Putri Nur Amalia Dewi, Asep Nugraha Hermawan, Cep Juli, P. A. Ong, S. Dian
{"title":"Characteristics of Brain Imaging in Intracranial Tumor Patients at Neurology Ward Dr. Hasan Sadikin General Hospital Bandung 2017–2019","authors":"Putri Nur Amalia Dewi, Asep Nugraha Hermawan, Cep Juli, P. A. Ong, S. Dian","doi":"10.15850/amj.v8n4.2361","DOIUrl":"https://doi.org/10.15850/amj.v8n4.2361","url":null,"abstract":"","PeriodicalId":31310,"journal":{"name":"Althea Medical Journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42251258","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Correlation of Serum Potassium Status and HEART Score in Acute Coronary Syndrome Patients","authors":"Verina Logito, N. Suraya, Dewi Kartika Turbawati","doi":"10.15850/amj.v8n4.2397","DOIUrl":"https://doi.org/10.15850/amj.v8n4.2397","url":null,"abstract":"","PeriodicalId":31310,"journal":{"name":"Althea Medical Journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44930886","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Sahda Vania Salsabiila, Q. Santosa, V. Indriani, K. Arifah, Joko Setyono
Background: The first 1,000 days of life are the foundation for growth and development of children in the next period. Birth length may represent growth and development during the intrauterine life. This study aimed to explore the correlation of birth length, growth, and development in children. Methods: This was analytic observational study with a cross-sectional design. Total sampling was taken, obtaining 368 children aged 6−60 months in several Integrated Service Post ( Pos Pelayanan Terpadu , Posyandu), conducted from October to November 2018. Data were gathered from the book of Maternal and Child Health ( Kesehatan Ibu dan Anak , KIA), including birth length, body length/height, and nutritional status using weight-for-length/height index. Data were analyzed by Spearman and Eta test. Results: had a good correlation with body length/height (p=0.027, r=0.115) and development based on the KIA book (F calculated > F table, Ƞ=0.245). Conclusions: There is a correlation between birth length and body length/height as well as a correlation between birth length and development based on the KIA book. It is important for the community and health workers to monitor growth and development of children, by maximizing the use of KIA book.
背景:生命的最初1000天是儿童下一阶段成长和发展的基础。出生长度可以代表子宫内生命的生长发育。本研究旨在探讨出生长度与儿童生长发育的关系。方法:采用横断面设计的分析观察性研究。2018年10月至11月，在几个综合服务岗位(Pos Pelayanan Terpadu, Posyandu)进行了总抽样，获得了368名6 - 60个月的儿童。数据从《妇幼保健》(Kesehatan Ibu dan Anak, KIA)一书中收集，包括出生长度、体长/身高以及使用体重/身高指数的营养状况。数据分析采用Spearman检验和Eta检验。结果:根据KIA手册(F计算> F表，Ƞ=0.245)，与体长/身高有较好的相关性(p=0.027, r=0.115)。结论:根据KIA书，出生长度与体长/身高之间存在相关性，出生长度与发育之间也存在相关性。对社区和卫生工作者来说，重要的是通过最大限度地使用KIA书籍来监测儿童的生长和发育。
{"title":"Correlation between Birth Length, Growth, and Development among Children in Rempoah Village Banyumas, Central Java, Indonesia","authors":"Sahda Vania Salsabiila, Q. Santosa, V. Indriani, K. Arifah, Joko Setyono","doi":"10.15850/amj.v8n4.2369","DOIUrl":"https://doi.org/10.15850/amj.v8n4.2369","url":null,"abstract":"Background: The first 1,000 days of life are the foundation for growth and development of children in the next period. Birth length may represent growth and development during the intrauterine life. This study aimed to explore the correlation of birth length, growth, and development in children. Methods: This was analytic observational study with a cross-sectional design. Total sampling was taken, obtaining 368 children aged 6−60 months in several Integrated Service Post ( Pos Pelayanan Terpadu , Posyandu), conducted from October to November 2018. Data were gathered from the book of Maternal and Child Health ( Kesehatan Ibu dan Anak , KIA), including birth length, body length/height, and nutritional status using weight-for-length/height index. Data were analyzed by Spearman and Eta test. Results: had a good correlation with body length/height (p=0.027, r=0.115) and development based on the KIA book (F calculated > F table, Ƞ=0.245). Conclusions: There is a correlation between birth length and body length/height as well as a correlation between birth length and development based on the KIA book. It is important for the community and health workers to monitor growth and development of children, by maximizing the use of KIA book.","PeriodicalId":31310,"journal":{"name":"Althea Medical Journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48575005","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Nanda Mia Ghaesani, Ristaniah Rose Effendy, D. A. Wulandari
