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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 1,068 Documents
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Response Time, Decision Time, and Delivery Time in Pediatric Emergency Unit of West Java Top Referral Hospital Oktaviani, Ayu Sary; Lukmanul Hakim, Dzulfikar D.; Suwarman, Suwarman
Althea Medical Journal Vol 4, No 3 (2017)
Publisher : Althea Medical Journal

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Abstract

Background: The number of visitors at pediatric emergency unit has increased around 25 million per year. This condition caused overcrowded in these units which would disrupt health care process. Waiting time is one indicator of health care quality. Prolonged waiting times is related to patient’s dissatisfaction and poor outcome. The aim of this study was to identify response time, decision time, and delivery time of Pediatric Emergency Unit in Dr. Hasan Sadikin General Hospital.Methods: This was a descriptive cross sectional study. Data from medical records of pediatric patients who attend Pediatric Emergency Unit, Dr. Hasan Sadikin General Hospital from August to September 2015 were collected. The data included sex, age, day of admission, time of admission, insurance status, triage status, disposition of care, response time, decision time, and delivery time. The collected data were analyzed and presented in percentage and peformed in tables. Results: A total of 201 data were collected during study period. The geometric mean of total waiting time in pediatric emergency department was 346.65 minutes (5 hours 46 minutes). Response time had a geometric mean of 4.07 minutes, meanwhile decision time and delivery time had geometric mean of 46.77 minutes and 181.97 minutes, respectively.Conclusions: Total waiting times of pediatric emergency department exceeds the standard time (4 hours). Meanwhile response time and decision time have already met the standard. 
Epidemiology of Giant Cell Tumor in Dr. Hasan Sadikin General Hospital Bandung from 2010-2013 Gunasegaran, Kirtana; Irawan, M.Naseh Sajadi Budi; Yantisetiasti, Anglita
Althea Medical Journal Vol 3, No 2 (2016)
Publisher : Althea Medical Journal

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Abstract

Background: Giant cell tumor (GCT) of bone is a primary bone tumor. It is commonly seen in South East Asia and found in female around 20–45 years old. The GCT mostly occurs in epiphysis around the knee. The patients normally suffer from pain, swelling, limitation of joint movement, and pathologic fracture. This study aimed to determine the epidemiology of GCT of the bone based on age, sex, location, type, metastases, and recurrence in Dr. Hasan Sadikin General Hospital Bandung.Methods: A descriptive study with retrospective cohort using total sampling method was used to obtain 33 medical records of patients with GCT of bone in Department of Orthopedic & Traumatology and Anatomical Pathology Dr. Hasan Sadikin General Hospital Bandung in the period of January 2010–December 2013.Results: The GCT of bone was mostly found in female of 20 to 29 years old and around 32 years old in male. Distal femur will be the most common site while zygoma, mandibular vertebrae, proximal tibia were rare sites. Twenty nine cases were benign lesion and the rest (4 cases) were malignant. The probability of GCT of bone to metastasize to lungs was very low. Four recurrences occurred within a year.Conclusions: The GCT of bone in male mostly occurs in the third and fourth decade of age. It is found around the knee, mostly benign, rarely metastasize to the lungs and recurrence happens within a year. [AMJ.2016;3(2):244–7] DOI: 10.15850/amj.v3n2.477
Characteristics of Functional Constipation among Kindergarten Students in Kecamatan Jatinangor, West Java, Indonesia Giovanni, Livia; Ermaya, Yudith Setiati; Hafsah, Tisnasari
Althea Medical Journal Vol 5, No 1 (2018)
Publisher : Althea Medical Journal

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (3147.202 KB) | DOI: 10.15850/amj.v5n1.1128

