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
1,068 Documents
Clinical Profile and Outcome of Myocarditis in Children at Dr. Hasan Sadikin General Hospital Bandung from 2008 to 2012
Nurtriandari, Erza;
Budi, Rahmat;
Soeherman, R. B.
Althea Medical Journal Vol 4, No 1 (2017)
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Background: Diagnosis of myocarditis in children is still challenging due to its inconsistent and wide spectrum of clinical manifestations. There is no specific laboratory test available. This may obscure the true incidence of myocarditis. The purpose of this study was to describe clinical profile and outcome of myocarditis in children.Methods: A descriptive study was performed using 80 medical records of hospitalized pediatrics patients with myocarditis in Dr. Hasan Sadikin General Hospital Bandung from January 2008 to December 2012. The obtained data were age, gender, nutritional status, etiology, chief complaint, physical examination, laboratory findings, other examinations and outcome of the disease. The collected data were analyzed and presented in the form of frequency distribution.Results: The mean age of the patients was 91.46 (45.93) months old, predominantly male. The most etiology was dengue infections (61%). High fever was found as the most common chief complaint (38%) and the most common found in physical examinations were tachypnea (65%) and hepatomegaly (55%). Electrocardiography (ECG) showed the first degree atrioventricular block (AV block) (35%), aspartate aminotransferase (AST) and creatine kinase myocardial band (CKMB) was increased in more than 80% of patients. The majority of patient was improved. Shock was the common complication.Conclusions: Dengue is the most etiology of myocarditis etiology. Tachypnea, hepatomegaly, the first degree AV block in ECG, elevated AST and CKMB were the most common presentations. Most of the patients were improved during treatment. [AMJ.2017;4(1):118â24DOI:Â 10.15850/amj.v4n1.1031Â
Relationship between Types of Cervical SpineTrauma and Occurrence of Neurological Deficits
Anwar, Syaiful;
Rahim, Agus Hadian;
Anwary, Farhan
Althea Medical Journal Vol 4, No 2 (2017)
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DOI: 10.15850/amj.v4n2.1084
Background: About 3,500 people died each year due to neck injury, according to a study in the USA. Trauma at cervical spine level causes injury in soft tissue, cervical vertebrae, and spinal cord that can cause neurological deficits. The aim of this study was to analyze the relationship between type of cervical trauma and the occurrence of neurological deficits.Methods: An analytic study was carried out to 121 medical records of patients diagnosed with cervical spine trauma at Dr. Hasan Sadikin General Hospital Bandung in the period of January 2010âDecember 2012. Data were classified according to age, sex, period of initial visit to hospital, mechanism of trauma, cervical trauma type, fractureâs or dislocationâs location (without any other vertebral injury) and neurological status. The collected data were analyzed using Chi-Square test and presented in tables.Results: There were 121 cases of cervical spine trauma. Most patients were male and in the productive age group (30â44 years). Most of the initial visits to the hospital were in 2010 and most of the mechanism was traffic accident (46.28%), while soft tissue injury was the most common type of cervical trauma (54.54%) and lower cervical vertebrae was the most common location of fractures or dislocations (76.36%). Sixty two patients were recorded with neurological deficits. Chi-Square test of relationship between the type of cervical trauma and the occurrence of neurological deficit was statistically significant (p=0.000).Conclusions: There is relationship between the type of cervical trauma and occurrence of neurological deficits. DOI: 10.15850/amj.v4n2.1084
Characteristics of Patient with Proliferative Diabetic Retinopathy Underwent Anti-Vascular Endothelial Growth Factors Injection in Cicendo Eye Hospital, Bandung in JanuaryâDecember 2013
Pintary, Marsha Rayfa;
Kartasasmita, Arief S.;
Juliati, Juliati
Althea Medical Journal Vol 3, No 2 (2016)
