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Pengaruh Vitamin D terhadap Ekspresi COX-2, Kadar cAMP, Kadar Renin Darah dan Tekanan Darah Sistolik dalam Sistem Renin Angiotensin Aldosteron Hermawan, Dessy -; Soejono, Sri Kadarsih; Sunarti, '; Astuti, Indwiani; Nang Agus, Zainal Arifin
Jurnal Kedokteran Brawijaya Vol 29, No. 2 (2016)
Publisher : Fakultas Kedokteran Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.jkb.2016.029.02.5

Abstract

Banyak penelitian yang melaporkan hubungan antara kadar vitamin D dalam darah dengan hipertensi, hanya saja mekanismenya dalam sistem renin angiotensin belum dapat dijelaskan dengan pasti. Hal ini yang menarik untuk mempelajari mekanisme aksi vitamin D dalam dalam pengaturan tekanan darah di sistem renin angiotensin aldosteron. Rancangan penelitian ini adalah eksperimen laboratorik dengan pre-post test group design, yang di bagi menjadi dua tahap. Tahap pertama untuk mempelajari pengaruh vitamin D terhadap ekspresi COX-2 di sel macula densa ginjal dan tahap kedua untuk mempelajari mekanisme aksi vitamin D dalam pengaturan tekanan darah. Hasil yang di dapat bahwa sasaran aksi vitamin D pada sistem renin angiotensin aldosteron kemungkinan ada di dua bagian, yaitu ada yang di bagian up-stream cAMP dengan menekan ekspresi COX-2 di sel macula densa ginjal dan ada yang di bagian down-stream cAMP, yaitu dengan menekan langsung gen yang menyandi renin. Hal ini didukung dengan data bahwa tidak terjadinya akumulasi cAMP, peningkatan kadar renin dan TDS walaupun hewan coba telah diberi teofilin bersamaan dengan vitamin D.Kata Kunci: hipertensi, vitamin D, renin, cAMP, COX-2 dan tekanan darah sistolik
Peningkatan Jumlah Mikronukleus pada Mukosa Gingiva Kelinci Setelah Paparan Radiografi Panoramik Astuti, Indwiani; Mudjosemedi, Munakhir; Suwaldi, Suwaldi; Shantiningsih, Rurie Ratna
Majalah Kedokteran Gigi Indonesia Vol 20, No 2 (2013)
Publisher : Majalah Kedokteran Gigi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Mikronukleus merupakan salah satu tanda awal terjadinya kerusakan DNA yang ditemukan pada mukosa gingiva manusia setelah paparan radiografi dental panoramik.   Peningkatan jumlah mikronukleus terjadi paling tinggi pada hari ke-10 dan selanjutnya mengalami penurunan sampai dengan hari ke-14. Kelinci memiliki karakter dan periode turn-over mukosa gingiva yang hampir sama dengan manusia berkisar antara 10-12 hari. Tujuan penelitian ini untuk mengevaluasi apakah peningkatan jumlah mikronukleus pada mukosa gingiva kelinci setelah paparan radiografi panoramik.Sembilan ekor kelinci dibagi menjadi 3 kelompok untuk mewakili hari ke-3, 6 dan 9 setelah paparan radiografi panoramik. Sebelum dan sesudah diberikan paparan radiografi panoramik,  setiap  hewan  coba  dilakukan  apusan  pada  mukosa  gingiva  anterior  rahang  bawah  menggunakan cervical brush. Hasil apusan dilakukan pewarnaan dengan modifikasi Feulgen-Rossenbeck dan dihitung jumlah mikronukleus menggunakan mikroskop yang disambungkan dengan optilab. Analisis statistik dilakukan menggunakan paired t-test. Analisis statistik menunjukkan adanya perbedaan yang signifikan (p<0,05) antara jumlah mikronukleus sebelum dan 9 hari sesudah paparan radiografi panoramik. Akan tetapi tidak ditemukan perbedaan yang signifikan (p>0,05) antara sebelum paparan dibandingkan hari ke-3 dan ke-6 setelah paparan radiografi panoramik. Kesimpulang dari hasil penelitian ini sejalan dengan penelitian sebelumnya pada manusia bahwa peningkatan jumlah mikronukleus terjadi pada hari ke-9 setelah paparan radiografi panoramik. Hasil ini mengindikasikan bahwa pada kelinci juga menunjukkan peningkatan jumlah mikronukleus di mukosa gingiva akibat paparan radiografi panoramik.ABSTRACT: Micronucleus Increase After Panoramic Radiography Exposure In Rabbit’s Gingival Mucosa. Micronucleus is one of the early states of DNA damage found in human gingival mucosa after dental panoramic radiography exposure. The increasing amount of micronucleus will reach a peak in the tenth day after the exposure, and it will continuously decrease right after the fourteenth day. Rabbit has almost the same gingival mucosa and turn-over period with human for about 10-12 days. The purpose of this research is to evaluate the increasing amount of micronucleus in rabbit’s gingival mucosa after panoramic radiography exposure. A total of nine New Zealand rabbits were divided into 3 groups to represent day of 3rd, 6th  and 9th after the panoramic radiography exposure. The mandibular anterior gingival mucosa of each animals was swabbed using a cervical brush before and after panoramic radiography exposure. The samples were stained with Feulgen-Rossenbeck modification, and the amount of micronucleus was counted using a microscope that is connected to Optilab. Statistical analysis was performed using paired t-test. The statistical analysis showed that there was significant difference (p <0.05) between the number of micronucleus before exposure and 9th day after panoramic radiography exposure. Moreover, there was no significant difference (p> 0.05) between the amount of micronucleus before exposure compared with 3rd  and 6th  day after panoramic radiography exposure. Based on the experiment, it is concluded that the result is consistent with previous studies conducted in human that there was increasing amount of micronucleus at the 9th  day after panoramic radiography exposure. This result   indicates that rabbit   performs the increasing amount of micronucleus in gingival mucosa because of panoramic radiography exposure
The effect of active compound isolated from the leaves of kembang bulan [Tithonia diversifolia (Hemsley) A. Gray] on cell cycle and angiogenesis of WiDr cell line Mardihusodo, Hajid Rahmadianto; Hartati Wahyuningsih, Mae Sri; Astuti, Indwiani
Journal of the Medical Sciences (Berkala Ilmu Kedokteran) Vol 45, No 03 (2013)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (908.662 KB) | DOI: 10.19106/JMedScie004503201301

