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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 1,078 Documents
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Profile of Blood Transfusion Requests from Hospitals to Bandung Blood Transfusion Unit, Indonesian Red Cross in 2011 Amalia, Syahla Nisaa; Dalimoenthe, Najdwa Zamalek; Rachman, Januarsih Iwan
Althea Medical Journal Vol 2, No 3 (2015)
Publisher : Althea Medical Journal

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Abstract

Background: Blood transfusion as a part health services should be provided under appropriate indications and in a safe manner. In Indonesia, blood collection is run by the Blood Transfusion Unit of Indonesian Red Cross, where the blood is screened, processed into blood components, and finally distributed to hospitals. The purpose of this study was to describe the profile of blood transfusion requests from hospitals that do not have blood bank facility to the Bandung Blood Transfusion Unit, Indonesian Red Cross.Methods: A descriptive study was carried out using secondary data from Bandung Blood Transfusion Unit Indonesian Red Cross (UTD PMI Bandung).  All blood request forms from hospitals during 2011 were collected and analyzed. Variables in this study were the amount of  blood units, blood components, blood type, and indications of blood transfusion.Results: The number of blood units requested by hospitals were 35,841 units. The most blood units requested was in August 2011. The blood component requested was the packed red cell (61.1%), whole blood (17.4%), thrombocyte concentrate (10.6%), and fresh frozen plasma (7%). The total percentage of O, A, B and AB blood types were 36.1%, 28.6%, 27.5%, and 7.9% respectively. The most frequent indication for transfusion was anemia (61.7%), followed by surgery and other causes of bleeding.  Conclusions: The total blood units requested by hospitals vary each month. The most blood component requested is Packed Red Cell and the type of blood is O blood type. The most frequent indication is anemia. DOI: 10.15850/amj.v2n3.519
Factors Influencing the Success Rate of Cardiopulmonary Resuscitation Hanif, Aisyah Amanda; Rachman, Iwan Abdul; Yuwono, Hendro Sudjono
Althea Medical Journal Vol 2, No 4 (2015)
Publisher : Althea Medical Journal

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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
Visual Acuity Before and After Treatment in Patients with Chemical Injuries at the National Eye Center, Cicendo Eye Hospital, Bandung from 2010 to 2011 Laksana, Endi Pramudya; Ratnaningsih, Nina; Farenia S, Reni
Althea Medical Journal Vol 2, No 3 (2015)
Publisher : Althea Medical Journal

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Abstract

Background: Chemical trauma is one of the emergency cases in ophthalmology since it can lead to severe, permanent blindness if not immediately treated. This study aimed to reveal pre- and post-therapy visual acuity on patients with chemical trauma at theNational Eye Center, Cicendo Eye Hospital, Bandung.Methods: This study was performed on 40 patients’ medical records from the National Eye Center, Cicendo Eye Hospital Bandung from January 2010 to January 2011 as secondary data, using the descriptive retrospective method. The data were divided into two groups: acid and alkali trauma. The collected data were analyzed and presented in tables.Results: Chemical trauma cases were mostly caused by caustic soda (17/40) whereas the least were caused by vinegar (3/40) and commonly occurred on adult patients in the right eye on alkali trauma. Patients with chemical trauma generally had normal eyesight before therapy.The number of patients with acid and alkali trauma who experienced improved eyesight after therapy alkali were similar (3 patients) while  worsening symptoms occurred  in one patient with alkali chemical trauma from mild to medium  low vision.Conclusions: There are some improvements of visual acuity after treatment in patients with chemical injuries. DOI: 10.15850/amj.v2n3.482
Breakfast Composition in Junior High School Students Devi, Sheila; Diana, Aly; Setiawan, Setiawan
Althea Medical Journal Vol 2, No 4 (2015)
Publisher : Althea Medical Journal

