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International Journal of Integrated Health Sciences
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72
Articles
Characteristics and Complications of Tuberculous Meningitis Patients with Hydrochepalus Undergone Fluid Diversion in Dr. Hasan Sadikin General Hospital, Bandung

Novalia, Adriani Lawrencia, Berbudi, Afiat, Faried, Ahmad, Nataprawira, Heda Melinda

International Journal of Integrated Health Sciences VOL 6, NO 1 March (2018)
Publisher : International Journal of Integrated Health Sciences

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Abstract

Objective: To describe the clinical characteristics and complications observed in tuberculous meningitis (TBM) patients with hydrocephalus who had undergone fluid diversion management.Methods: This was a cross-sectional descriptive observational study involving 28 TBM patients with hydrocephalus aged 0–5 years who had undergone ventriculoperitoneal shunt or extraventricular drainage in the period of July 2011 to July 2016 in Dr. Hasan Sadikin General Hospital, Bandung. Age, gender, head circumferences, nutritional status, and classical characteristics such as sunset eye, frontal bossing, cracked pot sign, venectation as well as complications such as infection, phlebitis, and exposed shunt documented in the hospital medical records were analyzed.Result: The study discovered that infant group was predominant (21/28). Some of the patients had macrocephalus (7/28) and 18 had good nutrition status (18/28). There were 4 patients with frontal bossing characteristics (4/28) and almost none was found with others classic hydrocephalus characteristics. This study found no complication such as infection, phlebitis, and exposed shunt in TBM patients with hydrocephalus who had undergone fluid diversion therapy in Dr. Hasan Sadikin General Hospital, Bandung.Conclusion: One of the most dominan characteristics of TBM patients with hydrocephalus is frontal bossing. Tuberculous meningitis patients with hydrocephalus in our center did not show any fluid diversion-related complications such as infection, phlebitis, or exposed shunt.Keywords: Tuberculous meningitis, hydrocephalus, fluid diversion DOI: 10.15850/ijihs.v6n1.1048

Monocyte to Lymphocyte Ratio in Peripheral Blood of Tuberculous Meningitis with HIV Patients in Tertiary Hospital in West Java

Amalia, Ridha, Turbawaty, Dewi Kartika, Sugianli, Adhi Kristianto, Aminah, Siti

International Journal of Integrated Health Sciences VOL 6, NO 1 March (2018)
Publisher : International Journal of Integrated Health Sciences

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Abstract

Objective: To describe peripheral blood monocyte to lymphocyte (ML) ratio in tuberculous meningitis (TBM) patients with human immunodeficiency virus (HIV) infection in Dr. Hasan Sadikin General Hospital Bandung as a tertiary hospital in West Java Province, Indonesia.Method: A cross-sectional study with retrospective data approach was done in Dr. Hasan Sadikin General Hospital, Bandung. Data were collected from TBM patients who were hospitalized in Dr. Hasan Sadikin General Hospital, Bandung in the period of 2014–2016. The sample size was determined using total sampling method. General data, clinical manifestation data, and laboratory finding data were collected. The ML ratio was collected and presented into three groups of percentile (25th, 25–75th and 75th) based on the pre-defined cut-off.Result: Six subjects (40%) had an ML ratio of ≤0.47 and 3 subjects had an ML ratio of ≥1.22 in TBM with HIV population. Among TBM with HIV-negative population, there were 16 subjects had ML ratio ≤0.47, and 19 subjects had ML ratio ≥1.22.Conclusion: The ML ratio in TBM with HIV infection has become additional tool for detecting the development of TBM with HIV-infected, as well as TBM with non-HIV-infected. Therefore, it could help directing the patients with clinical suspicious of TBM into the diagnosis algorithm and treatment of TBM, to have better outcome.Keywords: Human immunodeficiency virus infection,lymphocyte, monocyte, monocyte to lymphocyte ratio, tuberculous meningitis DOI: 10.15850/ijihs.v6n1.1140

Effects of Core Strength Training Using Stable Versus Unstable Surfaces on Lower Body Quality in 8th Grade Male and Female Students in a Junior High School in Bandung

