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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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Pulmonary Function of Tuberculosis Patients in Medication at Dr. Hasan Sadikin General Hospital Bandung 2013–2014 Shalahuddin Galih Pradipta; Hendarsyah Suryadinata; Setiawan Setiawan
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 (209.707 KB)

Background: Tuberculosis (TB) is a dangerous global disease that already affects millions of people in the world and acts as the second most frequent cause of death in infectious diseases. Tuberculosis mostly attacks the lung and the inflammation process causes lung damage. The lung damage causes a decrease in pulmonary function. There has been no study about tuberculosis patient lung function in the advanced stage of medication.Methods: This study was conducted from August–October 2014 at DOTS Policlinic of Dr. Hasan Sadikin General Hospital Bandung. The study population was lung TB patients. The inclusion criteria were 1st category lung TB patients with anti-TB drug treatment on intensive phase. The exclusion criteria were extrapulmonary TB patients, patients with lung surgery history, and patients with asthma or chronic obstructive pulmonary disease (COPD). This study used purposive sampling. The subjects were given a spirometry test where the forced expiratory volume 1 second (FEV1), forced vital capacity (FVC), and their ratio were collected and then interpreted.Results: Among the 60 subjects included in this study, the data showed that 83.4% of the subjects had a decreased pulmonary function consisting of obstructive (6.7%) and restrictive patterns (76.7%).Conclusions: The majority of pulmonary TB patients treated with 1st category anti-TB drugs during intensive phase have a decrease in pulmonary function and most of them have restrictive pattern of pulmonary function.

Perception of Universitas Padjadjaran Students towards Psychotic Disorders Renzavaldy Rusly; Veranita Pandia; Deni Kurniadi Sunjaya
Althea Medical Journal Vol 5, No 1 (2018)
Publisher : Faculty of Medicine Universitas Padjadjaran

Background: Psychotic disorders have a very high incidence in Indonesia and arethe first rank in terms of the global burden of disability. Students are the frontline in the face of society. The formation of stigma and discrimination is rooted from bad perceptions. The aim of this study was to determine and measure Universitas Padjadjaran students’ perceptions towards psychotic disorders and find out why these perceptions can be shaped. Methods: The design of study was a sequential explanatory mixed method research. The population of this study is glittering Universitas Padjadjaran students who were in Jatinangor between batches 2011 to 2013. Samples were taken using cluster and stratified random sampling. Quantitative data retrieval was collected by using a self-administered questionnaire. Next, there would be focused group discussions and in-depth interviews which discussed the results of the quantitative data collection then interpreted them qualitatively. Result: The percentage of students at Universitas Padjadjaran with perception of psychotic disorders in good category was 19.04%, 80.96% unfavorable category, and bad 0% (n=126). Besides various relevant opinion found why these perceptions were formed, such as a lack of education on students towards psychotic disorders, the existence of stigma based on life experience of psychotic patients, the lack of social media and physical campaign towards the psychotic disorders.Conclusions: The perception of Universitas Padjadjaran students towards psychotic disorders is still relatively unfavorable, therefore literation towards psychotic disorders should be provided through education, campaigns, social media utilization by psychiatrists and the government.

Characteristics of Elderly Patients with Sarcopenia at Geriatric Outpatient Clinic Dr. Hasan Sadikin General Hospital Period 2012–2014 Sania Putri Darwita; Yuni S. Pratiwi; Lazuardhi Dwipa
Althea Medical Journal Vol 5, No 4 (2018)
Publisher : Faculty of Medicine Universitas Padjadjaran