Background: Tuberculosis (TB) remains a major cause of death worldwide, especially in children. Indonesia is ranked second as the largest contributor to TB. Chest X-rays have been used to diagnose pulmonary TB in children, however, the results are varied. Therefore, this study was performed to explore the radiological findings among children with pulmonary TB. Methods: Retrospective descriptive study was conducted by analyzing the chest X-ray findings retrieved from the medical records of all pulmonary TB children treated at Dr. Hasan Sadikin General Hospital during 2018 to 2019. Inclusion criteria were medical records of patients aged 1 month to 18 years diagnosed with pulmonary TB who underwent chest X-ray (n=223). Results: The highest incidence of pulmonary TB was found in the group of 10–18 years (43.9%) and female (50.2%). The results of chest X-ray were infiltrates (65.0%), lymphadenopathy (11.7%), cavity (7.6%), calcifications (7.6%), miliary (4.9%), pleural effusion (3.1%) and atelectasis (1.8%). Conclusion: Infiltrates are the major finding on Chest X-ray in children with TB.
{"title":"Radiological Findings of Pulmonary Tuberculosis in Children at Dr. Hasan Sadikin General Hospital Bandung 2018–2019","authors":"Nanda Mia Ghaesani, Ristaniah Rose Effendy, D. A. Wulandari","doi":"10.15850/amj.v8n4.2338","DOIUrl":"https://doi.org/10.15850/amj.v8n4.2338","url":null,"abstract":"Background: Tuberculosis (TB) remains a major cause of death worldwide, especially in children. Indonesia is ranked second as the largest contributor to TB. Chest X-rays have been used to diagnose pulmonary TB in children, however, the results are varied. Therefore, this study was performed to explore the radiological findings among children with pulmonary TB. Methods: Retrospective descriptive study was conducted by analyzing the chest X-ray findings retrieved from the medical records of all pulmonary TB children treated at Dr. Hasan Sadikin General Hospital during 2018 to 2019. Inclusion criteria were medical records of patients aged 1 month to 18 years diagnosed with pulmonary TB who underwent chest X-ray (n=223). Results: The highest incidence of pulmonary TB was found in the group of 10–18 years (43.9%) and female (50.2%). The results of chest X-ray were infiltrates (65.0%), lymphadenopathy (11.7%), cavity (7.6%), calcifications (7.6%), miliary (4.9%), pleural effusion (3.1%) and atelectasis (1.8%). Conclusion: Infiltrates are the major finding on Chest X-ray in children with TB.","PeriodicalId":31310,"journal":{"name":"Althea Medical Journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41890243","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Patients’ Satisfaction in Public and Private Primary Health Care: A Study in Karawang Regency, West Java, Indonesia","authors":"Meliannisa Afader, P. Rahman, D. Sunjaya","doi":"10.15850//amj.v8n4.2340","DOIUrl":"https://doi.org/10.15850//amj.v8n4.2340","url":null,"abstract":"","PeriodicalId":31310,"journal":{"name":"Althea Medical Journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46711299","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background: Adolescents are the population group most at risk of human immunodeficiency virus (HIV) infection due to low knowledge about HIV/acquired immune deficiency syndrome (AIDS). The National Population and Family Planning Board (Badan Kependudukan dan Keluarga Berencana Nasional, BKKBN) has developed the Youth Information and Counseling Center (Pusat Informasi dan Konseling Remaja, PIK-R) Program as a forum for information and counseling services, one of which is about Adolescent Reproductive Health (ARH) including HIV/AIDS. This study aimed to explore whether the implementation of the programs related to HIV/AIDS prevention in adolescents, specifically in junior high school in Bandung City. Methods: A qualitative descriptive study was carried out at a junior high school in Bandung in August 2018. This study used a purposive sampling technique and data were collected by conducting indepth interviews with nine program administrators who were then transcribed and coded based on the PIK-R management guidelines using the NVIVO12 software, observing the program activities and documentations study which were then triangulated. Results: Several indicators in the growing stage had been implemented according to the guidelines, consisting of mastering ARH education materials including HIV/AIDS, conducting activities in the form of providing materials and peer counseling although without a secretariat room, and establishing networks and partnerships. Conclusions: The PIK-R program can be a media for preventing HIV/AIDS among junior high school students in Bandung regardless of resource limitations. Therefore, supports from BKKBN and the school itself is needed to improve the implementation of this program.