Dwidarti, Sitti Juhana, Prabowo, Tertianto, Sungkar, Ellyana

International Journal of Integrated Health Sciences VOL 6, NO 1 March (2018)
Publisher : International Journal of Integrated Health Sciences

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Abstract

Objective: To investigate the effects of core strength training performed on stable (CSTS) compared to unstable surfaces (CSTU) on physical fitness in school-aged boys and girls.Methods: In this study, 72 (36 males, 36 females) untrained healthy subjects (mean age: 14±1 years, age range: 13–15 years) were randomly assigned to a CSTS group for stable surface (n = 36; 18 males and 18 females) or a CSTU group for unstable surface (n = 36; 18 males and 18 females). Core strength training performed on stable as compared to unstable surfaces were assessed on pre- and post-tests. Training period lasted 6 weeks (2 sessions/week). The components of physical fitness were assessed using standing long jump test,  stand-and-reach  test,  20-m  sprint  test, jumping  sideway test, and y balance  test.   Results: This study showed significant results in increased components of physical fitness in both CSTS and CSTU groups (p<0.05). The increase of physical fitness for CSTU was better than CSTS (p<0.05). There were differences of physical fitness between gender in both groups (p<0.05) except for stand-and-reach test (p>0.05).Conclusion: Core strength training performed on unstable and stable surfaces increases all components of physical fitness in youths. Core strength training performed on unstable surface can better improve the physical fitness compared to the stable surface. There were differences of physical fitness between gender in both groups except for stand-and-reach test.Keywords: Resistance training, physical fitness, gender DOI: 10.15850/ijihs.v6n1.1050

Knee Extensor Strength Prediction Formula Using Modified Aneroid Sphygmomanometer in Healthy Female Adults

Setiawan, Erik, Prananta, Marietta Shanti, Novitri, Novitri

International Journal of Integrated Health Sciences VOL 6, NO 1 March (2018)
Publisher : International Journal of Integrated Health Sciences

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Abstract

Objective: To discover isometric knee extensor muscle strength prediction formula using hand-held dynamometer (HHD) through the use of modified aneroid sphygmomanometer (MAS). Isometric knee extensor muscle strength examination is required to diagnose and evaluate the treatment of quadriceps femoris weakness.Methods: This was a quantitative observational and correlational analysis study with cross-sectional design. Isometric knee extensor muscle strength was measured using HHD and MAS with 60o knee flexion in sitting position. Correlation tests were performed to investigate the correlation between HHD, MAS, and other variables. Regression test was carried out to analyze knee extensor strength regression using HHD through MAS.Results: TSubjects enrolled were 25 healthy females aged 23–52 years old. The correlation between HHD and MAS was significant while age, body weight, body height, and body mass index (BMI) did not show correlation with HHD and MAS. The isometric knee extensor muscle strength using HHD could be predicted by formula = 0.1041xMAS.Conclusions: Isometric knee extensor muscle strength measured using HHD strongly correlates with that of using MAS with 60o knee flexion in sitting position and can be predicted from measurement values of MAS. The formula is only suitable for females.Keywords: Hand-held dynamometer, knee extensor, prediction formula, sphygmomanometer DOI: 10.15850/ijihs.v6n1.1103 

Associations between Nutrition Knowledge, Vitamin C Intake, Nutritional Status, and Blood Pressure among Elderly with Hypertension in Klaten, Central Java, Indonesia

Yuliyana, Triagung, Kusnandar, Kusnandar, Hanim, Diffah

International Journal of Integrated Health Sciences VOL 6, NO 1 March (2018)
Publisher : International Journal of Integrated Health Sciences

