{"title":"Factors Affecting Caesarean Labor in RSUD Lembang in 2017","authors":"R. A. B. Pratiwi, R. Gunanegara, July Ivone","doi":"10.28932/jmh.v2i3.1223","DOIUrl":"https://doi.org/10.28932/jmh.v2i3.1223","url":null,"abstract":"Indonesian Maternal Mortality Ratio (MMR) based on the Survei Demografi Kesehatan Indonesia (SDKI) in 2012 is 356/100.000 live birth whereas the target of Sustainable Development Goals (SDG’s 70/100,000 live birth by 2030. A decent labor assistance in both vaginal and sectio caesarean labor is necessary in reducing MMR. This study aimed to analyze the relationship between maternal age, parity and payment method with labor through caesarean section. This is an observational analytic study using cross sectional design. The data was obtained through secondary data from medical record. During 2017 there were 183 caesarean sections in RSUD Lembang as our research location. The data was analyzed univariately and bivariately by using Chi Square test (?=0.05). The results shows that factors associated with caesarean labor are maternal age (p=0.032; OR=4.617), parity (p=0.035; OR=4.442) and payment method (p=0.036; OR=4.417). It can be concluded that maternal age, parity and payment method affect caesarean labor. \u0000 \u0000Keywords: caesarean labor, caesarean section, age, parity, payment method","PeriodicalId":73197,"journal":{"name":"Hawai'i journal of medicine & public health : a journal of Asia Pacific Medicine & Public Health","volume":"61 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84542575","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":"Clinical Profile of Stroke Patients with Vertigo in Hasan Sadikin General Hospital Bandung Neurology Ward","authors":"A. Khansa, A. Cahyani, L. Amalia","doi":"10.28932/jmh.v2i3.1225","DOIUrl":"https://doi.org/10.28932/jmh.v2i3.1225","url":null,"abstract":" Vertigo often occurs from the ages of 18 to 79 years with a prevalence of 7.4%. Central vertigo is less common than peripheral vertigo, but it can worsen disability in stroke patients. This study aims to determine the profile of stroke patients with vertigo in Hasan Sadikin General Hospital Bandung Neurology Ward. This is a retrospective descriptive study, using medical record data from 2013 to 2017, and collected 173 medical record data. The results showed that most stroke patients with vertigo were women (59%), the most age group was 55-64 years (34.1%), the most common type of stroke was ischemic stroke (75.7%), the most disturbance regarding the vertebrobasilar system was (72.8%), the most patients got the first stroke was (52.6%), 60.7% of patients suffered from hypertension, 23.1% of patients suffered from hyperlipidemia 40 (23.1%), and 22% of patients suffered from diabetes mellitus type 2. This study concludes that stroke patients who experience vertigo are more common in women, and in the 55-64 year age group. The most common stroke is ischemic in the vertebrobasilar system. Most symptoms in stroke patients with vertigo are dizziness not affected by position, vomiting and nystagmus. Hypertension, hyperlipidemia and diabetes mellitus play an important role in the incidence of stroke in patients. \u0000 \u0000Keywords: vertigo, risk factor, stroke, vertebrobasilar","PeriodicalId":73197,"journal":{"name":"Hawai'i journal of medicine & public health : a journal of Asia Pacific Medicine & Public Health","volume":"72 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84047562","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":"Outcome Predictors in Patient with Traumatic Intracerebral Hemorrhage in Hasan Sadikin General Hospital Bandung","authors":"Tara M Mulyawan, M. Arifin, F. P. Tjahjono","doi":"10.28932/JMH.V2I3.1231","DOIUrl":"https://doi.org/10.28932/JMH.V2I3.1231","url":null,"abstract":"Predictions about patient outcomes can help doctors make decisions. Intracerebral hemorrhage acccompanied by brain injury can increase mortality but specific studies on outcomes of patients with traumatic intracerebral hemorrhage are still rare. The purpose of this study was to determine the factors that influence the outcome of traumatic intracerebral hemorrhage patients in the RSHS period from January to December 2017. This is an observational study with cross sectional method, categorical comparative analytic. The study involved 60 traumatic intracerebral hemorrhages aged ? 15 years who were hospitalized in RSHS. The data was analyzed univariately and bivariately using Chi Square statistical test, Eta correlation test and contingency coefficient. The results showed age (p = 0.003), GCS scores assessed at admission (p <0.001), and the presence or absence of other brain hemorrhages (p = 0.050) significantly affected the patient's outcome. Gender (p = 0.932), mechanism of injury (p = 0.739), and pupillary response (p = 0.056) did not affect the outcome significantly. In conclusion, the factors that influence the outcome of traumatic intracerebral hemorrhage patients are age, GCS score, and presence or absence of other brain hemorrhages. \u0000 \u0000Keywords: intracerebral hemorrhage, trauma, predictors, outcome","PeriodicalId":73197,"journal":{"name":"Hawai'i journal of medicine & public health : a journal of Asia Pacific Medicine & Public Health","volume":"44 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90783424","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":"Clinical