Althea Medical Journal
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Body Mass Index and Western Ontario & McMaster Universities Osteoarthritis Index in Patients with Knee Osteoarthritis in Dr. Hasan Sadikin General Hospital, Bandung in November 2012
Get PDFBackground: Osteoarthritis is one of the major disabilities among elderly. One of its well-recognized potent risk factors is obesity. The aim of this study was to identify the body mass index and severity of knee osteoarthritis patients who were treated in Dr. Hasan Sadikin General Hospital Bandung.Methods: A descriptive study was carried out to 9 patients of the Medical Rehabilitation Policlinic at Dr. Hasan Sadikin General Hospital Bandung in November 2012. Patients were diagnosed as having knee Osteoarthritis based on American College of Rheumatology clinical classification. Exclusion criteria were patient having previous trauma in spine and lower limb, having bleeding disorder like hemophilia, incomplete data in medical records and incomplete data in questionnaire. Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) was used to measure the intensity of pain, stiffness, and functional difficulty. The weight (kg) and height (cm) of the patients were measured and the Body Mass Index was calculated by Weight (kg)/Height² (m). The data were analyzed using frequency distribution.Results: The patients who came to the Medical Rehabilitation Policlinic had ranged in age from 57 to78 years, mostly female with knee Osteoarthritis bilateral. Out of 9 patients, 5 patients were overweight, followed by normal BMI and obese type I. Patient with obese type 1 had the highest WOMAC score. Conclusions: Most of the patients with knee osteoarthritis bilateral are overweight and the patient with obese type 1 has the highest WOMAC score. DOI: 10.15850/amj.v2n3.52
Effects of White Turmeric Infusion on the Liver Cells in Carbon Tetrachloride-Induced Mice
Get PDFBackground: The liver is an organ that has important functions in the body. Liver damage can be caused by oxidative stress and free radicals. White turmeric (Curcuma zedoaria L) contains antioxidants that can be used to neutralize the effects of free radicals. This study was conducted to determine the effect of white turmeric infusion on histological appearance of liver cells in male mice induced by carbon tetrachloride (CCl4).Methods: This laboratory experimental study was conducted using male mice (Mus musculus) with Balb/c strain. Thirty-three mice were randomly divided into 3 groups i.e.,group 1 as a control group was given standard food and drink, group 2 was given 10% of CCl4 0.1 ml by intraperitoneal injection on the first day and group 3 was given 10% of CCl4 0.1 mL by ntraperitoneal injection on the first day, followed by the administration of 50% of white turmeric infusion 0.2 mL. Kruskal-Wallis test method was used to analyse the significant differences of the average percentage of damaged liver cells in the group given CCl4 alone with the group given CCl4 and white turmeric infusion and control group.Results: The percentage of damaged liver cells between groups of mice given CCl4 alone and the group given CCl4 followed by white turmeric infusion were respectively(p <0.05) compared to group1.Conclusions: Administration of white turmeric infusion gave an influence by decreasing the percentage of damaged liver cells in CCl4-induced mice. White turmeric can serve as an alternative antioxidants that can be used to neutralize the effects of free radicals. [AMJ.2015;2(4):506–10] DOI: 10.15850/amj.v2n4.49
Nutritional Status and Infectious Disease of Undernourished Children under five in Desa Cipacing, Jatinangor Subdistrict, West Java, from April to December 2012
Get PDFBackground: Undernutrition frequently occurs in children under five. If not treated, it will cause acute health effects and affect on cognitive development, social, physical work capacity and productivity. Undernutrition can be accompanied by the presence of infectious disease that can worsen the children’s nutritional status. This study aimed to describe the nutritional status and infectious disease of undernutrition children under five in Jatinangor Subdistrict.Methods: A qualitative study was carried out to 7 parents and undernourished children under five, in Desa Cipacing, Jatinangor. It was conducted from April to December 2012. The inclusion criterias were undernourished children under five with a history of infectious disease in the previous year, and the parents were willing to participate in this study. Exclusion criteria were parents and/or the children who were not at home when the collection of the data was conducted.. Data collection was conducted using measurement of nutritional status, in depth interview and environmental observation. The data were presented in tables, figures and narration.Results: Three subjects with undernutrition (-3SD to -2SD) and four subjects with severe undernutrition (<-3SD). Factors affecting poor nutritional status were weight loss, no significant weight gain, diet and eating habit, and onset of disease. Commonly occurred infectious diseases were common cold, diarrhea, fever and cough. Some factors affecting infectious diseases were family member transmission, immunization, and treatment behavior.Conclusions: Poor nutritional status and infectious diseases contribute to undernutrition in children under five. DOI: 10.15850/amj.v2n3.55
Red Ear Fungi (Auricularia Auricula) Infusion Reduce Blood Triglyceride Level in Dyslipidemic Rats
