Garuda - Garba Rujukan Digital

Cardiovascular Risk Profile in Health Cadres in Jatinangor, West Java Badai Bhatara Tiksnadi; Rien Afrianti; Yulia Sofiatin; Arif Ridha; Faris Yuflih Fihaya; Rully M. A. Roesli; Mohammad Rizki Akbar
Althea Medical Journal Vol 6, No 2 (2019)
Publisher : Faculty of Medicine Universitas Padjadjaran

Background: Cardiovascular disease has very high morbidity and mortality, therefore, prevention of this disease becomes a national priority in the health programs. Health cadres, as an agent in community primary prevention, should have a good health condition. This study aimed to describe the cardiovascular risk profile in health cadresin Jatinangor, West Java.Methods: This was a cross-sectional study, conducted in Cilayung Village, Jatinangor, in September 2018. Consecutive sampling was performed on 20 health cadres aged 25 - 64 years old who did not have previous cardiovascular events such as coronary heart disease or stroke. Clinical data were collected consisting of blood pressure, body mass index (BMI), random blood glucose, history of diabetes mellitus, physical activity and active smoking habits. Cardiovascular risk was assessed using Jakarta cardiovascular scores and European Relative Risk Score.Results: Only 17 of 20 health cadres fulfilled the inclusion criteria with a systolic and diastolic blood pressure of 133.5±27.8 mmHg and 81.1±14.8 mmHg, respectively, and BMI of 27.4±5.3 kg/m2.The risk of cardiovascular disease in healthy cadres was at low (47.1%), moderate (41.2%) and high risk (11.7%). The average of the European Relative Risk score was 1.88±0.9. BMI >30 has a 40% high risk of cardiovascular disease.Conclusions: Most of the health cadres in Jatinangor, West Java have a low and moderate risk of cardiovascular disease, even though there is a small percentage that is at a high risk. The awareness for prevention and management programs for risk factors needs to be raised among health cadres. .

ASSOCIATION BETWEEN BODY MASS INDEX AND CARDIORESPIRATORY FITNESS AMONG PATIENTS UNDERGOING CARDIAC STRESS TEST IN DR HASAN SADIKIN GENERAL HOSPITAL BANDUNG Grace Octania; Mohammad Rizki Akbar; Sofiati Dian
JURNAL ILMU FAAL OLAHRAGA INDONESIA Vol 4, No 1 (2021)
Publisher : PAIFORI

Body mass index (BMI) and cardiorespiratory fitness are considered risk factors for cardiovascular disease. Chronic inflammation associated with adiposity as well as the hemodynamic changes that occur when there is an increase in BMI suggests a possible association between BMI and cardiorespiratory fitness. This study aims to analyze the relationship between BMI and cardiorespiratory fitness. A cross-sectional study was conducted using weighted cardiac training test results for the period January 1st, 2014 to December 31, 2019, from the Non-Invasive Diagnostic Division, the Department of Cardiology and Vascular Medicine, Dr. Hasan Sadikin Bandung. Subjects included in the study were those who achieved the maximum estimated heart rate based on age or less than 10 beats per minute, and/or the exercise test was stopped due to fatigue with a Borg 17 scale. Patients with multiple conditions were excluded from the study (taking beta-blockers, having a history of heart failure and diabetes mellitus, currently undergoing cardiac rehabilitation), along with patients with incomplete data. The maximum oxygen consumption in the form of the metabolic equivalent of tasks (METs) was estimated based on the speed and inclination of the stage reached during the treadmill training test using the Bruce protocol. The percentage of fitness is obtained by comparing the METs achieved with the estimated maximum METs based on age and gender. The relationship between BMI and percentage of fitness was analyzed using the Pearson correlation test. The total number of subjects included in the study was 51 subjects. The mean BMI of the subjects was 25.65 ± 3.22 kg / m2. The mean fitness percentage was 107.29 ± 23.89. Analysis of the relationship between BMI and fitness showed a negative but insignificant relationship (r = -0.135, p = 0.345). An increase in body mass index has a tendency to be associated with a decrease in cardiorespiratory fitness.

