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COMPARISON OF EFFECTIVENESS OF A PROGRESSIVE MOBILIZATION AND MOZART MUSIC THERAPY ON NON-INVASIVE HEMODYNAMIC STATUS CHANGES IN PATIENTS WITH HEAD INJURY IN THE INTENSIVE CARE UNIT Novi Indriani; Bedjo Santoso; Arwani Arwani; Mardiyono Mardiyono
Belitung Nursing Journal Vol. 4 No. 2 (2018): March - April
Publisher : Belitung Raya Foundation, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (274.392 KB) | DOI: 10.33546/bnj.359

Abstract

Background: The instability of hemodynamic status in patients with head injury with decreased consciousness has an effect on the increase of intracranial pressure. The recovery of hemodynamic status can be done through nursing intervention either by providing a sensory stimulus (music therapy) or motor stimulus (progressive mobilization). Objective: To compare the effectiveness of progressive mobilization of level I with Mozart's music therapy on non-invasive hemodynamic status changes in patients with head injury with decreased awareness. Methods: This was a quasi-experimental study with pretest-posttest design. There were 34 samples selected using consecutive sampling, which 17 samples assigned in a group of progressive mobilization and group of music therapy. Paired t-test and Wilcoxon test were used for paired group, and Independent t-test and Mann-Whitney test for unpaired group. Results: Progressive mobilization of level I had significant effect on changes in systolic blood pressure (p = 0.0001), diastolic blood pressure (p = 0.002) and MAP (p = 0.019), and no significant effect on heart rate (p = 0.155), respiration (p = 0.895) and oxygen saturation (p = 0.248). Mozart's music therapy had a significant effect on changes in systolic blood pressure (p = 0.0001), diastolic blood pressure (p = 0.0001), respiration (p= 0.032) and oxygen saturation (p = 0.008), but no effect on MAP (p = 0.561). There was a significant difference between the two interventions in the systolic blood pressure and heart rate variables (p <0.05), while the diastolic blood pressure, MAP, respiration and oxygen saturation variables did not show a difference (p> 0.05). Conclusion: The Mozart's music therapy is more effective on non-invasive hemodynamic status changes in patients with head injury with decreased consciousness compared with progressive mobilization of level I.
Prediction of Building Condition after Earthquake Mardiyono Mardiyono; Reni Suryanita
Seminar Nasional Teknologi Informasi Komunikasi dan Industri 2011: SNTIKI 3
Publisher : UIN Sultan Syarif Kasim Riau

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (655.079 KB)

Abstract

 Artificial neural network (ANN) is one branch of artificial intelligence that mimics the workings of the human brain nerve. ANN is able to predict of output from the input data set that previously had done the learning process. In the event of an earthquake, a building will suffer damage either safe, moderate, or collapse. After an earthquake, a building need to be audited to determine its status or damage index if it is safe (Immediate Occupancy), moderate safe (Life Safety), or damage (Collapse Prevention). In the manual system, it takes a long time because the building experts will gather data before determining the condition of the building that is it still worth or not. This paper explains the design and testing of neural networks application to predict the condition of the building using the data obtained from the simulated earthquake on a building using Finite Element Analysis software. The ANN architecture was designed using feed forward and back propagation algorithm to decrease the error and set the weight in specific iteration, furthermore it is trained with 835 data. The results show that the prediction accuracy of ANN application to the 100 testing data is 92 % with 16 input neurons, 32 hidden neurons, 1 output and 0.1 learning rate.   Keywords: ANN, Building, Prediction, damage index 
The combination of alkaline water provision and asthma-induced gymnastics towards peak expiratory flow rate of asthma patients at Surakarta Lung Clinic, Indonesia Agista Delima Permadani; Mardiyono Mardiyono; Aris Santjaka
GHMJ (Global Health Management Journal) Vol. 3 No. 1 (2019)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35898/ghmj-31266

