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 7 Documents
Search results for , issue " Vol 3, No 1 (2015)" : 7 Documents clear
Ultrasound Guided Fine Needle Aspiration Biopsy in Renal Tumors

Tjahjodjati, Tjahjodjati, Pitoyo, Joko

International Journal of Integrated Health Sciences Vol 3, No 1 (2015)
Publisher : International Journal of Integrated Health Sciences

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Abstract

Objective: To assess the sensitivity and specificity of ultrasound guided fine needle aspiration biopsy (FNAB) in renal tumors.Methods: A diagnostic study was performed on 23 patients with renal tumors who visited the Urology Division, Department of Surgery, Dr. Hasan Sadikin General Hospital from January 2011 to August 2012. First time ultrasound guided was performed to the patients before nephrectomy. Renal tissues that were obtained from both procedures were examined histopathologically, and the result from nephrectomy was used as the gold standard. Analysis was conducted by measuring the sensitivity, specificity, positive predictive value (PPV), and negative predictive value (NPV) of the ultrasound guided FNAB. Results: The results showed that the sensitivity value of ultrasound guided FNAB was 85.71%, with 50% specificity, 94.74% PPV and 25% NPV. From 23 patients, only 2 patients had hematoma. Conclusions: Ultrasound guided FNAB is sufficiently sensitive with a fair specificity for diagnosing renal tumors and is safe for patients.Keywords: Renal tumor, sensitivity, specificity, ultasound guided FNAB DOI: 10.15850/ijihs.v3n1.401

Normal Pressure Hydrocephalus Following Myodil Myelography

Akar, Ezgi, Akmil, Mehmet Ufuk

International Journal of Integrated Health Sciences Vol 3, No 1 (2015)
Publisher : International Journal of Integrated Health Sciences

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Abstract

Objective: Fat-saturated contrast agent-enhanced myelography was used for the purpose of diagnosing most spinal lesions from the beginning of the 19th century until the end of the 20th century. Myodil was among the agents used for many years for this purpose.Methods: A rare long-term complication of myodil myelography is presented with a cerebrospinal fluid (CSF) absorption disorder occurring years after myelography that caused a secondary normal pressure hydrocephalus.Results: A case of normal pressure hydrocephalus with a slowly developing clinical picture that emerged years after a ventriculoperitoneal shunt for a myodil myelography 25 years ago due to suspicion of lumbar spinal stenosis was treated. Conclusions: Many acute and chronic complications of fat-saturated contrast agents were reported. Because of these complications and with the technological developments in due course, these agents are replaced by computerized tomography (CT), magnetic resonance imaging (MRI), or hydrophilic contrast agents.Keywords: Normal pressure hydrocephalus, myelography, myodil DOI: 10.15850/ijihs.v3n1.406

Osteoporosis Risk and Body Mass Index Comparison among Urban and Rural Menopausal Women

Tarawan, Vita Muniarti, Adnantami, Putri Fatima, Adnantama, Putra Habibie, Adnantama, Putra Haqiqie

International Journal of Integrated Health Sciences Vol 3, No 1 (2015)
Publisher : International Journal of Integrated Health Sciences

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Abstract

Objective: To compare osteoporosis risk factors between urban and rural menopausal women. Methods: This study applied the causal-comparative analysis to compare osteoporosis risk factors between urban and rural menopausal women. The subjects included in this study were 40 urban and 40 rural menopausal women who were randomly recruited. The respondents’ bone mass density was measured using densitometry. This study also examined several aspects, including the respondents’ nutritional status (body mass index calculation) and physical fitness (VO2 max). The correlation between osteoporosis risk and either nutritional status or physical fitness among urban and rural menopausal women were tested using Chi square correlation analysis. Results: This study examined several aspects, including age (years) 58.7±6.1 (urban) and 58.3±6.5 (rural), p=0.815, body mass index (kg/m2) 23.7±3.7 (urban) and 22.7±3.6 (rural), p=0.221, VO2 max (average) 27 (67.5%) (urban) and 25 (62.5%) (rural), p=0.624. The respondents diagnosed as suffering from osteoporosis were statistically measured for the: nutritional status (body mass index) (under) urban 0%, rural (p=0.789) 2.5%, body mass index 7.5% urban, rural (p=0.571) 2.5%, physical fitness condition (VO2 max) (average) urban 7.5%, rural (p=0.850) 5%, VO2 max (poor) urban 7.5%, rural (p=0.880) 5%. Body mass index and bone mass density calculation results described that the nutritional status of urban and rural menopausal women: normal 12 (30%) vs (32.5%), osteopenia 8 (20%) vs (15%), osteoporosis 3 (7.5%) vs (2.5), p=0.571. Conclusions: This study shows that there is no significant difference between osteoporosis risk and nutritional status and physical fitness in urban and rural menopausal women.Keywords: Nutritional status, osteoporosis level, physical fitness DOI: 10.15850/ijihs.v3n1.402

Comparison of Estimated Glomerular Filtration Rate Mean Value of HARUS 15-30-60, HADI, and ASIAN Fomula Accuracy in Diabetes Mellitus Type 2

Rachmayati, Sylvia, Parwati, Ida, Martakusumah, Abdul Hadi, Soelaeman, Rachmat, Sekarwana, Nanan

International Journal of Integrated Health Sciences Vol 3, No 1 (2015)
Publisher : International Journal of Integrated Health Sciences

