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All Journal Journal of Nutrition and Health Jurnal Kedokteran Diponegoro Indonesian Journal of Urology LINK Jurnal Teknologi dan Sistem Komputer Medica Hospitalia Jurnal Pembelajaran Pemberdayaan Masyarakat (JP2M) SURABAYA PHYSICAL MEDICINE AND REHABILITATION JOURNAL Jurnal Penyakit Dalam Indonesia

Hari Peni Julianti

Department Of Rehabilitation Medicine, Faculty Of Medicine, Diponegoro University

Author-ID : 293349

Chemical Engineering, Chemistry & Bioengineering Computer Science & IT Dentistry Education Electrical & Electronics Engineering Health Professions Medicine & Pharmacology Nursing Public Health Social Sciences

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Perbedaan Skor OSDI Pre dan Post Senam "PERMATA-KU" pada Computer Vision Syndrome Uyun, Fuadah; Rahmi, Fifin Luthfia; Saubig, Arnila Novitasari; Julianti, Hari Peni
Medica Hospitalia : Journal of Clinical Medicine Vol. 8 No. 2 (2021): Med Hosp
Publisher : RSUP Dr. Kariadi

ABSTRACT DIFFERENCE OF OSDI SCORE BEFORE AND AFTER ‘SENAM PERMATA-KU’ IN COMPUTER VISION SYNDROME Background: Computer Vision Syndrome (CVS) is a group of symptoms that affects the eye and vision due to prolonged use of computer, cellphone, tablet, and e-reader. Dry eye is one of the symptoms that appear in CVS. In this study we did ‘senam PERMATA-KU’ (Pelihara Mata–Kendorkan Bahu) as additional exercise to reduce dry eye in CVS. Aim: Observe there is any improvement of OSDI (Ocular Surface Disease Index) score before and after doing “senam PERMATA-KU” in CVS. Methods: This was a Pre-Post with Control Design quasi experimental study. The subjects were students of Faculty of Medicine of Diponegoro University who had CVS and met the inclusion and exclusion criteria that were divided randomly into control group and experimental group. The experimental group were given an education about using computer ergonomically and ‘senam PERMATA-KU’ for 14 days. The control group were given an education about using computer ergonomically. OSDI score were measured before and after intervention was given using Ocular Surface Disease Index questionnaire. Result: The subjects were 32 students with 16 students in the experimental group and 16 students in the control group. One student in the control group and one student in the experimental group dropped out because they could not complete the procedure so that only 30 subjects were analyzed. OSDI score after intervention in experimental group was decreased significantly (p<0.05). OSDI score after intervention in experimental group was better compared to control group (p<0.05). OSDI score improvement in experimental group was higher compared to control group but statistically is not significant (p=0.595). Conclusion: ‘senam PERMATA-KU’ that was done for 14 days can improve OSDI score in Computer Vision Syndrome. Keywords: Computer Vision Syndrome (CVS), Ocular Surface Disease Index (OSDI), dry eye, ‘senam PERMATA-KU’

Perbedaan Efektivitas Latihan Core dengan Swissball dan Resistance Band terhadap Peningkatan Endurance Otot Core Remaja Obesitas Hurriawati, Iceu Helmina; Handoyo, Rudy; Julianti, Hari Peni
Medica Hospitalia : Journal of Clinical Medicine Vol. 8 No. 2 (2021): Med Hosp
Publisher : RSUP Dr. Kariadi

