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Peningkatan Imunitas pada Kelompok Prolanis Puskesmas IV Denpasar Selatan Selama Pandemi COVID-19 Lestarini, Asri; Subrata, Tanjung; Gunawarman, Anak Agung Gede Raka; Permatananda, Pande Ayu Naya Kasih; Cahyawati, Putu Nita
E-Dimas: Jurnal Pengabdian kepada Masyarakat Vol 15, No 1 (2024): E-DIMAS
Publisher : Universitas PGRI Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26877/e-dimas.v15i1.15446

Abstract

Banyak faktor yang dapat menurunkan imunitas tubuh, di antaranya diet yang tidak sesuai, kurangnya olahraga serta stres baik fisik maupun psikologis. Selama masa pandemi ini kegiatan Kelompok Program Lansia (Prolanis) Puskesmas IV Denpasar Selatan menjadi menurun. Hal ini mengakibatkan kurangnya aktivitas fisik, motivasi, kualitas hidup serta menurunkan imunitas. Selain aktivitas fisik, imunitas juga dapat ditingkatkan dengan tetap menjaga pola makan (diet) yang sesuai dengan penyakit yang diderita serta mengombinasikannya dengan olahraga secara teratur. Mitra terdiri dari pasien lanjut usia yang menderita penyakit diabetes melitus yang memerlukan penerapan diet dan olahraga sehingga dapat meningkatkan imunitas selama pandemi COVID-19. Pemberdayaan mitra ini bertujuan untuk meningkatkan pemahaman dan keterampilan menerapkan diet yang sesuai serta melakukan exercise agar dapat membantu pengendalian kadar gula darah khususnya bagi pasien diabetes melitus. Metode yang akan dipakai untuk mencapai tujuan tersebut di antaranya melalui penyuluhan, pelatihan dan pendampingan tentang diet, dan exercise berupa Resistance and Aerobic Exercise Combination (RabEC) bagi penderita diabetes melitus sampai dapat diterapkan secara mandiri oleh mitra. Kegiatan dilakukan di Puskesmas IV Denpasar Selatan, dengan melibatkan peserta sebanyak 17 orang peserta. Hasil program ini adalah adanya peningkatan pengetahuan yang dilihat dari hasil rerata postest (81,17) lebih tinggi dari hasil rerata pretest (58,23). Setelah diobservasi, didapatkan peningkatan kemampuan peserta untuk melakukan exercise kombinasi tersebut. Diharapkan dapat dilakukan kegiatan yang serupa sehingga meningkatkan keterampilan anggota Prolanis puskesmas IV Denpasar Selatan dalam exercise kombinasi RabEC.
Rangsangan Titik Akupunktur Nomer 16 Meningkatkan Kadar Hormon Testosteron Mencit Jantan Usia Sembilan Bulan Tanjung Subrata
WMJ (Warmadewa Medical Journal) Vol 1 No 1 (2016): Mei 2016
Publisher : Warmadewa University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22225/wmj.1.1.7.24-29

