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The Association of Serum Vitamin D Levels with Lung Function, Symptom Severity, and Exacerbations in Stable COPD Patients Yusuf, Nurrahmah; Mekasari, Chelsy; Dianova, Sri; Priyanto, Herry; Yanti, Budi
Asian Journal of Public Health and Nursing Vol. 1 No. 2 (2024)
Publisher : Queeva Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62377/drshg005

Abstract

Background: Chronic obstructive pulmonary disease (COPD) is a significant health burden associated with a decrease in quality of life. Patients with the disease often have a deficiency of Vitamin D, a fat-soluble vitamin important for respiratory health. A previous study suggested an association between low vitamin D levels and poor lung function, as well as increased exacerbation, and more severe COPD symptom. Therefore, this study aimed to assess serum vitamin D levels in stable COPD patients and explore association with lung function, symptom severity, and frequency of exacerbation. Methods: This was a cross-sectional study conducted from May to July 2023 at Lung Polyclinic of Dr. Zainoel Abidin Regional General Hospital (RSUDZA) Banda Aceh. A total of 30 subjects selected based on specific inclusion and exclusion criteria were included. Results: The results showed that the mean serum vitamin D level was 26.25 ng/mL, with 56.7% of subjects showing vitamin D insufficiency. Statistical analysis showed p-values of 0.58, 0.637, 0.12, and 0.98 for lung function, exacerbation, COPD Assessment Test (CAT), and Modified Medical Research Council (mMRC) dyspnoea scale respectively, indicating no significant association between vitamin D levels and these outcomes. Potential confounding factors include unassessed variables such as medication use, educational background, and psychological status. Conclusion: This study found no significant association between serum vitamin D levels and lung function, symptom severity, or frequency of exacerbation in stable COPD patients. Further studies with a larger sample size and extended follow-up are needed to confirm these results and explore additional influencing factors.
Pengaruh Lingkungan Kerja Non Fisik Dan Dukungan Organisasi Terhadap Retensi Pegawai Di Kantor Pelabuhan Perikanan Samudera Bungus Padang Yanti, Budi; Sjafitri, Henny; Ariani, Fitri
Jurnal Menara Ekonomi : Penelitian dan Kajian Ilmiah Bidang Ekonomi Vol 11, No 2 (2025): VOLUME XI NO. 2 APRIL 2025
Publisher : Jurnal Menara Ekonomi : Pelatihan dan Kajian Ilmiah Bidang Ekonomi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31869/me.v11i2.6662

Abstract

Tujuan penelitian ini untuk mengetahui pengaruh lingkungan kerja non fisik dan dukungan organisasi terhadap retensi pegawai kantor Pelabuhan Perikanan Samudera Bungus Padang. Metode penelitian yang digunakan adalah kuantitatif deskriptif. Teknik pengambilan sampel yang digunakan adalah Total Sampling, sehingga sampel dalam penelitian ini sebanyak 93 responden. Teknik analisa data yang digunakan adalah regresi linear berganda, uji t, uji F dan uji koefisien determinasi. Berdasarkan hasil penelitian analisis regresi linear berganda yaitu Y= 8,356 + 0,221X1 + 0,882X2. Selanjutnya untuk hasil uji t pada variabel lingkungan kerja non fisik terhadap retensi pegawai berpengaruh positif dan signifikan dengan nilai thitung  ttabel yaitu 2,329  1,02 dan nilai signifikan yaitu 0,022 0,05. Variabel dukungan organisasi berpengaruh positif dan signifikan terhadap retensi pegawai dengan nilai thitung  ttabel yaitu 9,071  1,02 dan nilai signifikan yaitu 0,000 0,05. Pada hasil uji F variabel lingkungan kerja non fisik (X1) dan dukungan organisasi (X2) secara bersama-sama berpengaruh positif dan signifikan terhadap retensi pegawai dengan nilai Fhitung  Ftabel yaitu 55,256 3,098 dengan nilai signifikansi 0,000  0,05. Berdasarkan hasil uji koefisien determinasi terdapat pada adjusted R Square dengan nilai sebesar 0,541, hal ini berarti kemampuan variabel bebas dalam menjelaskan variabel terikat adalah sebesar 54,1% dan sisanya 45,9% dijelaskan oleh variabel lain yang tidak dibahas dalam penelitian ini.Lingkungan Kerja Non Fisik, Dukungan organisasi, Retensi Pegawai
Air Quality and Correlation of Exhaled Carbon Monoxide Level with Lung Function among Petrol Station Attendants in Banda Aceh Hardisa, Rika; Kurniawan, Ferry Dwi; Dianova, Sri; Yanti, Budi; Yusuf, Nurrahmah
Respiratory Science Vol. 5 No. 3 (2025): Respiratory Science
Publisher : Indonesian Society of Respirology (ISR)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36497/respirsci.v5i3.177