Get PDFBackground: Dyslipidemia is a risk fastor in atherosclerosis. In the long run, it can cause complications such as coronary artery disease and stroke. Dyslipidemia can be halted by beta glucan, a soluble fiber found in some species of fungi. This study was conducted to find the effect of red ear fungi infusion in reducing blood triglyceride level and the concentration that will give optimal reduction of blood triglyceride level.Methods: This was an analytical study using experimental laboratoric method. The study conducted in 25 male Wistar rats sorted in 5 groups during the period of September to October 2012 in Pharmacology Laboratory of General Hospital Hasan Sadikin, Bandung.Results: The result showed that mean difference of all three treatment group, which is group 3, group 4, and group 5 (87.08, 90.40, and 82.70 respectively) showed significancy compared to the positive control (group 2). Out of the three group, group 4 with 36% infusion concentration has the lowest mean difference from all of the treatment groups.Conclusions: Red ear fungi infusion reduce blood triglyceride level and infusion with 36% concentration was the optimal concentration in reducing blood triglyceride level. A further study can be done to find concentration range in which the infusion reduce blood triglyceride level optimally.Key words: beta glucan, red ear fungi infusion, triglycerid
Malnourished Under-Five Children Feeding Practices in Cipacing Village 2012
Get PDF Background: Maternal parenting, especially feeding practices, is very important in childhood period and may affect the child’s nutritional state. Proper nutrition affects the growth and development of children. The aim of this study is to describe parenting feeding practices in malnourished under-five children.Methods: A descriptive study on 43 mothers with malnourished under-five children aged 12−59 months was performed in Cipacing Village, Jatinangor, Sumedang during the periode of October−November 2012. Results: The composition of children based on their malnutrition status and description on good and poor parenting were presented in the result. Twenty two children (51.2%) were severely under nourished, 18 children (41.9%) were under nourished, and 3 children (7%) experienced overweight. Good maternal parenting was identified in child nurturing (86%), feeding frequency (93%), feeding style (62.8%), and situation of feeding (74.4%) while poor maternal parenting was observed in feeding time (55.8%) and types of food given (51.2%). Conclusions: Maternal parenting plays an important role in children nutrition status.Keywords: Children, feeding practice, malnutrition, maternal parentingDOI: 10.15850/amj.v2n1.435
Ability and Willingness to Pay Premium in the Framework of National Health Insurance System
Get PDFBackground: The National Health Insurance is one of the government’s efforts to improve community access to health services. The government has fixed the premiums to be paid by community, except for underprivileged community. The aim of the study was to identify Ability to Pay (ATP) and Willingness to Pay (WTP) of the national health insurance premium.Methods: A descriptive study which involved 210 housewives who were chosen by rapid survey method was conducted from September to November 2013 in Cipacing village, Jatinangor, Sumedang, West Java. Data collection was using questionnaire to obtain level of ability and willingness to pay the health insurance premium. The results were compared to the required premium by the government (Rp 22,000,-).Results: Most of the respondents were only housewives, but there were still respondents who were private workers. Most of them were 20–39 years old. About 57.6% of the respondents were able to pay for the required premium, but Only 17.4% of the them were willing to pay according to the required premium.Conclusions: The ATP of the respondents are higher compared to the WTP, meaning that most of the respondents are able to pay the requires premium but are not willing to pay it. [AMJ.2015;2(4):502–5] DOI: 10.15850/amj.v2n4.63
Knowledge, Attitude and Nutritional Status in Pregnant Women
Get PDFBackground: Nutrition during pregnancy is essential for a healthy pregnancy and childbirth. Malnutritionduring pregnancy may cause a negative impact for both mother and fetus. Pregnant women have to replenishtheir nutritional intake so they have to know nutritional needs for pregnancy. This study aims to evaluatethe association between knowledge towards the attitude and nutritional status among pregnant women inJatinangor Primary Health Care.Methods: This was a cross-sectional study and the subjects were 75 pregnant women selected by consecutive sampling while they attending Puskesmas Jatinangor for antenatal follow up in October until November2012. Knowledge and attitude was assessed using a questionnaire. The level of knowledge and attitudes were categorized into insufficient, sufficient and good. Nutritional status was assessed by measuring themid upper arm circumference. The level of nutritional status was categorized into good nutritional statusand lower nutritional status.Result: Out of 75 respondents, 24 respondents had good knowledge, 39 respondents had sufficientknowledge and 12 respondents had insufficient knowledge. 15 respondents had good attitude, 51respondents had sufficient attitude, 9 had insufficient attitude. 62 respondents had good nutritional statusand 13 respondents had lower nutritional statusConclusion: Most of subjects have sufficient knowledge and attitude, and majority of the respondents havegood nutritional status. There was significant relationship between knowledge and attitude (p=0.02) andno significant relationship between knowledge and nutrition status (p=0.666). Based on this study, it isexpected to conduct further study about other factors which affect the knowledge, attitude, and practice ofpregnant women to improve the nutritional status. [AMJ.2015;2(1):231–4
