Papers by Hardian Hardian
Anesthesiology, Aug 1, 1995

American Journal of Physiology-heart and Circulatory Physiology, Aug 1, 1996
The effect of artificial ventilation, apnea, and norepinephrine administration on heart rate vari... more The effect of artificial ventilation, apnea, and norepinephrine administration on heart rate variability was determined in brain-damaged rabbits. Electrocardiographic R-R intervals and circulatory variables were measured for 5 min at three different ventilatory frequencies, including apnea under isoflurane general anesthesia. The same measurements were repeated after brain damage was inflicted by an inflated intracranial balloon. In control rabbits (n = 8) and in those receiving norepinephrine (n = 8), power spectral analysis of R-R intervals was repeated, and spectral components of low (LF: 0.04-0.09 Hz), mid (MF: 0.09-0.15 Hz), and high (HF: 0.15-0.40 Hz) frequency band areas were assessed. LF + MF (P < 0.05) increased during apnea, whereas HF did not change under general anesthesia. However, after brain damage in both groups LF + MF did not change, whereas HF was depressed (P < 0.05). There was no intergroup difference in decreases of HF/(LF + MF) (P < 0.05) during apnea under either condition. Norepinephrine increased heart rate and arterial pressure (P < 0.05) but did not produce any intergroup difference in the spectral components. We suggest that sympathovagal balance is apt to be sympathotonic during apnea under general anesthesia, whereas it is vagolytic with brain damage.
International Journal of Environmental Research and Public Health
This article is an open access article distributed under the terms and conditions of the Creative... more This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY

Hiroshima journal of medical sciences, 2018
Introduction: Organophosphate pesticide poisoning is a common health problem in Indonesia. By inh... more Introduction: Organophosphate pesticide poisoning is a common health problem in Indonesia. By inhibiting acetylcholinesterase mechanism, chronic organophosphate poisoning may lead some cognitive consequences included attention deficit and memory impairment. This study investigates the effect of chronic organophosphate exposure in attention deficit and memory impairment. Method: A cross-sectional study was conducted in 2 different groups, each consisting of 33 male farmers in Banjarnegara, aged 18-59 years old who are occupationally exposed to organophosphate pesticide for at least 2 years. First group was carried on memory examination using memory impairment screen (MIS) instrument while in second group, attention examination was measured by attention network test (ANT). Vein blood samples analyzed semiquantitatively using Tintometer to know the level of blood acetylcholinesterase (AChE) activity. Data were analyzed using Chi square and Spearman. Result: In the first group, 15 (45.5...

DIPONEGORO MEDICAL JOURNAL (JURNAL KEDOKTERAN DIPONEGORO), 2017
BAB II TINJAUAN PUSTAKA, KERANGKA TEORI, KERANGKA KONSEP DAN HIPOTESIS 2.1 Cairan dan Elektrolit ... more BAB II TINJAUAN PUSTAKA, KERANGKA TEORI, KERANGKA KONSEP DAN HIPOTESIS 2.1 Cairan dan Elektrolit Cairan dalam tubuh manusia memiliki beberapa fungsi, antara lain adalah sebagai alat transportasi berbagai nutrisi, elektrolit dan sisa hasil metabolisme serta sebagai pengatur suhu tubuh. Jumlah cairan dalam tubuh manusia adalah sekitar 60% dari rata-rata berat badan. Cairan ditambahkan ke dalam tubuh melalui dua jalur, yang pertama adalah melalui konsumsi air dan cairan dalam makanan yang menyumbang cairan tubuh sebanyak 2100 ml/hari. Selain itu juga dari sintesis cairan oleh tubuh sendiri melalui hasil oksidasi karbohidrat sebesar 200 ml/hari. Cairan tubuh terdiri dari air dan elektrolit. Cairan tubuh dibedakan menjadi cairan intrasel dan cairan ekstrasel. Cairan ekstrasel terdiri dari cairan intersisial dan plasma. 1,10 Elektrolit merupakan senyawa di dalam larutan yang berdisosiasi menjadi partikel yang bermuatan (ion) positif yang disebut kation atau bermuatan negatif yang disebut dengan anion. Keseimbangan keduanya disebut sebagai elektronetralitas. Elektrolit terdistribusi dalam cairan intrasel dan ekstrasel. Kation dan anion utama dalam cairan ekstraseluler adalah natrium dan klorida, sedangkan di cairan intraseluler kation utamanya adalah kalium dan anionnya paling banyak adalah fosfat. 10,11 Cairan dan elektrolit sangat penting untuk fungsi tubuh baik dalam proses metabolik maupun proses seluler. Cairan dan elektrolit juga sangat penting untuk
DIPONEGORO MEDICAL JOURNAL (JURNAL KEDOKTERAN DIPONEGORO), 2018
Penyakit Jantung Koroner (PJK) adalah salah satu komplikasi gagal ginjal kronik (GGK). Beberapa p... more Penyakit Jantung Koroner (PJK) adalah salah satu komplikasi gagal ginjal kronik (GGK). Beberapa penelitian sebelumnya telah meneliti hubungan antara gagal ginjal kronik (GGK) dengan kalsifikasi pada arteri koroner namun hubungan antara derajat keparahan gagal ginjal kronik (GGK) dan dampak terhadap atherosklerosis masih belum jelas. Tujuan: Menilai hubungan antara derajat keparahan gagal ginjal kronik dengan penyakit jantung koroner.

