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Correlation of Body Mass Index and Health to Quality of Life among Medical Undergraduates Supramaniyam, Sivanesan; Firmansah, Abdullah; Sungkar, Ellyana
Althea Medical Journal Vol 2, No 1 (2015)
Publisher : Althea Medical Journal

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (676.893 KB)

Â Â Background: Overweight and obesity play a major role in an individualâs Health with Quality of Life (HRQOL). Several studies reported that there are differences between the results in different communities since HRQOL score in relation to BMI is sensitive to specific communities. The aim of this study was to investigate the relationship between the Body Mass Index (BMI) and Health with Quality of Life among the Medical Undergraduates of Universitas Padjadjaran, BandungÂ Â Methods: This study was an analytical cross-sectional study conducted from September to November 2012 in Faculty of Medicine Universitas Padjadjaran. A total of 280 respondents aged 16-30 were selected from the of 2009, 2010 2011 and 2012 classes of medical undergraduates after a thorough BMI screening. The overweight and obese subjects were selected using total sampling method, while subjects withÂ normal BMI were sampled using simple random sampling. The subjects were asked to fill up Short Form 36 questionnaires. The correlation was assessed using Spearman`s Correlation test and the difference between the groups were analyzed using Kruskal-Wallis test.Â Results: Of the 260 respondents, there was a weak correlation between the BMI and total health with the quality of life of the undergraduates (rho = -0.173). Among the eight scales used, there was no correlation shown in three scales, namely body pain, social function, and mental health,Â in any of the groups.Â Conclusion: Increased body mass index impairs the health-related quality of life of the respondents, except in scales such as body pain, social function, and mental health.Keywords: Body mass index, health related to quality of life, Short Form 36Â DOI: 10.15850/amj.v2n1.424Â

Mucocutaneous Manifestation of Systemic Lupus Erythematosus Patients At Rheumatology Outpatient Clinic In Dr. Hasan Sadikin General Hospital Veimern, Chin Annsha; Sungkar, Ellyana; Dharmadji, Hartati Purbo; Hamijoyo, Laniyati
Indonesian Journal of Rheumatology Vol 9, No 1 (2017)
Publisher : Indonesian Rheumatology Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1767.185 KB)

Background: Systemic Lupus Erythematosus (SLE) is an autoimmune systemic disease which symptoms induced by Ultraviolet rays exposure. It commonly affects women and causes wide range of symptoms. One of the organs affected is mucocutaneous. Our study aims to determine mucocutaneous manifestations of SLE patients in Rheumatology Outpatient Clinic in Dr.Hasan Sadikin General Hospital, Bandung.Methods: A descriptive study with prospective crosssectional design conducted. Data were obtained by interviewing SLE patients as primary data and accessing medical record as secondary data. Ninety-six SLE patients met the inclusion and exclusion criteria wereincluded.Results: From ninety-six subjects, 94.8% subjects are working indoors. Mucocutaneous manifestation were found in most patients. Based on American College of Rheumatology (ACR) criteria, we found mucocutaneous manifestations, such as: oral ulcers in 67 patients(69.8%); malar rash in 63 patients (65.6%); photosensitivity rash in 51 patients (53.1%), and discoid rash erythematous in 21 patients (21.9%). Specific SLE cutanoeus manifestation based on Gilliam classification were found in our study subjects, such as papulosquamous/ psoriasisform (19.5%) , morbilliform (17.7%), vesicobullous annular SCLE (13.5%), annular SCLE (6.3%), and TEN-like LE (1%). Non-specific LE cutaneousmanifestations based on Gilliam classification were also found in our study subjects, such as oral ulcers (69.8%), photosensitivity rash (53.1%), alopecia (86.5%), Raynaudâs Phenomenon (39.6%), nail abnormalities (24.0%), periungual telangiectasia patients (13.5%), vasculitic lesions (12.5%), thrombophlebitis (44.8%), bullous lesion (5.2%) and erythema multiforme (5.2%).Conclusion: Mucocutaneous manifestations in SLE patients based on ACR criteria found most in this study is oral ulcers. Based on Gilliam classification specific LE cutanoeus manifestation was not found in all SLE patients, while non-specific LE mucocutaneous manifestations mostly found is alopecia. Keywords: American College of Rheumatology (ACR) criteria, Gilliam classification, Mucocutaneous manifestations, Systemic Lupus Erythematosus

Effects of Core Strength Training Using Stable Versus Unstable Surfaces on Lower Body Quality in 8th Grade Male and Female Students in a Junior High School in Bandung Dwidarti, Sitti Juhana; Prabowo, Tertianto; Sungkar, Ellyana
International Journal of Integrated Health Sciences Vol 6, No 1 (2018)
Publisher : International Journal of Integrated Health Sciences

