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
<![CDATA[Skull and Posterior Rib Fractures with Respiratory Failure caused by Child Abuse ]]>
<![CDATA[Hakim, Dzulfikar Djalil Lukmanul]]>;
<![CDATA[Noviani, Elza]]>
<![CDATA[ Althea Medical Journal Vol 4, No 1 (2017) ]]>
Publisher : <![CDATA[Althea Medical Journal ]]>
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<![CDATA[Background: Presence of multiple fractures suggests child abuse. Skull fractures rarely occurred but posterior rib fractures are commonly found and have high specificity as a radiological finding in child abuse. A respiratory failure can occur as a result of the damage to the osseous structure of the thorax that destabilizes the rib cage and impairs spontaneous breathing mechanism.Methods: A case report of a 6-month-old boy who presented with respiratory failure, multiple bilateral parietal and occipital bone fractures, and also fractures of right rib 5â8. The patient required ventilatory support for 9 days in the Pediatric Intensive Care Unit, Dr.HasanSadikin General Hospital.Results: The patient was on ventilatory support for 9 days, and was given antibiotics for 2 weeks. Next,  the patient was referred to the High Care Unit (HCU) after the condition was stabilized, and then referred to the ward, for treatment by the Social Pediatric Division. The patient was still having issues about his foster care. Conclusions: Recognition of presence of fractures is important in early diagnosis and treatment of child abuse. [AMJ.2017;4(1):107â10] DOI: 10.15850/amj.v4n1.1030]]>
<![CDATA[Quality Assesment of Antibiotic Prescription for Sepsis Treatment in Intensive Care Unit at Top Referral Hospital in West Java, Indonesia ]]>
<![CDATA[Zulfariansyah, Ardi]]>;
<![CDATA[Radhiyanti Santoso, Putri Teesa]]>;
<![CDATA[Adani, Shadrina Dinan]]>
<![CDATA[ Althea Medical Journal Vol 4, No 2 (2017) ]]>
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DOI: 10.15850/amj.v4n2.1088
<![CDATA[Background: Sepsis is a common disease in intensive care unit (ICU) with high mortality rate. Administration of antibiotic has an important role to determine the outcome of sepsis patient. This study aimed to evaluate the quality of antibiotic prescription for sepsis treatment in intensive care unit (ICU). Methods: This descriptive study was conducted by retrieving data from 48 medical records of patients with sepsis, severe sepsis, and septic shock admitted to ICU Dr. Hasan Sadikin General Hospital (RSHS) in 2013. The study was conducted from August to October 2014. Empiric therapy in the ICUat RSHS and Surviving Sepsis Campaign (SSC) guidelines in 2012 were used as a standard for antibiotic prescription. The quality of antibiotic prescription was assessed then categorized based on Gyssens criteria. The collected data were analyzed in the form of frequency and percentage and presented in tables.Results: This study discovered that most of the patients had severe sepsis and septic shock. Based on Gyssens criteria, 35% antibiotic uses were included into category 0 (proper); 1.4% category I (improper timing); 10.5% category IIA (improper dosage); 9.1% category IIB (improper interval); 3.5% category IIC (improper route); 12.6% category IIIA (improper duration; too long); 1.4% category IIIB (improper duration; too short); 16.8% category IVA (improper; other antibiotics were more effective); 4.2% category IVD (improper; other antibiotics had narrower spectrum); and 5.6% category V (improper; no indication).Conclusions: There are still improper uses of antibiotic for sepsis, severe sepsis, and septic shock patients in the ICU. DOI: 10.15850/amj.v4n2.1088]]>
<![CDATA[Characteristics of Hypertension in Children at Dr. Hasan Sadikin General Hospital Bandung in January to December 2014 ]]>
<![CDATA[Meilani, Meilani]]>;
<![CDATA[Sekarwana, Nanan]]>;
<![CDATA[Pratiwi, Yuni Susanti]]>
<![CDATA[ Althea Medical Journal Vol 4, No 3 (2017) ]]>
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<![CDATA[Background: Hypertension is often found in children. It could cause serious complications and added risk of hypertension in adulthood. Hypertension in children is likely secondary type and some of them might be severe. The aim of this study was to determine the demographic and clinical characteristics of hypertension in children admitted to Dr. Hasan Sadikin General Hospital Bandung in January to December 2014.Methods: The study design used was a quantitative, descriptive cross-sectional study. Data were obtained from medical records retrospectively of inpatient children from the period January to December 2014. Data were collected from the period September to November 2015 based on age and gender as a demographic characteristics and stage of hypertension, etiology