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All Journal SAINS MEDIKA : JURNAL KEDOKTERAN DAN KESEHATAN Jurnal Kedokteran Brawijaya Jurnal Kedokteran Diponegoro FIBONACCI: Jurnal Pendidikan Matematika dan Matematika Unnes Journal of Public Health Medica Hospitalia Journal of the Indonesian Medical Association : Majalah Kedokteran Indonesia Jurnal Ilmiah Kesehatan Ar-Rum Salatiga Jurnal Pengabdian Dharma Bakti SURABAYA PHYSICAL MEDICINE AND REHABILITATION JOURNAL Narra J

Erna Setiawati, Erna

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Author-ID : 603024

Humanities Biochemistry, Genetics & Molecular Biology Chemical Engineering, Chemistry & Bioengineering Computer Science & IT Dentistry Economics, Econometrics & Finance Education Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Mathematics Medicine & Pharmacology Nursing Public Health Veterinary

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PEMILIHAN KONTRASEPSI BERDASARKAN EFEK SAMPING PADA DUA KELOMPOK USIA REPRODUKSI Setiawati, Erna; Handayani, Oktia Woro Kasmini; Kuswardinah, Asih
Unnes Journal of Public Health Vol 6 No 3 (2017): Unnes Journal of Public Health
Publisher : Universitas Negeri Semarang in cooperation with Association of Indonesian Public Health Experts (Ikatan Ahli Kesehatan Masyarakat Indonesia (IAKMI))

ABSTRACT Kelompok usia reproduksi terbagi dalam tiga fase yaitufase menunda kehamilan (<20 tahun), fase menjarangkan kehamilan (20-30 tahun) dan fase mengakhiri kehamilan (>30 tahun). Cara yang ditempuh yaitu dengan pemakaian kontrasepsi.baik  MKJPmaupunnon MKJP. Tujuan penelitian ini adalah untuk mengetahui ada atau tidak perbedaan pemilihan kontrasepsi MKJP dan non MKJP berdasarkan efek samping pada dua kelompok usia reproduksi. Penelitin ini menggunakan desain cross sectional, pengambilan data dengan kuesioner. Sampel dalam penelitian ini adalah akseptor KB baik MKJP maupun non MKJP pada bulan april sampai juni sebanyak 200 responden, dimana tekhnik pengambilan datanya dengan random sampling dan kuota sampling. Hasil penelitian kemudian diuji dengan mann-whitney test.Hasil penelitian dengan uji mann whitney test diperoleh p = 0.662 dengan kata lain p > α (0.05) yang berarti tidak ada perbedaan pemilihan MKJP dan non MKJP berdasarkan efek samping di Wilayah Kabupaten Semarang.      ABSTRACT Reproductive-age category can be divided into three groups which are the group of delayed interval pregnancy (less than 20 years old), the group of intervalcontrol pregnancy (20 to 30 years old), and the group of high risk pregnancy (more than 30 years old). An alternative to avoid high risk pregnancy is by using contraception tool namely long-term contraception (MKJP) and non long-term contraception (non MKJP).The purpose of this research is to analysedwhether there are differences in choosing MKJP and non –MKJP based on side effects in the two reproductive-age groups.This research was an explanatory research with cross-sectional design. The population were all women of contraception acceptors in Semarang Regency.The samples were 200 respondents, used simple random sampling and quota sampling. This research used quisionaire instrument and analyze used mann whitney test (α=0,05). Theresult showed thatP = 0,662 meaning P > α = 0.05 which means there is no difference in choosing MKJP and non-MKJP based on side effects in the two reproduction-age groups in Semarang regency.