Abstract

Penurunan kadar testosteron pada laki-laki mulai usia pertengahan antara 45-59 tahun dan menyebabkan terjadinya ganguan seperti menurunnya kekuatan otot, meningkatnya lemak visceral, gangguan fungsi seksual seperti libido menurun dan/atau disfungsi ereksi. Akupunktur dengan konsep pengobatan hantaran rangsang dapat digunakan untuk meningkatkan fungsi seksual laki-laki. Pada penelitian ini diteliti pengaruh perangsangan pada titik akupunktur no.16 dan 49 terhadap kadar hormon testosteron pada mencit (Mus musculus) yang telah mengalami proses penuaan.  Sebanyak 28 ekor mencit jantan usia 9 bulan dijadikan binatang coba. Binatang coba dibagi menjadi empat kelompok eksperimen secara random. Kelompok 1 diberikan rangsangan pada titik akupunktur no.16, kelompok 2 diberikan rangsangan pada titik akupunktur no.49 dan kelompok 3 diberi rangsangan pada titik akupunktur no.16 dan 49, dan kelompok 4 sebagai kontrol. Perlakuan diberikan selama 10 menit, diulang sebanyak tiga kali per minggu, dan diberikan selama empat minggu. Kadar hormon testosteron diukur dari sampel darah mencit setelah perlakuan selesai. Perbedaan rerata kadar hormon testosterone antar kelompok eksperimen diuji dengan uji Kruskal-Wallis dan Man-Whitney pada tingkat kemaknaan a=0,05. Hasil penelitian menunjukan rerata (±sd) kadar hormon testosteron pada kelompok 1, 2, 3, dan 4 adalah 815,0 (±568,8) ng/dl,  229,5 (±337,4) ng/dl, 538,2 (±715,0) ng/dl, dan 50,8 (±32,2) ng/dl secara berurutan. Analisis Mann-Whitney menunjukan bahwa  kadar testosteron kelompok eksperimen 1 berbeda dengan kelompok lain dan control (P<0,05). Sehingga dapat disimpulkan bahwa pemberian rangsangan pada titik akupunktur no.16 meningkatkan kadar hormon testosteron mencit secara signifikan.Kata Kunci: akupunktur, hormon testosteron, mencit tua. [Stimulation on Acupuncture Point Number 16 Increases Testosterone Hormone Level in Nine-Month-old Male Mice].Decreasing level of testosterone in man starts at the age between 45-59 years which causes disorders such as decreased muscle strength, increased visceral fat, sexual dysfunction such as decreased libido and / or erectile dysfunction. Acupuncture with excitatory conduction treatment concept can be used to enhance male sexual function. In this study we examined the effect of stimulation of acupuncture points no.16 and 49 on testosterone levels in mice (Mus musculus) who are aging. A total of 28 male mice aged 9 months were used as experimental animals. The experiment animals were divided into four groups randomly. Group 1 was given stimulation of acupuncture pointno.16, group 2 was given stimulation of acupuncture point 49 and group 3 was given stimulation of acupuncture points no.16 and 49, and group 4 as the control group. Treatment was given for 10 minutes, repeated three times per week, for four weeks. Testosterone levels were measured from blood samples of mice after treatment was completed. The mean differences of testosterone levels between experimental groups were tested by Kruskal-Wallis and Man-Whitney at significance level a =0.05. The results showed  the mean (± sd)  of testosterone levels in group 1, 2, 3, and 4  were 815.0 (±568.8) ng / dl, 229.5 (±337.4) ng / dl, 538, 2 (±715.0) ng / dl, and 50.8 (± 32.2) ng / dl, respectively. Mann-Whitney analysis showed that testosterone level of group 1 was different from those of the other groups and the control (P<0.05). It is concluded that stimulation of acupuncture pointno.16 increases testosterone levels in mice significantly. Keywords: acupuncture, testosterone hormone, aging mice.
The Correlation of Body Composition and Fitness Level of Students in Medical Faculty Unwar Wayan Rusni; Komang Trisna Sumadewi; Tanjung Subrata
WMJ (Warmadewa Medical Journal) Vol 4 No 2 (2019): November 2019
Publisher : Warmadewa University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22225/wmj.4.2.1044.61-65

Abstract

Medical students beside they are as a member of the medical rescuer, the team is also to have good physical fitness due to consider that Indonesia involves a disaster drawn area. The study was conducted on a member of Tim Bantuan Medis (Medical Rescuer Team) of FKIK Warmadewa University. This simple random sampling was carried out to choose the sample. The data was analyzed using the Spearman correlation test to find out the correlation between body composition and physical fitness. The result from body composition showed that the highest percentage is in the average category (40.7%) and the smallest percentage is in the fair category (3.35%). Whereas the level of physical fitness that assessed through muscle endurance and cardio-respiratory endurance show a level in the poor as follow 38,5% and 85,7%. The conclusion is a significant correlation (relatively strong)between body composition and physical fitness (muscle endurance and cardio-respiratory endurance ) (r=0.30 dan r=0.18)
Comparison of Push-Up Exercise Methods on Push-Up Test Ability in Medical Students at Warmadewa University Tanjung Subrata; Ni Wayan Rusni; I Nyoman Arie Purwana
WMJ (Warmadewa Medical Journal) Vol 7 No 1 (2022): May 2022
Publisher : Warmadewa University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22225/wmj.7.1.4605.40-46

