Althea Medical Journal
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The Characteristics, Knowledge, and Attitude of Pregnant Women Regarding Early Breastfeeding Initiation on the Fourth Antenatal Care Visit
Get PDFBackground: Early breastfeeding initiation within one hour after birth can reduce maternal and neonatal mortality. One of the interventions given on the fourth antenatal care (ANC) visit is providing information regarding breastfeeding initiation, however, the implementation is low. Many factors may influence breastfeeding initiation, including knowledge and attitude. The aim of this study was to analyze the relationship among the characteristics, knowledge, and attitude of the pregnant women on the fourth ANC visit regarding early breastfeeding initiation in Jatinangor.Methods: An analytic cross-sectional study was conducted in September 2013. A total of 61 pregnant women registered for the fourth ANC visit (K4) in Jatinangor Public Health Center were involved in this study. Data were collected from questionnaires. Data on the number of gestation, level of education, source of information regarding breastfeeding initiation, knowledge and attitude about early breastfeeding initiation were collected and analyzed using chi-square.Results: There was a significant relationship between a number of gestation, level of education, source of information and knowledge also attitude, as well as between age and attitude (p0.05).Conclusions: Number of gestation, level of education, and source of information have a significant relationship with both knowledge and attitudes about early breastfeeding initiation
Significant Relationship between Overweight and Hypertension in the Elderly
Get PDFBackground: Hypertension is one of the degenerative diseases that commonly occurs in the elderly, however, the etiology is still unclear. One of the risk factors is overweight. This study aimed to investigate the relationship between overweight and hypertension in the elderly living in Hegarmanah village.Methods: A cross-sectional analytic study was conducted from September to November 2013, including 100 elderly in Hegarmanah village Jatinangor, Sumedang, using a cluster sample technique. The data of body weight, height, and blood pressure were obtained after informed consent.Results: In total, 58 females and 42 males were included. The nutritional status was underweight (9%), normal (45%), overweight (31%), and obese (15%). Hypertension among the elderly was normal (4%), prehypertension stage 1 (18%), hypertension stage II (24%), and hypertension stage III (54%). The hypertension was occurred in 43.6% non-overweight group and 56.4% in the overweight group, resulting in a significant relationship between overweight and hypertension in the elderly (p=0.001).Conclusions: The high prevalence of hypertension among the elderly who were overweight suggests a better promotion in lifestyle control, a particularly nutritional program for the elderly to manage hypertension and its complication.
Talk Shows and Leaflets Improve Senior High School Student Knowledge of Chronic Kidney Diseases
Get PDFBackground: The increase of chronic kidney disease (CKD) incidence and its related costs in developing countries have urged all levels of society prevent this disease. Prevention can be effectively done when someone has good knowledge about the disease. This study aimed to observe the change in knowledge about CKD before and after education sessions in the form of talk shows as well as through the leaflet media among senior high school students.Methods: This was a cross-sectional observational quantitative study on 71 first-grade students participated in World Kidney Day 2019 event. The questionnaire was distributed before and after the education program and data collected were analyzed using the Wilcoxon-signed rank test and Mann-Whitney test to explore changes in the level of knowledge based on the characteristics of the subjects.Results: The median level of student knowledge before education was 76% (16-96%), which increased to 92% (28-100%) after education (p<0.001). No significant correlation was observed between knowledge about CKD and gender (p=0.486), family history of CKD (p=0.281), and health workers as parents (p=0.543).Conclusion: There is a significant improvement in knowledge of CKD before and after an education session through talk shows and leaflets among senior high school students. Health educations need to be regularly given to young adolescents using different approaches to increase their knowledge about various topics
Cerebral Palsy Parents’ Knowledge, Attitude, and Behavior at Dr. Hasan Sadikin General Hospital Bandung 2014