Deteksi Dini Pemakaian MKJP (Metode Kontrasepsi Jangka Panjang) Pada Wanita Usia Subur Di Desa Candirejo Mijen Kab.Semarang Setiawati, Erna; Sundari, Sundari; Nasifah, Isri
Jurnal Pengabdian Dharma Bakti VOL 2, NO 2 (2019): AGUSTUS 2019
Publisher : Universitas Respati Yogyakarta

Based on national data of BKKBN (National Family Planning Coordinating Board) of Central Java Province and MKJP usage data in ungaran subdistrict obtained data that KB MKJP acceptor is still lower than KB non MKJP acceptor.The purpose of this dedication is to improve the characteristics of women so that it can reduce the high risk group of MKJP usage where it is in line with the government program that is the recommendation of using MKJP or increase the satisfaction on the WUS who already use MKJP contraception. Devotion is done through counseling and examination of maternal health conditions that include examination of body weight, blood pressure, cholesterol. This devotion is done to 26 women of childbearing age in the village area candirejo kab. Semarang and implemented on 13 October and 5 November 2017.Evaluation conducted by giving questions on the pre and post counseling, while the examination data is written on the recap examination.The result of this devotion is from 11 IUD acceptors there are 17% have mild anemia while from 15 Acceptor Implant as much as 13% have anemia, equal to 36% IUD acceptor and 27% acceptor Implant has increased blood sugar level when, the increase of cholesterol level on Iud acceptor equal to 27% and 33% on the Implant acceptor. It is hoped that this dedication will contribute significantly to the increase of KB MKJP participants.Keyword : Early Detection, MKJP, WUS

Pengaruh Latihan Hatha Yoga terhadap Kadar Nitric Oxide pada Penderita Diabetes Melitus Tipe 2 Setiawati, Erna; Suhartono, Suhartono; Ambarwati, Endang
Jurnal Kedokteran Brawijaya Vol 29, No. 3 (2017)
Publisher : Fakultas Kedokteran Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.jkb.2017.029.03.8

Angka kesakitan dan kematian akibat diabetes melitus di Indonesia cenderung berfluktuasi setiap tahunnya. Tujuan penelitian untuk mengetahui pengaruh latihan Hatha Yoga terhadap peningkatan kadar Nitric Oxide (NO) pada penderita diabetes melitus tipe 2. Metode penelitian adalah experimental dengan pre-post with control group design. Sebanyak 34 subjek diabetes melitus tipe 2 yang berusia antara 45-75 tahun dibagi menjadi 2 kelompok secara acak. Kelompok I mendapatkan latihan Hatha Yoga dan kelompok II tidak mendapat latihan Hatha Yoga. Subjek pada kelompok I melakukan 18 kali latihan dengan frekuensi tiga kali seminggu selama enam minggu dengan durasi 45 menit setiap sesi. Hasil menunjukkan tidak terdapat perbedaan bermakna kadar NO setelah intervensi antara kedua kelompok (p=0,856). Terdapat perbedaan bermakna pada perubahan glukosa darah puasa (p=0,000) dan glukosa darah 2 jam post prandial (p=0,010) antara kedua kelompok, dengan perubahan pada kelompok intervensi lebih baik daripada kelompok kontrol. Latihan Hatha Yoga terbukti dapat memberikan perbaikan perubahan kadar glukosa darah puasa dan glukosa darah 2 jam post prandial namun dampak pada kadar NO belum terbukti.Kata Kunci: Diabetes melitus tipe 2, Hatha Yoga, glukosa darah 2 jam post prandial, glukosa darah puasa, Nitric OxideÂ

EFFECT OF SENAM SEHAT ANAK INDONESIA IN MAXIMUM OXYGEN CONSUMPTION IN CHILDHOOD OBESITY Arniari, Gek Yun; Isma AP, Rahmi; Setiawati, Erna; Nency, Yetty Movieta
DIPONEGORO MEDICAL JOURNAL (JURNAL KEDOKTERAN DIPONEGORO) Vol 9, No 4 (2020): DIPONEGORO MEDICAL JOURNAL ( Jurnal Kedokteran Diponegoro )
Publisher : Faculty of Medicine, Diponegoro University, Semarang, Indonesia