Latar belakang : Otot core berperan penting dalam aktivitas sehari-hari. Individu yang mengalami obesitas cenderung memiliki endurance otot core yang rendah. Remaja adalah masa dimana seseorang banyak melakukan aktivitas fisik seperti naik turun tangga di sekolah dan masa kritis pertumbuhan untuk menjdi dewasa. Remaja obesitas dengan endurance otot core yang rendah berisiko mengalami cedera otot saat aktivitas atau nyeri punggung bawah pada jangka panjang. Endurance otot core dapat ditingkatkan dengan latihan core menggunakan swissball atau resistance band. Tujuan : membuktikan perbedaan efektivitas latihan core dengan swissball dan resistance band terhadap endurance otot core remaja obesitas. Metode : Penelitian ini merupakan randomized controlled trial. Sebanyak 36 remaja obesitas yang memenuhi kriteria inklusi dan eksklusi dirandomisasi dan dibagi kedalam dua kelompok latihan core dengan swissball (n=18) dan resistance band (n=18). Kelompok latihan core dengan swissball dan resistance band masing-masing menjalani latihan selama 6 minggu dengan frekuensi 3 kali per minggu, dengan durasi latihan 40 menit tiap sesi. Endurance otot core dinilai dengan McGill Core Endurance test. Kesimpulan : Latihan core dengan resistance band dapat meningkatkan endurance otot core remaja obesitas lebih tinggi dibandingakan dengan latihan core dengan menggunakan swissball.

Dry Eyes Syndrome pada Penderita Diabetes Melitus Tipe 2 Setyorini, Desti Putri; Wildan, Arief; Nugroho, Trilaksana; Julianti, Hari Peni; HS, Heri-Nugroho
Medica Hospitalia : Journal of Clinical Medicine Vol. 8 No. 3 (2021): Med Hosp
Publisher : RSUP Dr. Kariadi

BACKGROUND : Type 2 diabetes mellitus patients have risk to suffer from dry eyes syndrome (DES), caused by peripheral and autonomic neuropathy, oxidative stress, and metabolic dysfunction. DES can reduce the patient’s quality of life then it could induce blindness if the patient didn’t get any therapy for DES. It is important to prevent DES by controlling its risk factors. OBJECTIVE : To investigate risk factors of DES in patients with type 2 diabetes mellitus. METHOD : . This study was an analytical observational study with cross-sectional design and purposive sampling. Subjects were examined by using questionnaire and slit lamp, then followed by deep interview in some subjects. This study was also using subject’s medical record to complete the required data. Subjects were diagnosed to suffer DES if OSDI score >12 and schirmer score <10mm. Data was analyzed by using statistic software. RESULT : . From 42 subjects, 19 subjects (45,2%) suffered from DES whereas another 23 subjects (54,8%) didn’t. There was significant relation between diabetic retinopathy (p=0.009) and DES in patients with type 2 diabetes mellitus showed by p value under 0,05 (OR 5.700, 95% CI:1.364-23.821). However, age (p=0.516), gender (p=1.000), level of knowledge (p=0.555), accessibility to health provider (p=1.000), occupation (p=0.644), economic level (p=0.105), smoke exposure (p=0.432), duration of diabetic (p=0.707), diabetic controlling (p=0.305), and history of dyslipidemia (p=0.155) had no significant relations with DES in patients with type 2 diabetes mellitus. CONCLUSION : There is a significant relation between diabetic retinopathy and DES in patients with type 2 diabetes mellitus. Diabetic retinopathy is the most dominant risk factor among the other factors in this study.

Berbagai Faktor Risiko Retinopati Diabetik pada Penderita Diabetes Melitus Tipe 2 Nafia, Nisa Khoirun; Nugroho, Trilaksana; Wildan, Arief; Julianti, Hari Peni; Purnomo, Hery Djagat
Medica Hospitalia : Journal of Clinical Medicine Vol. 8 No. 3 (2021): Med Hosp
Publisher : RSUP Dr. Kariadi