Abstract

Background: Risks of developing respiratory diseases due to pollutant exposures at petrol stations are high. The pollutants, such as particulate matter, carbon monoxide (CO), and volatile organic compounds emitted from vehicle exhaust and gasoline vapours, may affect the lung function of petrol station attendants. This study aimed to assess the levels of particulate matter, total volatile organic compounds, and the correlation of CO level and lung function among petrol station attendants in Banda Aceh. Method: An analytical observational study with a cross-sectional design involved 114 attendants from 12 petrol stations in Banda Aceh. Lung function was evaluated using spirometry, and CO exhalation levels were measured using a Smokerlyzer. In addition, particulate matter and total volatile organic compounds levels were measured in the petrol station area using an air quality monitor. Results: Most participants were male (82.5%) with a mean age of 30 years. The duration of work was under 5 years in 68 participants (59.6%). Approximately 61.4% (70 samples) were active smokers, with the most common Brinkman index indicating mild smoking habits for 50 samples (43.9%). The Pearson chi-square test revealed no significant relationship between CO exhalation levels and decreased lung function (P=0.118). The level of TVOC exceeded safe limits at all gas stations (>0.601 mg/m3), with an average TVOC level of 7.53 mg/m3. Most participants showed above-normal expiratory CO levels (53.6%). The average of the PM2.5 level was moderate. Conclusion: This study found no significant correlation between exhaled CO levels and decreased lung function among petrol station attendants, likely due to their shorter duration of work and age under 40 years.
ECO ENZYME UNTUK SEMUA GERAKAN PENGOLAHAN SAMPAH DAPUR MENUJU RUMAH TANGGA DAN PERTANIAN ORGANIK Islami, Syaifuddin; Anggraini, Dewi; Kornida, Dwi; Yanti, Budi; Yonaldi, Sepris; Nolasary, Mega Putri; Haryoko, Widodo; Rafindo, Hadi; Sabaggalet, Yudas
Jurnal Pengabdian kepada Masyarakat DEWANTARA Vol 8 No 2 (2025): Jurnal Pengabdian kepada Masyarakat DEWANTARA
Publisher : Lembaga Penelitian dan Pengabdian Pada Masyarakat Universitas Tamansiswa Padang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31317/jpmd.v8i2.1232

Abstract

Pengelolaan sampah organik rumah tangga masih menjadi tantangan lingkungan di wilayah semi-rural seperti Surantih Lubuk Alung, Kabupaten Padang Pariaman. Sampah dapur yang tidak terkelola dapat menimbulkan pencemaran dan masalah kesehatan. Kegiatan pengabdian ini bertujuan untuk memberikan edukasi dan pelatihan kepada masyarakat dalam mengolah limbah dapur menjadi eco enzyme, yaitu cairan hasil fermentasi yang dapat dimanfaatkan sebagai pembersih alami dan pupuk organik. Metodologi yang digunakan adalah pendekatan partisipatif berbasis praktik langsung, yang dilaksanakan pada tanggal 25 Juli 2025 dengan melibatkan 53 peserta dari berbagai kelompok masyarakat. Pelatihan mencakup penyuluhan, demonstrasi teknis, praktik pembuatan, dan diskusi kelompok. Hasil kegiatan menunjukkan bahwa peserta mampu memahami proses pembuatan dan mulai memanfaatkan eco enzyme dalam aktivitas rumah tangga seperti pembersih lantai, pencuci piring, serta dalam kegiatan pertanian sebagai pupuk cair dan pestisida nabati. Kesimpulan dari kegiatan ini adalah bahwa eco enzyme merupakan solusi praktis, murah, dan ramah lingkungan yang dapat diadopsi oleh masyarakat. Rekomendasi ke depan adalah replikasi program di wilayah lain serta pembentukan kelompok produksi untuk keberlanjutan dan pemberdayaan ekonomi lokal.
Analysis of Risk Factors for Loculated Pleural Effusion in Patients with Tuberculous Pleural Effusion at dr. Zainoel Abidin Hospital Purqan, Muhammad; Arliny, Yunita; Priyanto, Herry; Yanifitri, Dewi Behtri; Yanti, Budi
Jurnal Respirologi Indonesia Vol 45 No 4 (2025)
Publisher : Perhimpunan Dokter Paru Indonesia (PDPI)/The Indonesian Society of Respirology (ISR)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36497/jri.v45i4.822

