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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
Identification of Pathogen Protozoans (Cryptosporidium spp and Giardia lamblia) from Canteen’s Water-sources at Jatinangor, West Java, Indonesia Murugesan, Komathi Nair; Agoes, Ridad; Sari, Sri Yusnita Irda
Althea Medical Journal Vol 4, No 3 (2017)
Publisher : Althea Medical Journal

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Abstract

Background: The prevalence of intestinal protozoan infection caused by Cryptosporidium spp and Giardia lamblia has been rapidly increasing in developing countries. Contamination of water-sources by intestinal protozoans can spread infection to humans when it is consumed without any specific treatment. Jatinangor is an educational area where many universities are located and many students live in this area. This study aimed to identify the presence of intestinal protozoa (Cryptosporidium spp and Giardia lamblia) in water-sources used by canteens at Jatinangor area to detect the magnitude of protozoans intestinal infections.Methods: A descriptive cross sectional study was carried out from August to September 2014. Raw water samples from reservoir tanks, water containers and tapwater were taken from all canteens located along the main road of Jatinangor. Samples were centrifuged and divided into two portions; two drops from the first test tube was stained with Lugol solution and observed by 2 observers under a light microscope for Giardia lamblia, and sediments from the second test tube was stained using acid fast staining then observed for Cryptosporidium spp under the light microscope. Results: Out of 50 samples, 26 were positive for parasites, of which 22 (44%) were contaminated by Cryptosporidium spp and 4 (8%) were contaminated by Giardia lamblia.Conclusions: Half of the raw water-sources in Jatinangor are contaminated by Cryptosporidium spp and Giardia lamblia. Proper water treatment should be implemented by the owners of the canteens before it is consumed as drinking water. 
Prevalence and Predisposing Factors of Pediculosis Capitis on Elementary School Students at Jatinangor Karimah, Arani; Hidayah, Risa Miliawati Nurul; Dahlan, Anisah
Althea Medical Journal Vol 3, No 2 (2016)
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Abstract

Background: Pediculosis capitis is a lice infestation on scalp with high prevalence on the age of elementary school students. It is one of neglected diseases. Predisposing factors such as hair type and length, self higienities, and sosioeconomic can influence prevalence of pediculosis capitis. The aim of the study was to reveal pediculosis capitis prevalence and its predisposing factors on elementary school students at Jatinangor.Methods: This study used cross-sectional descriptive method which conducted in September 2014 at Jatinangor. The study subjects were elementary school students graded 1 to 6 taken from two elementary schools by multistage random sampling technique. Data was presented in a table.Results: The prevalence of pediculosis capitis from 123 study subjects was 55.3%. The prevalence found on girls (81.3%), students with long hair (76.9%), students with curly hair (52.9%), students of third grade (66.7%), students with washing hair three times or more in a week (59.3%), students with mothers only graduated from elementary school (60%), students parents with income less than one million rupiah (63.3%), students staying with four or more persons in the same house (56.3%), and students with having previous this disease (60.2%).Conclusions: Pediculosis capitis prevalence on elementary school students is quite high. The prevalence based on subject characteristics and sosioeconomic is suitable with previous studies. [AMJ.2016;3(2):254–8]DOI: 10.15850/amj.v3n2.787
Effect of Anti-tuberculosis Drugs on Liver Damage Based on Alanine Aminotransferase Level in Pulmonary Tuberculosis Patients Dianwari, Vera; Dewi, Vycke Yunivita Kusumah; Kania, Nia
Althea Medical Journal Vol 4, No 4 (2017)
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Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (617.413 KB) | DOI: 10.15850/amj.v49n4.1259