Abstract

Background: Asthma is an abnormality in the form of chronic airway inflammation which can be reduced by providing asthma-induced gymnastics and healthy lifestyle such as consuming alkaline water.Aims: The objective of this study is to examine a combination of alkaline water provision and asthma-induced gymnastics towards peak expiratory flow rate of asthma patients at Surakarta Lung Clinic, IndonesiaMethods: This research was a quasi-experimental pre-test-post-test design with control group. The number of respondents in this study was 30 respondents, divided equally into intervention group and control group. The control group was given asthma-induced gymnastics twice a week for 14 days with duration of 60 minutes, while the intervention group was provided with a combination of alkaline water pH9+ for 14 days as much as 1,200 ml/day and asthma-induced gymnastics 4 times a week for 14 days with a duration of 60 minutes.Results: There was a significant difference in the value of peak expiratory flow for 14 days in the intervention group and the control group (p < 0.001). There was an improvement in the average of peak expiratory flow rate values for each measurement in both groups, however, this study orchestrates that the intervention group has a higher improvement than the control group. The combination of alkaline water and asthma-induced gymnastics effectively and significantly improves the peak expiratory flow rate values at the Day 8 (p = 0.039) and the Day 14  (p = 0.012).Conclusion: The combination of alkaline water and asthma-induced gymnastics can be applied in nursing care management in patients with intermittent and persistent asthma.  Keywords: Alkaline Water, Asthma Gymnastics, Peak Expiratory Flow Rate, Asthma.
Effect of red fruit oil soap (Pandanus conoideus LAM) as wound cleansing on wound healing and the number of bacterial colonies among Grade II Diabetic Ulcer Patients at Griya Qound Care Clinic Kudus, Indonesia Hevny Kartika Dewi; Mardiyono; Sudirman; Djenta Saha
GHMJ (Global Health Management Journal) Vol. 3 No. 2 (2019)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35898/ghmj-32542

Abstract

Background: Diabetic ulcer is an open wound on the skin layer to the dermis due to hyperglycemia and neuropathy. This condition often causes infection and becomes an inhibitor in the wound healing process. Red fruit oil soap can be used as an alternative cleansing to reduce the number of bacterial colonies and accelerate the wound healing process. This present study aimed to observe the effect of red fruit oil soap in the cleansing process to reduce the number of bacterial colonies and the wound healing process in grade II Diabetic ulcer patientsMethods: This is a quasi-experimental study with the pre-test post-test non-equivalent control group design. Wound cleansing in the intervention group used 0.9% NaCl solution and red fruit oil soap with a pH of 5.74, while the wound cleansing in the control group used 0.9% NaCl solution. Bacterial colonies were assessed and the type of bacteria was observed by the swab method. The wound healing was assessed with Bates-Jensen Wound Assessment Tool (BWAT) instrument for 14 days with observations every 3 days. Analysis test used Mann Whitney and Repeated Measure ANOVA.Results: There was no difference in the mean of the number of bacterial colonies between the wounds that were cleansed with 0.9% NaCl solution and red fruit oil soap and the wounds which were cleansed by using 0.9% NaCl solution (p> 0.05). The mean of the number of colonies in the intervention group until the 14th day reduced by 3.14x106 and in the control group was reduced h 1.40x106. There was a significant decrease in the wound healing scores in each group, in each assessment for 14 days.Conclusion: This study found that the wound cleansing using red fruit oil soap and 0.9% NaCl solution could reduce the number of bacterial colonies on the wound surface and accelerate the wound healing process among patients with grade II diabetic ulcer. Keywords: Red fruit oil soap, Wound cleansing, Wound healing, Diabetic ulcerReceived: 25 August 2018; Reviewed: 4 September 2018; Revised: 24 June 2019; Accepted: 28 June 2019 DOI: 10.35898/ghmj-32542
The combination of alkaline water provision and asthma-induced gymnastics towards peak expiratory flow rate of asthma patients at Surakarta Lung Clinic, Indonesia Agista Delima Permadani; Mardiyono; Aris Santjaka
GHMJ (Global Health Management Journal) Vol. 3 No. 1 (2019)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35898/ghmj-31550