of hypertension, and emerge of hypertensioncomplication as a clinical characteristics.Results: Ninety(1.9%)children with hypertension were found from 4,681 of total inpatient children consisting of 58 males and 32 females with median of age 8 (0â13) years old.The main stage of hypertension was hypertension stage 2 with 55 cases and nephrotic syndrome as the most common causes with 43 cases. The complications were present in hypertension stage 2 with 3 cases and hypertensive crisis with 2 cases.Conclusions: Children with hypertension are most commonly males and median of age was 8 years old. Hypertension is characterized by hypertension stage 2 and nephrotic syndrome as the most common etiology. Complications of hypertension appear in severe hypertension.]]>
<![CDATA[Role of Kletik oil, Ginger and Garlic Extracts towards Soft Tissue Injury ]]>
<![CDATA[Qing Nan, Benjamin Yong]]>;
<![CDATA[Ismiarto, Yoyos Dias]]>;
<![CDATA[Sugianli, Adhi Kristianto]]>
<![CDATA[ Althea Medical Journal Vol 3, No 3 (2016) ]]>
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<![CDATA[Background: There is an increased consumption of herbal medicines throughout the world as an alternative treatment for curing health problems. Several herbal medicines are believed to contain anti-inflammatory properties that could trigger healing process. But little is known about the combination effect of herbal medicines. Therefore, the objective of the study was to determine the effects of garlic, ginger and coconut oil (kletik oil) on soft tissue injury (swelling).Methods: The study was held in the research laboratory of Faculty of Medicine Universitas Padjadjaran, from 24th September until 1st October 2014. This experimental study used 7 healthy rabbits (Lepus curpaeums, ±2.5kg) as animal models for each control and intervention group with induced soft tissue injury in the dorsal ear to mimic swelling (inflammation). The mixture of herbs was applied on the injured site in the trial group, while the healing process was denoted by the thickness of edema and time of observation. The data was analyzed using Wilcoxon test.Results: The study results showed that after observation time of 0.5 hour, 2 hours, and 5 hours, edema thickness was unvaried. Onset of action of the herbal mixture began 24 hours after induced injury, with significant difference of edema thickness on both groups; hence the p-value 0.019 (p<0.05).Conclusions: The herbal mixture of ginger, garlic, and coconut oil (kletik oil) contains anti-inflammatory properties to enhance the healing process of soft tissue injury. [AMJ.2016;3(3):421â4]DOI: 10.15850/amj.v3n3.870 ]]>
<![CDATA[Effect of Spondias dulcis Leaves Infusion on Glucose Transport Rate through Rat Intestine Epithelium Cell Membrane ]]>
<![CDATA[Destia, Krisna]]>;
<![CDATA[Martiana, Anna]]>;
<![CDATA[Rachmayati, Sylvia]]>
<![CDATA[ Althea Medical Journal Vol 3, No 4 (2016) ]]>
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<![CDATA[Background: Nowadays, people consume herbal remedies made from plants which are believed to be able to relieve certain symptoms and restore normal metabolic functions. Golden apple (Spondias dulcis) leaf has the potential to lower blood glucose. The purpose of this experiment was to observe the antiâhyperglycemic effect of S. dulcisleaves infusion on glucose transport rate through intestinal mucosal membrane of Wistar rats.Methods: An experimental study was conducted from October 2013 to November 2014. Nine male Wistar rats were selected aged 12â16 weeks, weighted 250â400 grams, healthy, actively moving, and had never been used in experiments. The rats were anesthetized, cut open and given three kinds of treatments: three kinds of glucose solutions were flowed through the intestinal tract using in situ perfusion method. Samples obtained from the ratâs intestine were measured with a spectrophotometer to obtain glucose rate transported through intestinal membrane from every treatment. The results of condition 1 and 2, and condition 1 and 3 were then compared.Results: The means of glucose transported through rat intestines epithelium cell membrane were 6.43 mg/dl, 9.40 mg/dl and 9.81 mg/dl. Statistic test result showed there was no significant difference on the glucose transported in every treatment.Conclusions: Glucose absorption rate in rat intestine doesnot decrease after they are given S. dulcis leaves infusion. Therefore, this experiment concludes that S. dulcis leaves do not affect the glucose transport rate in rat intestines epithelium cell membrane. [AMJ.2016;3(4):562â5]Â DOI:Â 10.15850/amj.v3n4.939]]>
<![CDATA[Incidence of Postoperative Nausea and Vomiting in Dr. Hasan Sadikin General Hospital Bandung Period May to October 2013 ]]>
<![CDATA[Fahma, Aisyah Ummu]]>;
