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Althea Medical Journal

amj
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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.

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Articles 1,068 Documents

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Low Knowledge and Negative Perception about the Risks of Breast Cancer among Female High School Students Sri Yusnita Irda Sari; Dini Desmona; Teguh Marfen Djajakusumah
Althea Medical Journal Vol 6, No 3 (2019)
Publisher : Faculty of Medicine Universitas Padjadjaran

Background: Breast cancer is one of the leading causes of death among women. The potential risk factor is older age, however, the prevalence at a young age is recently increased. Unfortunately, young women show a poor level of knowledge about breast cancer. This study aimed to explore the knowledge and perception among female high school students about the risks of breast cancer.Methods: This cross-sectional study was conducted from October to November 2013 in Jatinangor. One hundred and eighteen (n118) female students from three senior high schools were included in this study. Data on mother’s educational status, family income, family history of breast cancer and number of a family members living in the same house was collected. Knowledge and perception toward risks of breast cancer were assessed using a validated questionnaire.Results: Most of the students (69.5%) had a poor level of knowledge about breast cancer. Furthermore, they also had a negative perception (43.2%) toward breast cancer’s risks. Factor influencing their perception was family income (p=0.012) and knowledge about breast cancer (p=0.008).Conclusions: Young female high school students have low knowledge and negative perception about the risks of breast cancer. It is recommended that education about breast care and breast cancer should be given to high school female students to improve their knowledge and to early detect abnormality in their breast.

Comparison of Effectiveness between Rifampicin Ofloxin-Minocycline Regimen and Multidrug Therapy-World Health Organization in Multibacillary Leprosy Patients Octawyana Moestopo; Hendra Gunawan; Anisah Dahlan
Althea Medical Journal Vol 3, No 4 (2016)
Publisher : Faculty of Medicine Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (204.905 KB)

Background: Multidrug therapy (MDT) which is recommended by the World Health Organization (WHO) for multibacillary (MB) leprosy patients has some side effects; it is given in 12 doses over 12-18 months. Patients who refuse or are contraindicated in undertaking MDT-WHO can be given alternative rifampicin-ofloxacin-minocycline (ROM) regimen for 24 months, whose side effects are less but more expensive. This study was conducted to compare the effectiveness between ROM and MDT-WHO regimen in the first 12 months based on the derivation in morphological index (MI) of acid-fast bacilli (AFB) in MB leprosy patient.Methods: This was an observational analytical study with retrospective cohort method. Data was collected from medical records of MB leprosy patients in the Medical Record Installation and Morbus Hansen Clinic, Dr. Hasan Sadikin General Hospital Bandung. The overall derivation in MI in 12 months was assessed according to the type of therapy undertaken by the patient. Data was analyzed by Mann-Whitney U Test.Results: A total of 59 data were selected out of 800 data of new leprosy patients based on the inclusion and exclusion criteria. Among those, 20 patients were treated by ROM and 39 by MDT-WHO. Derivation of MI occurred among both groups, but ROM regimen had higher percentage (94.83%) compared with MDT-WHO regimen (79.57%) with p value=0.003 (p <0.05). Conclusions: ROM regimen has better effectiveness than MDT-WHO regimen in the first 12 months in MB leprosy patients. [AMJ.2016;3(4):661–5]DOI: 10.15850/amj.v3n4.955

Parents’ Knowledge and Children’s Toilet Training Practices: Study in Kindergartens in Jatinangor Anne Shafira Purnama Claytonia Aziz; Yudith Setiati Ermaya; Nur Melani Sari
Althea Medical Journal Vol 6, No 2 (2019)
Publisher : Faculty of Medicine Universitas Padjadjaran

Background: Constipation has serious threats for children, however, this condition can be treated by toilet training. The level of parents’ understanding of defecation affects the success of the training to reduce the symptom of constipation. This study aimed to assess the knowledge of the parents and their children’s practice in toilet training at kindergarten. Methods: This was an analytic study with a cross-sectional method which conducted at kindergartens in Jatinangor, selected by a total random sampling method. A self-made validated questionnaire was distributed to parents asking about knowledge and toilet training. Incomplete answer sheets and parents who did not come to school by the time of the study were excluded. Result: In total, 111 parents returned the questionnaire, and most of the parents (98.19%) had good knowledge regarding toilet training. Moreover, most of the children (96.39%) were also good at practicing the toilet training. There was a strong and significant correlation between parents’ knowledge and the children’s practice of toilet training with coefficient correlation 0.701 and p-value <0.05.Conclusions: Good knowledge of parents help the children practicing toilet training, therefore, education to new parents is necessary.

