Rania Azzahra Salsazayasya Parikesit, Nita Novita, H. Usman
Background: Infanticide is a criminal act when a mother kills her child at or soon after birth. Considering whether a case has been decided as infanticide, determination of the life of the neonate at birth is imperative. Breath signs from macroscopic and microscopic approacesh and hydrostatic test are useful indicators. This study aimed to explore the lungs pathological findings at autopsy of neonates. Methods: This study was a retrospective descriptive observational study, using medical records of neonatal deaths in the Department of Forensics and Medicolegal Dr. Hasan Sadikin General Hospital, Bandung for the period 2016–2019. Total sampling method was used. Inclusion criteria were neonatal death with presumptive infanticide, had autopsied and microscopic examination as well as neonatal death without putrefaction. Data on macroscopic and microscopic findings as well as the hydrostatic test were presented. Result: In total, 12 of the 42 medical records with data on presumptive infanticide met the inclusion criteria. For macroscopic findings, 7 of the 12 samples had positive results, meaning the lungs had sign of breath. Meanwhile, in microscopic findings 8 of the 12 samples had positive results. For the hydrostatic test, 8 out of 12 samples had positive results. Of the 12 samples, there were four samples that had different results, at least on one variable. Conclusions: Most of the cases are matched with macroscopic, microscopic, and hydrostatic test, but some unmatched data are also found. In order to improve reliability, especially for legal purposes in infanticide, it is necessary to conduct all the examination.
{"title":"Pathological Findings of the Lung at Neonatal Autopsy in Dr. Hasan Sadikin General Hospital Bandung Period 2016-2019","authors":"Rania Azzahra Salsazayasya Parikesit, Nita Novita, H. Usman","doi":"10.15850/AMJ.V8N3.2337","DOIUrl":"https://doi.org/10.15850/AMJ.V8N3.2337","url":null,"abstract":"Background: Infanticide is a criminal act when a mother kills her child at or soon after birth. Considering whether a case has been decided as infanticide, determination of the life of the neonate at birth is imperative. Breath signs from macroscopic and microscopic approacesh and hydrostatic test are useful indicators. This study aimed to explore the lungs pathological findings at autopsy of neonates. Methods: This study was a retrospective descriptive observational study, using medical records of neonatal deaths in the Department of Forensics and Medicolegal Dr. Hasan Sadikin General Hospital, Bandung for the period 2016–2019. Total sampling method was used. Inclusion criteria were neonatal death with presumptive infanticide, had autopsied and microscopic examination as well as neonatal death without putrefaction. Data on macroscopic and microscopic findings as well as the hydrostatic test were presented. Result: In total, 12 of the 42 medical records with data on presumptive infanticide met the inclusion criteria. For macroscopic findings, 7 of the 12 samples had positive results, meaning the lungs had sign of breath. Meanwhile, in microscopic findings 8 of the 12 samples had positive results. For the hydrostatic test, 8 out of 12 samples had positive results. Of the 12 samples, there were four samples that had different results, at least on one variable. Conclusions: Most of the cases are matched with macroscopic, microscopic, and hydrostatic test, but some unmatched data are also found. In order to improve reliability, especially for legal purposes in infanticide, it is necessary to conduct all the examination.","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":"43776134","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: Neonates are prone to hyperbilirubinemia or jaundice due to the immaturity of various organ systems and complications at birth. Immature organ systems occur primarily in preterm babies and babies with low birth weight (LBW). The incidence of hyperbilirubinemia is about 60% among term neonates and is higher in preterm neonates. This study aimed to determine the characteristics of neonates with hyperbilirubinemia. Methods: This study used a cross sectional research design. Samples were obtained from medical records of neonates with hyperbilirubinemia throughout 2019 at Annisa Medical Center Hospital, Bandung Regency. Data on neonates that met the inclusion criteria were selected, including gender, gestational age, birth weight, mode of delivery, bilirubin levels (before and after phototherapy), and duration of treatment. Data analysis was performed using univariate statistical calculations. Results: From 786 data obtained, t he prevalence rate of hyperbilirubinemia was 21.2%. Male neonates with hyperbilirubinemia were predominantly prevalent (n=103; 61.7%); whereas preterm neonates accounted for 51.5% (n=86), normal weight (85.6%), and born through vaginal delivery (n=116; 69.5%). After treatment, total bilirubin levels decreased, with the percentage of the >10 mg/dL group decreasing from 97.0% to 10.2%. The average duration of treatment for neonates with hyperbilirubinemia was 4.4 days, however, the neonates who were treated less than the average were 71.3%. Conclusion: Preterm male is predominantly prevalent among neonates with hyperbilirubinemia, although they have conformed birth weight and vaginal delivery mode. The duration of treatment for neonates with hyperbilirubinemia mostly does not exceed 4 days, as long as the treatment reduces the total bilirubin level. Good therapeutic management in the first week of hyperbilirubinemia neonates is required.
