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Althea Medical Journal
Articles by issue : Vol 2, No 3 (2015)
30
Articles
Effect of Regular Exercise on Anxiety and Self-Esteem Level in College Students

Hamidah, Zahra, Santoso, Putri Teesa, Karyono, Radenmas Haryadi

Althea Medical Journal Vol 2, No 3 (2015)
Publisher : Althea Medical Journal

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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

Physical Fitness of Cleaners in Faculty of Medicine Universitas Padjadjaran, November 2012

Sulistijo, Adi Wibisono, Purba, Ambrosius, Pandji, Tri Damiati

Althea Medical Journal Vol 2, No 3 (2015)
Publisher : Althea Medical Journal

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Abstract

Background: Cleaning is an occupation that is carried out worldwide in many different environments. Cleaning workers (cleaners) often have low occupational skills and belong to the less advantaged educational and socioeconomic groups. Because of the high physical work demands and low cardiorespiratory fitness, cleaners have the risk to have cardiovascular diseases. The aim of this study was to measure the 5 components of physical fitness (cardiorespiratory endurance, muscle endurance, muscle strength, flexibility and body composition) of cleaners in Faculty of Medicine Universitas Padjadjaran.Methods: A descriptive study was carried out to all cleaners (31 persons) of Faculty of Medicine Universitas Padjadjaran in November 2012. The subjects were tested for cardiorespiratory endurance, muscle endurance, muscle strength, flexibility and body composition. The results were categorized using the standard of Ministry of Health Republic Indonesia.Results: From 31 subjects, cardiorespiratory endurance was in poor category (50%). Shoulder and hand muscle endurance was in poor category (54.8%) and stomach muscle endurance was in very poor category (67.7%). Hand−grip muscular strength was in very poor category: right hand (80.7%) and left hand (87.1%). Back muscle strength was in poor category (58.1%). Leg muscular strength was in very poor category (48.4%). Flexibility was in a very good category (97%) and body composition was also in a good category (54.8%).Conclusions: From 5 components of cleaners’ physical fitness, 3 components (cardiorespiratory endurance, muscle endurance and muscular strength) are in poor and very poor category. DOI: 10.15850/amj.v2n3.504

Community Knowledge and Perception on Autopsy in Jatinangor, West Java from August to October 2013

Carwen, Siaw, Fitrasanti, Berlian Isnia, Darmawan, Budi

Althea Medical Journal Vol 2, No 3 (2015)
Publisher : Althea Medical Journal

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Abstract

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

The Protective Effect of Field Mint Leaves in Reducing Stomach Ulcer in Rats Induced by Aspirin

Krisnan, Vanitha Ratha, Rachman, Januarsih A., Hassan, Abdul Hadi

Althea Medical Journal Vol 2, No 3 (2015)
Publisher : Althea Medical Journal

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Abstract

Background: Stomach mucosal wall erosion is caused by the imbalance of the aggressive factors and mucosal defensive factors due to the common causes such as the side effect of consuming non-steroidal anti-inflammatory drugs. Field mint (Menthaarvensis) leaves have been used as an alternative option to cure and prevent the gastric problems. The aim of this study was to analyze the protective effect of Field mint leaves infusion in reducing stomach ulcer in rats induced by Aspirin.Methods: The experimental study was conducted at Histology Laboratory of Faculty of Medicine, Universitas Padjadjaran, Bandung. Sixteen rats were divided into 4 groups randomly: group I (control negative group), group II (control positive group, given 90mg/day Aspirin, group III (the treatment group, given 5cc of Field mint leaves infusion and 90 mg Aspirin) and group IV (the treatment group, given 5.6µg of Misoprostol and 90 mg Aspirin). Mucosal wall erosions were determined by using microscope. Data were analyzed using non-parametric Kruskal-Wallis test and Mann-Whitney U-test (CI 95% and p-value<0.05)Results: Group II had high score of mucosal wall erosions after given only aspirin. In group III and IV, the score of mucosal wall erosions were low. However there was no difference in score of mucosal wall erosions between group III-IV (p<0.05)Conclusions: Field mint (Menthaarvensis) leaves infusion is able to prevent stomach mucosal wall erosions induced by Aspirin as misoprostol does. DOI: 10.15850/amj.v2n3.496

The Relationship of Age, Parity and Body Mass Index as Risk Factors to the Incidence of Uterine Myoma in Dr. Hasan Sadikin General Hospital