No full textBackground: Cerebral palsy (CP) as a non-progressive syndrome of motor function and posture disturbance is caused by the abnormality or damage on the brain during its development. Children with CP usually have motor, sensory, communication, and intellectual disturbances. Medical rehabilitation is important; however, the environmental aspect is also crucial for their development. Parents as their caregivers may have good knowledge to assist their children during rehabilitation. This study aimed to explore the knowledge, attitude, and behavior among parents with CP children.Methods: This study was descriptive quantitative study and conducted at the Physical Medicine and Rehabilitation Clinic of Dr. Hasan Sadikin General Hospital Bandung during September to October 2014. Parents of CP children were asked to complete a questionnaire that was specifically designed for this study after their consent was obtained.Results: From a total of 31 parents, 51.6% had good knowledge about CP; 58.1% had good attitude toward CP children, and 51.6% had good behavior while taking care of their children.Conclusions: The majority of parents with CP children have good knowledge, attitude, and behavior towards CP children. The knowledge of risk factors of cerebral palsy are poor, therefore, it is necessary for doctors and therapists to provide more education sessions on the risk factors and other related topics about cerebral palsy
Knowledge and Attitude on Human Immunodeficiency Virus among Migrant Worker Candidates in East Java, Indonesia
Get PDFBackground: In 2018, East Java province becomes the province with the highest number of Human Immunodeficiency Virus (HIV) cases in Indonesia with an incidence of more than 8,000 cases. This province has various groups of Indonesian Migrant Workers (Tenaga Kerja Indonesia, TKI) working in various sectors in different countries, making them prone to HIV infection. This study aimed to determine the level of knowledge and attitude towards HIV and Acquired Immune Deficiency Syndrome (AIDS) among migrant worker candidates in East Java.Methods: This was a cross-sectional descriptive study conducted in August 2018 in the Provincial Manpower and Transmigration Office of East Java, Indonesia. The knowledge and attitude towards HIV disease were assessed using a self-validated questionnaire distributed to 104 migrant worker candidates as the subjects of this study.Results: Eighty-nine percent of the subjects had good knowledge, while 98% of them had good attitudes towards HIV disease. Furthermore, 86% had good attitudes toward HIV transmission. However, no correlation was observed between the subjects’ level of knowledge and their attitude (p=0.334).Conclusions: In general, the level of knowledge and attitudes of migrant worker candidates in East Java towards HIV disease is good. Nevertheless, more knowledge and education on healthy behavior need to be envisaged for this group
Type of Coronary Artery Plaque in Relation to Epicardial Fat Volume in Coronary Heart Disease Patients: A Cardiac Computed Tomography Scan Study
Get PDFBackground: Coronary heart disease (CHD) is a disease that raises public health concerns due to its high morbidity and mortality rates. Anatomically, epicardial fat is located around the heart and coronary system, making it important in the development of coronary atherosclerosis. This study aimed to explore the relationship between epicardial fat volume (EFV) and the type of coronary artery plaque by using Cardiac Computed Tomoghraphy (CT)-Scan.Methods: This was a cross-sectional observational analytic study on patients diagnosed with CHD aged > 20 years who had undergone cardiac CT-Scan at the Department of Radiology, Dr. Hasan Sadikin General Hospital, Bandung, Indonesia between February and June 2019. Data collected from the CT-Scan were analyzed using the Chi-square test.Results: From 54 CHD patients, consisting of an equal number of male and female patients, with a majority of above 60 years old (31.5%), a correlation was identified between increased amount of EFV and mix and hard plaques in the right cirumflex artery (RCA) (p0.05).Conclusions: There is a significant relationship between the EFV value, EFV category, and the type of coronary artery plaque in CHD patients in RCA and LCX arteries. However, this correlation is not observed in LM and LAD arteries
Bleeding Patterns among Severe Hemophilia A and B Patients in West Java
Get PDFBackground: The clinical manifestations of hemophilia A (HA) and hemophilia B (HB)are quite similar; however, the bleeding characteristics of these two hemophilia types have been reported to be different. This study aimed to explore the bleeding patterns among patients with severe HA and severe HB.Methods: A cross-sectional study was conducted among patients with severe HA and HB registered at the West Java Indonesian Hemophilia Society. The inclusion criteria were patients with severe hemophilia diagnosed for at least one year. The bleeding patterns included bleeding episodes and bleeding types. The Mann-Whitney test was used to compare bleeding episodes and a chi-square test for bleeding types.Results: In total, 158 severe HA patients and 21 severe HB patients were included with a median bleeding frequency per patient per year for HA and HB was 24 (range 0–48) and 24 (range 5–48), respectively. The bleeding types in HA and HB were ecchymosis (69% vs. 66.7%), hematoma (62.7% vs. 61.9%), hemarthrosis (99.4% vs. 100%), epistaxis (46.8% vs. 38.1%), gum bleeding (87.3% vs. 95.2%), intracranial hemorrhage (15.2% vs. 9.5%), multiple hematomas (36.7% vs. 47.6%), hemarthrosis-hematoma (61.4% vs.61.9%), and hemarthrosis-ecchymosis (69% vs. 61.9%). However, there was no significant difference in all types of bleeding between HA and HB.Conclusions: There is no difference in the pattern of hemorrhage between severe HA and severe HB in West Java. However, the bleeding phenotypes in hemophilia has considerable implications in the therapeutic process. Further research is needed to optimize the treatment regimens
