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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.
Arjuna Subject : -
Articles 1,078 Documents
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Superior Vena Cava Syndrome and Multiple Venous Thrombosis in a Patient with B Cell Lymphoma Kocak, Mehmet Zahid; Aktas, Gulali; Erkus, Edip; Atak, Burcin; Duman, Tuba; Savli, Haluk
Althea Medical Journal Vol 5, No 1 (2018)
Publisher : Althea Medical Journal

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (2022.362 KB) | DOI: 10.15850/amj.v5n1.1202

Abstract

Background: Superior vena cava syndrome (SVCS) develops due to external mechanical pressure of superior vena cava (SVC) by a mass lesion or by an enlarged lymph node, tumor invasion of the vessel wall, or venous thrombosis resulting in intraluminal obstruction. Approximately 3,9% of lymphomas are complicated with SVCS. This rate reaches to 7% in diffuse large B cell lymphoma. The objective of this article was to describe a case report of  a young woman with a diffuse large B cell lymphoma, complicated with pericardial-pleural effusion and SVCS. Methods: A 25 year old woman referred to the Internal Medicine Clinic of Abant Izzet Baysal University Hospital with complaints of bloating in the neck and both arms. She had chest pain, dyspnea, cough, and epigastric discomfort for 10 days. A thoracic magnetic resonance imaging (MRI) test and pathological assessment were carried out.Results: A mediastinal mass 64x112x82 mm in size, displaced the heart and main mediastinal structures to posterior, was detected by thoracic magnetic resonance imaging (MRI) test. The result of the pathological assessment of the biopsy specimen revealed large B cell lymphoma, stained strongly and diffusely with CD20 and bcl-2. She was referred to the hematology unit and doing well after a chemotherapy.Conclusions: Diagnosis of SVCS requires high level of clinical suspicion, detailed and complete physical examination. Moreover,  SVCS should be kept in mind in the differential diagnosis of patients  presented with edema in the neck and upper extremities. 
VO2 Max and Back and Leg Muscle Strength Profile of Universitas Padjadjaran Swimming Team Pajar, Pitriyani Nurul; Farenia, Reni; Kuswiyanto, Rahmat Budi
Althea Medical Journal Vol 3, No 4 (2016)
Publisher : Althea Medical Journal

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (166.448 KB)

Abstract

Background: Cardiorespiratory endurance (VO2 max) and back and leg muscle strength are a few components required to support the performance of swimming athlete during competition. The objective of this study was to determine the VO2 max and back and leg muscle strength in high category level of Universitas Padjadjaran swimming team period 2014. Methods: A descriptive study was conducted to 19 swimmers of Universitas Padjadjaran in September 2014. The variables of this study were VO2 max and back and leg muscle strength. Then, the data were categorized based on the standard of The National Sports Committee of Indonesia.Results: The data obtained showed that the VO2 max of the majority of subjects was in the very good category (6/19 subjects) and the back muscle strength of the majority of subjects was in the very good category (10/19 subjects). In contrast, the leg muscle strength of majority of subjects was in the low category (11/19 subjects).Conclusions: The VO2 max and back muscle strength in high category level of the swimming team fulfilled the standard of The National Sports Committee of Indonesia. [AMJ.2016;3(4):499–502] DOI: 10.15850/amj.v3n4
Comorbidities of Chronic Obstructive Pulmonary Disease Patients at Respirology and Critical Care Outpatient Clinic Dr. Hasan Sadikin General Hospital, Bandung, Indonesia Suhendro, Adrian Sebastian; Santoso, Prayudi; Riswari, Silvita Fitri
Althea Medical Journal Vol 4, No 1 (2017)
Publisher : Althea Medical Journal

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (545.746 KB)