Endometrial carcinoma is the most common cause of death among all gynecologic malignancies. It is... more Endometrial carcinoma is the most common cause of death among all gynecologic malignancies. It is generally accepted that endometrial hyperplasia represents precursor lesions for endometrial carcinoma. The aim of this study was to investigate the correlation between clinical findings with apoptosis, expression of p53 and Bcl-2 in recurrence endometrial hyperplasia patients. The study was conducted in Dr. Kariadi General Hospital Semarang. Research subjects were 22 patients with recurrence endometrial hyperplasia. Endometrial tissue samples were collected by hysteroscopy. Clinical findings were categorized based on the present (+) or absence (-) of Cork and Screw (CS) vascularisation appearance on endometrial tissue during hysteroscopy. Apoptosis index was evaluated by Tunnel assay method. Expression of p53 and BCL-2 were examined by immunohistochemical methods. Apoptosis, p53 and Bcl-2 expressions on CS (+) was significantly higher than CS (-) group (p<0,05). CS appearance was si...

Background: Batik making process especially “mencanting”, is done in sitting position. If this si... more Background: Batik making process especially “mencanting”, is done in sitting position. If this sitting position maintained for a long period, it can cause muscle strain which may lead into musculoskeletal disorders. Objectives: To determine the association between batik making process and musculoskeletal disorders in batik artisans. Method: An observational study with cross sectional design was conducted in UKM Batik Kanfer Banyumanik and Kampung Batik Semarang 16. Subjects in this research were batik artisans who use “canting” during their work (n=26). Working position was assessed using Rapid Upper Limb Assessment (RULA) while musculoskeletal disorders was assessed by interview based on Nordic Body Map questionnaire. Hypothesis test used was Pearson chi square test. Result: The association between working position and category of musculoskeletal disorders was found to be significant (p=0,008). On the other hand, the association between working period and musculoskeletal disorders ...
International Journal of Gynecologic Cancer, 2006
Intractable & Rare Diseases Research

Journal of intellectual disability diagnosis and treatment, Oct 14, 2022
Background: Sexuality is an integral part of adult human life, including for individuals with a d... more Background: Sexuality is an integral part of adult human life, including for individuals with a disability. Even though sexuality is a fundamental right of human life, however, for a person with an intellectual disability, expressing and exploring sexuality is limited. This study aimed to determine the reliability and validity of ASQ-ID in the Indonesian language. Methods: A cross-sectional observational study designed for adaptation and validation of the Attitudes toward Sexuality Questionnaire in Intellectual Disability (ASQ-ID) of the Indonesian version was conducted in 2019. The study subjects were 617 students of Universitas Diponegoro, Indonesia. The translation process was composed of 5 steps: translation, synthesis, back translation, and semantic and conceptual analysis testing. Exploratory Factor Analysis (EFA) with principal component analysis (PCA) as a method of extraction and varimax rotation was used to identify the structure/dimensionality of observed data and identify clusters of inter-correlated variables. Pearson's r-correlation test was used to evaluate the correlation between the original and Indonesian adaptation of ASQ-ID. Cronbach-alpha was computed across all factors/sub-scales to examine the internal consistency of the adapted questionnaire. Results: Reliability analysis showed Cronbach alpha and composite reliability of items of the Indonesia version of ASQ-ID was high. EFA analysis revealed 7 emerging factors and 28 items of solutions. The items were regroup into 4 subscales based on the original ASQ-ID sub-scales. Conclusion: The Indonesian version of ASQ-ID has high validity and reliability in measuring the attitudes toward sexuality in individuals with ID.

