Althea Medical Journal
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Characteristics of Malignant Eyelid Basal Cell Carcinoma in Cicendo Eye Hospital Bandung from 2013 to 2015
Get PDFBackground: Basal cell carcinoma (BCC) has been proved to have the highest incidence among eyelid malignancies. Basal cell carcinoma is the most common invasive cancer in humans. It is capable of causing extensive tissue destruction. The aim of the study was to identify the characteristics of adult patients with malignant eyelid BCC in Cicendo Eye Hospital Bandung.Methods: A descriptive retrospective study was conducted to determine the characteristics of adult patients with malignant eyelid BCC in Cicendo Eye Hospital Bandung from March 2013 to October 2015. Age and sex distribution of the lesions, location and histopathological results of the tumors were stratified as variables. The inclusion criteria were patients over age of 20, histopathologically diagnosed with periocular BCC. Results: A total of 37 cases histopathologically diagnosed with periocular BCC were evaluated. Females had a slight predominance. The mean age was 61.7 years. The most common site was on the lower lid. The tumors occurred more on the left side. The most common histological subtype was represented by solid growth pattern.Conclusions: The majority of periocular BCC cases occur in females and elderly. Most tumors develop on the lower lid with a left-side preference and have a solid growth pattern histologically. [AMJ.2017;4(1):148–51] DOI: 10.15850/amj.v4n1.103
Profile of Cardiorespiratory Fitness, Flexibility and Fat Percentage of Junior High School Students in Jatinangor
Get PDFBackground: Obesity and physical inactivity is a major risk factor for non-communicable disease and global mortality in adolescent. Lack of physical activity will lead the condition into poor physical fitness, measured by cardio respiratory fitness (maximum oxygen volume, VO2 max), and other components such as flexibility. The study aimed to describe VO2 max, flexibility and fat percentage among junior high school students in Jatinangor.Methods: The study was a descriptive observational study using descriptive analysis. VO2 max was assessed using Astrand Ryhming step test, flexibility was measured using flexometer sit and reach test, and fat percentage was determined using bioelectrical impedance analysis scale. The subjects were junior high school students who were study in 1st, 2nd and 3rd grade in Jatinangor Junior High School based on stratification sampling method. It was conducted from September–October 2013.Results: Total subjects were 110 students consisted of male (n=52) and female (n=58). The VO2 max were in good and above category, 57.69% of male (50.37 ± 9.80 ml/kg/min), and 60.34% of female (37.66±7.03 ml/kg/min). The flexibility for both males and females were within excellent category (67.31%, 26.56 ±7.14 cm and 67.24%, 27.29±6.64 cm respectively). The fat percentage in females were within healthy category (67.24%, 25.28 ± 6.85 %), meanwhile male were within underfat category (48.08%, 11.66 ± 5.83 %).Conclusions: The majority of VO2 max, and flexibility both in male and female were good. The fat percentages were good in female students, while in male students were under normal range.DOI: 10.15850/amj.v4n2.108
Comparison of Shoulder Strength in Routinely Trained Badminton Players and Non-Badminton Players
Get PDFBackground: Shoulder pain is a common reason for patients to seek medical help in any healthcare center. Shoulder pain is influenced by a few factors such as gender, posture during daily activities, aging and psychological factors. Based on the study of Epidemiology of Injuries and Prevention Strategies in Competitive Swimmers, shoulder pain due to shoulder injuries can be reduced by strengthening the shoulder muscle. Badminton has become one of the most popular sports in Asia, especially in Indonesia. This study was conducted to determine if badmintonis able to strengthen the shoulder muscle group. Methods: A cross-sectional analytic experimental study was conducted on September 2015 at Lodaya Badminton Training Center and Bale Padjadjaran of Universitas Padjadjaran. Subjects were 30 healthy male routinely trained badminton players and 30 non-badminton players who voluntarily follow the rstudy procedures. Strength measurement procedures were provided to the subjects after getting informed consent. Data analysis was performed using T-test.Results: The shoulder strength in routinely trained badminton players was significantly different from non-badminton players (P<0.05).Conclusions: Shoulder strength can be improved through routine training of badminton to reduce risk of shoulder injury. DOI: 10.15850/amj.v4n2.108
One Year Data of New Secondary Glaucoma Patients at Top Referral Eye Hospital in Indonesia