<![CDATA[Fuadi, Iwan]]>;
<![CDATA[Setiadinata, Jimmy]]>
<![CDATA[ Althea Medical Journal Vol 4, No 1 (2017) ]]>
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<![CDATA[Background: Postoperative nausea and vomiting (PONV) is common complication in patients undergoing surgery with anesthesia. The incidence of PONV is ranging between 20% and 30%. Despite many other studies about PONV in other regions, the descriptive data about PONV in Dr. Hasan Sadikin General Hospital Bandung is still unknown. The aim of this study was to determine the incidence of PONV in Dr. Hasan Sadikin General Hospital Bandung.Methods: This descriptive study used a cross-sectional method. As many as 521 medical records in Departement of Anesthesiology and Intensive Care Dr. Hasan Sadikin General Hospital Bandung from May 5th to October 31st 2013 were reviewed. The subjects were taken by using total sampling technique. Data collected were gender, age, type of surgery, type of anesthesia, duration of surgery, administration of nitrous oxide, and administration of neostigmine.Results: Of 521 patients,the incidence of PONV was 20.5%. Female had higher incidence of PONV than male. Postoperative nausea and vomiting was the most frequent in the age category 6â20 years old. The Ear Nose and Throat (ENT) surgery was revealed as surgery with the highest incidence. Regional anesthesia had a higher incidence than general anesthesia. Operation lasting 181â210 minutes was considered as category which PONV mostly occured. Patients receiving nitrous oxide were more likely to experience PONV, and patients who were given neostigmine as muscle relaxant had lower incidence of PONV compared to those who were not.Conclusions: The incidence of PONV was similar to the study presumed earlier and this may influenced by many factors including patients, surgical, and aenesthtical factor. [AMJ.2017;4(1):58â63]DOI: 10.15850/amj.v4n1.1022 ]]>
<![CDATA[Nutritional Status Among Elderly in Ambulatory Care Setting ]]>
<![CDATA[Nurizky, Karina]]>;
<![CDATA[Radhiyanti Santoso, Putri Teesa]]>;
<![CDATA[Apriandi, Muhammad]]>
<![CDATA[ Althea Medical Journal Vol 4, No 2 (2017) ]]>
Publisher : <![CDATA[Althea Medical Journal ]]>
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DOI: 10.15850/amj.v4n2.1087
<![CDATA[Background: Nutritional status is a final outcome from a balance between food intake and bodyâs needs of the nutrients. Elderly is people whose age more than 60 years old. In Indonesia, elderly population has increased. Its phenomena is also known as population aging. Population aging is related to malnutrition in elderly. Malnutrition is defined as the insufficient, excessive or imbalanced consumption of nutrients.The objective of this study was to describe the nutritional status among elderly outpatients in geriatrics clinic of Dr. Hasan Sadikin General Hospital Bandung.Methods: This study was a descriptive cross-sectional study that used primary data in geriatrics clinic Dr. Hasan Sadikin General Hospital Bandung from September 2013 to October 2013. The sampling method was convenience sampling. This study was done with 43 elderly ( women, n=27 and men, n=16) outpatients.The nutritional status was classified by the questionnaire of Mini Nutritional Assessment into malnourished, risk of malnutrition and without malnutrition (adequate). After collecting the data, it was analyzed by Microsoft Excel in presenting the proportion of the elderly nutritional status.Results: Among all the respondents, 27 (63%) respondents had adequate nutrition and 16 (37%) respondents had risk of malnutrition. There was no respondent who had malnutrition (undernutrition). Conclusions: Majority of elderly outpatients in geriatrics clinic Dr. Hasan Sadikin General Hospital had adequate nutrition. DOI: 10.15850/amj.v4n2.1087]]>
<![CDATA[Association between Intrauterine Growth Restriction and Pregnancy Hypertension ]]>
<![CDATA[Febrina, Nada Ardilla Dwiayu]]>;
<![CDATA[Primadi, Aris]]>;
<![CDATA[Lestari, Bony Wiem]]>
<![CDATA[ Althea Medical Journal Vol 3, No 2 (2016) ]]>
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<![CDATA[Background: Intrauterine Growth Restriction (IUGR) certainly poses health problems that leads to increase mortality and can cause mental and physiological disturbances to the infants. Reduced organ perfusion is one of the etiologies of IUGR which is caused by placenta obstruction. This happens because of pregnancy hypertension as a risk factor. Furthermore, educational level, employment status, parity, and anemia are also its risk factors. The objective of this study was to analyze the prevalence of IUGR and association between IUGR and pregnancy hypertension.Methods: A case control design was performed using medical records from Neonatology Department of Child Health at Dr. Hasan Sadikin General Hospital Bandung in 2012. Subjects were taken from 149 medical records of the mother who had IUGR and 149 normal birth weight infant information about the characteristics of the mothers and the infants. The data were collected and analyzed by calculating the Odds ratio (OR).Results: The prevalence of IUGR at Dr. Hasan Sadikin General Hospital in 2012 was 149 cases (4.69%). There was association between pregnancy hypertension and IUGR with OR=1.72, 95% CI (1.044â2.836).Conclusions: Pregnancy hypertension is one of the risks that generates IUGR. [AMJ.2016;3(2):212â5]Â DOI:Â 10.15850/amj.v3n2.791]]>
