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All Journal The Indonesian Journal of Occupational Safety and Health Jurnal Respirologi Indonesia Jurnal Respirasi (JR) Journal of the Indonesian Medical Association : Majalah Kedokteran Indonesia SURABAYA PHYSICAL MEDICINE AND REHABILITATION JOURNAL JK Unila (Jurnal Kedokteran Universitas Lampung) Essential: Essence of Scientific Medical Journal Industrika : Jurnal Ilmiah Teknik Industri Respiratory Science Journal of Scientech Research and Development The Indonesian Journal of Gastroenterology, Hepatology and Digestive Endoscopy Kesmas: Jurnal Kesehatan Masyarakat Nasional (National Public Health Journal)
Agus Dwi Susanto
Departement Of Pulmonology And Respiratory Medicine, Faculty Of Medicine, Universitas Indonesia
Agriculture, Biological Sciences & Forestry Humanities Biochemistry, Genetics & Molecular Biology Chemical Engineering, Chemistry & Bioengineering Computer Science & IT Control & Systems Engineering Decision Sciences, Operations Research & Management Dentistry Economics, Econometrics & Finance Education Engineering Environmental Science Health Professions Immunology & microbiology Industrial & Manufacturing Engineering Medicine & Pharmacology Neuroscience Public Health Social Sciences

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The Accuracy of Lung Ultrasound in Pneumonia Diagnosis: Evidence-Based Case Report Adityo Wibowo; Airin Aldiani; Faiza Hatim; Galoeh Adyasiwi; Hendra Wahyuni MS; Khairunnisa Imaduddin; Malsephira Hasmeryasih; Mega Juliana; Nesia Priandari; Nina Ratu Nur Kharima; Rudy Satriawan; Agus Dwi Susanto
Jurnal Respirologi Indonesia Vol 41, No 2 (2021)
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.v41i2.175

Abstract

Background: There are various microorganisms which caused pneumonia in developing countries such as Indonesia. The diagnosjs of pneumonia is still mainly confirmed by Chest X-ray which is unspecific to determine the etiology of pneumonia due to its low accuracy. On the other hand, the higher accuracy diagnostic tool, Computed Tomography (CT) scan, is not cost-effective. Therefore, an alternative diagnostic tool with high precision, affordability, and user-friendly is highly needed. Lung ultrasound (LUS) is an alternative diagnostic device. This study aims to investigate the diagnostic accuracy level of LUS in diagnosing pneumonia. Methods: Literature-researches was done in five databases namely PubMed/MEDLINE, ScienceDirect, Proquest, Cochrane and EBSCO/MEDLINE using keywords according to the clinical scenario. The articles were appraised with CEEBM worksheet. Results: Four articles met the inclusion and exclusion criteria. Sensitivity of LUS ranged around 85-97% and specificity ranged around 8694%. All appraised articles recommended the use of LUS for its high sensitivity in confirming diagnosjs of pneumonia and other lung diseases, and its favorable bedside use especially for critically ill patients. Lung US was also considered as being more inexpensive with less radiation exposure compared to CT scan or other radiographic imaging. Conclusion: Examination using LUS had a high diagnostic value in confirming the diagnosis of pneumonia.
The Surfactant Protein D (SP-D) Serum Levels in Limestone Mining Worker Sita Laksmi Andarini; Anna Yusrika; Sri Wening Pamungkasningsih; Farhan Hilmi Taufikulhakim; Ahmad Hudoyo; Widhy Yudistira Nalapraya; Agus Dwi Susanto
Jurnal Respirologi Indonesia Vol 42, No 2 (2022)
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.v42i2.301

Abstract

Background: Limestone is sedimentation rocks consist of minerals calcite and aragonite, often contains silica, and fossils, commonly used in building materials. Limestone mining workers are at high risk to pneumoconiosis. Surfactant protein D(SP-D) is part of collectin family, and served as innate immune system of pathogen recognition receptor (PRR). SP-D level were usually increased in fibrotic lung disease. In this study, we sought the serum level of SP-D as marker for early pneumoconiosis in limestone worker in Indonesia.Method: This study was cross-sectional observational study. Participant of the study were 65 limestone workers, willing to participate in this study by signing informed consent, were questionnaire, and blood sample were collected to measure SP-D level by ELISA.Results: This study found that characteristic subjects dominated by male with the median of age was 42 years old and last education mostly elementary school. Majority duration of working <6 years and time working in a day >8 hours per day. The limestone mining workers mostly did not wear mask and had normal weight group. Majority limestone mining workers ever smoker, mean SP-D level in limestone workers was (66.3±5.5ng/mL), slightly higher than normal subject. Smoking status, gender, working hour were correlated with higher SP-D level.Conclusion: Although not statistically significant, the SP-D serum levels in limestone mining workers might be used as monitoring for early screening for pneumoconiosis in limestone workers.
Dampak Polusi Udara terhadap Asma Agus Dwi Susanto; Mirza Purwitasari; Budhi Antariksa; Retno A S Soemarwoto; Syazili Mustofa
Jurnal Kedokteran Universitas Lampung Vol 2, No 2 (2018): Jk Unila
Publisher : Fakultas Kedokteran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23960/jk unila.v2i2.1955