Abstract

Background: Loculated pleural effusion is an effusion that has a lenticular configuration with smooth borders and is relatively homogeneous and can cause atelectasis in the surrounding lung tissue and is a result of excessive inflammation. Tuberculous pleural effusion is characterized by chronic accumulation of fluid and inflammatory cells in the pleural cavity. If not treated appropriately, a loculated pleural effusion can be life-threatening. This study aims to assess risk factors for loculated pleural effusion in TB pleural effusion patients. Method: This is an observational, analytical research with a cross-sectional design. The research sample was taken based on a consecutive sampling technique from TB pleural effusion patients treated at dr. Zainoel Abidin Hospital, Banda Aceh, from January 2024 to April 2024. Results: This study shows a relationship between age, kidney failure and diabetes mellitus on the incidence of loculated pleural effusion in TB pleural effusion patients (P<0.05). Age ≥46 years old has a 12.57 times risk, kidney failure 5.50 times and DM 14.5 times against the incidence of loculated pleural effusion. Gender, anemia, human immunodeficiency virus (HIV), pleural fluid analysis results and positive culture did not correlate with loculated pleural effusion (P>0.05). Conclusion: Age, kidney failure and diabetes mellitus are risk factors for loculated pleural effusion. The increase in age-related risk is associated with chronic inflammation, called inflammaging. Increasing age is also associated with changes in the composition and function of lung cells, making the clearance of pathogens difficult. Intense inflammation and difficulty in clearing pathogens also contribute to the association of kidney failure and diabetes mellitus with loculated pleural effusion.
The Impact of Chest Therapy on Symptoms Relief and Pulmonary Function in Chronic Obstructive Pulmonary Disease Exacerbations Yusuf, Nurrahmah; Karunia, Yuris Hikman; Irmaini, Irmaini; Arliny, Yunita; Yanti, Budi
Indonesian Journal of Global Health Research Vol 7 No 1 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i1.4998

Abstract

Chronic Obstructive Pulmonary Disease (COPD) is a global health concern defined by persistent respiratory symptoms and irreversible airflow blockage. Excess mucus production and decreased ciliary function in mucus elimination are two of the most common issues among COPD patients. Chest therapy is a physiotherapy practice that helps to remove mucus in a variety of acute and chronic respiratory illnesses. Objective: The study aims to explore how chest treatment affects symptoms and lung function in patients with COPD exacerbations. Methods: This study employed a one-group pretest-posttest design, selecting a sample of 30 COPD exacerbation patients from dr. Zainoel Abidin Hospital through convenience sampling technique. Chest therapy was administered consecutively over six days. Pulmonary function was assessed with a peak flow meter, while symptom improvement was assessed through the BORG questionnaire, Modified Medical Research Council (mMRC) scale, and COPD Assessment Test (CAT). Data analysis was performed using the paired T-test and Wilcoxon test. Results: Chest therapy increased average peak expiratory flow (PEF) by 6.40 L/min, from 29.20 ± 6.26 L/min to 35.60 ± 7.65 L/min. BORG scale scores were likewise reduced, with the majority shifting from scale 4 (56.7%) to scale 2 (40%), as were mMRC scores, which decreased from a dominant scale 3 (40%) to scale 2 (33.3%). Furthermore, CAT scores shifted from the high category (76.7%) to the moderate category (53.3%). Bivariate tests revealed that chest therapy had a significant effect on rising PEF values (P<0.001), decreasing BORG scale scores (P<0.001), and decreasing CAT scores (P = 0.001), but no significant effect was seen on the mMRC scale (P = 0.564). Conclusions: Chest therapy positively impacts lung function, as shown by increased peak expiratory flow (PEF) values and improved clinical symptoms of COPD exacerbation, as measured by BORG and CAT scale scores.
The relationship between disease severity and functional status of post-covid-19 patients in Banda Aceh, Indonesia Yanti, Budi; Asril, Aulia Rahma; Hajar, Siti
Jurnal Ners Vol. 17 No. 2 (2022): OCTOBER 2022
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jn.v17i2.36170