Abstract

Background: Asthma is an abnormality in the form of chronic airway inflammation which can be reduced by providing asthma induced gymnastics and healthy lifestyle such as consuming alkaline water.Aims: The objective of this study is to examine a combination of alkaline water provision and asthma-induced gymnastics towards peak expiratory flow rate of asthma patients at Surakarta Lung Clinic, IndonesiaMethods: This research was a quasi-experimental pre-test-post-test design with control group. The number of respondents in this study was 30 respondents, divided equally into intervention group and control group. The control group was given asthma induced gymnastics twice a week for 14 days with duration of 60 minutes, while the intervention group was provided with a combination of alkaline water pH9+ for 14 days as much as 1,200 ml/day and asthma-induced gymnastics 4 times a week for 14 days with a duration of 60 minutes.Results: There was a significant difference in the value of peak expiratory flow for 14 days in the intervention group and the control group (p < 0.001). There was an improvement in the average of peak expiratory flow rate values for each measurement in both groups, however, this study orchestrates that the intervention group has a higher improvement than the control group. The combination of alkaline water and asthma-induced gymnastics effectively and significantly improves the peak expiratory flow rate values at the Day 8 (p = 0.039) and the Day 14 (p = 0.012).Conclusion: The combination of alkaline water and asthma-induced gymnastics can be applied in nursing care management in patients with intermittent and persistent asthma. Keywords: Alkaline water, Asthma-induced exercise, Peak expiratory flow rate Asthma Received: 25 August 2018, Reviewed: 06 September 2018, Received : in revised form 23 February 2019, Accepted: 26 February 2019 DOI: 10.35898/ghmj-31550  
The effectiveness of discharge planning and range of motion (ROM) training in increasing muscle strength of nonhemorrhagic stroke patients Mohamat Iskandar; Mardiyono; Hotma Rumahorbo
GHMJ (Global Health Management Journal) Vol. 2 No. 3 (2018)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35898/ghmj-23556

Abstract

Background: Non-hemorrhagic stroke patients experience hemiparesis, an improper handling results in joint contractures. Discharge planning combined with a range of motion (ROM) training given to patients and their families are expected to improve muscle strength in patients after returning from the hospital.Aims: This study is to identify the effectiveness of discharge planning in increasing muscle strength.Methods: This is a quasi-experimental study with a pre-posttest design. A total of 34 respondents were selected by cluster random sampling technique, from RAA Soewondo Pati General Hospital of Pati, Central Java, Indonesia. The respondents were divided equally into two groups; an intervention group (N = 17) was given a discharge planning program together with stroke information and range of motion (ROM) training while the control group (N = 17) received a standard discharge planning available in the hospital. Further, Muscle Rating Scale (MRS) was employed to assess the muscle strength on the 2nd, 7th, and 14th day after discharge planning presented to the nonhemorrhagic stroke patients.Results: This present study clearly acknowledges the standard discharge planning program available in the hospital improve the muscle strength of the upper and lower extremity in the nonhemorrhagic stroke patients just 2nd day after the care (pretest), and the significant improvement was observed until the day 14. Moreover, combining the care with ROM training at the intervention group faster the recovery and the muscle strength improved significantly at the 7th day and continue increase at the day 14. Looking to the muscle strength since the 2nd day to the day 14, respectively the muscle strength of upper and lower limb at the control group improved at the point of 0.588 and 0.882, while at the group received the ROM training reached the value of 1.472 and 1.412.Conclusions: The ROM training combined to the current discharge planning program will faster the muscle strength recovery of the nonhemorrhagic stroke patients. This research provide insight how family plays important role to the success in monitoring the rehabilitation and recovery progress. Keywords: Discharge planning, Range of motion (ROM) training, Nonhemorrhagic stroke patients, Muscle strength Received: 25 August 2018, Reviewed: 01 September 2018, Received: in revised form 23 October 2018, Accepted: 31 October 2018 DOI: 10.35898/ghmj-23556
MODERN COMBINATIONS DRESSING AND OZONE BAGGING TREATMENT REDUCES THE AMOUNT OF BACTERIA IN GRADE II DIABETICUM Mardiyono Mardiyono; Djamaluddin Ramlan; M. Choiroel Anwar; Rr. Sri Endang Pujiastuti; Umi Margi Rahayu
Journal of Applied Health Management and Technology Vol 1, No 1 (2019): Oktober 2019
Publisher : Politeknik Kesehatan Kementerian Kesehatan Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (184.784 KB) | DOI: 10.31983/jahmt.v1i1.5308

