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
<![CDATA[Qualitative Analysis of Establishing Diagnosis and Management of Hypertension from Patient’s Perspective in Jatinangor ]]>
<![CDATA[Yulia Sofiatin]]>;
<![CDATA[Nazmun Lailah]]>;
<![CDATA[Trully Deti Rose Sitorus]]>;
<![CDATA[Rully M. A. Roesli]]>
<![CDATA[ Althea Medical Journal Vol 5, No 4 (2018) ]]>
Publisher : <![CDATA[Faculty of Medicine Universitas Padjadjaran ]]>
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DOI: 10.15850/amj.v5n4.1631
<![CDATA[Background: Blood pressure control is necessary to prevent complications in patients with hypertension. A previous study in Jatinangor showed the failure of controlling blood pressure even with pharmacological treatment. Proper diagnosis and effective management are considered to influence the condition. This study was performed to describe the process of establishing diagnosis and management for hypertension from the patient’s perspective in Jatinangor.Methods: A phenomenological approach was used. Data were collected through semi-structured questions in focus group discussions (FGDs) led by a moderator. Participants of FGDs were patients with hypertension who had undergone antihypertensive drugs therapy based on a previous study, and were invited by the local health cadres. The study was held in two villages in Jatinangor, namely Hegarmanah and Cilayung in the period of July to August 2015. Data were presented as narration and figures.Results: There were five and eight hypertensive participants for Hegarmanah and Cilayung villages FGD, respectively. Diagnosis of hypertension in FGD participants was not only confirmed by doctors but also other health professionals, due to various accessibilities to health care facilities. Diagnosis establishment and management of hypertension were not following the protocol. Education on pharmacological and non-pharmacological management was provided by health professionals, however still lacked details and was not reviewed on every visit, resulting in a lack of compliance. Conclusions: Process of establishing diagnosis and management of hypertension from the patient’s perspective in Jatinangor is unfortunately not following the protocol, thus may influence the blood pressure control outcome. ]]>
<![CDATA[Response Time, Decision Time, and Delivery Time in Pediatric Emergency Unit of West Java Top Referral Hospital ]]>
<![CDATA[Ayu Sary Oktaviani]]>;
<![CDATA[Dzulfikar D. Lukmanul Hakim]]>;
<![CDATA[Suwarman Suwarman]]>
<![CDATA[ Althea Medical Journal Vol 4, No 3 (2017) ]]>
Publisher : <![CDATA[Faculty of Medicine Universitas Padjadjaran ]]>
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<![CDATA[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. ]]>
<![CDATA[Etiology of Allergic Contact Dermatitis based on Patch Test ]]>
<![CDATA[Dita Maulida Anggraini]]>;
<![CDATA[Endang Sutedja]]>;
<![CDATA[Achadiyani Achadiyani]]>
<![CDATA[ Althea Medical Journal Vol 4, No 4 (2017) ]]>
Publisher : <![CDATA[Faculty of Medicine Universitas Padjadjaran ]]>
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DOI: 10.15850/amj.v4n4.1265
<![CDATA[Background: Allergic contact dermatitis is a type of contact dermatitis, whose prevalence tends to increase every year. Patch test is an important diagnostic test to confirm the disease. The result of patch test can help doctors to perform appropriate treatment. The aim of the study was to identify the most frequent allergen causing allergic contact dermatitis based on patch test results.Methods: This was a descriptive retrospective study among patients who underwent patch test at the Dermatology and Venereology Clinic in Dr.Hasan Sadikin General Hospital Bandung, Indonesia from August 1st, 2014 to August 31st, 2015. The patch test result was obtained from the patient’s medical record and recapitulation data. The patient’s medical record would be collected based on inclusion and exclusion criteria. This study also collected demographic data of the patients, including age, sex, and occupation.The collected data were presented using tables.Results: Out of 45 patient’s medical records, 19 patients were male (42.2%) and 26 patients were female (57.8%). Nickel sulphate was the most frequent allergen with 17 sensitization. Thirteen out of 17 patients who were sensitized by nickel sulphate were females. A great majority of the patients were in the age group of 15–44 years. Most of the patients were students (42.2%). Allergic contact dermatitis (64.4%) was the main clinical diagnosis among the patients.Conclusions: The most frequent allergen causes allergic contact dermatitis is nickel sulphate.]]>
