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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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Association of Ascariasis with Nutritional and Anemic Status in Early School-Age Students Chin Annrie Eidwina; Lia Faridah; Yudith Setiati Ermaya; Dida Akhmad Gurnida
Althea Medical Journal Vol 3, No 1 (2016)
Publisher : Faculty of Medicine Universitas Padjadjaran

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Abstract

Background: Ascariasis is one of the most frequent helminthias is that occurred in school-age children. Commonly, severe intensity of infection will seriously affect the nutritional and anemic status of the students. The aim of this study was to determine the association of ascariasis with nutritional and anemic status in early school-age students. Methods: An analytical cross-sectional study was conducted based on the secondary data from Jatinangor Cohort. The secondary data of 74 students who met the criteria were included in this study. Data collection was conducted in the Department of Epidemiology and Biostatistics from August to September 2014. The data obtained was analyzed based on the characteristics of the students regarding gender, age, class, parents’ education, ascariasis, nutritional and anemic status. Then, the data were further analyzed to determine the association of ascariasis with nutritional and anemic status of the students using the chi square test or Fisher test if the requirement was not fulfilled.Results: Sixteen (22%) students were having Ascaris lumbricoides infection, six (8.1%) students were thin and seventeen (23%) students were anemic. There was no statistically significant association found of Ascaris lumbricoides infection with nutritional and anemic status in early school-age students (P value <0.05) in this study.Conclusions: There is no statistically significant association of Ascaris lumbricoides infection with nutritional and anemic status of the early school-age students. [AMJ.2016;3(1):93–8] DOI: 10.15850/amj.v3n1.710
Fall Risk Based on Timed Up and Go Test in Elderly at Nursing Home in West Java, Indonesia Thiruchelvam Selvadurai; Tertianto Prabowo; Yuni S. Pratiwi
Althea Medical Journal Vol 4, No 1 (2017)
Publisher : Faculty of Medicine Universitas Padjadjaran

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Abstract

Background: Falls are major cause of morbidity and mortality in elderly patients. Mobility assessment is important in preventing  falls in elderly. This study was conducted to determine the level of fall risk in elderly people at Karitas Cimahi Nursing Home, West Java, Indonesia by using ‘timed up and go test’(TUG).Methods:This cross-sectional descriptive study was conducted at Karitas Cimahi Nursing Home from June–November 2013. The risk of falls was categorized into two; high and low risk of falls. High risk of falls indicated when the participants complete the TUG test with time taken >10 seconds, and low risk of falls indicated when the time taken is <10 seconds. To identify the level of fall risk in elderly people the test which is recommended by the American Geriatric Society was used. The sampling technique used was total sampling. Data was analyzed and presented by using frequency tables.Results: From a total of 32 elderly population at Karitas Cimahi Nursing Home, a total of 20 participated in this study. The ‘Timed up and go test’ result for all the participants were >10 seconds. Conclusions: The level of fall risk in elderly people at Karitas Cimahi Nursing Home based on the  test showed  that all participants,  both male and female, regardless of using assistive device have high level risk of falls. [AMJ.2017;4(1):83–6] DOI: 10.15850/amj.v4n1.1025
Cardiorespiratory Endurance among End Year Student of Faculty of Pharmacy in Jatinangor, Bandung Hemavahthy Mani; Tri Damiati Pandji; Putri Teesa
Althea Medical Journal Vol 6, No 1 (2019)
Publisher : Faculty of Medicine Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (570.891 KB) | DOI: 10.15850/amj.v6n1.511