Abstract

Background: Antituberculosis (anti-TB) drugs could cause serious effect such as hepatotoxicity signed by the increase of Alanine Aminotransferase (ALT) level. Anti-TB drugs are still needed by TB patients who have hepatotoxicity, although  clinicians who manage this condition have not recognize whether the advantage of anti-TB drugs is higher than its adverse effect, and there is no data describing about that issue. This study was conducted to discover the liver damage based on the ALT changes before and 12 days after initial anti-TB treatment. Methods: This was a cross-sectional study with total sampling of medical records of pulmonary tuberculosis inpatients from 1st January 2013–31th December 2014 at the Department of Internal Medicine of Dr. Hasan Sadikin.General Hospital. From 141 data, only 14 medical records were eligible to be included in this study. The data used were ALT level before and after therapy. These data were analyzed using Wilcoxon test and considered as significant if p<0.05.Results: The median age of the subject study was 48(18-65) years. Among 14 patients, 8 were female and 6 were male. Five out of fourteen patients developed hepatotoxicity. Four out of five developed grade 1 hepatotoxicity and one out of five developed hepatotoxicity grade 4. The analysis of the data showed the differences of ALT level before anti-TB therapy (22(4-447)) and 12 days after initial therapy (18.5(4-1206)) was not significant (p=0.660).Conclusions: There is no liver damage based on ALT changes after anti-TB treatment so the treatment can be continued. 
Comparison of Hip Abductor and Adductor Muscle Strength in Taekwondo and Non-taekwondo Practitioners Sheng, Seet Jia; Tandjung, Fachry Ambia; Prananta, Marietta Shanti
Althea Medical Journal Vol 3, No 3 (2016)
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Abstract

Background: Taekwondo is an empty hand combat that entails the use of the whole body. Spinning and turning kicks are the proper way of kicking in taekwondo which allow one to maximally perform the hip abductor and adductor muscles simultaneously. To measure the hip abductor and adductor muscles of Taekwondo and Non-taekwondo practitioners, Hand-Held Dynamometer (HHD) is used. This study aimed to compare the hip abductor and adductor muscles strength in Taekwondo and Non-taekwondo practitioners.Methods: This analytical study of paired continuous variable was conducted using cross-sectional method. Thirty-two subjects were examined from September−October 2014 at the skills laboratory of Faculty of Medicine, Universitas Padjadjaran. Sixteen of them were Taekwondo practitioner and the other sixteen of them were Non-Taekwondo practitioner. Gender, weight, height, Body Mass Index (BMI) and maximum strength of hip abductor and adductor muscles were examined by using Hand-Held Dynamometer (HHD).Results: Off all physical characteristics being examined, it showed that the p-values were above 0.5. The independent t-test showed that the average strength of hip abductors and adductors muscle in Taekwondo and Non-taekwondo practitioners were significantly different in which the both p-values were less than 0.05.Conclusions: The maximum strength of hip abductor and adductor muscles of Taekwondo and Non-taekwondo practitioners were significantly different. The strength of hip abductors and adductors muscles is greater in Taekwondo practitioners compared to Non-taekwondo practitioners. [AMJ.2016;3(3):392–5]DOI: 10.15850/amj.v3n3.886
Characteristics of Renal Cell Carcinoma in Dr. Hasan Sadikin General Hospital Bandung, 2010–2014 Putra, Dicky Suryana; Suryanti, Sri; Sihombing, Aaron Tigor
Althea Medical Journal Vol 3, No 4 (2016)
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Abstract

Background: Data characteristics for renal cell carcinoma are mostly derived from developed countries. However, data from developing countries, specifically in Indonesia have not been fully described. This study aimed at describing renal cell carcinoma (RCC) characteristics based on age, gender, and histopathology type in Dr. Hasan Sadikin General Hospital Bandung.Methods: This was a descriptive study conducted in August–October 2015. The data were collected from histopathology medical records of patients who had been diagnosed with RCC at Department of Pathology Anatomy Dr. Hasan Sadikin General Hospital Bandung, from 2010 to 2014. Total sampling was used as sampling method. Only RCC records that had complete variables; which were age, gender, and histopathological type; included in this study.Results: There were 25 cases of renal cell carcinoma discovered in this study, 17 cases discovered in men and 8 cases discovered in women. The histopathology type found in this study was clear cell renal cell carcinoma (12 cases), papillary renal cell carcinoma (8 cases), chromophobe renal cell carcinoma (3 cases), and carcinoma of the collecting ducts of bellini (2 cases). There were no cases found below the age range 2–29 years old and above the age range 70–79 years old.Conclusions: Men have higher incidence than women with the ratio of 2:1. Peak incidence is found on the age range 50–59 years old. The most common histopathology type is clear cell renal cel carcinoma.[AMJ.2016;3(4):644–8] DOI: 10.15850/amj.v3n4.953
Diagnostic Value of Narrow Band Imaging in Diagnosing Nasopharyngeal Carcinoma Yuniserani, Debbi; Hernowo, Bethy S.; Permana, Agung Dinasti
Althea Medical Journal Vol 4, No 1 (2017)
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Abstract