Korelasi antara Kadar Testosteron dan Proses Remodeling Ventrikel Kiri pada Penderita Infark Miokardium Akut Mohammad Rizki Akbar; Tri Hanggono Achmad; Ieva B. Akbar; Budhi Setianto Purwowiyoto
Global Medical & Health Communication (GMHC) Vol 4, No 2 (2016)
Publisher : Universitas Islam Bandung

Infark miokardium akut merupakan penyebab utama kematian di dunia. Perbedaan jenis kelamin berperan terhadap mortalitas jangka panjang pascainfark miokardium yang menunjukkan gambaran pola fisiologi regenerasi miokardium yang spesifik. Kematian setelah infark miokardium lebih tinggi pada perempuan. Remodeling ventrikel kiri merupakan proses penyembuhan luka pascainfark miokardium yang menjadi petunjuk keadaan gagal jantung maupun kematian. Proses ini berpengaruh penting pada fungsi ventrikel dan prognosis survival yang dapat didiagnosis dengan pemeriksaan ekokardiografi. Terdapat kontroversi berkaitan dengan peranan androgen pada proses remodeling jantung. Walaupun masih terdapat perdebatan, androgen memiliki peran terhadap remodeling ventrikel kiri dan bersifat protektif terhadap proses fibrosis yang maladaptif. Dilakukan penelitian observasional analitik yang bersifat prospektif untuk mengkaji peranan testosteron terhadap remodeling ventrikel kiri pada pasien infark miokardium akut di RSUP Dr. Hasan Sadikin Bandung selama Maret–Oktober 2015. Penelitian dilakukan pada 60 orang laki-laki usia 40–77 tahun penderita infark miokardium akut. Pemeriksaan ekokardiografi, pengukuran kadar testosteron total, testosteron bebas, dan testosteron bioavailabel dilakukan sebanyak dua kali. Pemeriksaan pertama dilakukan saat pasien didiagnosis infark miokardium akut dan pengulangan 4–6 minggu kemudian. Usia rata-rata penderita 56,16±8,48 tahun. Bila dibanding dengan pemeriksaan pertama dan kedua, tampak peningkatan kadar testosteron total yang signifikan (785,00±661,76 ng/dL vs 822,33±365,64 ng/dL; p=0,004), penurunan kadar testosteron bebas (24,66±17,91 ng/dL vs 19,00±15,24 ng/dL; p=0,067), dan penurunan kadar testosteron bioavailabel (475,21±353,10 ng/dL vs 394,98±314,85 ng/dL; p=0,166). Analisis korelasi rank Spearman memperlihatkan korelasi bermakna antara testosteron bebas dan relative wall thickness (p=0,019), serta testosteron bioavailabel dengan relative wall thickness (p=0,014). Simpulan, testosteron berperan pada proses remodeling ventrikel kiri pascainfark miokardium akut yang diperlihatkan dengan peningkatan kadar testosteron total serta penurunan kadar testosteron bebas maupun testosteron bioavailabel yang memiliki afinitas yang kuat dengan kardiomiosit. CORELLATION BETWEEN TESTOSTERONE LEVEL AND LEFT VENTRICULAR REMODELING PROCESS IN ACUTE MYOCARDIAL INFARCTION PATIENTMyocardial infarction (MCI) is a leading cause of death worldwide. Gender differences in long term mortality after MCI lead to a specific physiologic pattern of myocardial regeneration. Moreover mortality after MCI was reported to be higher in women. Left ventricular remodeling is cardiac wound healing after MCI indicate a high risk of heart failure and death. This remodeling can importantly affect the function of the ventricle and prognosis for survival which can be diagnosed by echocardiography. Controversial information excert about the role of androgen in cardiac remodeling. Even the evidence still debatable, androgen has a role in left ventricular (LV) remodeling and protect heart from maladaptive fibrosis. A prospective analytical observational study was conducted to evaluate the role of testosterone in LV remodeling in acute myocardial infarction patients. The study comprised 60 men aged 40–77 years with acute myocardial infarction in Dr. Hasan Sadikin Hospital during March–October 2015. Echocardiographyc study and the level of total, free, and bioavailable testosterone were measured twice. The first measured when they diagnosed acute myocardial infarction and the second after 4–6 weeks. The age of patient was 56.16±8.487 years old. Comparing the first and the second measure indicate that total testosterone significantly increased (785.00±661.76 ng/dL vs 822.33±365.64 ng/dL, p=0.004), free testosterone decreased (24.66±17.91 ng/dL vs 19.00±15.24 ng/dL, p=0.067), and bioavailable testosteron decreased (475.21±353.10 ng/dL vs 394.98±314.85 ng/dL, p=0.166). Correlation analysis by rank Spearman showed significantly correlation between free testosterone with relative wall thickness (p=0.019), and bioavailable testosterone with relative wall thickness (p=0.014). It is concluded that testosterone has a role on LV remodeling process after myocardial infarction showed by increasing of total testosterone and decreasing of free and bioavailable testosterone which have great affinity with cardiomyocyte.

