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    The Role of Socioeconomic Factors Contributed to The Prevalence of Children under Five Years Old with Small Stature in Jatinangor

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    Background: Indonesia  is on the fifth in world population for children with small stature. It could affect to their future, so growth disorders should be detected as early as possible. The influence of growth disorders is inseparable from the socioeconomic condition of the family.  This study aims to analyze the influence of socioeconomic based on education, occupation and family income towards small stature children under five years old in Jatinangor.Methods: This was a study of analytic cross sectional with multi-stage proportionate consecutive sampling. 110 samples of children under five years of age (12–59months) from 12 villages (6087 children) in Jatinangor sub district were taken on October and November 2012. Their height was measured using a microtoise based on WHO Growth Chart and the socioeconomic status was measured using questionnaire completed by their motherResults: There were 32 children (29,1%) with small stature. The relationship between maternal education with short stature (p=0.310), father’s education with small stature (p=0.368), mother’s occupation with small stature (p=0.774), father’s occupation with small stature (p=0.524) and family income with small stature (p=0.890) after it was examined using chi-squre test were not significant (p>0.05).Conclusion: In Jatinangor, there are still many children with small stature under five years old and the socioeconomic factors do not have any relationship with this condition. [AMJ.2015;2(1):298–303

    Profile of Physical Fitness of Young Football Players at SDN Cibeusi

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    Background: Health-related physical fitness components are important in hypokinetic disease prevention and good sports performance. The aim of this research is to evaluate the physical fitness profile of the SDNCibeusi young football players based on Fitnessgram.Methods: This study was participated by 20 subjects ranging from 10 to 12 years old boys who played for the school football team in SDN Cibeusi. This descriptive study was conducted in the school field in the month of November 2012. Physical fitness components that were tested are aerobic capacity,V02 max using the one-mile run test, muscle endurance by performing push-up and curl-up test, flexibility using the flexometer and body composition by measuring the body mass index and fat fold measurement. The mean and standard deviation of the results were tabulated.Results: Aerobic capacity and percentage of body fat showed 100% of them scored in the category of healthy fitness zone. For body mass index, 55% scored in healthy fitness zone, 25% ni-some risk, and 10% each for ni-high risk and very lean. For push-up test and curl-up test, 80% and 65% scored in the healthy fitness zone while the remaining 20% and 35% respectively scored in the not healthy fitness zone. For flexibility, 75% of them scored in healthy fitness zone and 25% scored in not healthy fitness zone.Conclusions: The physical fitness level in these young football players is mostly in healthy fitness zone. [AMJ.2015;2(1):226–30

    Anti-hyperglycemic Effect of Psidium guajava Leaf Infusion

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    Background: Prevalence of diabetes mellitus is estimated to increase annually. Numerous people use traditional medicine, such as the Poidium guajava leaf to prevent this disease. This study aimed to analyse the effect of Psidium guajava leaf to inhibit glucose absorption in intestine epithelial membrane of wistar rats.Methods: This laboratory experimental study used 5 wistar rats as subjects in the Laboratory of Biochemistry at Padjadjaran University from 10−26 October 2012. All rats were given three solutions by in situ perfusionmethod. The first was 25 ml 3.0 X 10-3 M glucose solution, the second was 25 ml 3.0 X 10-3 M glucose solution with 1 ml Psidium guajava infusion added, and the third was 25 ml 3.0 X 10-3 M glucose solution.The sample from each solution was taken five times at 0, 15, 30, 45, and 60 minutes after the solutions were given. The spectrophotometer was to quantify the concentration of glucose from the samples. Data were analyzed using Friedman and Wilcoxon test.Results:The means of glucose concentration for each solution from the first solution to the third were 6.126 mg/dl, 2.447 mg/dl, and 5.345 mg/dl. The probability value showed significant difference between the first and second solutions (p ≤ 0.05).Conclusions: Psidium guajava leaf infusion can inhibit glucose absorption in wistar rat intestine and the effect is reversible. [AMJ.2015;2(4):546–9] DOI: 10.15850/amj.v2n4.50

    Pseudoexfoliation Glaucoma in the National Eye Center, Cicendo Eye Hospital, January–October 2012