BACKGROUND: More than 75% of people with type 2 DM will anguish diabetic retinopathy 20 years after being diagnosed. However, the current changing of people’s lifestyle contributes to the tendency in type 2 DM that diagnosed at a younger age. This causes diabetic retinopathy can be occurred earlier and blindness will occur more quickly. It is important to prevent diabetic retinopathy by controlling some associated factors. OBJECTIVE: To investigate associated factors of diabetic retinopathy in people with type 2 DM. METHOD: Analytic observational study with cross-sectional design. Subjects were determined by purposive sampling. The subjects were interviewed using a questionnaire meanwhile, funduscopic examination is aimed to assess diabetic retinopathy and followed by deep interview. This study also used the subject’s medical record to complete the required data. The results were analyzed by using statistic software. RESULT: From 43 subjects, there wes no significant relation among age (p=0.965), gender (p=0.437), level of knowledge (p=0.640), accessibility (p=1.000), economic level (p=0.680), duration of DM (p=0.477), history of hypertension (p=0.708), and history of dyslipidemia (p=0.244) with diabetic retinopathy in people with type 2 DM. However, there was significant relation among controlling blood glucose (p=0.014) with diabetic retinopathy in people with type 2 DM. Uncontrolled blood glucose was 13 times more affected in diabetic retinopathy than controlled blood glucose (OR 13.417, 95% CI:1.474-122.117). CONCLUSION: There was a significant relation between controlling blood glucose and diabetic retinopathy in people with type 2 DM. Controlling blood glucose is the most dominant risk factor among the other factors in this study. Keywords: diabetic retinopathy; risk factor; type 2 diabetes mellitus

Efek Radial Shock Wave Therapy pada Latihan Gliding Nervus Medianus terhadap Derajat Nyeri dan Fungsional Tangan Penderita Carpal Tunnel Syndrome Amalina, Nurika; Indriastuti, Lanny; Julianti, Hari Peni; Zuhdiana, Hindun; Kusumawati, Noviolita Dwi
Medica Hospitalia : Journal of Clinical Medicine Vol. 8 No. 3 (2021): Med Hosp
Publisher : RSUP Dr. Kariadi

Background: Carpal tunnel syndrome (CTS), which was resulted from local compression of the median nerve, was a common entrapment neuropathy. Median nerve gliding exercise required a combination of other conservative therapies to provide optimal clinical improvement in CTS. Radial shock wave therapy (RSWT) was a safe, effective, practical, and non-invasive therapeutic method, can be used as a additional therapy for relieving pain and disability in CTS patients. Objective: This study was aimed to examine the effect of RSWT on median nerve gliding exercise on improving the degree of pain and hand functional scores in patients with CTS. Method: This study was a randomized controlled trial. The subjects were 22 patients from the Physical Medicine and Rehabilitation Polyclinic of RSUD KRMT Wongsonegoro, Semarang. They were divided into 2 groups randomly. The intervention group (n=11) was received RSWT 4 times in median nerve gliding exercise 3 times a day, every day for 4 weeks. The control group (n=11) was received only median nerve gliding exercise. The degrees of pain were measured with a manual algometer and hand functional scores were assessed by BCTQ. Results: The mean of improving pain degree were 2,53 + 0,74 kg/cm2 and 2,38 + 1,25 kg/cm2 in intervention and control group, respectively. An independent t-test showed that there were significant differences in improving pain degree between intervention and control group (p=0,016). The mean of improving BCTQ scores were -11,36 + 4,59 and -6,18 + 3,76 in intervention and control group, respectively. An independent t-test showed that there were significant differences in improving BCTQ scores between intervention and control group (p=0,009). Conclusion: RSWT was improved the degree of pain and increased the hand functional scores of CTS patients who received median nerve gliding exercises. Keywords: radial shock wave therapy, carpal tunnel syndrome, gliding exercise

HUBUNGAN GANGGUAN MENTAL EMOSIONAL DENGAN KECANDUAN MEDIA SOSIAL PADA MAHASISWA SEMESTER 1 TAHUN AJARAN 2019 DAN SEMESTER 3 TAHUN AJARAN 2018 DI UNIVERSITAS DIPONEGORO SEMARANG Mahardhika, Alain Stephano; Fitrikasari, Alifiati; Wardani, Natalia Dewi; Hadiati, Titis; Sutaty, Witrie; Julianti, Hari Peni
Medica Hospitalia : Journal of Clinical Medicine Vol. 9 No. 1 (2022): Med Hosp
Publisher : RSUP Dr. Kariadi