Generics: Journal of Research in Pharmacy
Diare akut adalah defekasi dengan feses encer ≥ 3 kali sehari dan berlangsung selama ≤ 2 minggu. ... more Diare akut adalah defekasi dengan feses encer ≥ 3 kali sehari dan berlangsung selama ≤ 2 minggu. Antibiotik diindikasikan pada pasien disentri atau kolera. Kualitas penggunaan antibiotik menentukan lama dan hasil terapi. Penelitian ini bertujuan untuk mengetahui kualitas penggunaan antibiotik pada pasien pediatri dengan diare akut spesifik berdasarkan kriteria Gyssens di RSND Semarang periode Januari-Desember 2019. Penelitian ini merupakan penelitian observasional dengan pendekatan deskriptif. Subjek penelitian ini adalah pasien pediatri diare akut spesifik di RSND Semarang periode tahun 2019. Cara pengambilan sampel dengan teknik purposive sampling secara retrospektif. Pengumpulan data menggunakan rekam medis. Hasil evaluasi kualitas penggunaan antibiotik pada pasien pediatri diare akut spesifik di RSND pada tahun 2019 sebanyak 15 pasien, dengan jumlah peresepan sebanyak 16. Hasil evaluasi dengan metode Gyssens terdapat 21 kriteria hasil evaluasi yang terdiri dari penggunaan antibi...

Generics: Journal of Research in Pharmacy
Prevalensi gangguan psiko-afektif yang ditandai dengan gejala depresi dan kecemasan pada mereka y... more Prevalensi gangguan psiko-afektif yang ditandai dengan gejala depresi dan kecemasan pada mereka yang berusia 15 tahun ke atas mencapai sekitar 6,1 dari total penduduk Indonesia. Salah satu pedoman untuk mengevaluasi penggunaan obat yang rasional adalah indeks Organisasi Kesehatan Dunia (WHO). Perlakuan yang tidak tepat dapat merugikan masyarakat, terutama bagi masyarakat menengah ke bawah. Penelitian ini bertujuan untuk melakukan penelitian tentang pola peresepan obat untuk pasien rawat jalan di poli jiwa Rumah Sakit Breves selama periode Januari hingga Desember 2019. Rumah Sakit periode Januari -Desember 2019 menurut indikator WHO 1993. Pengumpulan data dilakukan secara retrospektif berupa grafik rawat jalan dan data resep dari poliklinik jiwa RS Breves, data periode Januari-Desember 2019. Pengambilan sampel untuk penelitian ini menggunakan metode systematic random sampling sebanyak 600 sampel. Analisis menunjukkan rata-rata jumlah entri obat per resep 2,47; resep nama generik 95,5...

Background Infectious disease abdominal typhus or typhoid fever is transmitted through food and d... more Background Infectious disease abdominal typhus or typhoid fever is transmitted through food and drink that contaminated with S.typhi. In Indonesia, typhoid is endemic are often found in big cities. Typhoid fever is more commonly is closely associated with the snacking behavior. Aim to prove the relationship between the level of maternal knowledge about typhoid fever with snacking behavior of elementary school pupils. Methods This was an analytic-observational study with cross sectional study design. Samples of this study were mothers who had elementary school pupils children lived in Kedungmundu (endemic area). Sampling done by using questionnaire. Data were being tested statistically with Chi-square/ Fischer test. Result this study showed 13 mothers (72,2%) with moderate-high knowledge level about typhoid fever having elementary school pupil with rare snacking behavior and 5 mother (27,8%) having elementary school pupil with often snacking behavior. This study also showed 1 mother ...
DIPONEGORO MEDICAL JOURNAL (JURNAL KEDOKTERAN DIPONEGORO), 2016
Karsinoma hepatoseluler (KHS) menduduki peringkat kelima dari seluruh keganasan di seluruh dunia.... more Karsinoma hepatoseluler (KHS) menduduki peringkat kelima dari seluruh keganasan di seluruh dunia. KHS merupakan 10-20% dari seluruh penyakit hepar di Indonesia. Belum terdapat data distribusi geografis pasien KHS etiologi virus Hepatitis B di Jawa Tengah. Tujuan : Mengetahui distribusi geografis dan hubungan lokasi asal pasien dengan tingkat keparahan KHS etiologi virus Hepatitis B di RSUP Dr Kariadi Semarang.

Dermatology Research, 2021
Background: Premature canities, also known as premature graying of hair, is the graying of hair b... more Background: Premature canities, also known as premature graying of hair, is the graying of hair before 20 years old in Caucasians, before 25 years old in Asians, and before 30 years old in African–Americans. The risk factors for premature canities are multifactorial. The role of micronutrient deficiency has long been suggested to be involved in the etiopathogenesis of premature canities. The management of premature canities remains limited and far from satisfactory; hence, knowing what vitamins and minerals can help in treating premature canities is vital. Aim: This study aims to analyze serum vitamin B12, iron, ferritin, copper, calcium, and zinc levels in premature canities. Methods: The MEDLINE/PubMed electronic database, Cochrane library, ClinicalTrials.gov, EBSCO, Scopus, ProQuest, Cambridge Core, reference lists, conference proceedings, and researchers in fields of eligible studies were searched. Twelve studies (n = 1791 subjects) were included in qualitative analysis of which...
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Papers by Hardian Hardian