Background: Sarcopenia can lead to difficulty in physical activities, therefore, elderly cannot live independently. However, data on sarcopenia are not yet available in Dr. Hasan Sadikin General Hospital. This study was conducted to identify the frequency of occurrence and characteristics of elderly patients with sarcopenia.Methods: This study used descriptive method and was conducted from May to October 2014. Total sampling method was performed to medical records of elderly patients with sarcopenia at Geriatric Outpatient Clinic Dr. Hasan Sadikin General Hospital during the period 2012–2014. Variables observed were age, gender, body mass index (BMI), activities of daily living (ADL), timed up and go test (TUG), mini nutritional assessment (MNA), disease record, and medication record. Patients with sarcopenia were then grouped based on characteristics of age, gender, BMI, ADL, TUG, MNA, disease record, and medication record.Results: Out of 255 registered elderly patients, 22(8.63%) were with sarcopenia and one was excluded due to incomplete data. Sarcopenia was most prevalent in patients aged 80 years and older (15.38%), and commonly in men (57.1%). Most patients had hypertension history (66.6%), multiple comorbidities (61.9%), normal BMI (33.3%), normal ADL (85.7%), normal MNA (76.1%), and normal TUG scores (80.9%), and polypharmacy (52.3%) history.Conclusions: Sarcopenia is prevalent in men aged 80 years and older. Although sarcopenia patients have hypertension history, multiple comorbidities and history of polypharmacy, most patients live with normal daily activities and have good body mass index, however, quality of life of elderlies needs to be improved further.

Correlation between Short-Term Memory and Achievement of Athletes Ryandika Elvereza Mustari; Leonardo Lubis; Nani Kurniani
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 (193.2 KB)

Background: Human activity is largely related to thought processing or cognition. One of the most important components of cognition is memory. Individuals who undergo heavy activities, such as athletes, use a lot of memory in the subject’s activities, especially during competitions. The purpose of this study was to find out whether there was a correlation between the capability of short term memory with the performance of an athlete during a competition, especially those measured by achievements.Methods: This study was an analytic observational correlation study with a cross-sectional design and involved 201 athletes as respondents from 12 branches of sports. The study was conducted in the Indonesian National Sports Committee (KONI) building from September to November 2015. Digit Span Forward and Backward were used to collect short term memory data and was performed after a consent form and the respondent’s identity was recorded. The athlete’s achievements data was gathered by an interview and recapitulation of athlete’s achievements in the last five years.Results: OA total of 186 data was analyzed and found a negative and insignificant correlation between achievement and short-term memory based on digit span tests both forward (r=0.095 p=0.196) and backward(r=0.039 p=0.196). Conclusions: There is no correlation between short term memory and the achievements of an athlete.

Environmental Factors, Knowledge, and Hygiene Behaviour among Mothers: A Slum Area in Bandung City, West Java, Indonesia Gusti Adintya Putri; Sri Yusnita Irda Sari; Yoni Fuadah Syukriani
Althea Medical Journal Vol 4, No 4 (2017)
Publisher : Faculty of Medicine Universitas Padjadjaran

Background: The increased number of population living in urban areas causes the increase of requirement of basic life needs as well as the increase of household and human excreta waste. If these wastes were not well managed, this situation would contaminate the environment. This study aimed to analyze the relatioship between environmental factors, knowledge and hygiene behavior among mothers who lives in Bandung slum area.Methods: An analytic cross sectional study was carried out on 132 mothers who lived in Tamansari subdistrict in Bandung city (RW 06, 07, 15, and 16) from May to October 2014. The primary data were collected using 2 sets of questionnaire and an observation checklist. The environmental factors and knowledge variables were catagorized into good and poor, while hygiene behavior was catagorized into good, moderate, and poor. The collected data were statistically analyzed using Chi-Square test.Results: More than half of the participants had good environmental factors (60.6%), 59 participants (44.6%) had good knowledge about hygiene and 83 participants (62.9%) had good hygiene behavior, 43 participants (32.6%) had a moderate hygiene behavior, and 6 participants (4.5%) bad hygiene behavior. Environmental factors was related to hygiene behavior (p=0.002). However, knowledge was not related to hygiene behavior (p=0.539). Conclusions: Environment is a significant factor to hygiene behavior

Knowledge toward Drugs Resistant Tuberculosis in One of the Highest Burden Drug Resistant Country Amalia Rizki Ramadhani; Bony Wiem Lestari; Hendarsyah Suryadinata
Althea Medical Journal Vol 5, No 3 (2018)
Publisher : Faculty of Medicine Universitas Padjadjaran