Abstract

Diabetic ulcers are open sores on the skin layer to the dermis caused by hyperglycemia and neuropathy. Infection is a barrier to the wound healing process, the incidence of infection in wounds with modern treatments of hydrocolloid and hydrogel type dressings is still high. Ozone has high antibactericidal and antimicrobial properties, is able to penetrate bacterial capsid walls and is expected to kill bacteria on the wound surface.To find the right way to cure diabetic ulcers using a combination of modern methods of dressing and ozonetherapy bagging.Experimental, non-equivalent control group design pre test, post test, population and infinite sample of 25 respondents. Modern dressing used has antibacterial properties and ozone concentration of 60-100ug / ml for 15 minutes using a limb bag was carried out until the 13th day with five times the measurement of the number of bacterial colonies using themethod swab and colonicounter. Data processing using a computer system with the General Linear Model. There was an average difference in the number of bacterial colonies between groups (505.73 ± 172.069 vs 322.21 ± 132.778, p = 0.0061).A combination of modern dressing and ozonetherapy bagging can reduce the number of bacterial colonies and speed up the healing process of the inflammatory phase II diabetic ulcer so that it can be applied in nursing care for diabetic ulcer patients.
UPDATE: METABOLIC DISORDERS OF PREECLAMPSIA A REVIEW Dian Aprilia Damayanti; Mardiyono Mardiyono
Proceedings of the International Conference on Applied Science and Health No. 4 (2019)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

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Abstract

Background: Preeclampsia is one of the contributors to the increased maternal morbidity and mortality rates in Indonesia. One of the disorders caused by the preeclampsia is metabolic disorders. The purpose of this study is to provide an overview of metabolic disorders that accompany preeclampsia. Methods: This was a literature review using electronic databases Science Direct and PubMed. Keywords used in searching literature were ‘preeclampsia’ and ‘metabolism disorder of preeclampsia’ with the year limit between 2010 and 2018. Articles published in English was chosen in this study. Results: The search found 3,823 articles, of which 14 articles were included in this study. Metabolic disorders that happened in the group of preeclampsia were higher RDW (Red blood cell distribution width), MTT (Biomarker), ADA (adenosine deaminase), CA-125 serum, triglycerides (TG), Angiotensin, cytokinin, CEC (Circulating endothelial cells), lipoprotein and cholesterol. Meanwhile, studies also found that preeclampsia caused the lower selenium serum, aromatase, and thiol-disulphide in the body. Conclusion: Preeclampsia proved causing the disorders of metabolic, mostly in the form of inflammation, endothelial cell damage and oxidative stress. Potential targets are needed for treatment of metabolic disorders in preeclampsia group both medically and non-medically especially for the lipid levels in preeclampsia. Keywords: Preeclampsia, metabolic disorders
SYSTEMATIC REVIEW METABOLIC DISRUPTION IN GESTATIONAL HYPERTENSION DISORDER Diyas Windarena; Siti Nurharisah; Benigna Maharani; Mardiyono Mardiyono
Proceedings of the International Conference on Applied Science and Health No. 4 (2019)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

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Abstract

Background: Gestational hypertension is one of the diseases responsible for increased morbidity and 18% of maternal deaths in the world. Gestational hypertension has complex causes and symptoms, so pathogenesis is difficult to determine. Complications of gestational hypertension will cause Preeclampsia. This study aims to explain the metabolic disorders experimented by women with gestational hypertension. This description can be used as an early detection tool for hypertension so that complications can be prevented. Methodology: Searching articles for this research is done by searching in the google scholar, science direct and PubMed databases. Only full text and written by english will be included in this study. The keyword that is used “Risk Factor” or “Metabolic” and “Gestational Hypertension” or “Blood Pressure” or “Pregnancy Hypertension” with the year limit between 2009 – 2019. A systematic review of PRISMA was used in this study. The study focused on the discussion about gestational hypertensionin pregnant women. Results: 12 research articles were foundit is known that pregnant women with gestational hypertensionhave serum calcium, magnesium, nitric oxide, vitamin D, cobalt and iodine which tend to be lower than normal pregnant women. Whereas cadmium levels tend to be high can stimulate oxidative stress which is able to worsen the condition leading to preeclampsia. Conclusion: Health checks on pregnant women can be used as a basis for screening and treatment. Methods of checking calcium levels that allow as medium for screening in detecting the severity of hypertension and predicting disease risk. Keywords: Hypertension, Pressure, pregnant women
HOME BASED CARE BY PROVIDING PREVENTION OF MOTHERTO- CHILD TRANSMISSION (PMTCT) HANDBOOK ON WOMEN’S PERCEPTION OF HIV/AIDS PREVENTION IN MOTHER TO CHILD IN PURWOKERTO Walin Walin; Dina Indrati Dyah Sulistyowati; Mardiyono Mardiyono; Ratifah Ratifah
Proceedings of the International Conference on Applied Science and Health No. 1 (2017)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

