International Journal of Integrated Health Sciences
ISSN : 23021381     EISSN : 23384506
International Journal of Integrated Health Sciences (IJIHS) is a peer-review journal which publishes original articles, medical research, clinical research and case report. This journal is supported by Faculty of Medicine Universitas Padjadjaran and was launched on September 22nd 2012 and firstly published on July 2013. The first and second publications in 2013 and 2014 were published annually. In 2015 IJIHS published twice in a year, March and September.
Articles 8 Documents
Search results for , issue " VOL 5, NO 2 September (2017)" : 8 Documents clear
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 

Effect of Quadriceps Muscle Strengthening Exercise on Quadriceps and Hamstring Muscle Strength Ratio in Patients with Osteoarthritis Grade 2 and 3

Purba, Thomas Sintong Pratama, Moeliono, Marina Annette, Sastradimadja, Sunaryo Barki

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 evaluate the effect of quadriceps muscle strengthening exercise on quadriceps and hamstring strength ratio in knee osteoarthritis (OA). Methods: This was a quantitative study with quasi-experimental design. The subjects in the study were 16 female patients with knee OA grade 2 and 3. Quadriceps muscle strengthening exercise was given to the subjects 3 times a week during 8 weeks. The study was conducted at the Department of Physical Medicine and Rehabilitation of the Faculty of Medicine, Universitas Padjadjaran-Dr. Hasan Sadikin General Hospital in August–September 2015. Results: It was revealed that the quadriceps muscles improved significantly. However, the hamstring muscles did not show significant improvement based on the comparison between before and after performing the exercise. The average right quadriceps muscle strength before exercise was 12.46 and after exercise was 18. The average left quadriceps muscle strength before and after exercise were 11.59 and 17.7, respectively. The average right hamstring muscle strength before and after exercise were 7.29 and 7.94, respectively. Conclusions: There are quadriceps muscle strength improvements after practicing quadriceps muscle strengthening exercise. However, no significant hamstring muscle strength improvement is seen after practicing quadriceps muscle strengthening exercise. An improvement in quadriceps and hamstring muscle ratio is observed. Keywords: Osteoarthritis, quadriceps and hamstring muscle strength ratio, quadriceps muscle strengthening exercise DOI: 10.15850/ijihs.v5n2.1041 

Correlation between Body Mass Index, Gender, and Skeletal Muscle Mass Cut off Point in Bandung

Wattimena, Richi Hendrik, Vitriana, Vitriana, Devi, Irma Ruslina

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 determine the average skeletal muscle mass (SMM) value in young adults as a reference population; to analyze the correlation of gender, and body mass index to the cut off point; and to determine skeletal muscle mass cut off points of population in Bandung, Indonesia.Methods: This was a cross-sectional study involving 199 participants, 122 females and 77 males. The sampling technique used was the multistage random sampling. The participants were those who lived in four major regions in Bandung, Indonesia: Sukajadi, Cicadas, Buah Batu, and Cibaduyut. Results: The average appendicular skeletal mass index (ASMI) in females and males based on body mass index (BMI) were identified. The average ASMI values for normal BMI in females was 5.982±0.462 kg/m2 while the average ASMI values normal BMI for males was 7.581±0.744 kg/m2Conclusions: A correlation between BMI and ASMI that was considered statistically significant was found in females (0.7712; p<0.05) and a very significant correlation was seen in males (0.870; p<0.05). The cut off points were defined by the normal BMI, which were 5.059 for females and 6.093 for males. Keywords: Appendicular skeletal muscle mass index, body mass index, cut off point, gender, skeletal muscle mass DOI: 10.15850/ijihs.v5n2.990

Role of Risk Factors in the Incidence of Multidrug-Resistant Tuberculosis

Khairani, Alya Putri, Santoso, Prayudi, Setiawati, Elsa Pudji

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 determine the risk factors that played roles in the incidence of multidrug-resistant tuberculosis (MDR-TB) in such patients. Multidrug-Resistant Tuberculosis is a form of tuberculosis caused by Mycobacterium tuberculosis that is resistant to at least isoniazid and rifampicin.Methods: This was a case control study to compare MDR-TB to non-MDR-TB pulmonary tuberculosis outpatients in Dr. Hasan Sadikin General Hospital, Bandung on August–September 2014. Fifty MDR-TB outpatients were included as the cases and 50 non-MDR-TB outpatients as controls. Data was collected by questionnaires and patient’s registration forms. Bivariate and multivariate analyses were performed using chi-square test and multiple logistic regression test, with p<0.05 considered significant. Results: From bivariate analysis, number of previous tuberculosis treatments, regularity of previous treatment, and burden of cost were significant risk factors for developing MDR-TB (p<0.05); while from multivariate analysis, number of previous TB treatments was the only risk factor that played a significant role in the incidence of MDR-TB (OR 24.128 95% CI 6.771-85,976). Conclusions: Patients and medication factors are risk factors that play roles in the incidence of MDR-TB. The significant risk factor is the number of previous TB treatment. Keywords: Multidrug-resistant tuberculosis, resistance, risk factors, tuberculosis DOI: 10.15850/ijihs.v5n2.991

