cover
Contact Name
-
Contact Email
-
Phone
-
Journal Mail Official
chiefeditor.amj@gmail.com
Editorial Address
Gedung Rumah Sakit Pendidikan Unpad/Pamitran Unpad (Teaching Hospital Building) Faculty of Medicine Unpad, 3rd Floor Jl. Prof. Eyckman No. 38, Bandung, 40161, Indonesia
Location
Kota bandung,
Jawa barat
INDONESIA
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.
Arjuna Subject : -
Articles 1,078 Documents
Clinical and Histopathological Characteristics of Psoriasis in Dr. Hasan Sadikin General Hospital Bandung from 2009 to 2013 Hermawan, Willy Chandra; Aminah, Hermin; Sandiono, Dendi
Althea Medical Journal Vol 3, No 4 (2016)
Publisher : Althea Medical Journal

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (183.146 KB)

Abstract

Background: Psoriasis is a chronic inflammatory skin disease characterized by alterations in epidermal growth and differentiation. Its primary cause remains unknown, and its clinical and histopathological characteristics sometimes change from time to time. The study aimed to reveal the clinical and histopathological characteristics among psoriasis patients in Dr. Hasan Sadikin General Hospital Bandung.Methods: This study involved 162 medical records of psoriasis patients who visited the Department of Dermato-Venereology and 40 medical records of psoriasis patients who visited the Department of Pathological Anatomy of Dr. Hasan Sadikin Hospital, from 2009 to 2013. Medical record data were collected to describe the patient’s clinical and histopathological characteristics of psoriasis. The collected data were analyzed by frequency distribution.Results: From the clinical medical records, the characteristics found among the psoriasis patients were: 14 (8.6%) having familial history, 160 (98.8%) having reddish plaque, 155 (95.7%) having silvery scale, 40 (24.7%) having pustules, 6 (3.7%) having positive Auspitz sign, 48 (29.6%) having nail involvement, and 20 (12.4%) having tongue involvement. In addition, from the histopathological medical records, the characteristics of epidermis among the psoriasis patients found were: 36 (90%) having hyperkeratosis with parakeratosis, 39 (98%) having rete ridge elongation and/or acanthosis, 35 (88%) having Munro’s microabcess and/or micropustules of Kogoj, 15 (38%) having thin stratum granulosum, and 30 (75%) having blood vessels dilatation.Conclusions: In psoriasis, the most common clinical characteristics are reddish plaque while the most common histopathological characteristics are elongation of the rete ridges and/or acanthosis. [AMJ.2016;3(4):556–61] DOI: 10.15850/amj.v3n4.938
Bacterial and Antibiotic Susceptibility Patterns in Patient with Pediatric Urinary Tract Infection at Dr. Hasan Sadikin General Hospital Muttaqin, Muhammad Ilham; Hilmanto, Dany; Syafei, Neneng Syarifah
Althea Medical Journal Vol 4, No 1 (2017)
Publisher : Althea Medical Journal

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (622.732 KB)

Abstract

Background: Pediatric urinary tract infection (UTI) should become attention due to high prevalence, severe complication, and high cost treatment. Bacterial pattern and its susceptibility are different in every region.The objective of this study was to discover pattern of bacteria causing UTI and their susceptibility to antibiotics. Methods: This study was an observational descriptive study. The data was obtained from medical records and susceptibility testing results of pediatric UTI in Department of Child Health at Dr. Hasan Sadikin General Hospital in period of 2014. Data taken was presented in table.Results: There were 26 cultures which had microbiological findings among 79 cultures taken from 106 patients with UTI. The majority of findings were Escherichia coli (10 cases), Pseudomonas aeruginosa (4 cases), and Klebsiella pneumoniae (4 cases). Antibiotic classes with high susceptibility level were aminoglycoside, sulfonamide, and fluoroquinolone. Resistance level were higher in cephalosporin class than others.Conclusions: Most common bacterial found are Escherichia coli, Pseudomonas aeruginosa, and Klebsiellapneumoniae. The result of susceptibility testing for cultures shows variance of susceptibility pattern to antibiotics in pediatric patients with UTI at Department of Child Health Dr. HasanSadikin General Hospital. [AMJ.2017;4(1):52–7] DOI: 10.15850/amj.v4n1.1021 
Impact of Training on Improving Proper Handwashing Practices among Elementary School Students Huthamaputiran, Theruna; Sudigdoadi, Sunarjati; Purnama, Andriana
Althea Medical Journal Vol 4, No 2 (2017)
Publisher : Althea Medical Journal