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Abstract

Background: Previous research, surveillance, and epidemic data of HIV/AIDS in Indonesia show the number of women and infants infected HIV/AIDS increases. Pregnant women with HIV/AIDS may transmit to their child. This is known as mother to child transmission (MTCT). Women with HIV/AIDS face several problems, such as physical, psychological, cognitive, social, cultural, and spiritual problems. Previous literatures, home based on care is a family approach to care for women with HIV/AIDS and handbook of preventive MTCT helps women improve their perception of HIV/AIDS prevention in mother to child. Aims: The research aimed to evaluate women’s perception of HIV/AIDS prevention in mother to child in Banyumas District in intervention and control group. Methods: The research was a two group pre-post quasi-experimental design. The research was conducted in Margono Soekarjo hospital and “Mandiri” shelter of HIV/AIDS in Purwokerto. The samples were recruited by purposive sampling method. The number of samples were 30 subjects; 15 subjects in intervention group in the shelter and 15 subjects in control group in the hospital. Home Based Care with PMTCT handbook was applied for a month with twice visit. Data were collected with Questionnaires of Perception of HIV/AIDS prevention in mother to child at pre and post intervention. Data were analyzed by paired and independent t-test. Results: The findings show that the scores of perception of HIV/AIDS prevention in mother to child within intervention increased significantly (p<0,00). There were significant differences of perception scores of HIV/AIDS prevention in mother to child between intervention and control group (p<0,00). The Home Based Care with PMTCT handbook could improve women’s perception of HIV/AIDS prevention in mother to child. Conclusion: The Home Based Care with PMTCT handbook can be implemented in home care or public health center and women with HIV/AIDS can follow the handbook to prevent infection from mother to child.
Co-Authors - Anggorowati Agista Delima Permadani Angga Sugiarto Anies Anies Anuhgera, Diah Evawanna Ari Suwondo Ariawan Soejoenoes Aris Santjaka Arsyawina Arsyawina Arwani Arwani Arwani Arwani Arwani Arwani Bedjo Santoso Benigna Maharani Cecep Eli Kosasih Chandra Irawan Desak Made Wenten Parwati Desy Rinawaty Dewi Siyamti Dewi Susanti Dian Aprilia Damayanti Dina Indrati Dyah Sulistyowati Distinarista, Hernandia Diyah Fatmasari Diyas Windarena Djamaluddin Ramlan Djamaluddin Ramlan, Djamaluddin Djenta Saha Djenta Saha Dwi Ari Murti Widigdo Dwi Pudjonarko Eny Retna Ambarwati Handayani Handayani Hari Peni Julianti Hevny Kartika Dewi Hotma Rumahorbo I Gede Panji Santika iken Anggraini Sri Saputri Imam Djamaluddin Imam Djamaluddin Mashoedi Ineke Noviana Intanwati Intanwati Kun Aristiati Susiloretni Lalu Hersika Asmawariza M. Choiroel Anwar Made Desak Wenten Parwati Mamat Lukman Maria Walburga Bhoki Meidiana Dwidiyanti Melyana Nurul Widyawati Mohamat Iskandar Nina Indriyawati Novema ashar Nurahman Novi Indriani Nur Eka Dzulfaijah Onny Setiani Rahayu, Umi Margi Ratifah Ratifah Reni Suryanita Rizal Ginanjar Rodhi Hartono Rr. Sri Endang Pujiastuti Sarkum Sarkum Sarkum Sarkum Setyaningrum, Niken Shandy Wigya Mahanani Shobirun Shobirun Siti Hajar Wati Siti Nurharisah Siti Rochjani Soeharyo Hadisaputro Soeharyo Hadisaputro Sofro, Muchlis Achsan Udji Sri Sumarni Sudiharto Sudiharto Sudirman Sudirman Sudirman Suharto Suharto Suharyo Hadisaputro Sukarni Sukarni Supriandi Supriandi Supriyadi Supriyadi Taadi Taadi Tetti Solehati Theresia Febriana Christi Tyas Utami Tjahjono Kuncoro Tri Johan Agus Yuswanto Umaroh Umaroh Untung Sujianto Vita Dwi Futmasari Walin Walin Warijan Warijan Wien Soelistyo Adi