Abstract

Background: Chronic obstructive pulmonary disease (COPD) is a chronic disease that becomes one of the leading causes of death in the world. The COPD is usually accompanied by comorbidities that impact prognosis and increase patients’ expenses. However, the comorbidities of COPD patients have not yet to be known in Dr. Hasan Sadikin General Hospital, Bandung, Indonesia. This study was aimed to determine the frequency, type and number of comorbidities accompanying COPD.Methods: This study was a retrospective, cross-sectional study at the respirology and critical care outpatient clinic of Dr. Hasan Sadikin General Hospital, Bandung, Indonesia in 2012. Data were obtained from medical records of patients diagnosed with COPD and had an obstructive pulmonary function test result. Sampling technique in this study was total sampling. Data were classified by age, gender, smoking history and severity of disease and were analyzed to determine the frequency, type and number of comorbidities accompanying COPD. Results: Thirty eight COPD patients with obstructive pulmonary function test results were analyzed. It consists of 31 males and 7 females with age ranged between 43–82 years and median age of 64 years. Severe obstruction was found in 15 of 38 patients. Comorbidities were found in 26 patients, and 2 patients had up to four comorbidities. The most common comorbidity was hypertension (9 of 38).Conclusions: The majority of COPD patients had comorbidities and the most frequent comorbidity was hypertension. [AMJ. 2017;4(1):30–5]DOI: 10.15850/amj.v4n1.1016
Coverage of Vitamin A Supplementation among Under-Five Children in Hegarmanah Village, Jatinangor in August 2014 Putri, Nadia Asmarani Hidayat; Istriati, Istriati; Djais, Julistio T.B.
Althea Medical Journal Vol 4, No 2 (2017)
Publisher : Althea Medical Journal

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (208.48 KB) | DOI: 10.15850/amj.v4n2.1079

Abstract

Background: The vitamin A supplementation program conducted every February and August  aims to reduce children morbidity and mortality. Mother’s knowledge on the importance of vitamin A is crucial to succeeding this program. This study aimed to examine the coverage of the program among under-five children and the mother’s knowledge about vitamin A supplementation in Hegarmanah Village, Jatinangor in August 2014.Methods: This was a descriptive cross-sectional study involving mothers of children aged 6−59 months in eight RWs in Hegarmanah Village. The mothers were interviewed to find out whether their children received vitamin A supplementation. Additional questionnaire-based data about mother’s knowledge on vitamin A was also collected. The subjects in this study were the mothers of 220 under-five children. Data collection was obtained by direct interviews with the mothers during their visit to the Puskesmas or during home visits to  children who missed the Posyandu appointments.Results: Two hundred and fourteen (97.27%) children received vitamin A supplementation and only 6 (2.73%) did not. The questionnaires revealed that 94 children (96%) received vitamin A, while 4 (4%) did not. The mother’s level of knowledge in vitamin A was either poor (1%), moderate (37%), or good (62%).Conclusions: The coverage of vitamin A supplementation in Hegarmanah Village reaches 97.27% and the mother’s understanding about vitamin A is generally good. DOI: 10.15850/amj.v4n2.1079
Quality of Life in Children with Atopic Dermatitis Wicaksana, Muhammad Akbar; Suwarsa, Oki; Dwiyatnaningrum, Fenny
Althea Medical Journal Vol 4, No 3 (2017)
Publisher : Althea Medical Journal

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (841.296 KB) | DOI: 10.15850/amj.v4n3.652

Abstract

Background: Atopic dermatitis (AD) is the most common chronic skin disease in children which caused significant morbidity and impaired quality of life (QoL). The main goal of AD therapy is to prevent flare -ups, prolong remission and increase QoL. Therefore, the study aimed to discover QoL in children with AD.Methods: The study was conducted at Pasundan Public Health Centre, Al Islam General Hospital and Kimia Farma Private Dermatology Clinic, from September to November 2015. This descriptive study used consecutive sampling with 24 outpatients who were admitted to the health facility and diagnosed as AD. A questionnaire on Infant Dermatitis Quality of Life for infants aged 0–4 years, and Children Dermatology Life Quality Index for children aged 5–16 years was used in this study to measure QoL.Results: Out of 24 patients, 9 patients aged 0–4 years had mean score of 4.44±4.36, and 15 patients aged 5–16 years had mean score of 5.80±3.95. Mean SCORAD Objective in patients aged 0–4 and 5–16 was 15.61±7.75 and 17.44±11.Conclusions: The QoL in children with AD vary among patients. Most of the patients have mild-moderate impairment in QoL. 
Detection of Enteropathogenic Bacteria under Fingernails of Canteen Workers at Universitas Padjadjaran, Jatinangor Nahenthran, Nalinie Nalammah; Megantara, Imam; Raksanagara, Ardini S
Althea Medical Journal Vol 3, No 2 (2016)
Publisher : Althea Medical Journal