Profile of Nutritional Status and Nutrient Intake among Children with Cerebral Palsy in Dr. Hasan Sadikin General Hospital Bandung Zahra Fitrianti; Ellyana Sungkar; Lola Ilona Hamied
Althea Medical Journal Vol 6, No 3 (2019)
Publisher : Faculty of Medicine Universitas Padjadjaran

Background: Children with Cerebral Palsy have abnormalities in the motoric function that cause feeding problems and higher energy requirements compared to normal children. These problems put the patients at risk of getting inadequate nutrient intake, leading to malnutrition and thus affecting the health outcomes. This study aimed to explore the nutritional status and nutrient intake among children with Cerebral Palsy.Methods: Children with Cerebral Palsy who came for a rehabilitation program in the Department of Physical Medicine and Rehabilitation Dr. Hasan Sadikin General Hospital Bandung were recruited from September–October 2014. Descriptive quantitative study design was performed. Nutritional status was determined by body weight and body height or length if the children could not stand upright to calculate Z-scoreBMI-for-age and Length/Height-for-age according to WHO. Undernutrition was determined when Z-score≤ -2; stunting was designated as height below the average of their age; whereas wasting as a weight. A repeated 24 hours of food recall was used to measure nutrient intake.Results: There were 18 children with Cerebral Palsy, consisting of boys (n=7) and girls (n=11). Only 33.3% of patients had good nutritional status, the others (n12; 67.7%) were under nutrition; of whom stunting (n7) was found, followed by wasting (n3) and both stunting and wasting (n2). These under nutrition patients had predominantly a lower energy and carbohydrate intake.Conclusions: Most of the Cerebral Palsy children are in under nutrition status due to a low energy and carbohydrate intake, therefore, special attention in mother education for the food pattern of their children needs to be raised.

Detection of Dermatophyte between Toes of Medical Students Wearing and not Wearing Socks in Universitas Padjadjaran using Direct Microscopic Examination Venna Magarita; Ramlan Sadeli; Hendra Gunawan
Althea Medical Journal Vol 2, No 4 (2015)
Publisher : Faculty of Medicine Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (542.546 KB)

Background: Dermatophytes thrive in warm, humid, and moist areas. Wearing the same socks more than A day is one predisposing factor. The aim of this study is to detect the dermatophyte between the fourth and fifth toes of medical students of Universitas Padjadjaran, who wear and do not wear socks.Methods: This was a cross-sectional descriptive study performed in Microbiology Laboratory of Faculty of Medicine Universitas Padjadjaran from September to October 2013. Direct microscopic examination using 10% Potassium Hydroxide (KOH) was performed on 50 medical students, 25 students who wear socks and 25 students who do not wear socks. The samples were taken from scraped skin between the fourth and fifth toes using the cellophane tape method. The sample size is obtained via stratified random sampling.Results: From all participants, two students (4%) showed positive result of dermatophyte hyphae and 1 student (2%) showed positive result of dermatophyte hyphae and arthrospore. Of these three students, two students wear socks and one student does not wear socks. The two students who wear socks changed their socks more than a day.Conclusions: Dermatophyte was detected in only a few medical students of Universitas Padjadjaran, who wear and do not wear socks. [AMJ.2015;2(4):480–4] DOI: 10.15850/amj.v2n4.631

Clinical and Laboratory Manifestation of Children with Acute Lymphoblastic Leukemia as an Assessment of Severity: A Study in Dr. Hasan Sadikin General Hospital Yohana Kusuma Angkasa; Nur Suryawan; Delita Prihatni
Althea Medical Journal Vol 6, No 2 (2019)
Publisher : Faculty of Medicine Universitas Padjadjaran