Profile of TB in Children at Pediatric Outpatient Clinic Hasan Sadikin Hospital Bandung 2016","authors":"F. N. Soekotjo, Sri Sudarwati, A. Alam","doi":"10.28932/JMH.V2I3.1221","DOIUrl":"https://doi.org/10.28932/JMH.V2I3.1221","url":null,"abstract":"The diagnosis process of TB in children is complicated. Bacteriological exam is needed to establish diagnosis, but it is not possible to be done in children. Clinical symptoms are the main criteria for TB diagnosis in children. This study aimed to provide clinical profile of TB in children and was conducted using descriptive design. The data was taken from medical record of children with TB at RSHS pediatric outpatient clinic from January 2016 to December 2016. We collected 104 subjects using simple random sampling method. We found out that 64 subjects (61.54%) was diagnosed as lung TB and 40 (38.46%) with extra-pulmonary TB. Contact with the source of transmission was found in 33 patients (60%). We found that clinical symptoms of the subjects were fever 2 weeks (62.5%), weight increase difficulty (49%), lymphnode enlargement (36.5%), cough >= 2 weeks (14.4%), chest tightness (7.7%), bone swelling (4%), and night sweats (2%). We concluded that clinical symptoms that are found mostly in children with TB are fever >= 2 weeks, weight increase difficulty, lymphnode enlargement, cough >= 2 week, chest tightness, bony swelling, and night sweats. \u0000 \u0000 \u0000Keywords: clinical profile, tuberculosis, TB infection in children","PeriodicalId":73197,"journal":{"name":"Hawai'i journal of medicine & public health : a journal of Asia Pacific Medicine & Public Health","volume":"57 1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74634269","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":"The Detection of Pathogenic Fungi on Prayer Rugs of The Mosques at Jatinangor Campus of Universitas Padjadjaran","authors":"Faturrachman Faturrachman, Yanti Mulyana","doi":"10.28932/JMH.V2I3.1220","DOIUrl":"https://doi.org/10.28932/JMH.V2I3.1220","url":null,"abstract":"Fungus easily grows in the plateau area with warm moist air. The fungus can enter and contaminate mosque rooms, especially on the surface of prayer rugs. If pathogenic fungi grow on prayer rugs, they can increase the health risk of those who come into contact with them. This research aimed to detect and identify pathogenic fungi on prayer rugs of the mosques in Jatinangor campus of Universitas Padjadjaran using laboratoric descriptive method. The data was collected by sampling of dust from the surface of prayer rugs, fungal culturing and mold identification. The existence of pathogenic fungi has been investigated and observed in twenty-eight samples of thirty mosques using simple random sampling. Sabouraud Dextrose Agar was the chosen medium to grow pathogenic fungi. We found fungal growth in all samples with a total of 8 fungal species (Alternaria spp, Aspergillus spp, Candida spp, Fonsecaea spp, Mucor spp, Penicillium spp, Rhizopus spp, Rhodotorula spp) which are opportunistic fungi; however, no pathogenic fungi were found.Keywords : pathogenic fungi, prayer rugs, fungus, Aspergillus spp., Candida spp.","PeriodicalId":73197,"journal":{"name":"Hawai'i journal of medicine & public health : a journal of Asia Pacific Medicine & Public Health","volume":"13 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91382226","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":"The Influence of Obesity on Blood Pressure in Early Adulthood and Middle Adulthood Males","authors":"M. A. Eusman, H. Ratnawati, M. Elisabeth","doi":"10.28932/JMH.V2I3.1222","DOIUrl":"https://doi.org/10.28932/JMH.V2I3.1222","url":null,"abstract":"Hypertension is commonly found in obesity patients. Age affects the occurrence of hypertension. The aim of this study is to determine the effect of obesity on blood pressure levels in early adulthood males (<35 years) and middle adulthood males (?35 years). This is an observational analytic study using data from medical check-up records of male adult office workers in Bandung. The data was analyzed with Mann-Whitney test (? = 0.05) and Chi-Square to find the odds ratio (OR). The results showed that out of 110 data in medical records, there were 79 (71.82%) obese and 31 (28.18%) non-obese. In early adulthood males (<35 years) there is no significant difference between non-obese with obese in systolic blood pressure (p=0.779) and diastolic blood pressure (p=0.779). In middle adulthood males (?35 years) there was a highly significant difference between non-obese with obese on systolic blood pressure (p=0.001) and diastolic blood pressure (p=0.003). There was a significant relationship between obesity and hypertension (p=0.048) with OR=3.73. In conclusion, in early adulthood males (<35 years) obese does not have an effect on the development of hypertension, while in middle adulthood males, obesity increases the risk of developing hypertension by 3.73 times. \u0000 \u0000 \u0000Keywords: obesity, blood pressure, early adulthood males, middle adulthood males","PeriodicalId":73197,"journal":{"name":"Hawai'i journal of medicine & public health : a journal of Asia Pacific Medicine & Public Health","volume":"27 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81033661","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":"Hawai'i Journal Watch: Highlights of recent research from the University of Hawai'i and the Hawai'i State Department of Health.","authors":"Karen Rowan","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":73197,"journal":{"name":"Hawai'i journal of medicine & public health : a journal of Asia Pacific Medicine & Public Health","volume":"78 2","pages":"77"},"PeriodicalIF":0.0,"publicationDate":"2019-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6369887/pdf/hjmph7802_0077.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36954707","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Lola H Irvin, Lila Johnson, Jessica Yamauchi, Joshua R Holmes, Lance K Ching, Ranjani R Starr, Catherine M Pirkle, Tetine L Sentell
