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Journal : Respiratory Science

Lung Function and Respiratory Symptoms of Petrol Station Attendants in Central and North Jakarta and Its Contributing Factors Putri Suci Ramadhany; Faisal Yunus; Agus Dwi Susanto
Respiratory Science Vol. 1 No. 1 (2020): Respiratory Science
Publisher : Indonesian Society of Respirology (ISR)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36497/respirsci.v1i1.7

Abstract

Background: To satisfy growing needs of petrol consumption in big city many new petrol stations has been built. Petrol station attendant is considered to have high risk exposure to dangerous pollutant from motor vehicle emission and petrol fumes, especially while filling up petrol tanks. Combination of those exhaust and petrol fumes is suspected to cause the reduction of lung function. Methods: This research is a cross sectional study in petrol station in Central Jakarta and North Jakarta region between August 2017 and February 2018. A total of 97 petrol station attendants were taken in this research using consecutive sampling technique. The subjects were interviewed with questionnaires, spirometry and chest radiograph. Measurements of sulfur dioxide (SO2), nitrogen dioxide (NO2), carbon monoxide (CO), ozone (O3), particulate matter 2,5 (PM 2,5) and steam gasoline (benzene) concentrations were performed at the study sites. Results: In this study, 56.7% normal spirometry results, 42.3% abnormalities in the form of restriction, 1% obstruction and none of which experienced mixed disorders of restriction and obstruction. Most subjects (84.6%) did not experience respiratory complaints, 10.3% had a dry cough and 5.1% complained of cough with phlegm. There was a statistically significant association between peak expiratory flow and duration of work (p=0.011), but no significant association with other parameters such as forced vital capacity (FVC), %FVC, forced expiratory volume in the first second (FEV1), %FEV1 and the ratio of FEV1/FVC. Conclusion: Prevalence of lung function abnormalities of petrol station attendant is 43,3% and respiratory symptoms at 15,4% subject.
Proportion of Pneumoconiosis in Limestone Mining Workers In Citatah Village, West Bandung District Widhy Yudistira Nalapraya; Agus Dwi Susanto; Mukhtar Ikhsan; Muchtarrudin Mansyur; Caecilia Marliana
Respiratory Science Vol. 1 No. 2 (2021): Respiratory Science
Publisher : Indonesian Society of Respirology (ISR)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36497/respirsci.v1i2.10

Abstract

Background: Silica, asbestos and coal dust are associated with pneumoconiosis in mining workers. The International Labor Organization (ILO) reports that 30-50% of workers in developing countries are diagnosed with pneumoconiosis. This study aims to identify pneumoconiosis in limestone mining workers in Indonesia. Method: This cross-sectional study involved 73 subjects of limestone mining workers in Citatah Village, West Bandung Regency, Indonesia. Two conclusions were similar from three AIR-Pneumo certified photo readers by blind reading and using the ILO guidelines. Result: Pneumoconiosis was found in 11/73 (15.1%). The median age of the pneumoconiosis group was older than the non-pneumoconiosis group (51 [33-63] vs. 37.5 [18-85] age in years, p = 0.013). All subjects in the pneukoniosis group worked> 6 years (p = 0.001). The highest dust concentration was in the pneumoconiosis group compared to the non-pneumoconisosis group (61.41 ± 103.98 vs. 14.92 ± 55.17 mg / m3, p = 0.030). This study showed that the length of work and the level of dust in the mine were risk factors for pneumoconiosis, although not significant (OR = 14.6, p = 0.999 and OR = 7,171, p = 0.998). Conclusion: The proportion of pneumoconiosis in lime mining workers in this study was 15.1%. Length of work and dust levels in the mine are risk factors for pneumoconiosis; but not meaningful in this study.
Chest Wall Syndrome Isti Mardiana Soetartio; Agus Dwi Susanto; Dicky Soehardiman; Budhi Antariksa
Respiratory Science Vol. 2 No. 1 (2021): Respiratory Science
Publisher : Indonesian Society of Respirology (ISR)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36497/respirsci.v2i1.34

Abstract

Chest wall syndrome is the most frequent cause of chest pain complained by patients admitted to the physician’s office, in outward as well as in emergency department. It may affect all ages with sex ratio of 1:1 between man and woman. History of illness and sensibility to palpation or tenderness were the keys to the diagnostic approach. Pain was generally moderate, well localized, continuous or intermittent over a number of hours to days or weeks and was amplified by position or movement that was commonly located on the left side of the chest. Chest wall syndrome is usually a common and benign condition, but it leads to anxiety and frequent recurrence. Definitive treatment is not yet confirmed and treatment for the different condition causing isolated musculoskeletal chest pain is poor. Therefore, some options to avoid aggravating physical activities, stretching, and simple analgesics as needed are the best choices of current management.
Calculation of Pleural Fluid Estimation Using Ultrasonography Adityo Wibowo; Mia Elhidsi; Agus Dwi Susanto
Respiratory Science Vol. 2 No. 3 (2022): Respiratory Science
Publisher : Indonesian Society of Respirology (ISR)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36497/respirsci.v2i3.51

