Latihan ROM Pasif Unilateral dan Bilateral terhadap Peningkatan Kekuatan Otot Akibat Stroke Iskemik

This study aims to compare the effectiveness of unilateral ROM and bilateral ROM exercises to increase muscle strength in post-hospitalized clients with hemiparesis due to ischemic stroke. The research method used is a quasi experimental two group pre and post test design. The results showed that there was an effect of both groups on increasing muscle strength with a p-value of 0.000, in conclusion, bilateral ROM exercises had a higher impact on increasing muscle strength compared to unilateral ROM exercises. Keywords: Muscle Strength, Bilateral ROM, Unilateral ROM, Ischemic Stroke

The Organoleptic and Smoked Catfish Histology from Pre-cooking

<p>Catfish is one of the main commodities in fresh water aquaculture. Indonesia catfish<br />production increased 37,49% in 2010 until 2014. Protein content of catfish is 17.7-26.7%<br />and fat about 0.95 until 11.5%. The objective of this study was to determine the best<br />organoleptic and to study the changes of tissue structure of catfish caused by process precooking<br />and smoking process. Precooked Catfish with variation 5, 10 and 15 minute;<br />temperature of 100oC, and smoked for 7 hours with a temperature of 90°C, analyzed in<br />laboratory. The results organoleptic consumers is the favored smoke catfish without any<br />pre – cooking and catfish-results of pre-cooking for 5 minutes i.e. ten successive sense<br />8.66; 7.66 smell 8.46; 7.8appearance 8.13;5.93 texture 6.86; 6.93. Organoleptic low on </p><p>pre-cooked for 15 minutes the sense of 5.66 smell 7 appearance of 2.93 texture 5.53.<br />Pre–cooked for 15 minutes has the highest water content of 26.33%. Pre–cooked for 5<br />minutes with the lowest value of 16.23%. smoked catfish without any pre–cooking has<br />the highest value of aw 0.82. Pre–cooked for 15 minutes had the lowest value of 0.78.<br />Observation on histology showed fresh catfish the structure of the connective tissue still<br />compact. Precooked catfish, myomer begins damage, catfish smoke without pre-cooking<br />is characterized by the formation of fibrils wafy fibers are separated from one another and<br />pre-cooking smoked catfish, myoseptum damaged and lead to the distance inter myomer<br />but myomer still intact.<br />Keywords : Muscle, sensory analysis, water activity,water content</p>

GAMBARAN LAMA KERJA ATRAKURIUM PADA PASIEN YANG MENJALANI ANESTESIA UMUM DI IBS RSUP PROF KANDOU MANADO NOVEMBER-DESEMBER 2013

Abstrak: Obat pelumpuh otot adalah obat yang digunakan selama anestesi dan memfasilitasi intubasi. Pelumpuh otot non depolarisasi merupakan antagonis dari fase I blok pelumpuh otot depolarisasi, karena ia menduduki reseptor asetilkolin sehingga depolarisasi oleh suksinilkolin sebagian dicegah. Atrakurium adalah salah satu obat pelumpuh otot non depolarisasi yang mempunyai struktur benziliquinolin yang berasal dari tanaman Leontice Leontopeltalum, keunggulan adalah metabolisme terjadi di dalam darah, tidak bergantung di pada fungsi hati dan ginjal, tidak mempunyai efek akumulasi pada pemberian berulang. Tujuan penelitian ini adalah untuk mengetahui gambaran lama kerja dari obat pelumpuh obat non depolarisasi atrakurium.Penelitian ini merupakan penelitian deskriptif prospektif yang dilakukan pada ruang pasca bedah Instalansi Bedah Sentral RSUP.Prof. DR. R. D. Kandou Manado dengan subjek berjumlah 10 orang yang telah memenuhi kriteria inklusi. Dapat disimpulkan bahwa rerata gambaran lama kerja adalah 35,6 menit. Kata kunci: pelumpuh otot non depolarisasi, atrakurium Abstract: Muscle relaxant drugs are drugs used during anesthesia and facilitate intubation . Non- depolarizing muscle relaxants is an antagonist of the phase I block of depolarizing muscle relaxants , because it occupies the acetylcholine receptors so that depolarization by succinylcholine partially prevented . Atracurium is one of the non- depolarizing muscle relaxant drugs that have a structure that is derived from plants benziliquinolin LeonticeLeontopeltalum , excellence is metabolism occurs in the blood , does not depend on the function of the liver and kidney , had no effect on the accumulation of repeated administration . The purpose of this study is to describe the work of the old non- depolarizing paralytic drug drug atracurium . This study is a prospective descriptive study conducted on postoperative space Installation Central Surgical Hospital .Prof .DR . R. D. Kandou Manado with the subject of 10 people who have met the inclusion criteria . It can be concluded that the average length of employment was 35.6 overview minutes. Keywords: Muscle relaxants, Atracurium