Ilma, Nurul, Tjahyadi, Dian, Judistiani, Tina Dewi

Althea Medical Journal Vol 2, No 3 (2015)
Publisher : Althea Medical Journal

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Abstract

Background: Uterine myoma is a benign gynecological tumor which is commonly occurred in women. The incidence of uterine myoma in the world is 20–35% while in Indonesia is about 2.4–11.7%. Age, parity, and body mass index are correlated with the incidence of uterine myoma. This study aimed to determine the relationship among those factors towards uterine myoma, and to identify the prognostic value of body mass index in order to prevent uterine myoma.Methods: A case-control study was conducted to examine 394 medical records of patients with uterine myoma at Department of Obstetrics and Gynecology Dr. Hasan Sadikin General Hospital Bandung from 2006 to 2011.  The case group were 133 and the control group were 261. The data were the subject’s weight, height, age, and parity. The correlation among all variable and the occurrence of uterine myomas were conducted using multiple logistic regression analysis.Results: There was no different range of age between the two groups. The incidence rate ratio of parity was 2.254 (95% confidence interval:1.310–3.876), followed by body mass index>33.0 incidence rate ratio was 1.691 (95% confidence interval: 0.477–5.994). From the receiver operating characteristic curve, it could be seen that the cut-off points for body mass index was 20.44 kg/m², and the risk of uterine myomas scaled up as the increase of body mass index.Conclusions: Parity and BMI can affect the risk of uterine myomas. To prevent the incident of uterine myomas, parity must be limited and BMI must be below the cut-off points (20.44 kg/m²). DOI: 10.15850/amj.v2n3.485

Barriers to Smoking Cessation among Medical Students 2012–2013 Academic Year in the Faculty of Medicine, Universitas Padjadjaran

Kathrine, Reni Yuditha, Setiawati, Elsa Pudji, Saputra, Lucky

Althea Medical Journal Vol 2, No 3 (2015)
Publisher : Althea Medical Journal

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Abstract

Background: Smoking is one of leading various diseases and even death globally.  It is often difficult for smokers to stop smoking, even those who work as a medical professional because there are some barriers around them. The objective of this study was to get an overview of the barriers to smoking cessation among smoker students of Faculty of Medicine, Universitas Padjadjaran.Methods: A descriptive study was carried out to 62 medical students 2012–2013 academic year in the Faculty of Medicine, Universitas Padjadjaran. Before the respondents were selected, a survey using questionnaire was conducted to all medical students from the same academic year to determine their smoking status. A set of questions was developed, consisted of 4 components: physical or social, psychological or emotional, accessibility, and social contextual/life circumstances barriers to smoking cessation. The collected data were analyzed and presented in the form of percentages shown in the tables and figures.Results: The most frequent barriers were from physical or social barriers (friends who smoke, 85%), psychological or emotional barriers (fear of losing enjoyment, 71%), barrier to access (lack of information about the way of smoking cessation, 42%) and social contextual/life circumstances barriers (having other priorities other than to stop smoking, 71%).Conclusions: There are some barriers in medical students smokers make them difficult to stop smoking although they have more knowledge about health and the impact of smoking on health than other people. DOI: 10.15850/amj.v2n3.561

Clinical Characteristic and Outcome of Acute Lower Respiratory Tract Infection in Children with Congenital Heart Disease

Gabriela, Krystle, Kuswiyanto, Rahmat Budi, Dwiyatnaningrum, Fenny

Althea Medical Journal Vol 2, No 3 (2015)
Publisher : Althea Medical Journal

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Abstract

Background: Acute Lower Respiratory Tract Infection (ALRTI) is the leading cause of deaths in children under 5 years of age worldwide, and has high morbidity and mortality in children with Congenital Heart Disease (CHD). The objective of this study was to obtain the incidence, clinical characteristic, and outcome of ALRTI children with CHD.Methods: A retrospective hospital-based study was conducted from January 2007–December 2011 to medical record of child patients with ALRTI and CHD in the Department of Child Health of Dr. Hasan Sadikin General Hospital, Bandung. The diagnosis of CHD was determined by echocardiography. The collected data was analyzed and presented in percentage shown in tables.Results : From 3,897 children who had ALRTI, there were 149 children with CHD (3.8%), with 11.4% of whom founded with recurrent episodes. This happened often in girls than boys with quite similar ratio of 1.37: 1.The majority of children (80%) was under 1 year old of age, 72.5% with malnutrition, and 24.8% with severe malnutrition. Clinical symptoms mostly found were difficulty of breathing (98%), fever (85.2%), cough (75.2%), and runny nose (63.1%). The most common types of CHD were Patent Ductus Arteriosus (47.6%), followed by Ventricular Septal Defect (47%). Bronchopneumonia (86.6%) was the common type of ALRTI. The length of stay was mostly less than 10 days (70.5%). From all the children 43.7% had complications, and 6.7% died.Conclusions: The ALRTI in children with CHD is not common and has good outcome. The majority for CHD lesions are Patent Ductus Arteriosus and Ventricular Septal Defect while for ALRTI is Bronchopneumonia. DOI: 10.15850/amj.v2n3.483

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

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

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