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Abstract

Objective: To compare the accuracy of HARUS 15-30-60, HADI, and Asian Formulas (Chinese-equation (Ch-E), Japanese-equation (Jp-E), and Thai- equation (Th-E)) for estimated glomerular filtration rate (eGFR).Methods: The Kidney Dialysis Outcome Quality Initiative (KDOQI) has published a guideline to measure renal function, which is based on glomerular filtration rate (GFR). This procedure is complicated and expensive, therefore an estimated GFR (eGFR) has been proposed. The modification of diet in renal disease (MDRD) study prediction equation is the most frequently eGFR used. This method still have a weakness in accuracy, so the chronic kidney disease epidemiology collaboration (CKD-EPI) formula is developed. Since CKD-EPI is not practical for daily use, the MDRD is published for Asian population that includes Ch-E, Jp-E, and Th-E. In Indonesia, the MDRD formula has not been validated using any gold standard, therefore 2 new formulas have been developed, i.e. HARUS 15-30-60 and HADI formulas. In this study, we analyzed 102 medical records of Diabetes Mellitus Type 2 (DMT2) patients who visited Dr. Hasan Sadikin General Hospital, Bandung during the period of 2012 to 2013. We analyzed the data using HARUS 15-30-60, HADI, Asian formulas, and then compared them to CKD-EPI to see the accuracy. Statistical analysis used was paired t-test in SPSS-17 program.Results: The accuracy of the different formulas are as follows: HADI (p=0.173), HARUS 15-30-60 (p=0.060), Ch-E (p=0.001), Th-E (p=0.000), and Jp-E (p=0.000).Conclusions: HADI is the most accurate formula, followed by HARUS Formula, Ch-E, and Th-E and Jp-E, respectively.Keywords: Chinese-equation, HADI and HARUS 15-30-60 formulas, Japanese-equation, and Thai-equation DOI: 10.15850/ijihs.v3n1.403

Eicosapentaenoic Acid as Adjuvant for Cachexia in Cancer’s Patients

Hadi, Soeseno, Kurniawan, Cynthia, Budiono, Jansen

International Journal of Integrated Health Sciences Vol 3, No 1 (2015)
Publisher : International Journal of Integrated Health Sciences

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Abstract

Cachexia is a frequent problem in cancer patients associated with mortality and morbidity since it causes death, reduced therapy effectiveness, as well as decreased quality of life. Cachexia emerges from interactions of several factors, namely metabolic effect of cancer cells, factors released by cancer cells, cytokines release from host cell in response to tumors, and side effects of therapies. Combination of these factors contributes to anorexia, decreased body fat and muscle, and weight loss. Unfortunately, there is no gold standard for treatment of cachexia. Several studies found that eicosapentaenoic acid (EPA) might improve cancer cachexia. It has potential blocking effects on several cachexia underlying factors. It may reverse weight loss, increase lean body mass, and improve the efficacy of therapy and the quality of life. The objective of this literature review is to describe and give basic understanding of EPA as adjuvant for cancer cachexia. Keywords: Cachexia, cancer, EPADOI: 10.15850/ijihs.v3n1.399

Effectiveness in Dynamic Balance: a Comparison between Foot Muscle Strengthening Using Elastic Band and without Elastic Band in Children Aged 8–12 with Flexible Flatfeet

Listyorini, Indri, Shanti, Marietta, Prabowo, Tertianto

International Journal of Integrated Health Sciences Vol 3, No 1 (2015)
Publisher : International Journal of Integrated Health Sciences

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Abstract

Objective: To compare the effects of foot muscle strengthening exercises with and without elastic band to the dynamic balance function in children aged 8–12 years with flexible flatfeet.Methods: Forty-one children (aged 8–12 years) with flexible flatfeet and dynamic balance problem were randomly allocated into either the intervention or control group. Both groups received thrice weekly training for 6 weeks. The foot strengthening exercise regimens consisted of pronation, supination, short foot, and tiptoeing using elastic band for the intervention group and without elastic band for the control group. Star Excursion Balance Test (SEBT) was tested before and after 6 weeks of training. Results: A statistically significant difference of normalized SEBT scores was found for both groups in both legs (p=0.00, p<0.05). The intervention group was significantly better than the control group for both right and left legs (p=0.00, p<0.05). Conclusions: Foot muscle strengthening either with or without elastic band improves dynamic balance in children aged 8–12 years with flexible flatfeet. Exercise given with elastic band significantly shows better improvement in the dynamic balance compared to without elastic band.Keywords: Flexible flatfeet, strengthening exercises, elastic band, dynamic balance, star excursion balance test DOI: 10.15850/ijihs.v3n1.404

Discharge against Medical Advice in Pediatric Intensive Care Unit and Subsequent Events

Somasetia, Dadang Hudaya, Isman, Susanto, Wonoputri, Nathania

International Journal of Integrated Health Sciences Vol 3, No 1 (2015)
Publisher : International Journal of Integrated Health Sciences

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Objective: The occurence of discharge against medical advice (DAMA) has impacted globally. Decisions of DAMA in pediatric patients are not made by the patients, but pose life-threatening consequences, especially for children treated in Pediatrics Intensive Care Unit (PICU). The present study aimed to identify the occurence of DAMA and subsequent events to the DAMA patients after treated in PICU of Dr. Hasan Sadikin General Hospital Bandung, Indonesia.Methods: A retrospective study from medical records of DAMA patients from PICU of Dr. Hasan Sadikin General Hospital, Bandung, Indonesia, between April 2011 and April 2012. Results: A total of 195 children aged 1–5 years were admitted. Of this number, 12 (6.2%) were DAMA. Financial problems were the most common reason for DAMA, followed by parents’ perception about their child’s terminal condition. The majority of parents were laborer. Last parents’ education level was mostly elementary school. Most patients who DAMA from PICU died in less than 24 hours.Conclusions: A considerable number of DAMA was found in our PICU. High mortality occured after patients asked for DAMA from PICU.Keywords: Discharge against medical advice (DAMA), pediatric, pediatrics intensive care unit (PICU) DOI: 10.15850/ijihs.v3n1.400

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