SEHAT DITINJAU DARI ASPEK BIOPSIKOSOSIOSPIRITUAL

1. SEHAT DITINJAU DARI ASPEK BIOPSIKOSOSIOSPIRITUAL Dr. Zaenal M. Sofro, AIFM, Sports & Circulatory Med Fak.Kedokteran UGM Life Support

5. Physiologic Requirements to Perform Exercise

7. Cardiovascular ctr in medulla oblongata Baroreceprots in aorta & carotid bodies Symp. + Parasymp. - Vaso-constriction Heart rate pressure Gravity: role of baroreceptor reflex in orthostatic adjustment

8. Tn. XXX Usia : 52 Tahun* SCHELLONG TEST Life Support Keterangan : 1. Reaksi Hypertonie 2a. Hypotonie Asympatothone 2. Hypotonie Sympatothone 3. Reaksi Vasovagale Parameter Real Standart QT Interval 0,40 0,40 MAP 104,99 100 Pulse Pressure 45 40 IMT 36,59 KeteranganObesitas Lebih 24,7 Kg E.C.G. Sinus Normal ZONA 2

11. ERGOMETRI 1 No. Induk Instansi Periksa Ke Tgl. Periksa Nama Keluhan Pakai obat Umur Berat Badan Tinggi Badan L.P.B. DJ. Max pred. % DJP : (02635) : Atlet Sepak Bola : SATU : 13 Desember 2003 : Atlet 1 : - : - : 22 Tahun : 57 Kg : 165,5 Cm : 1,63 m² : 198 x per menit : 76,77 Life Support PWC Pred 194 watt PWC Real 103,09 % DJ Latiuhan 150 – 170 /menit 0 1 2 3 4 5 6 7 8 9 10 Pengukuran VO 2

12. ERGOMETRY TEST

15. Diagnosis Cardiac Physiology Electrocardiography

16. Electrocardiogram (ECG/EKG) • Note: Tissue fluids conduct electricity. • EKG: • Measure of the electrical activity of the heart.

18. urine flow drink 1200 ml water drink 1200 ml isotonic saline osmolarity osmolarity urine flow PENGARUH JENIS MINUMAN TERHADAP OSMOLARITAS TUBUH Two Very Different Experimental Observations

19. 6 PRECORDIAL (CHEST) LEADS Spine V6 V5 Sternum V4 V3 V1 V2

20. Willem Einthoven (1860-1927)‏

21. ST Elevation Infarction A. Normal ECG prior to MI B. Ischemia from coronary artery occlusion results in ST depression (not shown) and peaked T-waves C. Infarction from ongoing ischemia results in marked ST elevation D/E. Ongoing infarction with appearance of pathologic Q-waves and T-wave inversion F. Fibrosis (months later) with persistent Q- waves, but normal ST segment and T- waves Here’s a diagram depicting an evolving infarction:

23. % Carbohydrate 80 40 60 20 100 Intense Moderate Exercise Light 0 20 40 80 60 % Fat Carbohydrate and fat utilization during exercise

25. Effect of Training on Blood Lactate / Lactate Threshold [Blood Lactate] Untrained Trained LT LT 25% 50% 75% 100% Percent of VO 2 max

27. % 120 100 80 General Level of Physiologic Function 50 40 20 Active Person Age, year Sedentary Person

29. Physical activity

30. Initiation and Maintenance of PA Behavior Change Self efficacy beliefs critical in initiation Pleasure, satisfaction, and self regulatory skills (goal setting and monitoring) are most important in sustaining PA behavior

32. Touch

33. John Hughlings Jackson (1835-1911) Father of English Neurology Quoted by Stephen Porges 11/01 Social Sympathetic Contact (Eyes) “Love” Transaction (Mouth) Parasympathetic Rest Alarm Orient Discharge Fight/Flight Alarm Catatonia Immobility Disassociation Sleep (4 Stage) “Voodoo Death” Freeze

34. Ventral Vagal Sympathetic Nervous System Dorsal Vagal System 34

35. Ekman’s Emotional Faces

36. Diet and risk of NCD Up to 80 % of cases of CHD and up to 90 % of type 2 diabetes could be avoided through changing lifestyle factors. About one third of cancers could be prevented by eating healthily, maintaining normal weight and being physically active throughout the life span.

39. Maintaining a Healthy Weight is a Balancing Act Calories In = Calories Out How long will you have to walk in order to burn those extra 305 calories?* *Based on 130-pound person

41. Extremely Dehydrated Drink Water Immediately Mildly Dehidrated Drink More Water Safe Zone Not Dehydrated

43. A Healthy Environment Means Healthier Kids

44. Oops… I Forgot Most People with Health Conditions Don’t Do What They Should I’m Too Busy I Don’t Care I’m Confused I Don’t Understand I’m Afraid I Can’t Afford It

45. JAZAA KUMULLAH KHAIRAN KATSIRAN