{"title":"Characteristics of Neonates with Hyperbilirubinemia in Cileunyi, West Java","authors":"M. R. Fonna, N. Kania, G. Nasution","doi":"10.15850/AMJ.V8N3.2328","DOIUrl":"https://doi.org/10.15850/AMJ.V8N3.2328","url":null,"abstract":"Background: Neonates are prone to hyperbilirubinemia or jaundice due to the immaturity of various organ systems and complications at birth. Immature organ systems occur primarily in preterm babies and babies with low birth weight (LBW). The incidence of hyperbilirubinemia is about 60% among term neonates and is higher in preterm neonates. This study aimed to determine the characteristics of neonates with hyperbilirubinemia. Methods: This study used a cross sectional research design. Samples were obtained from medical records of neonates with hyperbilirubinemia throughout 2019 at Annisa Medical Center Hospital, Bandung Regency. Data on neonates that met the inclusion criteria were selected, including gender, gestational age, birth weight, mode of delivery, bilirubin levels (before and after phototherapy), and duration of treatment. Data analysis was performed using univariate statistical calculations. Results: From 786 data obtained, t he prevalence rate of hyperbilirubinemia was 21.2%. Male neonates with hyperbilirubinemia were predominantly prevalent (n=103; 61.7%); whereas preterm neonates accounted for 51.5% (n=86), normal weight (85.6%), and born through vaginal delivery (n=116; 69.5%). After treatment, total bilirubin levels decreased, with the percentage of the >10 mg/dL group decreasing from 97.0% to 10.2%. The average duration of treatment for neonates with hyperbilirubinemia was 4.4 days, however, the neonates who were treated less than the average were 71.3%. Conclusion: Preterm male is predominantly prevalent among neonates with hyperbilirubinemia, although they have conformed birth weight and vaginal delivery mode. The duration of treatment for neonates with hyperbilirubinemia mostly does not exceed 4 days, as long as the treatment reduces the total bilirubin level. Good therapeutic management in the first week of hyperbilirubinemia neonates is required.","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":"42201206","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: Head and neck squamous cell carcinoma (HNSCC) is an invasive neoplasm of epithelial tissue in the head and neck and one of the etiologies of HNSCC is human papillomavirus (HPV) which maybe associated with the clinical stage of HNSCC. HPV infection in squamous cell epithelium produces specific IgG antibodies against HPV. IgG titer of HPV can help identify patients who are at risk for HPV-related cancers. This study aimed to explore the association between IgG titer of HPV with the clinical stages of HNSCC. Methods: The design of this study was analytic cross sectional, conducted at the Outpatient Clinic of Otorhinolaryngology-Head and Neck Surgery, Division of Oncology, Dr. Hasan Sadikin General Hospital Bandung period September-December 2017. Patients with HNSCC were recruited, and history was taken. Furthermore, histopathologic examination and HPV IgG serology examination was performed using the ELISA method. The HPV IgG levels were compared by stage and data were analyzed using the Shapiro Wilks test and Unpaired T test. Result: The HPV IgG was high in 75% (n=21) of HNSCC patients in the advanced stage and low in 25% (n=7) of patients in the early stage. There was a significant relationship between HPV IgG titer and early and advanced stage of HNSCC (p=0.001). Conclusion: The HPV IgG titer is related to the clinical stage of HNSCC indicating that the higher the HPV IgG level, the more advanced the clinical stage. Further study is needed to explore HPV IgG levels as a prognostic marker in HNSCC.
