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Althea Medical Journal
Articles by issue : Vol 3, No 1 (2016)
30
Articles
Success Rate of Trabeculectomy in Primary Glaucoma at Cicendo Eye Hospital on January–December 2013

Saputro, Erva Monica, Rifada, Maula, Herdiningrat, RB. Soeherman

Althea Medical Journal Vol 3, No 1 (2016)
Publisher : Althea Medical Journal

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Abstract

Background: Trabeculectomy is a surgical therapy for glaucoma to preserve visual function by lowering intraocular pressure (IOP). In some studies, the success of trabeculectomy in lowering IOP is greater than medication. Success is defined by IOP <21 mmHg, with or without glaucoma medication. Primary glaucoma based on the mechanism of aquous humor outflow is divided into primary open-angle glaucoma (POAG) and primary angle-closure glaucoma (PACG). This study aimed to know the success rate of trabeculectomy in POAG and PACG.Methods: This study was a descriptive study conducted at Cicendo Eye Hospital using medical record of POAG and PACG patients who underwent trabeculectomy surgery on January–December 2013 with minimal one month follow-up. Data collection was conducted during September 2014. Data processed in this study were 100 eyes from 76 patients with diagnosis POAG and PACG.Results: The success rate for trabeculectomy in POAG was 79% and PACG was 86%, failure (IOP ≥ 21 mmHg) 21% in POAG, and 14% in PACG for period 2013 at Cicendo Eye Hospital.Conclusions: The success rate of trabeculectomy at Cicendo Eye Hospital is good in one month, with or without glaucoma medication after surgery. [AMJ.2016;3(1):110–4] DOI: 10.15850/amj.v3n1.723

Relation between Preinfarction Angina and Coronary Collateral Circulation in Patients with Acute Myocardial Infarction

Shidiq, Achmad, Hidayat, Syarief, Rachman, Januarsih Iwan

Althea Medical Journal Vol 3, No 1 (2016)
Publisher : Althea Medical Journal

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Abstract

Background: Coronary collateral circulation conduits an alternative blood flow to the ischemic myocardium in the setting of coronary artery occlusion which can prevent the infarction area to extend more widely. Well-developed coronary collaterals are closely related with the presence of preinfarction angina. However, the duration of preinfarction angina which can induce well-developed coronary collateralization is in controversy. The aim of this study was to evaluate the relation between duration of preinfarction angina and coronary collaterals circulation in patients with acute myocardial infarction.Methods: This cross-sectional study was conducted from May to November 2013 in Dr. Hasan Sadikin General Hospital, Bandung, Indonesia. Seventy three acute myocardial infarction (AMI) patients were included in the study. The patients were divided into Group 1 (<7 days) and Group 2 (≥7 days) based on their preinfarction angina history. The coronary collaterals were assesed and graded as good (Rentrop score 2−3) and poor (Rentrop score 0−1).Statistical analysis was performed using the chi-square test.Result: The presence of a well-developed coronary collateral was not significantly different in <7days than ≥7 days duration of preinfarction angina [50.8% v 75.0%, p=0.124].Conclusions: There is no relation between the duration of preinfarction angina and coronary collaterals circulation in patients with acute myocardial infarction. [AMJ.2016;3(1):28–33]DOI: 10.15850/amj.v3n1.709

