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Althea Medical Journal
Articles by issue : Vol 2, No 4 (2015)
31
Articles
Correlation between Body Mass Index and Age at Menarche

Putri, Atika Primandina, Sofiatin, Yulia, Fadil, R. M. Ryadi, Sukandar, Hadyana, Susanto, Nugroho Harry, Widjadjakusuma, Anggraini, Rakhmilla, Lulu Eva, Ilona, Lola

Althea Medical Journal Vol 2, No 4 (2015)
Publisher : Althea Medical Journal

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Abstract

Background: The decline of age at menarche has been reported in several countries, it occurred because of genetic, ethnic, and socioeconomic improvement in nutritional status and environment. The improvementof nutritional status has occurred globally all over the world including in Indonesia. One of the measuring tools in nutritional status is body mass index (BMI). The objective of the study was to assess the correlationbetween BMI and age at menarche.Methods: A cross-sectional study was carried out among girls aged 9–15 years old in Jatinangor, from May–November 2013. The sample of this study was chosen with cluster random sampling. Age at menarche information was collected through a questionnaire. Body mass index was calculated from measurement of body weight and height. Data was analyzed using Spearman correlation test.Results: Out of three hundred and sixty nine subjects participating in this study, sixty seven were included in the inclusive criteria. According to the classification of BMI of underweight, normal, overweight, andobese, there were 1, 55, 8, and 3 persons, respectively. Mean of BMI was 19.04 and mean age at menarche was 12.72 years, which showed a non significant result (r=-0.013; p= 0.458).Conclusions: Age at menarche was not correlated with BMI. [AMJ.2015;2(4):521–4] DOI: 10.15850/amj.v2n4.656

Detection of Fungi in Hair-brushes in Beauty Salons at Jatinangor

Edward, Susanna Mitchelle, Megantara, Imam, Dwiyana, Reiva Farah

Althea Medical Journal Vol 2, No 4 (2015)
Publisher : Althea Medical Journal

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Abstract

Background: Various beauty tools are used in beauty salons, among those is the hair-brush. The hair-brush can conceal various human skin pathogens although under harsh environmental conditions, most pathogens are killed; nevertheless, few microorganisms, such as the fungi can adapt and survive. Moreover, the moist conditions of the hair-brush predisposes the growth of fungi however the ability of these fungi to instigate disease in an individual is dependent on the portal of entry and the host immunological status. This study was conducted to determine the fungus that is present in the beauty salon’s hair-brushes.Methods: This study was conducted in beauty salons located in Jatinangor area during September–October 2013 using the descriptive laboratory method. Fifteen beauty salons were included in this study based on sample size calculation for dichotomous variable. The specimens from all the hair-brushes were collected after the owner’s informed consent, then cultured onto 30 sabouraud agar, two for each beauty salon (dermatophyte and non-dermatophyte agar). The fungi were detected macroscopically and  microscopically.Results: Overall, 93% revealed to be culture positive, with 90% of them were found to be non-dermatophytes, most of which are saprophytic fungi. The remaining 3% were dermatophytes.Conclusions: Beauty salon’s hair-brushes contain a wide range of fungi distribution which may be a source of fungal colonization. However, most of the fungi found in the beauty salons are saprophytic fungi, therefore it is unnecessary to be anxious about a small amount of pathogenic fungi are found in humans. [AMJ.2015;2(4):516–20] DOI: 10.15850/amj.v2n4.636

Effects of White Turmeric Infusion on the Liver Cells in Carbon Tetrachloride-Induced Mice

Oktaviani, Fitria, Herdiningrat, RB. Soeherman, Yulianti, Herry

Althea Medical Journal Vol 2, No 4 (2015)
Publisher : Althea Medical Journal

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Abstract

Background: The liver is an organ that has important functions in the body. Liver damage can be caused by oxidative stress and free radicals. White turmeric (Curcuma zedoaria L) contains antioxidants that can be used to neutralize the effects of free radicals. This study was conducted to determine the effect of white turmeric infusion on histological appearance of liver cells in male mice induced by carbon tetrachloride (CCl4).Methods: This laboratory experimental study was conducted using male mice (Mus musculus) with Balb/c strain. Thirty-three mice were randomly divided into 3 groups i.e.,group 1 as a control group was given standard food and drink, group 2 was given 10% of CCl4 0.1 ml by intraperitoneal injection on the first day and group 3 was given 10% of CCl4 0.1 mL by  ntraperitoneal injection on the first day, followed by the administration of 50% of white turmeric infusion 0.2 mL. Kruskal-Wallis test method was used to analyse the significant differences of the average percentage of damaged liver cells in the group given CCl4 alone with the group given CCl4 and white turmeric infusion and control group.Results: The percentage of damaged liver cells between groups of mice given CCl4 alone and the group given CCl4 followed by white turmeric infusion were respectively(p <0.05) compared to group1.Conclusions: Administration of white turmeric infusion gave an influence by decreasing the percentage of damaged liver cells in CCl4-induced mice. White turmeric can serve as an alternative antioxidants that can be used to neutralize the effects of free radicals. [AMJ.2015;2(4):506–10] DOI: 10.15850/amj.v2n4.498