Abstract

Colorectal cancer is the tenth most common form of malignant tumor of hospital inpatients inIndonesia. Advance approaches in anticancer development is discovery molecular-targeted drugs.Molecular targets for anticancer drug have been identified including genes associated with cellcycle control and angiogenesis. Previously, an active and selective compound against WiDr fromTithonia diversifolia (Hemsley) A. has been isolated. The aim of this study was to evaluate theeffect of the isolated active compound fromT. diversifolia on the WiDr cell cycle and angiogenesis.Isolation of the active compound was performed by preparative thin layer chromatography (TLC)method. WiDr cell cycle was analyzed by flowcytometry using propidium iodide (PI).Antiangiogenesis effect was evaluated by immunocytochemistry method using anti-human VEGFmonoclonal antibody. The results showed that the effect of the isolated active compound onthe WiDr cell cycle depended on the concentration and the incubation time periods. Atconcentration of 4 μg/mL, it inhibited the WiDr cell cycle SubG1 phase after 36 and 48 hoursincubation and G1 phase after 72 hours incubation. While at concentration of 8 μg/mL, it clearlyinhibited the WiDr cell cycle G1 phase after 36, 48 and 72 hours incubation. Furthermore, theisolated active compound at concentration of 4 μg/mL significantly inhibited the VEGF expressionuntil 47.38% compared to control. In conclusion, the isolated active compound fromT. diversifoliainhibited cell cycle and angiogenesis of WiDr cell.
CYP3A4*1G gene Polymorphism on Javanese People Sutrisna, Em; Dwiprahasto, Iwan; Astuti, Indwiani; Kristin, Erna
Indonesian Journal of Biotechnology Vol 16, No 2 (2011)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (43.035 KB)

