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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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Risk of Developing Chronic Obstructive Pulmonary Disease in Non-Smoking Adults Exposed to Particulate Matter 2.5 Compared to Those Without Exposure Notariza, Kemas Rakhmat; Amien, Bagus Radityo; Susanto, Agus Dwi
Jurnal Respirologi Indonesia Vol 44, No 4 (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.v44i4.478

Abstract

Background: Chronic obstructive pulmonary disease (COPD) development involves a complex pathway of host and environmental factors. Besides cigarette smoking, previous studies showed exposure to air pollution, such as particulate matter sized 2.5 μm or less (PM2.5), might also have an important role in COPD development because it might lead to airway remodeling and chronic lung inflammation. However, the cause-and-effect relationship between PM2.5 and COPD in non-smoking patients is still unclear.Methods: Literature searches were performed in five online medical databases (PubMed, EMBASE, ScienceDirect, EBSCOhost, and Cochrane Library) and hand-searching in Google Scholar. Filtering literature with the inclusion and exclusion criteria resulted in three relevant articles (1 case-control and 2 cohort studies). Critical appraisal was conducted using the Center of Evidence-Based Medicine (CEBM) worksheet from the University of Oxford for etiologic studies.Results: All three articles were considered valid. The prospective cohort was decided unimportant because of the non-significant adjusted hazard ratio (HR 1.23; 95% confidence interval [CI]=0.50-3.06). The case-control and retrospective studies had important results with adjusted odds ratio of 1.29 (95% CI=1.01-1.65) and 1.69 (95% CI=1.11-2.58), respectively. The relatively low number needed to harm (NNH) of 10-23 indicated that PM2.5 exposure was a meaningful factor for the risk of developing COPD in non-smoker adults. Both articles were considered applicable to our case. Conclusion: Non-smoking adults with exposure to PM2.5, compared to those without exposure, are at higher risk of developing COPD.
Analysis of Instrument Development to Evaluate Employee Protection from Tuberculosis in Hospitals Lestari, Fetrina; Modjo, Robiana; Kurniawidjaja, Meily; Susanto, Agus Dwi; Alfiyyah, Arifah
The Indonesian Journal of Occupational Safety and Health Vol. 13 No. 1 (2024): The Indonesian Journal of Occupational Safety and Health
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/ijosh.v13i1.2024.37-43

Abstract

Introduction: Tuberculosis (TB) continues to be a major global public health threat, affecting millions of people annually. Despite efforts to control TB, the number of cases remains high. The situation is exacerbated by the COVID-19 pandemic, which has strained healthcare systems. The increased workload of hospital employees also raises the risk of TB transmission. This study aims to develop an instrument to evaluate employee protection from TB in hospitals. Methods: This study used a qualitative design with an exploratory approach. Data were collected from existing policies and through in-depth interviews with stakeholders, including academics, practitioners, regulators, infection control officers, occupational health and safety officers, and non-government organization representatives for TB. Results: The instrument developed comprised seven components, namely management commitment; program planning; coordination, communication, and education; implementation of TB and other disease management programs in the workplace; handling TB cases in the workforce; training and competence; and monitoring and evaluation. Conclusion: Instrument development is crucial for capturing the current state of TB problems and managing prevention and control programs in hospitals. The terms of reference serve as an effort to protect hospital employees
Analisis Penggunaan Alat Pelindung Diri pada Pekerja di PT.Djabesmen Menggunakan Metode Fishbone Susanto, Agus Dwi; Momon, Ade
Industrika : Jurnal Ilmiah Teknik Industri Vol. 8 No. 4 (2024): Industrika: Jurnal Ilmiah Teknik Industri
Publisher : Fakultas Teknik Universitas Tulang Bawang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37090/indstrk.v8i4.1387