<![CDATA[Effects of Ageratum conyzoides Leaf Decoction on Glucose Absorption in Rat’s Small Intestine ]]>
<![CDATA[Siti Sakinah]]>;
<![CDATA[Diah Dhianawaty]]>;
<![CDATA[Vita Murniati Tarawan]]>
<![CDATA[ Althea Medical Journal Vol 5, No 3 (2018) ]]>
Publisher : <![CDATA[Faculty of Medicine Universitas Padjadjaran ]]>
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DOI: 10.15850/amj.v4n3.1611
<![CDATA[Background: Obesity is one of the health problems caused by excessive glucose intake which exceeds normal body requirement. To prevent health problems, Indonesian natives used traditional herbs, such as Ageratum conyzoides (billygoat weeds). The study aimed to discover the effect of Ageratum conyzoides leaf decoction on glucose absorption in the small intestine of rats.Methods: An experimental study was conducted at the Biochemical Laboratory of Faculty of Medicine, Universitas Padjadjaran. Two groups of six rats were given Ageratum conyzoides leaf decoction with dosages 0.89 and 1.33 g/kgbw respectively. Each rat was given glucose solution as a control, decoction administration along with the glucose solution, and glucose solution again to discover the effect of decoction in the absorption function after the administration of decoction was discontinued. Glucose absorbed by the intestine was measured every 15 minutes in 1 hour after the administrationof the solution.Results: Glucose absorption was impeded in dosage 1 and 2 with a mean of the gap between glucose absorbed concentration before given decoction and after given decoction were 73.97 and 45.09 mg/dl respectively. Analysis using paired t-test resulted in insignificant meaning (p-value of dosage 0.89 g/kgbw=0.08; p-value of dosage 1.33 g/kgbw=0.06). In the last glucose perfusion, absorption increased in both dosages after administration of decoction was discontinued.Conclusions: Ageratum conyzoides leaf decoctioncan inhibit the glucose absorption in the small intestine but is not statistically significant. Further investigation may be needed by using a higher concentration of Ageratum conyzoides and/or other filtration methods.]]>
<![CDATA[Effect of Short Term Cardiac Rehabilitation Program on Quality of Life in Patients with Coronary Artery Disease ]]>
<![CDATA[Ina Marita]]>;
<![CDATA[Sunaryo B. Sastradimaja]]>;
<![CDATA[Badai Bhatara Tiksnadi]]>
<![CDATA[ Althea Medical Journal Vol 4, No 3 (2017) ]]>
Publisher : <![CDATA[Faculty of Medicine Universitas Padjadjaran ]]>
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<![CDATA[Background: Cardiac rehabilitation (CR) programs are known to be one of the effective managements which aim to improve the quality of life (QoL) in coronary artery disease (CAD). However, there is still controversy about the effect on QoL dimension. The purpose of this study is to determine the effect of short term cardiac rehabilitation program on quality of life in patients with coronary artery disease.Methods: The study design used was a quasi experimental study with repeated measurements in consecutive sampling involving 11 subjects with CAD from September–November 2015 in Cardiorespiratory Clinic and Gymnasium of Physical Medicine and Rehabilitation and Cardiac Unit Services, Dr. Hasan Sadikin General Hospital Bandung. The cardiac rehabilitation program was performed for 4 weeks. The quality of life was scored using medical outcomes study short form 36 (SF-36) questionnaire before and after CR program. Statistics obtained in this study were analyzed using paired t-test and Wilcoxon test.Results: This study involved 11 male patients with CAD with an average age of 58 (11) years old with the diagnosis of CAD post CABG (n=6), CAD post PCI (n=4), and CAD unrevascularized (n=1). The average total score of quality of life questionnaire SF-36 demonstrated a significant increase (p<0.001) after CR program 87.27(8.5) as compared to before CR program 49.09(8.4). This improvement occurred in all QoL dimensions.Conclusions: Short term cardiac rehabilitation program can improve the quality of life in patients with coronary artery disease. ]]>