Effect of Midnight Prayer on Sympathetic Tone

Kencanasari, Hadiyatussalamah Pusfa, Yahya, Achmad Fauzi, Setiawan, Setiawan

Althea Medical Journal Vol 3, No 1 (2016)
Publisher : Althea Medical Journal

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Abstract

Background: Hypertension is one of the most dangerous ailments which most common risk factor is stress that can activate sympathetic system leading to increased blood pressure. Midnight prayer is believed to calm mind. This study was conducted to discover the effect of midnight prayer on sympathetic tone.Methods: This cross sectional study was conducted in Bina Siswa Senior High SchoolSMA Plus Cisarua Boarding School, Lembang from October to November 2013. Sixty eight participants were divided into 3 groups based on frequency; high, low, and non midnight prayer. Blood pressure and pulse rate of participants were examined before, during, and after the cold pressor test is taken. Blood pressure and pulse rate duration of recovery were also measured.Results: This study showed no significant difference between 3 groups in term of systolic blood pressure, diastolic blood pressure, and pulse rate. However, the lowest mean of pulse rate (64.38±8.921 vs 66.69±11.482 vs 65.44±9.584 respectively), systolic blood pressure [107.19±6.945 vs 117.13±13.426 vs 104.25 (75–120) respectively], and diastolic blood pressure [70.38±7.719 vs 77.38±10.935 vs 70.63±7.491 respectively] were obtained in the high midnight prayer group. Recovery duration of blood pressure [6.38 (6–8) vs 6.72 (6–11) vs 6.75 (6–11) respectively] and pulse rate (6.69±0.946 vs 7.03±1.341 vs 7.00±1.506 respectively) among the groups showed no significant difference respectively, however the shortest duration was obtained in the high midnight prayer group.Conclusions: Midnight prayer has no significant effect on sympathetic tone. [AMJ.2016;3(1):59–63]DOI: 10.15850/amj.v3n1.692

Profile of Anemia on Lung Tuberculosis at Dr. Hasan Sadikin General Hospital and Community Lung Health Center Bandung

Adzani, Marizka, Dalimoenthe, Nadjwa Zamalek, Wijaya, Indra

Althea Medical Journal Vol 3, No 1 (2016)
Publisher : Althea Medical Journal

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Abstract

Background: Tuberculosis (TB) is a chronic infectious disease caused by Mycobacterium tuberculosis that can cause anemia. Anemia is a lack of erythrocyte mass needed to carry adequate oxygen to the whole bodies. The aim of this study was to describe the anemia in adult lung TB patients at Dr. Hasan Sadikin General Hospital and Community Lung Health Center (Balai Kesehatan Paru Masyarakat, BKPM) Bandung.Methods: This descriptive study was conducted from August to October 2014. Study subjects were adult TB patients who came for their first control to TB Clinic Dr. Hasan Sadikin General Hospital and BKPM Bandung after receiving oral antituberculosis drugs, and willing to comply in study. The exclusion criteria were patients with other chronic diseases, pregnant, menorrhagia, and hemoptoe. Three mL of vein blood was taken and put into EDTA tube for routine hematologic measurement using automatic hematologic analyzer, sysmex KX-21®.Results: There was 31 (63.26%) from 49 adult lung TB patients suffered anemia. In male subjects, mild and moderate anemia were found 57.14% and 42.86% respectively, and in female subjects were 58.82% and 41.18% respectively. In males, there were 42.86% normochromic normocytic, 42.86% hypochromic microcytic, 7.14% normochromic microcytic, and 7.14% hypochromic normocytic, while in females, there were 5.88% normochromic normocytic, 47.06% hypochromic microcytic, 17.65% normochromic microcytic, 29.41% hypochromic normocytic.Conclusions: Anemia is found in 63.26% adult lung TB patients, most of which are mild anemia and hypochromic microcytic, especially in female subjects. [AMJ.2016;3(1):137–40] DOI: 10.15850/amj.v3n1.473

Age at Menarche and Eating Pattern among High School Students in Jatinangor in 2013

Nafisah, Fani Fitrya, Arya, Insi Farisa, Achmad, Eppy Darmadi

Althea Medical Journal Vol 3, No 1 (2016)
Publisher : Althea Medical Journal

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Abstract

Background: Age at menarche has notably declined over the past several decades; the fact is in line with the improvement of nutritional intake. Age at menarche can affect health outcomes in adulthood. This study aimed to describe the age at menarche and eating pattern among students in Jatinangor.Methods: Data were obtained from Survey of Adolescent Reproductive Health in Jatinangor in 2013 with total sampling technique. The sample criteria were data from students who had started their periodwhen the study was conducted. Dietary information was collected by eating pattern recall questionnaire and was taken by trained enumerators. Nutrient intakes and proportion of energy intake were divided into groups according to Recommended Dietary Allowance 2012.Results: In total, 59 data were analyzed. The age at menarche were ranged from 9 (n=1) to 15 (n=1). Most of students had their menarche at 12 (37.3%). Intake of energy (49.2%), protein (64.4%), fat (61%), and carbohydrate (54.2%) were mostly deficient, but the proportion of energy intake from fat (49.2%) and carbohydrate (66.1%) were mostly adequate. The student with youngest age at menarche had adequate energy intake, excess protein intake and excess proportion of energy intake from fat. Student with the oldest age had deficient energy, fat, and protein intake and excess proportion of energy intake from carbohydrate. Conclusions: This study shows that student with youngest age at menarche has different eating pattern compared to the oldest, while the others seem similar. [AMJ.2016;3(1):156–63] DOI: 10.15850/amj.v3n1.714