Background: Obesity is one of the causal factors of chronic diseases such as heart disease, diabetes, hypertension, asthma, arthritis, and cancer. The change in lifestyle and lack of physical activity in children increase the incidence of obesity, accompanied by a decrease in physical fitness. One of the parameters that can be used to determine the level of physical fitness is the maximum oxygen consumption (VO2max). VO2max in children can be increased through aerobic physical exercise, such as Senam Sehat Anak Indonesia (SSAI). SSAI combines aerobic movements and joyful music in order to motivate children to be more excited in gymnastics. Methods: An Experimental study with the pre-post test design among 23 samples who fulfill the inclusion and exclusion criteria. The exercises were administered twice a week for six weeks. VO2max data were measured before and after the exercise in the first week and week 12. Data of VO2max were analyzed using the data normality test with Shapiro-Wilk, then continued with Wilcoxon test to determine the difference of VO2max. Results: There is significant difference of VO2max between before and after SSAI (p < 0.05). Conclusion: There is an increase in the maximum oxygen volume (VO2max) after the SSAI exercise in childhood obesity.

Senam Sehat Anak Indonesia Improve Peak Expiratory Flow Rate in Children with Obesity Ramadhania, Farah Alya; Asmara Putri, Rahmi Isma; Setiawati, Erna; Nency, Yetty Movieta
Sains Medika: Jurnal Kedokteran dan Kesehatan Vol 11, No 2 (2020): December 2020
Publisher : Faculty of Medicine, Universitas Islam Sultan Agung (UNISSULA), Indonesia

Introduction: Excessive fat accumulation in the obese child causes complex problems in the respiratory system. Respiratory system function can be improved by exercise. One exercise model that is suitable for children is Senam Sehat Anak Indonesia (SSAI). The quality of the respiratory function system is measured using Peak Expiratory Flow Rate (PEFR).Objective: to validate the PEFRâ€™s differences in obese children before and after performing SSAI.Methods: This research using one group pre-posttest experimental design with total sample of 20 obese children using purposive sampling method. The research instrument uses weight scale, height scale, and peak flow meter. SSAI was given to all subjects twice a week for six weeks. Paired T Test statistical analysis was used to examine the PEFRâ€™s differences before and after performing SSAI, considered significant if p<0.05.Results: The PEFRâ€™s mean of all subjects before performing SSAI was 258.25 Â± 39.51 Lâˆ•minute, while PEFRâ€™s mean after performing SSAI twice a week for 6 weeks was 282.50 Â± 43.03 Lâˆ•minute, (p=0,000).Conclusion: The PEFRâ€™s mean of obese children was increase significantly after performing SSAI twice a week for 6 weeks

Pengaruh Senam Sehat Anak Indonesia terhadap FEV1 (Forced Expired Volume in one second) dan FVC (Forced Vital Capacity) pada Anak Underweight Setiawati, Erna; Kesoema, Tanti Ajoe; Asmara Putri, Rahmi Isma; Julianti, Hari Peni
Medica Hospitalia : Journal of Clinical Medicine Vol. 7 No. 2 (2020): Med Hosp
Publisher : RSUP Dr. Kariadi