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Background: Proliferative Diabetic Retinopathy (DR) is one of the microvascular complications of diabetes mellitus (DM) that is prevalent to the blindness risk. The World Health Organization (WHO) considers Proliferative DR one of the priorities of eye diseases. This disease is caused by angiogenesis brought about by Vascular Endothelial Growth Factors (VEGF). The Anti-VEGF Bevacizumab (Avastin) injection is considered sufficient in preventing proliferative DR patients from blindness. This study aimed to identify the characteristics of patients with proliferative DR underwent Anti-VEGF injection at Cicendo Eye Hospital, Bandung.Methods: This was a retrospective study conducted from AugustâOctober 2014 using 40 medical records of patients with proliferative DR underwent Anti-VEGF Bevacizumab (Avastin) injection at the Cicendo Eye Hospital Bandung from JanuaryâDecember 2013. Inclusion criteria were the patients underwent anti-VEGF injection with complete medical records with minimum follow up of 3 weeks.Results: Among 40 patients, 55% were male and 45% were female. Furthermore, there was 100% found for DM Type 2. Moreover, random blood glucose varied among 140â200mg/dl (50%), while the hypertension was mostly at stage 2. Some of these patients had proliferative DR with vitreal hemorrhage (25%), macular edema (40%), and/or tractionalablasio retina (22.5%). Most patients had an improvement in their visual acuity (60%).Conclusions: Most of patients are male, aged 50â59 years old, random blood glucose among 140â 200mg/dl, followed DM Type 2 and hypertension stage 2. Anti-VEGF injection improves visual acuity. [AMJ.2016;3(2):280â5]DOI:Â 10.15850/amj.v3n2.781
Prophylactic Antibiotic Pattern in Open Reduction Internal Fixation for Closed Fractures at Dr. Hasan Sadikin General Hospital Bandung in 2013
Edwiza, Deviana Suciani;
Husen, Ike Rostikawati;
Arsa, Widya
Althea Medical Journal Vol 4, No 3 (2017)
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Background: Surgical site infection remains a serious complication of a surgery. Prophylactic antibiotics should be used in open reduction and internal fixation to prevent surgical site infection. This study aimed to study the pattern of prophylaxis used in internal fixation of closed fractures as this surgery is considered as a high-risk orthopedic procedures.Methods: This retrospective-descriptive study was performed from August to October 2014. Subject was closed fracture patient who underwent open reduction and internal fixation at Dr. Hasan Sadikin General Hospital Bandung in 2013. Data about characteristics of patients and pattern of the use of prophylactic antibiotics were obtained from patientsâ medical record.Results: Medical records from 76 patients who underwent ORIF were analyzed. Sixty eight patients (68.4%) were given 1 gram cefazolin intravenously as preoperative antibiotic prophylaxis. Timing for administration of antibiotics was 30â60 minute preoperatively in 34 (44.2%) patients. All Patients were given postoperative prophylaxis for 4.09 ± 1.36 days in average. The antibiotic most commonly used was cefazolin in 51 (63%) patients. All patients were prescribed an oral antibiotic at discharge. Cefadroxil was the most common antibiotic prescribed for patients at discharge. Conclusions: Cefazolin is the most common preoperative prophylactic antibiotic given to patients. All Patients are given postoperative prophylaxis and prescribed an antibiotic at discharge.Â
Correlation between Forced Expiratory Volume One Second and Vital Capacity with VO2 Maximum
Rahmania, Siti Khadijah;
Prabowo, Tertianto;
Tessa, Putri
Althea Medical Journal Vol 3, No 3 (2016)
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Background: Medical students need to cope with their tight schedule, which also demand a good physical fitness to do those activities. Insufficient leisure time and exhausting activities impede studentsâ capacity on having routine physical exercise to maintain their physical fitness. Cardiopulmonary endurance describes a person physical fitness level, and lung function is one basic component of cardiopulmonary endurance. Without optimal lung function, circulatory system in the body cannot work properly. This study aimed to determine whether lung function giving a significant correlation with the cardiorespiratory endurance which are measured by Forced Expiratory Volume One Second (FEV1), Vital Capacity (VC), and VO2Maximum (VO2max), respectively.Methods: This study was conducted in SeptemberâOctober 2013 to the students of Faculty of Medicine at Universitas Padjadjaran academic year 2010â2012, using the cross-sectional method. Sample was taken through simple random sampling process. There were 34 male and 34 female students after controlling for covariates. Direct measurement using spirometer used to determine lung function and maximum oxygen uptake was measured by assessing Rhyming Step Test result. Correlation coefficient was then calculated by Pearson correlation test.Results: The correlation between FEV1with VO2max of male students giving a value of p=0.442, while for VC obtained a value of p=0.259. Female students result giving a value of p=0.746 for the FEV1with VO2max, and p=0.489 for the VC with the VO2max.Conclusions: There is no significant correlation between FEV1 and VC with the VO2max of the respondents. [AMJ.2016;3(3):430â3]Â DOI: 10.15850/amj.v3n3.868
