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INDONESIA
Jurnal Respirologi Indonesia
Published by Perhimpunan Dokter Paru Indonesia
ISSN : 08537704     EISSN : 26203162     DOI : -
Core Subject : Health,
Health Professions Medicine & Pharmacology
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 10 Documents
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Search results for , issue "Vol 41, No 2 (2021)" : 10 Documents clear
The Effect of Pursed Lips Breathing Exercises and Diafragma Breathing on Spirometry and Modified Medical Research Council Scale on Stable Chronic Obstruction Lung Disease Ida Muna Junita; Mulyadi Mulyadi; Teuku Zulfikar; Nurrahmah Yusuf
Jurnal Respirologi Indonesia Vol 41, No 2 (2021)
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.v41i2.174

Abstract

Background: Chronic Obstructive Pulmonary Disease (COPD) is a chronic disease characterized by limited airflow and a chronic inflammatory response to the airways, where shortness of breath is the main complaint in COPD patients. Pursed lips breathing (PLB) and diaphragmatic breathing exercises are useful techniques to improve ventilation by increasing the Forced Expiratory Volume 1 (FEV1) value and decreasing the degree of shortness of breath. This study aims to determine the effect of pursed lips breathing and diaphragmatic breathing exercises on the improvement of lung function and the degree of shortness of breath in stable COPD patients. Methods: This is an experimental study with pre-test and post-test control group methods of 60 stable COPD patients at the RSUDZA Pulmonology Clinic from November 2019 to February 2020. The sample was taken by systematic random sampling, divided into 2 groups, namely the intervention group who received training. PLB and diaphragmatic breathing exercises for 4 weeks coupled with indacaterol bronchodilator therapy. The control group only received indacaterol therapy. Changes in lung function were assessed by spirometry, namely FEV1 and Forced Vital Capacity (FVC) values and changes in the degree of shortness of breath using the mMRC scale. Statistical analysis used was t-test and Wilcoxon test, which were performed to assess differences between groups, the value of significance (P
Effect of Asthma Gymnastic on Blood Nitric Oxide, Mood, Energy Expenditure and Sex Quality Ita Juliastuti; Suradi Suradi; Debree Septiawan
Jurnal Respirologi Indonesia Vol 41, No 2 (2021)
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.v41i2.179

Abstract

Background: Sex is a basic function in human life. Exercise stimulates formation of blood nitric oxide (NO) as a potent vasodilator in all organs of the body including the genitals. Exercise prevents and improves depression and anxiety, but the link between exercise and sexual function has received less attention. Asthma gymnastic is an exercise in pulmonary rehabilitation that everyone can practice it. The effect of asthma gymnastic in sexology has never been studied yet. Methods: The pretest and posttest experimental clinical trials were carried out on 40 people aged 40-60 years old in Surakarta on 21st July 2019 until 27th October 2019. The intervention group (n=20) were treated with asthma gymnastics once a week for 12 weeks while the control group (n=20) didn’t exercise regularly. The aims of this study are to assess the effect of asthma gymnastic on blood nitric oxide, mood based on the Beck Depression Inventory (BDI) questionnaire, energy expenditure (physical and sexual activity) and sex quality based on the Arizona Sexual Experiences Scale (ASEX) questionnaire. Results: Asthma gymnastic had a significant positive effect on blood NO (B=0.426;P
High Sensitive C-Reactive Protein as a Marker of Systemic Inflammation in Male Coronary Artery Disease with Obstructive Sleep Apnea Allen Widysanto; Audrey Suryani Soetjipto; Michelle Widysanto
Jurnal Respirologi Indonesia Vol 41, No 2 (2021)
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.v41i2.176