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Abstract

Background: Adolescence is a time of rapid development that requires higher nutrient intake levels than in adulthood. However the habit of skipping breakfast has become very popular among adolescents. Skipping breakfast has negative effects such as difficulty in concentrating, growth impairment and decrease academic performance. Therefore, this study was conducted to identify the breakfast composisition of early adolescents in Jatinangor, Sumedang, Indonesia.Methods: A cross sectional study with non-probability sampling method, was conducted in a junior high school Jatinangor during the month of July 2013. Ninety six participants were included in this study. All the participants underwent an interview about the food intake for breakfast in seven days using eating pattern recall guidelines.Results: Overall, 37% of the respondents skipped breakfast. The mean of total calories among the adolescents who consumed breakfast was 286.06 (187.89) kcal. The amount of carbohydrate, fat and protein consumed was 29.23 (19.93) gram, 13.93 (13.29) gram and 8.78 (6.11) gram accordingly. The main reason for adolescent to skip breakfast was lack of time.Conclusions: Majority of the respondents have their  breakfast before they go to school. Overall, the total calories comsumed is sufficient however the amount of protein consumed is low. [AMJ.2015;2(4):525–8] DOI: 10.15850/amj.v2n4.637
Hand hygiene, health care workers, methicillin-resistant Staphylococcus aureus, nosocomial infection, Staphylococcus aureus Gunadi, Julius; Sastramihardja, Herri S.; Dewi, Nina Susana
Althea Medical Journal Vol 2, No 2 (2015)
Publisher : Althea Medical Journal

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Abstract

Background: Hypercholesterolemia is a major risk factor for coronary heart disease. Ear fungus (Auricularia auricula) contains soluble fiber (beta glucan) which is believed to have an effect of reducing cholesterol level. The aim of this study was to determine the effect of fungus infusion in reducing blood cholesterol.Methods: This study used the laboratory experimental method conducted in the pharmacology laboratory of Dr. Hasan Sadikin General Hospital Bandung. The subjects were 25 male Wistar rats which were randomly divided into 5 groups. The first group was given only distilled water as a negative control, the remaining groups were induced to be dyslipidemic and received fungus infusion with different doses of 18%, 36%, 72% and one group received no treatment.Results: The comparison of different doses showed all had the effect of reducing cholesterol levels compared to the positive control group (p<0.05). Each dose showed slight differences in their effectiveness, 18% (p=0.007; p<0.05), 36% (p=0.002; p<0.05), and 72% (p=0.014; p<0.05).Conclusions: ear fungus infusion had the effect of reducing cholesterol with the most effective concentration was 36%. [AMJ.2015;2(1):153–61]
Characteristics of Patient with Brachial Plexus Injury in Neurophysiology Laboratory of Dr. Hasan Sadikin General Hospital Bandung, Indonesia, from 2003 to 2012 Kurnianto, Ivan; Kurniani, Nani; Soenggono, Arifin
Althea Medical Journal Vol 2, No 3 (2015)
Publisher : Althea Medical Journal

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Abstract

Background: Brachial plexus is a network of nerves that controls the upper limb. Unfortunately, it can be injured easily which is called brachial plexus injury (BPI). It can cause disability. Until now, the epidemiology of BPI in Indonesia is still lacking. The aim of this study was to describe the characteristics of patients with BPI in Bandung, in order to increase knowledge and attention of health care provider and community to prevent BPI.Methods: This was a descriptive retrospective study. Data from medical records of patients with BPI who underwent electromyography (EMG) in Neurophysiology Laboratory Dr. Hasan Sadikin General Hospital, Bandung from 2003 to 2012 were collected. The data included age, sex, mode of injury, affected side and distribution of paralysis. Collected data were presented as percentages shown in tables.Results:  A total of 91 cases were collected during study period, which consisted of 69 males and 22 females (76% vs. 24%). Most of them were in productive age group (11−20 years and 21−30 years). The main cause of brachial plexus injury was traffic accident (76%), followed by birth injury. Distribution of paralysis was mostly in postganglionic area of cervical (C)5, C6, C7, C8 and thoracal (T)1 (67%). Around two third of the cases involved the right side of upper limb.Conclusions: The study showed that most of patients with BPI are male in their productive ages. Traffic accident is the most common cause, and the most affected side is the right side of upper limb. DOI: 10.15850/amj.v2n3.529
Health Information and Decision Making Preference on Disease Treatment Bin Mohamed Ali, Muhammad Hasif; Syukriani, Yoni; Sulthana, Bambang
Althea Medical Journal Vol 2, No 4 (2015)
Publisher : Althea Medical Journal

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Abstract

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
Incidence of Dengue Hemorrhagic Fever Related to Annual Rainfall, Population Density, Larval Free Index and Prevention Program in Bandung 2008 to 2011 Karina, Anggia; Sari, Sri Yusnita Irda; Sumardi, Uun; Setiawati, Elsa Pudji
Althea Medical Journal Vol 2, No 2 (2015)
Publisher : Althea Medical Journal

