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All Journal Jurnal Respirologi Indonesia Jurnal Pengabdian Masyarakat dalam Kesehatan Malang Respiratory Journal Journal of Community Health and Preventive Medicine (JOCHAPM)
Susanthy Djajalaksana
Departemen Pulmonologi Dan Kedokteran Respirasi, Fakultas Kedokteran, Universitas Brawijaya, Malang, Indonesia
Biochemistry, Genetics & Molecular Biology Education Environmental Science Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health Other

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EMPOWERING TELEMEDICINE AS AN EFFORT TO ASSES KNOWLEDGE, ASTHMA SYMPTOMS CONTROL AND RISK FACTORS OF ASTHMATIC PATIENTS IN THE ERA OF COVID-19 PANDEMIC Aditya Sri Listyoko; Susanthy Djajalaksana; Ngakan Putu Parsama Putra; Ungky Agus Setyawan; Caesar Ensang Timuda; Jimmy Akbar; Simon Petrus; Maria Kristiani; Ulfah Kartikasari; Yenny Widowati
Jurnal Pengabdian Masyarakat Dalam Kesehatan Vol. 4 No. 2 (2022): OCTOBER 2022
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jpmk.v4i2.33504

Abstract

Introduction: Asthma is heterogenous disease characterized by chronic airway inflammation. COVID-19 pandemic has an impact on health services where telemedicine could provide alternative method to evaluate patient’s condition, reduce risk of infection and disease transmission. The aim of this study is to analysis knowledge, asthma symptoms control and risk factors among the asthmatic patients via telemedicine Methods: Data was obtained from telemedicine of 28 asthmatic patients in the context of community services. Inclusion criteria is stable asthmatic patients who conducted medical interview via videocall application. Cross sectional data were taken including demographic, knowledge of subjects, profile of subjects, and assessment of asthma symptoms control and assessment of poor outcomes. Data were analyzed descriptively and variables were analyzed using chi-square. Results: Subjects consisted of 28 stable asthmatic patients. The average of asthma onset was 17.96 years old. Clinically profile showed that 67.86% subjects were not routinely controlled, 64.29% had never performed pulmonary function test, 67.86% subjects didn’t know the level of asthma control symptoms. Evaluation based on GINA symptoms control only 39.29% were in good control condition, 35.71% were partially controlled and 25% in uncontrolled condition. Use of inhaler device recently or previously prescribed on 67.86% subjects. Evaluation of knowledge about asthma still unsatisfactory, 67.86% subjects didn’t know about their modifiable risk factors, 96.43% didn’t know about written action asthma plan, 60.71% didn’t know about asthma exercise. Self-medication was associated with poor asthma control (p=0,036) and knowledge about modifiable risk factors related to asthma symptoms control (p=0,041). Conclusion: Self-medication is related to uncontrolled asthma and knowledge of modifiable factors is related asthma symptoms control. It is important to educate the patient about the modifiable risk factors of asthma and how to manage it. Patient knowledge about their disease is still lacking, and there is a need for ongoing education to achieve good asthma control. Alternative intervention through telemedicine especially for continuing education and may therapeutic strategies can be performed as an effort to obtain well controlled asthma in community. Telemedicine, particularly in asthma management may benefit as an alternative approach of healthcare service in the context of pandemic era.
Change in Exhaled Volatile Organic Compounds (VOC) Profile and Interleukin-17 Serum in Lung Cancer Patient Agil Dananjaya; Ungky Agus Setyawan; Susanthy Djajalaksana; Arinto Yudi Ponco Wardoyo
Jurnal Respirologi Indonesia Vol 43, No 1 (2023)
Publisher : Perhimpunan Dokter Paru Indonesia (PDPI)/The Indonesian Society of Respirology (ISR)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36497/jri.v43i1.316