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      Background: Pseudoexfoliation syndrome is characterized by the deposition of a distinctive fibrillar material in the anterior segment of the eye. This condition is a major risk factor for development of glaucoma, termed pseudoexfoliation glaucoma (PEXG). The aim of this study was to describe the characteristic and management of PEXG in the National Eye Center Cicendo Eye Hospital.Methods: A descriptive retrospective study was conducted in October–November 2012 using medical records of PEXG patients in the National Eye Center Cicendo Eye Hospital during January–October 2012. Results: There were 32 patients (43 eyes) diagnosed as PEXG, most of them were male (78.1%), age 70–74 years old (34.4%) and followed by those in the range of age 65–69 years old (21.9%). Most of the cases were unilateral (65.6%) decrease of visual acuity less than 3/60 (76.7%), increase of intraocular pressure (IOP) with majority in the range of 31–40 mmHg (32.6%) and 41–50 mmHg (32.6%), Cup/Disc Ratio 0.9–1.0 (46.51%) and followed by those classified as majority which were hard to assess because of the presence of opaque media (34.89%). The type of glaucoma was open angle glaucoma (88.4%). The treatment received was a combination of two types of antiglaucoma medication and surgery IOPConclusion: PEXG is mostly found in elderly patients. While most of the patients come with high IOP and late stage of the disease IOPKeywords: Characteristics, glaucoma, pseudoexfoliation DOI: 10.15850/amj.v2n1.446

    Correlation between Body Mass Index and Age at Menarche

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    Background: The decline of age at menarche has been reported in several countries, it occurred because of genetic, ethnic, and socioeconomic improvement in nutritional status and environment. The improvementof nutritional status has occurred globally all over the world including in Indonesia. One of the measuring tools in nutritional status is body mass index (BMI). The objective of the study was to assess the correlationbetween BMI and age at menarche.Methods: A cross-sectional study was carried out among girls aged 9–15 years old in Jatinangor, from May–November 2013. The sample of this study was chosen with cluster random sampling. Age at menarche information was collected through a questionnaire. Body mass index was calculated from measurement of body weight and height. Data was analyzed using Spearman correlation test.Results: Out of three hundred and sixty nine subjects participating in this study, sixty seven were included in the inclusive criteria. According to the classification of BMI of underweight, normal, overweight, andobese, there were 1, 55, 8, and 3 persons, respectively. Mean of BMI was 19.04 and mean age at menarche was 12.72 years, which showed a non significant result (r=-0.013; p= 0.458).Conclusions: Age at menarche was not correlated with BMI. [AMJ.2015;2(4):521–4] DOI: 10.15850/amj.v2n4.65

    Level of Knowledge about Hypertension in Cilayung Village District Jatinangor, Sumedang

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      Background: Hypertension known as a silent killer because it is often asymptomatic and causes target organ damage. Prevention of hypertension and its complications are pharmacological and non-pharmacological therapy, making holistic knowledge of hypertension is paramount to establish good behavior. This is needed by hypertensive and non-hypertensive individuals. Therefore, the study was conducted to identify any knowledge level differences between hypertensive and non-hypertensive groups. Methods: Respondents were 116 Cilayung residents equally divided in hypertensive and non-hypertensive groups. Respondent’s blood pressure was measured and they completed questionnaires during October 2012. This is an observational analytic cross-sectional study with chi-square test.Results: The respondents’ characteristics in both groups dominated by females, aged 50-59 years, housewives, with elementary school background. Most respondents in both groups had sufficient knowledge about hypertension in general, but for knowledge about risk factors, treatment, and complications were still not enough. The result of the chi-square test was not significant with P=0.676. It was due to distributed health promotion and non-matched respondents’age.Conclusion: There is no difference in level of knowledge about hypertension between both groups in Cilayung.Keywords: Differences, hypertension, level of knowledge DOI: 10.15850/amj.v2n1.449

    Correlation between Folate Intake during Pregnancy and Preterm Labor in Mothers with 0-9 Months Old Babies

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     Background: Nutritional factors such as folate intake are important during pregnancy. Satisfying nutritional needs of pregnant mothers is necessary to avoid complications during pregnancy such as preterm labor, High infant mortality rate in Indonesia is still high. This study  aimed to study the relationship between folate intake during pregnancy and preterm labor.  Methods: This study used a cross-sectional analytic approach by using semi-quantitative Food Frequency Questionnaire, as an instrument on mothers with 0−9 months old babies living in the villages of Sayang and Hegarmanah, Jatinangor, Sumedang, Indonesia. Results:  Ninety mothers participated in this study. The result indicated that 25.55% respondents had low folate intake and high incidence of preterm labor (16.67%). Significant association was found between folate intake during pregnancy and preterm labor (p=0.019). Maternal age was not a confounding factor in this study. Conclusions: There is an association between folate intake during pregnancy and preterm labor in mothers living in the villages of Sayang and Hegarmanah, Jatinangor, Sumedang, Indonesia.Keywords: Babies 0−9 months, folate, preterm laborDOI: 10.15850/amj.v2n1.431