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (171.365 KB)

Abstract

Background: Food poisoning is a major problem in Indonesia as most people do not clean under their fingernails to remove bacteria. This study was designed to detect enteropathogenic bacteria under the fingernails of canteen workers in Universitas Padjadjaran, Jatinangor.Methods: A cross-sectional study was conducted from October−November 2014 at the Faculty of Medicine’s Microbiology Laboratory to detect enteropathogenic bacteria under the fingernails of canteen workers in Universitas Padjadjaran, Jatinangor. Based on the inclusion and exclusion criteria of the study, 30 canteen workers were selected by random sampling from three canteens. Samples were collected from the fingernails of both the right and left hands by using a cotton swab. Sixty specimens were cultured for identification of the enteropathogenic bacteria by using gram staining method and biochemical tests.Results: The highest percentage of enteropathogenic bacteria found under the fingernails of canteen workers was Klebsiella pneumoniae with a percentage of 45% followed by Enterobacter aerogenes with a percentage of 25.7%, Salmonella paratyphii with a percentage of 9.7%, E. coli with a percentage of 6.4%, and Serratia sp, Proteus mirabillis, Klebsiella oxytoca and Shigella sp. with a percentage of 3.2%.Conclusions: The highest number of bacteria found under the fingernails of the canteen workers is Klebsiella pneumoniae, followed by Enterobacter aerogenes, Salmonella paratyphii and E. coli which has potential to cause gastroenteritis if cross-contamination occurs between the fingernails and the food.[AMJ.2016;3(2):309–13]DOI: 10.15850/amj.v3n2.798 
Level of Knowledge about Tuberculosis among Type 2 Diabetes Mellitus Patients at the Endocrine Clinic Dr. Hasan Sadikin General Hospital Bandung Febriani, Ulfah Dwi; Ruslami, Rovina; Alisjahbana, Bachti
Althea Medical Journal Vol 4, No 4 (2017)
Publisher : Althea Medical Journal

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (550.891 KB) | DOI: 10.15850/amj.v49n4.1260

Abstract

Background: Diabetes Mellitus (DM) is one of the risk factors for tuberculosis (TB). Knowledge of TB is essential in prevention control for the person at risk. This study aimed to describe the level of knowledge about TB among DM patients.Methods: A cross sectional study was performed involving 72 adult DM patients at the Endocrine Clinic, Dr. Hasan Sadikin General Hospital Bandung. The subjects were interviewed using a standardized questionnaire including socio-demographic information and knowledge about TB: manifestation of TB, transmission, treatment, DM-TB co-infections, and status acquiring TB information in the last 12 months. Knowledge was categorized as high, moderate and low if total scores were >75, 56–75 and <56 respectively. Data were presented descriptively as percentage and mean (SD) after testing for the normality of distribution.Results: The mean of age of subjects was 56.6 years, and 55% were female. Most were unemployed (72.2%), had an education background lower than high school (75%), and lived in Bandung (91.7%).  The mean score of knowledge was 54.4. Proportion of subjects based on the level of knowledge which is high, moderate and low, were 29.2%, 26.4%, and 44.4% respectively.  Conclusions: The level of knowledge about TB among Type 2 DM patients at the Endocrine Clinic Dr. Hasan Sadikin General Hospital Bandung was low. TB education program among DM patients needs to be improved.
Relationship between Physical Activity and Age on Flatfoot in Children Jasrin, Carmellia Janice; Mayasari, Wulan; Rakhmilla, Lulu Eva
Althea Medical Journal Vol 3, No 3 (2016)
Publisher : Althea Medical Journal

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (187.283 KB) | DOI: 10.15850/amj.v3n3.887

