Adhitya Putra Widyantoro, Adhitya Putra
Mahasiswa Fakulatas Kedokteran Fakultas Kedokteran UNISSULA Semarang

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The Correlation of Exercise and Range of Motion (ROM) on Elderly Knee Observasional Study on Elderly People in Pedurungan Semarang Widyantoro, Adhitya Putra; Rosdiana, Ika; Fasitasari, Minidian
Sains Medika: Jurnal Kedokteran dan Kesehatan Vol 4, No 1 (2012): Januari-Juni 2012
Publisher : Faculty of Medicine, Universitas Islam Sultan Agung (UNISSULA), Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (139.675 KB) | DOI: 10.30659/sainsmed.v4i1.383

Abstract

Background: In aging process, decreasing of musculosceletal capabilities will reduce physical activity and excercise, as well as Range Of Motion (ROM). In order to maintain the normality of ROM, joints and muscles should be moved regularly. However many elderly people are still less physically active, due to lack of knowledge, no free time for physical activity, and lack of support from the social environment. This study aimed to determine the correlation of excercise on ROM of knee in the elderly in Pedurungan District, Semarang.Design and Method: Observastional study with a cross sectional design 80 elderly men and women were divided into 2 groups: gymnastics group in the Social Rehabilitation Unit Of Pucang Gading (n=40) and unexcercises group in the Penggaron village (n=40). In both groups, the degree of ROM of knee was assessed using the Goniometer. To evaluate the value of its significance, the data were analyzed using the Mann Withney test followed by Spearmann’s rho test.Result: ROM for gymnastic(exercised group) and unexercised group were 115.50°±11.591°, 95.38°±12.780° respectively with p<0. 001. Resuts showed that doing exercise was useful for maintaining ROM of knee in elderly people. Spearmann’s rho test resulted in a strong correlation between ROM and exercise with r value of 0.652.Conclusion: exercise correlates with ROM of knee in elderly (Sains Medika, 4(1):39-45).
The Relationship between Total Carbondioxide and Lactate Levels to Hypovolemic Shock Post-CABG in ICU Dr Kariadi General Hospital Hayanto, Aria Pratama; Widyantoro, Adhitya Putra; Jatmiko, Heru Dwi; Sasongko, Himawan
Solo Journal of Anesthesi, Pain and Critical Care (SOJA) Vol 6, No 1 (2026): April 2026
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20961/soja.v6i1.77912

Abstract

Background: A total of 2.4% of patients after Coronary artery bypass grafting (CABG) required reoperation due to postoperative bleeding leading to vasodilatory shock syndrome. The condition of metabolic acidosis was common in shock patients where a low serum TCO2 value could be used as an indicator. Lactic acidosis was the most common cause of metabolic acidosis in hospitalized patients. TCO2 measurement was more useful to determine anion gap, but still rarely utilized. The correlation of TCO2 and lactate levels were not known well in hypovolemic shock. This research aims to analyzing the correlation of serum TCO2 values and lactate levels to the condition of hypovolemic shock post CABG.Method: This study was an observational prospective cohort study. 23 subjects were post-CABG patients undergoing treatment at Dr. Kariadi as of January-February 2023. Data were obtained from hemodynamics status, measuring serum TCO2 and lactate levels in blood samples from patients taken 1 hour after surgery. The data were then processed using fischer’s exact test.Results: 26.1% subjects were experiencing hypovolemic shock post-CABG. Correlation analysis between lactate, TCO2 artery, and TCO2 vein to the condition hypovolemic shock post-CABG showed strong correlation (p=0.009; p=0.003; p=0.003). The correlation of lactate levels and TCO2 values both artery and vein resulted strong correlation (p=0.026). Cut-off lactate level delta was 5.8; cut-off TCO2 Artery delta was 20.5; cut-off TCO2 vein delta was 21.55 which were all measured using the ROC curve.Conclusion: TCO2 serum and lactate levels have strong correlation to the condition hypovolemic shock post-CABG patients.