Abstract

Introduction: Coronavirus Disease-2019 known as COVID-19 has spread rapidly worldwide, changing many aspects of life, including the functional status. Therefore, this study aims to assess the relationship between disease severity and the functional status of COVID-19 patients after recovery in Banda Aceh, Indonesia. Methods: A cross-sectional study was conducted with 109 post-COVID-19 patients who had been cured for more than 4-8 weeks in a Banda Aceh, Indonesia hospital. The history of disease severity of COVID-19 was collected from medical records. The functional status was assessed using the Post-COVID-19 Functional Status Scale (PCFS) questionnaire and divided into five categories: no functional limitation, negligible, slight, moderate, and severe. The relationship between the severity of COVID-19 and functional status was assessed statistically using the Spearman rank test. Results: Out of 109 selected respondents, there was one patient with mild severity, and 68, 37, and three patients have a history of moderate, severe, and very severe COVID-19, respectively. Those imply the functional status with no functional limitation (6%), negligible (21%), slight (4%), moderate (42%), and severe functional limitation (28%). In addition, fatigue was the most common symptom that persisted among respondents. Furthermore, the statistical result showed that the history of COVID-19 severity had a significant relationship with post-COVID-19 functional status (p<0.05). Conclusions: This study showed that post-COVID-19 cases have varying functional limitations ranging from negligible to severe. The COVID-19 severity significantly correlates with the functional status post-recovery. Hence, it is recommended to conduct a monitoring program to regularly assess the post-COVID-19 functional status, especially in outpatient clinics of the government healthcare center, to enhance the research findings.
Sticky Fibrin Adhesion: Enlightenment from a Case of Tuberculous Pleurisy Yanti, Budi; Bakhtiar, Bakhtiar; Azizi, Jamalul
Jurnal Respirasi Vol. 10 No. 2 (2024): May 2024
Publisher : Faculty of Medicine Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jr.v10-I.2.2024.149-154

Abstract

Introduction: Tuberculous pleurisy (TP) is the pleural inflammation caused by Mycobacterium tuberculosis (MTB) and a rare manifestation of childhood tuberculosis (TB). It is characterized by a large amount of fibrin, sticky adhesion, and even calcification. Pleural adhesion can significantly affect respiratory function and quality of life. Therefore, early detection, prompt therapy, and drainage of pleural effusion are crucial for preventing pleural adhesion. This case report is intended to enhance clinician awareness regarding avoiding and managing pleural thickening in TP. Case: A 14-year-old child had shortness of breath, fever for 2 weeks, cough, loss of appetite, and no smoking history. The laboratory results showed anemia and non-reactive human immunodeficiency viruses (HIV), analyzed pleural fluid monocyte showed 72%, and glucose 58%. Adenosine deaminase (ADA) analysis showed a rise above 61 U/L. The tuberculin skin test was negative. The chest X-ray showed right pleural effusion, the chest ultrasonography revealed a right hemithorax echo-free plane, and the computed tomography (CT) scan showed right pleural effusion and pulmonary fibrosis. The thoracoscopy view showed fibrinous adhesion-producing tenting and vascularization in the base without multiple nodules. Water-sealed drainage was performed and produced approximately 3,450 ml with serous xanthochromia. Then the patient was diagnosed with TP and treated with anti-TB drugs and steroids. Conclusion: Typical TP with fibrinous adhesions is an infrequent condition. This case report highlighted the importance of extensive screening using a thoracoscopy view and ADA analysis in patients with TP, especially in countries with a high TB burden.
Endoscope to Identify A Smoker's Oral Mucosa for Early Obstructive Airway Disease Detection Yanti, Budi; Muhamad, Zarfan Fawwaz; Duta, Teuku Fais; Maulana, Muhammad Iqbal; Irmayani, Irmayani; Ossa, Yuli Fatzia; Sherina, Sherina
Jurnal Respirologi Indonesia Vol 44 No 3 (2024)
Publisher : Perhimpunan Dokter Paru Indonesia (PDPI)/The Indonesian Society of Respirology (ISR)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36497/jri.v44i3.640

