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Althea Medical Journal

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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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Clinical Manifestations of Systemic Lupus Erythematous in Children at Dr. Hasan Sadikin General Hospital Bandung, Indonesia Reni Ghrahani; Priya Darshani Ganesan; Reni Farenia Soedjana Ningrat
Althea Medical Journal Vol 5, No 4 (2018)
Publisher : Faculty of Medicine Universitas Padjadjaran

Background: Systemic Lupus Erythematous (SLE) is an autoimmune disease, characterized by production of autoantibodies, leading to damage caused by inflammation, directed toward multiple organs in the body. It is difficult to diagnose due to its mimicry with other diseases. The differential diagnosis of SLE is broad, including infection, malignancy and other inflammatory disorders. It is important to recognize the clinical manifestation of SLE from other possible diseases.Methods: A descriptive study was conducted on 56 SLE patientsfrom the Department of Child Health in Dr. Hasan Sadikin General Hospital, Bandung, Indonesia, in which the medical records was collected from 2010 to 2014. A total sampling method was used and incomplete records were excluded.Results: Out of the 56 subjects, 82.1% were female, with female to male ratio was 4.6:1. Most of the subjects (52%) was in the age category of 11 to 15 years old. Hematologic involvement was the most common clinical manifestation based on the diagnostic criteria (83.9%), and fever was the most common chief complaint (41.1%).Conclusions: From this study, fever, rash, and joint pain are the common chief complaints among SLE patients in children with hematologic and renal disorders are also found to occur.

Visual Impairment Screening in Cibeusi Elementary School Students Dea Aprilianti Permana; Feti Karfiati Memed; Putri Teesa Radhiyanti Santoso
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 (205.935 KB)

Background: The World Health Organization (WHO) shows that there are around 153 million people with visual impairment due to uncorrected refractive error, mostly in 8–10 years. Screening of visual function in earlier age is important, because it is treatable. Correction of refractive error by using eye-glasses is the easiest and the cheapest way. This study aimed to identify the frequency of visual impairment and eye-glasses-used in children aged eight to ten in Cibeusi Elementary School. Methods: A descriptive study was conducted. This study was held in August 2014. Data were obtained from Cibeusi Elementary School in Jatinangor; simple random sampling technique was used to select 8–10 years old students. The total number of respondent was 101 students. Screening for visual impairment was performed using E-Chart. Result: Eleven eyes (5.44%) from a total of 202 eyes had visual impairment. Six (5.94%) students had visual impairment, whereas only 1 (1%) student used eye-glasses for improving his visual function. Visual impairment was considerably high in boy-students aged 8 years and was most prevalence in 3rd grade students.Conclusions: There are visual impairments which are not corrected with sunglasses.

Level of Knowledge about Tuberculosis among Type 2 Diabetes Mellitus Patients at the Endocrine Clinic Dr. Hasan Sadikin General Hospital Bandung Ulfah Dwi Febriani; Rovina Ruslami; Bachti Alisjahbana
Althea Medical Journal Vol 4, No 4 (2017)
Publisher : Faculty of Medicine Universitas Padjadjaran

Background: Diabetes Mellitus (DM) is one of the risk factors for tuberculosis (TB). Knowledge of TB is essential in prevention control for the person at risk. This study aimed to describe the level of knowledge about TB among DM patients.Methods: A cross sectional study was performed involving 72 adult DM patients at the Endocrine Clinic, Dr. Hasan Sadikin General Hospital Bandung. The subjects were interviewed using a standardized questionnaire including socio-demographic information and knowledge about TB: manifestation of TB, transmission, treatment, DM-TB co-infections, and status acquiring TB information in the last 12 months. Knowledge was categorized as high, moderate and low if total scores were >75, 56–75 and <56 respectively. Data were presented descriptively as percentage and mean (SD) after testing for the normality of distribution.Results: The mean of age of subjects was 56.6 years, and 55% were female. Most were unemployed (72.2%), had an education background lower than high school (75%), and lived in Bandung (91.7%). The mean score of knowledge was 54.4. Proportion of subjects based on the level of knowledge which is high, moderate and low, were 29.2%, 26.4%, and 44.4% respectively. Conclusions: The level of knowledge about TB among Type 2 DM patients at the Endocrine Clinic Dr. Hasan Sadikin General Hospital Bandung was low. TB education program among DM patients needs to be improved.