Abstract

TBM members require muscle endurance to implement their tasks, particularly while performing cardiopulmonary resuscitation (CPR), which requires chest, shoulder, and upper arm muscle endurance. Push up is a type of muscle endurance training for the chest, shoulders, and upper arms that do not require any particular equipment or skills. Therefore, the Push Up Test is required for TBM members, and the results suggest that 62% of 2020 TBM members' abilities are below average. The study was conducted on members of the Warmadewa University FKIK Medical Assistance Team to compare the Push Up workout regiments with the same concentric and eccentric phase tempo (P1) and a slower eccentric phase tempo (P2). The two methods are compared to determine which method is more effective in increasing Push Up Test ability. A total of 46 TBM members were involved in this study. The data was analyzed using the paired t-test to compare muscle endurance before and after the exercise was performed. The push up test used during the screening revealed a decrease in muscle endurance fitness, with of students having normal abilities the previous year, but only 16.4 percent in 2021. The exercise intervention 38% had a significant effect on the push up score, which increased by 4.7 points for male after the intervention, while the push up scores for women increased by 5.6 points (95% CI, 3.32 - 8.01). The results revealed that P2 intervention had a greater influence on changes in push-up scores than P1 intervention (mean change was 5.7 for males and 7.3 for females; mean change was 3.8 for males and 4.0 for females; respectfully). This difference, however, was not statistically significant. It can be concluded that push up training improved push up test ability significantly, whereas the comparison of training methods between P1 and P2 was not significantly different. Keywords: muscle endurance, push up method, push up test
The Impact of Aerobic Activity Programs on Quality of Life and Cardiovascular Fitness in the Elderly: A Review Agung Wahyu Permadi; Tanjung Subrata
WMJ (Warmadewa Medical Journal) Vol 10 No 1 (2025): May 2025
Publisher : Warmadewa University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22225/wmj.10.1.10603.48-58

Abstract

Aerobic activity is a gradual and targeted activity designed to enhance the body's ability to utilize cardiac and respiratory capacity (oxygen) effectively in the elderly. The growing number of elderly people and their long-term effects on psychological factors affecting their quality of life. This review aims to evaluate and synthesize scientific evidence on the effects of aerobic activity programs on quality of life and cardiovascular fitness in the elderly. This analysis uses the Preferred Reporting for Systematic Review and Meta-analysis (PRISMA) method. A systematic search was conducted by searching the Cochrane Database of Systematic Reviews, Embase, and Pubmed, independently using the terms "Aerobic", "Elderly", "Cardiovascular fitness", "Prevention", "Quality of life", "QoL", "exercise", "training", "sports", and "Physical". A total of 11 studies were included, demonstrating that engagement in aerobic physical activity leads to significant improvements in various health parameters among the elderly. These enhancements encompass cardiovascular health, physical function, and emotional well-being. A moderate, measured aerobic exercise program integrated into a daily routine can greatly benefit the health and vitality of the elderly. Such activities improve cardiovascular health, enhance physical function, and boost mental and emotional well-being, contributing to a better quality of life as we age.
Hubungan antara Komposisi Tubuh dengan Laju Pernapasan Setelah Recovery Pasca Harvard Step Test pada Mahasiswa Kedokteran I Dewa Gede Yogananda; Tanjung Subrata; Made Dharmesti Wijaya
Aesculapius Medical Journal Vol 3 No 1 (2023): February
Publisher : Fakultas Ilmu Kedokteran dan Ilmu Kesehatan, Universitas Warmadewa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22225/amj.3.1.2023.66-73

