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Althea Medical Journal
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.
Arjuna Subject : -
Articles 1,068 Documents
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Profile of Patients with Complicated Chronic Suppurative Otitis Media in Dr. Hasan Sadikin General Hospital Bandung, Indonesia January–December 2011 Fitrie Desbassarie; Arif Dermawan; Soeseno Hadi
Althea Medical Journal Vol 2, No 1 (2015)
Publisher : Faculty of Medicine Universitas Padjadjaran

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Abstract

  Background: The prevalence of chronic suppurative otitis media (CSOM) is still high in developing countries. According to the World Health Organization (WHO), the prevalence of CSOM is 2-4%. In 1994-1996, the prevalence of CSOM in various provinces in Indonesia is diverse, with general prevalence of 3.9%. Chronic suppurative otitis media can also lead to various complications. The objective of this study was to determine the profiles of CSOM patients with complications in Dr Hasan Sadikin General Hospital Bandung.Methods: Secondary data was obtained from 117 medical records of the period January-December 2011 in Dr Hasan Sadikin General Hospital Bandung. Out of 117 medical records, 43 medical records consisted of CSOM patients who had complications. Data of patients’demography, risk factor, chief and accompanying complaints, infected ears, pathological findings, complications, and treatments were collected and were analyzed with frequency distribution.Results: There was 36.75% CSOM patients with complications, 55.8% are male, 30.3% were 30-39 years old, 62.8% level of education of patients was primary education. Ear discharge (otorrhea) was the most common chief complaints (95.3%) and hearing loss was the most dominated accompanying symptom (53.5%), Upper Respiratory Tract Infection (URTI) was the most common risk factors. Most of the cases had unilateral complication (93%) and intratemporal (72%). Both intratemporal and extratemporal was only 26% cases. Granulation tissue was the most common intratemporal complication (32.5%). The most common procedure given was Mastoidectomy without tympanoplasty (51.2%) followed by pharmacotherapyConclusions: Percentage of CSOM with complication is still high in Dr. Hasan Sadikin General Hospital Bandung.Keywords: Chronic suppurative otitis media, complication, profile DOI: 10.15850/amj.v2n1.443 
Characteristics of Patient with Benign Paroxysmal Positional Vertigo in Dr. Hasan Sadikin General Hospital Bandung from 2009‒2013 Intan Datya Kirana; Yussy Afriani Dewi; Titing Nurhayati
Althea Medical Journal Vol 3, No 2 (2016)
Publisher : Faculty of Medicine Universitas Padjadjaran

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Abstract

Background: Benign Paroxysmal Positional Vertigo (BPPV) is a vestibular disorder marked by episodes of vertigo and triggered by a change in the head position. It is characterized by short yet severe episodes of vertigo and possibly accompanied by nausea and vomiting. The BPPV is usually idiopathic and foundamong people aged 46‒50 years old. There are pharmacological and non pharmacological treatment used for BPPV. Non-pharmacological treatment includes Epley, Semont, Lempert, Forced Prolonged Position, andBrandt-Daroff maneuvers and pharmacological onebenzodiazepine and antihistamines. This study aimed to examine the characteristics of patient with BPPV based on their complaint and prescribed treatment.Methods: This was a descriptive-retrospective study conducted on April–June 2014 using secondary data from medical records of patient with BPPV in Dr. Hasan Sadikin General Hospital Bandung from 2009‒2013. The variables include gender, age, occupation, accompanying disease, complaints, supporting examinations, and treatment.Results: There were 74 subjects; 66.22% were female and 33.78% were male. Most of patients with BPPV aged around 41‒50 years old (39.19%). Furthermore, 93.24% had a major complaint of headache and spinning sensation, and >60% nausea and vomiting. The most prescribed therapy was Betahistine (86.49%). Meanwhile, a maneuver of non-pharmacological treatment was rarely done (8.11%).Conclusions: The BPPV occurs more in older women. The major complaint is headache and spinning sensation affected by the head position and accompanied by nausea and vomiting. Lastly, non-pharmacological treatment is rarely performed in handling patient with BPPV. [AMJ.2016;3(2):275–9]DOI: 10.15850/amj.v3n2.800
Distribution of Skin Prick Test Results in Rhinitis Allergic Patients at Dr. Hasan Sadikin General Hospital Bandung Gama Antares; Arif Dermawan; Yenti Permata
Althea Medical Journal Vol 4, No 1 (2017)
Publisher : Faculty of Medicine Universitas Padjadjaran