Abstract

Pedoman yang dikeluarkan oleh World Health Organization dibuat untuk mengurangi pengaruh buruk polusi udara.Polutan utama yang terdapat di udara yatiu PM, O3, NO2, SO2 . Polutan tersebut paling besar bersumber dari aktivitas industry dan asap kendaraan bermotor.Polusi udara mempunyai hubungan dengan eksaserbasi pada asma, peningkatan reaktivitas bronkus, bertambahnya gejala asma, peningkatan rawat inap dan kunjungan ke unit gawat darurat.Beberapa penelitian menyatakan bahwa polusi udara mempunyai peranan dalam terjadinya asma.Prevalens dan derajat beratnya asma meningkat seiring dengan peningkatan polusi udara.Pajanan polusi udara dapat dihindari dengan tetap beraktivitas dalam ruangan, menggunakan penyaring udara dalam ruangan, membatasi latihan fisis di luar ruangan yang dekat dengan sumber polusi.Kata kunci : asma, polusi udara, polutan udara
Dampak Bioaerosol terhadap Pernapasan Agus Dwi Susanto; Dita Kurnia Sanie; Feni Fitriani
Jurnal Kedokteran Universitas Lampung Vol 3, No 2 (2019): JK Unila
Publisher : Fakultas Kedokteran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23960/jk unila.v3i2.2498

Abstract

Mikroorganisme terdapat di lingkungan kita, seperti di tanah, air, tanaman, hewan dan manusia. Kehadiran mikroorganisme di udara lingkungan kerja disebut bioaerosol. Bioaerosol didefinisikan sebagai partikel udara yang terdiri dari organisme hidup seperti mikroorganisme atau partikel yang berasal dari organisme hidup, seperti metabolit, toksin atau fragmen mikroorganisme. Partikel tersebut dapat terhirup oleh manusia dan dapat berpenetrasi ke dalam paru. Bioaerosol dapat mempengaruhi kualitas udara di tempat kerja dan kesehatan para pekerja. Keluhan respirasi dan gangguan fungsi paru telah banyak diteliti dan merupakan masalah kesehatan akibat bioaerosol yang paling utama. Penyakit utama akibat pajanan bioaerosol dapat dibedakan menjadi penyakit infeksi, penyakit respirasi dan kanker. Penyakit infeksi dan respirasi merupakan yang paling sering terjadi tetapi data akurat mengenai insidens dan prevalensi penyakit yang disebabkan oleh agen biologis masih kurang.Kata kunci: bioaerosol,masalah kesehatan, mikroorganisme
Exhaled Carbon Monoxide Levels of Scavengers in Bantar Gebang Landfill, Bekasi Agus Dwi Susanto; Dita Kurnia Sanie; Fahrial Harahap
Jurnal Respirasi Vol. 6 No. 1 (2020): January 2020
Publisher : Faculty of Medicine Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (173.057 KB) | DOI: 10.20473/jr.v6-I.1.2020.1-4

Abstract

Background: Scavengers in landfills have high risk to pollution exposure. Carbon monoxide (CO) is one of important pollutants produced by burning process. Exhaled CO levels in scavengers is predicted to increase, caused by pollution exposure in workplace area. There has been no data on exhaled CO levels in scavengers, especially in Bantar Gebang, Bekasi.Methods: This study used cross-sectional design to the scavengers who work and live in Ciketing Udik, Bantar Gebang, Bekasi. This study was conducted in January - March 2015, by doing interviews and giving questionnaires, and conducted exhaled CO test.Results: Total sample was 108 subjects. Exhaled CO test result was 46 subjects (42.6%) had exhaled CO 5-10 ppm, 36 subjects (33.3%) > 10 ppm, and 26 subjects (24.1%) ≤ 4 ppm. Multivariate analysis between exhaled CO levels with characteristics of the subjects found smoking habits were significantly correlated with CO exhalation levels (p=0,000).Conclusion: There were 33.3% scavengers who had exhaled CO > 10 ppm. Smoking habits were the only factor that significantly correlated with CO in scavengers’ exhalation.
HUBUNGAN TINGKAT PENGETAHUAN MAHASISWA UNIVERSITAS INDONESIA TERHADAP KEBIASAAN MEROKOK Indy Larasati Wardhana; Agus Dwi Susanto
Essence of Scientific Medical Journal Vol 18 No 2 (2020): Volume 18 No. 2 (Juli - Desember 2020) Essential: Essence of Scientific Medical
Publisher : Kelompok Ilmiah Hippocrates Fakultas Kedokteran Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/ESTL.2020.v18.i02.p06