Effect of Exercise Duration Toward Heart Rate Recovery in Elderly Arie Ramdhiani Mahassa; Mohammad Rizki Akbar; Sri Yusnita Irda Sari
Jurnal Kardiologi Indonesia Vol 41 No 1 (2020): Indonesian Journal of Cardiology: Januari - Maret 2020
Publisher : The Indonesian Heart Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30701/ijc.1025

Background: Age-related change in autonomic nerves covers parasympathetic function decrease that hampers heart rate (HR) control. The effective attempt to improve autonomic nervous function for elderly is routine exercise, however exercise duration among elderly is not always standardized. This study is aimed to compare the effect of different exercise duration to post-exercise Heart Rate Recovery (HRR) between two elderly groups with the same frequency, intensity, type criteria of routine exercise. Method: Method was cross-sectional study which compared exercise duration of standardized group (3x90 minutes/week) and unstandardized group (3x30 minutes/week). Group 1 was elders with standardized duration from Healthy Heart Club and Group 2 was elders who take unstandardized duration from Elderly Home in Bandung city. Each group consisted of 43 elders and data were collected in July-August 2019. After one hour of medium intensity exercise, all respondents were examined for resting HR (HRrest), maximum HR (HRmax), one minute post-exercise HR, and four minutes post-exercise HR. HRR was obtained by subtracting HRmax by one minute post-exercise HR and normal if > 12 bpm. Analysis data was done by SPSS with Mann-Whitney U Test, Fisher Chi Square and Logistic regression. Result: Most of respondents were 60-69 years old and female. Respondents in unstandardized group were more low education, hypertension and smoking. The HRrest of both groups was categorized as normal but increased greater (30x/min) in standardized group. The result showed a significant difference in comparation of median HRR (p=0.001) and number of normal and abnormal HRR (p=0.001) between both groups. Gender, smoking and standardized duration of exercise associated with abnormality of HRR, elders who take unstandardized duration have 12.7 times risk to get abnormal HRR. Conclusion: Routine exercise for elderly is recommended in standardized duration with minimal 150 minutes per week in order to increase post-exercise HRR.

Pengaruh Senam Lansia terhadap Tingkat Kebugaran Fisik pada Lansia Berdasar atas Uji Jalan 6 Menit Riri Nuraeni; Mohammad Rizki Akbar; Cice Tresnasari
Jurnal Integrasi Kesehatan dan Sains Vol 1, No 2 (2019): Jurnal Integrasi Kesehatan dan Sains
Publisher : Universitas Islam Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29313/jiks.v1i2.4633