Abstract

Background: In recent years, there have been studies regarding biomarkers for early detection of lung cancer. The expansion of tumor is accompanied by distinct metabolic process product, which results in identifiable changes in the volatile organic compounds (VOC) emission profile. The content of such molecules differs between healthy and lung cancer patients. Furthermore, the expression of Interleukin-17 (IL-17) was linked to the clinical and pathological aspects of lung cancer patients. The aim of this study is to profile the exhaled VOC and the level of IL-17 in the serum of lung cancer patient.Methods: Fourty patients with confirmed lung cancer and 42 healthy subjects as control were gathered for this study. VOC was measured using breath analyzer and sensor array, while IL-17 was measured by ELISA. Statistical analysis was conducted using Kruskal-Wallis test and Spearman correlation test with P<0.05 considered significant.Results: We examined 15 VOCs and found that ethanol (C2H5OH), formaldehyde (CH2O), toluene (C7H8) and ammonia (NH3) in lung cancer patient were increased significantly compared to control (P<0.05; P<0.05; P<0.05 and P=0.001 respectively). However, the level of IL-17 in control subjects was higher (P=0.299) than patients with lung cancer. Conclusion: Ethanol, formaldehyde, toluene and ammonia can potentially be used as biomarkers for lung cancer. However, the role of IL-17 in lung cancer screening still needs further investigations.
THE ROLE OF SPIROMETRY AND ITS BENEFIT TO ASSESS RESPIRATORY SYMPTOMS IN THE SEMERU VOLCANIC ERUPTION COMMUNITY SERVICES Aditya Sri Listyoko; Susanthy Djajalaksana; Ngakan Putu Parsama Putra; Triwahju Astuti; Fitri Indah Sari; Nizzar Firdaus Trisnian; Silvy Amalia Falyani; Juwita Febriawati; Adinda Pramitra Permatasari; Claudia Herda Asyari
Journal of Community Health and Preventive Medicine Vol. 2 No. 2 (2022): JOCHAPM Vol. 2 No. 2 2022
Publisher : Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (568.18 KB) | DOI: 10.21776/ub.jochapm.2022.002.02.3

Abstract

Spirometry is a standard diagnostic tool for respiratory diseases. The people who live around the volcanic eruption may have a respiratory problems, both acute and chronic conditions. The aim of this study is to evaluate whether spirometry can be used as a diagnostic tool in the context of disaster in particular volcanic eruption. Data was obtained from medical examination in community services of Semeru volcanic eruption affected community in Pronojiwo, Oro Oro Ombo, Lumajang in last January 2022. Spirometry was performed for the patient who had a respiratory problems. Data was analyzed descriptively to assess lung function test using spirometry and its benefit in the people affected by volcanic eruption.  Among the subjects, 77.27% had abnormal findings from the spirometry result. The mean of %VC, % FVC and % FEV1/FVC were 71.49%; 74.58%; 74.39% respectively. The result of spirometry revealed normal, restriction, and obstruction with suggestive restriction 18.18%; 22.73%; 31.82%; 22.73% respectively. The evaluation of spirometry parameters showed that 54.55% was appropriate for clinical diagnosis made by a physician.  Our data show that most subjects had an abnormal results from spirometry. Spirometry may be a diagnostic tool can be used in natural disasters, particularly volcanic eruption for assessing respiratory symptoms.  
A Thymoma (Case Report): Importance of Comorbidity, Lifestyle, and Thymoma Size in Treatment Success Rachmat Suryaman; Susanthy Djajalaksana; Ungky Setyawan; Koernia Wardhana; Dini Erawati; Hendy Yudhanto
Malang Respiratory Journal Vol. 4 No. 2 (2022): September 2022
Publisher : Universitaas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.mrj.2022.004.02.4

Abstract

Thymoma is a rare malignancy with an incidence of 0,15 case per 100.000 population and is the most commonly diagnosed anterior mediastinal malignancy. With 12,5% 15-year survival rate, and is often accompanied by autoimmune disease such as myasthenia gravis, pure red blood cell aplasia, and hypogammaglobulinemia, better understanding of factors affecting prognosis is needed to improve patient quality of life and survival.
Co-Authors Adinda Pramitra Permatasari Aditya Sri Listyoko Agil Dananjaya Arinto Yudi Ponco Wardoyo Caesar Ensang Timuda Claudia Herda Asyari Dini Erawati Fitri Indah Sari Hendy Yudhanto Jimmy Akbar Juwita Febriawati Koernia Wardhana Maria Kristiani Ngakan Putu Parsama Putra Nizzar Firdaus Trisnian Rachmat Suryaman Setyawan, Ungky Agus Silvy Amalia Falyani Simon Petrus Triwahju Astuti Ulfah Kartikasari Ungky Setyawan Yenny Widowati