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Abstract

Background: Allergic Rhinitis (AR) is an inflammation condition in nasal mucous because of type 1 hypersensitivity. Skin prick test is one of the diagnostic tests to diagnose AR. Purpose of this study was to know the distribution of skin prick test in AR patients.Methods: This study used retrospective descriptive method as cross sectional design. This study was performed from 1 August to 31 October 2014. This study used medical record as secondary data at Department of Otorhinolaryngology–Head and Neck Surgery of Dr. Hasan Sadikin General Hospital. There were 175 cases which fulfilled the inclusion criteria of the study. The data were then analyzed using computer program.Results: Forty seven cases were positive for house dust (26.8%), 127 cases were positive for dust mite (72.5%), 85 cases were positive for rice pollen (48.5%), 62 cases were positive for maize pollen (35.5%), 56 cases were positive for mixed fungi (32%), 100 cases were positive for cockroach (57.1%), 63 cases were positive for horse dander (36%), 50 cases were positive for cat dander (28.5%), 93 cases were positive for dog dander (53.1%), and 38 cases were positive for chicken feather (21.9%).Conclusions: The most aeroallergen making positive result in skin prick test is dust mite. [AMJ.2017;4(1):129–32] DOI: 10.15850/amj.v4n1.1033
Physical Profile of West Java Taekwondo Athletes for Pekan Olahraga Nasional XVIII Riau Pynkan Lafanda; Ambrosius Purba; Tri Damiati Pandji
Althea Medical Journal Vol 2, No 2 (2015)
Publisher : Faculty of Medicine Universitas Padjadjaran

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Abstract

Background: Taekwondo is a martial sport that is often included in competitions, especially in a national event such as Pekan Olahraga Nasional (PON) XVIII Riau in September 2012. A taekwondo athlete must havemaximum physical condition in order to achieve maximum performance. West Java taekwondo athletes who will participate in this national sport event receive centralized exercises as a special preparation stage. This study aimed to determine the physical condition profile of male and female taekwondo athletes for PON XVIII RiauMethods: A quantitative descriptive study was conducted in September 2012 to 15 West Java taekwondo athletes for PON Riau XVIII consisting of 7 male athletes and 8 female athletes. Physical conditions measured were strength, endurance, power, speed, flexibility, cardiorespiratory fitness, agility, and reaction time. The measurement results were then compared to the physical standards data from the head of National Sports Committee of Indonesia (Komite Olahraga Nasional Indonesia/KONI) and were analyzed by percentagecategoryResults: Characteristics in less category were abdominal muscle endurance (male 71.43% and female 100%), cardio respiratory fitness (male 85.71%), and agility (female 37.50%). Characteristics in far category were cardio respiratory fitness (female 62.50%) and agility (male 57.14%)Conclusion: The ability of the physical condition of male and female West Java taekwondo athletes for Pekan Olahraga Nasional XVIII Riau still needs to be improved to maximize achievement. [AMJ.2015;2(1):281–86]
Prevalence and Characteristics of Low Back Pain among Productive Age Population in Jatinangor Dini Diwayani Novitasari; Henny Anggraini Sadeli; Arifin Soenggono; Yulia Sofiatin; Hadyana Sukandar; Rully M. A. Roesli
Althea Medical Journal Vol 3, No 3 (2016)
Publisher : Faculty of Medicine Universitas Padjadjaran