Lanjut usia merupakan proses alami pada individu berusia 60 tahun ke atas. Proses penuaan pada lansia menyebabkan berbagai perubahan pada tubuh sehingga diperlukan upaya meningkatkan kebugaran dengan berolahraga. Tujuan penelitian mengetahui pengaruh senam terhadap tingkat kebugaran fisik pada lansia. Dilakukan penelitian Quasi experiment dengan pre test dan post test two group design menggunakan teknik purposive sampling pada bulan Mei–Juli 2018 di Posbindu Kabupaten Majalengka. Diperoleh 80 orang tiap-tiap kelompok 40 orang. Penilaian tingkat kebugaran dilakukan sebanyak dua kali pada kelompok lansia rutin senam melakukan senam 12 kali dalam satu bulan dan kelompok lansia tidak rutin senam, penilaian menggunakan uji jalan 6 menit. Hasil jarak yang ditempuh dikonversi menjadi VO2maks dan dikategorikan berdasar atas tingkat kebugaran. Analisis data menggunakan Uji Wilcoxon dan Uji McNemar. Hasil penelitian menunjukkan bahwa senam lansia meningkatkan nilai VO2maks lebih tinggi pada kelompok lansia rutin senam 3,1 mL/kg/menit dibanding dengan kelompok lansia tidak rutin senam 1,95 mL/kg/menit. Hasil analisis statistik menunjukkan bahwa terdapat perbedaan yang bermakna secara signifikan antara lansia rutin senam dan lansia tidak rutin senam (p<0,05). Simpulan terdapat pengaruh senam lansia terhadap tingkat kebugaran fisik pada lansia.EFFECT OF ELDERLY GYMNASTICS ON THE LEVEL OF PHYSICAL FITNESS AMONG THE ELDERLY BASED ON 6 MINUTE WALKING TEST Elderly is a natural process among individuals aged 60 years or more. The aging process among the elderly leads to various changes in the body. Thus, the efforts to increase fitness by exercising is necessary. This study aims to determine the effect of elderly gymnastics on the level of physical fitness among the elderly. This was a quasi experiment study with pre test and post test two group design. This study used a purposive sampling technique conducted in May–July 2018 in the Integrated Development Posts in Majalengka District. The study samples were 80 people with 40 people in each group. Assessment of fitness level was carried out twice in the group of elderly who performed routine gymnastics of 12 times in one month and the group of elderly with non routine gymnastics. Assessment was conducted using a 6-minute walking test. The results of the distance traveled were converted to VO2max and categorized based on the fitness level. Data analysis used Wilcoxon test and McNemar test. The results showed that elderly gymnastics could increase VO2max values higher in the routine gymnastics group of 3.1 mL/kg/minute compared to the non-routine gymnastics group of 1.95 mL/kg/minute. The results of the statistical analysis showed that there was a significant difference between the elderly with routine gymnastics and they with non routine gymnastic with a p value of <0.05. It can be concluded that there are an effect of elderly gymnastics on the level of physical fitness among the elderly.

FACTORS RELATED TO DEPRESSION IN ACUTE CORONARY SYNDROME (ACS) PATIENTS: LITERATURE REVIEW rahmalia amni; Mohammad Rizki Akbar; Aan Nuraeni
JURNAL KESEHATAN INDRA HUSADA Vol 9 No 1 (2021): Januari-Juni 2021
Publisher : SEKOLAH TINGGI ILMU KESEHATAN (STIKes) INDRAMAYU

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36973/jkih.v9i1.311

Introduction: ACS patients are at risk of experiencing psychological complications, particularly depression. Knowledge of the factors that contribute to the incidence of depression is needed so that the incidence of depression can be prevented as early as possible. This study aims to determine the factors associated with the incidence of depression in ACS patients. Methods: This literature study was made by analyzing scientific articles published from 2009 to 2019 and in English. Data obtained from the PubMed, DOAJ, and Proquest databases. Results: Analisis terhadap 18 artikel ditemukan bahwa depresi pada pasien SKA dipengaruhi oleh berbagai faktor, yaitu faktor demografi (usia, jenis kelamin, pendidikan, dan status perkawinan), status sosial ekonomi (jaminan kesehatan dan pendapatan), komorbiditas, masa rawat inap. , Episode ACS, keparahan penyakit, dukungan sosial, nyeri, indeks massa tubuh, perilaku kesehatan, riwayat depresi keluarga, dan riwayat gangguan depresi mayor sebelumnya. Kesimpulan: Tinjauan pustaka ini dapat menjadi dasar untuk mengelola faktor-faktor yang mempengaruhi depresi pada pasien SKA sehingga depresi dapat dicegah sedini mungkin.