Get PDFBackground: Glaucoma is the second most common cause of blindness after cataract in the world and also in Indonesia. Based on the etiology, glaucoma is classified into primary and secondary glaucoma. Secondary glaucoma can cause severe visual function disorders and affect the patient’s quality of life. This study was carried out to indentify the characteristics of new secondary glaucoma patients at Cicendo Eye Hospital from January to December 2013. Methods: This descriptive study was carried out at Cicendo Eye Hospital from November to December 2014. Secondary data were retrieved from medical records of new secondary glaucoma patients who came to the Glaucoma unit from January to December 2013. Inclusion criteria were medical records comprising data about age, gender, location of the affected eyes by secondary glaucoma, etiology of secondary glaucoma and value of intraocular pressure. The collected data were recorded and analyzed to illustrate their frequency distribution and proportion.Results: Out of 63 patients, 42.9% was 40–59 years old and 63.5% was men. Most cases were unilateral (82.5%). It was found that 74 eyes (52 unilateral, 11 bilateral), diagnosed as secondary glaucoma, had intraocular pressure ≥30 mmHg which were 54.1%. Secondary glaucoma were caused by lens induced (36.5%), inflammation (22.2%), and trauma (9.5%).Conclusions: Most cases are middle-aged patients and dominated by men. The eye diagnosed as secondary glaucoma occurred more in the unilateral eye which has intraocular pressure ≥30 mmHg and is caused by lens induced and inflammation. DOI: 10.15850/amj.v4n2.106
Three-Year Study of Geriatric Skeletal Muscle Strength at a Top Referral General Hospital, West Java, Indonesi
Get PDFBackground: One of the aging effects is the decrease of skeletal muscle strength. The objectives of this study was to analyze the geriatric skeletal muscle strength by hand grip strength according to the characteristics of the elderly.Methods: An analytic retrospective study was carried out to 99 medical records of elderly who sought medication at the Geriatric policlinic of Dr. Hasan Sadikin General Hospital as the top referral hospital in West Java, Indonesia from 2012–2014. The result of hand grip strength measurement were grouped based on the characteristics of gender, age, body mass index (BMI), Barthel Index score, Mini Nutritional Assessment (MNA) score, number of disease and number of medication. All data were taken from patient’s medical records. The collected data were statistically analyzed with unpaired T-test and one way ANOVA test.Results: Among the 99 subjects, most of the subjects were male, under 80 years old, independent living persons, had normal BMI, and normal nutritional level according to Mini Nutritional Assessment. Most of the subjects had more than 3 diseases per person and less than 5 sorts of medication. Male had higher hand grip strength compared to female and it was statistically significant (p=0.04). Based on ADL score, Independent living had higher hand grip strength compared to other level (p=0.008).Conclusions: From all the variables measured, only gender and Activity Daily Living level contibute to the hand grip strength.
Comparison of Spatial Ability Between Male and Female Athletes
Get PDFBackground: Spatial ability is the ability to understand and memorize spatial relationship beneficial objects. This domain of cognition is crucial in sport activity for deciding strategy. Sex is one of the factors that determine spatial ability. This study aimed to determine the comparison of spatial ability between male and female athletes.Methods: This cross-sectional study was conducted by non-pairing comparative method. Data were taken on September 2015 in Indonesian National Sport Committee (Komite Olahraga Nasional Indonesia, KONI) Sport Center, Bandung, West Java, Indonesia. Spatial instrument used was Spatial Ability Test 1. Subjects were recruited from athletes of KONI, West Java, aged between 19-27 years old who were being trained for 19th National Sports Weeks (Pekan Olahraga Nasional, PON XIX) 2016. Mean value between male and female were compared using studies T-test with significance value (p)0.05).Conclusions: There is no spatial ability differencesbetween male and female athletes of KONI, West Java DOI: 10.15850/amj.v4n2.109
Five Years Study of Recurrent Febrile Seizure Risk Factors
Get PDFBackground: Nearly one-third of febrile seizure patients suffered recurrent febrile seizures. Several risk factors contribute to this recurrence, namely young age, family history of febrile seizures, low body temperature and rapid duration of fever before onset of seizures. Recently, the types of seizure and gender have been stated increasing risk of this recurrence. The objectives of this study was to identify the risk factors of recurrent febrile seizures.Methods: A descriptive study was carried out by retrieving data from inpatient medical records during the period of January 1st, 2009 to December 31st, 2013 at one of the top referral hospitals in West Java, Indonesia. Variables of this study were the first febrile seizure age, gender, type of febrile seizure, a family history of febrile seizure, a family history of epilepsy, body temperature when febrile seizure occurred and duration of fever before onset of seizure. The collected data were tabulated by frequency and percentage and displayed in tables.Results: Out of 154 patients with febrile seizures 58 suffered recurrent febrile seizures. Forty three percent had a first febrile seizure at the age of under12 months, 72% were male, 46% had fever less than 24 hours before the onset of seizure, 65% had complex febrile seizures, 28% had positive family history of febrile seizures, and 5% had positive family history of epilepsy. Conclusions: The risk factors for recurrent febrile seizures are young age, male, rapid duration of fever before onset of seizure and complex febrile seizure. DOI: 10.15850/amj.v4n2.108