背景：青少年是最容易感染人类免疫缺陷病毒（HIV）的人群，因为他们对HIV/获得性免疫缺陷综合征（AIDS）的了解程度较低。国家人口和计划生育委员会（Badan Kependukan dan Keluarga Berencana Nasional，BKKBN）制定了青年信息和咨询中心（Pusat Informasi dan Konseling Remaja，PIK-R）计划，作为信息和咨询服务的论坛，其中之一是关于青少年生殖健康（ARH），包括艾滋病毒/艾滋病。本研究旨在探讨万隆市青少年，特别是初中是否实施了与艾滋病毒/艾滋病预防相关的计划。方法：于2018年8月在万隆市一所初中进行定性描述性研究。本研究采用了有目的的抽样技术，通过对九名项目管理员进行深入访谈来收集数据，然后根据PIK-R管理指南使用NVIVO12软件对他们进行转录和编码，观察项目活动和文件研究，然后对其进行三角化。结果：根据指导方针实施了处于成长阶段的几个指标，包括掌握包括艾滋病毒/艾滋病在内的ARH教育材料，在没有秘书室的情况下以提供材料和同伴咨询的形式开展活动，以及建立网络和伙伴关系。结论：PIK-R项目可作为万隆市初中生预防艾滋病的媒介，不受资源限制。因此，需要BKKBN和学校自身的支持来改进该计划的实施。
{"title":"Implementation of Youth Information and Counseling Centers Related to HIV/AIDS Prevention in a Junior High School in Bandung","authors":"Shifa Nadya Rahma, I. Arya, R. Wisaksana","doi":"10.15850/amj.v8n3.2252","DOIUrl":"https://doi.org/10.15850/amj.v8n3.2252","url":null,"abstract":"Background: Adolescents are the population group most at risk of human immunodeficiency virus (HIV) infection due to low knowledge about HIV/acquired immune deficiency syndrome (AIDS). The National Population and Family Planning Board (Badan Kependudukan dan Keluarga Berencana Nasional, BKKBN) has developed the Youth Information and Counseling Center (Pusat Informasi dan Konseling Remaja, PIK-R) Program as a forum for information and counseling services, one of which is about Adolescent Reproductive Health (ARH) including HIV/AIDS. This study aimed to explore whether the implementation of the programs related to HIV/AIDS prevention in adolescents, specifically in junior high school in Bandung City. Methods: A qualitative descriptive study was carried out at a junior high school in Bandung in August 2018. This study used a purposive sampling technique and data were collected by conducting indepth interviews with nine program administrators who were then transcribed and coded based on the PIK-R management guidelines using the NVIVO12 software, observing the program activities and documentations study which were then triangulated. Results: Several indicators in the growing stage had been implemented according to the guidelines, consisting of mastering ARH education materials including HIV/AIDS, conducting activities in the form of providing materials and peer counseling although without a secretariat room, and establishing networks and partnerships. Conclusions: The PIK-R program can be a media for preventing HIV/AIDS among junior high school students in Bandung regardless of resource limitations. Therefore, supports from BKKBN and the school itself is needed to improve the implementation of this program.","PeriodicalId":31310,"journal":{"name":"Althea Medical Journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42851873","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background: Human papillomavirus (HPV) plays a role in increasing the risk of cervical cancer and other cancers. This study aimed to explore the incidence of HPV infection among various ethnicities in Libya. Furthermore, awareness and knowledge of HPV vaccines in the community were explored. Methods: A descriptive study was conducted to present HPV infection among cancer cases using the National Cancer Registry of Libya year 2011–2020, including gender, skin color, and ethnicity. Furthermore, awareness and knowledge of the HPV vaccines were assessed using questionnaires distributed through social media. Data were presented in percentage. Results: In total, there were 33,526 (58.1%) infected HPV-related cancers out of 57,620 cancer cases, of whom 25,296 (75.4%) were women and 8,230 (24.6%) were men. Based on cancer sites, the incidence of HPV-related cancers among whites was higher (>63% and more) than blacks except for anal cancer, of which blacks had a slightly higher incidence (54% in females and 57% in males). Based on ethnicity, native Libyans such as Tabu, Touareg, and Berbers had different cancer sites. Moreover, the knowledge and awareness about HPV and related cancers were very poor among the population in Libya. Conclusions: Although HPV cancers represent a high percentage of cancer burdens among Libyans, awareness and knowledge on HPV and related cancer are lacking. Better education and provision of the HPV vaccines for future generations may eliminate and reduce HPV-related cancers.