<![CDATA[Correlation between Serum Uric Acid and HbA1c Levels in Patients with Type 2 Diabetes Mellitus ]]>
<![CDATA[Rifan Nugraha]]>;
<![CDATA[Nina Tristina]]>;
<![CDATA[Miftanurachman Miftanurachman]]>
<![CDATA[ Althea Medical Journal Vol 5, No 3 (2018) ]]>
Publisher : <![CDATA[Faculty of Medicine Universitas Padjadjaran ]]>
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DOI: 10.15850/amj.v5n3.465
<![CDATA[Background: Indonesia ranks fourth among countries with the highest number of diabetics. Increasing evidence suggests that hyperuricemia is an independent risk factor for impaired fasting glucose (IFG) and type 2 diabetes. Some observational studies have identified elevated uric acid concentration as a risk factor for diabetes, while others have found an inverse relationship. The present study was conducted to discover the strength and the direction of the correlation. Methods: This study was an analytical cross-sectional study conducted from May to October 2014. The study subjects were 56 medical records of new outpatients diagnosed with T2DM in the Internal Medicine Polyclinic who underwent laboratory examination at the Clinical Pathology Unit of Dr. Hasan Sadikin General Hospital, January-December 2013. Result: The correlation between HbA1c and uric acid levels on the whole subject revealed a weak but significant negative correlation (r=-0.354, p=0.007). There was an insignificant negative correlation in male subjects (r=-0.405, p=0.120); in female subjects (r=-0.319, p=0.05), the correlation was a weak but insignificant negative correlation.Conclusions: There is a weak correlation between HbA1c and uric acid levels in patients with Diabetes Mellitus type 2. ]]>
<![CDATA[Characteristics of Hypertension in Children at Dr. Hasan Sadikin General Hospital Bandung in January to December 2014 ]]>
<![CDATA[Meilani Meilani]]>;
<![CDATA[Nanan Sekarwana]]>;
<![CDATA[Yuni Susanti Pratiwi]]>
<![CDATA[ Althea Medical Journal Vol 4, No 3 (2017) ]]>
Publisher : <![CDATA[Faculty of Medicine Universitas Padjadjaran ]]>
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<![CDATA[Background: Hypertension is often found in children. It could cause serious complications and added risk of hypertension in adulthood. Hypertension in children is likely secondary type and some of them might be severe. The aim of this study was to determine the demographic and clinical characteristics of hypertension in children admitted to Dr. Hasan Sadikin General Hospital Bandung in January to December 2014.Methods: The study design used was a quantitative, descriptive cross-sectional study. Data were obtained from medical records retrospectively of inpatient children from the period January to December 2014. Data were collected from the period September to November 2015 based on age and gender as a demographic characteristics and stage of hypertension, etiology of hypertension, and emerge of hypertensioncomplication as a clinical characteristics.Results: Ninety(1.9%)children with hypertension were found from 4,681 of total inpatient children consisting of 58 males and 32 females with median of age 8 (0−13) years old.The main stage of hypertension was hypertension stage 2 with 55 cases and nephrotic syndrome as the most common causes with 43 cases. The complications were present in hypertension stage 2 with 3 cases and hypertensive crisis with 2 cases.Conclusions: Children with hypertension are most commonly males and median of age was 8 years old. Hypertension is characterized by hypertension stage 2 and nephrotic syndrome as the most common etiology. Complications of hypertension appear in severe hypertension.]]>
<![CDATA[Knowledge and Attitude of Women in Reproductive Age toward Clubfoot in Cikeruh Village, Jatinangor Sub−district in 2014 ]]>
<![CDATA[F. M. Dicky Fitraendi]]>;
<![CDATA[Fathurachman Fathurachman]]>;
<![CDATA[Nugroho Harry Susanto]]>
<![CDATA[ Althea Medical Journal Vol 5, No 2 (2018) ]]>