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Abstract

Background: Low back pain is one of the global health issues which prevalence is high among productive ages. It oftentimes corresponds with one’s physical activity during work . The purpose of this study was to determine theprevalence and characteristics of low back pain among productive age population in Jatinangor, West Java, Indonesia.Methods: This study was a cross-sectional descriptive study conducted during the period of August to October 2014 in the three villages in Jatinangor, West Java, Indonesia. In order to determine the demographic data and history of low back pain in the last three months, about 1075 productive age populations were selected through validated questionnaire as the secondary data. These data consisting of 310 subjects were then described according to the pain characteristics and physical activity during work.Results: During three months of examination, s the prevalence of low back pain was 38.4%, with the average age 50–59 years old. Furthermore, about 22.3% subjects were indicated chronic low back pain. The most prevalent qseverity of the pain was dull pain (29.4%), followed with pins and needles pain (23.1%), As the intensity of the pain increased, there was a tendency of increasing interference in daily activities. Static posture was also the most frequent physical activity during work (53.2%).Conclusions: The prevalence of low back pain is more than one third (38.4%) among productive age populations in Jatinangor, West Java, Indonesia.[AMJ.2016;3(3):468–75]DOI: 10.15850/amj.v3n3.863
Nutritional Status of Hospitalized Stroke Patients: Assessment by Body Mass Index and Subjective Global Assessment Method Gloria Kartika; Lisda Amalia; Gaga Irawan Nugraha
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 (102.016 KB) | DOI: 10.15850/amj.v4n2.1090

Abstract

Background: Stroke is a disease with a high mortality rate and common cause of disability. Nutritional factors are strongly associated with this disease. Malnutrition in hospitalized patients increases the incidence of complications, prolonged the length of stay and also the cost of hospitalization. Furthermore, nutritional status of stroke patients can deteriorate during hospitalization. The prevalence of malnutrition in hospitalized stroke patients is about 6% to 62%. The objective of this study was to identify  the nutritional status of hospitalized stroke patient.Methods: This was a descriptive cross-sectional study. Population of the study was hospitalized stroke patients at Neurology Ward, Kemuning Building Dr. Hasan Sadikin General Hospital Bandung, Indonesia from August until October 2014 who meet the inclusion criteria. Nutritional status was measured objectively using Body Mass Index (BMI) and subjectively using Subjective Global Assessment (SGA) method. The collected data were processed using  frequency tabulation and percentage.Results: Twenty six hospitalized stroke patients were included in this study. The hospitalized patients with normal BMI were about 12 people (46.15%), 8 people were overweight (30.77%), 4 people were undernourished (15.39%) and 2 people (7.69%) were obese. According to SGA measurement, approximately 18 people (69.22%) were moderately malnourished, and as much as 4 people (15.39%) were in good nutrition, whereas 4 people (15.39%) were severely malnourished.Conclusions: Majority of the hospitalized stroke patients has normal BMI and moderately malnourished based on SGA. DOI: 10.15850/amj.v4n2.1090
Differences of Anxiety Levels between Students of Natural Sciences and Social Studies Major Based on School Environmental Factors in Senior High Schools with Rintisan Sekolah Bertaraf Internasional Scheme Arviana Adamantina Putri; Leonardo Lubis; Tatang Muchtar Sutaryan
Althea Medical Journal Vol 1, No 2 (2014)
Publisher : Faculty of Medicine Universitas Padjadjaran