{"title":"Human Papillomavirus Infection and Awareness of Human Pappillomavirus Vaccines among Various Ethnicities in Libya","authors":"S. Korbag, I. Korbag","doi":"10.15850/amj.v8n3.2250","DOIUrl":"https://doi.org/10.15850/amj.v8n3.2250","url":null,"abstract":"Background: Human papillomavirus (HPV) plays a role in increasing the risk of cervical cancer and other cancers. This study aimed to explore the incidence of HPV infection among various ethnicities in Libya. Furthermore, awareness and knowledge of HPV vaccines in the community were explored. Methods: A descriptive study was conducted to present HPV infection among cancer cases using the National Cancer Registry of Libya year 2011–2020, including gender, skin color, and ethnicity. Furthermore, awareness and knowledge of the HPV vaccines were assessed using questionnaires distributed through social media. Data were presented in percentage. Results: In total, there were 33,526 (58.1%) infected HPV-related cancers out of 57,620 cancer cases, of whom 25,296 (75.4%) were women and 8,230 (24.6%) were men. Based on cancer sites, the incidence of HPV-related cancers among whites was higher (>63% and more) than blacks except for anal cancer, of which blacks had a slightly higher incidence (54% in females and 57% in males). Based on ethnicity, native Libyans such as Tabu, Touareg, and Berbers had different cancer sites. Moreover, the knowledge and awareness about HPV and related cancers were very poor among the population in Libya. Conclusions: Although HPV cancers represent a high percentage of cancer burdens among Libyans, awareness and knowledge on HPV and related cancer are lacking. Better education and provision of the HPV vaccines for future generations may eliminate and reduce HPV-related cancers.","PeriodicalId":31310,"journal":{"name":"Althea Medical Journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48523824","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Franklind Matthew, Regina Regina, I. J. Hidajat, Melyawati Melyawati
Background: Acne vulgaris (AV) is a chronic inflammation of the pilosebaceous unit of the skin that occurs in 85% of adolescents and can continue into adulthood. The skin of the facial area has an essential role in socializing, therefore, facial AV can contribute to the accumulation of psychosocial stress. The prevalence of individuals with AV seeking treatments is low in some countries. This study aimed to determine the association between psychosocial burdens due to AV and medical treatment-seeking behavior in young adults . Methods: A cross-sectional study was conducted in February 2020 among 100 medical students with AV. The ASEAN Lehmann criteria were used to objectively assessed AV. Psychosocial burden was determined by the Cardiff Acne Disability Index (CADI) questionnaire and then classified into unaffected (score 0), mild (score 1-5), moderate (6-10), and severe (11-15). History-related AV was obtained through a questionnaire. The analysis was performed using the chi-square test. Results: Of the 100 medical students with AV, 82% had suffered from mild to severe psychosocial burdens. The mean score of the CADI was 4.03. However, only 44% of students sought treatment from doctors for their AV. There was a significant association between psychosocial burden and medical treatment-seeking behavior (p = 0.014). Conclusion: The psychosocial burden of acne vulgaris in young adults is high, however, medical treatment-seeking behavior is low. Therefore, psychosocial management is an essential aspect in treating patients with AV.