Background: Carcinoma is the most common tumor in nasopharynx. Endoscopy is used to determine the presence of lesions suspected of malignancy. Narrow Band Imaging is an endoscopic technique that uses narrow–band spectrum as a filter to determine any mucosal vascular changes in carcinoma. Narrow Band Imaging can early detect superficial mucosal lesions that are difficult to detect with conventional endoscopy, so that diagnosing is more accurate and occurrence of unnecessary biopsies can be reduced. This study aimed to determine diagnostic value of Narrow Band Imaging in diagnosing nasopharyngeal carcinoma.Methods: This diagnostic test study was conducted at Department of Otorhinolaryngology-Head and Neck Surgery Dr. Hasan Sadikin General Hospital, Bandung from September to October 2014. Twenty four patients with clinical signs and symptoms of nasopharyngeal carcinoma that fulfilled the study criteria were assigned using consecutive sampling to examine with Narrow Band Imaging and histopathology examination. The data were then analyzed with 2x2 table to determine sensitivity, specificity, positive predictive value, negative predictive value, and accuracy.Results: In this study, the results of sensitivity, specificity, positive predictive value, negative predictive value, and accuracy in diagnosing nasopharyngeal carcinoma using Narrow Band Imaging were 93.75%, 62.5%, 83.3%, 83.3%, and 83.3%, respectively. Conclusions: Sensitivity of Narrow Band Imaging is 93.75%. [AMJ.2017;4(1):133–7] DOI: 10.15850/amj.v4n1.1034
Geographical Factors in Diagnostic Delay among Multidrug Resistant Tuberculosis Patients Nuraeni, Nunuy; Suryadinata, Hendarsyah; Lestari, Bony Wiem
Althea Medical Journal Vol 4, No 3 (2017)
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Abstract

Background: Diagnostic delay is a  factor that can increase the high burden of multi-drug resistant tuberculosis (MDR-TB). Xpert Mycobacterium tuberculosis/Rifampicin known as Xpert is a rapid diagnostic test to detect MDR-TB. Diagnostic delay defined  the duration between a positive result of Acid Fast Bacilli (AFB) smear and positive result of MDR-TB by Xpert examination. This study aimed to compare the analysis of the geographical factors in the diagnostic delay of MDR-TB patients at Dr. Hasan Sadikin General Hospital as the top referral hospital in West Java Indonesia.Methods: This study was conducted in the period July−December 2016 using cross sectional design. A total of 152 MDR-TB patient data were collected from medical records of MDR-TB patients registered in MDR-TB clinic at Dr. Hasan Sadikin General Hospital in the period 2015−2016.  The socio-demographic characteristics were collected and analyzed descriptively The diagnostic delay among MDR-TB patients was analyzed by Mann Whitney test.Results: Diagnostic delay of MDR-TB patients was 15 days in median, with a minimal and maximal delay of 2−140 days. There was a significant difference of diagnostic delay between  patients from Bandung with a median of 9(2-135) days and patients from outside of Bandung with a median of 18(2-140) days, with p<0.01.Conclusions: MDR-TB patients from outside Bandung have a longer diagnostic delay than patient from Bandung . A further expansion of using Xpert as a rapid diagnostic test for MDR-TB patient is needed.
Tinea Capitis among Elementary School Students in Jatinangor,Sumedang, West Java Aprilia, Dilla; Ramali, Lies Marlysa; Sadeli, Ramlan
Althea Medical Journal Vol 3, No 3 (2016)
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Abstract

