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Althea Medical Journal

amj
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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.

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Articles 1,068 Documents

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Application of Scoring System Components in Children Diagnosed with Tuberculosis in Jatinangor Primary Health Care, Sumedang Mutiara Azhara Nurwanti; Chrysanti Chrysanti; Sri Sudarwati
Althea Medical Journal Vol 4, No 4 (2017)
Publisher : Faculty of Medicine Universitas Padjadjaran

Background: Diagnosis of tuberculosis in children is very difficult. Scoring system is used to diagnose tuberculosis in children in Indonesia. The aim of this study was to determine the application of scoring system components in children diagnosed with tuberculosis in the primary health care.Methods: This cross-sectional study was conducted in Jatinangor Primary Health Care, Sumedang in September–October 2013. Data were obtained from 59 medical records of pediatric patients diagnosed with tuberculosis in 2010–2012, and recorded on the application of scoring system components including tuberculosis contact history, tuberculin skin test, fever, cough, nutritional status, lymph node enlargement, swelling of bones or joints, and chest X-ray. Results: All scoring system components either with tuberculosis contact history, fever, cough, nutritional status, lymph node enlargement, swelling of bones or joints, and chest X-ray were performed on all of the children diagnosed with tuberculosis, except the tuberculin skin test was performed only on 38 (64%) children. Most frequent clinical symptoms were cough (97%), while fever and malnutrition occurred in 69% and 19% of children, respectively.Conclusions: The application of scoring system components in children diagnosed with tuberculosis in Jatinangor primary health care is not having problems, except for the tuberculosis skin test. Most frequent clinical symptoms of childhood tuberculosis in this study are cough.

Correlation between Physical Fitness Components and Academic Achievement in Elementary School Students Tisnasari Hafsah; Nurul Uyun; Reni Farenia
Althea Medical Journal Vol 5, No 3 (2018)
Publisher : Faculty of Medicine Universitas Padjadjaran

Background: Physical fitness is a degree of health status as a basic physical condition of someone to perform daily activity. Elementary school students should have a good physical fitness to obtain satisfactory academic achievement. The purpose of this study was to examine the correlation between physical fitness and academic achievement. Methods: This study used an observational analytical method with cross-sectional design, conducted from September−October 2013, using total sampling method. There were 82 students of the 4th−6th- grade from Cikeruh 2 elementary school at Jatinangor. The school was chosen by random selection. The physical fitness assessment in this study consisted of step test to measure cardiorespiratory endurance, body mass index (BMI) for body composition, push-up for muscular strength and sit-up for muscular flexibility. Academic achievement was collected from the last examination result. Each component of physical fitness test results were converted to a score and then categorized.Results: Most students (74.4%) had fair physical fitness, boys 68.3%, and girls 80.5%. No correlation was found between physical fitness and academic achievement (p=0.432 and r=0.162).Conclusions: There is no significant correlation between physical fitness and academic achievement.

Quadriceps and Hamstring Muscle Strength in Elderly based on Lifestyle Pang Sze Lyn; Marina A. Moeliono; Sumartini Dewi
Althea Medical Journal Vol 4, No 3 (2017)
Publisher : Faculty of Medicine Universitas Padjadjaran

Background: Studies have shown that muscle strength will decline with aging and inactivity, with 1% to 3% loss of muscle strength each day. Nevertheless, different lifestyles have different effect on muscle strength. This study was conducted to analyze the differences in quadriceps and hamstring muscle strength in elderly from 60–79 years olds according to lifestyle.Methods: A cross-sectional study was conducted from September to November 2015. The subjects were 31 older persons from community who voluntarily participated the research procedure and were divided into 2 groups, active group and sedentary group according to International Physical Activity Questionnaire (IPAQ). Quadriceps and hamstring muscle strengths were measured using the push and pull dynamometer. The collected data were analyzed using the Wilcoxon rank sum test and the unpaired t-test. Results: This study discovered that the mean difference in hamstring muscle strength was 6.09 ± 0.70, p< 0.001; median difference in Quadriceps muscle strength was 5.00 (13.00, 6.50), p<0.001. Conclusions: There is a higher Quadriceps and Hamstring muscle strength in elderly active lifestyle compared to elderly sedentary lifestyle.