Background: Drug resistant tuberculosis (DR-TB) is the biggest threat in TB case control worldwide. West Java Province is one of the three provinces with the most DR-TB burden in Indonesia. Knowledge level in DR-TB patients influences the perception, health search effort, and patient compliance towards DR-TB treatment. This study was aimed to identify the knowledge level about DR-TB in DR-TB patients at Hasan Sadikin General Hospital. Methods: This cross-sectional, descriptive quantitative study used consecutive sampling. In the study 96 patients were included. Primary data were collected through interview with questionnaire towards DR-TB patients at MDR-TB Clinic Hasan Sadikin General Hospital during September-November 2016. The questionnaire contained sociodemographic data and knowledge about DR-TB which consisted of definition, transmission, risk factors, resistance types, symptoms, medication, and prevention of DR-TB. The collected data were analyzed using statistical software for descripitive statistical analysis.Results: The average age of patients was 38 years (SD±11.7) and mostly ranging from 36–45 years old. Male had a higher distribution compared to female (55.2%). Analysis results showed 20% patients had “Adequate” knowledge level, 34.4% of the patients had “Sufficient” knowledge, and 39.6% of the patients had “Poor” knowledge about DR-TB.Conclusions: DR-TB patients at MDR-TB Clinic Dr. Hasan Sadikin General Hospital Bandung have “poor” knowledge regarding DR-TB.

Destructive Effect of Calcium Hypochlorite against Pseudomonas aeruginosa Biofilm Ilma Arifani; Gita Widya Pradini; Insi Farisa Desy Arya; Adi Imam Cahyadi
Althea Medical Journal Vol 4, No 3 (2017)
Publisher : Faculty of Medicine Universitas Padjadjaran

Background: Pseudomonas aeruginosa is the most common bacteria contaminating the hemodialysis water and has high capability to form a biofilm. The presence of biofilm is hazardous because it becomes a constant source of bacterial and toxin release toward the hemodialysis patient’s blood. Calcium hypochlorite (Ca(OCl)2) is an easily obtained disinfectant. This study was aimed to detect the destructive effect of Ca(OCl)2 against P. aeruginosa biofilm and the optimal disinfectant concentration required to achieve significant effect.Methods: This experimental study was conducted in six replicates from September to October 2015 in Microbiology Laboratory of Faculty of Medicine Universitas Padjadjaran Bandung. A modified tissue culture plate method was performed to grow P. aeruginosa biofilms which were subsequently treated with Ca(OCl)2 in various chlorine concentrations, namely 20, 30, 40, and 500 parts per million (ppm). The data was analyzed using Welch Analysis of Variance (ANOVA) and Games-Howell post-hoc tests and presented in tables.Results: Data were obtained from 36 flat-bottomed polystyrene wells. There was a statistically significant mean difference between groups [F(4, 11.92)= 91.198, p<0.001)]. All of the tested chlorine concentrations caused significant decreases in biofilm optical densities (p = 0.027 for 20 ppm and p< 0.001 for 30, 40, and 500 ppm).Conclusions: Ca(OCl)2 with chlorine concentrations of 20, 30, 40, and 500 ppm have significant destructive effect against P. aeruginosa biofilm. The mean differences among treated groups were not significant. The most optimum concentration is 30 ppm.

Cognitive and Functional Outcome of Patients with Ischemic Stroke at Dr. Hasan Sadikin Hospital Bandung Najmia Shabrina Nahrowi; Paulus Anam Ong; Achmad Adam
Althea Medical Journal Vol 5, No 2 (2018)
Publisher : Faculty of Medicine Universitas Padjadjaran

Background: Stroke is the second leading cause of death and adult disability throughout the world in which the risk of cognitive impairment tripled after stroke. Approximately 30% of the patients experience residual disabilities and over half of patients remain physically dependent following a stroke. This study aimed to describe cognitive and functional outcome of patients with ischemic stroke at Dr. Hasan Sadikin Hospital Bandung.Methods: This retrospective descriptive study used secondary data from medical records (January-December 2013) of patients with ischemic stroke at Dr. Hasan Sadikin Hospital, Bandung, and was conducted from June–September 2017. Cognitive outcome was determined by the final score of the Indonesia version of MoCA (MoCA-INA), classified into impaired if the score was <26 and normal if the score was >26.Whereas functional outcome was determined by degradation of Barthel Index (BI), from complete dependence to independence. Data were analyzed, presented in the form of tables.Results: Out of a total of 91 subjects consisting of 46 female (50.55%) and 45 male (49.45%), the result showed 55 subjects (60.44%) had cognitive impairment with memory (75.82%) as the highest prevalence of impaired cognitive domain. The functional outcome was 34 patients (37.37%) had moderate to complete dependence whereas only 13 patients (14.29%) were independent.Conclusions: Cognitive impairment occurs in more than 75% ischemic stroke patients with memory as the most commonly impaired domain and more than one third of ischemic stroke patients still have moderate to complete dependence in activities of daily living (ADL).