Pendahuluan: Indonesia masih mengalami masalah gizi yaitu masih terdapatnya status gizi kurang bahkan gizi buruk. Nutrisi yang rendah atau buruk dapat mengurangi massa otot skeletal dan pernapasan, yang menyebabkan penurunan FVC dan FEV. FVC dan FEV merupakan parameter dari fungsi paru. Penelitian terdahulu menyebutkan bahwa olahraga dapat meningkatkan fungsi dari sistim pernapasan. Senam Sehat Anak Indonesia (SSAI) merupakan salah satu pilihan olahraga pada anak. Penelitian ini bertujuan menganalisis pengaruh SSAI terhadap FEV1 dan FVC pada anak underweight. Metoda: Penelitian ini menggunakan one group pre and posttest design. Populasi target adalah 24 anak underweight berusia 9-12 tahun di SDN Tembalang. Dilakukan pemeriksaan FEV1 dan FVC sebelum dan setelah pasien melakukan SSAI. Perbedaan sebelum dan sesudah perlakuan menggunakan uji t-berpasangan. Nilai p dianggap bermakna apabila nilai p<0,05. Hasil: Peningkatan FEV1 (0,66±0,25) liter, FVC (0,22±0,28) liter setelah SSAI berturut-turut p=0,23 dan p=0,71. Diskusi: Pada SSAI dilakukan gerakan-gerakan senam yang dapat meningkatkan elastisitas paru serta memperkuat otot-otot pernapasan sehingga meningkatkan volume udara yang dapat diambil saat bernapas. Peningkatan nilai FVC dapat disebabkan oleh peningkatan volume dan elastisitas paru-paru. FEV1, FEV bervariasi dan tergantung dari otot pernapasan. Pada penelitian ini walaupun tidak bermakna secara statistik namun dalam rerata nilai FEV1 dan FVC terdapat peningkatan setelah SSAI. Hal ini mungkin dikarenakan frekuensi senam yang digunakan adalah frekuensi yang paling minimal yaitu 2 kali per minggu. Simpulan: SSAI 2 kali per minggu selama 6 minggu sebagai salah satu pilihan olahraga pada anak underweight usia 9-12 tahun namun dalam penelitian ini tidak didapatkan peningkatan bermakna pada FEV1 dan FVC. Diperlukan penelitian lebih lanjut menggunakan frekuensi latihan yang lebih banyak dan durasi yang lebih panjang serta menggunakan kelompok kontrol. Kata kunci: Anak underweight; Forced Expired Volume in one second (FEV1); Forced Vital Capacity (FVC); Senam Sehat Anak Indonesia (SSAI) Introduction: Indonesia is still facing nutritional problems, the presence of low nutritional status and even poor nutrition. Low or poor nutrition can reduce skeletal and respiratory muscle mass, which causes a decrease in FVC and FEV. FVC and FEV are parameters of lung function. Previous research suggests that exercise can improve the function of the respiratory system. Senam Sehat Anak Indonesia (SSAI) is one of the sports for children. This study aims to analyze the effect of SSAI on FEV1 and FVC in underweight children. Method: The design of this study was one group pre and post test design. The target population was underweight children at Tembalang Elementary School. FEV1 and FVC were examined before and after the patient underwent SSAI. Difference before and after treatment using paired t-test. The p value is considered significant if the p value <0.05. Results: There was no significant increase of FEV1 (0.66 ± 0.25) liters, FVC (0.22 ± 0.28) liters after SSAI with p= 0.23 and p = 0.71, respectively. Discussion: At SSAI, gymnastic movements are performed that can increase lung elasticity and strengthen breathing muscles, thereby increasing the volume of air that can be taken while breathing. Increased FVC is caused by an increase in lung volume and elasticity. FEV1, FEV varies and depends on the respiratory muscles. In weak expiratory muscles, a person's ability to expiration rapidly decrease and also the FEV1.FVC index. The mean of FEV1 and FVC values ??after SSAI increased but were not significant. In this study, although not statistically significant, the mean values ??of FEV1 and FVC were increased after SSAI. This may be due to the frequency of gymnastics used is the most minimal frequency of 2 times per week. Conclusion: SSAI twice per week for 6 weeks as one of the exercise choices in underweight children aged 9-12 years but in this study no significant increase in FEV1 and FVC was found. Further research is needed using more exercise frequency and longer duration and using a control group.Keywords: Underweight children; Forced Expired Volume in one second (FEV1); Forced Vital Capacity (FVC); Senam Sehat Anak Indonesia (SSAI)

Pengaruh Latihan Zumba Terhadap Resting Heart Rate dan Peak Expiratory Flow Rate Pada Wanita Usia Dewasa Muda Ruberto, Sandro; Supatmo, Yuswo; Setiawati, Erna; Ambarwati, Endang
Medica Hospitalia : Journal of Clinical Medicine Vol. 8 No. 1 (2021): Med Hosp
Publisher : RSUP Dr. Kariadi