Abstract

Pleural effusion is an abnormal accumulation of fluid in the pleural space due to an imbalance in increased pleural fluid production and decreased absorption. An ultrasound device can be used to guide the procedure to evacuate the pleural effusion fluid, increasing the procedure's accuracy and lowering the risk of complications. Several calculation methods can be used to calculate the volume of fluid in both an upright sitting position and a supine position. Ultrasound is nearly 100% more accurate than chest X-ray in detecting pleural fluid.
The Correlation between Air Pollution Levels in East Jakarta and COPD Exacerbation at Persahabatan Hospital in 2019 Habibi, Januar; Susanto, Agus Dwi; Ratnawati, Ratnawati
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.v5i3.169

Abstract

Background: Air pollution has become a global environmental issue that has an impact on public health. Chronic obstructive pulmonary disease (COPD) is a chronic lung disease that can be caused by exposure to noxious gases and environmental factors. Cigarette smoke is a major risk factor for the development of COPD. However, several studies have shown that environmental exposures such as air pollution can contribute to the worsening of COPD. This study aimed to evaluate the correlation between the level of air pollution and exacerbation of COPD in East Jakarta in 2019. Method: This was a retrospective cohort study on COPD patients who experienced exacerbation in 2019 and came to the emergency room of Persahabatan National Respiratory Referral Hospital (PNRRH). Data was taken from the medical records by consecutive sampling. Data on the Index of Air Pollution Standards were obtained from the DKI Jakarta Provincial Environmental Service. Results: A total of 198 subjects met the inclusion criteria. Most of the subjects were male (92.4%), and the mean age was 63.39 years. Three pollutants had a positive correlation with COPD exacerbation rates, including PM10 (r=0.245), SO2 (r=0.497), and O3 (r=0.344). While the negative correlation were the levels of CO (r=-0.187) and NO2 (r=-0.366). However, the correlations were not statistically significant. Conclusion: PM10, SO2, and O3 are correlated with COPD exacerbations, whose visits to the emergency department of Persahabatan hospital. However, this correlation does not establish a cause-and-effect correlation because there are still other factors that trigger COPD exacerbations.
Mortality Audit In COVID-19 Cases of the Omicron Variant in Persahabatan Hospital Susanto, Agus Dwi; Djasri , Hanevi
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.v5i3.176

Abstract

Background: SARS-CoV-2, the virus that causes COVID-19, has mutated into various variants. Deaths in COVID-19 cases caused by the Omicron variant had the highest rate compared to other variants.  This research aims to mortality audit of the Omicron variant of COVID-19 in 2022 at Persahabatan Hospital. Method: This is a cross-sectional observational study focusing on the death audit form recommended by the official Indonesian Hospital Association. Used data from Medical Cause of Death Certificate (SMPK) and medical records of patients treated and died at Persahabatan Hospital in January-December 2022. The causes of death (COD) from the audit results were compared with SMPK. Conducted interviews with the doctor who takes care of patients to explore the root of the problem and improvement efforts. Results: Of the 568 COVID-19 patients with the Omicron variant hospitalized, 130/568 died. As many as 42.52% of the COVID-19 variant Omicron patients died from COVID-19 and 57.48% had COVID-19. The three most COD were respiratory failure, MOF and septic shock. The three underlying COD were COVID-19, bacterial pneumonia and lung cancer. The COD in SMPK and the results of the mortality audit are only appropriate for 23.62%. The best three suggestions for improving clinical management are evaluating the patient supervision/monitoring system, testing for COVID-19 antigens carried out earlier before PCR, and providing special services for COVID-19 patients with comorbid. The top three suggestions for improving hospital managerial aspects are to create and evaluate a special SOP for COVID-19 patients with comorbid, add special service facilities for COVID-19 patients with comorbid and increase ICU bed capacity and human resources. Conclusion: The COVID-19 variant Omicron patients died due to COVID-19 and had COVID-19. The three most COD were respiratory failure, MOF and septic shock. Only 23.62% of COD from SMPK were consistent with the results of the mortality audit.
Rehabilitation Management for Sarcopenia in Chronic Obstructive Pulmonary Disease: A Literature Review Widjanantie, Siti Chandra; Lestari, Fiona; Nusdwinuringtyas, Nury; Susanto, Agus Dwi
Respiratory Science Vol. 4 No. 3 (2024): Respiratory Science
Publisher : Indonesian Society of Respirology (ISR)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36497/respirsci.v4i3.136