The Distribution of Pubertal Age among Male School Students in Jatinangor District from April to June 2013

Yogaswaran, Karthik, Widjajakusuma, Anggraini, Juliati, Juliati

Althea Medical Journal Vol 3, No 1 (2016)
Publisher : Althea Medical Journal

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Abstract

Background: Puberty is important and exciting lifetime changes in an individual. Many new changes are experienced during puberty, such as physically, mentally, and emotionally. Currently, young males worldwide have different onset of pubertal age. Many factors may result in this change of pubertal age. The exact pubertal age was still unknown due to less study conducted previously. Therefore, the aim of this study was to identify the distribution of pubertal age among male school students in Jatinangor.Methods: A descriptive study was conducted from April to June 2013. A secondary data were obtained from the Jatinangor Cohort Study, from the Department of Epidemiology and Biostatistics, Faculty of Medicine, Universitas Padjadjaran. The samples were taken via cluster random sampling from 48 schools around Jatinangor. Randomization was conducted and a total of 219 male students were finally obtained from the overall data which had at least single onset of pubertal changes. This presents a response rate of 82.33%.Results: The earliest onset of pubertal age was identified as 9 years old and the oldest onset was 18 years old. The majority onset of pubertal age ranged from 12 to 15 years old with average mean of 13 years. Voice changes were identified as the early sign of puberty among males.Conclusions: Majority of the students undergo puberty at age 13 which is earlier compared to previous studies. Thus, this study indicates decreasing in onset of pubertal age among male school students in Jatinangor. [AMJ.2016;3(1):6–11] DOI: 10.15850/amj.v3n1.698

Functional Status of Stroke Patients at Neurologic Outpatient Clinic Dr. Hasan Sadikin General Hospital

Chen, Lee Shok, Moeliono, Marina A., Amalia, Lisda

Althea Medical Journal Vol 3, No 1 (2016)
Publisher : Althea Medical Journal

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Abstract

Background: Functional status refers to the ability of an individual to perform normal daily activity required to meet basic needs, fulfill usual roles, and maintain health and well-being. The objective of this study was to evaluate the level of disability and independency of stroke patients who had undergone rehabilitation therapy as the routine activity using Instrumental Activity of Daily Living (IADLs) and basic Activity of Daily Living (BADLs). Methods: This descriptive study carried out from September to October 2014 at Neurologic outpatient clinic Dr. Hasan Sadikin General Hospital Bandung with a total 33 subjects. Barthel index and IADLs questionnaire was used as an instrumental tool. Barthel index was used to measure the level of disability and IADLs was used to measure the level of independency of an individual.Results: From the 33 patients, 20 patients completed their rehabilitation therapy; 5 patients showed a moderate disability and 15 patients showed a mild disability at the Barthel Index of ADLs. The result of IADLs showed that 7 patients who completed the therapy had moderate level of independency, and 3 patients were at the category of high level of independency.Conclusions: Most of the stroke patients have moderate disability in Barthel Index and had low level of independency in IADLs. [AMJ.2016;3(1):126–31] DOI: 10.15850/amj.v3n1.720

Correlation between Oxygen Saturation and Hemoglobin and Hematokrit Levels in Tetralogy of Fallot Patients