Abstract

Background: High Sensitive C-Reactive Protein (hsCRP) is an acute phase protein which may be used as a sensitive marker for increased risk of cardiovascular events in Obstructive Sleep Apnea (OSA) subjects. Methods: This was a cross-sectional study to evaluate hsCRP as a sensitive marker for cardiovascular events in Obstructive Sleep Apnea (OSA) subjects. Subjects were recruited at Medical Check-up Department, Siloam Hospital Lippo Village, Karawaci, Tangerang between January and December 2018. This study included 74 OSA men whose blood were collected after fasting prior to hsCRP test. The diagnosis of Coronary Artery Disease (CAD) was determined by previous medical examinations using treadmill test, CT angiography and cardiac catheterization. Results: There were 39 people (52,7%) who were diagnosed with CAD out of 74 OSA men. The cut off point for hsCRP more than 0,42 was a marker for increased risk for CAD with Odds Ratio (OR)=7,43, Relative Risk (RR)=88%, sensitivity=17,95%, specificity=97,14%, Likelihood ratio (LR+) 6,28 and LR(-) 0,84. Conclusion: HsCRP with cut-off point >0,42 could be used as a marker of increased risk of cardiovascular case in male OSA subjects.
The Accuracy of Lung Ultrasound in Pneumonia Diagnosis: Evidence-Based Case Report Adityo Wibowo; Airin Aldiani; Faiza Hatim; Galoeh Adyasiwi; Hendra Wahyuni MS; Khairunnisa Imaduddin; Malsephira Hasmeryasih; Mega Juliana; Nesia Priandari; Nina Ratu Nur Kharima; Rudy Satriawan; Agus Dwi Susanto
Jurnal Respirologi Indonesia Vol 41, No 2 (2021)
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.v41i2.175

Abstract

Background: There are various microorganisms which caused pneumonia in developing countries such as Indonesia. The diagnosjs of pneumonia is still mainly confirmed by Chest X-ray which is unspecific to determine the etiology of pneumonia due to its low accuracy. On the other hand, the higher accuracy diagnostic tool, Computed Tomography (CT) scan, is not cost-effective. Therefore, an alternative diagnostic tool with high precision, affordability, and user-friendly is highly needed. Lung ultrasound (LUS) is an alternative diagnostic device. This study aims to investigate the diagnostic accuracy level of LUS in diagnosing pneumonia. Methods: Literature-researches was done in five databases namely PubMed/MEDLINE, ScienceDirect, Proquest, Cochrane and EBSCO/MEDLINE using keywords according to the clinical scenario. The articles were appraised with CEEBM worksheet. Results: Four articles met the inclusion and exclusion criteria. Sensitivity of LUS ranged around 85-97% and specificity ranged around 8694%. All appraised articles recommended the use of LUS for its high sensitivity in confirming diagnosjs of pneumonia and other lung diseases, and its favorable bedside use especially for critically ill patients. Lung US was also considered as being more inexpensive with less radiation exposure compared to CT scan or other radiographic imaging. Conclusion: Examination using LUS had a high diagnostic value in confirming the diagnosis of pneumonia.
Rope Jumping and Tabata Exercise Effect on Lung Function and Physical Fitness Index Stella Tinia Hasianna; Oeij Anindita Adhika; Kartika Dewi; Adra Taufiqah; Ajeng Mira Ayuningsih
Jurnal Respirologi Indonesia Vol 41, No 2 (2021)
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.v41i2.171

Abstract

Background: Routine physical exercise is often used as an intervention to improve lung function and optimal lung function will improve physical fitness. This study aimed to examine the effect of rope jumping and Tabata exercise in lung function as represented in Forced Expiratory Volume in 1 Second (FEV1), Forced Vital Capacity (FVC) and physical fitness index. Methods: This is an analytic comparative experimental study with pretest and posttest design, involving 60 adult male, separated into 2 groups, which are rope jumping or Tabata exercise for 2 weeks period. The study was conducted at the Faculty of Medicine of Maranatha Christian University Bandung in December 2017 to September 2018. The measured data were FEV1 and FVC using spirometry; and physical fitness index using Harvard Step Test. Data with normal distribution was analyzed using paired T Test, data with abnormal distribution using Mann-Whitney Test, and between group analysis using unpaired T Test. Result: We found a significant increase in FEV1 (P=0.017) but not FVC (P=0.151) in rope jumping grup, and a significant increase in FEV1 (P=0.010) and FVC (P=0.014) in Tabata exercise group. Both physical fitness index in rope jumping group and Tabata exercise group increase significantly (P=0.0005). There are no significant difference between rope jumping and Tabata exercise group in the effect towards FEV1 (P=0.853), FVC (P=0.876) and physical fitness (P=0.545). Conclusion: Rope jumping and Tabata exercise increase lung function and physical fitness index.
Coronary Artery Calsification on Chest CT Scan as Coronary Heart Disease Predictor in Lung Cancer Patients Luths Maharina; Yusup Subagio Sutanto; Widiastuti Widiastuti; Sulistyani Kusumaningrum; Adam Prabata; Hari Wujoso
Jurnal Respirologi Indonesia Vol 41, No 2 (2021)
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.v41i2.173