{"title":"IgG levels in Human Papillomavirus Infection Associated with Clinical Stage of Head and Neck Squamous Cell Carcinoma","authors":"Y. A. Dewi, A. D. Permana, Fanny Yudhiono","doi":"10.15850/AMJ.V8N3.2171","DOIUrl":"https://doi.org/10.15850/AMJ.V8N3.2171","url":null,"abstract":"Background: Head and neck squamous cell carcinoma (HNSCC) is an invasive neoplasm of epithelial tissue in the head and neck and one of the etiologies of HNSCC is human papillomavirus (HPV) which maybe associated with the clinical stage of HNSCC. HPV infection in squamous cell epithelium produces specific IgG antibodies against HPV. IgG titer of HPV can help identify patients who are at risk for HPV-related cancers. This study aimed to explore the association between IgG titer of HPV with the clinical stages of HNSCC. Methods: The design of this study was analytic cross sectional, conducted at the Outpatient Clinic of Otorhinolaryngology-Head and Neck Surgery, Division of Oncology, Dr. Hasan Sadikin General Hospital Bandung period September-December 2017. Patients with HNSCC were recruited, and history was taken. Furthermore, histopathologic examination and HPV IgG serology examination was performed using the ELISA method. The HPV IgG levels were compared by stage and data were analyzed using the Shapiro Wilks test and Unpaired T test. Result: The HPV IgG was high in 75% (n=21) of HNSCC patients in the advanced stage and low in 25% (n=7) of patients in the early stage. There was a significant relationship between HPV IgG titer and early and advanced stage of HNSCC (p=0.001). Conclusion: The HPV IgG titer is related to the clinical stage of HNSCC indicating that the higher the HPV IgG level, the more advanced the clinical stage. Further study is needed to explore HPV IgG levels as a prognostic marker in HNSCC.","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":"47192065","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: Febrile seizures are common in children under 5 years of age. Parents are concerned when their children have seizures; therefore, it is necessary to provide promotive and preventive education regarding the risk factors for febrile seizures so that parents are more prepared. This study aimed to explore the risk factors for febrile seizures in children. Methods: This case-control study was conducted on 170 children. Sampling was carried out by purposive sampling on inpatients and/or outpatients at the Pediatric Department Dr. Ramelan Naval Hospital Surabaya during May 2019-July 2020. Secondary data for children with fever were retrieved from medical records, with seizures (n85) and without seizures (n85) as a control group. Furthermore, data on temperature, age, birth weight, and history of asphyxia were analyzed and compared, using the chi-square test or Fisher’s exact test. Results: There was a significant difference between the case and control groups regarding the history of asphyxia and the occurrence of febrile seizures (p=0.002; OR=26.39; and 95% CI 1.52-455.62). There was no significant difference between the risk factors for high temperature (p=0.12), age (p=0.52), or birth weight (p=0.37) with the occurrence of febrile seizures. Conclusions: A history of asphyxia in children under five years is a risk factor for febrile seizures. Appropriate education from health professionals can help parents improve their knowledge, attitudes, and practices in dealing with febrile seizures and their risk factors.