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (142.991 KB) | DOI: 10.15850/amj.v4n2.1073

Abstract

Background: Hand washing is among the most effective ways to prevent diseases. In Indonesia, only a quarter of the entire population practice proper handwashing techniques. Of these, children are the most vulnerable group for contracting diseases. Nevertheless, they also are crucial agent for behavior transformation as they are keen and open to new ideas. Therefore, this study was conducted to determine if training would have an improvement on a proper hand washing practices among elementary school students.Methods:An observational descriptive study design using random sampling was conducted from September to November 2013 in Jatinangor Subdistrict, West Java, Indonesia using primary data of one hundred elementary school students from four elementary schools. Questionnaires were given after informed consent. A demonstration on hand washing techniques and education on proper hand washing practices was then given. Two weeks later, the same questionnaire was given to measure the influence of the training. The collected data were presented using frequency tabulation.Results: Before the training on proper hand washing practices was conducted, only 86.9% students were practicing it properly. After the training was given, 90.7% of the students were doing it properly. For the hand washing technique, only 66.8% of students knew the correct steps before the intervention was given and 78.7% students did them correctly after the intervention.Conclusions:The training shows an overall improvement on the students’ hand washing practices. DOI: 10.15850/amj.v4n2.1073
Pattern of Bacteria and Its Susceptibility of Ventilator-Associated Pneumonia Patients in ICU at Dr. Hasan Sadikin General Hospital, Bandung Jundi, Achmad Faisal; KSS, Nurita Dian; Mulyana, Yanti
Althea Medical Journal Vol 3, No 2 (2016)
Publisher : Althea Medical Journal

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (136.984 KB)

Abstract

Background: Incidence of ventilator-associated pneumonia (VAP) is common in intensive care unit (ICU). This pneumonia, becomes important due to its association to increased length of hospital stay, increased costs, and increased mortality. Irrational administration of antibiotics can lead to development of bacterial resistance. The objective of this study was to describe the pattern of bacteria and the susceptibility of VAP patients.Methods: A descriptive study was carried out to 10 medical records of VAP patients in the ICU at Dr. Hasan Sadikin General Hospital, Bandung in January–June 2014. Microbiological culture results and antibiotics susceptibility testing of patients’ sputum were identified and the collected data were analyzed in form of tables and percentages by using a computer program.Results: Out of 44 cultures taken from 10 patients with VAP, 43 cultures had microbiological findings. Gram negative bacteria were found in 90.6% cultures, the rests were Gram positive bacteria and fungi. The majority of findings were: Acinetobacter baumannii (41.9%), Pseudomonas aeruginosa (18.6%), andKlebsiella pneumoniae (16.9%). The laboratory test result showed varied degrees of antimicrobial resistance to antibiotics.Conclusions: Bacteria found in sputum cultures of ICU patient with VAP are mostly of Gram negative. The result of susceptibility testing of bacteria shows many of the bacteria have resistance to antibiotics in ICU at Dr. Hasan Sadikin General Hospital. [AMJ.2016;3(2):195–9]DOI: 10.15850/amj.v3n2.772
Health Related Quality of Life and Residual Symptoms in Prostatic Surgical Treatment at Bethesda Hospital Yogyakarta: a Retrospective Study Krisna, Daniel Mahendra; Hariatmoko, Hariatmoko; Pinzon, Rizaldy Taslim
Althea Medical Journal Vol 4, No 3 (2017)
Publisher : Althea Medical Journal

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (237.415 KB) | DOI: 10.15850/amj.v4n3.968