Introduction : Lack of physical activity is one of the risk factor for general mortality, therefore it is important to do regular physical activity. Zumba is one of the most popular physical activity methods and it has a lot of benefits especially for cardiorespiratory fitness. Objective : To determine the effect of Zumba exercise on Resting Heart Rate (RHR) and Peak Expiratory Flow Rate (PEFR) as an indicator of cardiorespiratory fitness. Methods : This is an experimental study using pre-test and post-test control group design. In this study, 26 females were divided in 2 groups (intervention and control group). Zumba exercise was given to intervention group 2 times a week (60 minutes per session) for 8-weeks exercise program. Zumba exercise was done virtually using videos provided by Zumba instructor. RHR measurement was carried out independently by research subjects in the morning when they woke up. PEFR measurement was done by using a peak-flow meter. Results : After 8-weeks Zumba exercise program, there was insignificant decreased of RHR from 71 ± 9 beat per minute to 70 ± 8 beats per minute (p>0,005). PEFR was significantly increased from 364 ± 36 liter/minute to 397 ± 42 liter/minute (p<0,005). But, there was no significant difference compared to control group. Conclusion : Zumba exercise can increase PEFR and decrease RHR, but it is not significantly different from the control group. It can be caused by the accuracy of the Zumba exercise is not supervised by the instructor. Keywords : peak expiratory flow rate, resting heart rate, zumba

The The Effects of Zumba Exercise on LDL Levels and Oxidative Stress of Young Adult Women Putri, Alda Aulia Rahma Ananto; Supatmo, Yuswo; Setiawati, Erna; Ambarwati, Endang
Medica Hospitalia : Journal of Clinical Medicine Vol. 8 No. 2 (2021): Med Hosp
Publisher : RSUP Dr. Kariadi

ABSTRACT Background: Sedentary lifestyle which refers to physical inactivity is one of the risk factors for non-communicable diseases, one of which is dyslipidemia. Zumba, as a form of aerobic exercise, is in great demand by young adults recently. This exercise has effects on reducing LDL levels and oxidative stress measured by malondialdehyde (MDA) levels as the biomarker. Objectives: To examine the effect of Zumba exercise on LDL and MDA levels in young adult women. Methods: This experimental study used two groups pre and post test design. Research subjects were 36 women, divided into intervention group (n=18) and control group (n=18). Zumba exercise was done by intervention group 2 times a week (60 minutes per session) for 8 weeks virtually. LDL and MDA levels were measured using blood samples of research subjects. Result data was analysed using T-paired test, Wilcoxon test and Mann-Whitney test. Results: There is no decrease in LDL levels from intervention group after 8 weeks of Zumba exercise. However, there is significant decrease in MDA levels. LDL levels increased from 94,18±25,60 mg/dL to 105,82±27,64 mg/dL (p<0,05) and MDA levels decreased from ,71±0,28 µmol/L to 0,37±0,64 µmol/L (p<0,05). There is no meaningful difference in LDL levels between intervention and control group. Nonetheless, there is meaningful difference in MDA levels among both groups. Conclusion: Zumba exercise 2 times a week for 8 weeks virtually can not reduce LDL levels but can significantly reduce MDA levels. Keywords: low density lipoprotein, malondialdehyde, Zumba exercise

The Efek Penambahan Latihan Penguatan dengan Resistance Band terhadap Kekuatan Otot Quadriceps Femoris pada Lansia yang Mendapat Latihan Keseimbangan Kurniawan, Andriaz; Ambarwati, Endang; Setiawati, Erna
Medica Hospitalia : Journal of Clinical Medicine Vol. 9 No. 1 (2022): Med Hosp
Publisher : RSUP Dr. Kariadi

Abstract Background : Decreased muscle strength and balance disorders that occur in elderly are risk factors for falls. The quadriceps femoris muscle is a predictor of falls and one of the determinants of functional ability in activities of daily living. Balance exercise is one of the exercises to improve the balance of the elderly. Strengthening exercises with resistance bands provide resistance using a stretched elastic band. The objectives of this study was to determine the effect of additional strengthening exercises using resistance bands on increasing the strength of the quadriceps femoris muscle in the elderly who received balance training. Methods: This study is a randomized experimental design with pre and post test design. The subjects were elderly, aged 60-70 years. Subjects were divided into two groups, control group (n=12) and intervention group (n=12). The intervention groups were given balance training 3 times per week for 5 weeks and added strengthening exercises using resistance bands 3 times per week for 5 weeks. The control group only did balance training. Before and after treatment, the strength of the quadriceps femoris muscle was measured in both groups. Results: Statistically significant differences were obtained for right quadriceps femoris muscle strength (p=0.001) and left quadriceps femoris muscle strength (p=0.001) pre and post treatment in the intervention group. In the comparison between groups, there were an increase in the mean muscle strength of the right and left quadriceps femoris, but there were no statistically significant differences in the right quadriceps femoris muscle strength (p=0.088) and left quadriceps femoris muscle strength (p = 0.093). Conclusion: The addition of a resistance band to balance training for 5 weeks had a clinical effect on the quadriceps femoris muscles strength in the elderly but had no statistically significant differences. Keywords: Resistance band, balance training, quadriceps femoris, elderly