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Abstract

Objective: To analyze the correlation between nutrition knowledge, vitamin C intake, and nutritional status on blood pressure among elderly with hypertension.Methods: This was a cross-sectional study with purposive random sampling which was conducted from April to May 2017. This study included one hundred twenty-five elderly subjects with hypertension who met the inclusion criteria (17 males and 108 females), aged ≥60 years, who lived in the work area of Juwiring Public Health Center in Klaten district, Central Java, Indonesia. The data were analyzed statistically by using normality, correlation, and multiple linear regression tests.  Results: The results of the correlation test showed that there was a correlation between nutrition knowledge (p=0.011), vitamin C intake (p=0.012), nutritional status (p=0.048), and blood pressure hypertension in elderly based on the results of multiple linear regression. All data were analyzed statistically using Spearman correlation test to examine the distributed data. A significant correlation was found between nutrition knowledge, vitamin C intake, and nutritional status (p<0.05) using multiple linear regression (p<0.05). A normality test using the Kolmogorov-Smirnov test resulted in normal residue with p-value 0.000. The results showed that the regression analysis could be used to predict the blood pressure.Conclusion: There was a correlation between nutrition knowledge and blood pressure of hypertension in elderly. There was a correlation between vitamin C intake and a blood pressure of hypertension in elderly. There was a correlation between nutritional status and a blood pressure of hypertension in elderly.Keyword: Blood pressure, elderly hypertension, nutrition knowledge, nutritional status, vitamin C intake DOI: 10.15850/ijihs.v6n1.1114

Relationship between Gymnastics Exercise and Insomnia in Elderly

Nasa, Fauziah Nurillah, Gondodiputro, Sharon, Rahmiati, Lina

International Journal of Integrated Health Sciences VOL 6, NO 1 March (2018)
Publisher : International Journal of Integrated Health Sciences

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Abstract

Objectives: To analyze the relationship between gymnastics exercise and insomnia in elderly.Methods: This study involved 60 elderly as the respondents. The respondents were divided into two groups: group 1 consisting of elderly who practiced gynmastics exercise and group 2 consisting of elderly who did not practice gymnastics exercise. The members of group 1 were enrolled from 3 gymnastic groups in 3 villages in Jatinangor, West Java, Indonesia and the members of group 2 were elderly who lived in the same villages as the elderly in group 1. The inclusion criteria were elderly women who could communicate effectively and with a Mini Mental State Examination (MMSE) score of >23. Particularly for group 1, additional criteria were applied, i.e. elderly who did gynmastics exercise minimal once a month and each exercise lasted for at least one hour. Insomnia level was determined using the insomnia severity index (ISI). This study was carried out in June 2017. Homogeneity of the groups was examined using proportion difference test and data were analyzed using chi-square test and one way ANOVA.Results: Insomnia prevalence was 56.6% but insomnia prevalence in group 2 was higher (43.3%) than that of  group 1 (13.3%). This study discovered that there was significant relationship between gymnastics exercise and insomnia in elderly (p=0.000). Referring to the  frequency of the gymnastics exercise, significant relationship between gymnastics exercise and insomnia in elderly was also found (p=0.040). Conclusions: Gymnastics exercise is a promising nonpharmacologic therapy to treat insomnia in elderly.Keywords: Elderly, insomnia, gymnastics exercise DOI: 10.15850/ijihs.v6n1.1132

Correlation between Handgrip Strength, Mobilization Function, Physical Activity Level, and Muscle Mass in Community-Dwelling Elderly in Bandung, West Java Province, Indonesia

Sekarsari, Sari, Vitriana, Vitriana, Defi, Irma Ruslina

International Journal of Integrated Health Sciences VOL 6, NO 1 March (2018)
Publisher : International Journal of Integrated Health Sciences

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Abstract

Objective: To investigate correlation between handgrip strength, mobilization function, and physical activity level (PAL), and muscle mass in community-dwelling Indonesian elderly.Methods: This was a cross-sectional study 193 subjects aged 60–90 years. Handgrip strength was measured using handgrip dynamometer while the mobilization function was assessed by performing gait speed test. Global Physical Activity Questionnaire (GPAQ) was used to assess the participant’s PAL and Bio Impedance Analyzer was used to measure the participant’s muscle mass based on skeletal mass index.Results: Significant positive correlations were discovered between handgrip strength and walking speed (rs. 0.501; p<0.001), PAL (rs. 0.153; p=0.003), and muscle mass (rs. 0,452; p<0.001).Conclusion: Stronger handgrip determines greater mobilization function, physical activity level, and bigger muscle mass in community-dwelling Indonesian elderly. Keywords: Gait speed, handgrip strength, muscle mass, physical activity DOI: 10.15850/ijihs.v6n1.1047

Gender, Age, Marital Status, and Education as Predictors to Quality of Life in Elderly: WHOQOL-BREF Indonesian Version