Characteristic, Emotional, and Behavioral Problems of Street Adolescent in Bandung October–December 2012
Get PDFBackground: Street adolescents were psychosocial problem that increased in number each year and was worsened by their low-moral subculture-value that could cause them more vulnerable in having emotional and behavioral problems. This study aims to describe the characteristics, emotional and behavioral problems of the street adolescent in Bandung.Methods: A descriptive study was carried out in October–December 2012. From 22 shelters in Bandung, two shelters (RPA GANK and Pesantren Kolong Nurul Hayat) were selected and organized into 4 areas: Cihampelas, ‘Samsat’, Laswi Street and Kiaracondong. A hundred-seven street adolescents aged 11 to 16 years were participated in this study. They were divided into small groups and filled in the sociodemographic questionnaire and the Indonesian version of standardized Strength and Difficulty Questionnaires (SDQ). Only 100 questionnaires were filled in completely. Data were analyzed using frequency tabulation and bar chartResults: Sixty-five percent were boys, 53% were aged 11–13 years, and 53% were students, 76% related to more than one sibling, still lived with their families (81%), and had parents. Their parents had low educational background, had job, and implemented authoritative parenting pattern (41%). In becoming street adolescent, 63% were caused by their own motivation, 81% were children on street, and 55% had lived in the street more than 5 years. Approximately 27% of street adolescents were rated as abnormal on the total difficulty score. Conclusion: Street adolescent in Bandung still have emotional and behavioral problems, which mostly were boys, in the early adolescence stage, school student, had more than one sibling, permissive parenting pattern, and lived in the street for more than 5 years. [AMJ.2015;2(1):172–8
Dermatomycosis among Elementary School Children in Jatinangor West Java
Get PDFBackground: Dermatomycosis often occurs in tropical countries. Many studies from tropical countries have reported high prevalence of dermatomycosis among elementary school children. Despite being a tropical country, prevalence of dermatomycosis among elementary school children in Indonesia is still unknown.The objective of this study was to determine the prevalence and characteristics of dermatomycosis among elementary school children in Jatinangor, Sumedang, West Java in September–November 2012.Methods: This study used a cross-sectional descriptive survey method. The 328 children from five elementary schools in Jatinangor were included in the study using multistage sampling technique. Medical history and physical examination was performed to all subjects. Subjects who had skin lesion suspected fordermatomycosis were examined with direct microscopic examination using 10% solutions of potassium hydroxide (KOH). Data were presented as frequent analysis distribution using Statistical Package for Social Sciences (SPSS) version 17.0.Results: Of 328 children (174 males, 154 females; aged 5–14 years), 35 (10.6%) had lesions suggestive of dermatomycosis but only 5 children (1.5%) were positive for dermatomycosis. Males are more prevalent females, patients were in ≥10 years age group. Four cases were Pityriasis versicolor, while one was diagnosed with tinea facialis.Conclusions: Dermatomycosis among elementary school children in Jatinangor had a low prevalence, with only 4 cases of Pityriasis versicolor and one tinea facialis case. [AMJ.2015;2(1):268–75
Incidence of Dengue Hemorrhagic Fever Related to Annual Rainfall, Population Density, Larval Free Index and Prevention Program in Bandung 2008 to 2011
Get PDFBackground: Dengue Hemorrhagic Fever (DHF) remains one of health problems in all provinces in Indonesia including West Java. Bandung as the capital of West Java province has dengue prevalence that is above the average prevalence of all provinces. This study aimed to describe the pattern of dengue incidence rate, annual rainfall, population density, and larval free index as well as the implementation of prevention program in sub-districts with the highest incidence rate in Bandung between 2008 and 2011.Methods: A descriptive retrospective study was conducted in September 2012 using secondary data during the period of January 2008 to December 2011. The incidence rate was calculated based on DHF patients who live in Bandung. Data were analyzed using computer and Arc View 3.3. Pattern of incidence rate was characterized with red, yellow, and green region respectively. Results: The highest incidence rate of DHF occurred in 2009. Incidence increased in January to February and declined in the end of the year. Subdistricts with highest incidence had no highest annual rainfall and the population density below the average of population density in Bandung. The highest implementation of fogging program was not only performed in high incidence subdistricts but also in area with larval free index less than 95%. Larval free index in subdistricts with highest incidence were not all below 95%.Conclusions: Incidence of DHF increases after months of highly rainfall. The pattern of incidence rate in all subdistrict is dynamic and suspected do not related to annual rainfall, population density, high larva free index, and frequency of fogging. [AMJ.2015;2(1):262–7