Abstract

Latar Belakang: Terdapat 35,5% mahasiswa di Indonesia perokok aktif. Mahasiswa harusnya memiliki tingkat pendidikan yang baik. Tingkat pengetahuan merupakan aspek penting yang mampu memengaruhi kebiasaan merokok. Tujuan penelitian ini melihat hubungan tingkat pengetahuan mahasiswa Universitas Indonesia (UI) terhadap bahaya rokok dan kebiasaan merokok. Metode: Metode penelitian ini adalah studi potong lintang yang dilaksanakan di UI pada bulan Agustus 2018-Desember 2019. Peneliti menggunakan kuesioner sebagai instrumen untuk disebarkan kepada 94 responden yang dipilih menggunakan teknik pengambilan acak. Uji yang dilakukan untuk menganalisis data adalah uji fisher. Hasil: Terdapat 9,6% mahasiswa UI yang merupakan perokok aktif dengan mayoritas berjenis kelamin laki-laki (88,9%), berasal dari fakultas hukum (44,4%), menggunakan rokok putih (66,7%), usia awal merokok 17 tahun (33,3%), mengonsumsi 5-10 batang rokok sehari (55,5%), hanya menggunakan rokok konvensional (89%), dan derajat adiksi terhadap nikotinnya ringan. Mayoritas responden memiliki tingkat pengetahuan bahaya rokok yang tinggi (69,1%). Diskusi: Tidak ditemukan hubungan yang bermakna antara tingkat pengetahuan dengan kebiasaan merokok maupun derajat adiksi nikotin. Pengetahuan yang tinggi tidak membuat mahasiswa berhenti merokok karena perokok cenderung menyepelekan bahaya dari merokok terhadap diri sendiri atau sekitarnya. Derajat adiksi nikotin pada mahasiswa UI cenderung ringan. Hal ini menunjukkan bahwa alasan mahasiswa UI merokok bukan disebabkan oleh kecanduan.
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.
Co-Authors Achmad Hudoyo Adityo Wibowo Agustin, Heidy Ahmad Hudoyo Airin Aldiani Alfiyyah, Arifah Amien, Bagus Radityo Amira P Tarigan Anna Rozaliyani Anna Yusrika Arief Riadi Arifin Arif Widiyantoro Arifin Nawas Arifin Nawas Arifin, Arief Riadi Ary Indriana Savitri Ayesya Nasta Lestari Ayuningtyas, Putu Duhita Bagus Radityo Amien Bahtiar Husain Bambang Dwi Hasto Baskoro, Hario Budhi Antariksa Budi Prasetyo Budi Prasetyo Caecilia Marliana Caecilia Marliana Deva Bachtiar Dewi Yennita Sari Dita Kurnia Sanie Dita Kurnia Sanie Dita Kurnia Sanie Djasri , Hanevi Erlina Burhan Erlina Burhan Fahrial Harahap Fahrial Harahap Faisal Yunus Faisal Yunus Faisal Yunus Faiza Hatim Falah Kartikawati Farhan Hilmi Taufikulhakim Feni Fitriani Feni Fitriani Fransisca Sinaga Galoeh Adyasiwi Ginting, Tribowo Tuahta Habibi, Januar Hario Baskoro Harris Abdullah Haruyuki Dewi Faisal 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 Kemas Rakhmat Notariza Khairunnisa Imaduddin Kristianto, Kiki Kurniawidjaja, Meily 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 Ratnawati Ratnawati Retno A S Soemarwoto Retno Ariza S Soemarwoto Rita Rogayah 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 Siti Chandra Widjanantie Soehardiman, Dicky Sri Wening Pamungkasningsih Syafruddin AR Lelosutan Syazili Mustofa Taufik, Feni Fitriani Thariq Emyl Taufik Hasibuan Tri Apriliawan Bendarto Rahardjo Tugas Ratmono Tugas Ratmono, Tugas Wahyu Antono Wahyuni, Hendra Widjanantie, Siti Chandra Wirya Sastra Amran Zaini, Jamal