Abstract

Background: Lung cancer is widely known has strong association with cardiovascular diseases, including coronary heart disease. Smoking as the main risk factor for lung cancer and coronary artery disease is strongly hypothesized as reason behind this association. Our study aimed to predict ability of coronary artery calcification based on chest CT in prevalence of coronary heart disease in patients with lung cancer. Method: This study had cross-sectional design with consecutive sampling method. Subjects in this study were adults (>18 years old) with lung cancer based on histopathological examination. Result: Forty subjects with lung cancer who undergone chest CT was selected as samples in this study. After calculated with other factors, patients with lung cancer who also had coronary artery calcification lesions in Chest CT had 73 times higher risk to develop coronary heart disease (OR=72.63%;95% CI=3.81-1386.21;P=0.004). In addition, lung cancer subjects who are current and ex-smoker had 46 times higher risk to develop coronary heart disease (OR=45.75;95% Cl=1.14-1987.62;P=0.043). Based on those findings, coronary artery calcification has 86.7% sensitivity, 80.0% specificity, 72.2% PPV and 90.9% NPV for predicting coronary heart disease in lung cancer patients. Conclusion: Coronary artery calcification based on chest CT can be utilized as coronary heart disease predictor in lung cancer patients, especially who are current and ex-smoker. Extensive studies, is needed for strengthen this finding in near future.
The Successful Management of COVID-19 Patient with Severe ARDS Using Standard Therapy Dian Indriani Hidayat; Sofyan Budi Raharjo
Jurnal Respirologi Indonesia Vol 41, No 2 (2021)
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.v41i2.170

Abstract

The clinical manifestations of COVID-19 are very diverse. Young patients generally develops mild infection, whereas in older age with various comorbidities, the mortality rate increases. Since SARS-CoV-2 virus is still relatively new, a variety of treatments to manage COVID-19 patients are sought with various treatment effects. Currently there are many antiviral regimens and other drugs as treatment options for COVID-19, but there has been no specific therapy approved by U.S. Food and Drug Administration (FDA). This case report described the incidence of severe-critical ARDS in young patients without comorbids, as well as the comparison of successful management of COVID-19 patients with critical manifestations of severe ARDS using standard therapy. This case study compared the clinical and therapeutic similarities and differences in two patients who have successfully recovered from COVID-19 using standard therapy. Both patients were young male with no comorbids. The therapies administered were antivirus, anticoagulant, antibiotic, ventilator, steroid and symptomatic therapy corresponding to clinical condition development. Early case detections, ventilator use with high PEEP strategy, negative liquid balance, symptomatic management and sepsis prevention were factors that support the success of therapy.
The Correlation Between Air Pollution Exposure Duration and Occurence of Emphysema Based on Chest CT Scan in Public Transportation Drivers Yopi Simargi; Jessica Seprianto; Bryany Titi Santi
Jurnal Respirologi Indonesia Vol 41, No 2 (2021)
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.v41i2.180