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Abstract

Background: Senior High Schools with Rintisan Sekolah Bertaraf Internasional (RSBI) scheme are senior high schools that pilot international standards in learning methods and high curriculum targets. This factor may lead to a rise of anxiety amongst students, both for students in Natural Sciences major and Social Studies major. There are three factors which cause anxiety in the school environment, namely: dissatisfaction towards the curriculum, the teacher, and the school management.Methods: This study used retrospective cohort design. Subjects were selected using the convenience sampling method. Natural Sciences students (n=32) and Social Studies students (n=14) had their anxiety level measured using the Taylor Manifest Anxiety Scale. The dissatisfaction towards the school environment factors was assessed using a school evaluation questionnaire.Results: The anxiety measurement showed that students in both Natural Sciences and Social Studies major experienced severe anxiety (Natural Sciences vs. Social Studies: 75% vs. 86%). The study results based on the school evaluation questionnaire showed dissatisfactions towards the three school environmental factors (curriculum factor, Natural Sciences vs. Social Studies: 59% vs. 64%; teacher factor, Natural Sciences vs. Social Studies: 3% vs. 43%; school management factor, Natural Sciences vs. Social Studies: 3% vs. 14%). The chi-square test results showed that the difference in the anxiety levels between the students of Natural Sciences and Social Studies majors was insignificant (p>0.05).Conclusions: Students of Natural Sciences and Social Studies majors of senior high schools with RSBI scheme experienced severe anxiety. However, there is no strong evidence that the school environment causes this severe anxiety. Keywords: Anxiety Level, Natural Sciences, Senior High School with RSBI Scheme, School Environment Factors, Social Studies Perbedaan Tingkat Kecemasan antara Siswa Kelas Ilmu Pengetahuan Alam dan Siswa Kelas Sosial Berdasarkan Faktor Lingkungan Sekolah di Sekolah Menengah Atas Rintisan Sekolah Bertaraf InternasionalLatar Belakang: Sekolah Menengah Atas Rintisan Sekolah Bertaraf Internasional (SMA RSBI) adalah sekolah menengah atas yang menggunakan standar internasional dalam metode pembelajaran dan kurikulum.  Faktor ini dapat menyebabkan kenaikan kecemasan di kalangan siswa, baik bagi siswa kelas Ilmu Pengetahuan Alam dan siswa kelas Ilmu Sosial. Ada tiga faktor yang menyebabkan kecemasan di lingkungan sekolah, yaitu: ketidakpuasan terhadap kurikulum, guru, dan manajemen sekolah.Metode: Penelitian ini menggunakan desain kohort retrospektif. Subjek dipilih dengan menggunakan metode convenience sampling. Tingkat kecemasan siswa kelas Ilmu Pengetahuan Alam (n = 32) dan siswa kelas Ilmu Sosial (n = 14) diukur dengan menggunakan Skala Kecemasan Taylor Manifest. Ketidakpuasan terhadap faktor lingkungan sekolah dinilai menggunakan kuesioner evaluasi sekolah.Hasil: Pengukuran kecemasan menunjukkan bahwa siswa di kelas Ilmu Pengetahuan Alam dan Ilmu Sosial sama sama pernah mengalami kecemasan yang berat (Ilmu Pengetahuan Alam vs Studi Sosial: 75% vs 86%). Hasil penelitian berdasarkan kuesioner evaluasi sekolah menunjukkan ketidakpuasan terhadap tiga faktor lingkungan sekolah (faktor kurikulum, Ilmu Pengetahuan Alam vs Studi Sosial: 59% vs 64%; faktor guru, Ilmu Pengetahuan Alam vs Studi Sosial: 3% vs 43 faktor manajemen sekolah, Ilmu Pengetahuan Alam vs Ilmu Sosial;%: 3% vs 14%). Hasil uji chi-square menunjukkan bahwa perbedaan tingkat kecemasan antara siswa kelas Ilmu Pengetahuan Alam dan siswa kelas Ilmu Sosial jurusan tidak signifikan (p> 0,05).Simpulan: Siswa kelas Ilmu Pengetahuan Alam dan kelas Ilmu Sosial di SMA RSBI mengalami kecemasan yang berat. Namun, tidak ada bukti kuat yang menunjukkan bahwa lingkungan sekolah sebagai penyebab kecemasan yang berat ini.Kata kunci: Tingkat Kecemasan, Ilmu Pengetahuan Alam, SMA RSBI, Faktor Lingkungan Sekolah, Ilmu Sosial DOI: 10.15850/amj.v1n2.348
Coronary Risk Factors and Collateral Circulation in Acute Myocardial Infarction Sheila Sumargo; Julius B. Dewanto; Syarief Hidayat
Althea Medical Journal Vol 2, No 4 (2015)
Publisher : Faculty of Medicine Universitas Padjadjaran