背景:热性惊厥常见于5岁以下儿童。当孩子癫痫发作时，父母很担心;因此，有必要对热性惊厥的危险因素进行促进和预防教育，使家长做好准备。本研究旨在探讨儿童热性惊厥的危险因素。方法:对170例儿童进行病例对照研究。在2019年5月至2020年7月期间，对泗水拉梅兰海军医院儿科住院和/或门诊患者进行了有目的抽样。从医疗记录中检索发烧儿童的次要数据，癫痫发作(n85)和无癫痫发作(n85)作为对照组。此外，使用卡方检验或Fisher精确检验对温度、年龄、出生体重和窒息史的数据进行分析和比较。结果:病例组与对照组在窒息史、发热性惊厥发生方面差异有统计学意义(p=0.002;或= 26.39;95% CI 1.52-455.62)。高温(p=0.12)、年龄(p=0.52)、出生体重(p=0.37)的危险因素与热性惊厥的发生无显著性差异。结论:5岁以下儿童有窒息史是热性惊厥的危险因素。来自卫生专业人员的适当教育可以帮助父母提高他们在处理热性惊厥及其危险因素方面的知识、态度和做法。
{"title":"Risk Factors for Febrile Seizures in Children Aged 6 – 59 Months in Surabaya, East Java","authors":"Febrianto Adi Husodo, Sitti Radhiah, P. Nugraheni","doi":"10.15850/AMJ.V8N3.2351","DOIUrl":"https://doi.org/10.15850/AMJ.V8N3.2351","url":null,"abstract":"Background: Febrile seizures are common in children under 5 years of age. Parents are concerned when their children have seizures; therefore, it is necessary to provide promotive and preventive education regarding the risk factors for febrile seizures so that parents are more prepared. This study aimed to explore the risk factors for febrile seizures in children. Methods: This case-control study was conducted on 170 children. Sampling was carried out by purposive sampling on inpatients and/or outpatients at the Pediatric Department Dr. Ramelan Naval Hospital Surabaya during May 2019-July 2020. Secondary data for children with fever were retrieved from medical records, with seizures (n85) and without seizures (n85) as a control group. Furthermore, data on temperature, age, birth weight, and history of asphyxia were analyzed and compared, using the chi-square test or Fisher’s exact test. Results: There was a significant difference between the case and control groups regarding the history of asphyxia and the occurrence of febrile seizures (p=0.002; OR=26.39; and 95% CI 1.52-455.62). There was no significant difference between the risk factors for high temperature (p=0.12), age (p=0.52), or birth weight (p=0.37) with the occurrence of febrile seizures. Conclusions: A history of asphyxia in children under five years is a risk factor for febrile seizures. Appropriate education from health professionals can help parents improve their knowledge, attitudes, and practices in dealing with febrile seizures and their risk factors.","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":"47247619","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: Various pathological changes in both the intra and extracranial arteries that supply the brain can cause disturbance of cerebral blood flow and perfusion leading to cerebral dysfunction. Doppler ultrasound is able to assess these changes. This study was performed to evaluate the anatomical and physiological changes found in the carotid arteries of patients with ischemic stroke using Doppler ultrasound. Met h ods: The cross-sectional descriptive study design with total sampling method was conducted on the medical records of ischemic stroke patients who had carotid Doppler ultrasound at the Department of Cardiology and Vascular Medicine Dr. Hasan Sadikin General Hospital Bandung from 2016 to 2019. Demographic data, such as stroke diagnoses and plaque characteristics recorded in the Doppler reports were collected. Result s : There were 38 data sets collected. The distribution and characteristics of atherosclerotic plaques were similar between the two carotid systems, with the same percentage of plaque being found in the right (31.6%) and left (36.8%) carotid system. The most common type of plaque found was type III and was located in the common carotid artery. Thrombus was absent in all patients. Intimal media thickening was found in 13.2% right system and 15.8% left system. Stenosis was present in 34.2% of patients, and most had 125 cm/s) in 5.3% of the right system and 7.9% of the left system of the internal carotid artery. Conclusion s : Most of the atherothrombotic and thromboembolic type of ischemic stroke patients in this study have normal carotid Doppler ultrasound features. Further study on the presence of plaque in ischemic stroke patients in Indonesia is needed.