Abstract

Background: Physical fitness indicates the ability of an individual to perform daily physical activities with ease. The major component of physical fitness is the cardiorespiratory endurance, which is assessed through maximal oxygen consumption (VO2 max). A decrease in cardiorespiratory endurance can be associated with a sedentary lifestyle. This study was conducted to determine the cardiorespiratory endurance among young adults in Jatinangor, Bandung.Methods: This cross-sectional study had used total sampling method, conducted among end year student of Faculty of Pharmacy, Universitas Padjadjaran from October–November 2013. The inclusion criteria wasall end year students who had no health-related problems and the students  had to agree to participate in the study. After obtaining written informed consent from the participants, Astrand-Rhyming Step Test was performed to measure the level of VO2max.Results: In total, 32 students were included of whom 14 students (43.7%) had an average level of VO2 max and 9 (28.2%) had just below average level. Chi-square test results showed that there was no significant relationship (p>0.05) between VO2 max level and gender, BMI level, and smoking habit, but showed a significant relationship (p< 0.05) with exercising habit.Conclusions: The majority of the participants had an average level of VO2 max. A significant relationship between the level of VO2 max and exercising habit, suggesting a regular exercise for a better lifestyle.
Mothers’ Hand washing Practice and Diarrhea Cases in Children under Five in Baleendah, Bandung M Syafril Firdaus; Insi Farisa Desy Arya; Dadang Hudaya Somasetia
Althea Medical Journal Vol 2, No 2 (2015)
Publisher : Faculty of Medicine Universitas Padjadjaran

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Abstract

Background: Diarrhea is a disease, especially in children, with high mortality and morbidity rate in developing countries, including Indonesia. Diarrhea can be prevented if people can apply clean and healthy behaviors, especially hand washing. Hand washing is the cheapest, simplest, and the most effective methods for prevention of diarrhea. The objective of this study is to identify the knowledge, attitude, and practice of mothers’ hand washing and diarrhea cases in children under five in Baleendah District, Bandung.Methods: A descriptive study was conducted during September−November 2012 to 210 mothers who had children (ages 12−59 months) in Baleendah using rapid survey technique. The time allocated for each village was adjusted to the population proportion for each region. The data were analyzed using computerand was represented using frequency distribution.Results: This study showed that the respondents had good level of knowledge and attitude of hand washing (83.8% and 61%, respectively), but only 21% of the respondents’ practices of hand washing was in good level. Most of the respondents did not wash their hands according to the 7 steps of correct hand washing. Moreover the percentage of children with diarrhea in Baleendah was 43.8% (92 cases) during the study.Conclusions: There should be dissemination of information about the benefit of washing hands with 7 steps of correct hands washing so that families can practice it and can prevent diarrhea in children under five. [AMJ.2015;2(1):191–8]
Misdiagnosis of Epilepsy Attributed to Inadequate History Taking Levina Tri Ratana; Suryani Gunadharma; Arifin Soenggono
Althea Medical Journal Vol 3, No 2 (2016)
Publisher : Faculty of Medicine Universitas Padjadjaran

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Abstract

Background: There was a noticeable amount of patient with epilepsy who were misdiagnosed at Dr. Hasan Sadikin General Hospital. Misdiagnosis of epileptic seizure will expose patients to inappropriate managements, and subsequently leads to complications. History taking is an important part for the diagnosis of epileptic seizure. This study aimed to see the improvement of diagnosis based on the adequacy and inadequacy of history taking attributed to misdiagnosis of epileptic seizure by the epilepsy consultant at Dr. Hasan Sadikin General Hospital.Methods: This was a descriptive study using medical records of misdiagnosis of epilepsy. It was indicated by different initial (before epilepsy consultant’s confirmation) and final (after epilepsy consultant’s confirmation) seizure diagnosis at Epilepsy Outpatient Clinic at Dr. Hasan Sadikin General Hospital during the period of January 2007−October 2012.Results: There were 61 medical records with different initial and final seizure diagnosis. This study indicated inadequate history taking in 83.6% patients. Misdiagnosis occurred due to incomplete history taking, absence of reliable witnesses, and misinterpretation of history taking result. History taking by epilepsy consultant improved the misdiagnosis in 27.9% patients. While it is used simultaneously with Electroencephalography (EEG), the result increased to 72.2%.Conclusions: The adequate history taking improved the accuracy of epileptic seizure diagnosis. The simultaneous used of history taking and EEG increased the result. [AMJ.2016;3(2):304–9]DOI: 10.15850/amj.v3n2.775
Hemoglobin Level, Energy Intake, and Body Mass Index of Kebersihan, Keindahan, Kenyamanan Lingkungan Workers in an Academic Institution Carmelia Cantika Maharani; Reni Farenia; Pandji Irani Fianza
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 (209.216 KB) | DOI: 10.15850/10.15850/amj.v4n2.1089

