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Jurnal Respirasi (JR)
Published by Universitas Airlangga
ISSN : 24070831     EISSN : 26218372     DOI : -
Core Subject : Health,
Health Professions Medicine & Pharmacology Public 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.
Arjuna Subject : -
Articles 321 Documents
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Air Pollution and Lung Cancer Ida Ayu Jasminarti Dwi Kusumawardani; Putu Gita Indraswari; Ni Luh Gede Yoni Komalasari
Jurnal Respirasi Vol. 9 No. 2 (2023): May 2023
Publisher : Faculty of Medicine Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jr.v9-I.2.2023.150-158

Abstract

Malignant lung cancer is the leading cause of cancer-related death worldwide. Smoking is the main risk factor for lung cancer. However, the International Agency for Research on Cancer (IARC) declared in 2013 that outdoor air pollution is a substance that is carcinogenic and contributes to lung cancer. This was supported by several studies which show an increased prevalence of adenocarcinoma, even in countries with a low prevalence of smokers. The presence of one or more substances in the air for longer periods or at higher concentrations than usual, which can potentially have negative effects, is called air pollution. Aside from carbon monoxide (CO), nitrogen dioxide (NO2), lead, ozone (O3), and sulfur dioxide (SO2), particulate matter with <2.5 µm diameter (PM2.5) has been identified to be associated with the risk of lung cancer. The risk of lung cancer was higher after prolonged exposure to PM2.5 regardless of age, gender, and smoking history. Exposure to air pollution is a significant factor in the onset and progression of lung cancer. Oxidative stress, deoxyribonucleic acid (DNA) damage, inflammation, metabolism, epigenetic control, and signal transduction pathways are a few potential mechanisms of air pollution-induced lung cancer. Everyone, including the government and the general public, must implement strategies to stop the harmful effects of air pollution.
Pathological Characteristics of Fiberoptic Bronchoscopy Procedure in Ulin General Hospital, Banjarmasin Ira Nurrasyidah; Muhammad Ajib Nuzula; Ika Kustiyah Oktaviyanti; Desi Rahmawaty; Tenri Ashari Wanahari
Jurnal Respirasi Vol. 9 No. 2 (2023): May 2023
Publisher : Faculty of Medicine Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jr.v9-I.2.2023.117-123

Abstract

Introduction:  Fiberoptic Bronchoscopy (FOB) has emerged into the method of choice for the detection of lung tumors due to its availability of Adequate cytological and histological samples in the form of broncho-alveolar lavage, bronchial brushings, and bronchial forceps biopsy. This study aims to identify characteristics of bronchoalveolar lavage, aspiration cytology, brushing cytology and forceps cytology of patients suspected with malignancy at the Ulin Regional Hospital in South Kalimantan. Methods: A cross-sectional study was carried out utilizing medical documentation of patients suspested lung cancer from March 2018 to March 2020. Data were grouped by gender, age, type of procedure, and cytology and histopathology findings. Results: The result showed that 67.5% of 117 patients who underwent bronchoscopy had positive results and common histological diagnosis The frequent histopathological conclusion was adenocarcinoma (45.6%) tailed by squamous cell carcinoma (40.55). Forceps bronchoscopy showed a greater positivity rate (75.0%) than bronchoscopy without forceps (63.6%), we also found that by combining BAL and brushing and forceps biopsy, the detection rate of lung malignancy increased to 85.7%, but no correlation between the type of procedure and the likelihood of malignancy was discovered. Conclusions: Forceps bronchoscopy showed a greater positivity rate than bronchoscopy without forceps, but no correlation between the type of procedure and the likelihood of malignancy was discovered in our study.
Is Docetaxel the Main Therapy for Lung Metastasis in Granular Cell Tumors? Heru Sigit Pramono; Ana Rima Setijadi; Yusup Subagio Sutanto; Brian Wasita
Jurnal Respirasi Vol. 9 No. 2 (2023): May 2023
Publisher : Faculty of Medicine Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jr.v9-I.2.2023.130-135