{"title":"Visualization of Carotid Doppler in Patients with Ischemic Stroke at Dr. Hasan Sadikin General Hospital Bandung Year 2016-2019","authors":"Olivia Olivia, A. Ganiem, S. Hidayat","doi":"10.15850/AMJ.V8N3.2285","DOIUrl":"https://doi.org/10.15850/AMJ.V8N3.2285","url":null,"abstract":"Background: Various pathological changes in both the intra and extracranial arteries that supply the brain can cause disturbance of cerebral blood flow and perfusion leading to cerebral dysfunction. Doppler ultrasound is able to assess these changes. This study was performed to evaluate the anatomical and physiological changes found in the carotid arteries of patients with ischemic stroke using Doppler ultrasound. Met h ods: The cross-sectional descriptive study design with total sampling method was conducted on the medical records of ischemic stroke patients who had carotid Doppler ultrasound at the Department of Cardiology and Vascular Medicine Dr. Hasan Sadikin General Hospital Bandung from 2016 to 2019. Demographic data, such as stroke diagnoses and plaque characteristics recorded in the Doppler reports were collected. Result s : There were 38 data sets collected. The distribution and characteristics of atherosclerotic plaques were similar between the two carotid systems, with the same percentage of plaque being found in the right (31.6%) and left (36.8%) carotid system. The most common type of plaque found was type III and was located in the common carotid artery. Thrombus was absent in all patients. Intimal media thickening was found in 13.2% right system and 15.8% left system. Stenosis was present in 34.2% of patients, and most had 125 cm/s) in 5.3% of the right system and 7.9% of the left system of the internal carotid artery. Conclusion s : Most of the atherothrombotic and thromboembolic type of ischemic stroke patients in this study have normal carotid Doppler ultrasound features. Further study on the presence of plaque in ischemic stroke patients in Indonesia is needed.","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":"47419570","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: Coronavirus disease-2019 (COVID-19) has caused serious implications and has received a lot of international attention, especially in public health sector. The main strategy for containing the COVID-19 pandemic includes preventive methods such as wearing masks, which requires individual awareness and initiative to adhere to the protocol. This study described the level of knowledge, attitude, and practices towards the COVID-19 pandemic among undergraduate students who were selected due to their high mobility and rate of activity.Methods: This study used a descriptive design and a cross-sectional approach, conducted from October to November 2020. Undergraduate students from all faculties of Universitas Padjadjaran Year 2017– 2019 were invited to participate, using an online questionnaire to assess the knowledge, attitude, and practices towards the COVID 19 pandemic. The result was given numeric values and scored. The mean value of the scores was used as a reference value to describe the level of knowledge, attitude, and practices.Results: From a total of 483 students, 99.5% had good knowledge, 87.9% had good attitude, and 67% had a good practices towards COVID-19.Conclusions: The overall levels of knowledge, attitudes, and practices towards COVID-19 among undergraduate students are good, as well as the adherence to government health protocols and initiatives in seeking information regarding COVID-19. Several specific areas such as transmission through dead bodies, exercise and vitamin supplementation, and anxiety when reading information about COVID-19 are areas of interest for the improvement of education.
{"title":"Knowledge, Attitude, and Practices towards the COVID-19 Pandemic among Undergraduate Students","authors":"Joy Limbong, Kuswinarti Kuswinarti, T. D. Sitorus","doi":"10.15850/amj.v8n2.2282","DOIUrl":"https://doi.org/10.15850/amj.v8n2.2282","url":null,"abstract":"Background: Coronavirus disease-2019 (COVID-19) has caused serious implications and has received a lot of international attention, especially in public health sector. The main strategy for containing the COVID-19 pandemic includes preventive methods such as wearing masks, which requires individual awareness and initiative to adhere to the protocol. This study described the level of knowledge, attitude, and practices towards the COVID-19 pandemic among undergraduate students who were selected due to their high mobility and rate of activity.Methods: This study used a descriptive design and a cross-sectional approach, conducted from October to November 2020. Undergraduate students from all faculties of Universitas Padjadjaran Year 2017– 2019 were invited to participate, using an online questionnaire to assess the knowledge, attitude, and practices towards the COVID 19 pandemic. The result was given numeric values and scored. The mean value of the scores was used as a reference value to describe the level of knowledge, attitude, and practices.Results: From a total of 483 students, 99.5% had good knowledge, 87.9% had good attitude, and 67% had a good practices towards COVID-19.Conclusions: The overall levels of knowledge, attitudes, and practices towards COVID-19 among undergraduate students are good, as well as the adherence to government health protocols and initiatives in seeking information regarding COVID-19. Several specific areas such as transmission through dead bodies, exercise and vitamin supplementation, and anxiety when reading information about COVID-19 are areas of interest for the improvement of education.","PeriodicalId":31310,"journal":{"name":"Althea Medical Journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42683035","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}