Abstract

Abstract Empowering physical fitness becomes a challenge considering mobility restriction because Covid-19 pandemic situation which impacting the increasing of passive lifestyle. If such situation is not well handled, it could risk for obesity and cardiorespiratory disease. To prevent that, it’s crucial to find out the correlation between body composition towards someone respiratory rate recovery ability. This research was held to find out the correlation between body composition with after recovery respiratory rate on medical student that taking Harvard Step Test. This research was using correlative analysis method with cross-sectional design. Population from this research is Warmadewa Faculty of Medicine and Health Student (FKIK Unwar) that choosing Baswara Prada Medical Assistance Team (TBM-BP). The respondent was taken by total sampling method and recruiting 61 respondents. The results of univariate analysis using SPSS version 18 shows the highest proportion of body composition is in ‘fair’ category (55.7%). For initial respiratory rate, there is 8 people (13.1%) that having respiratory rate above normal range while for final respiratory rate the highest proportion is in 21-30 times/minute range (80.3%). The bivariate analysis result using Spearman correlation test shows positive but weak and insignificant correlation between body composition with after recovery respiratory rate (p = 0.097 and r = +0.215). It’s concluded that body composition could influencing physical fitness although it’s not the main factor. The students, public, and related institutions are expected to understand the important of physical exercise to empowering physical fitness and the next study also expected to more comprehensive to correlating various variable related to body composition and after recovery respiratory rate. Keywords: physical fitness, body composition, recovery of respiratory rate
Hubungan IMT Terhadap Kebugaran Kardiorespirasi Pada Mahasiswa Dengan Obesitas Sentral Di FKIK UNWAR Gede Bagus Dwipayana Putra Dewa; Tanjung Subrata; Asri Lestarini
Aesculapius Medical Journal Vol 4 No 1 (2024): February
Publisher : Fakultas Ilmu Kedokteran dan Ilmu Kesehatan, Universitas Warmadewa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22225/amj.4.1.2024.123-128

Abstract

[The Correlation Between BMI and Cardiorespiratory Endurance in FKIK UNWAR Student with Central Obesity] The Correlation Between BMI and Cardiorespiratory Endurance in FKIK Unwar Student with Central Obesity Cardiorespiratory endurance is the ability of the heart, lungs, and blood vessels in providing oxygen for muscle performance during rhythmic and sustained activity. Body Mass Index (BMI) is one of the factors that can affect the level of cardiorespiratory endurance. However, this measurement cannot measure the proportion of body fat as in someone with central obesity. A person with normal BMI can have a proportion of body fat > 30%, and if distributed as visceral fat will have a high association with cardiometabolic risk. The purpose of this study was to determine the relationship between BMI and cardiorespiratory endurance in Faculty of Medicine and Health Sciences Warmadewa University student with central obesity. The design of this study was observational analytic with cross sectional approach. This study was conducted on 60 students with central obesity. Body Mass Index was measured using equation body weight (kg)/the square of height (m), while the level of cardiorespiratory endurance was measured using Harvard Step Up Test. The data was analyzed by Statistical Package for Social Science (SPSS) 18.0 for Windows program. The correlation between both variable were analyzed by Spearman correlation test. The results was showed as follow: the average score Weist Circumference, BMI and cardiorespiratory endurance were 91,0±8; 29.01±3.01; and 18.61±8.40, respectively and the correlations between both were negatif (p=000 and r=0.51). The conclusion could be drawn that there was significance correlation between BMI and cardiorespiratory endurance. It was recommended that the students with central obesity should be improved the physical activity regularly
Hubungan Rasio Lebar Bahu dan Panjang Leher terhadap Daya Tahan Kardiorespiratori pada Anggota Tim Bantuan Medis Baswara Prada Agus Pramana Shakti Manik Artha; Tanjung Subrata; Fransiscus Fiano Anthony Kerans
Aesculapius Medical Journal Vol 4 No 1 (2024): February
Publisher : Fakultas Ilmu Kedokteran dan Ilmu Kesehatan, Universitas Warmadewa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22225/amj.4.1.2024.109-115