Susceptibility to Community Associated Methicillin Resistant Staphylococcus Aureus: A Preliminary Study Gan Ee Xian; Imam Megantara; Sharon Gondodiputro
Althea Medical Journal Vol 5, No 2 (2018)
Publisher : Faculty of Medicine Universitas Padjadjaran

Background: The Staphylococcus aureus infection is a leading cause of infection around the world. Due to the introduction of antibiotics, a strain called Methicillin-resistant S. aureus (MRSA) has emerged and occured in hospitalized patients worldwide. However around 1990, this infection had been detected among healthy people in the community without previous health care contact, known as community associated MRSA (CA-MRSA). The objectives of this study was to identify the susceptibility to CA-MRSA among people who came to Puskesmas Jatinangor, West Java, Indonesia.Methods: A descriptive study using purposive sampling was carried out from September to October 2014 with data obtained through anterior nasal swab of 65 patients from Puskesmas Jatinangor who fulfilled the exclusion and inclusion criteria. Samples were transported to the microbiology lab of Faculty of Medicine Universitas Padjadjaran and planted on blood agar for culturing, then identified through gram staining, catalase and coagulase tests. Lastly tested for antibiotic resistance and the zone of inhibition measuring ≤21mm were classified as positive MRSA. The collected data were presented using tables.Results: Out of 65 samples that were collected and tested, 17 samples (26%) were Staphylococcus aureus (S. aureus) carriers; 6 samples (9%) were positive with MRSA isolates; 6/17 of the S. aureus are MRSA.Conclusions: People who come to Puskesmas Jatinangor show a significantly high proportion of susceptibility to CA-MRS.

Concentration Level Differences between Athletes of Body Contact and Non-Body Contact Sports Nisrina Tache; Leonardo Lubis; Lucky Saputra
Althea Medical Journal Vol 4, No 3 (2017)
Publisher : Faculty of Medicine Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (580.891 KB)

Background: Concentration is one of the components of cognitive function, which is important for athletes in all sport branches. Every branch of sports has their own different characteristics, body contact or non-body contact, seen from the aspects of game activity that have direct or indirect physical contact, rules of the sports, behavior of the athlete and psychological demands. Basically, both sports branches need good level of concentration in order to display their best performance. The study aimed to determine the difference of concentration level between athletes of body contact and non-body contact sports. Methods: This study was an analytic observational study with cross-sectional design, conducted in the Indonesian National Sport Committee (Komite Olahraga Nasional Indonesia, KONI) Secretary Office in September 2015. Primary data were taken using the instrumental concentration test namely Grid Concentration Test. One hundred ninety three athletes were obtained and grouped in body contact (111 athletes) and non-body contact sports (82 athletes). Statistical analysis was performed using the non-parametric test of Mann-Whitney.Results: The result showed that the difference in the athlete’s concentration level between body contact and non-body contact sports was not significant (p=0.151). Nevertheless, the data collection of this study showed that body contact sports had a better concentration level than non-body contact sports however the data was not statistically significant.Conclusions: There is no significant difference in concentration level between athletes of body contact and non-body contact sports.