T. Nurjannah, Fardila Elba, S. Nirmala, Ariyati Mandiri, Merry Wijaya
Background: The toddler period is a crucial life period and needs special attention. Toddlers need to have a proper amount and good quality of nutrition from daily food to prevent anemia. This study aimed to explore the relationship between nutritional intake and Hb level in toddlers aged 12-24 months in Sumedang District, West Java, IndonesiaMethods: This was a cross-sectional quantitative conducted in August-November 2019 on 96 toddlers aged 12-24 months. Toddlers were recruited using proportioned simple random sampling method. The mothers of these toddlers were asked to complete a food record for three consecutive days for their toddlers. Data were then processed using the Nutrisurvey application while the hemoglobin (Hb) level was measured using a Digital Hb tool. All data were analyzed using a Pearson Correlation Test.Results: Most mothers of these toddlers graduated from senior high school (45.8%) and were housewives (78.1%). The iron requirement was met 61 toddlers (63.5%). Most toddlers were not anemic (56.3%) with a mean Hb of 10.99 gr/dl. A relationship was established between iron intake and Hb level (p=0.000).Conclusion: Low iron intake is associated with Hb level in toddlers aged 12-24 months in Sumedang District, West Java Province, Indonesia. A nutrition program needs to be well set-up for toddlers in this area.
{"title":"Relationship between Nutrition Intake and Hemoglobin Levels in Toddlers Aged 12-24 Months","authors":"T. Nurjannah, Fardila Elba, S. Nirmala, Ariyati Mandiri, Merry Wijaya","doi":"10.15850/AMJ.V8N1.2115","DOIUrl":"https://doi.org/10.15850/AMJ.V8N1.2115","url":null,"abstract":"Background: The toddler period is a crucial life period and needs special attention. Toddlers need to have a proper amount and good quality of nutrition from daily food to prevent anemia. This study aimed to explore the relationship between nutritional intake and Hb level in toddlers aged 12-24 months in Sumedang District, West Java, IndonesiaMethods: This was a cross-sectional quantitative conducted in August-November 2019 on 96 toddlers aged 12-24 months. Toddlers were recruited using proportioned simple random sampling method. The mothers of these toddlers were asked to complete a food record for three consecutive days for their toddlers. Data were then processed using the Nutrisurvey application while the hemoglobin (Hb) level was measured using a Digital Hb tool. All data were analyzed using a Pearson Correlation Test.Results: Most mothers of these toddlers graduated from senior high school (45.8%) and were housewives (78.1%). The iron requirement was met 61 toddlers (63.5%). Most toddlers were not anemic (56.3%) with a mean Hb of 10.99 gr/dl. A relationship was established between iron intake and Hb level (p=0.000).Conclusion: Low iron intake is associated with Hb level in toddlers aged 12-24 months in Sumedang District, West Java Province, Indonesia. A nutrition program needs to be well set-up for toddlers in this area.","PeriodicalId":31310,"journal":{"name":"Althea Medical Journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42973330","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: Intracerebral hemorrhage (ICH) stroke contributes to a considerable number of deaths, ranging between 30% and 40% of the overall stroke mortality. The incidence of stroke increases with higher blood pressure. High blood pressure at the onset of ICH stroke is a strong predictor for mortality and morbidity. This study aimed to explore the role of diastolic blood pressure as a predictor of death in ICH stroke patients.Methods: Data on 113 ICH stroke patients with chronic hypertension were collected from the medical records of patients treated in the Neurology ward of Dr. Hasan Sadikin General Hospital Bandung, Indonesia, in 2019. Data collected were patient characteristics, hypertension status, systolic and diastolic blood pressures, and patient outcome. Analysis was then performed using the Mann-Whitney test.Results: This study revealed a positive correlation (p=0.031) between diastolic blood pressure and death in ICH stroke patients with chronic hypertension.Conclusion: High diastolic blood pressure is associated with mortality in ICH stroke patients with chronic hypertension.