Background: Currently the level of addiction to social media tends to increase, especially among students. 75% of individuals who experience internet addiction are caused by problems in their relationships with other people. One of the related factors is emotional mental disorder. Objective: To determine the relationship between mental emotional disorders and social media addiction in students in the 1st semester of the 2019 academic year and the 3rd semester of the 2018 academic year at Diponegoro University, Semarang. Methods: Research with cross sectional design. The research sample is Diponegoro University Semarang students in 1st semester of the 2019 academic year and 3rd of the 2018 academic year. The independent variable is mental emotional disorder, while the dependent variable is social media addiction. The research instrument used a sociodemographic questionnaire, the Bergen Social Media Addiction Scale (BSMAS) and the Self Reporting Questionnaire 20 (SRQ20). Research variables were analyzed by chi square test. Results: The majority of research subjects had normal emotional mental disorders as many as 140 (82.8%) and 29 (17.2%) indicated experiencing emotional disorders. The majority of social media addiction levels were normal as many as 113 (66.9%), while alerts were 56 (33.1%), There was a relationship between emotional mental disorders and social media addiction (p=0.019, PR=2.587 95%CI=1.146 – 5,840). Conclusion: There is a significant relationship between mental emotional disorders and social media addiction. Diponegoro University Semarang students in 1st semester of the 2019 academic year and 3rd semester of the 2018 academic year.

PERBANDINGAN PROGRAM LATIHAN OTAGO MODIFIKASI DAN LATIHAN BERJALAN TERHADAP PHYSICAL PERFORMANCE PADA LANSIA PRE-FRAIL Vikawati, Nura Eky; Julianti, Hari Peni; Dewi, Novita Sari; Mariani, Endang Sri
Medica Hospitalia : Journal of Clinical Medicine Vol. 10 No. 2 (2023): Med Hosp
Publisher : RSUP Dr. Kariadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36408/mhjcm.v10i2.874

Background: Multicomponent training program like OTAGO is considered to improve the physical performance of pre-frail elderly, thereby reducing risk of fall. The Short Physical Performance Battery (SPPB) is a combination test that assesses physical performance and becomes a fall risk screening test for pre-frail elderly. This study aimed to compare the modified OTAGO to walking training on physical performance as measured by SPPB in the pre-frail elderly. Methods: This was an observational study with a cross-sectional design. The data were taken from the previous study including pre-frail subjects in Prolanis, Gunung Pati area, Semarang before and after giving intervention (modified OTAGO vs walking training) for 6 weeks. The SPPB score was measured from balance function test, chair stand test, and 4-meter walking test before and after the intervention. Data analysis was using SPSS ver 20.0. Paired sample T-test and Wilcoxon signed ranks test were used to analyze the SPPB score before and after interventions in the modified OTAGO and walking training group, respectively. Mann-Whitney U was used to analyze the difference in the average improvement of SPPB score. Results: There was a significant improvement in SPPB score before and after interventions either in modified OTAGO (p=0.013) or walking training (p=0.013). No significant difference was found in the average improvement of SPPB score in both groups (p=0.826). Conclusion: Both modified OTAGO and walking training intervention can improve the physical performance of pre-frail elderly. The modified OTAGO training is not superior in improving physical performance compared to walking training.

