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All Journal Jurnal Riset Kesehatan Jurnal Imejing Diagnostik Gemakes: Jurnal Pengabdian Kepada Masyarakat
Naela Himayati Afifah
Departemen Radiologi, Fakultas Kedokteran, Kesehatan Masyarakat, Dan Keperawatan, Universitas Gadjah Mada, Yogyakarta
Health Professions Medicine & Pharmacology Nursing Public Health

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THE CONCORDANCE OF BRIXIA AND RALE SCORES IN EVALUATION OF COVID-19 PNEUMONIA PATIENT USING RADIOGRAPHY IN INDONESIA REFERRAL HOSPITAL Lina Choridah; Anita Ekowati; Nurhuda Hendra Setyawan; Bestari Ariningrum Setyawati; Naela Himayati Afifah; Anggraeni Ayu Rengganis
Jurnal Riset Kesehatan Vol 12, No 1 (2023): MAY 2023
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jrk.v12i1.9333

Abstract

The COVID-19 pandemic has put intense pressure on the healthcare systems. As the lung complication of COVID-19, pneumonia can be assessed by chest radiography which can be used to predict the severity of patient deterioration using Brixia and RALE scores. This research aims to assess the Radiologists' agreement on diagnosing pneumonia COVID-19 by RT-PCR in CXR using the Brixia and RALE score at Dr. Sardjito Central General Hospital from May 2020-January 2021. Two separate radiologists scored initial chest radiographs for RALE and Brixia independently. The analysis assessed included a descriptive analysis of demographic data, and Bland-Altman plots were used to visualize intra-observer agreement. A total of 332 samples were 162 men (48.8%) and 170 women (51.2%), with a mean age of 42.37. The ICC of Brixia score (0.855, CI:0.794-0.895) and RALE score (0.756, CI:0.662-0.812). Bland–Altman analysis revealed a bias of 5.08 ± 6.04 (95% limits   of agreement of -6.760 and 16.929) for Brixia and RALE scores and significantly correlated (r=0.886 (p0.05)). The average score of Brixia (6.29±4.430) and RALE (11.56±9.997) in men was higher than in women. The agreement of Radiologists in diagnosing pneumonia COVID-19 using Brixia and RALE scores with the Bland Altman curve was significant or reliable.
PENGETAHUAN IBU HAMIL DAN SKRINING ULTRASONOGRAFI (USG) PADA KEHAMILAN RISIKO TINGGI DI PUSKESMAS CANGKRINGAN, SLEMAN, YOGYAKARTA: KNOWLEDGE OF PREGNANT WOMEN AND ULTRASONOGRAPHIC (USG) SCREENING FOR HIGH-RISK PREGNANCIES AT CANGKRINGAN PRIMARY HEALTH CARE CENTER, SLEMAN, YOGYAKARTA Naela Himayati Afifah; Yana Supriatna; Nurhuda Hendra Setyawan; Torana Kurniawan; Trianingsih Trianingsih; Devina Yudistiarta; Ajeng Viska Icanervilia; Vincent Harun; Khairina Khairina; Riyan Wahyudo; Nadia Primivita Dirgahayu; Derry Andriawan; Yusnia Irchami Fahmi; Intan Mupangat; Michelle Giovanny Manoeroe; Lina Choridah
GEMAKES: Jurnal Pengabdian Kepada Masyarakat Vol. 6 No. 2 (2026): GEMAKES: Jurnal Pengabdian Kepada Masyarakat
Publisher : Politeknik Kesehatan Kemenkes RI Jakarta I

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36082/gemakes.v6i2.3206

Abstract

Kehamilan risiko tinggi merupakan kontributor utama morbiditas dan mortalitas maternal serta perinatal. Deteksi dini melalui ultrasonografi (USG) dalam antenatal care (ANC) dan edukasi kesehatan esensial untuk kehamilan yang aman. Penelitian ini bertujuan mengevaluasi dampak edukasi kesehatan terhadap pengetahuan ibu mengenai kehamilan risiko tinggi serta mengidentifikasi faktor risiko maternal dengan penilaian USG di Puskesmas Cangkringan, Sleman, Yogyakarta pada 16 November 2024. Studi potong lintang (cross-sectional) ini melibatkan 23 ibu hamil yang direkrut melalui consecutive sampling. Data meliputi karakteristik sosiodemografi, riwayat obstetri, antropometri, tekanan darah, dan USG prenatal. Pengetahuan ibu dinilai dengan menggunakan kuesioner. Terdapat peningkatan signifikan pada tingkat pengetahuan ibu, dengan nilai median dari 7 menjadi 10 (p<0,001;  uji paired t-test). Hasil menunjukkan rata-rata usia ibu 27 ± 5,51 tahun dan indeks massa tubuh 25 ± 6,13 kg/m² (overweight). Skor pengetahuan meningkat secara signifikan setelah intervensi edukasi. Tidak ditemukan hubungan signifikan antara lingkar lengan atas (LILA) ibu dan perkiraan berat janin. Disimpulkan bahwa edukasi kesehatan terbukti meningkatkan pengetahuan ibu secara signifikan. Indikator antropometri ibu saja tidak cukup andal menjadi prediktor berat janin, sehingga diperlukan pelayanan ANC terpadu yang memadukan edukasi, penilaian klinis, dan penapisan USG.
PENGETAHUAN IBU HAMIL DAN SKRINING ULTRASONOGRAFI (USG) PADA KEHAMILAN RISIKO TINGGI DI PUSKESMAS CANGKRINGAN, SLEMAN, YOGYAKARTA: KNOWLEDGE OF PREGNANT WOMEN AND ULTRASONOGRAPHIC (USG) SCREENING FOR HIGH-RISK PREGNANCIES AT CANGKRINGAN PRIMARY HEALTH CARE CENTER, SLEMAN, YOGYAKARTA Naela Himayati Afifah; Yana Supriatna; Nurhuda Hendra Setyawan; Torana Kurniawan; Trianingsih Trianingsih; Devina Yudistiarta; Ajeng Viska Icanervilia; Vincent Harun; Khairina Khairina; Riyan Wahyudo; Nadia Primivita Dirgahayu; Derry Andriawan; Yusnia Irchami Fahmi; Intan Mupangat; Michelle Giovanny Manoeroe; Lina Choridah
GEMAKES: Jurnal Pengabdian Kepada Masyarakat Vol. 6 No. 2 (2026): GEMAKES: Jurnal Pengabdian Kepada Masyarakat
Publisher : Politeknik Kesehatan Kemenkes RI Jakarta I

