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INDONESIA
Jurnal Respirologi Indonesia
ISSN : 08537704     EISSN : 26203162     DOI : -
Core Subject : Health,
Jurnal Respirologi Indonesia (JRI) is an online and printed scientific publication of the Indonesian Society of Respirology (ISR). The journal is published thrice-monthly within a year (January, April, July and October). The journal is focused to present original article, article review, and case report in pulmonary and critical care medicine.
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Articles 9 Documents
Search results for , issue "Vol 39, No 1 (2019)" : 9 Documents clear
The Effect of Harmonica Exercise on Inspiratory Capacity, Dyspnea, Exercise Capacity and Quality of Life of Chronic Obstructive Pulmonary Disease Patients Angga M. Raharjo; Suradi Suradi; Jatu Aphridasari
Jurnal Respirologi Indonesia Vol 39, No 1 (2019)
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.v39i1.42

Abstract

Background: Chronic inflammation in chronic obstructive pulmonary disease (COPD) causes respiratory muscle dysfunction and decreased respiratory muscle capacity. Incongruity of the capacity and the burden of the respiratory muscle results in increased symptoms of breathlessness, decreased inspiratory capacity, exercise capacity, and quality of life. The objectives of the study were to analyze the effect of harmonica exercise as a pulmonary rehabilitation modality on inspiratory capacity, shortness of breath symptoms, exercise capacity, and quality of life on stable COPD patient. Methods: Clinical trials with pre and post test group design were performed on 30 stable COPD patients at the respiratoy clinic at Dr. Moewardi Hospital Surakarta in August - September 2017 taken by purposive sampling. Evaluation of inspiratory capacity (IC) by spirometry, symptoms of breathlessness by mMRC, exercise capacity by 6MWT and quality of life by SGRQ were measured at baseline and after 6 weeks in the harmonic and control exercises group. Results: A total 30 stable COPD subjects met criteria and divided into two groups. The harmonica training group increased IC (1.78±0.30 litre) and 6MWT (420.00±35.49 meters), decreased mMRC score (1.00±0.458) and SGRQ score (33.87±6.05) after exercise were had significant differences (p
A Comparison of Aerobic Bacterial Culture between BAL and Induced Sputum Method on HIV-AIDS Patient with Bacterial Pneumonia CO-Infection Isnin Anang Marhana; Amir Sholeh
Jurnal Respirologi Indonesia Vol 39, No 1 (2019)
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.v39i1.37

Abstract

Background: Bacterial pneumonia is the main cause of morbidity and mortality in immunocompromised individuals. The incidence of bacterial pneumonia on HIV patients is 2,3 cases per 100 people per year. On several cases, obtaining sputum sample for cultivation to confirm bacterial pneumonia diagnosis is difficult, thus further work to gain representative sample is necessary. This can be acquired through sputum induction and bronchoscopy. This study aims to compare aerobic bacteria culture result between BAL and induced sputum NaCl 3% method. Method: This is a comparative analytical study which was done in UPIPI dr. Soetomo Hospital Surabaya on HIV-positive patients between 21 – 60 years old with suspected bacterial pneumonia through clinical and radiology findings. All patients went through sputum induction and BAL procedure. The sputum obtained was cultured aerobically to confirm the diagnosis of bacterial pneumonia. Results: There were 26 subjects with average age 40 years old and male majority (73,1%). All patients were present with coughing and breahtlessness as their chief complaint, while the general complaint was coughing with difficulty in excreting sputum. The dominant risk factor is a history of free sex. The radiologic findings were dominated with unilateral infiltrate (73,1%). Most of the FOB imaging results were normal (88,5%). The results of aerobic bacterial culture from sputum induction are: Streptococcus pneumoniae (20%), Pseudomonas aeroginosa (20%), Acinetobacter spp. (20%), while from BAL method: Klebsiella pneumoniae (25%). The different specimen-obtaining method between induced sputum and BAL method has significant result with p= 0,001 (p
Survey of Lung Function and Respiratory Symptoms Among Online Motorcycle Taxi Drivers in Bekasi City Damayanti, Triya; Pradipta, Jaka; Rahmawati, Ismulat; Harlivasari, Annisa Dian; Prasetyo, Erry; Anggara, Bobby
Jurnal Respirologi Indonesia Vol 39, No 1 (2019)
Publisher : Perhimpunan Dokter Paru Indonesia (PDPI)/The Indonesian Society of Respirology (ISR)

