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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. 2 No. 1 (2016): Januari 2016" : 7 Documents clear
Seorang Penderita dengan Retrosternal Goiter: [A Patient with Retrosternal Goiter: A Rare Case] Mawardi Mawardi; Daniel Maranatha
Jurnal Respirasi Vol. 2 No. 1 (2016): Januari 2016
Publisher : Faculty of Medicine Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (623.876 KB) | DOI: 10.20473/jr.v2-I.1.2016.14-23

Abstract

Background: Retrosternal goiter of the thyroid gland is the inclusion of 50% or more into the thoracic cavity. Many terms are used to describe the entry of the thyroid gland into the thoracic cavity include: substernal goiter, intrathoracic goiter, retrosternal goiter and mediastinal goitre. Case: We report the case of a woman with retrosternal goiter initially suspected as a tumor in the mediastinum. Patients present with chest pain and no visible enlargement of the thyroid gland in the neck. On examination thoracic CT scan and found an enlarged thyroid gland in the chest cavity is then performed total thyroidectomy surgery and sternotomy. Conclusion: This case illustrates retrosternal goiters should be differentiated from other mediastinal masses by appropriate work-up, while computed tomography is the most valuable technique and surgical management is mandatory.
Organic Dust Toxic Syndrome (ODTS) Deva Bachtiar; Agus Dwi Susanto
Jurnal Respirasi Vol. 2 No. 1 (2016): Januari 2016
Publisher : Faculty of Medicine Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (498.645 KB) | DOI: 10.20473/jr.v2-I.1.2016.24-28

Abstract

Organic dust toxic syndrome (ODTS) was manifestation of some acute symptoms, (same with acute hypersensitivity pneumonitis or extrinsic allergic alveolitis) with initially by flu like syndrome that were fever, malaise, myalgia, dry cough, dyspnea, and headache after exposure of organic dust in several hours. Etiology of ODTS usually from agricultural environment like hay, grain, straw, moldy, pollen, mycotoxins, bacteria and endotoxin. Organic dust toxic syndrome (ODTS) spontaneous recovery without sequele if patients avoid organic dust exposure immediately and avoid recurrent exposure. The best treatment were supportive therapy and preventive therapy from that etiology.
Front Matter Vol 2 No 1, 2016 Front Matter
Jurnal Respirasi Vol. 2 No. 1 (2016): Januari 2016
Publisher : Faculty of Medicine Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (141.987 KB) | DOI: 10.20473/jr.v2-I.1.2016.%p

Abstract

Ventilasi dan Perfusi, serta Hubungan antara Ventilasi dan Perfusi: [Ventilation, Perfusion, and Its Correlation in Pulmonary Diagnostic] Afrita Amalia Laitupa; Muhammad Amin
Jurnal Respirasi Vol. 2 No. 1 (2016): Januari 2016
Publisher : Faculty of Medicine Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (181.338 KB) | DOI: 10.20473/jr.v2-I.1.2016.29-34

Abstract

Lung is a place for gas exchange where ventilation and perfusion occurs. Ventilation is the first step where sequential process of inhalation and exhalation take place. Meanwhile perfusion as the other step facilitates the gas exchange and tissue supply need. Blood flows through the lungs are equals as the amount of cardiac output where the factors that control cardiac output are mainly peripheral factors, also control pulmonary blood flow. In general condition, pulmonary blood vessels act as a passive tube, which can be increased with the increasing pressure and narrowed the pressure drop. Oxygen absorption level from lungs into bloodstream is a critical determinant for functional capacity, and an important factor wheter in normal conditions (including exercise) or even in illness state. Lung diffusion capacity is influenced by several geometric and functional factors. Gravitation influence systematic gradient in ventilation and perfusion distribution. Ventilation and blood flow variations at horizontal level also occur due to intrinsic anatomic variations and vascular geometry, as well as the differences in airway and vascular smooth muscle response which modifies the distribution. The change of integrity intrapleural chamber, hydrostatic pressure and osmotic imbalance, malfunction of surfactants, other intrinsic weakness of the branching system in the form of a progressive airway, and all the things that could potentially damage the structure of the lung can cause ventilation and diffusion dysfunction.
Hubungan antara Pola Resistensi OAT Lini Pertama dan Gradasi Gambaran Foto Toraks Penderita TB Paru MDR: [First-Line Antituberculosis Drugs Resistance and Chest X-Ray Pattern of Multidrug-Resistant Tuberculosis Patient] Pramanindyah Bekti Anjani; Soedarsono Soedarsono
Jurnal Respirasi Vol. 2 No. 1 (2016): Januari 2016
Publisher : Faculty of Medicine Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (94.568 KB) | DOI: 10.20473/jr.v2-I.1.2016.1-5

