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All Journal E-Dimas: Jurnal Pengabdian kepada Masyarakat JIMKI: Jurnal Ilmiah Mahasiswa Kedokteran Indonesia
Gayatri, Alya Indah
Unknown Affiliation
Health Professions Medicine & Pharmacology Public Health Social Sciences

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Dugaan Massa Paru pada Kasus Pneumonia Berulang: CT Scan Memperlihatkan Bronkiektasis Yuarsa, Tri Agus; Kamila, Muthia Dwifitri; Fairuz Desyana, Rizqia Meta; Gayatri, Alya Indah; Nauli, Ghaniyyah; Laelatus Sifa, Silvia; Akmaluddin, Muhamad; Dwifitri Kamila, Muthia
JIMKI: Jurnal Ilmiah Mahasiswa Kedokteran Indonesia Vol 12 No 2 (2025): JIMKI: Jurnal Ilmiah Mahasiswa Kedokteran Indonesia Vol. 12.2 (2025)
Publisher : BAPIN-ISMKI (Badan Analisis Pengembangan Ilmiah Nasional - Ikatan Senat Mahasiswa Kedokteran Indonesia)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53366/jimki.v12i2.998

Abstract

Pendahuluan: Gambaran massa pada paru sering menimbulkan kecurigaan keganasan, terutama pada pasien dengan pneumonia berulang atau gejala respirasi persisten. Namun, beberapa kelainan non-neoplastik dapat menyerupai lesi massa secara radiologis. Ilustrasi Kasus: Seorang pria 61 tahun datang dengan dispnea memberat satu hari, disertai batuk produktif berwarna hijau kekuningan selama satu tahun. Pemeriksaan fisik menunjukkan penggunaan otot bantu napas, penurunan suara napas di paru kiri bawah, dan ronki bilateral. Saturasi oksigen 67% meningkat menjadi 98% dengan oksigen 15 L/menit melalui masker non-rebreathing. Laboratorium menunjukkan leukositosis (31,5×10³/µL), anemia, serta peningkatan urea; hasil TCM TB dan HIV negatif. Foto toraks menunjukkan fibrosis paru kanan dan opasitas di lapang paru kiri bawah. CT toraks dengan kontras memperlihatkan bronkiektasis dengan penebalan dinding bronkus, lesi hipodens berdinding tebal di lobus atas kiri, serta pola tree-in-bud di lobus bawah—menyingkirkan dugaan massa paru. Diagnosis kerja adalah bronkiektasis dengan pneumonia, dengan pertimbangan diferensial tuberkulosis paru. Pasien mendapat Seftriakson, Levofloksasin, terapi antituberkulosis, dan oksigen dengan perbaikan klinis bertahap. Diskusi: Pneumonia dapat menimbulkan konsolidasi lobar akibat eksudasi alveolar yang menyerupai keganasan. Pada kasus ini, CT menunjukkan dilatasi bronkus irreversibel menandakan bronkiektasis kronik. Di wilayah endemis TB, bronkiektasis pasca-TB merupakan penyebab tersering. HRCT menjadi standar emas membedakan bronkiektasis dari pneumonia atau lesi neoplastik, dengan pola signet-ring dan honeycomb sebagai temuan khas. Simpulan: CT toraks berperan penting membedakan infeksi paru kronik dari neoplasma, mencegah salah diagnosis dan terapi yang tidak tepat.
Workplace Hazard Identification in an Informal Bakery Production: A Plant Survey Sari, Ita Marlita; Arianti, Fitri; Yolanda, Seftia; Sumarsono, Pandu Sabatian; Gayatri, Alya Indah; Hanifa, Ayu Nur'aliya; Medina, Ayesha Meldevira; Mudrikah, Nasywa; Damayanti, Marshavina; Sasikirana, Farras Rizkia; Delfecio, Ichwan; Fitrullah, Muhammad
E-Dimas: Jurnal Pengabdian kepada Masyarakat Vol 17, No 3 (2026): E-DIMAS
Publisher : Universitas PGRI Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26877/e-dimas.v17i3.26940

Abstract

Despite being a major contributor to regional economies, food-sector micro, small, and medium enterprises (MSMEs) often inadequately implement occupational safety and health (OHS) standards. Their predominantly informal work environments increase workers’ susceptibility to hazards that may result in occupational accidents and serious health problems. This study aimed to identify workplace hazards, evaluate potential health risks, and propose preventive measures for workers in a small-scale bakery supervised by a community health center. A descriptive observational plant survey was conducted at the Donat Sarkim MSME at Serang District, Banten. Hazard identification covered all production stages and included physical, chemical, biological, ergonomic, psychosocial, and safety factors. Ergonomic risk was assessed using the Brief Survey instrument, and risk levels were classified with a frequency severity matrix. Multiple hazards were identified, including flour dust, excessive heat from poor ventilation and asbestos roofing, repetitive wrist motions, prolonged standing, heavy lifting, hot oil splashes, machine noise, slippery floors, and inadequate lighting. Ergonomic evaluation showed moderate risk (score 2) affecting the wrists, neck, back, and lower limbs. Potential health effects included respiratory irritation, musculoskeletal disorders, burns, dehydration, hearing problems, stress, and occupational injuries. Preventive measures were limited and mainly targeted physical hazards. Overall, workers faced moderate to high occupational risks, highlighting the need to strengthen OHS through engineering improvements, administrative controls, personal protective equipment, workplace modifications, and worker education.
Co-Authors Akmaluddin, Muhamad Arianti, Fitri Damayanti, Marshavina Delfecio, Ichwan Dwifitri Kamila, Muthia Fairuz Desyana, Rizqia Meta Hanifa, Ayu Nur'aliya Kamila, Muthia Dwifitri Laelatus Sifa, Silvia Medina, Ayesha Meldevira Mudrikah, Nasywa Muhammad Fitrullah, Muhammad Nauli, Ghaniyyah Sari, Ita Marlita Sasikirana, Farras Rizkia Sumarsono, Pandu Sabatian Yolanda, Seftia Yuarsa, Tri Agus