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[A Study on Knowledge, Attitude and Practice in Preventing Transmission of Scabies in Pesantren Darul Fatwa, Jatinangor ]]>
<![CDATA[Mahirah Binti Mohd Yusof]]>;
<![CDATA[Silvita Fitri]]>;
<![CDATA[Yunita Damopolii]]>
<![CDATA[ Althea Medical Journal Vol 2, No 1 (2015) ]]>
Publisher : <![CDATA[Faculty of Medicine Universitas Padjadjaran ]]>
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<![CDATA[ Background: Scabies is caused by infestation and sensitization of Sarcoptess cabiei and is an endemic in tropical and subtropical regions around the world. Several factors in the disease transmission are overcrowded living conditions, poor personal hygiene, unhealthy behaviors and population density. Pesantren is a spesific name for an educational Islamic institution in Indonesia and which w could be one of the risk factors of the transmission the disease. Most of the students (santri) are staying at the institution for a long time. The objective of this study was to know the level of knowledge, attitude and practice of santri in preventing scabies.Methods: A descriptive study was conducted on 45 santri in Pesantren Darul Fatwa in Jatinangor during September–December 2012. A questionnaire was set up consisting of questions about age, sex, basic knowledge, attitude, and practice of preventing the transmission of scabies. Data were analyzed using frequency distribution.Results: The level of knowledge and attitude of the respondents to prevent the transmission of scabies were good, meanwhile the level of practice was moderate. There were still questions that could not be answer by the respondents those were the etiology (31.1%), the cut off chain of transmission (40%), and how to prevent scabies (37.8%). Not washing the towel, changing the bed linen and pillow case every 2 weeks were the less good practice performed by the respondents.Conclusions: The knowledge and attitude towards the prevention of transmission of scabies are good while the practices are moderate. A further study with more sample size should be carried out including enviromental assessment.Keywords: Attitude, knowledge, practice, scabiesDOI: 10.15850/amj.v2n1.448 ]]>
<![CDATA[Pattern of Bacteria and Its Susceptibility of Ventilator-Associated Pneumonia Patients in ICU at Dr. Hasan Sadikin General Hospital, Bandung ]]>
<![CDATA[Achmad Faisal Jundi]]>;
<![CDATA[Nurita Dian KSS]]>;
<![CDATA[Yanti Mulyana]]>
<![CDATA[ Althea Medical Journal Vol 3, No 2 (2016) ]]>
Publisher : <![CDATA[Faculty of Medicine Universitas Padjadjaran ]]>
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<![CDATA[Background: Incidence of ventilator-associated pneumonia (VAP) is common in intensive care unit (ICU). This pneumonia, becomes important due to its association to increased length of hospital stay, increased costs, and increased mortality. Irrational administration of antibiotics can lead to development of bacterial resistance. The objective of this study was to describe the pattern of bacteria and the susceptibility of VAP patients.Methods: A descriptive study was carried out to 10 medical records of VAP patients in the ICU at Dr. Hasan Sadikin General Hospital, Bandung in January–June 2014. Microbiological culture results and antibiotics susceptibility testing of patients’ sputum were identified and the collected data were analyzed in form of tables and percentages by using a computer program.Results: Out of 44 cultures taken from 10 patients with VAP, 43 cultures had microbiological findings. Gram negative bacteria were found in 90.6% cultures, the rests were Gram positive bacteria and fungi. The majority of findings were: Acinetobacter baumannii (41.9%), Pseudomonas aeruginosa (18.6%), andKlebsiella pneumoniae (16.9%). The laboratory test result showed varied degrees of antimicrobial resistance to antibiotics.Conclusions: Bacteria found in sputum cultures of ICU patient with VAP are mostly of Gram negative. The result of susceptibility testing of bacteria shows many of the bacteria have resistance to antibiotics in ICU at Dr. Hasan Sadikin General Hospital. [AMJ.2016;3(2):195–9]DOI: 10.15850/amj.v3n2.772]]>
