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Journal : Qanun Medika - Medical Journal Faculty of Medicine Muhammadiyah Surabaya

Correlation between obesity and successful ovulation induction with Clomiphene citrate Rida Eka Setiani; Sri Ratna Dwiningsih; Gadis Meinar Sari
Qanun Medika - Jurnal Kedokteran FK UMSurabaya Vol 6, No 1 (2022): Journal Qanun Medika Vol 6 No 01
Publisher : Universitas Muhammadiyah Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/jqm.v6i1.8309

Abstract

ABSTRACTOvulation induction with clomiphene citrate is a hormonal therapy for infertile women with impaired ovarian function caused by dysregulation of the hypothalamus and pituitary, affecting egg development and ovulation. Several factors, such as obesity, influence the success rate of treatment with clomiphene citrate. According to the Asia-Pacific classification, obesity was classified into two categories, obesity type I (25-29,9 kg/m2) and obesity type II (≥30 kg/m2). The success rate of ovulation induction with clomiphene citrate in obese infertile women at Graha Amerta Fertility Clinic in Dr. Soetomo General Hospital on July 2019 – July 2020 was about 22.8%. The research aimed to analyze the correlation between obesity with successful ovulation induction with clomiphene citrate. This research method was observational analytic research with a cross-sectional approach. The data were collected from medical records of infertile obese women who undergo ovulation induction with clomiphene citrate. According to inclusion criteria, the number of samples is 79 cycles of infertile obese women who undergo ovulation induction with clomiphene citrate. Data analysis using Chi-square test. The result showed that successful ovulation induction in obese type I was 17.7% and in obese type II was 5.1%. There was a correlation between obesity with successful ovulation induction with clomiphene citrate (p=0.009). In conclusion, there was a correlation between obesity with successful ovulation induction.Keyword                    : ovulation induction, clomiphene citrate, obeseCorrespondence        : sri-r-d@fk.unair.ac.idation induction.
Physical Exercise and Bone Health Gadis Meinar Sari
Qanun Medika - Jurnal Kedokteran FK UMSurabaya Vol 3, No 1 (2019)
Publisher : Universitas Muhammadiyah Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (327.801 KB) | DOI: 10.30651/jqm.v3i1.2305

Abstract

ABSTRACTExercise was a planned and structured physical activity in which there was a movement repetition to maintain or enhance one or more components of physical fitness. The physical exercise on biological functions gave positive effects such as improving, but in certain circumstances, it could also give a negative effect such as inhibiting or disturbing the level of individual, system, cell, and molecular. Likewise the effect of physical exercise on bones, many factors affected bone both positively and negatively, among others; the dose of physical exercise which included frequency, intensity, type and time. The dosage of physical exercise was individual on each person. Some studies found that moderate intensity physical exercise provided positive benefits on bones. One of them was affecting the process of proliferation and differentiation of osteoblast, which was one of bone cells that had a function to form bone matrix. Moderate intensity physical exercise combined with salmon calcitonin would increase mouse bone density. Moderate-speed walking exercise would cause changes in IL-6 serum levels which had a role in the process of stem cell differentiation into osteoprogenitor and directly affected adult osteoblasts, whereas changes in PTH serum levels in the sub-acute phase of exercise played a role in the positive uncoupling process of bone remodeling directly.Keywords                   : moderate intensity physical exercise, bone healthCorrespondence to      : gadis-m-s@fk.unair.ac.id ABSTRAKOlahraga adalah latihan fisik yang merupakan bagian dari aktivitas fisik yang terencana, terstruktur, terdapat repetisi gerakan, dan mempunyai tujuan mempertahankan atau meningkatkan salah satu atau lebih komponen kebugaran fisik. Pengaruh latihan fisik terhadap fungsi biologis dapat memberi pengaruh positif yaitu bersifat memperbaiki, akan tetapi pada keadaan tertentu dapat pula memberikan pengaruh negatif yaitu menghambat atau mengganggu baik pada tingkat individu, sistem, sel maupun molekul. Demikian juga pengaruh latihan fisik terhadap tulang, banyak faktor yang mempengaruhi tulang secara positif maupun negatif, antara lain adalah dosis latihan fisik yang meliputi frekuensi, intensitas, jenis dan waktu melakukan latihan fisik. Dosis latihan fisik bersifat individual pada setiap orang. Beberapa penelitian menunjukkan bahwa latihan fisik intensitas sedang memberikan manfaat positif pada tulang. Antara lain mempengaruhi proses proliferasi dan diferensiasi sel osteoblas yaitu salah satu sel tulang yang berfungsi membentuk matriks tulang. Latihan fisik intensitas sedang dikombinasikan dengan salmon kalsitonin akan meningkatkan kepadatan tulang tikus. Latihan jalan dengan kecepatan sedang akan menyebabkan perubahan kadar IL-6 serum yang berperan pada proses diferensiasi stem cell menjadi osteoprogenitor dan secara langsung berpengaruh pada osteoblas dewasa, sedangkan perubahan kadar PTH serum pada fase subakut latihan berperan pada proses positive uncoupling remodeling tulang secara langsung.Kata kunci                  : latihan fisik intensitas sedang, kesehatan tulangKorespondensi            : gadis-m-s@fk.unair.ac.id
The effect of walking physical exercise on blood pressure of the pedestrian community in Penjaringan Sari Surabaya Akmal Zidan Alaudin; Gadis Meinar Sari; Yudi Her Octaviono
Qanun Medika - Jurnal Kedokteran FK UMSurabaya Vol 7 No 2 (2023): Journal Qanun Medika Vol 07 No 02
Publisher : Universitas Muhammadiyah Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/jqm.v7i2.18710

Abstract

Hypertension is a non-communicable disease that is one of the main causes of premature death in the world. Pharmacologically by administering anti-hypertensive drugs. In non-pharmacological management of hypertension can be done with a healthy lifestyle. A study states that the most appropriate non-pharmacological treatment for people with hypertension is exercise. This research is quantitative research with a quasi-experimental design. The dependent variable in this study was walking physical exercise, while the independent variables in this study consisted of heart rate, systolic blood pressure, and diastolic blood pressure. The subjects of this study were 30 members of the pedestrian community, who were divided by purposive sampling into the treatment group and the control group. The tools used to obtain primary data in this study were the results of measuring blood pressure before and after walking. The results of the study: 1) there is a difference in the average pulse rate between the pretest and post-test in both the treatment and control groups; 2) there is an effect of walking physical exercise on pulse rate; 3) there is a difference in the mean systolic blood pressure and diastolic blood pressure between pretest and post-test; 4) there is a difference in the average blood pressure between the pretest and post-test of the control group; 5) there is no effect of physical exercise walking on blood pressure; 6) There was no difference in blood pressure and pulse between the treatment and control groups. In conclusion, the physical exercise of walking for 1 week could reduce pulse rate but could not reduce systolic blood pressure and diastolic blood pressure.