Abstract

[The Relationship between Shoulder Width and Neck Length Ratio on Cardiorespiratory Endurance in TBM Baswara Prada Members] Cardiorespiratory endurace is the ability of the heart-lung system and muscles used to deliver oxygen during sustained physical activity. Cardiorespiratory endurance for each body type (somatotype) is generally different. Somatotype differences in this study included the ratio of shoulder width to neck length. This study aims to determine the relationship between the ratio of shoulder width and neck length to the cardiorespiratory endurance of TBM Baswara Prada members. The method of this study was observasional with analytical cross sectional. In this study, sampling was carried out using the non-probability sampling method with consecutive sampling techniques. This study was conducted on 70 student who are member of TBM Baswara Prada. This study used primary data through observation or direct observation of research subjects according to the inclusion and exclusion criteria. Data were analyzed using the Pearson correlation statistical test with normally distributed data. The results were as follows: The average ratio biacromial width and neck length and cardiorespiratory endurance; 2.83+0.35; 59.25+11.91 respectively; and the relationship of both was strong negative significance (0.05) with a correlation coefficient (-0.720). The conclusion of this study is that there is a relationship between the ratio of biacromial width and neck length with cardiorespiratory endurance which is negative and significant The present study is anticipated to enhance the caliber of TBM Baswara's human resources in selecting members with good cardiorespiratory endurance indicators by using the ratio of shoulder width to neck length.
Hubungan Lemak Subkutan dengan Kebugaran Jasmani Daya Tahan Otot pada Mahasiswa FKIK Universitas Warmadewa I Gede Mandra Adnyana; Tanjung Subrata; Anny Eka Pratiwi
Aesculapius Medical Journal Vol 4 No 2 (2024): June
Publisher : Fakultas Ilmu Kedokteran dan Ilmu Kesehatan, Universitas Warmadewa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22225/amj.4.2.2024.210-216

Abstract

[The Relationship between Subcutaneous Body Fat and Physical Fitness Muscle Endurance in Students of the Faculty of Medicine and Health Sciences, Warmadewa University] Physical fitness is a collection of physical activities related to health or skills, where the level of fitness can be measured by certain physical tests. Muscular endurance is the ability of muscles to perform repeated contractions within a certain period of time. Fat content also has an important role in physical fitness, namely subcutaneous fat content. This is very necessary in daily activities, including medical students who need good physical fitness, especially when carrying out activities such as providing basic life support. This study aims to determine the relationship between subcutaneous fat levels and muscle endurance in students of the Faculty of Medicine and Health Sciences, Warmadewa University Batch 2021. This study used a correlational analytic research method with a cross-sectional study design. Subcutaneous fat content data was measured through measurements using a skinfold caliper which was carried out at four body locations, namely biceps, triceps, subscapula and suprailiac, while muscle endurance was measured using the sit up test and push up test. This study used a minimum sample size of 92 students who were taken using simple random sampling technique. Samples were analyzed using univariate analysis techniques and bivariate analysis using Spearman's test. The results showed that the correlation coefficient (r) was 0.395 (p=0.000) for the relationship between subcutaneous fat and muscle endurance sit-ups and the correlation coefficient (r) was 0.467 (p=0.000) for the relationship between subcutaneous fat content and muscle power. The conclusion of this study is that there is a relationship between subcutaneous body fat and physical fitness and muscle endurance in students of the Faculty of Medicine and Health Sciences, Warmadewa University batch 2021. It is recommended for batch 2021 student to control their subcutaneous body fat and performing exercise such as muscle endurance training in order to be able to perform cardiorespiratory rescucitation.
Pelatihan Teknik Imobilisasi Cedera Leher Kepada Pelatih dan Official Cabang Balap Motor di KONI Kabupaten Badung Tanjung Subrata
Warmadewa Minesterium Medical Journal Vol. 1 No. 1 (2022): January
Publisher : Warmadewa University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22225/wmmj.1.1.2022.1-6