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Abstract

Background: Dengue Hemorrhagic Fever (DHF) remains one of health problems in all provinces in Indonesia including West Java. Bandung as the capital of West Java province has dengue prevalence that is above the average prevalence of all provinces. This study aimed to describe the pattern of dengue incidence rate, annual rainfall, population density, and larval free index as well as the implementation of prevention program in sub-districts with the highest incidence rate in Bandung between 2008 and 2011.Methods: A descriptive retrospective study was conducted in September 2012 using secondary data during the period of January 2008 to December 2011. The incidence rate was calculated based on DHF patients who live in Bandung. Data were analyzed using computer and Arc View 3.3. Pattern of incidence rate was characterized with red, yellow, and green region respectively. Results: The highest incidence rate of DHF occurred in 2009. Incidence increased in January to February and declined in the end of the year. Subdistricts with highest incidence had no highest annual rainfall and the population density below the average of population density in Bandung. The highest implementation of fogging program was not only performed in high incidence subdistricts but also in area with larval free index less than 95%. Larval free index in subdistricts with highest incidence were not all below 95%.Conclusions: Incidence of DHF increases after months of highly rainfall. The pattern of incidence rate in all subdistrict is dynamic and suspected do not related to annual rainfall, population density, high larva free index, and frequency of fogging. [AMJ.2015;2(1):262–7]
Incidence of Herpes Zoster in relationship with Climate Factors from 2009 to 2011 Adinda, Herning; Sandiono, Dendi; Prajitno, Ihrul Prianza
Althea Medical Journal Vol 2, No 3 (2015)
Publisher : Althea Medical Journal

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Abstract

Background: Herpes zoster, or shingles, is a skin or mucous infection caused by the reactivation of varicella-zoster virus (VZV). Seasonal pattern of herpes zoster incidence was reported in some countries, indicating that emergence of this disease was caused by the reactivation of latent Varicella-Zoster Virus (VZV) rather than new exposures to VZV. On the other hand, the VZV primary infection difference between tropical and temperate zones may have implications for virus reactivation as herpes zoster. The aim of this study was  to identify the incidence of herpes zoster in Dr. Hasan Sadikin General Hospital Bandung, West Java related to the change of rainfall, air temperature and humidity from 2009 to 2011.Methods: A descriptive retrospective study was carried out to 341 medical records of herpes zoster patients from Dr. Hasan Sadikin General Hospital Bandung periode 2009 to 2011. Data on climate factors, i.e. rainfall, air temperature, and relative humidity, were obtained from the Indonesian Meteorology, Climatology, and Geophysical Agency. The collected data were presented using tables and figures.Result: The highest number of herpes zoster cases occured during the period when the highest annually total rainfall and annually mean relative humidity occurred.Conclusions: The finding of this study shows that herpes zoster cases have the same pattern with the rainfall and relative humidity. These findings can inform better prevention of herpes zoster. However, further research is needed to get more comprehensive understanding on this relationship. DOI: 10.15850/amj.v2n3.591
Demographic Profile of Knee Osteoarthritis Patients in a Teaching Hospital West Java, 2013 Nugrahaputra, Tranggana; Prabowo, Tertianto; Sadeli, Henny Anggraini
Althea Medical Journal Vol 2, No 4 (2015)
Publisher : Althea Medical Journal

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Abstract

Background: Osteoarthritis is the most common degenerative musculoskeletal diseases occur worldwide. It usually affects the weight-bearing joint such as knee and vertebra. Osteoarthritis is influenced by various risk factors. The aim of the study was to identify the demographic profile of knee osteoarthritis patients.Methods: A retrospective descriptive study was performed to 247 medical records of knee osteoarthritis patients who attended to Physical Medicine and Rehabilitation of Dr. Hasan Sadikin General Hospital Bandung in 2013. The inclusion criteria were medical records that consisted of age, sex and occupation of the patients, and payment methods. Exclusion criteria were incomplete of the necessary data mentioned in the inclusion criteria. The study was conducted from August until November 2014. The collected data were analyzed and presented using frequency distribution.Results: From all the patients, 40.9% was 60-69 years old, 77.7% were women and 82.6% were retired patients. Most of the patients had a social health insurance.Conclusions: Majority of patients is 60–69 years old women, retired and has the financial protection. [AMJ.2015;2(4):597–600] DOI: 10.15850/amj.v2n4.468

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