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

Abstract

Background: Online motorcycle taxi drivers have been heavily exposed to high concentration of hazardous air pollutants. This study aimed to describe the lung function and respiratory symptoms among online motorcycle taxi drivers and risk factors which influence them. Methods: The study design was survey research design with sample number of 99 online motorcycle taxi drivers in Bekasi City. Lung function examination was done using spirometer (Spirolab) and the predicted value of lung function was using Pneumobile Project Indonesia. Risk factors and respiratory symptoms were collected using questionnaire. Results: There were 10.1% of subjects with restrictive lung function and 5.1% with obstructive impairment. There were significant association between age of the drivers with restrictive disorders (P=0.006) and the mean difference of %FEV1 (P=0.039). There was a significant relationship between sex (P=0.001) and age (P=0.001) with the mean percent of forced vital capacity (%FVC). The respiratory symptoms collected were cough (17.2%) and shortness of breath (6.1%). There were no significant relationship between respiratory symptoms and lung function. Conclusions: Online motorcycle taxi drivers had respiratory symptoms and lung function impairment, however the causal relationship with the workplace environment is still unclear. Moreover, education about the importance of using personal protective equipment is needed to protect respiratory systems from harmful substances. (J Respir Indo 2019; 39(1))
Pathophysiology of Emphysema Steven Jonathan; Triya Damayanti; Budhi Antariksa
Jurnal Respirologi Indonesia Vol 39, No 1 (2019)
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.v39i1.43

Abstract

Pulmonary emphysema is part of pathological condition in chronic obstructive pulmonary disease (COPD) which is characterized by lung parenchymal destruction. Morphology classification of emphysema had been made according to histologic structure in pathology. There were some causes known to be the culprit of emphysema; one that caught most attention is protease-antiprotease activity from cigarette smoke exposure. Destructive effect of emphysema gives disturbance of lung function in expiration (obstruction). The primary mechanism is elastic recoil reduction which causes air trapping, lung volume increase, lung compliance increase and airways that is susceptible to collapse. Hyperinflation in emphysema causes some disadvantages which complicate inspiration and give a dyspnea sensation. Equal pressure point drop in emphysema happens because of elastic recoil reduction. This drop may cause early airway closure. (J Respir Indo 2019; 39(1): 60-9)
Correlation Between Copeptin and PSI with Intravenous to Oral Antibiotic Switch Theraphy and Length of Stay in Community-Acquired Pneumonia Risky Irawan; Reviono Reviono; Harsini Harsini
Jurnal Respirologi Indonesia Vol 39, No 1 (2019)
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.v39i1.40

Abstract

Background: Pneumonia is a world’s health problem. AVP level in the circulation is difficult to measure therefore copeptin is chosen since it is more comparable in number and more stable. Method: Prospective observational study on 25 patients with community-acquired pneumonia in Dr.Moewardi Hospital from July-August 2017. Result: There were no significant differences between switch therapy duration and length of stay to subject’s characteristic. There was a positive and significant correlation of PSI score to switch therapy and length of stay with a medium to strong correlation strength. Copeptin to switch therapy and length of stay had a positive and significant correlation with a medium to strong correlation strength. Pneumonia patients with PSI Score >90 had a risk of 36.67 times higher with switch therapy duration >4 days and it could be used as a predictor of switch therapy duration. Copeptin >17.23 with switch theraphy duration >4 days on pneumonia patient had a risk of 24.75 times higher and it could be used as a predictor of switch therapy duration. Pneumonia’s patient with PSI Score >100 with length of stay >10 days had a risk of 26.00 times higher and it could be used as a predictor of length of stay. Copeptin >27.39 with length of stay >10 days on pneumonia’s patient had a risk of 36.00 times higher and it could be used as a predictor of length of stay. Conclusion: Both PSI Score and copeptin level had positive and significant correlation to switch theraphy and length of stay. (J Respir Indo 2019; 39(1): 44-53)
Distribution of Lung Cancer Patients in Dharmais Cancer Hospital Year 2008-2012 Fariha Ramadhaniah; Desy Khairina; Dian Triana Sinulingga; Evlina Suzanna; Achmad Mulawarman Jayusman
Jurnal Respirologi Indonesia Vol 39, No 1 (2019)
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.v39i1.1

Abstract

Background: Lung cancer is the most commonly found cancer. At the population level, the incidence and mortality from lung cancer ranks first among all cancer cases which occur in male and the fourth most common cancer in female, while the survival of lung cancer is very short, namely 13 months. This study describes several variables of lung cancer cases at the Dharmais Cancer Hospital epidemiologically and clinically. Methods: The study was a cross-sectional study using the lung cancer data from 2008-2012 in Dharmais Cancer Hospital with hospital-based cancer registration data sources. Results: Cases of lung cancer in male are three times more common when compared to female and cases begin to increase in the 45-year age group. The location of the tumor was more commonly found in the right lung (48.2%) and adenocarcinoma was the most common type found (41,7%). The cancer stage at the time of the first hospital visit was mostly unknown (60.1%) and bone is the most commonly found (36,4%) metastasis location. Conclusion: The lung cancer location in the right lung, adenocarcinoma type, stage unknown in the first hospital visit and bone metastasis was the most commonly found epidemiology and clinical lung cancer patients in Dharmais Cancer Hospital. (J Respir Indo 2019; 39(1): 31-6)
Levels of Carbon Monoxide Expiratory Air on Shisha Users and the Factors Affecting Mirsyam Ratri Wiratmoko; Chandrika Karis Adhalia
Jurnal Respirologi Indonesia Vol 39, No 1 (2019)
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.v39i1.38