Cognitive and Functional Outcome among Hospitalized Intracerebral Haemorrhage Patients in West Java’s Top Referral Hospital Ilham Bagas Setyawan; Paulus Anam Ong; M. Zafrullah Arifin
Althea Medical Journal Vol 5, No 1 (2018)
Publisher : Faculty of Medicine Universitas Padjadjaran

Background: Stroke is the highest cause of disability in adults. Disability and cognitive function impairment cause dependency and decreasing quality of life. The objectives of this study was to describe the outcome of functional and cognitive function among intracerebral haemorrhage patients admitted to Dr. Hasan Sadikin General Hospital Bandung in 2013.Methods: This study was a quantitative descriptive study, conducted from October 2016 to August 2017. Data were collected retrospectively with total sampling method from medical records of intracerebral haemorrhage patients admitted to Dr. Hasan Sadikin General Hospital in 2013 assessed with the Montreal Cognitive Assessment-Indonesian Version (MoCA-INA) and Barthel Index. Patients with incomplete medical records , severe aphasia, severe sensoric-motoric impairment, and decreased consciousness were excluded in this study. Data were analyzed using Microsoft Office Excel 2010 and presented in percentage.Results: Out of the 26 subjects, 11 were men and 15 women , who were in the age range of 45–54 years (42.3%), with low education level (61.5%), and unemployed (61.5%) had the highest prevalence on subjects studied. Hypertension was the most common risk factor (78%). Most subjects had cognitive function impairment (69.2%) with delayed memory function as the most common impairment domain found (84.6%), followed by visuospatial/executive function (69.2%). Most subjects had a high score of dependence according to the Barthel test (61.5%).Conclusions: Two third of intracerebral haemorrhage patients have cognitive function impairment and functional dependence. Memory function is the most common impaired cognitive functional domain.

The Analgesic Effect of Ethanol Extract Soursop (Annona muricata L.) Leaves in Wistar Rats Kuswinarti Kuswinarti; Kendry Savira; Reno Rudiman
Althea Medical Journal Vol 5, No 4 (2018)
Publisher : Faculty of Medicine Universitas Padjadjaran

Background: Pain is an emotional and sensory experience that is unpleasant and related to tissues damage. In the past, Soursop (Annona muricata L.) leaves have been believed to be able to relieve pain. This study aimed to explore the analgesic effect of soursop leaves and its effective dose in an animal model. Methods: Wistar rats (n=25) had been used in this experimental study, divided into 5 groups; consisting of a negative control group, experiment groups using extract soursop leaves with doses of 200mg/kgbw, 400 mg/kgbw and 600 mg/kgbw, and natrium diclofenac as a positive control. One hour after treatment, all groups of rats were induced by carrageenan-lambda in the feet. The basal retraction of rats’ legs was measured in 47oC water and repeated at two, four, and six hours. The data were analyzed using analysis of variance and Tukey’s test. Result: The dose of 200 mg/kgbw had no analgesic effect (p>0.05), while the dose of 600 mg/kgbw had the highest analgesic effect at 7.72 seconds on the 4th hour of induction. On the 6th hour, the dose of 400 mg/kgbw had the highest analgesic effect at 3.58 seconds.Conclusions: Extract soursop (Annona muricata L.) leaves in this study have been proven to have an analgesic effect.

Early Detection of Suspected Systemic Lupus Erythematosus in Community-Dwellings in West Java Indonesia Nadia Gita Ghassani; Laniyati Hamijoyo; Soeseno Hadi
Althea Medical Journal Vol 4, No 3 (2017)
Publisher : Faculty of Medicine Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (576.738 KB)

Background: Prevalence of systemic lupus erythematosus (SLE) has been known in almost all countries around the world. Contrary to this, in Indonesia, neither a national epidemiologic study on SLE nor any direct study on SLE in the general population has been conducted. Early detection of SLE is needed as a first step to determine prevalence of SLE in Indonesia as well as to prevent further complications. This study aimed to obtain the prevalence of suspected SLE in community-dwellings.Methods: This study was conducted in the period September to November 2015 and used the descriptive cross-sectional method. The respondents were people who were at least 18 years old and lived in selected blocks in three different villages in Jatinangor, West Java. Data were obtained from secondary sources of a previous SLE screening study that was incorporated in a study on “Epidemiology of hypertension and albuminuria in Jatinangor” in 2014, using the multistage sampling method. Suspected SLE was based on the Liang screening questionnaire. The collected data were presented in tables.Results: There were 72 respondents (8%) suspected to have SLE. Most of the cases were female (Odds ratio:1.47) and 51–60 years old. The most clinical manifestation was painful swollen joints >3 months.Conclusions: The existence of suspected SLE cases in Jatinangor’s population, as an example of Indonesian population should be a concern so that examinations could be carried out to make sure that respondents with SLE can be provided prompt interventions to prevent further complications.