Nasal Endoscopy Findings in Acute and Chronic Rhinosinusitis Patients Stephanie Dharmaputri; Lina Lasminingrum; Yulia Sofiatin
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 (604.437 KB)

Background: According to European Position Paper on Rhinosinusitis and Nasal Polyps (EPOS) 2012, rhinosinusitis is diagnosed based on symptoms, nasal endoscopy, and CT scan. The CT scan is the gold standard to diagnose rhinosinusitis, but its high cost and lack of availability become the problems in Indonesia. Hence, nasal endoscopy is a choice to diagnose rhinosinusitis. This study was aimed to describe the findings of nasal endoscopyin in acute and chronic rhinosinusitis. Methods: This cross-sectional descriptive study was performed using medical record of acute and chronic rhinosinusitis patients. The samples were chosen with consecutive sampling. Inclusion criteria of this study were patients that underwent nasal endoscopy examination in Otorhinolaryngology–Head and Neck Surgery Clinic Dr. Hasan Sadikin General Hospital Bandung in 2014.The collected data were analyzed in the form of tables.Results: Among 138 patients, the number of female patients (55.1%) was higher than male patients. Majority of the patients (37.5%) were 25–44 years old. Majority of the chief complaint was nasal obstruction (48.6%). The patients with allergic history (48.6%) were higher than patients without allergic history (19.6%). According to nasal endoscopy results, nasal discharge and edema were found in most of the patients (68.8% and 63.0%), but nasal polyp was only found in 15.9% patients. Other findings, such as hypertrophy concha or nasal septum deviation, were also found on 87.7% patients. Conclusions: Most of the rhinosinusitis patients are found with at least one of the following results of nasal endoscopy, which are nasal discharge, edema, or nasal polyp.

Factors Influencing Outcomes of Children Hospitalized with Acute Severe Malnutrition Viramitha Kusnandi Rusmil; Siska Wiramihardja; Adhitya AP; Dida A Gurnida
Althea Medical Journal Vol 5, No 2 (2018)
Publisher : Faculty of Medicine Universitas Padjadjaran

Background: Nutrition is still a global health issue, and improving nutrition is among the targets of the Sustainable Developmental Goals (SDGs). One of Indonesia’s SDGs indicators is to reduce prevalence of malnutrition in children. Indonesia, as a developing country, implements a comprehensive malnutrition treatment program for children, including various aspects related to management of children with acute malnutrition. The purpose of this study was to identify factors associated with the outcome of children hospitalized with acute severe malnutrition. Methods: This cross sectional study enrolled 195 children with severe acute malnutrition, admitted to hospital from November 2016 to August 2017. Statistical Analysis was conducted using multivariable logistic regression to identify factors associated with the outcome. Adjusted Ratio with Confident Interval 95% and the value of P <0 .05 was considered significant. Result: A total of 195 children were diagnosed havings acute severe malnutrition. A history of complete immunization status (p value <0.001) was proved to be directly proportional to the recovery rate of patients with acute severe malnutrition. Provision of other types of antibiotic (p value 0.001) showed to increase recovery rates of patients with acute severe malnutrition. Several comorbid diseases reduced recovery rates such as pneumonia (Crude OR 0.619) tuberculosis (Crude OR 0.606) and HIV (p value 0.08).Conclusions: This study shows that although the provided treatments are appropriate with the standard treatment for severe malnutrition, they still encounter high levels of morbidity. Further large-scale studies should be conducted to develop better interventions and management of acute severe malnutrition, in order to achieve better outcome.

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Contact Name
-

Contact Email
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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