Abstract

Background: Shisha is one method of consuming tobacco similar to cigarette but in a different form. Lately it became a trend in Indonesian people, especially teenagers, without knowing any hazards contained in shisha which could cause cancer or even death. Lack of study about shisha in Indonesia was the main reason to do this study so further impact of shisha could be understood. Methodology: This study was analytical observational with cross sectional design. Data of this study was obtained from examination using CO analyzer and from questionnaire filling by respondents from the shisha Bogor community and smokers in Bogor. Results: Among 60 samples we obtained mean expiratory air CO levels of 8,62 ppm for smokers and 20,67 ppm for shisha users. There were also a significant correlation between shisha consumption duration per times and CO expiratory air levels, with P-value of 0,004 and odds ratio 12,52. Conclusion: Expiratory air CO levels in shisha users were higher than smokers, also there were a significant correlation between shisha consumption duration per times and the increasing levels of expiratory air CO. (J Respir Indo 2019; 39(1): 37-43)
Hypnotherapy Effectiveness in Bronchoscopy to Control Anxiety, Breathlessness and Cough Teguh Budi Santosa; Yusup Subagio Sutanto; Debree Septiawan
Jurnal Respirologi Indonesia Vol 39, No 1 (2019)
Publisher : Perhimpunan Dokter Paru Indonesia (PDPI)/The Indonesian Society of Respirology (ISR)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1034.938 KB) | DOI: 10.36497/jri.v39i1.58

Abstract

Background: Patient’s comfort during bronchoscopy is important, as it affects its success and the whole outcome. The short comings of bronchoscopy with general anesthesia are long procedure, high cost, and its complication in respiratory failure patient’s. Hypnosis in various surgery procedures can reduce anxiety. Hypnosis can also be used as a therapy for shortness of breath and chronic cough. This study aimed to analyze the effectiveness of hypnotherapy in controling anxiety, breathing shortness a cough of patient’s undergoing bronchoscopy. Methods: This research is a clinical trial with a quasi-experimental design using the pretest-posttest control group approach using consecutive sampling was performed in patients with lung tumor undergoing bronchoscopy in dr. Moewardi Hospital from July to August 2018. The study subjects were randomized in to hypnotized and non-hypnotized (control groups). Scores of Hospital Anxiety and Depression Scale (HADS), modified Borg, and cough Visual Analog Scale (VAS) were measured before and after bronchoscopy. Results: Thirtyseven lung tumor patient’s undergoing bronchoscopy were included in our study. The intervention groups showed decreased HADS (6,68+8,28) and different significantly compared to control group (p
Survey of Lung Function and Respiratory Symptoms Among Online Motorcycle Taxi Drivers in Bekasi City Triya Damayanti; Jaka Pradipta; Ismulat Rahmawati; Annisa Dian Harlivasari; Erry Prasetyo; Bobby Anggara
Jurnal Respirologi Indonesia Vol 39, No 1 (2019)
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.v39i1.79

Abstract

Background: Online motorcycle taxi drivers have been heavily exposed to high concentration of hazardous air pollutants. This study aimed to describe the lung function and respiratory symptoms among online motorcycle taxi drivers and risk factors which influence them. Methods: The study design was survey research design with sample number of 99 online motorcycle taxi drivers in Bekasi City. Lung function examination was done using spirometer (Spirolab) and the predicted value of lung function was using Pneumobile Project Indonesia. Risk factors and respiratory symptoms were collected using questionnaire. Results: There were 10.1% of subjects with restrictive lung function and 5.1% with obstructive impairment. There were significant association between age of the drivers with restrictive disorders (P=0.006) and the mean difference of %FEV1 (P=0.039). There was a significant relationship between sex (P=0.001) and age (P=0.001) with the mean percent of forced vital capacity (%FVC). The respiratory symptoms collected were cough (17.2%) and shortness of breath (6.1%). There were no significant relationship between respiratory symptoms and lung function. Conclusions: Online motorcycle taxi drivers had respiratory symptoms and lung function impairment, however the causal relationship with the workplace environment is still unclear. Moreover, education about the importance of using personal protective equipment is needed to protect respiratory systems from harmful substances. (J Respir Indo 2019; 39(1): 54-9)

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