Perbandingan Metode Edukasi dengan Metode Visual dan Audio Visual pada Proses Pembelajaran Secara Daring terhadap Peningkatan Pengetahuan Mengenai Penyakit Jantung Bawaan pada Guru TK dan SD di Kota Tidore Nanda Fadilah Zainuddin; Sadeli Masria; Mohammad Rizki Akbar
Bandung Conference Series: Medical Science Vol. 2 No. 1 (2022): Bandung Conference Series: Medical Science
Publisher : UNISBA Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29313/bcsms.v2i1.973

Abstract. Congenital heart disease is a congenital disorder that often occurs in Indonesia and is estimated to reach 43,200 cases out of 4.8 million live births. The purpose of the study was to compare online education methods to increase knowledge about PJB among kindergarten and elementary school teachers in the city of Tidore by using visual and audio-visual methods. Based on this phenomenon, the problems in this study are: Is there a difference in increasing knowledge about congenital heart disease between visual and audio-visual online education methods for kindergarten and elementary school teachers in the city of Tidore? This research is an observational analytic study with a cross-sectional method. Univariate analysis used a frequency distribution, while bivariate analysis used the test of Mann Whitney. The results showed an increase in knowledge about CHD with the visual method for as many as 59 people (72.83%) on the good criteria, then on the sufficient criteria for as many as 17 people (20.98%), and on the less criteria for as many as 5 people (6.19%). As for the audio-visual method, as many as 78 people (96.30%) meet the good criteria, and the rest meet the sufficient criteria, as many as 3 people (3.70%), while the less criteria do not exist. The conclusion of this study is that there is a significant difference related to increasing knowledge about PJB between visual and audio-visual online education methods for kindergarten and elementary school teachers in the city of Tidore. Abstrak. Penyakit jantung bawaan adalah salah satu kelainan bawaan yang sering terjadi di Indonesia, dan diperkirakan mencapai 43.200 kasus dari 4,8 juta kelahiran hidup. Tujuan penelitian untuk mengetahui perbandingan metode edukasi secara daring terhadap peningkatan pengetahuan mengenai PJB pada guru TK dan SD di kota Tidore dengan menggunakan metode visual dan audio visual. Berdasarkan fenomena tersebut permasalahan dalam penelitian ini adalah: Apakah terdapat perbedaan peningkatan pengetahuan mengenai penyakit jantung bawaan antara metode edukasi daring secara visual dan audio visual pada guru TK dan SD di kota Tidore?. Penelitian ini merupakan penelitian analitik observasional dengan metode potong silang. Analisis univariat menggunakan distribusi frekuensi, sedangkan analisis bivariat menggunakan uji Mann Whitney. Hasil penelitian menunjukkan peningkatan pengetahuan mengenai PJB dengan metode visual sebanyak 59 orang (72,83%) pada kriteria baik, kemudian pada kriteria cukup sebanyak 17 orang (20,98%), sedangkan pada kriteria kurang sebanyak 5 orang (6,19%). Adapun dengan metode audio visual yaitu sebanyak 78 orang (96,30%) pada kriteria baik, dan sisanya pada kriteria cukup sebanyak 3 orang (3,70%), sedangkan pada kriteria kurang tidak ada. Kesimpulan dari penelitian ini adalah terdapat perbedaan yang signifikan berkaitan peningkatan pengetahuan mengenai PJB antara metode edukasi daring secara visual dan audio visual pada guru TK dan SD di kota Tidore.

Tingkat Ketergantungan Nikotin Perokok Vape Berdasarkan Uji Fagerstrom pada Mahasiswa Universitas Garut Intan Arie Yulian; Mohammad Rizki Akbar; Alya Tursina
Bandung Conference Series: Medical Science Vol. 2 No. 1 (2022): Bandung Conference Series: Medical Science
Publisher : UNISBA Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29313/bcsms.v2i1.2103