<![CDATA[Two Years Profile of Anemia in Systemic Lupus Erythematosus Patients at West Java’s Top Referral Hospital, Indonesia ]]>
<![CDATA[Stefanie Yuliana Usman]]>;
<![CDATA[Laniyati Hamijoyo]]>;
<![CDATA[Anna Tjandrawati]]>
<![CDATA[ Althea Medical Journal Vol 4, No 2 (2017) ]]>
Publisher : <![CDATA[Faculty of Medicine Universitas Padjadjaran ]]>
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DOI: 10.15850/amj.v4n2.1094
<![CDATA[Background: Anemia is a common clinical manifestation in Systemic Lupus Erythematosus (SLE) patients. Anemia can be caused by an ineffective hematopoietic process or excessive red blood cell destruction. The aim of this study was to classify and characterize anemia in SLE patients.Methods: This study involved 97 outpatients visiting the Rheumatology Clinic of Dr. Hasan Sadikin General Hospital Bandung, from January 2013 to September 2014. Patient data was collected from medical records and study subjects were selected according to the American College of Rheumatology 1997 criteria for SLE, and the characteristic of anemia among outpatients were described according to the World Health Organization criteria.Results: The characteristics among 97 respondents showed 95 (98%) were female; 32 (33%) were 21–30 years old; and 49 (51%) had SLE for 1–5 years. The characteristics and classification of anemia, 57 (59%) had normocytic normochromic, and 33 (34%) had microcytic hypochromic anemia. According to the severity classification, 48 (50 %) had moderate anemia, only 8 (8%) had severe anemia. Four (4%) subjects had anemic conjunctiva, 45 (46%) had fatigue and 48 (50%) had no clinical manifestations of anemic conjunctiva and fatigue.Conclusions: Moderate anemia, normocytic normochromic anemia are the most prevalent among the subjects. Half of the anemic SLE patient has no clinical manifestation of anemic conjunctiva and fatigue.DOI: 10.15850/amj.v4n2.1094]]>
<![CDATA[Community Knowledge and Perception on Autopsy in Jatinangor, West Java from August to October 2013 ]]>
<![CDATA[Siaw Carwen]]>;
<![CDATA[Berlian Isnia Fitrasanti]]>;
<![CDATA[Budi Darmawan]]>
<![CDATA[ Althea Medical Journal Vol 2, No 3 (2015) ]]>
Publisher : <![CDATA[Faculty of Medicine Universitas Padjadjaran ]]>
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<![CDATA[Background: Autopsy rate had declined dramatically throughout the world for the past decades. This phenomenon has raised concerns of the medical world. Factors that contributed to this decline include lack of knowledge regarding autopsy among the people, religious reasons, unenthusiastic pathologists and others. This study was conducted to discover the community knowledge and perception of autopsy at Jatinangor, West Java.Methods: A descriptive study was conducted in Jatinangor during the period of August to October 2013. One hundred and ten respondents were included in this study by random sampling. After written informed consent, respondents were given a questionnaire. Collected data were presented in the form of percentages in tables.Results: Most of the respondents were from the age group of 41–50, entrepreneur and senior high school. Eighty seven (79.09%) respondents had heard about the term “autopsy”, but only 66 (75.86%) of them claimed that they knew about autopsy. However, only 53 from 87 respondents (60.92%) truly knew about autopsy. From 110 respondents, 58 (52.72%) of them knew the reasons to perform autopsy. Fifty seven (51.81%) respondents would allow autopsy to be performed on themselves or family members. The main reason was given to discover the exact cause of death. The reasons of autopsy refusal were afraid of religion concerns and respect for the human body.Conclusions: There are still members of the community who do not know about autopsy and its purposes. It is recommended that the government improves the community knowledge through various activities and programs. DOI: 10.15850/amj.v2n3.522]]>
<![CDATA[Comparison of Maternal Health Service Satisfaction Level of National Health Coverage and Non National Health Coverage Patients in Bandung Mother and Child Hospital ]]>
<![CDATA[Rika Yuntiani]]>;
<![CDATA[Eppy Darmadi Achmad]]>;
<![CDATA[Henni Djuhaeni]]>
<![CDATA[ Althea Medical Journal Vol 3, No 3 (2016) ]]>