Knowledge, Attitude, and Behavior Level of Women of Reproductive Age toward Calcium Intake
Dewi, Kartika Ratna;
Hidayat, Eva M.;
Rachmawati, Anita
Althea Medical Journal Vol 5, No 1 (2018)
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Background: Women have a higher risk of developing osteoporosis compared to men. Calcium intake is one of the determinant factor which can be modified to prevent osteoporosis. Knowledge, attitude and behaviour are important factors to fulfill the needs of calcium intake. This study aimed to describe knowledge, attitude, and behavior toward calcium intake of woman of reproductive age.Methods: This descriptive study recruited 100 women (aged 20â30 years) in Jatinangor, West Java and was conducted from September to November 2014. Knowledge and attitude measurements used a validated questionnaire consisting of 10 and 9 closed questions respectively. Behavioral aspect was assessed using semi-quantitative Food Frequency Questionnaire (FFQ). Knowledge was classified as high, moderate, and low based on questionnaire scoring results, >75%, 60â75%, and <60% respectively. Attitude was categorized in two: positive and negative. Behaviour category used Recommended Dietary Allowances (RDA) as the cut-off point. If the daily calcium intake is below the RDA it is categorized less and if the daily calcium intake equals to or exceeds the RDA it is categorized sufficient. The collected data were presented in frequency tabulation and percentage.Results: The majority of subjects showed low to moderate level of knowledge toward calcium intake, 66% of subjects showed negative attitude towards calcium intake, and 98% showed calcium intake below the RDA. Conclusions: Subjects of this study have low to moderate level of knowledge, negative attitude toward calcium intake, and low level of behavior toward calcium intake.
Five Years Data of Clinical and Histopathological Characteristics of Skin Adnexal Tumors in Dr. Hasan Sadikin General Hospital Bandung
Trisaputra, Jessica Oktavianus;
Usman, Hermin Aminah;
Hindritiani, Reti
Althea Medical Journal Vol 3, No 4 (2016)
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Background: Skin adnexal tumors arise from skin adnexal differentiation. Very limited number of study has been performed on their clinical and histopathological characteristics in Dr. Hasan Sadikin General Hospital. The objectives of this study was to identify the clinical and histopathological characteristic of skin adnexal tumors during the period of 2009 to 2013.Methods: AA descriptive study performed on 79 medical records of patients with skin adnexal tumors at the Department of Anatomic Pathology in Dr. Hasan Sadikin General Hospital Bandung from 2009 to 2013. Data were collected during the period of September to October 2014. The inclusion criteria were medical records containing information on skin adnexal tumors confirmed by histopathological examination results, patient characteristics (age and gender), and the tumor characteristics (size, location, malignancy, type, and histopathological origin). Collected data were processed using computer and presented in tables.Results: This study showed that tumors occured during productive age with male to female ratio was 1.2:1. Most skin adnexal tumors were â¤5 cm in size and were distributed in the head-neck region. Most of the tumors were benign and arised from hair follicle differentiation with pilomatricoma type while the malignant tumors commonly arised from sebaceous gland differentiation with sebaceous carcinoma type.Conclusions: Most skin adnexal tumors occur in productive age with no gender prediclation. They are small in size and are distributed in the cephalic region. Most are benign tumors arising from hair follicle differentiation with some malignant tumors arising from sebaceous gland differentiation. [AMJ.2016;3(4):514â9] DOI: 10.15850/amj.v3n4.933
Clinical Characteristics of Trigeminal Neuralgia Patients at Dr. Hasan Sadikin General Hospital Bandung Indonesia in 2010â2012
Widihastha, Sri Hudaya;
Sadeli, Henny Anggraini;
Sunggono, Arifin
Althea Medical Journal Vol 4, No 1 (2017)