Abstract

Background: The incidence of Prostate Enlargement (PE) has been increasing over the years. The satisfaction towards the treatment result and life quality (QOL) improvement must be the key point of PE treatment. QOL is affected by many conditions, such as age, socioeconomic status, comorbid disease, and type of surgery. The objective of the study was to assess the QOL in PE patients post surgery, to explore the predictor factor, and to assess the satisfaction related to urinary functionality in the Indonesian context. Methods: A retrospective study was conducted and the subjects were all PE patients who underwent surgical treatment. EQ-5D-5L/EQ-VAS and Index Quality of Life (IQL) were used to assess the patient’s QOL & treatment satisfaction. The subjects were divided into several sub-groups based on age, type of surgery, comorbid condition, type of ward, funding source, histopathological result, and the year of treatment. The collected data wee analyzed using Mann-Whitney test, Kruskal Wallis test, or Chi-square test, Spearman’s rho test and multiple linear regression. Results: All the 149 subjects were at the average age of 69.09 years . There were no significant statistical differences in QOL between age, comorbid conditions, and histopathology result. Health insurance (HI) was significantly associated with QOL. There were improvements of IQL subjects. The most symptoms remaining was frequency (47.4%).Conclusions: Life improvement must be the major purpose of PE therapy. The association between HI with QOL suggests that a better HI in developing countries can ensure a better quality of life outcome.
Dermatophytosis among Elementary School Students in Jatinangor West Java Saskia, Dwi Bandang; Ramali, Lies Marlysa; Sadeli, Ramlan
Althea Medical Journal Vol 3, No 2 (2016)
Publisher : Althea Medical Journal

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (131.024 KB)

Abstract

Background: Dermatophytosis is a common skin disease in tropical countries. In Indonesia, the incidence of dermatophytosis is quite high. Epidemiological studies showed that prevalence of dermatophytosis in children were higher than in adults. The aim of this study was to identify dermatophytosis cases among elementary school students in Jatinangor West Java.Methods: A descriptive study was carried out, involving 391 students aged 6–16 years from four elementary schools in Jatinangor West Java, who were selected by multi-stage sampling method. Six classes were chosen from each school. In every class, students were chosen to obtain the minimum number of samples. The inclusion criteria was elementary school students who were willing to participate in this study. The exclusion criteria were students who did not attend school at the time when the study wasperformed. The study’s procedure consisted of six steps i.e. preparation, interview, screening, physical examination, specimen collection and microscopic examination. The collected data was processed by calculating the frequency and percentage.Results: The study discovered that out of 391 students, 197 suffered from non specific skin lesions. After confirmed by a dermatologist, three students were suspected to have dematophytosis lesion. From microscopical examinations by a microbiologist, two students had positive dermatophyte hyphae. The number of dermatophytosis cases in elementary school students, in Jatinangor was 0.5% (2/391).Conclusions: The incidence of dermatophytosis cases in this study is relatively low compared with other studies. Clinical features are tinea corporis. Both patients with positive dermatophyte hyphae are ten -year -old females. [AMJ.2016;3(2):165–9]DOI: 10.15850/amj.v3n2.808
Congenital Heart Disease among Down Syndrome Children at Dr. Hasan Sadikin General Hospital from 2008 to 2013 Rajamany, Thyviyaa; Kuswiyanto, Rahmat Budi; Lubis, Leonardo
Althea Medical Journal Vol 5, No 1 (2018)
Publisher : Althea Medical Journal

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (630.623 KB)

Abstract

Background: Children with Down syndrome are more prone to congenital heart disease due to the consequences of trisomy chromosomal 21 on gene expression. The aim of this study was to determine the pattern of congenital heart disease in children with Down syndrome. Methods: This was a retrospective study of reviewed children with Down syndrome from January 2008 to January 2013 at Dr. Hasan Sadikin General Hospital, Bandung, Indonesia. This study was conducted from August until October 2014. Patients under the age of 15 years and diagnosed having congenital heart disease from 2008 to 2013 were enrolled in this study by using the total sampling method. Incomplete medical records and children who had not performed an echocardiogram were excluded. Sex, age at diagnosis for congenital heart disease, nutritional status and other comorbidities were also examined.Results: Congenital heart disease occurred in 28 children with Down Syndrome. Patent ductus arteriosus (PDA) was the most common and found in 11 patients followed by a combination of congenital heart diseases in 5 patients. Other 3 patients had Atrioventricular septal defect (AVSD), and Tetralogy of fallot (TOF) was found in 3 patients, 2 patients had Atrial septal defect (ASD) and 1 patient had miscellaneous cardiac defect.Conclusions: The most common CHD in Down syndrome is PDA.
Level of Dependency Based on Barthel and Lawton Score in Older People Living in Panti Werdha, Ciparay Diyanto, Rizky Nurwan; Moeliono, Marina A.; Dwipa, Lazuardhi
Althea Medical Journal Vol 3, No 4 (2016)
Publisher : Althea Medical Journal

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (182.08 KB)