Abstract. The use of vape cigarettes can cause serious health problems that are sometimes deadly. Initially, vape cigarettes were intended as a substitute for conventional cigarettes, but vape cigarettes also still contain harmful chemicals, one of which is nicotine, which is a substance that causes addiction (addiction). There are various ways to assess a person's level of dependence on nicotine, the most commonly used is the Fagerstrom test. The purpose of the study was to determine the level of nicotine dependence of vape smokers based on the Fagerstrom test on Garut University students. Descriptive research method with a cross-sectional design. The sampling technique was purposive sampling, the number of samples was 51 people. The research instrument was a questionnaire on respondents' demographic data and the PDPI version of the Fagerstrom Test for Nicotine Dependence (FTND) questionnaire. The results showed that the level of nicotine dependence of vape smokers was mostly in the moderate criteria as many as 31 people (60.8%) with an average value of the nicotine dependence level of vape smokers (7.67). It was concluded that the level of nicotine dependence as measured by the Fagerstrom test in vape cigarette users was in the moderate category. Vape users have the potential to become addicted because the high-voltage tube in the vape can drain large amounts of nicotine into the body. Abstrak. Penggunaan rokok rokok vape bisa menimbulkan permasalah kesehatan serius yang terkadang mematikan. Pada awalnya rokok vape ditujukan sebagai pengganti rokok konvensional, namun rokok vape juga masih mengandung zat kimia berbahaya, salah satunya nikotin yang merupakan zat penyebab kecanduan (adiksi). Terdapat berbagai cara untuk menilai tingkat ketergantungan seseorang terhadap nikotin, paling umum digunakan adalah dengan uji Fagerstrom. Tujuan penelitian untuk mengetahui tingkat ketergantungan nikotin perokok vape berdasarkan uji Fagerstrom pada mahasiswa Universitas Garut. Metode penelitian deskriptif dengan desain potong lintang. Teknik sampling dengan cara Purposive sampling, jumlah sampel sebanyak 51 orang. Instrumen penelitian berupa kuesioner data demografi responden serta kuesioner Fagerstrom Test for Nicotine Dependence (FTND) versi PDPI. Hasil penelitian, tingkat ketergantungan nikotin perokok vape sebagian besar berada pada kriteria sedang sebanyak 31 orang (60,8%) dengan nilai rata-rata tingkat ketergantungan nikotin perokok vape (7,67). Disimpulkan bahwa tingkat ketergantungan nikotin yang diukur dengan Uji Fagerstrom pada pengguna rokok vape berada pada kategori sedang. Pengguna vape berpotensi terhadap ketergantungan karena tabung dengan tegangan tinggi pada vape dapat mengalirkan nikotin dalam jumlah besar ke dalam tubuh.

Tingkat depresi pada pasien sindrom koroner akut di Unit Perawatan Intensif Jantung : analisis menggunakan skala depresi jantung Rahmalia Amni; Yudi Akbar; Aan Nuraeni; Mohammad Rizki Akbar
Jurnal Keperawatan Vol 20 No 3 (2022): Jurnal Keperawatan
Publisher : STIKES Insan Cendekia Medika Jombang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35874/jkp.v20i3.1063

Depresi dalam kondisi akut akan berdampak fatal pada pasien, seperti memperburuk keadaan infark, meningkatkan morbiditas dan mortalitas. Angka kejadian depresi pada pasien Sindrom Koroner Akut (SKA) dalam fase akut di berbagai negara cukup tinggi. Namun, di Indonesia sendiri belum diketahui bagaimana hasil pengkajian depresi. Penelitian ini bertujuan untuk melihat tingkat depresi pasien Sindrom Koroner Akut (SKA) yang menjalani perawatan di Unit Intensif Jantung RSUP dr. Hasan Sadikin Bandung. Penelitian ini menggunakan desain deskriptif analitik dengan pendekatan cross-sectional. Jumlah sampel 84 responden yang diambil dengan purposive sampling. Pengumpulan data menggunakan instrumen Cardiac Depression Scale (CDS). Hasil penelitian didapatkan bahwa sebagian besar responden laki-laki (75%) dan berusia ≤60 tahun (64.3%), menikah (83.3%), dan mayoritas suku sunda (79.8%). Responden dalam penelitian ini mengalami depresi ringan-sedang (21,4%), berat (14,3%), dan sebagian lainnya tidak mengalami depresi (64,3%). Tingkat depresi pasien sebagian besar berada dalam kategori sedang hingga berat, oleh karena itu perlu dilakukan skrining depresi sedini mungkin sehingga asuhan keperawatan untuk pencegahan depresi dapat ditingkatkan.

Title

Found 9 Documents
Search

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Title Search

Found 9 Documents Search

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Title

Found 9 Documents
Search