Abstract

Background: Tuberculosis (TB) is a disease which has long been known and is still a cause of death in the world. The emergece of the drug resistance in TB treatment, particularly Multi drug-Resistance Tuberculosis (MDR TB) become a significant public health problem in many countries. The diagnosis of MDR TB based on culture results. In some cases radiographic feature with severe abnormalities consideres as MDR TB. From this phenomenon, there is no research that connects the resistance pattern of first line ATD with chest x-ray feature in patients with MDR TB. Methods: The research design are analytical observational with cross-sectional study conducted in outpatient clinic of MDR TB in Dr. Soetomo hospital. Subjects were patients who are following a theraphy program in outpatient clinic of MDR TB in Dr. Soetomo hospital from 2012 to 2014 who meet the inclusion and exclusion criteria. A total of 65 patients. Result: the result of this study showed that of all patterns of resistance, most of the MDR TB patients were classified as having severe chest radiograph. 27 patients with RH resistance patterns, there were 14(51.9%) who had a chest radiograph are classified as severe. 5 patients with RHS resistance patterns, 2(60%) vwho had a chest radiograph are classified as severe. 13 patients RHES resistance patterns, 8(61.5%) who had a chest radiograph are classified as severe. 20 patients with RHE resistance patterns, 14(70%) who had a chest radiograph are classified as severe. Conclusion: There were no significant association between resistance pattern of first line ATD and chest x-ray feature in patient with MDR TB.
Back Matter Vol 2 No 1, 2016 Back Matter
Jurnal Respirasi Vol. 2 No. 1 (2016): Januari 2016
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.v2-I.1.2016.%p

Abstract

Seorang Perempuan Terinfeksi Tuberkulosis dengan Manifestasi Sindroma Distres Napas Akut (ARDS): [Acute Respiratory Distress Syndrome as a Manifestation of Tuberculosis in a Woman: A Case Report] Putu Dyah Widyaningsih; Winariani Koesoemoprodjo
Jurnal Respirasi Vol. 2 No. 1 (2016): Januari 2016
Publisher : Faculty of Medicine Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (610.108 KB) | DOI: 10.20473/jr.v2-I.1.2016.6-13

Abstract

Tuberculosis remains a global issue throughout the world. Indonesia currently ranks 4th worldwide. Although rarely reported, TB could be one of the etiologies of Acute Respiratory Distress Syndrome. A 27-year-old woman was admitted with shortness of breath 12 days post partum with cough, loss of appetite and malaise. Chest examination revealed increased fremitus on both lungs and rhonchi on 2/3 lower part of the lung. There was edema on both of the leg. Radiologic finding suggested reticulogranuler pattern on both lungs. Laboratory showed granulocytosis, anemia and hypoalbumin with severe hypoxemia and PaO2/FIO2 ratio of 107. Transthoracic Echocardiography showed PCWP of 12,25 mmHg. Patient was diagnosed with moderate Acute Respiratory Distress Syndrome but there was no improvement after definitive antibiotic therapy. Based on clinical judgment, patients suspected of having tuberculosis and given anti tuberculosis drugs with a regimen of rifampicin, isoniazid, ethambutol, pyrazinamide, and streptomycin along with methylprednisolone and supportive therapy. Microscopic examination of acid-fast bacilli sputum shows positive result one day after the treatment started. Patient was showing significant improvement and declare cured after completed 6 month of therapy. Conclusions: Although the incidence is rare, tuberculosis can act as the primary cause of ARDS. Early diagnosis of tuberculosis is the key point of this case. Initial therapy along with good supportive therapy should be given to ARDS patient while the underlying cause is treated.

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