Malnutrition-Inflammation Score (MIS) and Physical Activity among Hemodialysis Patients in Dr. Hasan Sadikin General Hospital Bandung

Hamuktiono, Rizka Putri, Supriyadi, Rudi, Suraya, Nida

Althea Medical Journal Vol 2, No 4 (2015)
Publisher : Althea Medical Journal

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Abstract

Background: Protein Energy Malnutrition (PEM) related to inflammation and physical activities reduction occur commonly among hemodialysis patients. This study aimed to describe Malnutrition-Inflammation Score (MIS) and physical activity of hemodialysis patients.Methods: This study involved 117 patients in the Hemodialysis Unit of Dr. Hasan Sadikin General Hospital Bandung from September to October 2014. Secondary data were collected to examine MIS and physical activity, which was measured by using Baecke Physical Activity Questionnaire. The collected data were presented using frequency distribution.Results: Eighty (68.4%) patients had MIS <6, thirty seven (31.6%) patients had MIS ≥6, and ninety four (80.3%) patients had light physical activity.Conclusions: Most of the patients have MIS <6 and are physically inactive. [AMJ.2015;2(4):601–7] DOI: 10.15850/amj.v2n4.478

Distribution of Cartilage Neoplasm based on Histopathological Types at Dr. Hasan Sadikin General Hospital Bandung Period 2008–2012

Anggraini, Desy, Yantisetiasti, Anglita, Ismono, Darmadji

Althea Medical Journal Vol 2, No 4 (2015)
Publisher : Althea Medical Journal

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Abstract

Background: Cartilage neoplasms are less common compared to other neoplasms. Its incidence is 22% among all the musculoskeletal neoplasms. Despite many other studies about patient characteristics of theneoplasm in other regions, descriptive data in Bandung city is still unknown. The objective of this study is to determine the distribution of both benign and malignant neoplasms based on their characteristics of histopathological type, gender, age and anatomical site.Methods: The subjects of this descriptive study were taken from the medical records of the patients who had been examined histopathologically in Anatomical Pathology Department at Dr. Hasan Sadikin General Hospital Bandung, Indonesia within the period of 2008 to2012. The sample was obtained using total sampling technique. Patients diagnosed with cartilage neoplasms were included whereas incomplete medical records were excluded. Histopathological type, gender, age and anatomical site of each patients were collected and analyzed.Results: Seventy cartilage neoplasm cases were found. The distribution of cases comprised of 48 (67%) benign and 23 (33%) malignant. The most common benign neoplasm was osteochondroma and chondroma. Benign neoplasms were more prevalent among men and patients <30 years old, while malignant neoplasm was prevalent among women and patients >60 years old. Femur was the most common site for all neoplasms except for chondroma.Conclusions: PThere are differences in characteristic of benign and malignant cartilage neoplasm patients. Both benign and malignant cartilage neoplasms showed differences on the distribution of patient characteristics. [AMJ.2015;2(4):561–7] DOI: 10.15850/amj.v2n4.641

Comorbidity among Hospitalized Patients with Chronic Obstructive Pulmonary Disease in a Teaching Hospital, West Java Indonesia

Aini, Dini Qurrotu, Suryadinata, Hendarsyah, Herdiningrat, R. B. Soeherman

Althea Medical Journal Vol 2, No 4 (2015)
Publisher : Althea Medical Journal

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Abstract

Background: One of the most important causes that can increase the risk of hospitalization and death in  chronic obstructive pulmonary disease is comorbidity. The aim of this study was to identify the proportion of comorbidity among hospitalized patients with chronic obstructive pulmonary disease in a teaching hospital, West Java, Indonesia, from January to December 2012.Methods: A descriptive study was conducted from  September to November 2013 in Internal Medicine Department of Dr. Hasan Sadikin General Hospital Bandung. The study used 107 medical records that consisted of data about patients with chronic obstructive pulmonary disease (COPD) who were hospitalized between January to December 2012. The medical records were collected using simple random sampling. Variables identified in this study were characteristics of the patients (age, sex, and smoking history) and comorbidity events. Comorbidity events were coronary artery disease (CAD), lung cancer, diabetes mellitus (DM) type 2, anemia, dyslipidemia, osteoporosis, depression, pulmonary artery hypertension (PAH), andhypertension. Age variable was divided into 3 categories with interval 20 years. All collected data were presented in frequency distribution.Results: Most of the patients in this study were 50–69  years old, male, and had smoking history. The highest proportion of comorbid condition was hypertension, followed by anemia and coronary artery disease.Conclusions: Patients with COPD have one or more other diseases (comorbidity). Three most frequent comorbidities are hypertension, anemia, and coronary artery disease. [AMJ.2015;2(4):485–91] DOI: 10.15850/amj.v2n4.632

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

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

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

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