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Althea Medical Journal
ISSN : -     EISSN : 23374330     DOI : 10.15850/amj
Core Subject : Health,
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
Physical Performance of West Java Soccer Athletes during February to December 2012 Army Zaka Anwary; Ambrosius Purba; Tertianto Prabowo
Althea Medical Journal Vol 2, No 1 (2015)
Publisher : Faculty of Medicine Universitas Padjadjaran

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Abstract

  Background: Soccer is one of the sports included in the 18th National Sports Week (Pekan Olahraga Nasional, (PON) 2012, in Riau. Soccer requires a good physical condition to perform various football techniques such as running, shooting, dribbling, tackling, sliding, throw-in and heading. A good physical component can be achieved through a well-rounded program in accordance to the periodization training program. This study was conducted to describe the physical performance of the West Java’s football athletes in order to develop periodization training program and to predict the athletes’ performance.Methods: A descriptive study was carried out on 23 West Java’s football athletes using secondary data from West Java’s KONI sports medicine team test reports during the period of February to December 2012. The variables in this study were 7 predominant physical components in football as follows: muscle strength, muscle endurance, speed, agility, flexibility, explosive leg muscle power, and general endurance (VO2 max). All components were categorized asInsufficient, Fair, Good, Excellent, and Perfect compared to the central KONI standards.Results: The leg muscle strength, abdominal muscle endurance, speed, agility of all athletes were not considered perfect. Not one of the components was above 50% which was the excellent category. Only Arm and shoulder endurance (56.5%), speed (68.18%), and leg muscle power (52.17%) were in good category. The most of the results regarding the athletes’ leg muscle strength was categorized as fair. All results in the abdominal endurance were in insufficient category.Conclusion: Not all physical performance components are achieved perfectly by all of the football athletes.Keywords: Athletes, football, physical performance DOI: 10.15850/amj.v2n1.442 
Oto–Acoustic Emission and Auditory Brainstem Response Profile in Children with Speech Delay at Dr. Hasan Sadikin General Hospital Bandung Liani Mulasari Gunawan; Wijana Wijana; Yuni S Pratiwi
Althea Medical Journal Vol 3, No 2 (2016)
Publisher : Faculty of Medicine Universitas Padjadjaran

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Abstract

Background: Language and speech delay are the most common developmental disorders found in children. Hearing loss is the most common cause of speech delay among children. Hearing loss can be detected by subjective and objective examinations. Oto–acoustic emission (OAE) and auditory brainstem response (ABR) are objective electrophysiological examination with 100% sensitivity and 99% specificity. This study was aimed to describe OAE and ABR profile in children with speech delay at Dr. Hasan Sadikin General Hospital BandungMethods: This study was conducted in 2014 used the descriptive cross–sectional design with a total sampling of 333 medical records of children diagnosed with speech delay with inclusion criteria patients aged 1–5 years at the Hearing Disorders Clinic of Otorhinolaryngology–Head and Neck Surgery Policlinic at Dr. Hasan Sadikin General Hospital Bandung during the period of 2011–2012.Results: Out of all of the samples, there were 176 boys (52.9%) and 157 girls (47.1%). Most of children aged 24–35 months. Eighty children (24%) with normal hearing and 253 children (76%) with hearing loss. Hearing loss with Sensorineural hearing loss (SNHL) type most occured at the profound degree with 244 cases.Conclusions: Hearing loss is the most common cause of speech delay in children. Speech delay can be prevented by conducting the OAE and ABR examinations as early as possible. [AMJ.2016;3(2):265–8]  DOI: 10.15850/amj.v3n2.771
Validity of Immunoglobulin M Anti Salmonella typhi Serologic Test in Childhood Typhoid Fever Hilda Marsela; Djatnika Setiabudi; Agnes Rengga Indrati
Althea Medical Journal Vol 4, No 1 (2017)
Publisher : Faculty of Medicine Universitas Padjadjaran

