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All Journal Jurnal Respirologi Indonesia Journal of the Indonesian Medical Association : Majalah Kedokteran Indonesia Cermin Dunia Kedokteran Journal of Community Health and Preventive Medicine (JOCHAPM)
Christanto, Anthony
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Biochemistry, Genetics & Molecular Biology Education Environmental Science Health Professions Medicine & Pharmacology Nursing Public Health

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THE RELATION OF ARECA NUT CHEWING HABIT FREQUENCY AND DURATION TO THE INCIDENCE OF CHRONIC PULMONARY OBSTRUCTIVE DISEASE (COPD) Christanto, Anthony; Sumali, Lindayanti
Jurnal Respirologi Indonesia Vol 40, No 2 (2020)
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.v40i2.16

Abstract

Backgrounds: Areca nut chewing habit is a widespread habit in Indonesia. This habit has several negative health effects, including to the respiratory system. One of its effects towards the respiratory system is the impairment of lung function. Chronic Obstructive Pulmonary Disease (COPD) is a progressive and permanent pulmonary disease that impairs the lung function. Methods: This study is an analytical observational study with cross-sectional approach. Subjects are non-smoking patients aged more than 40 y.o, with total samples fulfilling the inclusive and exclusive criterias being 150 samples. This study is conducted in the GP clinic, specialist clinic, and emergency unit of St. Carolus Borromeus Hospital Kupang from March 2017 to March 2018. Lung functions are obtained using spirometry to diagnose COPD, and informations from the samples are obtained using a questionnaire. Datas are then processed using appropriate statistic tests. Results: There is stastistically significant relation between areca nut chewing habit and the incidence of COPD (p=0,041). There is also a significant relation between the frequency (p=0,018) and duration (0,013) of areca nut chewing habit and the incidence of COPD. Additionally, we found that FEV1/FVC ratio means are lower in those with frequent (>5 days/week) and long duration (20 years) of areca nut chewing. Conclusions: There is a significant relation between the arena nut chewing habit and its frequency and duration with the incidence of COPD.
The Role of Electrical Impedance Tomography in Lung Imaging Christanto, Anthony; Darinafitri, Irma
Cermin Dunia Kedokteran Vol 48, No 9 (2021): Nyeri Neuropatik
Publisher : PT. Kalbe Farma Tbk.

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (161.915 KB) | DOI: 10.55175/cdk.v48i9.1498

Abstract

Lung imaging in certain conditions, such as in patients with Acute Respiratory Distress Syndrome (ARDS), poses its challenges. Heterogeneity of lung damage in ARDS can only be detected by CT scan, causing treatment delay and increased mortality. Difficulty to perform standard imaging such as CXR in such patients also contributes to the increasing incidence of VALI (Ventilator-Associated Lung Injury) due to diagnosis delay. EIT (Electrical Impedance Tomography) is a novel imaging method that uses electrical impedance modality. EIT is a bedside, continuous imaging method which can depict both solids and fluids (including air) in body cavities, both statically and dynamically. EIT carries the potency to be the primary lung imaging method for patients in intensive care in the future.Pencitraan paru mempunyai tantangan tersendiri pada beberapa kondisi pasien, misalnya pada sindrom distres pernapasan akut (Acute Respiratory Distress Syndrome/ARDS). Heterogenitas kerusakan paru pada ARDS hanya bisa dideteksi menggunakan CT scan, mengakibatkan keterlambatan penanganan serta meningkatnya mortalitas. Kesulitan melakukan pencitraan standar seperti foto polos toraks juga turut berkontribusi dalam meningkatnya insidens VALI (Ventilator-Associated Lung Injury) karena keterlambatan diagnosis. EIT (Electrical Impedance Tomography) merupakan metode pencitraan baru menggunakan modalitas impedansi listrik. EIT dapat mencitrakan benda padat ataupun fluida (termasuk udara) dalam rongga tubuh dengan baik, baik secara statis maupun dinamis, secara kontinu (bedside). EIT berpotensi menjadi metode utama pencitraan paru pasien-pasien di perawatan intensif.
Paradigma Baru Tuberkulosis pada Era Sustainable Development Goals (SDGs) dan Implikasinya di Indonesia Christanto, Anthony
Cermin Dunia Kedokteran Vol 45, No 1 (2018): Dermatologi
Publisher : PT. Kalbe Farma Tbk.