Abstract

The possibility of accidents in a building project is one of the causes of hampering the effectiveness of project work activities. Workers are required to implement a good occupational safety and health (K3) management system to minimize the possibility of work accidents. An example of a case in the construction world occurred in the Gading Mediterania Apartment construction project located in Kelapa Gading. The accident that occurred killed four workers. Two people were killed by precast concrete and two people died from electric shock. Therefore, to prevent the recurrence of the incident, research was conducted using fishbone analysis. The purpose of this research is to analyze the importance of using personal protective equipment at PT Djabesmen. The method used helps the author in analyzing the possibility of accidents on the project. The results of the analysis explain that the percentage of PPE use at PT Djabesmen is good. Keywords: Analysis, Fishbone, K3
PERLINDUNGAN KEKAYAAN INTELEKTUAL KOMUNAL OLEH KANTOR WILAYAH KEMENTERIAN HUKUM DAN HAK ASASI MANUSIA KALIMANTAN TENGAH Susanto, Agus Dwi; Hayati, Mulida; Kristianto, Kiki
Journal of Scientech Research and Development Vol 7 No 1 (2025): JSRD, June 2025
Publisher : Ikatan Dosen Menulis

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56670/jsrd.v7i1.843

Abstract

Hak Kekayaan Intelektual Komunal (KIK) adalah hak intelektual yang dimiliki oleh suatu kelompok masyarakat secara kolektif dan perlu mendapat perlindungan. Dengan pesatnya perkembangan teknologi, Direktorat Teknologi Informasi DJKI menciptakan Aplikasi DGIP berbasis web untuk mempermudah pencatatan KIK secara cepat dan efisien. Penelitian ini membahas pelaksanaan perlindungan KIK melalui Aplikasi DGIP oleh Kantor Wilayah Kementerian Hukum dan HAM Kalimantan Tengah serta hambatan yang dihadapi. Menggunakan pendekatan yuridis empiris, data diperoleh melalui wawancara dengan instansi terkait serta dokumentasi peraturan perundang-undangan, kemudian dianalisis secara deskriptif kualitatif. Sepanjang 2024, Kantor Wilayah Kementerian Hukum Kalimantan Tengah telah mengambil langkah aktif dalam inventarisasi KIK berpotensi ekonomi, termasuk memperkuat sinergi dengan pemangku kepentingan dan mengembangkan peta jalan inventarisasi. Selain itu, telah dipetakan faktor-faktor yang mendukung serta menghambat pencatatan KIK untuk menentukan solusi optimal. Sebagai rekomendasi, Kantor Wilayah perlu mengoptimalkan penyebarluasan informasi mengenai KIK guna mendorong pembentukan regulasi daerah untuk perlindungan KIK. Selain itu, sosialisasi Aplikasi DGIP perlu ditingkatkan agar lebih banyak masyarakat yang memanfaatkannya.
Risk of Developing Chronic Obstructive Pulmonary Disease in Non-Smoking Adults Exposed to Particulate Matter 2.5 Compared to Those Without Exposure Kemas Rakhmat Notariza; Bagus Radityo Amien; Agus Dwi Susanto
Jurnal Respirologi Indonesia Vol 44 No 4 (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.v44i4.478

Abstract

Background: Chronic obstructive pulmonary disease (COPD) development involves a complex pathway of host and environmental factors. Besides cigarette smoking, previous studies showed exposure to air pollution, such as particulate matter sized 2.5 μm or less (PM2.5), might also have an important role in COPD development because it might lead to airway remodeling and chronic lung inflammation. However, the cause-and-effect relationship between PM2.5 and COPD in non-smoking patients is still unclear.Methods: Literature searches were performed in five online medical databases (PubMed, EMBASE, ScienceDirect, EBSCOhost, and Cochrane Library) and hand-searching in Google Scholar. Filtering literature with the inclusion and exclusion criteria resulted in three relevant articles (1 case-control and 2 cohort studies). Critical appraisal was conducted using the Center of Evidence-Based Medicine (CEBM) worksheet from the University of Oxford for etiologic studies.Results: All three articles were considered valid. The prospective cohort was decided unimportant because of the non-significant adjusted hazard ratio (HR 1.23; 95% confidence interval [CI]=0.50-3.06). The case-control and retrospective studies had important results with adjusted odds ratio of 1.29 (95% CI=1.01-1.65) and 1.69 (95% CI=1.11-2.58), respectively. The relatively low number needed to harm (NNH) of 10-23 indicated that PM2.5 exposure was a meaningful factor for the risk of developing COPD in non-smoker adults. Both articles were considered applicable to our case. Conclusion: Non-smoking adults with exposure to PM2.5, compared to those without exposure, are at higher risk of developing COPD.
Efek Program Telerehabilitasi Paru pada Penyintas COVID-19: Penilaian Status Fungsional Menggunakan 30-Second Sit-To-Stand Test Widjanantie, Siti Chandra; Maylani, Lina; Ilyas, Muhammad; Nusdwinuringtyas, Nury; Susanto, Agus Dwi
Majalah Kedokteran Indonesia Vol 73 No 5 (2023): Journal of The Indonesian Medical Association - Majalah Kedokteran Indonesia, Vo
Publisher : PENGURUS BESAR IKATAN DOKTER INDONESIA (PB IDI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47830/jinma-vol.73.5-2023-1224