Abstract

Aktivitas fisik berupa kompetisi olahraga memiliki resiko cedera dari yang ringan, berat hingga fatal. Salah satu cedera yang berakibat fatal adalah cedera leher (neck injury), yang mana dapat mengakibatkan kematian, kelumpuhan maupun cedera menahun. Salah satu cabang olahraga (cabor) yang berpotensi menimbulkan cedera leher adalah Balap Motor. Kecepatan dan ketepatan dalam memberikan pertolongan akan sangat mempengaruhi proses penyembuhan cedera tersebut, sebaliknya keterlambatan dan kesalahan dalam memberi pertolongan pertama pada cedera leher dapat memperparah cedera bahkan dapat menimbulkan komplikasi yang lebih parah, bahkan kematian. Agar dapat mencegah terjadinya hal tersebut diperlukan pelatihan kepada pelatih dan official cabang olahraga Balap Motor, karena merekalah yang akan mendampingi atlet selama pertandingan, sehingga kecepatan dan ketepatan mereka dalam memberikan pertolongan pada cedera akan sangat mempengaruhi proses cedera tersebut. Pelatihan yang diberikan berupa teknik imobilisasi cedera leher serta teknik evakuasi korban, yang diharapkan dapat meningkatakan kemampuan pelatih dan official untuk memberikan pertolongan pertama pada cedera leher. Mitra dalam program ini adalah pelatih dan official cabor Balap Motor KONI Kabupaten Badung. Target luaran dari program tersebut adalah video kegiatan, serta publikasi di media cetak dan online. Hasil pre-post test menunjukan peningkatan pengetahuan sebesar 18.3%, dan dari praktek tehnik immobilisasi dan evakuasi pasien, semua peserta mampu mempraktekan dengan benar. Kata kunci: teknik imobilisasi, cedera leher, pelatih dan official, balap motor
Co-Authors A.A. Gede Indraningrat Agung Wahyu Permadi Agus Pramana Shakti Manik Artha Anak Agung Gede Raka Gunawarman Anak Agung Sri Agung Aryastuti Asri Lestarini Aulia Iefan Datya Aulia Iefan Datya Bayuningrat I Gusti Ngurah Made Bayuningrat IGM. Cahyawati, Putu Nita Fransiscus Fiano Anthony Kerans FRANSISKUS SALESIUS ONGGANG Gede Bagus Dwipayana Putra Dewa Gede Bagus Dwipayana Putra Dewa Gede Dalem Gilang Mahajaya Putra Harryadin Mahardika Heru Santoso Wahito Nugroho I Dewa Gede Yogananda I Dewa Gede Yogananda I Gede Mandra Adnyana I Gede Mandra Adnyana I Gusti Agung Ayu Mas Suaridewi I Ketut Gama I Ketut Sudiantara I Made Pariartha I Nyoman Arie Purwana I Putu Gde Surya Adhitya I Wayan Budiarta I Wayan Mustika I Wayan Wesna Astara Indraningrat AAG Indraningrat, Anak Agung Gede Jane Leo Mangi Kamilus Mamoh Kartika Sari Kartinawati KM Komang Triyani Kartinawati Luh Gede Sri Yenny Made Dharmesti Wijaya Made Indra Wijaya Matje Meriati Huru Naori Miyazawa Ni Made Ayu Suardani Singapurwa Ni Putu Diah Witari, Ni Putu Ni Wayan Rusni Pande Ayu Naya Kasih Permatananda Panditama, Yukta Pariartha IM Pradnyawati LG Pradnyawati, Luh Gede Pratiwi, Anny Eka Putu Nita Cahyawati Putu Nita Cahyawati Ratna Juwita Ratna Juwita, Dewa Ayu Putu Rusni, Ni Wayan Saktivi Harkitasari, Saktivi Sanglar Polnok Sanjaya, I Gusti Agus Maha Putra Sari LPEK Sri Agung Aryastuti Sukmadewi, Desak Ketut Tristiana Suparji Suparji Tanko Titus AUTA Toddy Hendrawan Yupardhi, Toddy Hendrawan Tri Johan Agus Yuswanto Trisna Sumadewi Trisna Sumadewi, Komang Udiyani, Desak Putu Citra Wijaya MD Wijaya MI Wijaya, I Kadek Merta