Background: Fungal infection is a common disease in tropical and subtropical countries. Warm and humid climates provide a favourable environment for organism causing superficial mycosis. One of the fungal infections that commonly occurred in children is tinea capitis. Tinea capitis is a superficial fungal infection of the hair and scalp caused by dermatophytes. The age predilection of this disease is children aged 3 until 14 years . The purpose of this study was to detect the presence of tinea capitis among elementary school students in Jatinangor, Sumedang, Indonesia.Methods: This cross-sectional descriptive study involved 391 students from thefirst until sixth grade at four elementary schools in Jatinangor, in the period of September until October 2013. Anamnesis, physical examination, Wood’s lamp examination and direct microscopic examination were conducted to diagnose the disease. The collected data were analyzed and presented in the form of frequency distribution and percentages shown in tables.Results: Out of 391 students participating in this study, 194 were boys and 197 were girls. The age range was 6 until 16 years. Based on the screening results, 74 students were known to have complaints about their hair and scalp and only 49 students could continue the study as they have no positive result of tinea capitis.Conclusions: There is no positive findings of tinea capitis according to anamnesis, physical examination, Wood’s lamp examination and direct microscopic examination. Further examination by culture with Sabouraud’s dextrose agar should be carried out. [AMJ.2016;3(3):340–4] DOI: 10.15850/amj.v3n3.876
Correlation between Substance Use and Anxiety-Depression Spectrum among Senior High School Students in Bandung Samjunanto, Achmad; Saputra, Lucky; Ekowati, RA. Retno
Althea Medical Journal Vol 3, No 4 (2016)
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Abstract

Background: Both substance use and anxiety-depression spectrum are the problem that currently faced by adolescents especially among Senior High School students. Moreover, there is a high comorbidity between both problems. This study was conducted to discover the substance use’s prevalence and to find out anxiety-depression spectrum proportion among adolescent, and more importantly to determine whether there is correlation between both variables.Methods: During October–November 2013, four hundred and fifty two students from five Senior High Schools located in Karees Sub-District, Bandung were included in this cross-sectional analytic study. Among whom, only 425 students filled the questionnaire properly. Data were collected using Kessler-10 (K10) to explore anxiety-depression spectrum and addiction severity index lite version (ASI-Lite) to identify substance use. The correlation between both variables was analyzed by Gamma correlation test.Results: The study revealed that there were 93 (21.9%) students that used substance. In addition, there were 244 students (57.4%) that screened as having anxiety-depression spectrum. Statistical analysis, according to Gamma correlation test, showed that there was a weak correlation between alcohol use and anxiety-depression spectrum (p=0.041; r=0.316). The remaining substances gave no statistically significant result (p>0.05). Conclusions: There is a high prevalence in substance use and psychological distress in anxiety-depression spectrum among high school student. In addition, alcohol is the only substances that correlated with anxiety-depression spectrum. [AMJ.2016;3(4):583–9] DOI: 10.15850/amj.v3n4.943
Five Years Facts of Bladder Cancer at West Java’s Top Referral Hospital, in Indonesia Perix, Vivien Kate; Suryanti, Sri; Sihombing, Aaron Tigor
Althea Medical Journal Vol 4, No 1 (2017)
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Abstract

Background: Bladder cancer is the second most common genitourinary cancer and its incidence is rising 15% annually in Indonesia. Smoking is the leading risk factor of bladder cancer and two thirds of men in Indonesia smokes. This study was conducted to describe the characteristics of bladder cancer based on sex, age and histopathology type in  West Java’s Top Referral Hospital, Indonesia. Methods: This study was a descriptive study conducted during theperiod of September to November 2015 using 372 histopathological medical records of patients who had primary and secondary bladder cancer at the Pathology Department, Dr. Hasan Sadikin General Hospital Bandung from January 2010 to December 2014. Data were collected using total sampling method based on the characteristics of age, sex histopathology type, and staging of bladder cancer.Results: Out of the 372 cases, 298 cases were male and 38 cases were female with a male to female ratio of 7.8:1. The age group with the highest incidence was the 50–59 years old group. Infiltrating urothelial carcinoma was the most common histopathology type (71.1%) in primary cancers, 66.1% of cases was muscle invasive while 33.9% was non muscle invasive. Staging pT1 had the most number of cases. The most common site of origin for secondary neoplasm was cervix with adenocarcinoma as the most common histopathology type. Conclusions: Bladder cancer is more common in male than female and peaks at the sixth decade of life. Infiltrating urothelial carcinoma is the most common histopathology type. [AMJ.2017;4(1):94–9] DOI: 10.15850/amj.v4n1.1028

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