Background: Acute lymphoblastic leukemia (ALL) is a disease caused by a mutation of lymphoid progenitor cells in bone marrow, that induces uncontrolled lymphoid cell proliferation. ALL is the most common type of leukemia in children. Various clinical and laboratory manifestation makes the diagnostic process more complicated. This study aimed to observe the clinical and laboratory manifestation of children with ALL in Dr. Hasan Sadikin General Hospital for diagnostic and assessment.Methods: The design of this study was a descriptive cross-sectional with a total sampling method. Data of all children under 18 years old with ALL diagnosed in 2015 to 2017 were included. The diagnosis of ALL was confirmed by examination of hematology indices, peripheral blood smear, and bone marrow aspiration classified by FAB. Inaccessible or incomplete medical records were excluded.Results: In total, 192 data of ALL patients were included. Most ALL patients predominantly occurred in boys (59.9%), and the age group of 1–5 years old (40.6%). The clinical manifestations were pallor (89.6%), hepatomegaly (79.7%) and fever (75%). Most patients experienced severe anemia with hemoglobin level <7g/dL (44.8%), leukocytosis >20.000 cells/mm3 (46.9%), severe thrombocytopenia with platelet count <20.000 cells/mm3 (51%), and blast cells count >50% (45.3%). Based on FAB classification, the majority of the patients were classified as ALL type L2 (65.6%).Conclusions: Clinical and laboratory manifestation of ALL patients can be used as a parameter for diagnostic and assessment of severity. Earlier diagnosis would result in better prognosis and more precise treatment for ALL patients.

The Air Quality and Detection of Streptococcus pneumoniae in the Pediatric Ward of Dr. Hasan Sadikin Hospital Bandung Thiban Raj Manoraj; Yanti Mulyana; Sri Endah Rahayuningsih
Althea Medical Journal Vol 6, No 3 (2019)
Publisher : Faculty of Medicine Universitas Padjadjaran

Background: Nosocomial infection can be acquired by inhalation of droplets from contaminated air. In children, nosocomial pneumonia is mainly caused by Streptococcus pneumoniae. This study aimed to explore the air quality level and to detect Streptococcus pneumonia in the air of the Pediatric Ward of Dr. Hasan Sadikin Hospital, Bandung. Methods: This was an observational descriptive study conducted in the Pediatric Ward of Dr. Hasan Sadikin Hospital in November 2012. The different number of modified tryptic soy agar (TSA) plates with 4% blood were exposed and placed in various rooms of the ward for 30 minutes between 12.00 pm to 1.00 pm at heights between 1.0m to 1.5m and according to the respectively room air volume. After exposure, these plates were then incubated for 48 hours at 35°C. The Colony Forming Units (CFU) on each plate was counted per Replicate Organism Detection and Counting (RODACTM). Detection of Streptococcus pneumonia was performed by detecting any round α-hemolytic colonies on the TSA plate, confirmed by Gram staining, optochin susceptibility test, and the bile solubility test. Result: The air quality in 13 rooms of the Pediatric Ward was generally poor ranging from 27.5 to 232.0 CFU/30 min, however, the concentration of microorganisms per cubic meter air was from 0.198 to 4.296 CFU/m3. Moreover, Streptococcus pneumoniae was not present in the air of the ward.Conclusions: Although Streptococcus pneumoniae has not been detected, the air quality in the Pediatric Ward of Dr. Hasan Sadikin Hospital, Bandung is generally poor. General precautions need to be enhanced to increase the air quality in the hospital.

Indications of Tonsillectomy and Adenoidectomy in Dr. Hasan Sadikin General Hospital Bandung Dini Atiyah; Agung Dinasti Permana; Rudy Hartanto
Althea Medical Journal Vol 2, No 1 (2015)
Publisher : Faculty of Medicine Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (665.756 KB)

Background: Tonsillectomy is the intervention to take out the palatine tonsils either whole or sub capsular, while adenoidectomy is the intervention of extraction of the adenoid gland which is commonly done with curettage method. Both interventions are done to eliminate repeated infections and also obstructions due to inflammation and hypertrophy of the tonsils and adenoids. This study was conducted to examine the indications of tonsillectomy and adenoidectomy in the Departement of Otorhinolaryngology and Head Neck Surgery Dr. Hasan Sadikin General Hospital Bandung in the period of January 2009–December 2011. Methods: A cross-sectional descriptive study was conducted in October–November of 2012 using 207 medical records of patients who had tonsillectomy and adenoidectomy executed in the Department of Otorhinolaryngology and Head Neck Surgery Dr. Hasan Sadikin General Hospital, Bandung in the period of January 2009–December 2011. Data collected were age, gender, main complaint, tonsil size, history of repeated infections, history of snoring as well as of Obstructive Sleep Apnea Syndrome (OSAS). The indication for tonsillectomy and adenoidectomy such as infection, obstruction and neoplasia was selected.Results: The indications of tonsillectomy and adenoidectomy were infection at 106 (51.2%) patients, obstruction at 100 (48.3%) patients, and neoplasia at 1 (0.05%) patient.Conclusions: The most numerous indications for tonsillectomy and tonsilloadenoidectomy in the Department of Otorhinolaryngology and Head Neck Surgery Dr. Hasan Sadikin General Hospital were infection.Keywords: Adenoid, adenoidectomy, indication, tonsil, tonsillectomy DOI: 10.15850/amj.v2n1.447