Abstract

Background: Productivity is a priority that is required from every worker. Work productivity of each person is different. The important factors of work productivity are hemoglobin level, energy intake, and body mass index (BMI). The objective of the study was to identify  hemoglobin level, energy intake, and BMI of  Kebersihan, Keindahan, Kenyamanan Lingkungan (K3L) workers in Universitas Padjadjaran, Jatinangor. Methods: A descriptive study was carried out to 80 K3L workers in  Universitas Padjadjaran on October 2014. The total number of 80 workers was chosen with cluster random method. Primary data consisted of hemoglobin level measured by Hemocue®Hb 201+, dietary consumption recall (2x24 hours), and anthropometry data (weight and height). The collected data were analyzed and presented by frequency tabulation and percentage.Results:The study showed that more than a half of subjects (77%) had normal hemoglobin level. The majority of subjects (47%) had low energy intake. Most of subjects (59%) had normal BMI, 12% subjects were underweight, 18% subjects were overweight, and 11% subjects were obesity. Conclusions: The majority of K3L workers have normal hemoglobin level, energy intake deficiency, and normal BMI. DOI: 10.15850/amj.v4n2.1089
Effect of Regular Exercise on Anxiety and Self-Esteem Level in College Students Zahra Hamidah; Putri Teesa Santoso; Radenmas Haryadi Karyono
Althea Medical Journal Vol 2, No 3 (2015)
Publisher : Faculty of Medicine Universitas Padjadjaran

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Abstract

Background: Regular exercise is often presented as an effective tool to influence the psychological aspect of a human being. Recent studies show that anxiety and self-esteem are the most important psychological aspects especially in college students. This study aimed to determine the differences of anxiety and self-esteem level between students who joined and did not join regular exercise program, Pendidikan Dasar XXI Atlas Medical Pioneer (Pendas XXI AMP), in the Faculty of Medicine, Universitas Padjadjaran.Methods: A cross-sectional comparative study was carried out to 64 students who joined and did not join Pendas XXI AMP. Thirty six students (12 females and 20 males) who joined Pendas XXI AMP participated in aerobic and anaerobic exercise sessions lasting for 30 minutes per session,  three times in 5 months.  The control group was 32 students who did not join Pendas XXI AMP, with matching gender composition as the  case group (12 females and 20 males). Two questionnaires, Zung Self-Rating Anxiety Scale questionnaire and Rosenberg’s Self-Esteem Scale questionnaire, were administered to both groups.  The data were analyzed using chi-square test (α=0.05).Results: : There were statistically significant differences in anxiety level (p=0.016) and self-esteem level (p=0.039) between case and control groups. The students who joined Pendas XXI AMP have lower anxiety and higher self-esteem levels.Conclusions: Planned, structured, and repeated physical activities have a positive influence in anxiety and self-esteem levels. DOI: 10.15850/amj.v2n3.517
Success Rate of Phacoemulsification for Cataract in Patients with High-Degree Myopia in National Eye Center Cicendo Eye Hospital Bandung, Indonesia Nadia Khairina Budiman; Andrew Maximilian Knoch; Yuni Susanti
Althea Medical Journal Vol 1, No 1 (2014)
Publisher : Faculty of Medicine Universitas Padjadjaran