Abstract

Introduction: A granular cell tumor is a rare neoplasm originating from mesenchymal tissue. Malignant granular cell tumors have a poor prognosis. The lung is one of the target organs for metastatic malignant granular cell tumors. The number of rare cases makes managing metastatic malignant granular cell tumors unknown. Case: A 19-year-old male complained of shortness of breath for two months. A liver nodule biopsy revealed poorly differentiated carcinoma metastases. Histopathology of the left manus and frontal masses found granular cell tumors”negative immunohistochemistry on S-100 and myogenin. Ki-67 obtained a value of 5%. An X-ray and contrast multislice computerized tomography (MSCT) scan showed multiple metastatic nodules. Right bronchial biopsy forceps revealed a metastatic granular cell tumor. The patient was given docetaxel for six cycles. During the post-administration of docetaxel, the patient experienced clinical and radiological improvement. Conclusion: Until 2016, only three case reports of S-100 negative granular cell tumors existed. A negative S-100 test does not rule out the diagnosis of granular cell tumors. Malignant lesions are more common in males, as in this case. The number of rare cases means that management cannot be determined. Reports of similar cases show patients surviving up to 11 years with docetaxel administration. The patient in this study has survived for one year and is complaint-free.
Current Developments of Smoking and Vaping, Is Vaping Safer? Arya Marganda Simanjuntak; Anastasya Hutapea; Bryan Steffanus Tampubolon; Stephani Browlim; Yosep Pebriyanto Napitupulu; Indi Esha Siregar; Suyanto Suyanto
Jurnal Respirasi Vol. 9 No. 2 (2023): May 2023
Publisher : Faculty of Medicine Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jr.v9-I.2.2023.159-168

Abstract

Vape fans claim that vaping is the solution to smoking cessation, but this is still debatable. Even if vape is still considered new, numerous studies show that vaping is associated with lung injury (EVALI). Despite this, the trend of vaping is still increasing. This study aimed to review the current understanding of conventional smoking and vaping and compare both. Is vaping safer than smoking? Smoking has health risks for lung cancer, chronic obstructive pulmonary disease (COPD), stroke, and others, while vaping has been linked with EVALI. Local perfusions were decreased in tobacco smokers after exposure. However, perfusion increased in vaping after exposure. Bronchoalveolar lavage (BAL) in vape users showed an increase of vitamin E acetate, possibly causing impairment in lung structure and functionality of surfactant. This is the potential mechanism of EVALI in vape users. Smoking uses the Brinkman Index to determine the severity of smoking, but there is no index for vaping because it depends not on how many sticks but on how many e-liquids were used. It seems that vape is "safer” than smoking, but smoking and vaping both have their own health risks, and it is safe to assume that neither is safe for use. "Vape is the solution for smoking cessation” needs further research because it takes years to understand conventional smoking in relation to other diseases. Prospective follow-up studies to determine the risk of vaping on other diseases are needed in the future.
Front Matter Vol 9 No 2, 2023 Front Matter
Jurnal Respirasi Vol. 9 No. 2 (2023): May 2023
Publisher : Faculty of Medicine Universitas Airlangga

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Abstract

Back Matter Vol 9 No 2, 2023 Back Matter
Jurnal Respirasi Vol. 9 No. 2 (2023): May 2023
Publisher : Faculty of Medicine Universitas Airlangga

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Abstract

Carcinoid Tumor of the Lung: Hospital-Based Descriptive Study Ravindrachari Mulukoju; Ganga Ravindra Adimulam; Sneha Leo; Pratap Upadhya; Pampa Chakravarthy Toi
Jurnal Respirasi Vol. 9 No. 3 (2023): September 2023
Publisher : Faculty of Medicine Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jr.v9-I.3.2023.220-228

Abstract

Introduction: Bronchial carcinoids are slow-growing tumors that are usually asymptomatic until the later stages and mimic most benign conditions clinically. This study presented pulmonary carcinoids (PCs) in terms of diagnosis and management in a tertiary care center. Case: The mean age of presentation was 42.5 years old. Right lung involvement was more common, and the frequency was higher in men. In all patients, second to fourth generations of airways were the site of involvement. The most common symptom was a dry cough. Bronchoscopic biopsy complemented by immune histochemistry was the main diagnostic modality. The majority of patients (60%) had a typical PC. Stage I or III of the disease was the most common presentation. Nine lobectomies and two pneumonectomies were performed on 11 of 15 patients. These patients are performing well to date. Four patients were given only chemotherapy, of which one has survived. The longest follow-up period was 26 months. Conclusion: A high degree of clinical suspicion and familiarity with carcinoids is essential for early identification and a positive clinical outcome, especially in typical carcinoids (TC), as there are no obvious risk factors and various clinico-radiological presentations. In this study of 15 cases, most of the PCs were right-sided and more common in males. The use of a biopsy, either by a guided bronchoscopy or by computed tomography (CT), was confirmatory, and surgical removal was the treatment of choice. Medical therapy may be considered for select patients with carcinoid syndrome or terminal disease.
Benefit of Nigella sativa for Chronic Obstructive Pulmonary Disease Patients: A Narrative Review Sandy Laveda; Wayan Wahyu Semara Putra; Tungki Pratama Umar
Jurnal Respirasi Vol. 9 No. 3 (2023): September 2023
Publisher : Faculty of Medicine Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jr.v9-I.3.2023.252-259