<![CDATA[Treatment Seeking Patterns among Dengue Fever Patients: A Qualitative Study ]]>
<![CDATA[Krisnian, Tharani]]>;
<![CDATA[Alisjahbana, Bachti]]>;
<![CDATA[Afriandi, Irvan]]>
<![CDATA[ Althea Medical Journal Vol 4, No 3 (2017) ]]>
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<![CDATA[Background: Incidence of dengue fever is increasing drastically and has become a major public health problem globally. The reason patients are late in seeking medical treatment should be identified in order to prevent complications which can be avoided to produce a good prognosis. This study was conducted to find the pattern of treatment seeking behaviour among dengue fever patients and their influencing factors using a health utilisation model. Methods: Data on health seeking behaviour were collected among the dengue fever patients who were admitted to Dr. Hasan Sadikin General Hospital Bandung from SeptemberâOctober 2014. The data were collected through in-depth interview with patients who were diagnosed with dengue fever and dengue haemorrhagic fever. All the interviews were recorded using an audio recorder. The recordings were transcribed and then translated into English and analyzed using thematic analysis.Results: Nine patients were interviewed. The age of the patients ranged between 17 to 46 years. Altogether 7 patterns were identified with patients treatment seeking behavior. Most of them took longer steps to reach adequate care with blood examination. These longer steps, caused by lack of facilities to perform blood test in primary health care facilities, no bed for admission and also low skills of health care providers in diagnosing patients. The primary health care facility played an important role in the delay of patients acquiring definite care for their dengue fever.Conclusions: Health care seeking behavior is hampered by the inadequacy of primary health care facilities to provide adequate services to dengue patients. ]]>
<![CDATA[Pattern of Nutritional Intake among Obese Undergraduate in Faculty of Communication Studies Universitas Padjadjaran ]]>
<![CDATA[Perianan, Nilavenmalar]]>;
<![CDATA[Herawati, Dewi Marhaeni Diah]]>;
<![CDATA[Wahyudi, Yudi]]>
<![CDATA[ Althea Medical Journal Vol 3, No 3 (2016) ]]>
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<![CDATA[Background: Obesity has become the 5th leading cause of death worldwide in 2010. It is a combination of genetic susceptibility, increased availability of high energy food intake and decreased requirements for physical activity in modern society. The increase in calorie intake among obese people often leads to many chronic diseases. Therefore, the aim of this study was to observe calorie intake pattern among obese undergraduates.Methods: This study was conducted at Faculty of Communication Studies Universitas Padjadjaran, from September to November 2013. This cross-sectional study used anthropometric measurement based on Asian Body Mass cut-off points, which the screening was conducted on 512 undergraduate students, consisting of 103 undergraduates, overweight (50) and obese (53). From 53 undergraduates, 30 respondents were randomly selected. The respondents were then interviewed using 3x24 hours Food Recall questionnaire, conducted on two weekdays and one weekend to observe their pattern of nutritional intake. Total number of calories was categorized into few groups according to the Recommended Dietary Allowance (RDA) 2012.Results: From the thirty obese undergraduates, both male (11) and female (9) consumed more excess protein in daily life. Consumption of carbohydrate and energy was significantly normal. Common consumption of food as daily basis contained more carbohydrate then protein, fats or energy.Conclusions: Prevalence of obesity is still high. Frequent meal and high intake of carbohydrates has become factors to nutritional imbalance of obese undergraduates. Types of food most widely consumed are white rice, fried chicken, tofu, tempe (asian food made from fermenting soybeans) and sweetened tea. [AMJ.2016;3(3):486â92]DOI: 10.15850/amj.v3n3.860]]>