Objective:Â To investigate the effects of core strength training performed on stable (CSTS) compared to unstable surfaces (CSTU) on physical fitness in school-aged boys and girls.Methods:Â In this study, 72 (36 males, 36 females) untrained healthy subjects (mean age: 14Â±1 years, age range: 13â€“15 years) were randomly assigned to a CSTS group for stable surface (n = 36; 18 males and 18 females) or a CSTU group for unstable surface (n = 36; 18 males and 18 females). Core strength training performed on stable as compared to unstable surfaces were assessed on pre- and post-tests. Training period lasted 6 weeks (2 sessions/week). The components of physical fitness were assessed using standing long jump test,Â stand-and-reachÂ test,Â 20-mÂ sprintÂ test, jumpingÂ sideway test, and y balanceÂ test. Â Â Results:Â This study showed significant results in increased components of physical fitness in both CSTS and CSTU groups (p<0.05). The increase of physical fitness for CSTU was better than CSTS (p<0.05). There were differences of physical fitness between gender in both groups (p<0.05) except for stand-and-reach test (p>0.05).Conclusion:Â Core strength training performed on unstable and stable surfaces increases all components of physical fitness in youths. Core strength training performed on unstable surface can better improve the physical fitness compared to the stable surface. There were differences of physical fitness between gender in both groups except for stand-and-reach test.Keywords: Resistance training, physical fitness, genderÂ DOI:Â 10.15850/ijihs.v6n1.1050

Correlation of Thorax Expansion with Heart Rate and Blood Pressure in School-Aged Children Pipit Wandini; Ellyana Sungkar; M. Rizki Akbar
Indonesian Journal of Physical Medicine & Rehabilitation Vol 5 No 01 (2016): Indonesian Journal Of Physical Medicine and Rehabilitation
Publisher : Indonesian Journal of Physical Medicine & Rehabilitation

Background: Thorax expansion used to measure respiratory function. Data of thorax expansion for healthychildren is still limited. Thorax expansion is caused by breathing. This influences cardiovascular functionbecause anatomically the heart is located within the thorax cavity. The aim of this study is to determine themeasurement of thorax expansion using the measurement tape method. Factors influencing thorax expansionare sex and age; and correlates with heart rate and blood pressure in school age children.Methods: Ninety-six children were included in this study both male and female and were aged 6 to 15years. They were in Elementary School and Junior High School in Jatinangor. The study were conductedfrom September-November 2013 by adopting a random selection cross sectional method. The examinationsperformed after written informed consent and questionnaire form from their parents.Results: The results showed that upper thorax has lower mean expansion than middle and lower thoraxexpansion respectively (2.96±0.64cm; 3.82±1.04cm; 5.01±1.15cm). There was significant difference betweengroups of age (p<0.05). This study also found that there was a correlation between the upper and middle thoraxexpansion with the heart rate (r=0.35; p=0.001, and r=0.32; p=0.002).Conclusions: The mean of thorax expansion at upper, middle and lower respectively (2.96±0.64cm;3.82±1.04cm; 5.01±1.15cm) are influenced by age and has correlation with heart rate.Keywords: blood pressure, heart rate, school-aged children, thorax expansion.

Correlation of Thorax Expansion with Heart Rate and Blood Pressure in School-Aged Children Pipit Wandini; Ellyana Sungkar; M. Rizki Akbar
Indonesian Journal of Physical Medicine & Rehabilitation Vol 5 No 01 (2016): Indonesian Journal Of Physical Medicine and Rehabilitation
Publisher : Indonesian Journal of Physical Medicine & Rehabilitation

Background: Thorax expansion used to measure respiratory function. Data of thorax expansion for healthychildren is still limited. Thorax expansion is caused by breathing. This influences cardiovascular functionbecause anatomically the heart is located within the thorax cavity. The aim of this study is to determine themeasurement of thorax expansion using the measurement tape method. Factors influencing thorax expansionare sex and age; and correlates with heart rate and blood pressure in school age children.Methods: Ninety-six children were included in this study both male and female and were aged 6 to 15years. They were in Elementary School and Junior High School in Jatinangor. The study were conductedfrom September-November 2013 by adopting a random selection cross sectional method. The examinationsperformed after written informed consent and questionnaire form from their parents.Results: The results showed that upper thorax has lower mean expansion than middle and lower thoraxexpansion respectively (2.96±0.64cm; 3.82±1.04cm; 5.01±1.15cm). There was significant difference betweengroups of age (p<0.05). This study also found that there was a correlation between the upper and middle thoraxexpansion with the heart rate (r=0.35; p=0.001, and r=0.32; p=0.002).Conclusions: The mean of thorax expansion at upper, middle and lower respectively (2.96±0.64cm;3.82±1.04cm; 5.01±1.15cm) are influenced by age and has correlation with heart rate.Keywords: blood pressure, heart rate, school-aged children, thorax expansion.