Abstract

Background: Functional constipation can occur in children and affect their quality of life, but there is still lack of awareness and inability to provide proper management. Therefore, early detection is important. The aim of this study was to identify the prevalence of functional constipation among kindergarten students and its risks.Methods: A quantitative descriptive study was conducted from April to May 2017 on kindergarten students in Kecamatan Jatinangor, West Java, Indonesia by using questionnaires for their parents. In total, 149 parents joined the study.  The questionnaire was made based on the Rome IV Criteria with additional questions for the student’s characteristics comprised of sex, prematurity, allergy, family history of constipation, dietary fiber consumption, and parents’ education level. Descriptive analyses were conducted.Results: The prevalence of functional constipation among the students was 8.7% with the most frequent complaints were retentive posturing (76.9%), hard stool consistency (38.5%), and history of obstructing toilet by stool (38.5%). Characteristics of children with functional constipation were prematurity (15.4%), history of allergy (15.4%), low dietary fiber intake (from fruits, 69.2%, vegetables 84.6%, seeds 100%), and non-university educated parents (father 76.9%, mother 84.6%).Conclusions: Constipation among kindergarten students in Jatinangor is 8.7%, while the most apparent characteristics in constipated children is low dietary fiber intake. 
Effectiveness of Allergic Rhinitis Management Related to WHO Guideline on Allergic Rhinitis and Its Impact on Asthma (ARIA) Aziza, Atika; Dermawan, Arif; Kusumah Dewi, Vycke Yunivita
Althea Medical Journal Vol 3, No 4 (2016)
Publisher : Althea Medical Journal

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Abstract

Background: The standard procedure of Allergic Rhinitis (AR) Management in Indonesia is based on Allergic Rhinitis and Its Impact on Asthma (ARIA) World Health Organization (WHO) 2008 guideline; however, it needs some adjustment to get an effective use locally in Indonesia. The data related to the problem however did not exist in Indonesia. The study aimed to evaluate the effectiveness of AR patient management based on the ARIA WHO guideline in the Department of Otorhinolaryngology-Head and Neck Surgery Dr. Hasan Sadikin General Hospital Bandung.Methods: The study was conducted from September to October 2015 using quantitative descriptive design to observe the development of ARIA classification, total nasal symptom score (TNSS), and quality of life (QoL) during the first 6 months of therapy. The data were obtained from medical records of AR patients who visited the Rhinology-Allergy clinic Department of Otorhinolaryngology-Head and Neck Surgery Dr. Hasan Sadikin General Hospital within one year. Thirty three patients were included in the study using total sampling.Results: There was significant improvement (p<0.001) in ARIA classification, TNSS, and QoL between the initiation of therapy, the third, and the sixth month. In contrary, there was no significant difference in ARIA classification (p=0.109), TNSS (p=0.317), and QoL (p=1.000) between the third and the sixth month of therapy.Conclusions: Allergic rhinitis patient management based on the 2008 ARIA WHO guideline is effective. [AMJ.2016;3(4):538–44]Keywords: Allergic rhinitis, asthma, effectiveness, management DOI: 10.15850/amj.v3n4.651
Analgesic Usage in Elderly at Public Health Center: A study in West Java, Indonesias Putro, Gembong Soeyono; Sastramihardja, Herri S.; Dwipa, Lazuardhi
Althea Medical Journal Vol 4, No 1 (2017)
Publisher : Althea Medical Journal

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Abstract

Background: Various analgesics prescriptions for elderly are not appropriate according to the guideline and can cause the increase of side effects such as gastric problems. Puskesmas as a public health center in Indonesia has an important role in anticipating this problem. The objectives of this study was to identify the  analgesic usage in elderly patients at the public health center. Methods: This retrospective descriptive study was conducted for 3 months at Tanjungsari public health center, Sumedang, West Java, Indonesia, using total sampling. The data was taken from 417 medical records from 2013. The data taken from medical records were: sex, analgesic drug, diagnosis, and drug for gastric problem.Results: From the collected data, the most analgesics prescribed for the elderly patients was paracetamol, followed by Piroxicam, Mefenamic acid, and Ibuprofen. Not all of the elderly patients who received NSAIDs, were given gastric drug. Conclusions: The most prescribed analgesic drug given to elderly patients at the public health center is paracetamol. [AMJ.2017;4(1):16–9]DOI: 10.15850/amj.v4n1.1014
A Study of Hypoalbuminemia and Pleural Effusionin Pediatric Nephrotic Syndrome Perinandika, Tovan; Rachmadi, Dedi; Dwiyatnaningrum, Fenny
Althea Medical Journal Vol 4, No 2 (2017)
Publisher : Althea Medical Journal

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (155.886 KB) | DOI: 10.15850/amj.v4n2.1075

