Fitri Indah Sari
Department Of Pulmonology And Respiratory Medicine Faculty Of Medicine, Universitas Brawijaya

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Edukasi Risiko Asap Rokok Lingkungan pada Pekerja Industri Marmer Tri Wahju Astuti; Ngakan Putu Putra; Fitri Indah Sari; Ni Made Rini; Jimmy Akbar
Jurnal Pengabdian Dharma Wacana Vol 3, No 2 (2022): Jurnal Pengabdian Dharma Wacana
Publisher : Yayasan Pendidikan dan Kebudayaan Dharma Wacana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37295/jpdw.v3i2.265

Abstract

Kebiasaan merokok di tempat kerja merupakan suatu masalah yang belum bisa terselesaikan hingga saat ini, meskipun sudah ada peraturan dari pemangku kebijakan terkait larangan merokok serta undang-undang yang mengatur, namun masih banyak di temukan data-data terkait para karyawan yang masih merokok di tempat kerja. Pajanan asap rokok lingkungan di tempat kerja seperti industri marmer meningkatkan risiko terhadap kesehatan dan penyakit paru   pada pekerja.  Kegiatan pengabdian masyarakat dengan  metode ARRIF yang terdiri dari Analisis, Rumusan, Rencana Intervensi, Forum Komunikasi dilakukan sebagai bentuk pemecahan masalah yang terjadi di lingkingan kerja industri marmer Kecamatan Tjampurdarat Kabupaen Tukunganung. Dari 40 respondenn  didapatkan  jumlah perokok yaitu 22 orang  (55%), bekas perokok 5 orang (12,5%) dan sisanya bukan perokok 13 orang. Diantara perokok, 20 orang (90,9%) adalah perokok ringan dan sisanya adalah perokok sedang. Pekerja yang tidak merokok juga terpajan asap rokok lingkungan atau bekerja pada lingkungan dengan polusi udara yang tinggi Intervensi berupa edukasi kesehatan paru dan respirasi dengan melakukan penyuluhan menggunakan media peraga. Edukasi meliputi bahaya rokok, manfaat berhenti merokok dan upaya berhenti merokok.
Increasing Serum Levels of Nephronectin Based on Exposure Duration of Marble Dust in Industry Workers Jimmy Akbar; Triwahju Astuti; Ngakan Putu Parsama Putra; Fitri Indah Sari
Jurnal Respirologi Indonesia Vol 43, No 1 (2023)
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.v43i1.247

Abstract

Background: Exposure to silica dust is still an occupational health problem worldwide. The marble industry is one of the industries at risk of causing respiratory disease in its workers. Exposure to marble dust in the airways triggers pulmonary fibrosis via nephronectin (Npnt) as an α8β1 integrin ligand, which is an extracellular matrix protein. The purpose of this study is to look at how serum nephronectin (NPNT) levels change over time after being exposed to marble dust. Methods: This was a cross sectional analytical study of marble industry workers. A significant difference test is carried out on 4 groups of subjects (n=50), including marble industry workers with exposure durations of 1-5 years (n=12), 6-10 years (n=14) and >10 years (n=14), as well as non-marble industry workers (unexposed) as control subjects (n=10). A correlation test was performed to see the relationship between duration of exposure and serum Npnt levels.Results: The median age value in the exposed group was 40.5 (20-67) years. There was a significant difference (P=0.012) in the median Npnt level of the exposed group [1.699 (0.22–5.27) ng/mL] and the non-exposed group [0.678 (0.21–1.96) ng/mL]. The median value of nephronectin levels in the 10 years exposed group [2.4710 (1.74–5.27) ng/mL] were significantly different with both the 1–5 years exposed group (P=0.0001) with a median value of 0.6960 (0.22–2.27) ng /mL and the 6–10 years exposed group (P=0.039) with a median value of 1.0480 (0.27–4.29) ng/mL. There was a significant (P=0.0001) positive relationship (r=0.633) between the length of exposure and the level of Npnt. Conclusion: The duration of marble dust exposure had a significant effect on serum Npnt levels. The longer the marble industry workers were exposed to marble dust, the higher the serum Nephronectin level.
THE ROLE OF SPIROMETRY AND ITS BENEFIT TO ASSESS RESPIRATORY SYMPTOMS IN THE SEMERU VOLCANIC ERUPTION COMMUNITY SERVICES Aditya Sri Listyoko; Susanthy Djajalaksana; Ngakan Putu Parsama Putra; Triwahju Astuti; Fitri Indah Sari; Nizzar Firdaus Trisnian; Silvy Amalia Falyani; Juwita Febriawati; Adinda Pramitra Permatasari; Claudia Herda Asyari
Journal of Community Health and Preventive Medicine Vol. 2 No. 2 (2022): JOCHAPM Vol. 2 No. 2 2022
Publisher : Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (568.18 KB) | DOI: 10.21776/ub.jochapm.2022.002.02.3

Abstract

Spirometry is a standard diagnostic tool for respiratory diseases. The people who live around the volcanic eruption may have a respiratory problems, both acute and chronic conditions. The aim of this study is to evaluate whether spirometry can be used as a diagnostic tool in the context of disaster in particular volcanic eruption. Data was obtained from medical examination in community services of Semeru volcanic eruption affected community in Pronojiwo, Oro Oro Ombo, Lumajang in last January 2022. Spirometry was performed for the patient who had a respiratory problems. Data was analyzed descriptively to assess lung function test using spirometry and its benefit in the people affected by volcanic eruption.  Among the subjects, 77.27% had abnormal findings from the spirometry result. The mean of %VC, % FVC and % FEV1/FVC were 71.49%; 74.58%; 74.39% respectively. The result of spirometry revealed normal, restriction, and obstruction with suggestive restriction 18.18%; 22.73%; 31.82%; 22.73% respectively. The evaluation of spirometry parameters showed that 54.55% was appropriate for clinical diagnosis made by a physician.  Our data show that most subjects had an abnormal results from spirometry. Spirometry may be a diagnostic tool can be used in natural disasters, particularly volcanic eruption for assessing respiratory symptoms.