Abstract

AbtractMost of drugs are metabolized by cytochrome P 450 (CYP) enzyme. Cytochrome P450 3A4 is the cytochrome that is involved in metabolizing more than 60% of all medicine used in human. The variation of this CYP3A4 gene will affect the catalytic activity of this enzyme. Recently, CYP3A4*1G in intron 10 was found in Chinese and Japanese population. There is a substitution of G to A at position 82266 in intron 10. The purpose of this research was to investigate the frequency of allele and genotype CYP3A4*1G. Samples were taken from bloods of the subjects of the research. The examination of CYP3A4*1G was conducted by RTLP-PCR method.As the results of this research, the frequency of CYP3A4*1G in Javanese people is CYP3A4*1/*1 0.25, CYP3A4*1/*1G 0.55 and CYP3A4*1G/*1G 0.20. Frequency of allele G: 0.53, allele A: 0.47. The Fisher’s exact- test shows that the allele and genotype frequencyis p. 1.000. The allele and genotype frequency of Javanese people isstill in Hardy-Weinberg equilibrium.Keywords : CYP3A4*1G gene, polymorphism, Javanese people
Dust Exposures, IgE Levels, History of Allergy, and Symptoms of Allergy in Poultry Workers Wijayanti, Yuni; Sutomo, Adi Heru; Astuti, Indwiani; Asmara, Widya
KEMAS: Jurnal Kesehatan Masyarakat Vol 14, No 1 (2018)
Publisher : Department of Public Health, Faculty of Sport Science, Universitas Negeri Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/kemas.v14i1.10232

Abstract

Poultry dust exposure may increase workers’ health risks, particularly in the form of respiratory allergic reactions. This study aimed to identify mold content of the dust and to analyze the association between dust exposure, IgE level, history of allergy, and symptoms of allergy. This study used cross sectional design with total samples of 33 workers. The data were analyzed using chi-square test and multivariate logistic regression. This study found 93.33% growth of Aspergillus sp., 69.7% work duration > 3 years, 84.8% high IgE levels, 18.2% history of allergy, and 69.7% symptoms of allergy. Dust exposure and history of allergy did not show significant correlation with symptoms of allergy while IgE levels had significant correlation with p-value of 0.036. Workers with high IgE-level were 15.986 times more likely to have symptoms of allergy (p-value 0.028). Aspergillus sp. as dust allergen potentially increased IgE levels and might become the base for facilitation of early and independent preventive and promotive efforts of workers’ health.
Efikasi Fraksi Etanolik Akar Tempuyung (Sonchus arvensis L.) sebagai Kemoterapi Kanker Kolon Berdasarkan Ekspresi Caspase-9 Rohima, Brilliana Nur; Astuti, Indwiani; Ghufron, Muhammad
Mutiara Medika: Jurnal Kedokteran dan Kesehatan Vol 11, No 1 (2011)
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/mmjkk.v11i1.931

Abstract

Kanker kolon merupakan salah satu kanker banyak dijumpai. Kanker kolon merupakan satu dari 10  kanker primer paling sering di Indonesia pada 1988, 1989, dan 1991. Berdasarkan perkembangan globalisasi di Indonesia diperkirakan insidensi dan prevalensi kanker kolon akan meningkat. Apigenin adalah bioflavonoid subkelas flavone yang memiliki potensi terapeutik yang besar, salah satunya adalah memacu apoptosis. Apigenin terdapat dalam tempuyung (Soncus arvensis L.) . Tujuan penelitian ini adalah untuk mengetahui potensi fraksi etanolik akar tempuyung (Sonchus arvensis L.)  untuk kemoterapi kanker kolon melalui ekspresi caspase-9 pada cell line kanker kolon WiDr. Penelitian dilakukan dengan cara sampel tanaman dideterminasi. Akar tempuyung difraksinasi dan dilakukan uji sitotoksisitas, kemudian dilakukan uji imunohistokimia pada cell line kanker kolon WiDr dengan ditambahkan fraksi akar tempuyung ½ IC50, IC50, dan 2 IC50. Sebagai kontrol negatif digunakan media kultur dan kontrol positif digunakan fluorouracil dosis 46,56 µg/mL, kemudian dibuat preparat histopatologi. Hasil penelitian menunjukkan bahwa determinasi spesies sampel adalah Sonchus arvensis L. Hasil uji sitotoksisitas IC50 fraksi etanolik akar tempuyung adalah 2865,5 µg/mL. Pada penelitian ini tidak dilakukan uji imunohistokimia karena IC50 fraksi etanolik akar tempuyung terlalu besar (e”50 µg/mL). Disimpulkan bahwa fraksi etanolik akar tempuyung (Sonchus arvensis L.)  memiliki potensi yang rendah untuk kemoterapi kanker kolon berdasarkan ekspresi caspase-9 pada cell line kanker kolon WiDr
Epidemiologic profile of oral squamous cell carcinoma in Yogyakarta, Indonesia Pramono, Dibyo; Heriyanto, Didik Setyo; Astuti, Indwiani; S., Supriatno; Utoro, Totok; Gracia, Isadora
Padjadjaran Journal of Dentistry Vol 29, No 1 (2017): March
Publisher : Faculty of Dentistry Universitas Padjadjaran, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (202.633 KB) | DOI: 10.24198/pjd.vol29no1.11614

