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"Latar BelakangDaya tahan jantung paru sebagai komponen kebugaran jasmani mempunyai peranan penting dalam meningkatkan kualitas dan produktivitas pegawai sipil. Di era otonomi daerah, peranan Pemerintah Daerah dan Dinas Otonom dalam pembangunan semakin penting. Untuk itu perlu diketahui sebaran daya tahan jantung paru dan faktor yang berhubungan antara pegawai negeri sipil di kedua instansi tersebut.MetodeDisain cross sectional dengan deskripsi analisis. Didapatkan sample penelitian Pegawai Negeri Sipil umur 30-50 tahun Dinas Kesehatan dan Pemerintah Daerah Tk.I di 4 Provinsi sebanyak 654 orang. Pengumpulan data dilakukan dengan wawancara, pemeriksaan fisik dan daya tahan jantung paru di nilai dengan tes lari 2,4 km.HasilTingkat daya tahan jantung paru yang baik ditemukan hanya pada 27 % dari total responder. Proporsi tingkat daya tahan jantung paru yang baik di Pemerintah Daerah lebih besar dari Dinas Kesehatan Tingkat I. Faktor yang paling berpengaruh adalah tidak berminum alkohol (OR sesuai 2,39), berolahraga (OR sesuai 2,1) dan golongan kepegawaian ( OR = 1,51 ).Kesimpulan SaranDaya tahan jantung paru pada Pegawai sipil pada umumnya masih rendah. Daya tahan jantung pare mempunyai hubungan bermakna dengan golongan, unit kerja, tidak minum alkohol, dan olah raga. Disarankan untuk diteliti lebih lanjut tentang hemoglobin, aktifitas fisik dan pola makan. Perlu penyuluhan mengenai gaya hidup sehat bagi pegawai negeri sipil.

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Background

Cardiorespiratory endurance as a component of physical healthy is playing an important role in improving quality and productivity of government officials. In the decentralization era, the role of the provincial government and health office in coordinating the implementation and controlling developments has become more important. Therefore, there is a need to find out the status of cardiorespiratory endurance and its related factors among the government officials of provincial health and government office in four provinces.

Methods

This study is using cross-sectional design with descriptive analysis. A total of 645 samples of government officials, age 30-50 years, working at provincial health office and government office in four provinces were recruited. The data was collected by interview and physical examination; the cardiorespiratory endurance was measured by performing the running test for 2.4km (Cooper Test).

Results

The level of good cardiorespiratory endurance among the subjects was 27.6% out of 645 total respondents. It was better in government office's staff than in the health office (31.6%, 24%). The most affecting factors were; not taking alcoholic drinks (adjusted OR 2.39), sports (adjusted OR 2.1), and grade of government official (adjusted OR 1,51),

Conclusion and Recommendation

The level of cardiorespiratory endurance among the government officials is still low. The provincial government office's staffs have better cardiorespiratory endurance than the provincial health office's staffs. The cardiorespiratory endurance correlated with the grade of government official, working unit, not taking alcoholic drinks, and sports. The health education on healthy life style should be given to government officials. For further research, it is recommended to assess the relations of the haemoglobin, physical activity, and dietary pattern, with the cardiorespiratory endurance."

"For years heart disease prevelance have increased. results of basic health research (Known as riset kesehatan dasar riskesdas ) 2007. showed that heart disease is the second majoe cause of death after stroke in mortality cases in Indonesia...."

"Heart abnormalities in cirrhotic patients have been known for five decades, with atria and ventricular dilatation. Pozzi et al reported that in cirrhotic patients with or without ascites, the diastolic function was lower than control. Ascitic paracentesis improved diastolic function. The diameter of both atria was larger in cirrhotic patients with or without ascites. The diastolic diameter of left ventricle did not differ significantly in cirrhotic patients with or without ascites compared to control, but there was an increase after paracentesis. Eection fraction was lower in cirrhotic and increased after ascitic parancentesis although the increase was not significant.

The aim of the Study: To compare the function and structure o fthe heart before and afler ascitic paracentesis in cirrhotic patients.

Methods: This study tool: place from February 2000 to April 2001 in dr. Pringadi Hospital/H.Adam Malik Hospital. There were 18 samples (12 men and 6 women), 15 of which were cirrhotic patients with tense ascites and 3 cirrhotic patients with refractory ascites. The mean age was 51,8 + 8,28 years, the youngest being 29 years and the oldest 65 years. The mean ascitic fluid removed by paracentesis was 7,20 liters with a range of 5 to 9 liters. Immediately following paracentesis, Dextran 40 % was administered at a dose of 8g lL ascilic fluid aspirated.

Results: The diameter of the four heart chambers decreased after paracentesis, but the decrease was not statistically significant. There was increase in E/A ratio after ascitic paracentesis, from 0,93 + 0,3 70 to 1,06 + 0,383 (significant, p<0, 05), meaning that there was an improvement in diastolic function after ascitic paracentesis. There was also an increase in ejection fraction from 68,99 + 13,26 % to 72,10 + 11,10 %, bitt this was not significant (p>0,05).

Conclusion: after paracentesis, there was a significant inmprovement in diastolic function while diameter of the four heart chambers decreased and the ejection fraction increased insignificantly"