Gondodiputro, Sharon, Hidayati, Aghnia Rizki, Rahmiati, Lina

International Journal of Integrated Health Sciences VOL 6, NO 1 March (2018)
Publisher : International Journal of Integrated Health Sciences

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Abstract

Objective: To analyze the quality of life in elderly with regards to gender, age, marital status, and education.Methods: An analytical study involving 88 (eighty eight) elderly who lived in 6 villages in the suburb area of Jatinangor sub-district, West Java, Indonesiawas performed in June 2017. The inclusion criteria were men and women, ≥60 years old, able to communicate in Indonesian, and a mini mental state examination (MMSE) score of ≥23. The variables in the study were gender, age, marital status, and education. Quality of life (QoL) was measured using translated WHOQOL-BREF. Collected data in the study were analyzed statistically using Chi square, Mann-Whitney, Friedman, Post hoc using Wilcoxon, and Kruskal-Wallis tests.Results: The study discovered that all of the respondents had low QoL score (≤60). The lowest score was the result of physical  domain. There was no significant QoL difference between men and women (p>0.05) but a significant QoL difference regarding to age, marital status and education level was found in the study (p˂0.05).Conclusions: Elderly in suburb area has low QoL and there is a difference in Qol based on age, marital status, and educational level.Keywords: Education level, elderly, gender, marital status, quality of life DOI: 10.15850/ijihs.v6n1.1201

Maternal Mortality Risk Factors in Dr. Hasan Sadikin General Hospital, Bandung in 2009−2013

Astuti, Shely Karma, Aziz, Muhammad Alamsyah, Arya, Insi Farisa Desy

International Journal of Integrated Health Sciences VOL 5, NO 2 September (2017)
Publisher : International Journal of Integrated Health Sciences

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Abstract

Objective: To discover the factors affecting the occurrence of maternal deaths. The high maternal mortality rate (MMR) in Indonesia is still a common problem which needs urgent solution.Methods: This is an analytic observational, cross-sectional study using a case control approach Fifty two cases were selected as cases, another 52 were selected as control. The sampling was performed by simple random sampling. The instruments used in this study were the medical records of mothers who gave birth in Dr. Hasan Sadikin General Hospital Bandung from 1 January 2009–31 December 2013. Data analysis was performed using chi-square test. Results: In this study, the results showed that the risk factors contributing to maternal deaths were pregnancy complication (p<0.001), delivery complication (p<0.001), puerpural complication (p=0.022), age (p=0.030), parity (p=0.427), prior medical history (p<0.001), antenatal care (p=0.007), maternal education (p=0.527), and area of residence (p=0.049).Conclusions: The risk factors that contribute to maternal deaths include pregnancy complication, delivery complication, puerpural complication, maternal age, prior medical history, antenatal care, and area of residence. Keywords: Complication, maternal deaths, risk factors DOI: 10.15850/ijihs.v5n2.992

Effects of Quadriceps Strengthening Exercise on Quadriceps Muscle Strength and Its Relation to Lower Extremity Lean Mass

Desiana, Istingadah, Moeliono, Marina Annette, Prabowo, Tertianto

International Journal of Integrated Health Sciences VOL 5, NO 2 September (2017)
Publisher : International Journal of Integrated Health Sciences

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Abstract

Objective: To discover whether quadriceps resistance exercise could increase quadriceps strength as well as its relation to lower extremity lean mass. Methods: This study was a pre- and post- experimental study in which 36 participants with knee OA grade 2 and 3 were recruited. Assesment of leg lean mass and quadriceps strength was taken before and after intervention. Participants practiced quadriceps isotonic resistance exercise 3 times a week for 8 weeks. This study was conducted in Dr. Hasan Sadikin General Hospital, Bandung from September 2014 to February 2015.Results: After the intervention, an increase in quadriceps strength was seen but not in the lower extremity lean mass. Statistical analysis showed that there was no correlation between lower extremity lean mass and quadriceps strength.Conclusions: Quadriceps strength is found to increase after intervention. No increase is found in the lower extremity lean mass.Keywords: Osteoarthritis, leg lean mass, quadriceps strength, quadriceps strengthening exercise DOI: 10.15850/ijihs.v5n2.1010