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Abstract

Background: Typhoid fever, which mostly affects children, remains a major health problem in developing countries. Early diagnosis will help the management and thus, reduce morbidity and mortality. However, a rapid diagnostic test that detects the presence of immunoglobulin M (IgM) directed towards Salmonella typhi (S. typhi) antigen remains controversial despite its popularity. This study was aimed to assess the validity of IgM anti S. typhi serologic test in childhood typhoid fever. Methods: This retrospective diagnostic test, used blood culture as gold standard. Forty-one typhoid fever children with fever of 1–14 days admitted to Dr. Hasan Sadikin General Hospital Bandung from 2013 to 2015 were recruited. Diagnosis of typhoid fever is made clinically. Data were analyzed by Receiver Operating Characteristic (ROC) curve and diagnostic test.Results: Forty one children diagnosed with typhoid fever, 37 were positive for IgM anti S. typhi, but only 18 were positive for S. typhi in blood culture. IgM anti S. typhi (cut-off ≥4) test had an Area Under the Curve (AUC) of 59%, sensitivity of 100% and specificity of 17.39%. IgM anti S. typhi with cut-off >8 showed the highest AUC with sensitivity of 55.56% and specificity of 73.68%.Conclusions: IgM anti S. typhi test of cut-off >8 performs better than cut-off ≥4 in terms of AUC..[AMJ.2017;4(1):138–42] DOI: 10.15850/amj.v4n1.1035
Characteristic, Emotional, and Behavioral Problems of Street Adolescent in Bandung October–December 2012 Annisa Nurfitriani; Veranita Pandia; Guswan Wiwaha
Althea Medical Journal Vol 2, No 2 (2015)
Publisher : Faculty of Medicine Universitas Padjadjaran

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Abstract

Background: Street adolescents were psychosocial problem that increased in number each year and was worsened by their low-moral subculture-value that could cause them more vulnerable in having emotional and behavioral problems. This study aims to describe the characteristics, emotional and behavioral problems of the street adolescent in Bandung.Methods: A descriptive study was carried out in October–December 2012. From 22 shelters in Bandung, two shelters (RPA GANK and Pesantren Kolong Nurul Hayat) were selected and organized into 4 areas: Cihampelas, ‘Samsat’, Laswi Street and Kiaracondong. A hundred-seven street adolescents aged 11 to 16 years were participated in this study. They were divided into small groups and filled in the sociodemographic questionnaire and the Indonesian version of standardized Strength and Difficulty Questionnaires (SDQ).  Only 100 questionnaires were filled in completely. Data were analyzed using frequency tabulation and bar chartResults: Sixty-five percent were boys, 53% were aged 11–13 years, and 53% were students, 76% related to more than one sibling, still lived with their families (81%), and had parents. Their parents had low educational background, had job, and implemented  authoritative parenting pattern (41%). In becoming street adolescent, 63% were caused by their own motivation, 81% were children on street, and 55% had lived in the street more than 5 years. Approximately 27% of street adolescents were rated as abnormal on the total difficulty score.  Conclusion: Street adolescent in Bandung still have emotional and behavioral problems, which mostly were boys, in the early adolescence stage, school student, had more than one sibling, permissive parenting pattern, and lived in the street for more than 5 years. [AMJ.2015;2(1):172–8]
Metabolic Syndrome Components and Nutritional Status among Hypertensive Outpatiens at Dr. Hasan Sadikin General Hospital Bandung Lira Mirandus; Hikmat Permana; Siti Nur Fatimah
Althea Medical Journal Vol 3, No 3 (2016)
Publisher : Faculty of Medicine Universitas Padjadjaran