Abstract

ABSTRACTIntroduction: Oral cancer is a major health problem in the world, indicated by a high incidence of recurrence. In Southeast Asia, oral cancer ranks sixth from all cancers on the human body. The incidence of oral cancer, especially squamous cell carcinoma types, increases every year, but the prognosis and patients life expectancy are still unsatisfying enough and the reports about the profile of oral cancer is still limited.The objective of this research was to get the epidemiological profile of oral squamous cell carcinoma (OSCC) in Yogyakarta, Indonesia. Methods: The research method was observational analytic with cross-sectional design. All new OSCC cases in three anatomic pathology laboratory installations in Yogyakarta (January 2011-December 2015) were included in this study. Data collected were gender, age, anatomical location, and histology. All data were analyzed using statistical analysis program. Results: OSCC new cases amount increasing each year: 6 cases (6.6%) in 2011, and increased to 24 cases (26.4%) in 2015. Fifty-two of the 91 cases (57.1%) were found on male. The age group with the most cases was found in group of 41-60 years (49.5%). There is no difference in the case distribution by age between male and female. Forty-eight cases were found in the lingual part (52.7%). Histological examination showed 68 cases (74.7%) were well-differentiated carcinoma. Conclusion: OSCC profile in Yogyakarta mostly found in men with anatomical location in the lingual part in the age group above 40 years of age and were having well-differentiated histology.Keywords: Oral squamous cell carcinoma (OSCC), Epidemiologic profile, Yogyakarta 
UJI EFEK HAMBATAN ATORVASTATIN TERHADAP PEMBENTUKAN SKAR HIPERTROFI PADA KELINCI NEW ZEALAND (Kajian terhadap morfologi klinis ketinggian jaringan skar, Scar Elevation Index, kepadatan kolagen, dan ekspresi VEGF) Widyarini, Sitarina; Astuti, Indwiani; Rosyidah, Devi Usdiana
Biomedika Vol 10, No 1 (2018): Biomedika Februari 2018
Publisher : Universitas Muhamadiyah Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23917/biomedika.v10i1.5848