Abstract

Introduction: Long COVID is a persistent symptom among COVID-19 survivors. Fatigue and other symptoms related to respiratory or non-respiratory cause disturbance of patient functional status. Pulmonary telerehabilitation program after hospitalization was needed to optimize patients’ functional status. Assessment of functional status using 30-Second Sit-To-Stand Test (30s-STST) was easily to apply. The aim of this study was to know the changes of functional status in COVID-19 survivors after pulmonary telerehabilitation program.Method: This study was analytic experimental with one group pre-test and post-test design, conducted in Persahabatan Hospital from August to September 2020. The COVID-19 patient’s discharge records were recruited consecutively, 24 patients were eligible for this study to get pulmonary telerehabilitation program for four weeks. The patients were evaluated with 30s-STST twice, at discharge (baseline) and four weeks after discharge.Result: Participants consist of 19 men (79,2%) and 5 women (20,8%). The result of thirty second-STST before and after four weeks pulmonary telerehabilitation program result was 7,75 ± 2,19 dan 13,70 ± 4,23 times. There was a strong positive correlation (significant) between 30s STST result before and after program (r = 0,757, p less than 0,01).Conclusion: There was functional status improvement in COVID-19 survivors after pulmonary telerehabilitation for four weeks, evaluated with 30s-STST.
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.
Epidemiological and Clinical Features of COVID-19 Patients at National Emergency Hospital Wisma Atlet Kemayoran, Jakarta, Indonesia Susanto, Agus Dwi; Rozaliyani, Anna; Prasetyo, Budi; Agustin, Heidy; Baskoro, Hario; Arifin, Arief Riadi; Pratama, Satria; Zaini, Jamal; Hasto, Bambang Dwi; Ratmono, Tugas; Savitri, Ary Indriana; Samoedro, Erlang; Husain, Bahtiar; Nawas, Arifin; Burhan, Erlina
Kesmas Vol. 16, No. 5
Publisher : UI Scholars Hub

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

The emergency hospital is intended to prevent transmission of COVID-19 in the community by isolating patients without symptoms, with mild or moderate symptoms. This study evaluated the clinical characteristics and outcomes of COVID-19 patients who were admitted to this facility. This retrospective study re-viewed data of patients treated at the National Emergency Hospital Wisma Atlet Kemayoran in Jakarta, Indonesia, from March 23 to April 30, 2020. Patient characteristics (clinical symptoms, laboratory test results, Chest X-Ray, SARS-CoV-2 immunoserology, and RT-PCR results from nasopharyngeal/ oropharyngeal preparations) were compared between severity groups. There were 413 COVID-19 cases analyzed, of which 190 (46%) were asymptomatic, 93 (22.5%) were mild, and 130 (31.5%) were moderate cases. Most asymptomatic cases were male, with young age, and without comorbidity. Mild cases were dominated by female and young patients, while most moderate cases were male and older patients. The number of patients with comorbidities was higher in mild and mod-erate cases. The patient’s overall outcome was good and did not differ based on the severity of symptoms. Despite the many challenges, patients with moderate symptoms can be safely treated in the emergency hospital.
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