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All Journal Research Journal of Life Science Jurnal Respirologi Indonesia Journal of Anaesthesia and Pain Malang Respiratory Journal Journal of Anesthesiology and Clinical Research Jurnal TELUK: Teknik Lingkungan UM Kendari
Wiwi Jaya
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Agriculture, Biological Sciences & Forestry Biochemistry, Genetics & Molecular Biology Chemical Engineering, Chemistry & Bioengineering Civil Engineering, Building, Construction & Architecture Education Engineering Environmental Science Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Public Health Other

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HIGH ALTITUDE PULMONARY EDEMA (HAPE) khiptiyah, mariyatul; Sartono, Teguh Rahayu; Normahayu, Indrastuti; Jaya, Wiwi
Malang Respiratory Journal Vol. 3 No. 1 (2021): Vol. 3 No. 1
Publisher : Universitaas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (343.796 KB) | DOI: 10.21776/ub.mrj.2021.003.01.3

Abstract

 Introduction: High altitude pulmonary edema (HAPE) is one of the acute, severe, non-cardiogenic disease that could be life threatening, occurs upon either the first or subsequent exposure to high altitude. It is triggered by a shortage of oxygen after ascending high altitude. The most effective therapeutic approach for HAPE is to immediately descend from high altitude and to give oxygenation, maintaining arterial saturation over 90%, as well as letting the patient rest from strenuous physical activity. The use of portable hyperbaric chamber is also deemed effective in certain circumstance, and nifedipine can also be used to treat HAPE, even as additional treatment in condition that the patients had yet to descend and oxygenation is still not administrable. Case Report: We reported a case at Rs. Dr. Saiful Anwar, a 23-year old male with High Altitude Pulmonary Edema (HAPE). Diagnosis established from anamnesis, physical examination, and laboratory tests. Patient complained shortness of breath when climbing Mt. Semeru, in which the patient reached an altitude of 2700 mdpl in 2 days. Physical examination showed oxygen saturation 46-49% with NRBM 10 lpm, and rhonchi breath sound in all lung areas. Laboratory examination showed leukocytosis, blood gas analysis showed hypocarbia, severe hipoxemia, metabolic acidosis, and type I respiratory failure. Ches XRay showed wide, irregular infiltrate in both lungs. Based on those, the patient was diagnosed with HAPE. In this case, the patient was given oxygenation.Conclussion: In this case, the patient was diagnosed with HAPE based on anamnesis, physical examination, and laboratory tests. Oxygenation given to the patient improved his condition.Key words: High altitude disease, Acclimatization, Pathophysiology, Management and treatment
Pneumomediastinum and Spontaneous Subcutaneous Emphysema in COVID-19 Patients Using High-Flow Nasal Cannula (HFNC) Suhadayanti, Rizki; Fatoni, Arie Zainul; Jaya, Wiwi; Asmoro, Aswoco Andyk
Jurnal Respirologi Indonesia Vol 44 No 2 (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.v44i2.448

Abstract

Background: Spontaneous pneumothorax, pneumomediastinum, and subcutaneous emphysema are rare complications that occur without mechanical ventilation, namely 0.81% of all COVID-19 patients. During the COVID-19 pandemic, high-flow nasal cannulas (HFNC) were used to support respiratory failure in critically ill patients. However, there have been no clinical trials explaining its safety and effectiveness. Hypoxemic normocapnic respiratory failure is an indicator of HFNC use. This study reports a case of associated spontaneous subcutaneous pneumomediastinum and emphysema in a COVID-19 patient using HFNC.Case: A 30-year-old male patient came to the hospital with a chief complaint of increasingly severe shortness of breath and confirmed COVID-19. Physical examination revealed a good airway, spontaneous breathing with a frequency of 28 times/minute; SpO2 of 97% with HFNC Flow 60 and FiO2 60%; blood pressure of 102/69 mmHg; and heart rate of 65 beats per minute. On the second day of treatment in the ICU, the patient did not experience desaturation or hypotension. Patent airway, spontaneous breathing, and oxygenation initiated using NRM 10lpm with a target SpO2 of 97%, RR at 30-32x/minute. On the fifth day, desaturation and hypotension were no longer observed.Discussion: Real-Time Reverse Transcriptase (RT)–PCR Diagnostic Panel detects SARS-CoV-2 in respiratory samples. Chest CT scans show viral pneumonia. Subcutaneous emphysema (SE) and pneumomediastinum cause breathing issues. Severe COVID-19 is treated with antivirals, vitamins, and oxygen therapy. Pneumomediastinum or subcutaneous emphysema may occur due to prolonged non-invasive ventilation but is generally self-limited.Conclusion: Clinical improvement was found in COVID-19 patients with pneumomediastinum and spontaneous subcutaneous emphysema using HFNC.
Perencanaan Penyediaan Air Bersih Pada Wilayah Rawan Banjir: Studi Kasus: Jl. H. Lamuse Kelurahan Lepo – Lepo Kecamatan Baruga Kota Kendari Jaya, Wiwi; Sumarlin, Sumarlin; Ndibale, Wa
Jurnal TELUK: Teknik Lingkungan UM Kendari Vol. 2 No. 1 (2022): Edisi Juni Tahun 2022 Jurnal TELUK: Teknik Lingkungan UM Kendari
Publisher : Universitas Muhammadiyah Kendari

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51454/teluk.v2i1.511

Abstract

The provision of clean water is currently very crucial when entering the rainy season. This is because the occurrence of rainwater affects the turbidity of groundwater and surface water which is usually used for daily needs by the community. Especially in the Lepo-Lepo sub-district area, RT 012-RW 006; RT 013-RW 006, and RT 014-RW 006 are often affected by the high rainy intensity and frequently flooded. So that in this study aims to determine the total clean water consumption for the next 5 years and design a reservoir building for flood victims in the Lepo - Lepo sub-district. The quantitative method is applied by calculating flood-affected communities, projecting clean water consumption, and planning the design of clean water reservoirs. Based on our results, the population projection for flood-affected communities in 2025 is 349 people. Subsequently, the total of clean water consumption for flood victims is 38,400 liters/day which same as the average daily consumption is 6.62 liters/second and the maximum daily use has required of 7.95 liters/second. Moreover, the daily water consumption for high-intensity work is 11.96 liters/second. So we calculated and estimated the reservoir volume is 17.45 m3 with a building length of 4.8 m, a width of 2.4 m., and a height of 1.50 m with the results of 28×14 meters.
Co-Authors Agustina, Ayu Yesi Ariady, Randika Rea Arie Zainul Fatoni Arie Zainul Fatoni Aswoco Andyk Asmoro Aswoco Andyk Asmoro Atma Gunawan Eka Oktaviana Hirda Fauzi Ahmad Muda Indrastuti Normahayu, Indrastuti Isngadi Isngadi Isngadi Khiptiyah, Mariyatul Laksono, Buyung Hartiyo Mayasari Mayasari, Mayasari Mohammad Sutami Ndibale, Wa Pertiwi, Previasari Zahra Retty Ratnawati Ruddi Hartono S Sumarlin Sartono, Teguh Rahayu Suhadayanti, Rizki Tamam, Abdul Rasyid Tinny Endang Hernowati Titisari, Nurina