Abstract

Skar hipertrofi dan keloid bagian dari jaringan parut patologis yang insiden kejadiannya masih tinggi. Keduanya mengganggu secara estetik, fisiologik, psikologik, dan sering tumbuh kembali setelah pengobatan. Belum ada terapi standar baku emas untuk skar hipertrofi dan keloid. Efek pleiotropik statin berpotensi sebagai anti skar baru. Penelitian ini bertujuan untuk mengetahui efek hambatan pembentukan skar hipertrofi dengan pemberian salep atorvastatin pada model luka skar di telinga kelinci New Zealand. Kelinci New Zealand usia 4-6 bulan (n=29) dilakukan randomisasi kedalam lima kelompok. Setelah aklimatisasi 1 minggu, dilakukan pembuatan luka model skar hipertrofi pada kedua telinga kelinci dengan punch biopsy (d=8 mm). Jumlah luka 2 buah di masing- masing telinga kanan dan kiri. Pada hari ke-7 setelah punch biopsy, kelompok I, II, III dioles salep atorvastatin dengan konsentrasi masing-masing 5%, 10%, dan 20%. Kelompok IV dioles salep clobetasol propionate 0,05% sebagai kontrol positif, dan kelompok V dioles dengan basis salep (lanolin vaselin 1:1) sebagai kontrol negatif. Frekuensi pengolesan salep pada luka ditelinga kelinci tersebut 1 kali/hari, dengan lama pengolesan selama 50 hari kedepan. Setiap hari dilakukan pengukuran morfologi klinis ketinggian skar. Pada hari ke 56 setelah punch biopsy, dilakukan penilaian akhir morfologi klinis jaringan skar hipertrofi, kemudian kelinci didekapitasi, diambil jaringan skar hipertrofi kemudian dibuat preparat histologis (HE, Von Gieson) dan imunohistokimia (VEGF). Salep atorvastatin 5% mampu menghambat pembentukan skar hipertrofi pada telinga kelinci New Zealand dengan nilai median skoring ketinggian jaringan skar sebesar 1(1-3), nilai SEI rata-rata sebesar 1,49±0,37 mm, dan nilai ekspresi VEGF sebesar 12,71±4,27%. Salep atorvastatin 5% mempunyai potensi untuk dikembangkan sebagai obat penghambat pembentukan skar hipertrofi baru dengan mekanisme penghambatan terhadap VEGF. Untuk pengembangan obat ini diperlukan penelitian lebih lanjut mengenai kapan waktu yang paling tepat mulai dioleskan salep atorvastatin setelah terjadi luka berisiko terbentuknya skar hipertrofi. Kata kunci: Atorvastatin, skar hipertrofi, VEGF, telinga kelinci.
Efek asupan vitamin D terhadap tekanan darah sistolik tikus putih (Rattus norvegicus) Hermawan, Dessy; Kadarsih, Sri; ., Sunarti; Astuti, Indwiani; Agus, Zaenal Arifin Nang
Jurnal Gizi Klinik Indonesia Vol 9, No 1 (2012): Juli
Publisher : Minat S2 Gizi dan Kesehatan, Prodi S2 IKM, FK-KMK UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (216.68 KB) | DOI: 10.22146/ijcn.15363

Abstract

Background: Hypertension still became potential life threatening disease for human life. The prevalence of hypertension was high and tends to increase. Previous study suggested that there was a linier rise in blood pressure at increasing distances from the equator. More recent study indicated that vitamin D insuffi ciency may be associated with elevated blood pressure.Objective: To investigate the effect of vitamin D intake on blood pressure.Method: This was an experimental study with pre-post test group design. The subjects were 20 male Rattus norvegicus aged 8 weeks. Subjects were divided into 5 groups and each groups received treatment as follow: lived in dark cage and consumed vitamin D free diet for 1 – 13 days, then moved to normal cage (dark-light period) and given vitamin D per-oral of 0.25 μg/kg BW for 1 – 5 days. Data of systolic blood pressure was collected and analyzed with paired t test.Results: The absence of vitamin D in diet caused a signifi cant increase in systolic blood pressure (p=0.01) after 7 days of treatment in dark cage. While oral vitamin D supplementation of 0.25 μg/kg BW caused a signifi cant decline of systolic blood pressure since the fi rst day of vitamin D supplementation and the result appeared stronger after 4 days of treatment (p=0.001).Conclusion: Vitamin D intake had a strong infl uence on systolic blood pressure
Pengaruh Teknik Aplikasi Pestisida terhadap Derajat Keparahan Penyakit Paru Obstruktif Kronis (PPOK) pada Petani Mahawati, Eni; Husodo, Adi Heru; Astuti, Indwiani; Sarto, Sarto
Jurnal Kesehatan Lingkungan Indonesia Vol 16, No 2 (2017): Oktober 2017
Publisher : Master Program of Environmental Health, Faculty of Public Health, Diponegoro University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jkli.16.2.37-45