{"title":"Diastolic Blood Pressure as a Predictor of Mortality in Intracerebral Hemorrhage Stroke Patients with Hypertension","authors":"Cep Juli, U. Gamayani, N. Atik","doi":"10.15850/AMJ.V8N1.2099","DOIUrl":"https://doi.org/10.15850/AMJ.V8N1.2099","url":null,"abstract":"Background: Intracerebral hemorrhage (ICH) stroke contributes to a considerable number of deaths, ranging between 30% and 40% of the overall stroke mortality. The incidence of stroke increases with higher blood pressure. High blood pressure at the onset of ICH stroke is a strong predictor for mortality and morbidity. This study aimed to explore the role of diastolic blood pressure as a predictor of death in ICH stroke patients.Methods: Data on 113 ICH stroke patients with chronic hypertension were collected from the medical records of patients treated in the Neurology ward of Dr. Hasan Sadikin General Hospital Bandung, Indonesia, in 2019. Data collected were patient characteristics, hypertension status, systolic and diastolic blood pressures, and patient outcome. Analysis was then performed using the Mann-Whitney test.Results: This study revealed a positive correlation (p=0.031) between diastolic blood pressure and death in ICH stroke patients with chronic hypertension.Conclusion: High diastolic blood pressure is associated with mortality in ICH stroke patients with chronic hypertension.","PeriodicalId":31310,"journal":{"name":"Althea Medical Journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43552767","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: Patient satisfaction survey is essential for evaluating and developing plans to improve health services' quality. One of the emergency department service quality indicators is decision time. Overcrowding of the emergency room as a result of long decision time may cause dissatisfaction among patients. This study aimed to evaluate the satisfaction level of patients receiving surgical services and the correlation between the satisfaction level and surgical service decision time.Methods: A cross-sectional descriptive analytical study was conducted from September to November 2019 at the emergency department of Dr. Hasan Sadikin General Hospital. The consecutive sampling method was applied and a total of 110 patients met the inclusion and exclusion criteria. Patient satisfaction was assessed using a validated questionnaire and data on decision time was obtained from the patient’s medical record. Spearman correlation test was used to analyze the data.Results: This study discovered that most of the respondents were satisfied with the service (92.7%) and that decision was mostly made in less than 2 hours (79.1%). A weak negative correlation (ρ = - 0.144), was identified between decision time and patient satisfaction, albeit insignificant (p = 0.067), with a confidence interval of 95% (α = 5%).Conclusion: This study suggested that there is no correlation between patient satisfaction and decision time. Thus, decision time is not the main factor that determines patient satisfaction.
{"title":"Patient Satisfaction on Surgical Service Decision Time in Emergency Department of A Tertiary Hospital in Indonesia","authors":"Shabrina Adzania, N. N. Hidajat, E. Setiawati","doi":"10.15850/AMJ.V8N1.2025","DOIUrl":"https://doi.org/10.15850/AMJ.V8N1.2025","url":null,"abstract":"Background: Patient satisfaction survey is essential for evaluating and developing plans to improve health services' quality. One of the emergency department service quality indicators is decision time. Overcrowding of the emergency room as a result of long decision time may cause dissatisfaction among patients. This study aimed to evaluate the satisfaction level of patients receiving surgical services and the correlation between the satisfaction level and surgical service decision time.Methods: A cross-sectional descriptive analytical study was conducted from September to November 2019 at the emergency department of Dr. Hasan Sadikin General Hospital. The consecutive sampling method was applied and a total of 110 patients met the inclusion and exclusion criteria. Patient satisfaction was assessed using a validated questionnaire and data on decision time was obtained from the patient’s medical record. Spearman correlation test was used to analyze the data.Results: This study discovered that most of the respondents were satisfied with the service (92.7%) and that