Publisher : <![CDATA[Faculty of Medicine Universitas Padjadjaran ]]>
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<![CDATA[Background: Healthcare is financially inaccessible to some people. This results in deterioration of patients’ condition or even death, which is proven by the high level of Maternal Death Rate in Indonesia. The government implemented the National Health Coverage (NHC) system to ensure the provision of quality health care for the entire community. This study aimed to examine the NHC and non-NHC patients’ perception to quality maternal healthcare services.Methods: This study was an analytic cross-sectional study conducted from August–October 2014. One hundred and twenty six respondents from Kota Bandung Mother and Child Hospital were included. The tool used in this study was a validity and reliability-tested questionnaire encompassing five dimensions of service quality: tangibles, reliability, responsiveness, assurance, and empathy. The Kolmogorov-Smirnov test was used to test the hypothesis.Results: The study showed that the majority of NHC(75%) and non-NHC patients (89%) ware unsatisfied with the maternal healthcare services. Most patients felt unsatisfied towards the reliability dimension which involved complicated referral procedures and examination time that failed to comply with what was promised.Conclusions: There is no difference between NHC and non-NHC patients’ level of satisfaction of maternal health care service in Bandung Mother and Child Hospital. [AMJ.2016;3(3):425–29]DOI: 10.15850/amj.v3n3.869]]>
<![CDATA[Health Information and Decision Making Preference on Disease Treatment ]]>
<![CDATA[Muhammad Hasif Bin Mohamed Ali]]>;
<![CDATA[Yoni Syukriani]]>;
<![CDATA[Bambang Sulthana]]>
<![CDATA[ Althea Medical Journal Vol 2, No 4 (2015) ]]>
Publisher : <![CDATA[Faculty of Medicine Universitas Padjadjaran ]]>
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<![CDATA[Background: Medical decision making is a complex cognitive process of choosing in establishing a diagnosis and selecting a management option in the context of healthcare. Patients may desire to take part in obtaining and exchanging information, discussing over options and making the final decisions about treatment and or care. The focus of the study was to identify the health information and decision making preference on diseases treatment.Methods: A descriptive study was conducted to 110 respondents from Hegarmanah Village, Sumedang, Indonesia, aged 18–65 years old who had the experience in consulting doctors for their medical problems. This study was carried out during the period of September to October 2013. The respondents were selected using random stratified sampling. A tested questionnaire, consisted of 2 sections, was used to collect the data. The collected data were presented using frequency tabulation.Results: Most of the respondents preferred to be offered choices and asked for their opinions by their doctors. Furthermore, 55.45% preferred to rely on physicians for medical knowledge and 93.64% agreed that they had rights in getting all the information on their medical problems, so they submitted their decision to the doctors for care or treatment.Conclusions: This study shows that preference of the patients varies with regard to how much patients want to participate as one, which may have different preference for different components of the decision making process, yet there is a shift of paradigm from paternalistic to collaborative decicion making between doctor and patient. [AMJ.2015;2(4):463–8] DOI: 10.15850/amj.v2n4.628]]>
<![CDATA[Comparison of Life Quality between Diabetic and Diabetic with Tuberculosis Patients ]]>
<![CDATA[Widuri Wita Andriati Shariefuddin]]>;
<![CDATA[Sri Yusnita Irda Sari]]>;
<![CDATA[Tri Damiati Pandji]]>
<![CDATA[ Althea Medical Journal Vol 3, No 3 (2016) ]]>
Publisher : <![CDATA[Faculty of Medicine Universitas Padjadjaran ]]>