{"title":"Psychosocial Burden Due to Acne Vulgaris Affects Treatment-Seeking Behavior in Medical Students in Jakarta, Indonesia","authors":"Franklind Matthew, Regina Regina, I. J. Hidajat, Melyawati Melyawati","doi":"10.15850/AMJ.V8N3.2179","DOIUrl":"https://doi.org/10.15850/AMJ.V8N3.2179","url":null,"abstract":"Background: Acne vulgaris (AV) is a chronic inflammation of the pilosebaceous unit of the skin that occurs in 85% of adolescents and can continue into adulthood. The skin of the facial area has an essential role in socializing, therefore, facial AV can contribute to the accumulation of psychosocial stress. The prevalence of individuals with AV seeking treatments is low in some countries. This study aimed to determine the association between psychosocial burdens due to AV and medical treatment-seeking behavior in young adults . Methods: A cross-sectional study was conducted in February 2020 among 100 medical students with AV. The ASEAN Lehmann criteria were used to objectively assessed AV. Psychosocial burden was determined by the Cardiff Acne Disability Index (CADI) questionnaire and then classified into unaffected (score 0), mild (score 1-5), moderate (6-10), and severe (11-15). History-related AV was obtained through a questionnaire. The analysis was performed using the chi-square test. Results: Of the 100 medical students with AV, 82% had suffered from mild to severe psychosocial burdens. The mean score of the CADI was 4.03. However, only 44% of students sought treatment from doctors for their AV. There was a significant association between psychosocial burden and medical treatment-seeking behavior (p = 0.014). Conclusion: The psychosocial burden of acne vulgaris in young adults is high, however, medical treatment-seeking behavior is low. Therefore, psychosocial management is an essential aspect in treating patients with AV.","PeriodicalId":31310,"journal":{"name":"Althea Medical Journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47566456","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background: Hepatocellular Carcinoma (HCC) is the most prevalent liver cancer with high mortality. Early detection is important for better patient outcomes. The aim of this study was to explore clinical manifestations and laboratory examinations among HCC patients in a tertiary care facility. Met h ods: This was a cross-sectional descriptive study with a total sampling method, reviewing the medical record of patients with HCC in the Outpatient Clinic of Dr. Hasan Sadikin General Hospital between January to December 2019. Clinical manifestations, laboratory findings, and imaging results data were collected. Result s : Of the 112 HCC patients included in this study, the HCC findings among new patients at the outpatient clinic were 8.4%, with hepatitis B (80.8%) as the major etiology. Complaints of abdominal pain (65.2%) was frequent. Aspartate aminotransferase (AST) and alanine aminotransferase (ALT) levels were increased in 89.8% and 67% of patients, as well as total bilirubin levels in 58.8% of patients. In contrast, hemoglobin and albumin levels decreased in 55.3% and 78.1% of patients, respectively. The characteristics of tumor were mainly multinodular, with a size of 3-10 cm. Conclusion s : The annual proportion of HCC in Dr. Hasan Sadikin General Hospital in 2019 is 8.4% among all outpatient gastrointestinal and hepatology cases, with hepatitis B as the most common etiology. Abdominal pain is the predominantly prevalent clinical manifestation with increased ALT and AST levels.