decision was mostly made in less than 2 hours (79.1%). A weak negative correlation (ρ = - 0.144), was identified between decision time and patient satisfaction, albeit insignificant (p = 0.067), with a confidence interval of 95% (α = 5%).Conclusion: This study suggested that there is no correlation between patient satisfaction and decision time. Thus, decision time is not the main factor that determines patient satisfaction.","PeriodicalId":31310,"journal":{"name":"Althea Medical Journal","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41510699","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: Increased Neutrophil-to-Lymphocyte Ratio (NLR) is an independent risk factor for mortality in Covid-19 patients and is considered as an early warning sign of Covid-19 severity. This study aimed to observe the differences in NLR at admission between patients with mild, moderate, and severe symptoms of Covid-19 treated in a referral hospital in Banda Aceh, Indonesia.Methods: A total of 114 patients with Covid-19 admitted to a referral hospital in Banda Aceh, Indonesia, during March–September 2020 were included in this study. Demographic information and baseline laboratory data, including the NLR, were collected. Descriptive and inferential statistics were used to analyze the data. Results: The median NLR at admission was higher among patients with moderate to severe symptoms than those with mild symptoms [6.54 (2.80–97.00, IQR 4.81–9.44) vs 2.27 (0.79–5.07, IQR 1.43-2.98), p <0.001]. Covid-19 patients who died had a higher NLR than those who survived [10.88 (4.17–47.50, IQR 7.00–15.17) vs 6.15 (2.80–97.00, IQR 4.63–8.50), p 0.02]. Patients with moderate-severe symptoms had an initial NLR of 4.63–8.50 and decreased to 2.75–5.43 at the end of the treatment had a greater chance of survival. There was an increased probability of death in patients with moderate-severe symptoms whose initial NLR was 7.00–15.17, which was then elevated to 14.33–23.25.Conclusion: Different NLR at admission is seen among Covid-19 patients with mild and moderate-severe symptoms, leading to significantly different outcomes. The NLR can be used as a simple parameter to determine the severity of the disease and predict the outcome of Covid-19 patients.
{"title":"Neutrophil-to-Lymphocyte Ratio and Covid-19 Symptom-based Severity at Admission","authors":"M. Fuad, A. Oehadian, D. Prihatni, M. Marthoenis","doi":"10.15850/AMJ.V8N1.2255","DOIUrl":"https://doi.org/10.15850/AMJ.V8N1.2255","url":null,"abstract":"Background: Increased Neutrophil-to-Lymphocyte Ratio (NLR) is an independent risk factor for mortality in Covid-19 patients and is considered as an early warning sign of Covid-19 severity. This study aimed to observe the differences in NLR at admission between patients with mild, moderate, and severe symptoms of Covid-19 treated in a referral hospital in Banda Aceh, Indonesia.Methods: A total of 114 patients with Covid-19 admitted to a referral hospital in Banda Aceh, Indonesia, during March–September 2020 were included in this study. Demographic information and baseline laboratory data, including the NLR, were collected. Descriptive and inferential statistics were used to analyze the data. Results: The median NLR at admission was higher among patients with moderate to severe symptoms than those with mild symptoms [6.54 (2.80–97.00, IQR 4.81–9.44) vs 2.27 (0.79–5.07, IQR 1.43-2.98), p <0.001]. Covid-19 patients who died had a higher NLR than those who survived [10.88 (4.17–47.50, IQR 7.00–15.17) vs 6.15 (2.80–97.00, IQR 4.63–8.50), p 0.02]. Patients with moderate-severe symptoms had an initial NLR of 4.63–8.50 and decreased to 2.75–5.43 at the end of the treatment had a greater chance of survival. There was an increased probability of death in patients with moderate-severe symptoms whose initial NLR was 7.00–15.17, which was then elevated to 14.33–23.25.Conclusion: Different NLR at admission is seen among Covid-19 patients with mild and moderate-severe symptoms, leading to significantly different outcomes. The NLR can be used as a simple parameter to determine the severity of the disease and predict the outcome of Covid-19 patients.","PeriodicalId":31310,"journal":{"name":"Althea Medical Journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43453288","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}
京公网安备 11010802042870号
京ICP备2023020795号-1
扫码关注我们
求助内容：
应助结果提醒方式：