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36082/gemakes.v6i2.3206

Abstract

Kehamilan risiko tinggi merupakan kontributor utama morbiditas dan mortalitas maternal serta perinatal. Deteksi dini melalui ultrasonografi (USG) dalam antenatal care (ANC) dan edukasi kesehatan esensial untuk kehamilan yang aman. Penelitian ini bertujuan mengevaluasi dampak edukasi kesehatan terhadap pengetahuan ibu mengenai kehamilan risiko tinggi serta mengidentifikasi faktor risiko maternal dengan penilaian USG di Puskesmas Cangkringan, Sleman, Yogyakarta pada 16 November 2024. Studi potong lintang (cross-sectional) ini melibatkan 23 ibu hamil yang direkrut melalui consecutive sampling. Data meliputi karakteristik sosiodemografi, riwayat obstetri, antropometri, tekanan darah, dan USG prenatal. Pengetahuan ibu dinilai dengan menggunakan kuesioner. Terdapat peningkatan signifikan pada tingkat pengetahuan ibu, dengan nilai median dari 7 menjadi 10 (p<0,001;  uji paired t-test). Hasil menunjukkan rata-rata usia ibu 27 ± 5,51 tahun dan indeks massa tubuh 25 ± 6,13 kg/m² (overweight). Skor pengetahuan meningkat secara signifikan setelah intervensi edukasi. Tidak ditemukan hubungan signifikan antara lingkar lengan atas (LILA) ibu dan perkiraan berat janin. Disimpulkan bahwa edukasi kesehatan terbukti meningkatkan pengetahuan ibu secara signifikan. Indikator antropometri ibu saja tidak cukup andal menjadi prediktor berat janin, sehingga diperlukan pelayanan ANC terpadu yang memadukan edukasi, penilaian klinis, dan penapisan USG.
Penatalaksanaan Giant Unilateral Non-Hodgkin Primary Breast Lymphoma Mimicking Phyllodes Tumor pada Pasien di Rumah Sakit : Laporan Kasus Naela Himayati Afifah; Lina Choridah; Didik Setyo Heriyanto
Jurnal Imejing Diagnostik (JImeD) Vol. 12 No. 2 (2026): JULY 2026
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v12i2.14873

Abstract

Background: Primary breast lymphoma (PBL) is a rare malignancy, accounting for approximately 0.4% of all breast neoplasms. Clinically and radiologically, PBL may mimic other breast tumors, particularly breast carcinoma or phyllodes tumors. This study aims to report a rare case of giant unilateral primary breast lymphoma that initially mimicked a phyllodes tumour on imaging examination. Methods: This study was conducted as a case report of a 53-year-old woman presenting with a rapidly enlarging breast mass. Clinical examination and breast ultrasonography were performed to evaluate the characteristics of the lesion. Ultrasound imaging assessed the size, internal structure, and associated lymph node involvement. A definitive diagnosis was established through histopathological and immunohistochemical examinations. The diagnosis of PBL was confirmed based on established criteria, including the absence of prior extramammary lymphoma and no evidence of systemic disease. Results: The patient presented with a large, rapidly growing, and painful mass in the right breast. Ultrasonography demonstrated a diffuse, inhomogeneous solid mass without spiculations, architectural distortion, or microcalcifications, and no evidence of axillary lymph node enlargement. Based on these findings, the lesion was initially suspected to be a phyllodes tumour. However, histopathological and immunohistochemical analyses confirmed B-cell Non-Hodgkin lymphoma. The tumor exhibited several imaging features similar to phyllodes tumour, including giant size, unilateral presentation, and a diffuse solid structure without spiculation, calcification, or axillary lymphadenopathy. Nevertheless, hypervascularity and the absence of a cleft cyst suggested lymphoma. Conclusions: Primary breast lymphoma should be considered in the differential diagnosis of large breast masses, particularly when imaging findings show hypervascular lesions without spiculation, calcification, or axillary lymph node involvement. Accurate diagnosis requires histopathological confirmation to differentiate PBL from other breast tumors such as phyllodes tumour and breast carcinoma.
Co-Authors Ajeng Viska Icanervilia Anita Ekowati Bestari Ariningrum Setyawati Derry Andriawan Devina Yudistiarta Didik Setyo Heriyanto Intan Mupangat Khairina Khairina Lina Choridah Lina Choridah Lina Choridah Michelle Giovanny Manoeroe Nadia Primivita Dirgahayu Nurhuda Hendra Setyawan Nurhuda Hendra Setyawan Rengganis, Anggraeni Ayu Riyan Wahyudo Torana Kurniawan Trianingsih Trianingsih Vincent Harun Yana Supriatna Yusnia Irchami Fahmi