    Cruris Fracture among Child Patients in Dr. Hasan Sadikin General Hospital Bandung

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    Background: Cruris are lower extremity fractures commonly found in children. These dangerous fracturesmay alter the quality of life of the patients. This study was conducted to explore the characteristics of crurisfractures in children.Methods: A descriptive cross-sectional study was performed by reviewing the medical records of childrenwho were hospitalized at the Department of Orthopaedi and Traumatology, Dr. Hasan Sadikin GeneralHospital Bandung during 2010–2011.Results: On two years study, 62 cases have been reported. Most cases occurred among senior high schoolgroup (37.1%). Boys (71.0%) have a higher rate of fractures than girls. Fractures most frequently occurredby traffic accidents (87.1%). The fractures are mostly open (58.1%). The common fracture site was tibia(50.0%) rather than fibula (3.2%) and the most frequent location was on the right side (79.0%) and on themiddle third of the leg (41.9%). Majority of the patients went home in good condition (79.0%).Conclusion: Fractures are most frequently occurred in April because of high humidity. The causes anddistribution of the fractures based on diagnosis were related to another study. Furthermore, additionalstudies are needed to explore the characteristics of cruris fracture among children, not only in certainhospital but also in Indonesia especially in West Java.[AMJ.2015;2(1):276–80

    Characteristics of Patients with Estrogen Receptor (ER)-Negative, Progesterone Receptor (PR)-Negative, and HER2-Negative Invasive Breast Cancer in Dr. Hasan Sadikin General Hospital, Bandung, Indonesia from 2010 to 2011

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    Background: Breast cancer is the most common type of cancer that has been diagnosed among Indonesian women. One of the subtypes that frequently being studied is the triple negative breast cancer which has poorer prognosis among all subtypes. The objective of this study was to investigate the incidents and the characteristics of triple negative breast cancer patients.Methods: This study used triple negative breast cancer patients’ medical records in Dr. Hasan Sadikin General Hospital. Some characteristics were identified, such as age at presentation, menopause status, tumor size, stage at presentation, grades of tumor, pathological features, and metastatic status.  Data were taken during 2010 and 2011 and presented in table.Results: Thirty women among 252 patients were identified as having triple negative breast cancer. Based on those 30 cases, 11 patients were in the age group of 40‒55 years. Fifteen out of 30 cases were premenopausal. From 30 cases, 14 patients had tumor size bigger than 5 cm.  Sixteen cases had stage III tumor.  Most of the cases were invasive ductal carcinoma mammae as their histological features. Two cases had metastized to pleura.Conclusions: The incidence rate of triple negative breast cancer in Dr. Hasan Sadikin General Hospital is 11.9% with these common characteristics: range of age are between 40 to 45 years, have a premenopausal, had >5cm tumor , stage III tumor and has histological feature IDC, and only 2 patients were metastized to pleura. DOI: 10.15850/amj.v2n3.49

    Women’s Opinion about Women’s Rights regarding Family Planning in Hegarmanah Village, Jatinangor Subdistrict, West Java in 2013

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    Background: Universal Declaration of Human Rights stated that all mankind have equal right and dignity. Both woman and man have rights regarding family planning. It is often assumed that in developing country, women do not consider their rights in family planning decision making process. This study was carried out to determine the opinion of women regarding women’s rights in family planning.Methods: A descriptive study was carried out to 99 respondents during the period of August to October 2013, in Hegarmanah village, Jatinangor subdistrict. The inclusion criteria were women aged 15–49 years old, able to speak Bahasa Indonesia, and agreed to participate. Variables for this study were the opinions of the respondents regarding woman’s rights in family planning which were represented in 12 questions. Collected data were presented as percentages shown in tables.Results: Most of the respondents stated that they had the rights in family planning decision making, including choosing contraceptive methods, number of children, and spacing of each child. However, all of  the respondents agreed that men should be involved in it. More than half of the respondents stated that they asked opinion from family member regarding family planning especially their mothers. Cultural norms did not influence the family planning decision making. However, religion influenced the family planning decision making.Conclusions: Majority of the women in Hegarmanah village have the role to make decision on family planning by considering the opinions of their spouses, other family members, friends and their religions. DOI: 10.15850/amj.v2n3.52

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