Adiputri, Farhatul Inayah, Firman, Armijn, Soenggono, Arifin

Althea Medical Journal Vol 3, No 1 (2016)
Publisher : Althea Medical Journal

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Abstract

Background: Hemoglobin and hematocrit levels increase in Tetralogy of Fallot (TOF) but the oxygen saturation declines. Reduced hemoglobin in circulating blood as a parameter of cyanosis does not indicate rising hemoglobin due to the ‘not-working’ hemoglobins that affect the oxygen saturation. Increasing hematocrit is the result of secondary erythrocytosis caused by declining oxygen level in blood, which is related to the oxygen saturation. This study was conducted to find the correlation between oxygen saturation and hemoglobin and hematocrite levels in TOF patients.Methods: This study was undertaken at Dr. Hasan Sadikin General Hospital in the period of January 2011 to December 2012 using the cross-sectional analytic method with total sampling technique. Inclusion criteria were medical records of TOF patients diagnosed based on echocardiography that included data on oxygen saturation, hemoglobin, and hematocrite. Exclusion criteria was the history of red blood transfusion. Results: Thirty medical records of TOF patiens from Dr. Hasan Sadikin General Hospital Bandung were included in this study. Due to skewed data distribution, Spearman correlation test was used to analyze the data. There was a significant negative correlation between oxygen saturation and hematocrit level (r= -0.412; p=0.024) and insignificant correlation between oxygen saturation and hemoglobin (r=-0.329; p= 0.076).Conclusions: There is a weak negative correlation between oxygen saturation and hematocrite levels. [AMJ.2016;3(1):152–5]DOI: 10.15850/amj.v3n1.724

Frequency and Clinical Characteristics of Tympanic Membrane Perforation Outpatients at Dr. Hasan Sadikin General Hospital in 2011–2013

M., Veronika Ratih, Mahdiani, Sally, Dwiyatnaningrum, Fenny

Althea Medical Journal Vol 3, No 1 (2016)
Publisher : Althea Medical Journal

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Abstract

Background: Tympanic membrane perforation is a hearing problem that has become a health problem in the society. In Indonesia, there are only a few studies regarding tympanic membrane perforation. This study was aimed to observe the frequency and clinical characteristics of tympanic membrane perforation patients.Methods: This was a descriptive study performed from August to September 2014. The data was taken retrospectively from medical records of tympanic membrane perforation patients at Dr. Hasan Sadikin General Hospital from January 2011 to December 2013.Results: Of 579 tympanic perforation patients, there were only 214 medical records met the inclusion criteria. The frequency of tympanic membrane perforation patients increased in 2011 it was 28%, in 2013 it was 37.6%. The number of male patients (53.3%) was higher than female patients’. Most patients were in productive age (83.2%). Most patients came with the chief complaint of discharge from ear (36.4%) and the most common etiology was infection (84.1%). Otological examination showed that most patients had unilateral perforation (73.8%). Based on the size of perforation, central perforation (52.3%) was the most common otological finding. From audiogram, most patients had conductive hearing loss (41.5%) with moderate degree of hearing loss (30.4%). Most patients were treated by medications (64.5%).Conclusions: The frequency of tympanic membrane steadily increases with clinical characteristic mostly in male patients in productive age admitted with chieft complain of discharge of ear. The most common etiology is infection. Majority of patients have unilateral central perforation that cause conductive hearing lost. [AMJ.2016;3(1):43–8] DOI: 10.15850/amj.v3n1.702

Relationship between Short Term Memory and Cardiopulmonary Fitness of Administrative Officers at Universitas Padjadjaran

Ampalakan, Iswaran, Purba, Ambrosius, Sastradimaja, Sunaryo Barki

Althea Medical Journal Vol 3, No 1 (2016)
Publisher : Althea Medical Journal

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Abstract

Background: The work of administrative officers depends a lot on their capability in memorizing. Increased fitness is strongly associated with a better memory. This study was conducted to determine the relationship between cardiopulmonary fitness and short term memory.Methods: This analytical cross sectional study was carried out from August to September 2014. Subjects from administrative offices within Universitas Padjadjaran were chosen by simple random sampling. 101 individuals were selected, comprising of 68 males and 33 females. Data were obtained through Digit Span Test for short term memory and the cardiopulmonary fitness was measured using Harvard Step Test. The VO2 Max obtained was correlated with the Digit Span Test score.Results: The mean for cardiopulmonary fitness of males was found to be 36.1, with standard deviation 8.63, whereas mean cardiopulmonary fitness for females was found to be 32.94, with standard deviation 7.5. For correlation analysis, the result of Spearman’s rank analysis from the study showed that the p-value is 0.00. Comparing to the significance level α=5%, the p value is worth less, thus the null hypothesis, Ho is rejected. Therefore, it could be concluded that there was a relationship between cardiopulmonary fitness and short term memory of male and female administrative officers at Universitas Padjadjaran.Conclusions: There is a relationship between cardiopulmonary fitness and short term memory of male and female administrative officers at Universitas Padjadjaran. [AMJ.2016;3(1):34–7] DOI: 10.15850/amj.v3n1.693