Short-term Memory Comparison between Stunted and Non-Stunted Groups Irma Suwandi Sadikin; Leonardo Lubis; Julistio T. B. Djais
Althea Medical Journal Vol 5, No 3 (2018)
Publisher : Faculty of Medicine Universitas Padjadjaran

Background: Long-term insufficient nutritional needs will directly impact on the development and maturation of brain function. Disruption of development and maturation process in the brain is associated with decreased cognitive abilities. Frequently, the effect of long-term nutritional insufficiency has also height deficits called stunting.This study aimed to compare the short-term memory between stunted and non-stunted groups.Methods: A comparative study was conducted on 30 children in a non stunted group and 30 children in a stunted group. Children in both groups were selected from one of the elementary schools in Jatinangor using the simple random sampling method toward 3–5 for grade and 8–10 for age groups. The measurement of memory aspects for short-term memory used the Digit Span Test (forward and backward) and Simbol Modality Test. Results: The collected data were in normal and not normal distribution because the statistical test used the independent-t test and Mann-Whitney. The mean memory score comparison between group 1 and group 2 on Digit Span Test Forward was 5.33:5.33 (p=0.994), Digit Span test Backward was 2.73:2.60 (p=0.440), and Symbol Modality Test was 20.90:19.60 (p=0.347).Conclusions: There is no significant difference in short-term memory between stunted and non–stunted groups, due to some confounding factors such as, environmental aspect, parent’s education level, socioeconomic, and genetic factors.

Familial Analysis of Patients with Hypertension in Jatinangor, West Java, Indonesia Keumala Hayati; Yulia Sofiatin; Sri Endah Rahayuningsih; Rully M.A. Roesli
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 (740.112 KB)

Background: Hypertension is a disease that is influenced by genetic factors, although the single gene affecting the occurrence of the disease has not been yet discovered. Genetic analysis and familial analysis on hypertension are needed to be done but genetic analysis needs substantial fund, and familial analysis on hypertension has been never done in community. Besides sharing the genetic factors, family also shares similar environment and life style. Latest study showed that the association between genetic and environmental factors can affect the phenotype of chronic disease suchas hypertension. The study was aimed to explore the family history contribution of patients with hypertension in Jatinangor.Methods: This was a descriptive-quantitave study. The subjects were 283 hypertensive patients in Jatinangor with complete data of family history. The data was retrospectively obtained from secondary data of a previous study conducted in Community Health and Well-ness Study Center, Faculty of Medicine, Universitas Padjadjaran titled Epidemiology of Hypertension and Albuminuria in Jatinangor 2014. Familial analysis conducted in this study was modified trios analysis.Results: In this modified trios analysis, there was only 20% of total patients with hypertension who have history of hypertension in two generations of their family. The proportion of patients with hypertension who have history of hypertension in one generation of their family was greater. More than 45% from the total 283 patients with hypertension analyzed in this study have family history of hypertension.Conclusions: Familial analysis using modified trios analysis showed similar results with the study conducted using other genetical analysis.

Foot Anthropometric Profile of High School Students in Bandung Imam Ramdhani Abdurrahman; Alwin Tahid; Fathurachman Fathurachman
Althea Medical Journal Vol 5, No 2 (2018)
Publisher : Faculty of Medicine Universitas Padjadjaran

Background: During the process of walking, the foot plays a role in supporting the body weight. Due to continously with stand weight, a person will experience foot pain aggravated by the use of improper shoe size. Foot anthropometric data acts as reference in the manufacture of orthotics and shoes with appropriate size, while Indonesia still does not have foot anthropometric data. The purpose of this study was to describe foot anthropometric data of high school students in Bandung in order to obtain good fitting shoes.Methods: The study was performed using observational descriptive method on 81 students aged 16–18 years from three different senior high schools in different regions of Bandung in November 2014.Results: The mean of foot and ankle anthropometry of senior high school students were 25.75 cm for Foot Length, 18.82 cm for Ball of Foot Length, 21.57 cm for Outside Ball of Foot Length, 9.70 cm for Foot Breadth Diagonal, 5.43 for Heel Breadth, 6.00 cm Navicular Height, 6.62 cm for Instep Height and 5.06 for Heel to Lateral Malleolus.Conclusions: The anthropometric data help the footwear industry to determine the design and size for shoes in Indonesia.

Description of Treatment Outcomes among Pulmonary Tuberculosis Patients in Bandung City in 2014 Syafinaz Hamdan; Enny Rohmawaty; Bony Wiem Lestari
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 (687.584 KB)

Background: Pulmonary Tuberculosis (pulmonary TB) is an infectious lung disease which is still a major health problem in the world. In Indonesia, pulmonary TB treatment outcomes are monitored and assessed in Directly Observed Treatment Short Course (DOTS) as an indicator of national TB control program performance. Therefore, the study was conducted to determine the treatment outcomes among pulmonary TB patients in Bandung City.Methods: This cross-sectional study was conducted using secondary data. The sample sizes were 1,598 pulmonary TB patients taken by total sampling with data collected from TB Registration database of Bandung city at Infectious Disease Control Unit, Bandung City Health Office (Unit Kontrol Penyakit Menular, Dinas Kesehatan Kota Bandung) from January to December 2014. The treatment outcomes were classified as successful (cured and treatment completed) and unsuccessful (failed, defaulted, and died).Results: Out of the 1,598 TB patients, most of the respondents were male, aged 15–24 years old and from Public Health Center (Pusat Kesehatan Masyarakat, Puskesmas) and hospital. A total of 1,008 treatments (63.08%) were cured, 292 (18.27%) were completed, 47 (2.94%) were failed, 211 (13.21%) were defaulted, and 40 (2.50%) were died. Total of transferred outpatients were 134 and not considered as treatment outcome.Conclusions: From the results, it can be concluded that 81.35% and 18.65% were considered as successful and unsuccessful outcome respectively, thus, did not achieve WHO target of 85%. Therefore, DOTS program implemented in Bandung City should be reviewed to improve success rate of the treatment outcome.

