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INDONESIA
Jurnal Respirasi (JR)
Published by Universitas Airlangga
ISSN : 24070831     EISSN : 26218372     DOI : -
Core Subject : Health,
Jurnal Respirasi is a National journal in accreditation process managed by Department of Pulmonology & Respiratory Medicine Faculty of Medicine Airlangga University - Dr. Soetomo General Hospital, Surabaya. Publish every January, May, September every year with each of 5 (five) complete texts in Indonesian.
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Articles 7 Documents
Search results for , issue "Vol. 1 No. 1 (2015): Januari 2015" : 7 Documents clear
Terapi ARV pada Penderita Ko-Infeksi TB-HIV: [Antiretroviral Therapy in TB-HIV Co-Infection Patient] Indana Eva Ajmala; Laksmi Wulandari
Jurnal Respirasi Vol. 1 No. 1 (2015): Januari 2015
Publisher : Faculty of Medicine Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (406.585 KB) | DOI: 10.20473/jr.v1-I.1.2015.22-28

Abstract

TB and HIV have a very close relationship since the development of AIDS. Through a significant reduction in cellular immunity, HIV affects the pathogenesis of tuberculosis, thereby increasing the risk of TB in HIV co-infected individuals. In 2006, there were an estimated 9.2 million new TB cases worldwide, there were 710.00 in patients with HIV and 500,000 cases with MDR-TB. Sensitivity to TB associated with cytokine production by T lymphocytes (IFN gamma and TNF are like alpha). During HIV infection, IFN gamma production declined dramatically in line with the decrease in CD4 T lymphocytes This leads to an increased risk of developing reactivation or reinfection Mycobacterium tuberculosis. Clinical symptoms of pulmonary TB in people living with HIV are often non-specific. Clinical symptoms often found are fever and significant weight loss. The other symptoms usually associated with extrapulmonary TB. Antiretrovirals are drugs that inhibit HIV replication. The main priority in patients co-infected with TB-HIV is a start of TB therapy, followed by cotrimoxazole and ARV. ARV treatment recommendation on co-infection tuberculosis is starting ARV therapy to all people living with HIV with active TB, regardless of CD4 cell count. Antiretroviral therapy start as soon as possible after TB treatment can be tolerated, as soon as 2 weeks and no more than 8 weeks. Regimen set by WHO for first-line regimen containing two nucleoside reverse transcriptase inhibitors (NRTIs) plus one non-nucleoside reverse transcriptase inhibitors (NNRTIs). In the co-infection of TB-HIV nucleoside was elected WHO recommended Zidovudine (AZT) or tenofovir disoproxil fumarate (TDF), in combination with lamivudine (3TC) or emricitabine (FTC). For NNRTI, WHO recommends efavirenz (EFV) or nevirapine (NVP).
Front Matter Vol 1 No 1, 2015 Front Matter
Jurnal Respirasi Vol. 1 No. 1 (2015): Januari 2015
Publisher : Faculty of Medicine Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (167.527 KB) | DOI: 10.20473/jr.v1-I.1.2015.%p

Abstract

Peranan Ultrasonografi Toraks dalam Menegakkan Diagnosis Beberapa Kelainan pada Paru: [The Role of Ultrasound in Diagnosing Pulmonary Diseases] Erwin Winaya; Winariani Koesoemoprodjo
Jurnal Respirasi Vol. 1 No. 1 (2015): Januari 2015
Publisher : Faculty of Medicine Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (733.611 KB) | DOI: 10.20473/jr.v1-I.1.2015.29-39

Abstract

Ultrasound is useful in the diagnosis of cases in the field of lung disease, such as pleural effusion, pneumothorax, consolidation, atelectasis, pulmonary edema, and others. The advantages of thoracic ultrasound is a low cost, radiation is small, easy to carry, short examination time and has a dynamic aspect that can be seen at the time of examination. Thoracic ultrasound is an inexpensive tool and can be used to assist in intervention, especially in cases of peripheral lung, pleura and chest wall diseases, such as thoracocentesis, chest tube installation and aspiration lung abscess. Ultrasound can also replace aspiration and biopsy with CT-scan guidance in cases involving the pleura, chest wall, and lung tumors that invade the pleura and chest wall. With the ultrasound portable and compact form, in the future is possible if the ultrasound will be a routine part of the examination as well as a stethoscope. However, ultrasound also has limitations which in patients with subcutaneous emphysema, peripheral edema and obesity, lung ultrasound is hard to do. Ultrasound examination is also highly dependent on the experience and ability of the ultrasound operator.
Hubungan antara Obesitas dengan Penurunan Fungsi Faal Paru pada Polisi Wanita di Polda Jawa Timur: [Obesity and the Decrease of Pulmonary Function Test in Policewomen in East Java, Indonesia] Christina Hardono; Benjamin Palgunadi Margono
Jurnal Respirasi Vol. 1 No. 1 (2015): Januari 2015
Publisher : Faculty of Medicine Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (368.919 KB) | DOI: 10.20473/jr.v1-I.1.2015.1-6