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Abstract

Background: Phacoemulsification is one of the procedures performed in cataract with high-degree myopia patients. Patients with high-degree myopia have a higher risk for postoperative complications due to phacoemulsification which affects their visual acuity. These patients also have higher manifest refraction compared to cataract without high-degree myopia. This study aims to evaluate the success rate of phacoemulsification for cataract in patients with high-degree myopia in National Eye Center, Cicendo Eye Hospital Bandung, Indonesia.Methods: A descriptive study was performed by collecting data from medical records on phacoemulsification in cataract patients with high-degree myopia at the National Eye Center, Cicendo Eye Hospital, during January–December 2011. There were 79 cases out of 136 cases that met the inclusion criterias, those were cataract patients with high-degree myopia who underwent phacoemulsification and patients who did regular follow up visits. Data were analyzed using computer.Results: The results showed that from 79 cases, 44(55.7%) cases involved female patients. Visual acuity after phacoemulsfication increased gradually at 1–2 months follow-up. Eighty one percent cases have been corrected at best with a visual acuity of higher than 6/18. No intraoperative complication occurred in 96.2% of the cases but 3.8% cases had zonular dialysis and vitreous prolaps as intraoperative complication. Meanwhile, corneal edema as postoperative complications occurred in 58.3% of the patients. A total of 17 (21.5%) cases had manifested refraction more than ±2.00 diopter.Conclusions: Phacoemulsification in cataract with high-degree myopia resulted in good visual acuity and minimal complications. However, extreme manifest refraction still occurs in several patients [AMJ.2014;1(1):12–6]Keywords: cataract, high-degree myopia, phacoemulsification Tingkat Keberhasilan Fakoemulsifikasi pada Penderita Katarak yang Disertai Miopia Tinggi di Pusat Mata Nasional Rumah Sakit Mata Cicendo, Bandung, IndonesiaLatar Belakang: Miopia tinggi diketahui berhubungan dengan terjadinya katarak. Kasus-kasus tersebut memiliki risiko komplikasi fakoemulsifikasi yang lebih tinggi dibandingkan katarak biasa dan dapat memengaruhi tajam penglihatan serta kualitas hidup pasien sehingga dibutuhkan evaluasi mengenai tingkat keberhasilan fakoemulsifikasi. Penelitian ini bertujuan untuk mengetahui gambaran tajam penglihatan pascabedah, komplikasi,dan refraksi manifes pada penderita katarak disertai miopia tinggi yang menjalani prosedur fakoemulsifikasi.Metode: Penelitian dilakukan dengan metode deskriptif dengan pengambilan data sekunder dari rekam medis di Pusat Mata Nasional Rumah Sakit Mata Cicendo pada Januari–Desember tahun 2011. Ada 79 kasus dari 136 kasus yang memenuhi kriteria inklusi yaitu penderita katarak dengan derajat miopia tinggi yang menjalani fakoemulsifikasi dan rutin datang berobat. Data diolah menggunakan program komputer.Hasil: Hasil penelitian menunjukkan bahwa tajam penglihatan tanpa koreksi 1 hari pascabedah fakoemulsifikasi pada 49,4% kasus dibawah 6/60 yang berangsur membaik pada kunjungan 1–2 bulan. Sebanyak 81,0% kasus memiliki tajam penglihatan dengan koreksi terbaik diatas 6/18. Terdapat 96,2% kasus yang tidak mengalami komplikasi intrabedah. Edema kornea sebagai komplikasi 1 hari pascabedah fakoemulsifikasi cukup banyak terjadi yaitu sebanyak 45,6%. Pada penelitian ini didapatkan refraksi manifes dengan rentang -12.00 sampai +10.00 dioptri, 78,5% berada dalam rentang ±2.00.Simpulan: Prosedur pada katarak miopia tinggi menunjukkan hasil penglihatan yang baik dan komplikasi minimal , tetapi pada katarak yang disertai miopia tinggi masih terdapat pasien yang memiliki refraksi manifes yang cukup berat.Kata kunci: Fakoemulsifikasi, katarak, miopia tinggi DOI: 10.15850/amj.v1n1.290
Factors Influencing the Success Rate of Cardiopulmonary Resuscitation Aisyah Amanda Hanif; Iwan Abdul Rachman; Hendro Sudjono Yuwono
Althea Medical Journal Vol 2, No 4 (2015)
Publisher : Faculty of Medicine Universitas Padjadjaran

