Fiziksel egzersiz sağlığımızı korumamızda hayati bir rol oynar. Moleküler seviyede fiziksel egzersiz serotonin gibi sinir ileticilerinin salgılanmasına neden olur. Serotonin eksikliği stres ya da depresyon durumuna sebep olabilir. Fiziksel egzersizin beyindeki serotonin seviyesini artırdığını varsaydık. Bu nedenle, bu çalışmada erkek Wistar sıçanları beyin dokusundaki serotonine yönelik oksijenli ve oksijensiz çalışma etkisini araştırmayı amaçladık. 28 adet erkek Wistar sıçanı, bir haftada gerçekleştirilen 1x, 3x, 7x'li oksijenli ve oksijensiz çalışma grupları olmak üzere 7 adet kontrol grubuna ayrılmıştır. Sıçan çarkı, oksijensiz çalışma için 20 dakika boyunca 35 m/min hızda kullanılırken oksijenli çalışma için 30 dakika boyunca 20 m/min hızda kullanılmıştır. Serotonin seviyesi ST/5-HT (Serotonin/5-Hidroksitriptamin) ELISA Kit kullanılarak ölçülmüştür. Tedaviler arasında önemli farklılıklar ANOVA (α = 5%) ile test edilmiştir. Varsayımımızın aksine, hem oksijenli ve hem oksijensiz çalışma gruplarının kontrol grubundan daha düşük bir serotonin seviyesine sahip olduğu ortaya çıktı.
Kerokan is an alternative therapy done by rubbing and pressing the skin surface using oil and a blunt object. This treatment has a hepatoprotective effect as it increases heme oxygenase-1, an essential enzyme in heme catabolism. In hepatitis B, heme oxygenase-1 plays a vital role to fight oxidative stress. Hence the damage on liver cells can be reduced or even prevented. Damaged cells indicate by the production of aspartate aminotransferase (AST/SGOT) and alanine aminotransferase (ALT/SGPT) enzymes that accumulated in the bloodstream. This study aimed to investigate the effect of kerokan to liver function by analyzing SGOT and SGPT levels in hepatitis B patients. These were an experimental study with a pre-test post-test control group design conducted in the public health center in Palembang in October 2016. Statistical analysis used the unpaired t test and paired. The research subjects were 30 patients with inactive carrier and chronic hepatitis B. The levels of SGOT and SGPT were determined using the IFCC method. The levels of SGOT in control (19.53±3.44 U/L) and treatment group (20.46±4.53 U/L, Δ=0.93) after 24–48 hours were not statistically different (p=0.53). Also, the levels of SGPT in control (18.66±5.40 U/L) and treatment group (19.80±9.25 U/L, Δ=1.13) after 24–48 hours were also not statistically different (p=0.68) as well. In conclusion, the liver cells of inactive carrier and chronic hepatitis B patients were not damaged (necrosis) after kerokan therapy, and the levels of SGOT and SGPT were still in the normal range. EFEK KEROKAN TERHADAP FUNGSI HEPAR PASIEN HEPATITIS BKerokan merupakan terapi alternatif yang dilakukan dengan menggosok dan menekan permukaan kulit menggunakan minyak dan benda tumpul. Pengobatan ini bersifat hepatoprotektif, yaitu meningkatkan produksi enzim heme oxygenase-1 dalam katabolisme heme. Pada hepatitis B, heme oxygenase-1 berperan penting dalam menangkal radikal bebas sehingga dapat mengurangi atau mencegah kerusakan sel hepar. Kerusakan sel hepar diindikasikan oleh produksi enzim aspartate aminotransferase (AST/SGOT) dan alanine aminotransferase (ALT/SGPT) yang terakumulasi dalam pembuluh darah. Penelitian ini bertujuan mengetahui pengaruh kerokan pada fungsi hepar dengan menganalisis kadar SGOT dan SGPT pada pasien hepatitis B. Penelitian eksperimental ini menggunakan desain pre-test post-test control group yang dilakukan di puskesmas di Palembang pada Oktober 2016. Analisis statistik menggunakan uji t berpasangan dan tidak berpasangan. Subjek penelitian meliputi 30 pasien inactive carrier dan kronik hepatitis B. Kadar SGOT dan SGPT diukur dengan menggunakan metode IFCC. Kadar SGOT pada kontrol (19,53±3,44 U/L) dan grup perlakuan (20,46±4,53 U/L; Δ=0,93) setelah 24–48 jam tidak terdapat perbedaan signifikan (p=0,53). Selain itu, kadar SGPT pada kontrol (18,66±5,40 U/L) dan grup perlakuan (19,80±9,25 U/L; Δ=1,13) setelah 24–48 jam tidak menunjukkan perbedaan signifikan (p=0,68). Simpulan, sel hepar pada pasien inactive carrier dan kronik hepatitis B tidak mengalami kerusakan setelah terapi kerokan, serta kadar SGOT dan SGPT tetap dalam kondisi normal.