Abstract

Background: Nephrotic syndrome (NS) is a kidney disease that is most often found in children. Hypoalbuminemia in NS can cause a decrease in oncotic pressure causing extravasation of fluid into the interstitial space. In conditions of severe hypoalbuminemia, fluid extravasation may cause occurrence of pleural effusion. The objectives of this study was to analyze the correlation between hypoalbuminemia and pleural effusion in children with NS. Methods: An analytical study was conducted on 69 medical records of pediatric nephrotic syndrome from 1 January 2008–31 December 2013 in dr. Hasan Sadikin General Hospital. Inclusion criteria were pediatric patients between 1-14 years old with NS. Exclusion criteria were patients who already had albumin transfusion, malnutrition, patients with chronic disease, and incomplete medical record information. Contingency coefficient test was carried out to discover the correlation between variables. Results: Out of 89 samples, 69 samples were included. Characteristics of the included patients are male (n=48), female (n=21), age 1–5 (n=24), 6–10 (n=22), 11–14 (n=23), mild hypoalbuminemia (n=3), moderate hypoalbuminemia (n=27), severe hypoalbuminemia (n=39), patients with pleural effusion (n=23), and non-pleural effusion (n=46). There was a significant correlation between  hypoalbuminemia and pleural effusion with p=0.000 (p<0.05) and moderate correlation (r=0.437). Conclusions: Hypoalbuminemia has correlation with pleural effusion in pediatric nephrotic syndrome.Keywords: Hypoalbuminemia, pediatric nephrotic syndrome, pleural effusionDOI: 10.15850/amj.v4n2.1075
Existence of Antibiotics in Stalls at Jatiroke Village, Jatinangor Sub District Jaelani, Elan; Istriati, Istriati; Sunjaya, Deni Kurniadi
Althea Medical Journal Vol 3, No 2 (2016)
Publisher : Althea Medical Journal

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Abstract

Background: Improper use of antibiotics can lead to lack of drug efficacy against bacteria, and cause resistance to the antibiotics itself. Antibiotics are classified into prescription drugs that should not be available over the counter because of its dangerous effect. It is important to study the presence of antibiotics in traditional stalls. Objective of this study was to investigate existence of antibiotics in stalls, and to investigate reasons of stall- owners for selling antibiotics.Methods: This study used mixed method design, and sequential explanatory approach, and conducted direct observation, spatial mapping, and interview with stall-owners selling drugs in Jatiroke village, Jatinangor sub district from September to November 2013. Total sampling was conducted in this study.Results: Fifty percent from 24 surveyed stalls sold Antibiotics Amoxicillin. The map showed stalls selling antibiotics at roadside. Amoxicillin sold package with Dexamethasone and Non-Steroid Anti Inflammatory Drugs (NSAID) was soldby several stalls. Shopkeepers sold antibiotics due to lack of knowledge about thedrug, need for self-medication, demand, and availability of drugs supply.Conclusions: Antibiotics can be found in several stalls in Jatiroke village, and improper of use of this drug can lead to resistance and less efficacy for treating infections. Although the Act for prescription drugs still exists, low of monitoring and enforcement the regulation by the Badan Pengawas Obat dan Makanan (BPOM) may be one of many factors that influence the existence of antibiotics in the stalls. [AMJ.2016;3(2):239–43]DOI: 10.15850/amj.v3n2.779
Correlations between COPD Assessment Test and Modified British Medical Research Council Scoring and Degree of Airflow Limitation Nuryanda, Dian; Suryadinata, Hendarsyah; Purba, Ambrosius
Althea Medical Journal Vol 4, No 4 (2017)
Publisher : Althea Medical Journal

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (562.255 KB) | DOI: 10.15850/amj.v49n4.1258