Association between Age and Histopathological Grade of Bladder Urothelial Carcinoma Dionisius Alby; Abdul Hadi Hassan; Jupiter Sibarani
Althea Medical Journal Vol 4, No 4 (2017)
Publisher : Faculty of Medicine Universitas Padjadjaran

Background: Bladder cancer, particularly urothelial carcinoma, is prevalent in male and ≥55 years old population. Grade of the bladder tumor affects clinical characteristics, management, and prognosis of the patient. This study aimed to analyze the association between age and histopathological grade of bladder urothelial carcinoma. Methods: This cross-sectional analytical study was approved by the Ethical Clearance Committee of Dr. Hasan Sadikin General Hospital, involving 241 medical records of bladder urothelial carcinoma patients in the Department of Anatomical Pathology at Dr. Hasan Sadikin General Hospital during 2009–2013. Chi-square test was applied to 45 patients with complete record of histopathological grade.Results: Most of the subjects were 65 years old. Male patients were the most frequent. The proportion of low-grade carcinoma in <65 years old age group was only 39.1%, while in ≥65 years old age group was 72.7%. The proportion of high-grade carcinoma in <65 years old age group reached 60.9%, which was 27.3% higher than in ≥65 years old age group. Chi-square test result showed a statistically significant difference between histopathological grade of urothelial carcinoma in <65 years and ≥65 years age groups (p=0.023).Conclusions: Proportion of high-grade and low-grade urothelial carcinoma between <65 years and ≥65 years age groups are statistically different; therefore, an association between age and histopathological grade of bladder urothelial carcinoma is shown.

Health-Seeking Behavior of Dengue Hemorrhagic Fever Patients in Several Hospitals in Bandung West Java Indonesia Ressa Novita Afandi; Bachti Alisjahbana; Ardini S. Raksanagara
Althea Medical Journal Vol 5, No 3 (2018)
Publisher : Faculty of Medicine Universitas Padjadjaran

Background: Dengue hemorrhagic fever is one of the major global public health problems. Secondary prevention of dengue fever must be conducted to prevent high mortality rate by giving appropriate diagnosis and early management. This study was conducted to identify health-seeking behavior in dengue hemorrhagic patients and its related factors.Methods: This study involved 98 dengue hemorrhagic patients from four hospitals in Bandung region during July until November 2014. The hospitals were 2 public hospitals and 2 private hospitals. A questionnaire and in depth interview were used to collect the data.Results: Among 98 patients, 54 patients (55%) sought a right medical treatment timely, whereas 44 patients (45%) delayed. The first seeking behaviour to treat the disease was using over-the-counter drugs, followed by visiting a private clinic doctor. The second choice to seek health care was going to a private clinic doctor and hospital.Conclusions: Health-seeking behavior in dengue hemorrhagic patients in Bandung is inappropriate which can cause delay in treatment.

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Editorial Address Gedung Rumah Sakit Pendidikan Unpad/Pamitran Unpad (Teaching Hospital Building) Faculty of Medicine Unpad, 3rd Floor Jl. Prof. Eyckman No. 38, Bandung, 40161, Indonesia

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Contact Name
-

Contact Email
-

Phone
-

Journal Mail Official
chiefeditor.amj@gmail.com

Editorial Address
Gedung Rumah Sakit Pendidikan Unpad/Pamitran Unpad (Teaching Hospital Building) Faculty of Medicine Unpad, 3rd Floor Jl. Prof. Eyckman No. 38, Bandung, 40161, Indonesia

Location
Kota bandung,

Jawa barat

INDONESIA