issue. This study aimed to describe the pattern of antihypertensive agent in older adults.Methods: This was a descriptive study with total sampling method for data collection. Data were collected from medical record of older adult patients with diagnosis of hypertension at Puskesmas Tanjung Sari from January to December 2013. The variables observed were gender, number of visits, the degree of hypertension, types of antihypertensive drug, combinations of antihypertensive drugs, and blood pressure control.Results: The number of older adults with hypertension was 180 people. Some of which, 120 women (66.7%) participated, 152 (84.4%) had hypertension stage 2, 100 (55.6%) had just one visit, and 80 (44.4%) had more than one visit. Among 80 participants with more than one visit, 8 had achieved target blood pressure. There were 166 participants (92.2%) who received single antihypertensive agent (captopril was given the most), and 14 participants (7.8%) who received the combination of two antihypertensive agent (combination of captopril and HCT (hydrochlorothiazide)) were given the most).Conclusions: More than 75% of older adult with hypertension have stage 2 hypertension and are treated by single antihypertensive agent. Ninety percent of the patient have uncontrolled blood pressure. [AMJ.2016;3(1):17–21] DOI: 10.15850/amj.v3n1.699
Association of Ascariasis with Nutritional and Anemic Status in Early School-Age Students Eidwina, Chin Annrie; Faridah, Lia; Ermaya, Yudith Setiati; Akhmad Gurnida, Dida
Althea Medical Journal Vol 3, No 1 (2016)
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Abstract

Background: Ascariasis is one of the most frequent helminthias is that occurred in school-age children. Commonly, severe intensity of infection will seriously affect the nutritional and anemic status of the students. The aim of this study was to determine the association of ascariasis with nutritional and anemic status in early school-age students. Methods: An analytical cross-sectional study was conducted based on the secondary data from Jatinangor Cohort. The secondary data of 74 students who met the criteria were included in this study. Data collection was conducted in the Department of Epidemiology and Biostatistics from August to September 2014. The data obtained was analyzed based on the characteristics of the students regarding gender, age, class, parents’ education, ascariasis, nutritional and anemic status. Then, the data were further analyzed to determine the association of ascariasis with nutritional and anemic status of the students using the chi square test or Fisher test if the requirement was not fulfilled.Results: Sixteen (22%) students were having Ascaris lumbricoides infection, six (8.1%) students were thin and seventeen (23%) students were anemic. There was no statistically significant association found of Ascaris lumbricoides infection with nutritional and anemic status in early school-age students (P value <0.05) in this study.Conclusions: There is no statistically significant association of Ascaris lumbricoides infection with nutritional and anemic status of the early school-age students. [AMJ.2016;3(1):93–8] DOI: 10.15850/amj.v3n1.710
Knowledge and Intention to Use Personal Protective Equipment among Health Care Workers to Prevent Tuberculosis Hasanah, Hasanah; Pudji Setiawati, Elsa; Apriani, Lika
Althea Medical Journal Vol 3, No 1 (2016)
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Abstract

Background: Tuberculosis (TB) is one of the main world health problems. Indonesia has the fourth highest incidence in the world. Tuberculosis is very infectious, but it can be prevented in high risk group such as health care worker by using personal protective equipment (PPE). This study aimed to reveal knowledge and intention to use PPE among health care worker to prevent TB transmission in Public Health Center (Pusat Kesehatan Masyarakat, Puskesmas) in Bandung.Methods: Descriptive study was conducted from September to October 2014 in 15 Puskesmas in Bandung. Those 15 Puskesmas had been reported as having the highest incidence in TB cases. Ninety seven health care workers were assessed using questionnaire. Samples were obtained using purposive sampling method. Data were collected and analyzed for frequency and proportion.Results: Among 97 health care workers, 76 (78.4%) had good knowledge, 16 (16.5%) had sufficient knowledge, and 5 (5.2%) had poor knowledge. Based on intention of PPE usage among health care workers, it was found that 41.2% had positive intention and 58.8% had negative intention.Conclusions: Most of health care workers have good knowledge about TB transmission, however, intentions to use PPE are low. [AMJ.2016;3(1):120–5]DOI: 10.15850/amj.v3n1.713
Association of Body Mass Index to Onset of Puberty in Male Subramaniam, Jeevithaambigai; Sofiatin, Yulia; Fadil, R.M. Ryadi
Althea Medical Journal Vol 3, No 1 (2016)
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Abstract

Background: Puberty is the period where the developmental process takes place, marks the transition from childhood to adulthood with physical and physiological changes. This study was conducted to discover association between body mass index (BMI) and onset of puberty in male.Methods: A cross-sectional study was conducted from May to November 2013 using simple random sampling which was part of bigger research study by Nutrition and Metabolism Working Group on Jatinangor Cohort, especially Puberty Survey in Jatinangor, by Department of Epidemiology and Biostatistics Faculty of Medicine Universitas Padjadjaran. Respondents were 286 males, 9–15 years old from Elementary School (Sekolah Dasar/SD) and Junior High School (Sekolah Menengah Pertama/SMP). Inclusion criteria were students who are healthy at the time and do did not have obvious disease, attained puberty within 1 year or did not yet attained it, and voluntarily followed the study procedure. The questionnaire was provided after getting informed consent from the respondents. The data analysis was done conducted using Pearson Correlation. Results: The magnitude of association of BMI to the onset of puberty in male among school students in Jatinangor was 0.243 which showed there was positive correlation coefficient between BMI to onset of puberty in male. Test results with the t-test showed t-value of 2.683 with p-value of 0.008.Conclusions: There is association of BMI to the onset of puberty in male among school students in Jatinangor. Positive correlation indicates that the higher the BMI, the faster the onset of puberty in male. [AMJ.2016;3(1):12–16] DOI: 10.15850/amj.v3n1.697

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