Effect of Kinesio Taping on Muscle Spasticity in Post-Stroke Patients Receiving Infrared Therapy and Stretching Exercise : A Quasi-Experimental Study Riswanti, Andirezeki; Kartadinata, Robby Tjandra; Julianti, Hari Peni; Zuhdiana, Hindun; Wibisono, Lilik Sigit
Medica Hospitalia : Journal of Clinical Medicine Vol. 10 No. 3 (2023): Med Hosp
Publisher : RSUP Dr. Kariadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36408/mhjcm.v10i3.952

BACKGROUND: Spasticity is one of the symptoms of a stroke. One of the muscles with increased tone is the plantar flexor (66%). Spasticity is commonly treated with infrared therapy and stretching exercises. Kinesio Taping is a skin-based therapeutic procedure that uses elastic tape and can be used with infrared therapy and stretching exercises. Kinesio Taping is predicted to reduce spasticity in the plantar flexor muscle as determined by the Tardieu scale, improving functional walking. OBJECTIVE: To demonstrate the efficacy of adding Kinesio Taping on lower extremity muscular spasticity in post-stroke patients who had previously received infrared and stretching exercises. METHOD: This study is a controlled group design with a quasi experimental pre and post test. Post-stroke patients were divided into two groups: the control group (16 patients) and the treatment group (16 patients) who received the addition of Kinesio Taping. Before and after 6 weeks of treatment, the Tardieu scale was measured. RESULT: Before and after treatment, there was a significant difference in Tardieu scale (both on quality and angle of resistance) in each group (p < 0.05), and there was a significant difference in Tardieu scale in the two groups (p < 0.05). CONCLUSION : Kinesio Taping has been demonstrated to significantly reduce plantar flexor muscle spasticity in stroke survivors.

Comparison of the Effectiveness of High Intensity Laser therapy (HILT) and Low-Level Laser Therapy (LLLT) on Functional Improvement in Knee Osteoarthritis Patients Natalia, Bernadete Rizky; Widagda, I Made; Julianti, Hari Peni
Medica Hospitalia : Journal of Clinical Medicine Vol. 11 No. 2 (2024): Med Hosp
Publisher : RSUP Dr. Kariadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36408/mhjcm.v11i2.967

BACKGROUND : Knee osteoarthritis causes sore, joint stilted, progressive deformity and functional encroachment. The current therapeutic focus on rectifying function and assuaging symptoms, especially pain. There are two types of laser therapy, namely Low-Level Laser Therapy (LLLT) and High Intensity Laser Therapy (HILT). High Intensity Laser Therapy (HILT) is a high-intensity laser radiation with photochemical, photothermal, and photomechanical action possess many therapeutic steads including analgesic, anti-edematous, and biostimulating effects. In this study, we compare the effectiveness of HILT with LLLT on functional enhancement in knee osteoarthritis assessed by the Knee Injury and Osteoarthritis Outcome Score (KOOS). AIMS : To compare the effectiveness of HILT with LLLT on functional enhancement in patients with knee osteoarthritis. METHOD : This research is a quasi-experimental pre-test and post-test with controlled group design. There were 27 subjects of knee osteoarthritis patients who were divided into 2 treatment groups, the first treatment group admit HILT therapy (14 patients) and the second treatment group admit LLLT therapy (13 patients). Knee Injury and Osteoarthritis Outcome Score (KOOS) was measured before and after 4 weeks of treatment. RESULT : There was a significant difference in the mean value of functional improvement as measured by KOOS before and after treatment in each group (p < 0.001) and there was a significant difference in the mean value of KOOS in the two groups (p < 0.001). CONCLUSION : The administration of HILT has shown significant escalation of functional improvement compared to the administration of LLLT in patients with knee osteoarthritis.