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Abstract

Background: Metabolic syndrome and overnutritional status (overweight and obesity) are examples of determinants that can give rise to hypertension, so the three diseases are correlated with each other. This study aimed to reveal metabolic syndrome components and nutritional status among hypertensive outpatients.Methods: This study involved 44 hypertensive outpatients who visited the Nephrology and Hypertension Clinic of Dr. Hasan Sadikin Hospital, Bandung in September to October 2013. Anthropometric and blood pressure measurements, anamnesis, and medical record data collection were carried out to describe the patient’s metabolic syndrome components by using International Diabetes Federation criteria on South Asian people and nutritional status by WHO classification in Asian people.Results: Among respondents, 25 (57%) had abdominal obesity, 14 (32%) had hypertrygliceridemias, 14 (32%) had low HDL cholestrol, 19 (43%) were taking lipid-lowering medications, 20 (45 %) had high level of fasting blood glucose, 21 (48%) had been diagnosed as mellitus type 2, 15 (34%) had high blood pressure, 40 (91%) were taking antihypertensive medications, 19 (43%) had metabolic syndrome, and 31 (70%) were overweight or obese.Conclusions: Less than a half of the respondents meet the metabolic syndrome criteria and over two third of them are at overnutrition state (overweight or obesity). [AMJ.2016;3(3):476–80]DOI: 10.15850/amj.v3n3.862 
Quality Assesment of Antibiotic Prescription for Sepsis Treatment in Intensive Care Unit at Top Referral Hospital in West Java, Indonesia Shadrina Dinan Adani; Ardi Zulfariansyah; Putri Teesa Radhiyanti Santoso
Althea Medical Journal Vol 4, No 2 (2017)
Publisher : Faculty of Medicine Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (89.758 KB) | DOI: 10.15850/amj.v4n2.1088

Abstract

Background: Sepsis is a common disease in intensive care unit (ICU) with high mortality rate. Administration of antibiotic has an important role to determine the outcome of sepsis patient. This study aimed to evaluate the quality of antibiotic prescription for sepsis treatment in intensive care unit (ICU). Methods: This descriptive study was conducted by retrieving data from 48 medical records of patients with sepsis, severe sepsis, and septic shock admitted to ICU  Dr. Hasan Sadikin General Hospital (RSHS) in 2013. The study was conducted from August to October 2014. Empiric therapy in the ICUat RSHS and Surviving Sepsis Campaign (SSC) guidelines in 2012 were used as a standard for antibiotic prescription. The quality of antibiotic prescription was assessed then categorized based on Gyssens criteria. The collected data were analyzed in the form of frequency and percentage and presented in tables.Results: This study discovered that most of the patients had severe sepsis and septic shock. Based on Gyssens criteria, 35% antibiotic uses were included into category 0 (proper); 1.4% category I (improper timing); 10.5% category IIA (improper dosage); 9.1% category IIB (improper interval); 3.5% category IIC (improper route); 12.6% category IIIA (improper duration; too long); 1.4% category IIIB (improper duration; too short); 16.8% category IVA (improper; other antibiotics were more effective); 4.2% category IVD (improper; other antibiotics had narrower spectrum); and 5.6% category V (improper; no indication).Conclusions: There are still improper uses of antibiotic for sepsis, severe sepsis, and septic shock patients in the ICU. DOI: 10.15850/amj.v4n2.1088
Body Mass Index and Western Ontario & McMaster Universities Osteoarthritis Index in Patients with Knee Osteoarthritis in Dr. Hasan Sadikin General Hospital, Bandung in November 2012 Ainna Binti Mohamad Dat; Tertianto Prabowo; Alwin Tahid
Althea Medical Journal Vol 2, No 3 (2015)
Publisher : Faculty of Medicine Universitas Padjadjaran