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Background: Trigeminal neuralgia is a frequently found craniofacial neuralgia. The clinical characteristics of trigeminal neuralgia patients at Dr. HasanSadikin General Hospital, Bandung, Indonesia has never been described before. This study conducted an overview of clinical characteristics of trigeminal neuralgia to determine the characteristic features of trigeminal neuralgia.Methods: This was a non-experimental study using secondary data with a retrospective descriptive method. Data related to medical records of 76 patients with trigeminal neuralgia was collected over a period of 2010 to 2012, treated at Dr.HasanSadikin General Hospital Bandung, Indonesia. Results: Mean age was 57.6 years (range 11 to 84 years), no significant difference in gender (male:females 51.3%:48.7%). Chewing and swallowing was reported as triggering stimuli to 42 (55%) patients. Two patients (2.7%) had suffered pain on bilateral side of the face, 46 (60.5%) patients the right side, and 28 patients (36.8%) on the left side. Pain on maxillary nerve division was found in 58 (76.3%) patients. Sixty one of the patients (80%) received Carbamazepine.Conclusions: The peak age was between the fifth and sixth decades of life with equal representation of male to female incidence. Right side and the maxillary division was found to be the most frequently site of pain. Chewing and swallowing was reported to be the most frequent triggering stimuli and most of patients received Carbamazepine as therapy. [AMJ.2017;4(1):47â51]DOI:Â 10.15850/amj.v4n1.1020Â
Environmental Factor Contributed to The Onset of Schizophrenia
Yuleni, Yuleni;
A. Sapiie, Tuti Wahmurti;
Ekowati, RA. Retno
Althea Medical Journal Vol 4, No 2 (2017)
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DOI: 10.15850/amj.v4n2.1080
Background: Schizophrenia is a severe and chronic mental disorder that needs a long term treatment and social support. This condition may results in burden and disturbance in the family and society A number of studies have investigated some environmental factors that may potentially lead to schizophrenia. One of many suspected environmental factors is place of born or grew up. This study was conducted to investigate association between place of born or grew up and age of onset of schizophrenia.Methods: This analytical study using cross-sectional method was conducted by retrieving data from 72 medical records of hospitalized schizophrenic patients in Dr. Hasan Sadikin General Hospital from OctoberâNovember 2013. The variables in this study were age of onset and place (urban or rural) where the patients born or grew-up.The collected data were analyzed using Chi-Square statistical test.Results: This study discovered that 75% of subjects were born or grew up in urban area, 68% of subjects had age of onset at 20â40 years and there was no association between place of born or grew up and age of onset of schizophrenia (p-value was 0.108).Conclusions: More than half subjects were born and grew up in urban, who had age of onset of schizophrenia at 20â40 years and there is no significant association between place of born or grew up and age of onset of schizophrenia. DOI: 10.15850/amj.v4n2.1080
Computer Vision Syndrome among Call Center Employees at Telecommunication Company in Bandung
Nursyifa, Ghea;
Santoso, Putri Teesa Radhiyanti;
Musa, Ine Renata
Althea Medical Journal Vol 3, No 2 (2016)
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Background: The occurrence of Computer Vision Syndrome (CVS) at the workplace has increased within decades due to theprolonged use of computers. Knowledge of CVS is necessary in order to develop an awareness of how to prevent and alleviate itsprevalence . The objective of this study was to assess the knowledge of CVS among call center employees and to explore the most frequent CVS symptom experienced by the workers.Methods: A descriptive cross sectional study was conducted during the period of September to November 2014 at Telecommunication Company in Bandung using a questionnaire consisting of 30 questions. Out of the 30 questions/statements, 15 statements were about knowledge of CVS and other 15 questions were about the occurrence of CVS and its symptoms. In this study 125 call center employees participated as respondents using consecutive sampling. The level of knowledge was divided into 3 categories: good (76â100%), fair (75â56%) and poor (<56%). The collected data was presented in frequency tabulation.Results: There was 74.4% of the respondents had poor knowledge of CVS. The most symptom experienced by the respondents was asthenopia.Conclusions: The CVS occurs in call center employees with various symptoms and signs. This situation is not supported by good knowledge of the syndrome which can hamper prevention programs. [AMJ.2016;3(2):181â21]DOI: 10.15850/amj.v3n2.789