Cerebral Palsy Parents’ Knowledge, Attitude, and Behavior at Dr. Hasan Sadikin General Hospital Bandung 2014 Maria Christina Shycha Moenardi; Ellyana Sungkar; Dewi Hawani
Althea Medical Journal Vol 7, No 2 (2020)
Publisher : Faculty of Medicine Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15850/amj.v7n2.1790

Background: Cerebral palsy (CP) as a non-progressive syndrome of motor function and posture disturbance is caused by the abnormality or damage on the brain during its development. Children with CP usually have motor, sensory, communication, and intellectual disturbances. Medical rehabilitation is important; however, the environmental aspect is also crucial for their development. Parents as their caregivers may have good knowledge to assist their children during rehabilitation. This study aimed to explore the knowledge, attitude, and behavior among parents with CP children.Methods: This study was descriptive quantitative study and conducted at the Physical Medicine and Rehabilitation Clinic of Dr. Hasan Sadikin General Hospital Bandung during September to October 2014. Parents of CP children were asked to complete a questionnaire that was specifically designed for this study after their consent was obtained.Results: From a total of 31 parents, 51.6% had good knowledge about CP; 58.1% had good attitude toward CP children, and 51.6% had good behavior while taking care of their children.Conclusions: The majority of parents with CP children have good knowledge, attitude, and behavior towards CP children. The knowledge of risk factors of cerebral palsy are poor, therefore, it is necessary for doctors and therapists to provide more education sessions on the risk factors and other related topics about cerebral palsy.

Profile of Nutritional Status and Nutrient Intake among Children with Cerebral Palsy in Dr. Hasan Sadikin General Hospital Bandung Zahra Fitrianti; Ellyana Sungkar; Lola Ilona Hamied
Althea Medical Journal Vol 6, No 3 (2019)
Publisher : Faculty of Medicine Universitas Padjadjaran

Background: Children with Cerebral Palsy have abnormalities in the motoric function that cause feeding problems and higher energy requirements compared to normal children. These problems put the patients at risk of getting inadequate nutrient intake, leading to malnutrition and thus affecting the health outcomes. This study aimed to explore the nutritional status and nutrient intake among children with Cerebral Palsy.Methods: Children with Cerebral Palsy who came for a rehabilitation program in the Department of Physical Medicine and Rehabilitation Dr. Hasan Sadikin General Hospital Bandung were recruited from September–October 2014. Descriptive quantitative study design was performed. Nutritional status was determined by body weight and body height or length if the children could not stand upright to calculate Z-scoreBMI-for-age and Length/Height-for-age according to WHO. Undernutrition was determined when Z-score≤ -2; stunting was designated as height below the average of their age; whereas wasting as a weight. A repeated 24 hours of food recall was used to measure nutrient intake.Results: There were 18 children with Cerebral Palsy, consisting of boys (n=7) and girls (n=11). Only 33.3% of patients had good nutritional status, the others (n12; 67.7%) were under nutrition; of whom stunting (n7) was found, followed by wasting (n3) and both stunting and wasting (n2). These under nutrition patients had predominantly a lower energy and carbohydrate intake.Conclusions: Most of the Cerebral Palsy children are in under nutrition status due to a low energy and carbohydrate intake, therefore, special attention in mother education for the food pattern of their children needs to be raised.

Correlation of Body Mass Index and Health to Quality of Life among Medical Undergraduates Sivanesan Supramaniyam; Abdullah Firmansah; Ellyana Sungkar
Althea Medical Journal Vol 2, No 1 (2015)
Publisher : Faculty of Medicine Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (676.893 KB)

Background: Overweight and obesity play a major role in an individual’s Health with Quality of Life (HRQOL). Several studies reported that there are differences between the results in different communities since HRQOL score in relation to BMI is sensitive to specific communities. The aim of this study was to investigate the relationship between the Body Mass Index (BMI) and Health with Quality of Life among the Medical Undergraduates of Universitas Padjadjaran, Bandung Methods: This study was an analytical cross-sectional study conducted from September to November 2012 in Faculty of Medicine Universitas Padjadjaran. A total of 280 respondents aged 16-30 were selected from the of 2009, 2010 2011 and 2012 classes of medical undergraduates after a thorough BMI screening. The overweight and obese subjects were selected using total sampling method, while subjects with normal BMI were sampled using simple random sampling. The subjects were asked to fill up Short Form 36 questionnaires. The correlation was assessed using Spearman`s Correlation test and the difference between the groups were analyzed using Kruskal-Wallis test. Results: Of the 260 respondents, there was a weak correlation between the BMI and total health with the quality of life of the undergraduates (rho = -0.173). Among the eight scales used, there was no correlation shown in three scales, namely body pain, social function, and mental health, in any of the groups. Conclusion: Increased body mass index impairs the health-related quality of life of the respondents, except in scales such as body pain, social function, and mental health.Keywords: Body mass index, health related to quality of life, Short Form 36 DOI: 10.15850/amj.v2n1.424