背景：肝细胞癌（HCC）是癌症中最常见、死亡率最高的一种。早期发现对改善患者预后很重要。本研究的目的是探讨三级医疗机构中HCC患者的临床表现和实验室检查。Met h ods:这是一项采用全面抽样方法的横断面描述性研究，回顾了2019年1月至12月Hasan Sadikin综合医院门诊HCC患者的病历。收集临床表现、实验室检查结果和影像学结果数据。结果：在纳入本研究的112例HCC患者中，门诊新患者的HCC发现率为8.4%，其中乙型肝炎（80.8%）是主要病因。腹痛（65.2%）是常见的主诉。89.8%和67%的患者的天冬氨酸转氨酶（AST）和丙氨酸转氨酶（ALT）水平升高，58.8%的患者的总胆红素水平升高。相比之下，55.3%和78.1%的患者血红蛋白和白蛋白水平分别下降。肿瘤特征主要为多结节，大小3-10cm。结论：Hasan Sadikin综合医院2019年HCC在所有门诊胃肠道和肝病病例中的年比例为8.4%，其中乙型肝炎是最常见的病因。腹痛是ALT和AST水平升高的主要临床表现。
{"title":"Clinical Manifestations and Laboratory Examination Findings of Hepatocellular Carcinoma at a Tertiary Care Facility in Bandung: An Annual Observation Study","authors":"Grace Amanda Maharani, E. S. Nugraha, A. Sugianli","doi":"10.15850/AMJ.V8N3.2333","DOIUrl":"https://doi.org/10.15850/AMJ.V8N3.2333","url":null,"abstract":"Background: Hepatocellular Carcinoma (HCC) is the most prevalent liver cancer with high mortality. Early detection is important for better patient outcomes. The aim of this study was to explore clinical manifestations and laboratory examinations among HCC patients in a tertiary care facility. Met h ods: This was a cross-sectional descriptive study with a total sampling method, reviewing the medical record of patients with HCC in the Outpatient Clinic of Dr. Hasan Sadikin General Hospital between January to December 2019. Clinical manifestations, laboratory findings, and imaging results data were collected. Result s : Of the 112 HCC patients included in this study, the HCC findings among new patients at the outpatient clinic were 8.4%, with hepatitis B (80.8%) as the major etiology. Complaints of abdominal pain (65.2%) was frequent. Aspartate aminotransferase (AST) and alanine aminotransferase (ALT) levels were increased in 89.8% and 67% of patients, as well as total bilirubin levels in 58.8% of patients. In contrast, hemoglobin and albumin levels decreased in 55.3% and 78.1% of patients, respectively. The characteristics of tumor were mainly multinodular, with a size of 3-10 cm. Conclusion s : The annual proportion of HCC in Dr. Hasan Sadikin General Hospital in 2019 is 8.4% among all outpatient gastrointestinal and hepatology cases, with hepatitis B as the most common etiology. Abdominal pain is the predominantly prevalent clinical manifestation with increased ALT and AST levels.","PeriodicalId":31310,"journal":{"name":"Althea Medical Journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46905413","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Amanda Diannisa Azzahra, L. Amalia, C. Calista, S. Dian, Siti Aminah, P. A. Ong
Background: Pneumonia is a common complication of ischemic stroke that may worsens brain injury, leading to cognitive impairment as well as patient outcome. The aim of this study was to compare cognitive function in ischemic stroke patients with and without pneumonia. Methods: This study was a comparative numerical analytic retrospective cross-sectional study that was conducted from September 2020 to February 2021. This study used data from ischemic stroke patients treated at Dr. Hasan Sadikin General Hospital in 2019 with the total sampling method. Data were stratified into patients with pneumonia and without pneumonia. The mini mental state examination (MMSE) was used to measure cognitive function in both groups and scores were compared using the Mann-Whitney Test. Result: Of the 164 data, 25 were patients with pneumonia and 139 without pneumonia. Male patients were predominantly prevalent in the pneumonia and non-pneumonia groups. Hemiparesis was the most common neurological deficit. The MMSE score was significantly lower in the pneumonia group (22.6 ± 5.4 vs. 24.7 ± 4.8, respectively; p- value=0.032). Conclusion: Cognitive function is more prevalent in ischemic stroke patient with pneumonia compared to non-pneumonia. However, other factors such as recurrent stroke and possible vascular risk factors should be considered for future studies to better identify the relationship between ischemic stroke and pneumonia.
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