Latar Belakang. Kerokan adalah suatu metoda pengobatan dengan cara menekan dan menggeserkan benda tumpul (biasanya uang logam) secara berulang-ulang di permukaan kulit sampai terjadi bilur-bilur berwarna merah. Secara fisiologi efek kerokan terhadap tubuh adalah menyebabkan terjadinya ekspresi gen yang memproduksi enzim heme oxygenase-1 (HO-1) di organ tubuh setelah perlakuan dan beberapa hari setelah perlakuan. HO-1 adalah suatu enzim yang memiliki peran sebagai antioksidan dan antiinflamasi dan berperan terhadap pengaturan tekanan darah. Berdasarkan pernyataan diatas, penelitian ini diarahkan untuk menjawab pertanyaan sebagai berikut: apakah terdapat pengaruh kerokan terhadap tekanan darah pada pasien hipertensi. Metode. Penelitian ini menggunakan rancangan penelitian kuasi eksperimen dengan One-group pretest-posttest design, yaitu desain penelitian yang terdapat pretest sebelum diberi perlakuan dan posttest setelah diberi perlakuan, dengan besar sampel adalah 35 sampel. Sebelum perlakuan, 35 pasien hipertensi dilakukan pengukuran tekanan darah, kemudian diberi perlakuan kerokan, setelah 15 menit dilakukan perlakuan kerokan, dilakukan pengukuran tekanan darah kembali. Hasil. Hasil uji beda rerata nilai mean arterial pressure (MAP) sebelum perlakuan dengan sesudah perlakuan, menunjukkan bahwa terdapat perbedaan yang bermakna pada rerata nilai mean arterial pressure (MAP) sebelum dan sesudah perlakuan (p=0,000) dengan penurunan sebesar 5,37 mmHg, hasil uji beda rerata nilai sistole sebelum perlakuan dengan sesudah perlakuan, menunjukkan bahwa terdapat perbedaan yang bermakna pada rerata nilai sistole sebelum dan sesudah perlakuan (p=0,000) dengan penurunan sebesar 8,94 mmHg, Kesimpulan : hasil uji beda rerata nilai diastole sebelum perlakuan dengan sesudah perlakuan, menunjukkan bahwa terdapat perbedaan yang bermakna pada rerata nilai diastole sebelum dan sesudah perlakuan (p=0,009) dengan penurunan sebesar 3,57 mmHg
Anaerobic exercise is a high-intensity exercise that needs quick energy supplies obtained in a very short time. However, this exercise may result in tissue hypoxia which is characterized by the increase of HIF-1α concentration. The presence of HIF-1α will induce the secretion of VEGF and, eventually, trigger angiogenesis. Nevertheless, it is still unclear whether anaerobic exercise will also cause hypoxia in which this condition will increase the concentration of VEGF in brain tissues. The aim of this study was to find out the effect of anaerobic exercise frequency towards VEGF concentration of Wistar rat brain tissues. Brain tissues were taken from rats treated with anaerobic exercise using treadmill. This exercise was given in different frequencies; one time, three times, and seven times a week. The data collected were analyzed using independent t-test. The results of this study showed that anaerobic exercise done once a week could significantly increase VEGF concentration (p < 0.05) if compared with the one in control group (95.21 ± 31.99 v.s. 63.36 ± 11.01 pg/mL). Meanwhile, VEGF concentration of treatment groups given exercise three times a week (47.97 ± 10.68 pg/mL) and seven times a week (40.56 ± 13.98 pg/mL) showed a significant decrease if compared with that of control group (63.36 ± 11.01 pg/mL). Anaerobic exercise affected VEGF concentration as an indicator of angiogenesis in brain tissue of wistar rats.
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