Motoric Clinical Symptoms in Late Onset Parkinson’s Disease at Dr. Hasan Sadikin General Hospital Bandung
Get PDFBackground: Parkinson’s disease (PD) is a progressive neurological that disorder is characterized by a number of motoric symptoms which are resting tremor, bradykinesia, rigidity and postural disturbance. The main aim in carrying out this study was to observe the motoric clinical pattern in patients with late onset Parkinson’s disease based on age, gender, and staging of the disease.Methods: This was a descriptive retrospective study to 89 medical record of patients with late onset Parkinson’s disease from Neurology outpatient clinic of Dr. Hasan Sadikin General Hospital Bandung in the period January 2010 to January 2013. Total sampling was used to determine the population sample size The motoric clinical symptoms in patients with late onset Parkinson’s disease were classified based on age at diagnosis, gender, and staging of the disease conducted using descriptive retrospective method. Besides, staging was made based on Hoehn and Yarl scale.Results: Overall, 92% of the patients with late onset Parkinson’s disease had resting tremor, and postural instability was less frequently found in 21% of patients. Sixty one men suffered from this disease, 43% were from the age group 60–69, and 32% were in stage III.Conclusions: A majority of patients with the late onset Parkinson’s disease show resting tremor that has the common motoric clinical pattern, followed by bradykinesia, rigidity, and some show postural instability. [AMJ.2017;4(1):11–5]DOI: 10.15850/amj.v4n1.101
Etiology of Allergic Contact Dermatitis based on Patch Test
Get PDFBackground: Allergic contact dermatitis is a type of contact dermatitis, whose prevalence tends to increase every year. Patch test is an important diagnostic test to confirm the disease. The result of patch test can help doctors to perform appropriate treatment. The aim of the study was to identify the most frequent allergen causing allergic contact dermatitis based on patch test results.Methods: This was a descriptive retrospective study among patients who underwent patch test at the Dermatology and Venereology Clinic in Dr.Hasan Sadikin General Hospital Bandung, Indonesia from August 1st, 2014 to August 31st, 2015. The patch test result was obtained from the patient’s medical record and recapitulation data. The patient’s medical record would be collected based on inclusion and exclusion criteria. This study also collected demographic data of the patients, including age, sex, and occupation.The collected data were presented using tables.Results: Out of 45 patient’s medical records, 19 patients were male (42.2%) and 26 patients were female (57.8%). Nickel sulphate was the most frequent allergen with 17 sensitization. Thirteen out of 17 patients who were sensitized by nickel sulphate were females. A great majority of the patients were in the age group of 15–44 years. Most of the patients were students (42.2%). Allergic contact dermatitis (64.4%) was the main clinical diagnosis among the patients.Conclusions: The most frequent allergen causes allergic contact dermatitis is nickel sulphate
Polypharmacy Treatment of Hypertensionin Public Health Centers
Get PDFBackground: Hypertension is one of the most prominent global diseases. Despite the availability of effective therapies, hypertension remains poorly controlled in Indonesia. In many cases, patient’s noncompliance may be attributable to the low patients’ knowledge, attitude, and life-style practices such as polypharmacy. Polypharmacy is defined as the administration of many drugs at in one prescription. Polypharmacy increases expenses, possible adverse reaction to a single agent, incidence of drug interactions, and decreases patient’s compliance This study aimed to identify the practice of polypharmacy in hypertension treatment in primary health centers.Methods: A cross-sectional descriptive observational study was carried out on 60 patients from two primary health centers in Jatinangor, West Java, Indonesia in October 2013. Sociodemographic profile, degree of hypertension, types of antihypertensive drugs, concomitant drugs given together with antihypertensive drugs, and treatment compliance data were collected and presented in tables and figures.Results: The incidence of hypertension was more common among male patients compared to female patients. Thirty-three patients (55%) have low compliance to their medication. Twenty-nine patients (48%) received single drug and 31 patients (52%) received more than one drugs.Conclusions: The percentage of polypharmacy practice in treating hypertension in primary health centers is 52%. The most frequently prescribed anti-hypertensive are angiotensin-converting enzyme (ACE) inhibitors and calcium-channel blockers (CCB). Most of hypertensive patients have low compliance to therapy. [AMJ.2016;3(4):633–9] DOI: 10.15850/amj.v3n4.95