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Abstract

Background: Cardiopulmonary resuscitation (CPR) is a series of actions performed on cardiac arrest patients. Not all patients receiving CPR can survive. The outcome of CPR is influenced by several factors. This study was conducted to determine the success rate of CPR and the factors influencing it in Dr. Hasan Sadikin General Hospital in 2013.Methods: This study was conducted by using 168 patient medical records who underwent CPR and met the inclusion criteria in the Resuscitation Room of Dr. Hasan Sadikin General Hospital from January to December 2013. The collected data consisted of age, gender, pre-arrest diagnosis, initial rhythm, response time and clinical outcome of CPR. The results were expressed in frequencies and percentage. The data were analyzed using the chi-square test.Results: The Success rate of CPR was 15.5%. The success rate was higher in patients with cardiac prearrest diagnoses (8.33%, p=0.024). The most common initial rhythm was unshockable rhythms (83.92%), yet patients with shockable heart rhythms had higher success rates (40.74%, p<0.001). All of the surviving patients had response time within the first minute from cardiac arrest.Conclusions: Success rate of CPR in the resuscitation room of Dr. Hasan Sadikin General Hospital during 2013 is still low. The factors influencing the survival rate are the pre-arrest diagnosis and initial heartrhythm. [AMJ.2015;2(4):615–9] DOI: 10.15850/amj.v2n4.657
Predictor of Mortality in Acquired Immunodeficiency Syndrome Patients with Central Nervous System Opportunistic Infections Agustina Lestari; Sofiati Dian; Chrysanti Murad
Althea Medical Journal Vol 3, No 4 (2016)
Publisher : Faculty of Medicine Universitas Padjadjaran

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Abstract

Background: Indonesia’s increase of acquired immunodeficiency syndrome (AIDS) cases is one of the fastest. Mortality cases of AIDS also increase per year. Central nervous system (CNS) opportunistic infection is one of the most likely manifestations on advanced stage of Human immunodeficiency virus (HIV)/AIDS patients. Common CNS opportunistic infections are toxoplasma infection and tuberculous meningitis (TBM). The study aimed to analyze the predictor of mortality in AIDS patients with CNS opportunistic infections.Methods: This study reviewed 151 medical records from AIDS patients with CNS opportunistic infection admitted to the Department of Neurology, Dr. Hasan Sadikin General Hospital Bandung from 2007-2012. This study was conducted from April to November 2013. Patients’ clinical manifestations (seizure, headache, altered consciousness), laboratory examination (CD4+ level count) and treatment history (antiretroviral or ART and cotrimoxazole) were collected. Chi-square and logistic regression test were used to determine the mortality predictor in patients.Results: Mortality rate was 37.7%. Clinical manifestations from patients were seizure 29.8%, altered consciousness 66.2%, and headache 88.7%. Patients had cotrimoxazole treatment 44.4% and 38.4% patients had ART. CD4+ level count data from 86 patients were obtained, 94% had CD4+ level count ≤200. Bivariate analysis showed altered consciousness had significant mortality predictor (Odd ratio (OR): 29.944; 95% Confidence interval (CI) 6.9–129.945; p<0,0). Multivariate analysis showed ART had highest predictive mortality value (OR: 2.968; 95% CI 1.236–7.126; p=0.015).Conclusions: Altered consciousness and no antiretroviral treatment are mortality predictors in AIDS patients with CNS opportunistic infections. [AMJ.2016;3(4):577–82] DOI: 10.15850/amj.v3n4.942

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