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Abstract

Background: Osteoarthritis is one of the major disabilities among elderly. One of its well-recognized potent risk factors is obesity. The aim of this study was to identify the body mass index and severity of knee osteoarthritis patients who were treated in Dr. Hasan Sadikin General Hospital Bandung.Methods: A descriptive study was carried out to 9 patients of the Medical Rehabilitation Policlinic at Dr. Hasan Sadikin General Hospital Bandung in November 2012. Patients were diagnosed as having knee Osteoarthritis based on American College of Rheumatology clinical classification. Exclusion criteria were patient having previous trauma in spine and lower limb, having bleeding disorder like hemophilia, incomplete data in medical records and incomplete data in questionnaire. Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) was used to measure the intensity of pain, stiffness, and functional difficulty.  The weight (kg) and height (cm) of the patients were measured and the Body Mass Index was calculated by Weight (kg)/Height² (m). The data were analyzed using frequency distribution.Results: The patients who came to the Medical Rehabilitation Policlinic had ranged in age from 57 to78 years, mostly female with knee Osteoarthritis bilateral. Out of 9 patients, 5 patients were overweight, followed by normal BMI and obese type I. Patient with obese type 1 had the highest WOMAC score.  Conclusions: Most of the patients with knee osteoarthritis bilateral are overweight and the patient with obese type 1 has the highest WOMAC score. DOI: 10.15850/amj.v2n3.521
Effects of Analgesic Advertisements on Community in Hegarmanah Village, Jatinangor Nurhayati binti Shaharuddin; Eva M. Hidayat; Jupiter Sibarani
Althea Medical Journal Vol 1, No 2 (2014)
Publisher : Faculty of Medicine Universitas Padjadjaran

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Abstract

Background: Currently, there are numerous analgesic advertisements which have been published in various media and have also attracted attention of the society. The aim of this study is to find out effects of analgesic advertisements on awareness and attention towards these advertisements on the community in Hegarmanah Village, Jatinangor.Methods: The study used the descriptive method with participants consisting of community members in Hegarmanah Village who have seen, watched or heard about the analgesic advertisements and who were aged 18 years and above. The sample for this study consisted of 100 respondents. This study was conducted in September 2012–December 2012.Results: The results showed that 82% of the respondents have seen the ads in at least the last 3 months and mostly watched them on television. About 52% of respondents agreed that many of the ads did not provide sufficient information. In addition, 50% only read a little bit of the ads rather than the whole advertisement. Fifty three percents of the respondents had the intention to try the medication after seeing the ads. More than 80% were aware about how to use the medication, medication’s side effects, warnings and contraindications and 65% agreed that, they could make a better decision on their health condition after seeing the ads.Conclusions: The analgesic advertisements indeed affected the community by making them aware about the ads and attracted them to buy as well as try the product itself. Further studies on factors which influence intake of over-the-counter analgesic drugs and also about the self-medication are required. [AMJ.2014;1(2):1–6]Keywords: Analgesic advertisements, effects, society Pengaruh Iklan Analgesik terhadap Masyarakat di Desa Hegarmanah, JatinangorLatar Belakang: Saat ini, banyak iklan analgesik yang ditayangkan di beberapa media dan telah menarik perhatian masyarakat. Penelitian ini bertujuan untuk mengetahui pengaruh iklan analgesik terhadap kesadaran dan pemahaman mengenai obat analgesik pada masyarakat di Desa Hegarmanah, Jatinangor.Metode: Penelitian ini menggunakan metode deskriptif dengan melibatkan partisipan yang terdiri dari anggota masyarakat di Desa Hegarmanah yang telah melihat, menyaksikan atau mendengar tentang iklan analgesik dan berusia 18 tahun ke atas. Sampel penelitian ini terdiri dari 100 responden. Penelitian ini dilakukan pada bulan September 2012-Desember 2012.Hasil: Hasil penelitian menunjukkan bahwa 82% dari responden telah melihat iklan di setidaknya 3 bulan terakhir dan sebagian besar menonton di televisi. Sekitar 52% dari responden setuju bahwa banyak dari iklan tidak memberikan informasi yang cukup. Selain itu, 50% hanya membaca sedikit iklan daripada seluruh iklan. Lima puluh tiga persen dari responden memiliki niat untuk mencoba obat setelah melihat iklan. Lebih dari 80% yang sadar tentang penggunakan, efek samping, peringatan dan kontraindikasi obat  dan 65% setuju bahwa, mereka bisa membuat keputusan yang lebih baik tentang kondisi kesehatan mereka setelah melihat iklan.Simpulan: Iklan analgesik memang memengaruhi masyarakat dengan membuat mereka paham tentang obat yang diiklankan dan menarik mereka untuk membeli serta mencoba produk tersebut. Penelitian lebih lanjut tentang faktor-faktor yang memengaruhi penggunaan obat analgesik yang dijual bebas dan juga tentang pengobatan sendiri masih diperlukan. Kata kunci: iklan analgesik, efek, masyarakat DOI: 10.15850/amj.v1n2.346
Red Ear Fungi (Auricularia Auricula) Infusion Reduce Blood Triglyceride Level in Dyslipidemic Rats Nareswara Anugrah Widi; Truly D. Sitorus; Coriejati Rita
Althea Medical Journal Vol 2, No 2 (2015)
Publisher : Faculty of Medicine Universitas Padjadjaran