Smoking Behavior among Undergraduate Female Students in Universitas Padjadjaran Bandung
Get PDFBackground: Smoking is an addictive habit of affecting human behavior. Global data has shown that 47.5% of men and 10.3% of women are active smokers. Based on Survei Sosial Ekonomi Nasional in 2007, the prevalence of women smokers in Indonesia is increased from 1.3% to 5.2%. This study was conducted to describe the smoking behavior among undergraduate female students in Universitas Padjadjaran, Bandung.Methods: This was a descriptive cross-sectional study, including female students from 9 faculties in Universitas Padjadjaran, using a snowball sampling technique. A self-administered questionnaire was distributed, consisting of questions about when students smoked for the first time, level of addiction, smoking intensity, smoking location, and the affecting mood.Result: Of 99 female students, 40.40% have started smoking in high school, 31.32% in the university, and 25.25% in junior high school. The smoking intensity was moderate (45.45%), but some were high (29.30%). The location preference for smoking was both in private and public places (88.89%), driven by both positive and negative moods (88.89%). Interestingly, the most addiction level was situational (34.34%) or intensive (34.34%).Conclusions: Since most of the female students have started smoking before enrolling in the university, smoking education and cessation in junior high school need to be strengthened.
Profile of Upper Extremities Function among Stroke Outpatients in Dr. Hasan Sadikin General Hospital, Bandung
Get PDFBackground: Stroke is one of the leading causes of death and disabilities worldwide. Among all types of disabilities, disturbance in upper extremities functions is at the highest percentage. This study aimed to determine the profile of upper extremities function among stroke outpatients in Dr. Hasan Sadikin General Hospital as an initial step to provide a better follow up and management.Methods: The design of this study was a descriptive study, conducted from April to October 2014 among stroke outpatients in the Department of Physical Medicine and Rehabilitation Dr Hasan Sadikin General Hospital, Bandung based on a consecutive sampling method. The function of upper extremities was tested by Chedoke Arm and Hand Integrated version 9 (CAHAI-9).Result: In total, 42 patients were included, consisting of a male (n=25) and a female (n=17). Nine tasks were performed with dependently by the patients such as open the coffee jar (n22; 52%), call 118 (n24;57%), draw a line with a ruler (n22;52%), pour a glass of water (n33;79%), wring out washed cloth (n26;62%) do up five-button (n31;74%), dry back with the towel (n25;60%), put toothpaste on a toothbrush (n25;60%), and cut medium resistance putty(n32;76%).Conclusions: The majority of stroke outpatients in the sub-acute phase still have a dependent function of upper extremities. Better patient management and interventions focusing on this function need to be enhanced for a better outcome.
Factors Affecting Nutritional Status among Children Aged 12–23 Months
Get PDFBackground: In Indonesia about 18% of children, mostly in the first two years of life, are malnourished, causing a serious impact. Many factors are thought to affect nutritional status among young children. This study was conducted to determine factors affecting the nutritional status of children aged 12–23 months in West Java, Indonesia.Methods: This cross-sectional study used secondary data obtained from a Basic Health Research (Riset Kesehatan Dasar, RISKESDAS) 2010, conducted by Badan Penelitian dan Pengembangan Kesehatan (BALITBANGKES) Ministry of Health Republic of Indonesia. All of the data among children aged 12–23 months in West Java province was obtained. Statistical relationships between predisposing factors and nutritional status i.e. weight for height were analyzed using the chi-square test.Results: In total, 730 data were obtained, of which 567 data met the inclusion criteria. Malnutrition was detected in 101 (17.8%) children. There was a significant relationship (p=0.017, OR=2.6, 95% CI 1.1–5.8) between low birth weight and nutritional status. Nevertheless, no significant relationship was found between nutritional status and history of exclusive breastfeeding (p=0.629), complimentary feeding (p=0.949), vitamin A (p=0.209), infectious diseases (p=0.266), complete immunization status (p=0.420), and mother education level (p=0.251).Conclusions: The low birth weight is the only significant factor associated with the nutritional status among children less than 2 years old; resulting in that low birth weight had a 2.6 higher chance of malnutrition in the early years. Other factors are unexpectedly not significant in this study. There is thus a need to improve the quality of programs, focusing on childbearing mothers, during antenatal control