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<![CDATA[Background: There are increasing double burden disease in the world. One of the double burden problems is diabetes mellitus (DM) and Tuberculosis (TB). DM is a metabolic disease while TB is an infectious disease. The increasing number of people with DM and TB will affect the relationship between the two diseases (DM-TB). DM is an incurable disease that if it is not controlled properly will affect the person’s quality of life. This study was conducted to determine the quality of life (QoL) in people with diabetes compared to diabetic patients who also suffer from tuberculosis at Dr. Hasan Sadikin General Hospital, Bandung.Methods: This was a cross sectional study which included fifty three respondents in each DM and DM-TB group using the consecutive samplingmethod. The World Health Organization Quality of Life (WHOQoL-BREF) questionnaire was given after written informed consent was obtained from respondents. This study was conducted from April to November 2014 at the Endocrine and metabolism policlinic in Dr.Hasan Sadikin General Hospital.Results: The result showed that the total QoL score of DM patients was 58.8, DM-TB patients was 53.59 which was significantly different between the two groups (p=0.004). Out of four domains, physical (p=0.008), psychological (p=0.008) and environmental health (p=0.001) were significantly different between the two groups. There was no significant difference in social relationships domain (p=0.771).Conclusions: Lower QoL among DM-TB patients indicates that improvement in education or counseling particularly about physical, psychological and environment changes is recommended. [AMJ.2016;3(3):440–5]DOI: 10.15850/amj.v3n3.891]]>
<![CDATA[Improvement of Near Vision for Low Vision Patients in National Eye Healthcare Center Cicendo Eye Hospital 2010-2011 ]]>
<![CDATA[Muhammadnur Rachim Enoch]]>;
<![CDATA[Ine Renata Musa]]>;
<![CDATA[Titing Nurhayati]]>
<![CDATA[ Althea Medical Journal Vol 1, No 2 (2014) ]]>
Publisher : <![CDATA[Faculty of Medicine Universitas Padjadjaran ]]>
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<![CDATA[Background: “Low vision” is a term used refer to a person having a visual acuity of less than 6/18 (20/60) to light perception (LP). People with low vision can still be treated to perceive or see objects, although several limitations occur. Treatments for people with low vision include either optical or non-optical devices. This research aims to reveal visual acuity for near vision that can serve as corrective benchmark after devices for near vision are given.Methods: This is a retrospective descriptive research, using medical records from the National Eye Healthcare Center, Cicendo Eye Hospital, for the period of August 2010–September 2011 as the subject of the research. Approximately 475 patients were listed, 263 female and 212 male. The number of patients with low vision given with corrective device for near vision were 81 patients.Results: The result showed that visual acuity was corrected after corrective devices for near vision with the size of 1–10 M were given.Conclusions: The highest of overall corrections or improvements for near vision are the one under the category of “severe visual impairment”.Key words: low vision, optical devices, visual acuity Peningkatan Penglihatan Jarak Dekat Pada Penderita“ Low Vision” di RS Mata Nasional Cicendo 2010–2011 LatarBelakang: "Low vision" adalah istilah yang mengacu pada seseorang yang memiliki ketajaman visual kurang dari 6/18 (20/60) dengan persepsi cahaya. Orang dengan low vision masih dapat diobati untuk melihat benda meskipun dengan berbagai keterbatasan. Pengobatan terhadap penderita low vision meliputi perangkat optik atau non-optik.. Penelitian ini bertujuan untuk menggambarkan ketajaman visual penglihatan dekat yang dapat berfungsi sebagai pedoman perbaikan setelah perangkat diberikan.Metode: Penelitian ini merupakan penelitian deskriptif retrospektif dengan menggunakan rekam medis dari Pusat Mata Nasional Kesehatan, RS Mata Cicendo, periode Agustus 2010–September 2011 sebagai subjek penelitian. Sekitar 475 pasien yang terdaftar terdiri atas 263 perempuan dan 212 laki-laki, 81 diantaranya diberikan perangkat korektif untuk penglihatan dekat.Hasil: Ketajaman visual dapat diperbaiki setelah dilakukan pemberian perangkat korektif untuk penglihatan jarak dekat dengan ukuran 1–10 M.Simpulan: Peningkatan penglihatan jarak dekat terbaik adalah pada kelompok low vision yang termasuk kategori “gangguan penglihatan berat”.Kata kunci: low vision, perangkat optik, ketajaman visual DOI: 10.15850/amj.v1n2.355]]>