Abstract

Chronic obstructive pulmonary disease (COPD) is a prevalent and debilitating chronic respiratory condition that not only affects the lungs but has far-reaching systemic consequences; one such consequence is the heightened risk of developing sarcopenia, a condition characterized by progressive loss of skeletal muscle mass and strength. Recent studies have highlighted the significant prevalence of sarcopenia among COPD patients, with rates ranging from 7.9% to 66.7%. This association underscores the importance of early identification and intervention to mitigate the adverse outcomes related to both conditions. Managing COPD patients with sarcopenia is fraught with challenges, primarily due to the multifaceted nature of both conditions. Sarcopenia exacerbates the decline in respiratory function and physical performance in COPD patients, complicating treatment and management strategies. The complexity is further amplified by the need for personalized treatment plans that address these conditions' pulmonary and musculoskeletal aspects. Precise assessment and re-evaluation are essential to ensure optimal outcomes and enhance physical and functional well-being. Rehabilitation for COPD patients with sarcopenia involves a multidisciplinary approach, focusing on exercise training, nutritional support, and pulmonary interventions. Pulmonary rehabilitation programs, tailored to individual patient needs and capabilities, have shown promise in improving exercise capacity, functional performance, and overall health status, thereby enhancing the quality of life for these patients.  In this literature review, we will discuss the elevated risk of sarcopenia in COPD patients, highlight the significance of rehabilitation management, and emphasize the pivotal role of precise assessment and re-evaluation in optimizing the care provided to this population.
Co-Authors Achmad Hudoyo Adityo Wibowo Agustin, Heidy Ahmad Hudoyo Airin Aldiani Alfiyyah, Arifah Amien, Bagus Radityo Anna Rozaliyani Anna Yusrika Antono, Wahyu Arief Riadi Arifin Arif Widiyantoro Arifin Nawas Arifin Nawas Arifin, Arief Riadi Ary Indriana Savitri Ayesya Nasta Lestari Ayuningtyas, Putu Duhita Bahtiar Husain Bambang Dwi Hasto Baskoro, Hario Budhi Antariksa Budi Prasetyo Budi Prasetyo Caecilia Marliana Caecilia Marliana Deva Bachtiar Dewi Yennita Sari Diah Handayani Dita Kurnia Sanie Dita Kurnia Sanie Dita Kurnia Sanie Djasri , Hanevi Erlina Burhan Fahrial Harahap Fahrial Harahap Faisal Yunus Faisal Yunus Faiza Hatim Farhan Hilmi Taufikulhakim Feni Fitriani Feni Fitriani Fiona Lestari, Fiona Fransisca Sinaga Galoeh Adyasiwi Ginting, Tribowo Tuahta Habibi, Januar Hario Baskoro Harris Abdullah Haruyuki Dewi Faisal Hasibuan, Thariq Emyl Taufik Hasto, Bambang Dwi Hayati, Mulida Hera Afidjati Herman Suryatama Hetti Rusmini Husain, Bahtiar Ibrahim Nur Insan Putra Darmawan INDRA YOVI Indy Larasati Wardhana Isbaniah, Fathiyah Isti Mardiana Soetartio Kartikawati, Falah Khairunnisa Imaduddin Kristianto, Kiki Kurniawidjaja, Meily Lestari, Ayesya Nasta Lestari, Fetrina Malsephira Hasmeryasih Marini Puspita Sari Maylani, Lina Mega Juliana Menaldi Rasmin Mia Elhidsi Mirza Purwitasari Mohamad Fahmi Alatas Momon, Ade Muchtarrudin Mansyur Muhammad Alkaff Muhammad Ilyas Mukhtar Ikhsan Nalapraya , Widhy Yudistira Nesia Priandari Nina Aspiah Nina Ratu Nur Kharima Notariza, Kemas Rakhmat Nury Nusdwinuringtyas Nuryunita Nainggolan Prasenohadi Prasenohadi Putra, Andika Chandra Putri C Eyanoer Putri Suci Putri Suci Ramadhany Rahardjo, Tri Apriliawan Bendarto Ratnawati Ratnawati Retno A S Soemarwoto Retno Ariza S Soemarwoto Rita Rogayah Robiana Modjo Rudi Kurniawan Rudy Satriawan Ruswhandi M Samoedro, Erlang Satria Pratama Satria Pratama Savitri, Ary Indriana Seira Putri Boru Rambe Septauli, Kolanda Maria Sita Andarini Sita Laksmi Andarini Soehardiman, Dicky Sri Wening Pamungkasningsih Syafruddin AR Lelosutan Syazili Mustofa Tarigan, Amira Permatasari Taufik, Feni Fitriani Tugas Ratmono Tugas Ratmono, Tugas Wahyuni, Hendra Widjanantie, Siti Chandra Wirya Sastra Amran Zaini, Jamal