Abstract

Background: The prevalence of obesity is increasing in Indonesia, and there is evidence that obesity, in particular abdominal  obesity as a marker of insulin resistance, is negatively associated with pulmonary function. The mechanism for this association and  the best marker of abdominal adiposity in relation to pulmonary function is not known. Study objectives: We assessed the association  between pulmonary function (ie, FEV1 and FVC) [with maneuvers performed in the sitting position] with adiposity markers (ie, body  mass index (BMI) and waist circumference (WC), as markers of adiposity and body fat distribution in Policewomen in East Java Police  Departement. We used paired student t test to analyze the association of pulmonary function and abdominal adiposity markers. Design:  Observational cross sectional analytic study. Setting and participants: A random sample of policewomen (n = 120) from the general  population East Java Police Departement, 20 to 45 years of age, who fulfill inclusion criterion of this study. Results: The measures  of adiposity (ie. Waist circumference and BMI) were not significantly related to %FEV1 and %FVC after analyzed with correlation  Pearson and Spearman test (p > 0.05). Conclusion: BMI categories and waist circumference (WC) were not associated with FEV1  percent predicted and FVC percent predicted, may be the physical activity twice a week can maintain health status.  
Back Matter Vol 1 No 1, 2015 Back Matter
Jurnal Respirasi Vol. 1 No. 1 (2015): Januari 2015
Publisher : Faculty of Medicine Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (184.282 KB) | DOI: 10.20473/jr.v1-I.1.2015.%p

Abstract

Manajemen Pemberian Antibiotik dengan Hasil Uji Kepekaan Resisten: [Management of Antibiotics Use with Resistant Sensitivity Test Results] Deny Perdana Putra; Tutik Kusmiati
Jurnal Respirasi Vol. 1 No. 1 (2015): Januari 2015
Publisher : Faculty of Medicine Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (446.964 KB) | DOI: 10.20473/jr.v1-I.1.2015.7-14

Abstract

The use of antibiotics in developed countries 13-37% and 30-80% in developing countries. Inappropriate use of antibiotics around 40-62%. There is a relationship between the use of antibiotics in bacterial resistance. Reported a man, 45 years old with a diagnosis of pneumonia + sepsis + DM Type 2 + hypoalbuminemia + anemia + suspek nephrotic syndrome. Empirical therapy is given Meropenem and Levofloxacin 1 750 3 1 grams milligrams. Evaluation after empirical therapy showed no improvement clinically and radiologically. The result of the patient ‘s sputum cultures of Pseudomonas aeruginosa which are resistant to antibiotics tested, therefore the definitive therapy can not be given based on antibiotic susceptibility. The cause of this multifactorial resistance in patients with Pseudomonas resistance to antibiotics through four mechanisms. Therefore, definitive therapy based on local patterns of bacteria and sensitivity test on pneumonia issued by the Department of Microbiology Clinic. Based on the data, antibiotic Piperacillin-tazobactam 4 4, 5 grams are then administered. The results of the evaluation of clinical, radiological and laboratory showed significant improvements in patients.
Seorang Laki-laki Usia 16 Tahun yang Mengalami Drowning dan Pneumotoraks Paska Pemasangan Ventilator Mekanik: [Pneumothorax in a Ventilated Young Man after Drowning: A Case Report] Ira Nurrasyidah; Winariani Koesoemoprodjo
Jurnal Respirasi Vol. 1 No. 1 (2015): Januari 2015
Publisher : Faculty of Medicine Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (321.775 KB) | DOI: 10.20473/jr.v1-I.1.2015.15-21

Abstract

Background; Drowning is defined as respiratory impairment due to submersion/immersion in liquid. The liquid/air interface at the entrance of the airway prevents the victim from breathing air. According to the World Health Organization (WHO), 0.7% of all deaths worldwide - or more than 500,000 deaths each year - are due to unintentional drowning. Drowning is the second leading cause of unnatural death after road traffic injuries. Most of these deaths occur in countries with low or middle per capita income. Case; A16-years-old man rescued after drowning in the mud puddle for 15 minutes. He was unconscious, cyanosis, dyspnea and cough with blood and mud. After receiving oxygen in the nearest hospital he got conscious but still dyspnea. He came to our hospital and after undergone several examination we concluded that he had lung edema, ARDS and pneumonia aspiration. Patient immediately intubated and got mechanical ventilation. Five days later patient encounter pneumothorax on the right hemithorax, maybe due to barotrauma and we perfomed a chet tube insertion for three days. Patient had a good progression, there was no deficit neurologic and injury in the other organ. On follow up five months after patient hospitalized revealed normal condition on chest x ray.

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