<![CDATA[Association of Body Mass Index to Onset of Puberty in Male ]]>
<![CDATA[Jeevithaambigai Subramaniam]]>;
<![CDATA[Yulia Sofiatin]]>;
<![CDATA[R.M. Ryadi Fadil]]>
<![CDATA[ Althea Medical Journal Vol 3, No 1 (2016) ]]>
Publisher : <![CDATA[Faculty of Medicine Universitas Padjadjaran ]]>
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<![CDATA[Background: Puberty is the period where the developmental process takes place, marks the transition from childhood to adulthood with physical and physiological changes. This study was conducted to discover association between body mass index (BMI) and onset of puberty in male.Methods: A cross-sectional study was conducted from May to November 2013 using simple random sampling which was part of bigger research study by Nutrition and Metabolism Working Group on Jatinangor Cohort, especially Puberty Survey in Jatinangor, by Department of Epidemiology and Biostatistics Faculty of Medicine Universitas Padjadjaran. Respondents were 286 males, 9–15 years old from Elementary School (Sekolah Dasar/SD) and Junior High School (Sekolah Menengah Pertama/SMP). Inclusion criteria were students who are healthy at the time and do did not have obvious disease, attained puberty within 1 year or did not yet attained it, and voluntarily followed the study procedure. The questionnaire was provided after getting informed consent from the respondents. The data analysis was done conducted using Pearson Correlation. Results: The magnitude of association of BMI to the onset of puberty in male among school students in Jatinangor was 0.243 which showed there was positive correlation coefficient between BMI to onset of puberty in male. Test results with the t-test showed t-value of 2.683 with p-value of 0.008.Conclusions: There is association of BMI to the onset of puberty in male among school students in Jatinangor. Positive correlation indicates that the higher the BMI, the faster the onset of puberty in male. [AMJ.2016;3(1):12–16] DOI: 10.15850/amj.v3n1.697]]>
<![CDATA[Profile and Behaviour of Mother as Factor of Increasing Diarrhea Incidence Children Under Five at Jatinangor District in 2013 ]]>
<![CDATA[Rahayu Widhyasti]]>;
<![CDATA[Nita Arisanti]]>;
<![CDATA[Ina Rosalina]]>
<![CDATA[ Althea Medical Journal Vol 3, No 4 (2016) ]]>
Publisher : <![CDATA[Faculty of Medicine Universitas Padjadjaran ]]>
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<![CDATA[Background: In 2012, data from Health Center of Jatinangor District showed nearly 50% of diarrhea cases occured in children under five at Sayang Village and Cilayung Village. Diarrhea cannot be separated from several factors that influence it, thus to reduce the incidence rate of diarrhea needs description of factors that affect diarrhea in children so that prevention can be done maximally. Objective of this study was to describe profile and behavior of mother as one factor of increasing diarrhea incidence in children under five at Jatinangor.Methods: This study was descriptive with cross-sectional design conducted at Sayang Village and Cilayung Village in October–November 2013. The respondents of this study were 102 mothers who have infants aged 0–59 months thorough cluster sampling methods. Respondent will be interviewed and given validated questionnaire. Results: The result showed that 57.8% of mother aged 25–35 years, mostly graduated from junior high education (41.2%), and 81.4% as a housewife. Most of diarrhea occurred in children under 2 years and female. There were 73.5% mother who exclusively breastfed, 94.1% have good behavior of clean water usage, 61.8% with good hand washing behavior, and 60.8% respondents utilized healthy latrine.Conclusions: This study showed good results in behaviour of exclusive breastfeeding, behavior of clean water usage, behaviour of hand washing with clean and water flow, and behaviour of healthy latrine usage. Other factors might be contributed to increasing diarrhea incidence. [AMJ.2016;3(4):655–60] DOI: 10.15850/amj.v3n4.956]]>