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (99.591 KB) | DOI: 10.55175/cdk.v45i1.156

Abstract

Era Millennium  Development  Goals (MDGs)  sudah  berakhir  pada  tahun  2015,  digantikan  oleh Sustainable  Development  Goals  (SDGs).  Salah satu poin dalam MDGs adalah pengendalian TB yang menjadi dasar gerakan STOP TB, yang juga diadopsi oleh banyak negara, salah satunya Indonesia. Di era SDGs, STOP TB digantikan oleh END TB. Meski Indonesia telah mempunyai sistem penanggulangan TB yang tertuang dalam pedoman nasional penanggulangan TB terbaru tahun 2014, diperlukan integrasi yang lebih baik dengan END TB untuk mencapai pengendalian TB yang optimal di era SDGs ini sesuai sasaran END TB.
PROFILE OF PATIENTS AT RISK FOR CHRONIC OBSTRUCTIVE PULMONARY DISEASE (COPD) BASED ON PUMA SCORE IN SIX COMMUNITY HEALTH CENTERS IN MALANG CITY Djajalaksana, Susanthy; Wardoyo, Arinto; Muarif, Husnul; Sari, Fitri; Listyoko, Aditya; Lyono, Albert; Pratiwi, Eka; Fahmi, Kristia; Muhammad, Iqbal; Falyani, Silvy; Prasetyo, Kevin; Christanto, Anthony
Journal of Community Health and Preventive Medicine Vol. 5 No. 1 (2025): JOCHAPM Vol. 5 No. 1 2025
Publisher : Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.jochapm.2025.005.01.3

Abstract

Chronic Obstructive Pulmonary Disease (COPD) is a growing global health problem. Early screening and a deeper understanding of the risk patient profile are critical for effective management. This study aims to analyze the profiles of patients at risk for COPD based on PUMA scores and FEV1/FVC results from six public health centers in Malang City. This study used an analytical-observational design with a cross-sectional approach. Samples were purposefully selected from patients at risk of COPD in six public health centers in Malang. PUMA scores were measured using a questionnaire. Data was collected from November 2022 to April 2023 at six public health centers in Malang City. A total of 117 research subjects participated, comprising 58.97% male and 41.02% female, with an average age of 47 years. Most subjects were active smokers (43.50%). Based on PUMA scores (cutoff >6), 22.03% were at risk of COPD, while 77.97% were not at risk. FEV1/FVC results were >0.7 in 71 subjects (60.68%) and <0.7 in 46 subjects (39.31%). Among subjects at risk of COPD, 92% had FEV1/FVC < 0.7. There were 117 subjects screened for the early detection of COPD. The results of the PUMA* score can help health practitioners in identifying patients at risk of COPD.
aO2, SaO2, dan Rasio PaO2/FiO2 Sebagai Prediktor Derajat Keparahan Pasien COVID-19 Rawat Inap Putra, Ngakan Putu Parsama; Listyoko, Aditya Sri; Christanto, Anthony
Majalah Kedokteran Indonesia Vol 70 No 12 (2020): Journal of The Indonesian Medical Association - Majalah Kedokteran Indonesia, V
Publisher : PENGURUS BESAR IKATAN DOKTER INDONESIA (PB IDI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47830/jinma-vol.70.12-2020-326

Abstract

Introduction: Currently COVID-19 continues to show an increase in prevalence and mortality. Fever, dry cough, fatique and progression to dyspnea even respiratory failure and ARDS are the symptoms of COVID-19. “Happy hypoxia” is an indication that certain patients do not express breathlessness but have impaired oxygenation. It is important to determine the degree of oxygenation an all COVID-19 patients that will predict the severity of the disease and provide an outline of further management plans.Objective: This study aimed to describe the parameters of blood gas analysis in hospitalized patients and analyze its correlation with degree of severity of the diseaseMethods: We conducted observational analysis, cross sectional, single-center study including 71 laboratory-confirmed patients in Dr. Saiful Anwar General Hospital, Malang, Indonesia from April-Juni 2020. Statistical analysis was performed to determine the determine the relation of blood gas analysis with disease severity. Result: Subjects were divided to 25 patients (35,21%) in the mild-moderate group and 46 patients (64,79%) in severe group. Analysis of demographic and clinical characteristic showed that age, history of smoking, dyspnea and oxygen delivery were associated with disease severity (p less than 0,005). Statistical analysis of blood gas analysis showed associated degree of oxygenation with disease severity which is assessed by PaO2, SaO2 BGA, PaO2/FiO2 and original PaO2 (p less than 0,005). Conclusion: In our cross sectional study we found that degree of oxygenation was associated with disease severity in hospitalized COVID-19 patients.
Co-Authors Arinto Wardoyo Darinafitri, Irma Djajalaksana, Susanthy Eka Pratiwi Fahmi, Kristia Falyani, Silvy Fitri Sari, Fitri Iqbal Muhammad Listyoko, Aditya Listyoko, Aditya Sri Lyono, Albert Muarif, Husnul Prasetyo, Kevin Putra, Ngakan Putu Parsama Sumali, Lindayanti