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Abstract

Background: Coronary arterial stenosis, the major cause of acute myocardial infarction (AMI), induces shear stress to surrounding arteriolar endothelium. This stimulates changes in endothelial cells, smooth muscle cells and fibroblast to create collaterals that can provide alternative blood flow to the jeopardized myocardial area. However, coronary collateralization is various among AMI patients. The aim of this study was to analyze the correlation between coronary risk factors and collateral sirculation in AMI patients.Methods: A retrospective cross-sectional study was carried out to 148 medical records of hospitalized AMI patients in Dr. Hasan Sadikin General Hospital Bandung, Indonesia. All patients were assessed for coronary collateral circulation which were graded as good (Rentrop score 2–3) and poor (Rentrop score 0–1). Risk factors noted in this study were age group, sex, hypertension, diabetes mellitus and diagnosis (ST-segment Elevation Myocardial Infarction (STEMI) or Non STEMI (NSTEMI)) according to the medical record data. Results: Hypertension was found to be associated with the presence of good coronary collateral circulation (p=0.02, PR=1.410 [95% CI 1.030-1.930]). Sex, age group, diabetes mellitus and STEMI or NSTEMI diagnosis were not statistically significant.Conclusions: Hypertension was the only coronary risk factor associated to the presence of well-developed coronary collaterals. The increase of myocardial oxygen demand and flow of collateral feeding coronary artery in the setting of hypertension may contribute to the results.  DOI: 10.15850/amj.v2n4.688
Age Pattern at Menarche as Results from a Puberty Survey Naereintheni A/P Ganabathy; Anggraini Widjajakusuma; Dini Hidayat
Althea Medical Journal Vol 3, No 4 (2016)
Publisher : Faculty of Medicine Universitas Padjadjaran

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Abstract

Background: Range age of menarche is 15 to 17 years old from 1950’s to 20th century. However, in the current generation, the menarche age ranges from 13 to 16 years old. The factors affecting the change in the age of menarche over time and individual variation are due to the genetic or environmental factors. This study was performed to determine age pattern at menarche in Jatinangor, Sumedang ,West Java, Indonesia.Methods: The data for this descriptive study was obtained from a puberty survey performed by faculty members of Faculty of Medicine Universitas Padjadjaran from April–September 2013 in Jatinangor, Sumedang, West Java. A total of 249 female respondents aged 11–70 years old were included in this study. The age and year onset of menarche was determined and analyzed using computer.Results: The range age of menarche in Jatinangor population from early 1963 until 2013 was 9–17 years old, with 0.8% (n=2) cases of precocious puberty in current generation (year onset of menarche, year 2004–2013). For the onset of menstruation, the current generation had a youngest age compared to the other older generations with a mean age of 12.28 years old. Furthermore, most of the respondents from the current generation reached menarche at the age of 12 years old (37.4%). Conclusions: The onset of menarche in current generation is earlier compared to the older generations with most of them reaching menarche at the age of 12 years old. [AMJ.2016;3(4):640–3] DOI: 10.15850/amj.v3n4.952
Hepatoprotective Effect of Solanum melongena/Eggplant against Acute Hepatitis Nabhan Komara; Herri S. Sastramihardja; Afiati Afiati
Althea Medical Journal Vol 2, No 1 (2015)
Publisher : Faculty of Medicine Universitas Padjadjaran

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Abstract

   Background: Hepatitis is a liver inflammation that can be acute or chronic and may cause damage to hepatocytes such as necrosis.. Hepatocyte necrosis can be inhibited by antioxidants such as flavonoids found in Solanum melongena fruit. This study aimed to determine the hepatoprotective effect of Solanum melongena fruit infusion to inhibit hepatocytes damage in CCl4-induced rats.Methods: Twenty five male Wistar rats were randomly divided into five groups, and adapted for 7 days before the experimental study. Negative and positive groups were given aquadest, Group III−V were given Solanum melongena fruit infusion containing 1.125 grams, 2.25 grams and 4.5 grams orally for 9 days. At the 9th day, all rats were induced by 8 mL/kgBW of 10% CCl4 in paraffin, except for the negative group. Rats were sacrificed on the 11th day, and liver biopsy preparations were made. Hepatocyte necrosis was counted and was analyzed by Kruskal-Wallis test and Mann-Whitney test. Results: The study showed that the percentage of necrotic hepatocytes in group III, IV a nd V were lower than in the positive group. Using Mann-Whitney test, there were significant differences in negative group, group III, and group V (p<0.05). Meanwhile, unsignificant difference was seen between the positive group and group IV (p>0.05). Kruskal-Wallis test showed that there weresignificantly differences among groups (p<0.05). Conclusions: Solanum melongena fruit infusion has hepatoprotective effects against acute hepatitis in rat model histopathologically.Keywords: CCl4, flavonoids, hepatocyte, necrosis, Solanum melongena DOI: 10.15850/amj.v2n1.434  

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