Correlation between Maternal Hemoglobin Level and Birth Weight Syifa Fauziyah Safithri; Nia Kania; Aly Diana
Althea Medical Journal Vol 6, No 2 (2019)
Publisher : Faculty of Medicine Universitas Padjadjaran

Background: Pregnant women are susceptible to have anemia, marked by hemoglobin level <11gr/dL. Maternal hemoglobin levels may influence the nutritional transfer, oxygenation, and uteroplacental circulation of the babies which may affect the infant’s birth weight. This study aimed to explore the correlation between hemoglobin level and birth weight in pregnant women in rural area in Bandung.Methods: This cross-sectional study was conducted from August to September 2014, recruiting all pregnant women registered in a hospital in a rural areas Bandung. Hemoglobin level was obtained from the medical records and analyzed to correlate with birth weight (Pearson correlation).Results: In total, there were 95 pregnant women included. The mean of maternal hemoglobin level was 11.6±1.2gr/dL and birth weight was 2.927±398gram. The proportion of maternal anemia and low birth weights were 30.5% and 15.8%, respectively. Pearson correlation test showed r=-0.093 and p=0.369 which was not significant.Conclusions: There was no correlation between maternal hemoglobin level and birth weight. Other factors for low maternal hemoglobin need to be further explored.

Clinical Characteristics of Trigeminal Neuralgia Patients at Dr. Hasan Sadikin General Hospital Bandung Indonesia in 2010–2012 Sri Hudaya Widihastha; Henny Anggraini Sadeli; Arifin Sunggono
Althea Medical Journal Vol 4, No 1 (2017)
Publisher : Faculty of Medicine Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (563.298 KB)

Background: Trigeminal neuralgia is a frequently found craniofacial neuralgia. The clinical characteristics of trigeminal neuralgia patients at Dr. HasanSadikin General Hospital, Bandung, Indonesia has never been described before. This study conducted an overview of clinical characteristics of trigeminal neuralgia to determine the characteristic features of trigeminal neuralgia.Methods: This was a non-experimental study using secondary data with a retrospective descriptive method. Data related to medical records of 76 patients with trigeminal neuralgia was collected over a period of 2010 to 2012, treated at Dr.HasanSadikin General Hospital Bandung, Indonesia. Results: Mean age was 57.6 years (range 11 to 84 years), no significant difference in gender (male:females 51.3%:48.7%). Chewing and swallowing was reported as triggering stimuli to 42 (55%) patients. Two patients (2.7%) had suffered pain on bilateral side of the face, 46 (60.5%) patients the right side, and 28 patients (36.8%) on the left side. Pain on maxillary nerve division was found in 58 (76.3%) patients. Sixty one of the patients (80%) received Carbamazepine.Conclusions: The peak age was between the fifth and sixth decades of life with equal representation of male to female incidence. Right side and the maxillary division was found to be the most frequently site of pain. Chewing and swallowing was reported to be the most frequent triggering stimuli and most of patients received Carbamazepine as therapy. [AMJ.2017;4(1):47–51]DOI: 10.15850/amj.v4n1.1020

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Editorial Address Gedung Rumah Sakit Pendidikan Unpad/Pamitran Unpad (Teaching Hospital Building) Faculty of Medicine Unpad, 3rd Floor Jl. Prof. Eyckman No. 38, Bandung, 40161, Indonesia

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Contact Name
-

Contact Email
-

Phone
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Journal Mail Official
chiefeditor.amj@gmail.com

Editorial Address
Gedung Rumah Sakit Pendidikan Unpad/Pamitran Unpad (Teaching Hospital Building) Faculty of Medicine Unpad, 3rd Floor Jl. Prof. Eyckman No. 38, Bandung, 40161, Indonesia

Location
Kota bandung,

Jawa barat

INDONESIA