{"title":"Insights in Public Health: Formative Factors for a Statewide Tobacco Control Advocacy Infrastructure: Insights from Hawai'i.","authors":"Lola H Irvin, Lila Johnson, Jessica Yamauchi, Joshua R Holmes, Lance K Ching, Ranjani R Starr, Catherine M Pirkle, Tetine L Sentell","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Hawai'i has comprehensive statewide tobacco control policies and was the first US state to raise the minimum age of sale, purchase, and possession of tobacco products to age 21 (\"Tobacco 21\") in a policy including not just cigarettes, but also electronic smoking devices and other tobacco products. This insights article provides strategic thinking about tobacco control advocacy planning. Specifically, we identify formative factors critical to building and sustaining our cross-sector, statewide advocacy infrastructure that has been able to address many ongoing challenges of tobacco-use prevention and control over time. This can provide new insights for other large-scale tobacco-control advocacy efforts.</p>","PeriodicalId":73197,"journal":{"name":"Hawai'i journal of medicine & public health : a journal of Asia Pacific Medicine & Public Health","volume":"78 2","pages":"66-70"},"PeriodicalIF":0.0,"publicationDate":"2019-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6369892/pdf/hjmph7802_0066.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36954705","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ashley Marumoto, Susan Steinemann, Nancy Furumoto, Stacey Woodruff
{"title":"An Uncommon Pairing of common Tumors: Case Report of Ductal Carcinoma <i>in situ</i> Within Fibroadenoma.","authors":"Ashley Marumoto, Susan Steinemann, Nancy Furumoto, Stacey Woodruff","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Fibroadenomas are common benign tumors of the female breast. In the appropriate clinical setting, they are often managed expectantly without excision. Rarely, cancer may arise within a fibroadenoma, and this diagnosis mandates prompt treatment for malignancy. We present the case of a 70-year-old Samoan woman with ductal carcinoma in situ (DCIS) arising within a fibroadenoma. Health care practitioners should be aware of the possibility, particularly in older women, of finding carcinoma within a fibroadenoma, which informs the rationale for prompt surgical evaluation and follow up of all breast masses.</p>","PeriodicalId":73197,"journal":{"name":"Hawai'i journal of medicine & public health : a journal of Asia Pacific Medicine & Public Health","volume":"78 2","pages":"39-43"},"PeriodicalIF":0.0,"publicationDate":"2019-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6369888/pdf/hjmph7802_0039.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36956110","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Holly Felix, Marie-Rachelle Narcisse, Brett Rowland, Christopher R Long, Zoran Bursac, Pearl A McElfish
{"title":"Level of Recommended Heart Attack Knowledge among Native Hawaiian and Pacific Islander Adults in the United States.","authors":"Holly Felix, Marie-Rachelle Narcisse, Brett Rowland, Christopher R Long, Zoran Bursac, Pearl A McElfish","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>In this report we examine the level of knowledge about heart attack symptoms and what action to take if a heart attack is suspected among Native Hawaiian and Pacific Islander (NHPI) adults in the United States using data from the 2014 NHPI-National Health Interview Survey. Analyses include summary statistics to describe levels of heart attack knowledge and multivariate logistic regression to identify characteristics associated with having the recommended heart attack knowledge. Less than half (44.4%) of NHPI adults have the recommended heart attack knowledge. Significant differences in knowledge levels were found based on age; those aged 45-64 years and those aged 65 years and older were 68% and 78% more likely, respectively, to have the recommended heart attack knowledge compared those aged younger than 45 years. The level of recommended heart attack knowledge among NHPI is lower than that of the general population. Improving the heart attack knowledge of all Americans should continue to be a national priority, but efforts to target this group for heart attack knowledge improvement should be made given their high risk for heart attack.</p>","PeriodicalId":73197,"journal":{"name":"Hawai'i journal of medicine & public health : a journal of Asia Pacific Medicine & Public Health","volume":"78 2","pages":"61-65"},"PeriodicalIF":0.0,"publicationDate":"2019-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6369889/pdf/hjmph7802_0061.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36954704","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}