Quality of Life in Thalassemia Major Patients: Reliability and Validity of Indonesian Version of TranQol Questionnaire Billy Ng Setiawan Rachmat Poengoet; Ellyana Sungkar; Tri Damiati Pandji
International Journal of Integrated Health Sciences Vol 5, No 2 (2017)
Publisher : Faculty of Medicine Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (512.355 KB)

Objective: To determine the validity and reliability of TranQol questionnaire that has been translated into Indonesian to be used in Indonesian thalassemia major patients. The quality of life problems among these patients can be detected earlier because TranQol is more precise compared to the Pediatric Quality of Life Inventory (PedsQLTM), World Health Organization Quality of Life Instruments (WHOQOL), and SF-36 Questionaire.Methods: This study was conducted in Bandung, Indonesia from October 2015 to March 2016 and used a standard “forward-backward” translation procedure. It involved 60 adults and 73 children who are thalassemia major patients, and 71 parents of patients in Dr. Hasan Sadikin General Hospital. TranQol was processed through forward and backward translation approach and evaluation was conducted by the TranQol author. After the translation process, a cognitive debriefing was performed and the translated TranQol was tested to all subjects.Results: Cronbach’s alpha >0.7 was used for all TranQol categories. Front validity and content validity testing was performed. The internal validity results showed that some questions were not valid.Conclusions: TranQol reliability in Indonesian language for every category is good. Validity for TranQol in Indonesian language shows that the translated TranQol is not quite suitable that it still cannot be used. Keywords: TranQol Indonesia, validity Indonesia, reliability Indonesia DOI: 10.15850/ijihs.v5n2.1011

Mucocutaneous Manifestation of Systemic Lupus Erythematosus Patients At Rheumatology Outpatient Clinic In Dr. Hasan Sadikin General Hospital Chin Annsha Veimern; Ellyana Sungkar; Hartati Purbo Dharmadji; Laniyati Hamijoyo
Indonesian Journal of Rheumatology Vol. 9 No. 1 (2017): Indonesian Journal of Rheumatology
Publisher : Indonesian Rheumatology Association

Background: Systemic Lupus Erythematosus (SLE) is an autoimmune systemic disease which symptoms induced by Ultraviolet rays exposure. It commonly affects women and causes wide range of symptoms. One of the organs affected is mucocutaneous. Our study aims to determine mucocutaneous manifestations of SLE patients in Rheumatology Outpatient Clinic in Dr.Hasan Sadikin General Hospital, Bandung.Methods: A descriptive study with prospective crosssectional design conducted. Data were obtained by interviewing SLE patients as primary data and accessing medical record as secondary data. Ninety-six SLE patients met the inclusion and exclusion criteria wereincluded.Results: From ninety-six subjects, 94.8% subjects are working indoors. Mucocutaneous manifestation were found in most patients. Based on American College of Rheumatology (ACR) criteria, we found mucocutaneous manifestations, such as: oral ulcers in 67 patients(69.8%); malar rash in 63 patients (65.6%); photosensitivity rash in 51 patients (53.1%), and discoid rash erythematous in 21 patients (21.9%). Specific SLE cutanoeus manifestation based on Gilliam classification were found in our study subjects, such as papulosquamous/ psoriasisform (19.5%) , morbilliform (17.7%), vesicobullous annular SCLE (13.5%), annular SCLE (6.3%), and TEN-like LE (1%). Non-specific LE cutaneousmanifestations based on Gilliam classification were also found in our study subjects, such as oral ulcers (69.8%), photosensitivity rash (53.1%), alopecia (86.5%), Raynaudâ€™s Phenomenon (39.6%), nail abnormalities (24.0%), periungual telangiectasia patients (13.5%), vasculitic lesions (12.5%), thrombophlebitis (44.8%), bullous lesion (5.2%) and erythema multiforme (5.2%).Conclusion: Mucocutaneous manifestations in SLE patients based on ACR criteria found most in this study is oral ulcers. Based on Gilliam classification specific LE cutanoeus manifestation was not found in all SLE patients, while non-specific LE mucocutaneous manifestations mostly found is alopecia. Keywords: American College of Rheumatology (ACR) criteria, Gilliam classification, Mucocutaneous manifestations, Systemic Lupus Erythematosus

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