- Perbandingan McKenzie dan Isometric Neck Exercise terhadap Keseimbangan pada Forward Head Posture: Studi pada Karyawan Pengguna Komputer Munawaroh, Naela; Sugiarto, Stephanie Indrawati; Wahyudati, Sri; Setiawati, Erna
Medica Hospitalia : Journal of Clinical Medicine Vol. 9 No. 1 (2022): Med Hosp
Publisher : RSUP Dr. Kariadi

BACKGROUND: The increasing use of computers in the current era is accompanied by an increase in the prevalence of poor posture due to the use of computers in fixed and inappropriate positions for a long time. This has the potential to cause changes in posture and body alignment such as forward head posture. McKenzie neck exercise and isometric neck exercise are considered to help maintain normal spinal alignment and improve body posture. OBJECTIVE: To compare the effect of McKenzie and Isometric Neck Exercise to balance in forward head posture METHOD: This study is an experimental study with a quasi-experimental pre and post-test design. Research subjects are computer users at RSUP dr Kariadi Semarang who suffer from forward head posture. A total of 24 research subjects were divided into group 1 (n=12) who received McKenzie neck exercise and group 2 (n=12) who received isometric neck exercise. Allocation was done by simple randomization. Each group did the exercise 12 times for 4 weeks with a frequency of 3 times per week. Balance assessment using the mCTSIB (Modified Clinical Test of Sensory Integration on Balance) questionnaire. Data analysis used Shapiro Wilk, Mann Whitney, independent t-test and paired t-test. RESULT: The demographic data of the sample in this study did not show any significant difference in either group 1 and 2. There was a significant improvement in condition 1 (balance on a flat bed with open eyes) in group 1 (p = 0.025). Significant results were also obtained in condition 2 (balance on a flat bed with closed eye) in group 2 (p = 0.041). There was no significant difference in the analysis of the two intervention groups. The McKenzie group did not provide a greater improvement in balance when compared to the isometric neck exercise group. CONCLUSION: McKenzie exercise is not superior to isometric neck exercise in improving balance

Co-Authors Amalina, Nurika Arniari, Gek Yun Asih Kuswardinah Asmara Putri, Rahmi Isma Dewi Kristanti Endang Ambarwati, Endang Hakim, Ratih Dwiratna Hardiningsih, Galuh Hari Peni Julianti Hartono, Dewi Kusuma Ilham Uddin Indra Hidayat Indriastuti, Lanny Isma AP, Rahmi Isri Nasifah Kurniawan, Andriaz Kurniawan, Daniel Andry Limijadi, Edward KS. Marijo Marijo, Marijo Munawaroh, Naela Oktia Woro Kasmini Handayani Pusaka, Semerdanta Putra, Edy Nuswantara Putri, Alda Aulia Rahma Ananto Putri, Rahmi Isma Asmara Ramadhania, Farah Alya Rini Setianingsih Ruberto, Sandro Rudy Handoyo, Rudy Sobirin, Muhammad A. Sofia, Sefri N. Sri Wahyudati, Sri Stephanie Indrawati Sugiarto Sundari Sundari Tanti Ajoe Kesoema, Tanti Ajoe Tjandra, Kevin C. Udin Bahrudin, Udin Wibisono, Kukuh Widyaningtyas, Hana Yetty Movieta Nency, Yetty Movieta Yuswo Supatmo Zakaria, Nieke

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