Abstract

Background: The population of older people continues to increase. Thus, many kinds of health-related problems can occur, such as a decrease independence level in performing activities of daily living (ADL) which can be assessed by using Barthel and Lawton index. Barthel index assesses basic ADL such as mobility function, continence, and self-care. Lawton index assesses instumental ADL that are a person’s ability to use tools and face other people. There are no data available reflecting the dependency of the older people at Panti Werdha, Ciparay . This study aimed to observe the level of dependence of the older people in Panti Werdha using Barthel and Lawton index.Methods: This study was a descriptive study and was conducted at Panti Werdha, Ciparay from September to November 2015 using the total population. The level of dependence in the older people was assessed by Barthel and Lawton index. Barthel index was divided into independent, mild dependent, moderate dependent, severe dependent, and totally dependent. Lawton index was divided into independent, low dependent, high dependent, and totally dependent.Results: A total of 144 older people participated as respondents in this study. Based on the Barthel index score, it showed that 51.4% of the subjects were dependent. As for the Lawton index scor¬¬e, it showed that 81.2% of the subjects were dependent.Conclusions: Most of the older people in Panti Werdha, Ciparay are categorized as dependent, where they will need help in performing basic and instrumental ADL. [AMJ.2016;3(4):493–8] DOI: 10.15850/amj.v3n4.929
Association between Patient’s Basic Characteristic and Clark Level in Cutaneous Malignant Melanoma Rahmalaelani, Egie; Usman, Hermin Aminah; Agusni, Jono Hadi
Althea Medical Journal Vol 4, No 1 (2017)
Publisher : Althea Medical Journal

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (544.806 KB)

Abstract

Background: Malignant melanoma is  a cancer that begins in the melanocytes. Melanoma is commonly happened on older people, male and located on sun exposure body area, such as face, neck and lower limb. Melanoma cases occur less than 5% of skin cancer but cause a majority of skin cancer deaths because melanoma has an aggressive behavior. Age, sex, location of lesion, and type of melanoma influences the melanoma invasion. The cutaneous melanoma invasion could be assessed with the Clark level. This study is aimed to determine the association between patient’s basic characteristic and Clark level in cutaneous malignant melanoma.Methods: This study used cross sectional analytic design. The medical records and histopathology slide from the Department of Anatomic Pathology Dr. Hasan Sadikin General Hospital from 2008−2012 took as a sample. Forty one data were meet the inclusion criteria.  Furthermore, those data were analyzed using chi-square test.Result: Overall, patient’s characteristic in this study, commonly occurred on female (66%), 50−59 years group age (35%), non-cephalic/acral location (71%), and the level V in Clark level (73%). Location of lesion showed an association with Clark level (p=0.023), whereas, age and sex was not significant (p=0.679 and p=0.389).Conclusions: There is an association between location of lesion and Clark level [AMJ.2017;4(1):25–9]DOI: 10.15850/amj.v4n1.1015 
Carpal Tunnel Syndrome Prevalence and Characteristics among Administrative Staff at Dr.Hasan Sadikin General Hospital Bandung Andrian, Andrian; Lailiyya, Nushrotul; Novitri, Novitri
Althea Medical Journal Vol 4, No 2 (2017)
Publisher : Althea Medical Journal

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (68.245 KB)

Abstract

Background: Carpal tunnel syndrome (CTS) is a neurologic disease affecting hands, which is closely related to work, and is the most prevalent nerve compression disease. The incidence of CTS quite often occur in people working with their hands, for instance the administrative staff, especially in a busy workplace such as Dr.Hasan Sadikin General Hospital Bandung. CTS causes reduction in work productivity, and consequently degrading family welfare and the quality of public service. For that very reason, the prevalence and characteristics of CTS among administrative staff at Dr.HasanSadikin General Hospital Bandung needed to be revealed.Methods: This quantitative descriptive study involved 94 administrative staff in the Medical record department of Dr. Hasan Sadikin General Hospital using the Carpal-tunnel.net questionnaire and further examinations by neurologists. Variables involved in this study were the subject characteristics.Results: Out of the 90 subjects, 22 stated having symptoms related to CTS (prevalence, 24.4%). On further clinical examination, 3 were diagnosed of suffering from CTS (prevalence, 3.3%).Conclusions: Carpal tunnel syndrome is found among the administrative staff at Dr. Hasan Sadikin General Hospital Bandung  and the prevalence is lower than in the general population. A further study is required to reveal ther specific division in the hospital with the most prevalent CTS case.DOI: 10.15850/amj.v4n2.1077

Page 19 of 108 | Total Record : 1078