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Abstract

Background: Dyslipidemia is a risk fastor in atherosclerosis. In the long run, it can cause complications such as coronary artery disease and stroke. Dyslipidemia can be halted by beta glucan, a soluble fiber found in some species of fungi. This study was conducted to find the effect of red ear fungi infusion in reducing blood triglyceride level and the concentration that will give optimal reduction of blood triglyceride level.Methods: This was an analytical study using experimental laboratoric method. The study conducted in 25 male Wistar rats sorted in 5 groups during the period of September to October 2012 in Pharmacology Laboratory of General Hospital Hasan Sadikin, Bandung.Results: The result showed that mean difference of all three treatment group, which is group 3, group 4, and group 5 (87.08, 90.40, and 82.70 respectively) showed significancy compared to the positive control (group 2). Out of the three group, group 4 with 36% infusion concentration has the lowest mean difference from all of the treatment groups.Conclusions: Red ear fungi infusion reduce blood triglyceride level and infusion with 36% concentration was the optimal concentration in reducing blood triglyceride level. A further study can be done to find concentration range in which the infusion reduce blood triglyceride level optimally.Key words: beta glucan, red ear fungi infusion, triglyceride
Polypharmacy Treatment of Hypertensionin Public Health Centers Vasanthi A/P Nayagam; Afiatin Afiatin; Herri S. Sastramihardja
Althea Medical Journal Vol 3, No 4 (2016)
Publisher : Faculty of Medicine Universitas Padjadjaran

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Abstract

Background: Hypertension is one of the most prominent global diseases. Despite the availability of effective therapies, hypertension remains poorly controlled in Indonesia. In many cases, patient’s noncompliance may be attributable to the low patients’ knowledge, attitude, and life-style practices such as polypharmacy. Polypharmacy is defined as the administration of many drugs at in one prescription. Polypharmacy increases expenses, possible adverse reaction to a single agent, incidence of drug interactions, and decreases patient’s compliance This study aimed to identify the practice of polypharmacy in hypertension treatment in primary health centers.Methods: A cross-sectional descriptive observational study was carried out on 60 patients from two primary health centers in Jatinangor, West Java, Indonesia in October 2013. Sociodemographic profile, degree of hypertension, types of antihypertensive drugs, concomitant drugs given together with antihypertensive drugs, and treatment compliance data were collected and presented in tables and figures.Results: The incidence of hypertension was more common among male patients compared to female patients. Thirty-three patients (55%) have low compliance to their medication. Twenty-nine patients (48%) received single drug and 31 patients (52%) received more than one drugs.Conclusions: The percentage of polypharmacy practice in treating hypertension in primary health centers is 52%. The most frequently prescribed anti-hypertensive are angiotensin-converting enzyme (ACE) inhibitors and calcium-channel blockers (CCB). Most of hypertensive patients have low compliance to therapy. [AMJ.2016;3(4):633–9] DOI: 10.15850/amj.v3n4.951

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