Abstract

Background: The synergistic association between oral cavity disorders and airway disorders in smokers has long been recognized. Periodontal disease and airway obstruction are 20 times more likely in smokers. Smoking causes increased inflammatory cytokines in the oral mucosa; generally, airway obstruction has been associated with increased inflammatory markers in the airway mucosa. This study developed a prototype to visualize smokers' oral mucosa to identify potential airway obstruction disease.Methods: This study collected many types of oral mucosal lesions that are typically found in smokers, such as leukoplakia, nicotinic stomatitis, black hairy tongue, oral cancer, and smoker melanosis, from various literature and images of the mucosa of patients with a history of smoking who were treated at the hospital. The data is divided into a training, validation, and testing set and then using the PyTorch framework and the UltraLytics library.Results: This study created a prototype of an endoscope that can detect lesions on the oral mucosa-related airway obstruction disease. Sixty-three percent of the respondents who underwent prototype testing were between the ages of twenty-one and thirty. Of those who smoked, 86% had done so for five to ten years. Sixty percent of the respondents had no COPD diagnosis. The sensitivity of the prototype demonstrated a high rate of 84%. However, the specificity exhibited 57.14%.Conclusion: Endoscopic detection of the oral mucosa can be used for early screening of suspected obstructive airway disorders in smokers. This tool could enhance screening for smoking's effects on the mouth and prevent early obstructive airway diseases.
Type 2 diabetes mellitus as an independent risk factor of pulmonary tuberculosis: A hospital based cross-sectional study Yanti, Budi; Firdausa, Sarah; Irsyah, Abid Dhiyauddin Alfani; Andayani, Novita; Salwani, Desi
JKKI : Jurnal Kedokteran dan Kesehatan Indonesia JKKI, Vol 15, No 2, (2024)
Publisher : Faculty of Medicine, Universitas Islam Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20885/JKKI.Vol15.Iss2.art9

Abstract

Background: The growing frequency of infectious and non-communicable illnesses on a global scale is primarily associated with the changing patterns observed in epidemiology. Diabetes mellitus (DM) significantly leads to the development of tuberculosis (TB) and less effective treatment outcomes if not identified early. Objective: This study aims to investigate type 2 DM as a risk factor for TB infection.Methods: Participants in this cross-sectional research study comprised DM patients who reported cough complaints at the TB treatment center and the internal medicine department of Zainoel Abidin Hospital. Random blood glucose and glycated hemoglobin (HbA1c) levels were measured in all respondents. The Chi-Square test assesses the association between DM and Pulmonary TB.Results: There are 48 DM patients with new pulmonary TB, an averageage of 53 years (SD 9.1). Most of them have symptoms of cough for more than 2 weeks (85.4%), loss of body weight (77.1%), chest pain (58.3%), and loss of appetite (72.9%). The high HbA1c levels were associated with TB, as detected by Xpert MTB/RIF assay and typical radiographic signs (p<0.05). DM patients with increased HbA1c were found to have a two times chance of showing results from a chest x-ray typical of TB and probability of TB infection (PR: 2.850, 95% CI (1.152-7.053); 2.745, 95% CI (0.969-7.780)) respectively.Conclusion: DM patients had two times the risk of lung damage based on chest X-rays and having TB. DM may seriously compromise the efficacy of TB control programs and impede a nation's progress toward TB elimination.