Abstract

Background: Modern technology has decreased physical activities of most people, especially children. A low physical activity is one of the risk factors of flatfoot. Flatfoot is a flattening of medial longitudinal arch of the foot (MLA) affecting human’s body posture and gait. The objective of this study was to analyze the relationship between physical activity and age on flatfoot.Methods: This study selected 271 children from the elementary school of Cikeruh 1, Jatiroke 1, and Paripurna using cluster random sampling method. Data were collected from August to November 2015. The primary data were collected using questionnaire to determine the physical activity level and footprint method to measure MLA height which was counted using Arch Index (AI). If the AI>0.26, it was considered low arch/flatfoot. Statically, the collected data were analyzed by Fisher’s exact test.Results: From a total of 271, 151 (55.7%) children had a low activity level with 120 of them (44.3%) were flatfoot, whereas in 113 (41.7%) children with an intermediate activity level, 76 children (28.0%) were flatfoot; and from a total of 7 (2.6%) children with a high activity level, 4 children (1.5%) were flatfoot. There was a negative correlation between age and arch index, right foot (r=-1.67;p=0.006), left foot (r=-1.56;p=0.01). This study proved that there was a relationship between the level of physical activity and flatfoot (Fisher=6.125/p=0.040).Conclusions: The Arch Index of the foot becomes smaller with age with an inverse correlation and low physical activities have been proved to have contibution to flatfoot occurrence. [AMJ.2016;3(3):396–400] DOI: 10.15850/amj.v3n3.887 
Knowledge and Attitude on Febrile Seizure among Mothers with Under-Five Children Syahida, Jihan Alifa; Risan, Nelly Amalia; Tarawan, Vita Murniati
Althea Medical Journal Vol 3, No 4 (2016)
Publisher : Althea Medical Journal

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (226.238 KB)

Abstract

Background: Febrile seizures frequently occur in children under 5 years old and usually create fear and anxiety among parents. Poor understanding of febrile seizure among parents contributes to mismanagement of seizure. The objective of this study was to identify the knowledge and attitude on febrile seizure among mothers of under five children.Methods: This descriptive community-based survey comprised of 96 mothers with under 5 children who were chosen through randomization. This survey was, conducted in Hegarmanah Village, Jatinangor, West Java, Indonesia in October 2013. Data were collected using a questionnaire and analyzed using frequency analysis.Results: Fifty nine respondents (61%) considered that high fever in their children will result in seizure and 63 mothers (65%) stated that this condition was a life-threatening situation which could lead to brain damage (50%) and paralysis (50%). There were some respondents who would manage seizure by shaking (27%) or holding the child tightly during seizure (22%) and putting spoon into the children mouth (59%). Sixty respondents (62.5%) prevented febrile seizure by giving them coffee.Conclusions: Knowledge and attitude regarding febrile seizure is good, but the knowledge and attitude towards the outcome and what to do during febrile seizures occasion are still poor. [AMJ.2016;3(4):649–54] DOI: 10.15850/amj.v3n4.954
Characteristics of Malignant Eyelid Basal Cell Carcinoma in Cicendo Eye Hospital Bandung from 2013 to 2015 Hui, Yee She; Kartiwa, Raden Angga; Dwiwina, Resti Gradia
Althea Medical Journal Vol 4, No 1 (2017)
Publisher : Althea Medical Journal

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (85.832 KB)

Abstract

Background: Basal cell carcinoma (BCC) has been proved to have the highest incidence among eyelid malignancies. Basal cell carcinoma is the most common invasive cancer in humans. It is capable of causing extensive tissue destruction. The aim of the study was to identify the characteristics of adult patients with malignant eyelid BCC in Cicendo Eye Hospital Bandung.Methods: A descriptive retrospective study was conducted to determine the characteristics of adult patients with malignant eyelid BCC in Cicendo Eye Hospital Bandung from March 2013 to October 2015. Age and sex distribution of the lesions, location and histopathological results of the tumors were stratified as variables. The inclusion criteria were patients over age of 20, histopathologically diagnosed with periocular BCC. Results: A total of 37 cases histopathologically diagnosed with periocular BCC were evaluated. Females had a slight predominance. The mean age was 61.7 years. The most common site was on the lower lid. The tumors occurred more on the left side. The most common histological subtype was represented by solid growth pattern.Conclusions: The majority of periocular BCC cases occur in females and elderly. Most tumors develop on the lower lid with a left-side preference and have a solid growth pattern histologically. [AMJ.2017;4(1):148–51] DOI: 10.15850/amj.v4n1.1037

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