Correlation Between Radiographic Grading of Osteoarthritis, Pain Severity and Functional Status in Knee Osteoarthritis Patients Annisa Dwi Khairina; Marina A. Moeliono; Andri Reza Rahmadi
Althea Medical Journal Vol 5, No 1 (2018)
Publisher : Faculty of Medicine Universitas Padjadjaran

Background: Osteoarthritis is a joint degenerative disease characterized with structural changes of joint. The structural changes can be assessed with radiological assessment. Major clinical manifestations may include pain, inflammation, and stiffness, resulting in limitations for performing daily activities. The purpose of this study was to determine the correlation between radiographic grading of osteoarthritis, pain severity, and lower extremities functional status in patients with knee osteoarthritis.Methods: The study involved 29 patients with knee osteoarthritis in Dr. Hasan Sadikin General Hospital, Bandung and Bandung District General Hospital during the period of August to October 2014 using the cross sectional method. This study used NRS (Numeric Rating Scale) for pain severity assessment, Kellgren-Lawrence criteria for radiographic grading of osteoarthritis, and Modified Lower Extremity Funcional Scale for functional status assessment. The data were analyzed using statistical analysis tools. If the data were normally distributed, the correlation test will be carried out by using the Pearson correlation test and if the data were not normally distributed then the Spearman’s Correlation test will be used.Results: Correlation coefficient between severity of pain and functional status is r= -0,439 with p value= 0.17 (p<0.05). There was no significant correlation between radiographic grading of osteoarthritis and functional status (p > 0.05).Conclusions: The severity of pain correlates with the functional status of patients with osteoarthritis of the knee, while radiographic grading of osteoarthritis does not correlate with functional status. Keywords:

Is Zuspan Regimen Adequate for Preventing Eclampsia?: A Case Report Raymond Surya; Budi Iman Santoso; Surahman Hakim
Althea Medical Journal Vol 5, No 4 (2018)
Publisher : Faculty of Medicine Universitas Padjadjaran

Magnesium sulphate (MgSO4) is believed to treat preeclampsia and eclampsia for more than a century with a total dose of MgSO4 varying from 2 to 5g per 24 hours. Zuspan and Pritchard are two internationally recommended regimens that are accepted as the standard regimen. In this case report, we presented a 41 year old woman with puerperal preeclampsia prescribed with a complete Zuspan regimen. She had eclamptic seizure after completing Zuspan regimen with Mg SO4 level of 4.3 mg/dL. In this case, the possibility of eclamptic seizures might be due to a lack of MgSO4 dose. The administration of MgSO4 for preeclampsia with severe features and prophylactic of eclampsia should be adjusted.

Role of Exclusive Breastfeeding in Preventing Diarrhea Hanifah Rohmah; Tisnasari Hafsah; Lulu Eva Rakhmilla
Althea Medical Journal Vol 2, No 1 (2015)
Publisher : Faculty of Medicine Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (670.705 KB)

Background: Breast milk has protective factors for infants’ digestive tract. Infants are vulnerable to diseases, one of which is diarrhea. This cross-sectional study was designed to determine the relation between the proportion of diarrhea in infants and the administration of exclusive breastfeeding in Jatinangor.Methods: This study was an observational study. Data on mothers with 6 months old infants were collected from Jatinangor Primary Health Center (PHC) infant records. The inclusion criteria applied were infants born in April 2012, alive, and living in Jatinangor subdistrict. One hundred and seventy one infants were recorded in April of 2012 in the PHC data. Thirty five were excluded because they were not born in April 2012. Another 45 were excluded because they were not permanent residents of Jatinangor subdistrict, while 4 infants died, and 23 had incomplete data. Therefore, only 66 infants were included as study subjects. Those infants came from 12 villages in the subdistrict of Jatinangor. Data collection was then performed using a questionnaire to the parents during the period of 21–31 October 2012.Results: From 66 infants, the proportion of diarrhea was 66.7%. Only 27.3% of all infants received exclusive breastfeeding. There was a difference in the proportion of diarrhea between infants who were exclusively breastfed and those who were not. Exclusive breastfeeding also reduced the risk of diarrhea (OR= 0.26, 95% CI 0.08–0.83).Conclusions: There is a relation between the proportion of diarrhea in infants and exclusive breastfeeding in Jatinangor. Breastfeeding has a protective effect against diarrhea in infants.Keywords: Diarrhea, exclusive breastfeeding, infants DOI: 10.15850/amj.v2n1.436

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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