Intervertebral Disc Characteristic on Progressive Neurological Deficit

Yudoyono, Farid, Dahlan, Rully Hanafi, Arifin, Muhammad Zafrullah

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 examine the intervertebral disc characteristic on magnetic resonance imaging (MRI) in lumbar herniated disc (LHD) patients with progressive neurological deficit.Methods: Patients were collected retrospectively from Dr. Hasan Sadikin General Hospital Database from 2011–2013 with LHD, had neurological deficit such as radiculopathy and cauda equine syndrome for less than four weeks with a positive sign confirmed by neurological examination and confirmatory with MRI examination.Results: A total of 14 patients with lumbar herniated disc disease (10 males, 4 females) suffered from progressive neurological deficit with an average age of (52.07±10.9) years old. Early disc height was 9.38±0.5 mm and progressive neurological deficit state disc height was 4.03±0.53 mm, which were significantly different statisticaly (p<0.01). Symptoms of radiculopathy were seen in 11 patients and cauda equine syndrome in three patients. Modic changes grade 1 was found in five patients, grade 2 in eight patients,grade 3 in one patient, Pfirmman grade 2 in eleven patients and grade 3 in three patients. Thecal sac compression 1/3 compression was seen in four patients and 2/3 compression in ten patients.Conclusions: Neurosurgeon should raise concerns on the characteristic changes of intervertebral disc in magnetic resonance imaging examination to avoid further neural injury in lumbar herniated disc patients.Keywords: Lumbar herniated disc, magnetic resonance imaging, progressive neurological deficit DOI: 10.15850/ijihs.v5n2.1042  

Correlation between Degree of Gibbus Angulation, Neurological Deficits, and Pain in Spondylitis Tuberculosis Patients

Hadian, Rizkiditia Nugraha, Prasetia, Renaldi, Faried, Ahmad

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 analyze the correlation between the degree of angulation and neurological deficits as well as pain in spondylitis tuberculosis (TB) patients.Methods: This observational-analytic study included bivariate analysis on data collected from the medical records of patients with presented with spondylitis TB to Dr. Hasan Sadikin General Hospital, Bandung outpatient clinic from January 2014 to December 2015. The variables were the degree of gibbus angulation, neurological deficits, and pain.Results: The study showed significant positive correlation between gibbus angulation and sensory neurological deficits (r=0.375; p=0.009) and there was significant positive correlation between gibbus angulation and pain (r=0.638, p=0.000). The study showed an insignificant correlation between gibbus angulation and motoric neurological deficits (r=0.125; p=0.525).Conclusions: There is a significant correlation between the degree of gibbus angulation and pain as well as sensory neurological deficits. Meanwhile, no significant correlation is found between the degree of gibbus angulation and motoric neurological deficits.Keywords: Gibbus angulation, neurological deficits, pain, spondylitis tuberculosis DOI: 10.15850/ijihs.v5n2.1049

Quality of Life in Thalassemia Major Patients: Reliability and Validity of Indonesian Version of TranQol Questionnaire

Poengoet, Billy Ng Setiawan Rachmat, Sungkar, Ellyana, Pandji, Tri Damiati

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 determine the validity and reliability of TranQol questionnaire that has been translated into Indonesian to be used in Indonesian thalassemia major patients. The quality of life problems among these patients can be detected earlier because TranQol is more precise compared to the Pediatric Quality of Life Inventory (PedsQLTM), World Health Organization Quality of Life Instruments (WHOQOL), and SF-36 Questionaire.Methods: This study was conducted in Bandung, Indonesia from October 2015 to March 2016 and used a standard “forward-backward” translation procedure. It involved 60 adults and 73 children who are thalassemia major patients, and 71 parents of patients in Dr. Hasan Sadikin General Hospital. TranQol was processed through forward and backward translation approach and evaluation was conducted by the TranQol author. After the translation process, a cognitive debriefing was performed and the translated TranQol was tested to all subjects.Results: Cronbach’s alpha >0.7 was used for all TranQol categories. Front validity and content validity testing was performed. The internal validity results showed that some questions were not valid.Conclusions: TranQol reliability in Indonesian language for every category is good. Validity for TranQol in Indonesian language shows that the translated TranQol is not quite suitable that it still cannot be used. Keywords: TranQol Indonesia, validity Indonesia, reliability Indonesia DOI: 10.15850/ijihs.v5n2.1011

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