Abstract

Introduction: Chronic obstructive pulmonary disease (COPD) is a prevalent respiratory disease that has a significant global impact. Unfortunately, current treatments and prevention remain insufficient. Nigella sativa (NS) has been traditionally used as an anti-inflammatory, antioxidant, and immunomodulatory agent, which can be helpful in the treatment of COPD, through its essential component thymoquinone. This review examined the potential benefits of NS for COPD patients as a possible treatment option. Methods: The literature investigation was conducted by searching relevant articles on Google Scholar and NCBI using the keywords "black seed", "black cumin”, "Nigella sativa", "thymoquinone", "carvacrol", and "COPD". The results from five identified studies were then summarized. Results: This review reveals that NS offers benefits to individuals with COPD by reducing inflammation and oxidative stress, thereby leading to improved pulmonary function tests (PFTs). However, it is important to note that the majority of experiments have been conducted on animals, with only one involving humans, and these experiments have mostly been short-term. Additionally, since different studies have used various preparations of NS, determining the recommended dose is challenging. Unfortunately, the research does not provide any insights into the potential long-term effects of these treatments or the possible adverse effects of the medications used. Conclusion: Studies on the benefits of NS as an anti-inflammatory and antioxidant for COPD adjuvant therapy show promising results, but more research is needed to confirm the findings with larger and more well-designed studies to determine the appropriate doses and long-term effects.
Asthma Exacerbation during the COVID-19 Pandemic Nur Indah Sawitri; Betty Roosihermiatie; Arga Setyo Adji; Syalomitha Claudia Stefani Angel; Vira Aulia Kusuma Wardani; Riami Riami
Jurnal Respirasi Vol. 9 No. 3 (2023): September 2023
Publisher : Faculty of Medicine Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jr.v9-I.3.2023.206-212

Abstract

Introduction: Asthmatics, especially uncontrolled asthmatics, must be vigilant during the COVID-19 pandemic to avoid major respiratory complications. This study aimed to describe these characteristics in emergency unit patients with asthma and COVID-19 at Haji General Hospital, Surabaya, an East Java referral hospital. Methods: The study gathered medical information on 160 asthma patients from March to December 2021. The collected data were related to socioeconomics, allergy history, family allergy history, and medications. Results: 160 confirmed cases of asthma occurred during COVID-19 at Haji General Hospital, Surabaya. Most adult asthma sufferers were women (59.2%), high school graduates (31.25%), housewives (21.2%), had payment method with Social Health Insurance Administration Body (BPJS) insurance (73.8 %), had a history of drug allergies (11.5%), had no family history of allergies (50.8%), and used albuterol control drugs (10.7%). Meanwhile, the majority of children with asthma were boys (53.3%), did not attend school or did not finish elementary school (33.3%), did not work (33.3%), had payment method with BPJS (73.3%), had a history of allergies to seafood and cow's milk respectively (10%), had no family history of allergies (40%), and used albuterol control drugs (16.7%). Conclusion: The proportion of asthma in the emergency unit was dominated by women over 18 years old with a high school education. Most patients were housewives and used BPJS. Many of them had a history of allergies to medications (not asthma medication), and there was no family history of allergies. Commonly used medications were albuterol to control asthma.
EtCO2 Levels in Medical Students Wearing N95 Masks Safira Eka Putri Madubun; Ony Wibriyono Angkejaya; Bertha Jean Que; Felmi de Lima; Christiana Rialine Titaley
Jurnal Respirasi Vol. 9 No. 3 (2023): September 2023
Publisher : Faculty of Medicine Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jr.v9-I.3.2023.169-175

Abstract

Introduction: N95 masks are very popular for daily use and can actively filter microparticles such as viruses. However, there are concerns that prolonged wearing of the mask may result in exhaled CO2 accumulation between the face and the mask, which may cause increased end-tidal carbon dioxide (EtCO2) levels and physiological changes. This study aimed to determine EtCO2 levels in students wearing the N95 mask. Methods: This was an experimental study with a case-control design. The subjects were divided into a treatment and a control group and were subjected to five measurements in 120 minutes. The data were analyzed using the independent samples T-test (normally distributed data) and the Mann-Whitney U test (not normally distributed data). Results: Mann-Whitney test at minute 0 showed that p = 0.010, independent sample T-test at minute 30 showed that the control group p = 0.016, while in the treatment group p = 0.019. Independent sample T-test at minute 60 for the control group p = 0.034, while the treatment group p = 0.037. Independent sample T-test at minute 90 for the control group and treatment p = 0.001, and independent sample T-test showed that at minute 120 in the control and treatment groups p = 0.000. Conclusion: The EtCO2 measurements at each of the five time points showed a statistical difference (p < 0.05). However, medical students who wore an N95 mask did not suffer adverse effects because the EtCO2 values in the control group were higher than in the treatment group.

Page 22 of 33 | Total Record : 321

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