The Effectiveness Of E-Backnshou Exercise To The Improvement Of Neck, Shoulder And Back Pain In Computer Vision Syndrome Patient Julianti, Hari Peni; Nugroho, Trilaksana; Kesoema, Tanti Ajoe; Susilaningsih, Neni; Rahmi, Fifin Luthfia; Pritadesya, Maharani Prizka
Medica Hospitalia : Journal of Clinical Medicine Vol. 11 No. 1 (2024): Med Hosp
Publisher : RSUP Dr. Kariadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36408/mhjcm.v11i1.1017

BACKGROUND : Extra-ocular complaints of Computer Vision Syndrome (CVS) are neck, shoulder, back pain. The 20-20-20 rule and E-BACKNSHOU exercise are expected to improve accommodative mechanisms, ocular surface of the eye and extra ocular symptoms of CVS. AIMS : Proving the effectiveness of E-BACKNSHOU exercise for the improvement of neck, shoulder and back pain in CVS patient. METHOD : The research design was Pre-Post Test with Control Design. Subjects were 30 medical students of Faculty of Medicine, Diponegoro University, Semarang, Indonesia who experienced CVS and neck, shoulder and back pain. The treatment group got the 20-20-20 rule and E-BACKNSHOU exercise and the control group got the 20-20-20 rule for 1 month. Pain was measured by Visual Analogue Scale (VAS). Statistical test was conducted using paired t-test, unpaired t-test and chi square. Value of significance p<0.05. RESULT : There were significant differences in VAS score of neck, shoulder, upper back pain (p=0.00), and low back pain (p=0.022) before and after the intervention in the treatment group and VAS score of neck (p=0,002), shoulder (p=0.020), upper back (p=0.011), and low back pain (p=0.019) in the control group. Delta VAS score of the treatment group was greater than the control group and there was a significant difference in delta VAS score of shoulder pain (p=0,030), but there were no significant differences in delta VAS score of neck (p=0,934), upper back (p=0,356), and low back pain (p=0,150). CONCLUSION : The effectiveness of 20-20-20 rule and E-BACKNSHOU exercise is better than the 20-20-20 rule alone on treating neck, shoulder and back pain in CVS patient.

Co-Authors A.A. Ketut Agung Cahyawan W Adji, Seno Bayu Alifiati Fitrikasari Amalina, Nurika Angga Sugiarto Anies Anies Arief Wildan, Arief Asmara Putri, Rahmi Isma Aulia Salwa Alfaina Dewi, Novita Sari Dimas Sindhu Wibisono Djuara P Lubis Dwi Pudjonarko Elly Noerhidajati Erna Setiawati, Erna Fifin Luthfia Rahmi Hartono, Dewi Kusuma Hery Djagat Purnomo HS, Heri-Nugroho Hurriawati, Iceu Helmina I Made Widagda, I Made Indriastuti, Lanny Inge Kurniawati Adipratama Kartadinata, Robby Tjandra Kurniawan, Daniel Andry Kusumawati, Noviolita Dwi Mahardhika, Alain Stephano Mardiyono, Mardiyono Mariani, Endang Sri Muchlis Achsan Udji Sofro Muchlis Achsan Udji Sofro Muhammad Ismail Salahudin Munadi Munadi Nafia, Nisa Khoirun Natalia Dewi Wardani Natalia, Bernadete Rizky Neni Susilaningsih Nugroho, Trilaksana Pangesti, Adelia Pritadesya, Maharani Prizka Priwintoko, Baharudin Putri, Rahmi Isma Asmara R. Andhika Pandu Rahmawati, Maria Belladonna Rahmi Isma Asmara Putri Rasyidin, Nur Laelatul Rifky Ismail Riswanti, Andirezeki Rizky Wiradinata Rudy Handoyo, Rudy Rudy Setiawan Runawang, Khrisna Prasetya Aji Salahudin, Muhammad Ismail Saubig, Arnila Novitasari Setyorini, Desti Putri Sri Wahyudati, Sri Supiyarti, Retti Sutaty, Witrie Tampubolon, Daniel Taruna Tanti Ajoe Kesoema, Tanti Ajoe Titis Hadiati, Titis Trianggoro Budisulistyo Uyun, Fuadah Vikawati, Nura Eky Wibisono, Lilik Sigit Yosef Purwoko Zuhdiana, Hindun

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