Abstract

Background: Emphysema is included in chronic obstructive pulmonary disease (COPD) whose prevalence tends to increase in Indonesia. Air pollution is one of risk factor for emphysema. Public transportation drivers are one of the most vulnerable occupation exposed to air pollution. This study aimed to determine the correlation between air pollution exposure duration and occurence of emphysema in public transportation drivers. Methods: This was an analytic observational study using a cross-sectional approach. Samples of this study (n=32) were public transportation drivers in North Jakarta. Data were collected during August – October 2019 at Atma Jaya Hospital, North Jakarta. The study datawere secondary data obtained through interviews and chest CT scan. Data analysis was performed using Fisher’s exact method. Results: The prevalence of emphysema was 46,9% with 9 respondents (60%) had mixed type emphysema and 13 respondents (87,7%) had mild degrees. The prevalence of public transportation drivers exposed to air pollution for more than or equal to 8 hours a day was 87,5%. There was a significant correlation between air pollution exposure duration and occurence of emphysema (P=0,038). Conclusion: There was a statistically significant correlation between air pollution exposure duration and occurence of emphysema. As many as 11 respondents (39,3%) exposed to air pollution for more than or equal to 8 hours a day exposure were found to have emphysema. However, all respondents in this study were smokers, which was also a risk factor for emphysema and could be considered as severe air pollution.
Proportion of Allergic Rhinitis in Asthma Patient and Their Correlation with Asthma Control Fersia Iranita Liza; Wiwien Heru Wiyono; Deasi Anggraini; Erlang Samoedro; Triya Damayanti
Jurnal Respirologi Indonesia Vol 41, No 2 (2021)
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.v41i2.177

Abstract

Background: Upper and lower airway diseases have strong interaction, particularly between asthma and AR. SPT and nasal endoscopy are not always used as tools for diagnosing AR. This study aimed to determine proportion of AR in asthma patients and the correlation with asthma control. Methods: This was a cross sectional study in 185 adult patients with asthma. Nasal endoscopy was used to objectively obtain data on the anatomical condition of nose and paranasal sinus orifices. Allergic rhinitis severity was classified according to the ARIA system. The ACT questionnaire was used to assess asthma control and allergic reactions were measured using SPT with 12 allergens. Results: A total of 54 asthma patients (29.2%) had AR. The most common allergens were house dust mite (38.8%), house dust (37.3%), and human skin flakes (32.8%). The results of nasal endoscopy showed that there were septum deviation (56.6%), pale concha (50.9%), edematous concha (22.6%), hypertrophic concha (18.9%), sinusitis and polyp (16.9%, respectively). The results of ACT questionnaire showed a score of ≤19 (uncontrolled asthma) found in 45.9% asthmatic patients, partially control in 47% patients and controlled asthma in 7% patients. Based on AR severity, it was obtained those with mild intermittent (46.3%), mild persistent (46,3%) and moderate-severe persistent AR (7.4%). There was a significant correlation between AR and asthma control (P=0,045). Conclusions: AR is a common comorbid in asthmatic patients. Precipitating allergens could be detected by SPT in asthmatic patients with AR. Avoiding exposure to precipitating allergens could prevent exacerbation in asthmatic patients with AR.
The Effect of Alumunium Dust Exposure on Lung Function Disorders Rinto Mangitua Hutapea; Novrikasari Novrikasari; Mona Lestari; Anita Camelia; Desheila Andarini; Rizka Faliria Nandini
Jurnal Respirologi Indonesia Vol 41, No 2 (2021)
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.v41i2.178

Abstract

Background: Industrial development continues to increase every year. CV X is a company in the manufacture of cauldrons and prickles which produce aluminum dust contaminants. Workers who work more than eight hours and lack of air exchange can affect lung function. This study aims to analyze the effect of aluminum dust exposure on lung function disorders in workers at CV X. Methods: This type of research was quantitative study with cross-sectional design. Sampling using simple random sampling technique according to inclusion and exclusion criteria with 40 respondents. Data analysis by using univariate and bivariate analysis with Chi-Square and Kolmogorov-Smirnov tests. Results: The results showed that there was no effect of aluminum dust exposure on lung function disorders (p = 0.166). However, there are 65% of workers who have lung function disorders, consists of 42.5% obstructive workers, 22.5% restrictive workers, and none of which have impaired combined lung function, while 35% of workers is normal. The majority of aluminum dust levels in the work environment are above the Threshold Value (5 mg/m3) of 72.5%. Conclusion: It is known that workers who experience obstruction problems of 51.7% are workers that exposed to aluminum dust above TLV (5 mg/m3) and there are 24.1% of workers experiencing restriction disorders exposed to aluminum dust above TLV. To prevent workers from experiencing lung function disorders due to exposure to aluminum dust, it is necessary to control efforts in the form of additional ventilation to reduce dust levels in the work environment.

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