Publisher : <![CDATA[Faculty of Medicine Universitas Padjadjaran ]]>
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DOI: 10.15850/amj.v5n2.1413
<![CDATA[Background: Clubfoot is a congenital anomaly which the ankle is twisted outward from the normal position. Clubfoot is the most common birth defect that can cause disability in the world. 150.000 – 200.000 babies are born with clubfoot every years. Clubfoot is a neglected disease. Immediate intervention is needed to treat the patient with Clubfoot. One of the most common barrier of the treatment is the knowledge and attitude of the society about Clubfoot. This study aimed to know the knowledge and attitude of the society especially women with reproductive age toward clubfoot in Cikeruh village Jatinangor sub−district in 2014.Methods: This research was conducted to 100 women with reproductive age with age interval 15−49 years old which live in Cikeruh village Jatinangor in 2014 with purposive sampling method. A questionnaire was used as instrument to collecting data which is later categorized by good, fair, and low for the knowledge and positive and negative for attitude.Results: From 100 sample women of reproductive age in Cikeruh village at 2014 who were asked about clubfoot, 39% had a good knowledge and 61% had a fair knowledge. There were 42% of respondent who had a negative attitude toward clubfoot and 58% had positive attitude.Conclusion: Majority sample women of reproductive age in Cikeruh village at 2014 have a fair knowledge about clubfoot. The ratio between positive and negative attitude toward clubfoot is almost 1:1 because of the minimal differences. ]]>
<![CDATA[Treatment Seeking Patterns among Dengue Fever Patients: A Qualitative Study ]]>
<![CDATA[Tharani Krisnian]]>;
<![CDATA[Bachti Alisjahbana]]>;
<![CDATA[Irvan Afriandi]]>
<![CDATA[ Althea Medical Journal Vol 4, No 3 (2017) ]]>
Publisher : <![CDATA[Faculty of Medicine Universitas Padjadjaran ]]>
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<![CDATA[Background: Incidence of dengue fever is increasing drastically and has become a major public health problem globally. The reason patients are late in seeking medical treatment should be identified in order to prevent complications which can be avoided to produce a good prognosis. This study was conducted to find the pattern of treatment seeking behaviour among dengue fever patients and their influencing factors using a health utilisation model. Methods: Data on health seeking behaviour were collected among the dengue fever patients who were admitted to Dr. Hasan Sadikin General Hospital Bandung from September–October 2014. The data were collected through in-depth interview with patients who were diagnosed with dengue fever and dengue haemorrhagic fever. All the interviews were recorded using an audio recorder. The recordings were transcribed and then translated into English and analyzed using thematic analysis.Results: Nine patients were interviewed. The age of the patients ranged between 17 to 46 years. Altogether 7 patterns were identified with patients treatment seeking behavior. Most of them took longer steps to reach adequate care with blood examination. These longer steps, caused by lack of facilities to perform blood test in primary health care facilities, no bed for admission and also low skills of health care providers in diagnosing patients. The primary health care facility played an important role in the delay of patients acquiring definite care for their dengue fever.Conclusions: Health care seeking behavior is hampered by the inadequacy of primary health care facilities to provide adequate services to dengue patients. ]]>
<![CDATA[Superior Vena Cava Syndrome and Multiple Venous Thrombosis in a Patient with B Cell Lymphoma ]]>
<![CDATA[Mehmet Zahid Kocak]]>;
<![CDATA[Gulali Aktas]]>;
<![CDATA[Edip Erkus]]>;
<![CDATA[Burcin Atak]]>;
<![CDATA[Tuba Duman]]>;
<![CDATA[Haluk Savli]]>
<![CDATA[ Althea Medical Journal Vol 5, No 1 (2018) ]]>
Publisher : <![CDATA[Faculty of Medicine Universitas Padjadjaran ]]>
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DOI: 10.15850/amj.v5n1.1202
<![CDATA[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. ]]>