Abstract

Judul: Pengaruh Teknik Aplikasi Pestisida Terhadap Derajat Keparahan Penyakit Paru Obstruktif Kronis (PPOK) Pada PetaniLatar Belakang: Kabupaten Grobogan  sebagai sentra utama pertanian di Jawa Tengah yang banyak menggunakan pestisida mengalami peningkatan kasus PPOK sejak tahun 2010, dimana  etiologi PPOK berasal dari gene-enviroment interaction dan salah satu penyakit akibat kerja utama terkait paparan zat toksik di tempat kerja. Persentase terbesar (71%) penderita PPOK berdasarkan data rekam medis 2009-2012 di RS PKU Muhammadiyah Gubug Kabupaten Grobogan adalah petani. Penelitian ini bertujuan menganalisis  pengaruh teknik aplikasi pestisida terhadap derajat keparahan PPOK pada petani.Materi dan Metode: Penelitian ini merupakan studi kasus kontrol yang dilakukan di  Kabupaten Grobogan dengan 100 petani sebagai responden yang dipilih secara purposive. Pengumpulan data melalui wawancara, observasi, pemeriksaan klinis dan spirometri. Analisis data menggunakan uji korelasi rank spearman dan  regresi logistik ordinal.Hasil: Hasil penelitian menunjukkan bahwa 23% responden termasuk PPOK Sedang, 17% PPOK sangat berat, 7% PPOK ringan dan 3% PPOK berat. Sebagian besar responden menyatakan lama penyemprotan pestisida lebih dari 5 jam per hari (69%), seminggu lebih dari 1 kali (72%), waktu penyemprotan pada pagi/sore hari (95%). Sebagian besar responden (85%) sering melakukan penyemprotan pestisida tanpa memperhatikan arah angin dan melakukan penyemprotan pestisida melawan arah angin (42%),  saat angin kencang (36%) dan menggunakan baju/kain yang sudah terpapar pestisida untuk menyeka keringat (42%). Hasil uji statistik menunjukkan ada hubungan signifikan antata derajat keparahan PPOK dengan lama paparan pestisida per hari (p value=0,003) dan kesesuaian arah penyemprotan pestisida (0,000). Ada pengaruh signifikan lama paparan pestisida per hari (p value=0,004) dan kesesuaian arah penyemprotan pestisida (p value=0,000) terhadap derajat keparahan PPOK.Simpulan: Temuan baru dalam penelitian ini adalah teknik aplikasi pestisida yang terbukti berpengaruh terhadap derajat PPOK adalah lama paparan per hari dan kesesuaian arah penyemprotan pestisida. Implikasi hal tersebut terhadap kesehatan masyarakat yaitu diperlukannya sosialisasi prosedur kerja aman petani dalam menggunakan pestisida dengan menyempurnakan teknik aplikasi pestisida secara baik dan benar dalam pencegahan  PPOK. Disarankan lama paparan pestisida disarankan tidak melebihi 5 jam per hari dan dihindarkan penyemprotan pestisida melawan arah angin. AbstractTitle: Effect of Pesticide Application Technical to The Severity Degree of Chronic Obstructive Pulmonary Disease (COPD) on FarmersBackground: Chronic Obstructive Pulmonary Disease (COPD) is a disease whose etiology derives from gene-enviroment interaction and has been one of the major occupational diseases associated with exposure to toxic substances in the workplace. Result of analysis of medical record data 2009-2012 in PKU Muhammadiyah Gubug Sub-Province of Grobogan Regency, it is known that the biggest percentage of COPD patients (71%) are farmers. This research aimed to analyze the effect of technical pesticide application on the severity degree of COPD to farmers.Methods: This research is a case-control study which was conducted in Grobogan District with 100 farmers repondents, had been selected by purposive method sampling. Data was collected by interviews, observation, clinical examination and spirometry. Data was analysed by rank spearman correlation and ordinal logistic regression.Results: The results showed that were 23% respondents in moderate COPD, 17% very severe COPD, 7% mild COPD and 3% severe COPD. Most respondents had spraying time pesticide  more than 5 hours daily (69%), more than 1 time weekly (72%), mostly in morning/afternoon (95%). Most of respondents (85%) frequently sprayed pesticides regardless of wind direction, sprayed pesticides against wind direction (42%), sprayed pesticides when high speed winds (36%) and used “pesticide-exposed clothes” to wipe sweat ( 42%). The result of statistical test showed significant correlation of the severity degree of COPD with pesticide exposure daily (p value = 0,003) and suitability of pesticide spraying direction (0,000). There were significant effect of pesticide exposure daily (p value = 0,004) and suitability of pesticide spraying direction (0,000) to the severity degree of COPD.Conclusion: The new findings in this study are the technical application of pesticide that has been shown to affect the severity degree of COPD is the length of exposure daily and the suitability of the pesticides spraying direction. The implications of this to public health is the need for socialization of safe work procedures of farmers in using pesticides by perfecting technical aspects of pesticide applications properly and correctly in the prevention of COPD. It was recommended not to exceed 5 hours daily and avoid spraying pesticides against the wind direction.