Abstract

Background: Chronic Obstructive Pulmonary Disease (COPD) Assessment Test (CAT) and Modified British Medical Research Council (MMRC) dyspnea scale are tools used to assess health status in COPD patients, while Forced Expiratory Volume in one second (FEV1) may represent the degree of airflow limitation. Assessment of COPD patients is rarely performed comprehensively. This study aimed to determine the relationships of CAT and MMRC dyspnea scale and the degree of airflow limitation in COPD patients. Methods: The study was conducted from September until October 2014 after obtaining approval from the Hasan Sadikin General Hospital Ethics Committee. This observational analytic study was performed on 77 medical records of COPD patients at Hasan Sadikin General Hospital. Patients’ medical records included in this study were those with spirometry measurements results, CAT and MMRC dyspnea scale scoring. Data normality was analyzed using Kolmogorov-Smirnov Test. Pearson’s Correlation was used for parametric variables. Spearman’s correlation was used for non-parametric variables.Results: Results showed Pearson’s correlation of CAT and FEV1 (p value=0.035 and r=0.240), and Spearman’s correlation of MMRC dyspnea scale and FEV1 (p value=0.198 and r=0.148).Conclusions: CAT scoring is significantly correlated with the degree of airway limitation. MMRC dyspnea scale is not significantly correlated with the degree of airway limitation.
Effect of Mangosteen Pericarp Extract on Gastric Mucosal Damage Induced by Aspirin Budiono, Jansen; Achadiyani, Achadiyani; Girawan, Dolvy
Althea Medical Journal Vol 3, No 3 (2016)
Publisher : Althea Medical Journal

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Abstract

Background: Peptic ulcer disease is commonly found in the community. Nonsteroidal anti-inflammatory drug (NSAID) such as aspirin is one of the predisposing factors to ulcers. According to various studies, plant extracts have been shown to produce promising results in the treatment of peptic ulcers. Xanthone, the active substance contained in the mangosteen pericarp extract has been extensively studied for its role in various diseases. The present study was undertaken to identify the effect of mangosteen pericarp extract on gastric mucosal damage.Methods: This study was carried out from September−November 2014 in the Animal Laboratory of the Department of Pharmacology and Therapy, Faculty of Medicine, Universitas Padjadjaran/Dr. Hasan Sadikin General Hospital, Bandung. Thirty two rats were randomly divided into 2 groups with different treatments and were induced by aspirin. Histologic studies were conducted to determine the score of gastric mucosal damage. The parameters used were Wattimena’s criteria for damage of gastric mucosa. Data was analyzed using Chi Square test and the outcome was measured in relative risk.Results: The study revealed a significant association between pretreatment with mangosteen pericarp extract and incidence of gastric mucosal damage induced by aspirin (p < 0.05). Calculation with a modified 2 × 2 table revealed a relative risk of 0.625.Conclusions: Rats pretreated with mangosteen pericarp extract exhibit less gastric mucosal damage, in experimentally aspirin-induced ulcer. [AMJ.2016;3(3):388–91] DOI: 10.15850/amj.v3n3.885
Age Pattern at Menarche as Results from a Puberty Survey A/P Ganabathy, Naereintheni; Widjajakusuma, Anggraini; Hidayat, Dini
Althea Medical Journal Vol 3, No 4 (2016)
Publisher : Althea Medical Journal

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Abstract

Background: Range age of menarche is 15 to 17 years old from 1950’s to 20th century. However, in the current generation, the menarche age ranges from 13 to 16 years old. The factors affecting the change in the age of menarche over time and individual variation are due to the genetic or environmental factors. This study was performed to determine age pattern at menarche in Jatinangor, Sumedang ,West Java, Indonesia.Methods: The data for this descriptive study was obtained from a puberty survey performed by faculty members of Faculty of Medicine Universitas Padjadjaran from April–September 2013 in Jatinangor, Sumedang, West Java. A total of 249 female respondents aged 11–70 years old were included in this study. The age and year onset of menarche was determined and analyzed using computer.Results: The range age of menarche in Jatinangor population from early 1963 until 2013 was 9–17 years old, with 0.8% (n=2) cases of precocious puberty in current generation (year onset of menarche, year 2004–2013). For the onset of menstruation, the current generation had a youngest age compared to the other older generations with a mean age of 12.28 years old. Furthermore, most of the respondents from the current generation reached menarche at the age of 12 years old (37.4%). Conclusions: The onset of menarche in current generation is earlier compared to the older generations with most of them reaching menarche at the age of 12 years old. [AMJ.2016;3(4):640–3] DOI: 10.15850/amj.v3n4.952

Page 35 of 107 | Total Record : 1068

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