Mulyadi Mulyadi
@unusa.ac.id
Faculty Medicine
Universitas Nahdlatul Ulama Surabaya
Scopus Publications
Scholar Citations
Scholar h-index
Scholar i10-index
Scopus Publications
Mulyadi, Ida Muna Junita, Teuku Zulfikar, Nurrahmah Yusuf, Mulkan Azhary, and Hotimah Masdan Salim
DiscoverSys, Inc.
Introduction: Chronic obstructive pulmonary disease (COPD) is a chronic inflammation that causes a variety of pulmonary and systemic disorders. Pursed-lip breathing and diaphragmatic breathing exercises are useful techniques for improving ventilation, reducing the degree of breathlessness, enhancing performance, and improving quality of life. The aim of this study was to determine the effect of pursed-lip breathing and diaphragmatic breathing exercise on the value of the 6-min walk test and to improve quality of life by SGRQ in stable COPD patients. Methods: This study was an experimental study using group control before and after examining 60 stable COPD patients at Dr. RSUD Lung Center. Zainoel Abidin from November 2019 to February 2020. Samples were extracted by systematic random sampling and divided into two groups. The intervention group received indacaterol bronchodilator therapy in addition to four weeks of apron and diaphragmatic breathing exercises. The control group received only indacaterol therapy. A 6-minute walk test was administered and a quality of life questionnaire was completed using the SGRQ. A t-test and Wilcoxon test were performed to assess differences between groups, level of significance p < 0.05). Results: There was a significant effect on the 6-minute walk test in the intervention group compared with the control group (p = 0.001). There was a significant effect in improving quality of life using the SGRQ questionnaire in the intervention group compared with the control group (p = 0.001). Conclusion: There was a significant effect on the six-minute walking test in the intervention group compared to the control group. There was a significant effect on improving the quality of life using the SGRQ questionnaire in the intervention group compared to the control group.
I Dewiyanti, M Mulyadi, M Ulfa, C Octavina, and H A Haridhi
IOP Publishing
Abstract The existence of megabenthos has an important role in maintaining sustainability of coral reef ecosystems and in the food web process. Megabenthos is also often used as an indicator of the health condition of coral reefs. The purpose of study was to analyze the biodiversity of megabenthos associated with coral reef in Tuan Island. This research was conducted in July -September, 2020. There were four research stations determined by purposes method based on four wind directions. Megabenthos data collection carried out by benthos belt transect method and coral reef data collected by using the Line Intercept Transect (LIT) method. The results were found 8 species of megabenthos target, namely spiny starfish (Acanthaster planci), blue starfish (Linckia laevigata), sea urchins (Diadema setosum), sea cucumbers (Holothuria atra), clams (Tridacna squamosa), Drupella snails (Drupella sp.), lola clams (Tronchus niloticus) and lobster (Panulirus versicolor). Totally, there were 190 individuals of megabenthos with the abundance ranged from 0.18 to 0.52 individuals/m2. Diadema setosum had the highest abundance with the value 0.9 individuals/m2 followed by Drupulella sp. (0.3 individuals/m2). The highest diversity index was station 4 followed by station 3, 2, and 1 with the value of 2.21, 0.85, 0.64, and 0.41, respectively. The diversity index was categorized as low and medium. The average of evenness and dominance indices were 0.04 and 0.62, both was medium category. The highest percentage of coral cover was at station 1 followed by station 3, 4, and 2, the coral cover value were 50.44%, 29.20%, 18.14%, and 9.29%, respectively. The correlation (r) between the percentage of coral reef cover and megabenthos abundance has a positive correlation, but the level of correlation was low (0.215 %). The density of megabenthos on Tuan Island did not have a major influence on coral reef cover where the determination value (R2) was 0.0462 which indicated that the megabenthos abundance was influenced by the percentage of coral reef cover only 4.62%.
Budi Yanti, Mulyadi Mulyadi, Muhammad Amin, Harapan Harapan, Ni Made Mertaniasih, and Soetjipto Soetjipto
Springer Science and Business Media LLC
Abstract Objective The role of Mycobacterium tuberculosis complex (MTBC) species in tuberculosis (TB) infection in human is still questioned. The aim of this study was to determine whether M. tuberculosis and M. bovis is associated with apoptosis and necroptosis by measuring the expression of specific signaling pathways components (Fas-associated protein with death domain (FADD) and receptor interacting protein 3 (RIP3)), and the level of apoptosis. Results We recruited 30 patients with pulmonary TB; 24 patients were infected with M. tuberculosis Beijing strain and six patients with M. bovis BCG strain. M. tuberculosis-infected patients were more likely to have severe lung damage compared to those infected with M. bovis (odds ratio [OR] 7.60; 95% confidence interval [CI] 1.07–54.09). M. tuberculosis infection was associated with lower expression of FADD and lower apoptosis level of macrophages compared to M. bovis. No significant different of RIP3 between MTBC species groups. In conclusion, M. tuberculosis Beijing strain was associated with severe pulmonary damage, inhibited FADD expression and reduced apoptosis level of macrophages derived from pulmonary TB patients. This suggests that the M. tuberculosis Beijing strain is potentially to be used as determinant of disease progressivity and tissue damage in TB cases.
David Ferrandiz-Mont, Nur Wahyuniati, Hsin-Jen Chen, Mulyadi Mulyadi, Tjut Mariam Zanaria, and Dar-Der Ji
Wiley
Exact etiology and proper treatment of eczema are still unknown. The hygiene hypothesis and epidermal barrier dysfunction hypothesis attempted to give some plausible explanations for these issues but they still remain unclear. The identification of factors, including hygiene practices, related to eczema symptoms (ES) could shed some light on these matters. Therefore, this study aimed to determine risk factors related to ES and the ES prevalence in two disparate areas in terms of urbanization in Aceh, Indonesia.
Harapan Harapan, Fitra Fitra, Ichsan Ichsan, Mulyadi Mulyadi, Paolo Miotto, Nabeeh A. Hasan, Marta Calado, and Daniela M. Cirillo
Elsevier BV