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COMPARATION OF MASTOID TRIANGLE AREA MEASUREMENT TECHNIQUES USING VOLUME RENDERING POST PROCESSING AND MULTI PLANAR REFORMATION Maduma, Anggi Tiur; Sensusiati, Anggraini Dwi; Sari, Amillia Kartika
Journal of Vocational Health Studies Vol. 4 No. 2 (2020): November 2020 | JOURNAL OF VOCATIONAL HEALTH STUDIES
Publisher : Faculty of Vocational Studies, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jvhs.V4.I2.2020.62-65

Background: Identification in the anthropology of the forensic world using radiographic methods can be evaluated from variations in the human skeleton. The skull is the most dimorphic part of the skeleton, precisely in the temporal bone, namely the mastoid process. The use of advanced radiological technology in the evaluation of the mastoid process in humans can be done using the CT scan modality. Purpose: To determine the measurement results of the total area of the mastoid triangle using post processing volume rendering and multi planar reformation. Method: This type of research is an analytic observational study with a retrospective approach. The number of samples used were 152 raw data of patients with criteria aged 26-65 years and without any pathological changes in the mastoid process area. This research uses simple random sampling technique. Measurements were carried out 10 times by using 2 gauges, and using 3D slicer software on volume rendering and multi planar reformation reconstruction data. Data were analyzed using the free sample T test. Result: Measurer A produces total area of mastoid triangle using volume rendering is 1165.72 ± 1.2506 and multi planar reformation is 1145.84 ± 1.46512, with a significance value of 0.204 (p > 0.05). Similar results were obtained by measuring B. Measurer A produced a total area of mastoid triangle using volume rendering is 1159.91 ± 1.29691 and an multi planar reformation is 1146.56 ± 1.4606, with a significance value of 0.400 (p > 0.05). Conclusion: The results indicated that there was no significant difference in the results of measuring the total area of mastoid triangle using post processing volume rendering and multi planar reformation.

Internal Audit Guide to the K3 Management System at Simpang Lima Gumul Hospital Kediri Indasah; Agus Sukisno; Anggi Tiur Maduma; Sholichudin; Millania Fitri; Andre Bagaskara; Agus Heselo
Journal of Community Engagement in Health Vol. 7 No. 2 (2024): September
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jceh.v7i2.566

Hospitals in the BLUD system play an optimal role in providing health services, including the implementation of hospital operations using income sources and each part of the hospital must be able to have its own role and function but are interconnected to fully support smooth operations. The problem of a company or hospital related to occupational safety and health in general is about the readiness of management and all employees to face risks that may occur before, during and after the production process or health services with the aim of increasing effective, efficient productivity and reducing losses due to the risks incurred. Therefore, it is necessary to carry out an internal audit regarding SMK3. The main target is the management of Simpang Lima Gumul Hospital Kediri. The aim of this activity is to find out the Standard Operational Procedures for SMK3 Internal Audit at Simpang Lima Gumul Hospital Kediri. The method used in this activity is presentation regarding SMK3 Internal Audit Standard Operating Procedures to the management of Simpang Lima Gumul Kediri Hospital using power point as a medium for supplying material. The results of this activity are Standard Operational Procedures for Internal Audit of SMK3 Simpang Lima Gumul Hospital Kediri.

Analisis Variasi Kilovolt (kV) terhadap Signal to Noise Ratio (SNR) pada Pemeriksaan Ankle Proyeksi Lateral dengan Menggunakan Image-J Djuli Pontjowijono; Vanessa Pingky Enjellina; Anggi Tiur Maduma; Sentot Alibasah
Strada Journal of Radiography Vol. 6 No. 2 (2025): December
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/sjr.v6i2.66

Kualitas radiografi ditentukan oleh struktur anatomi yang dipengaruhi oleh faktor eksposi seperti kV, mA, dan s. Pemeriksaan ankle joint dengan proyeksi lateral bertujuan memeriksa fraktur, dislokasi, dan efusi sendi. Sebanyak 20% populasi mengalami cedera ankle. Untuk citra radiografi ankle yang akurat, diperlukan analisis kualitas citra menggunakan software Image-J yang mampu mengukur kontras dan ketajaman gambar melalui fitur histogram, dengan parameter utama Signal-to-Noise Ratio (SNR). Tujuan penelitian ini menganalisis variasi tegangan (kV) 50, 55, 60, 65, 70, 75 terhadap SNR pada pemeriksaan ankle proyeksi lateral dengan menggunakan Image-J. Jenis penelitian ini kuantitatif deskriptif menggunakan metode histogram dan SNR pada Image-J. Subjek penelitian phantom ankle dan objek penelitian ini adalah citra foto phantom ankle yang di proyeksikan Lateral, diekspos sebanyak 6 variasi tegangan (kV), dan dilakukan penyinaran 3 kali. Citra radiograf diolah menggunakan Image- J melalui tahapan editing, transfer file DICOM, dan analisis histogram. Citra difokuskan pada anatomi Talus dengan Region Of Interest (ROI) yang sama untuk menghitung rata-rata nilai piksel dan standar deviasi sebagai perhitungan SNR. Hasil penelitian diperoleh kV 50 nilai SNR 20, kV 55 nilai SNR 21,574, kV 60 nilai SNR 22,769, kV 65 nilai SNR 24,706, kV 70 nilai SNR 25,090, dan kV 75 dengan nilai SNR 27,510. Berdasarkan hasil tersebut dapat disimpulkan bahwa seluruh variasi tegangan (kV) tersebut layak untuk evaluasi diagnostik, dengan kontras yang baik, noise yang rendah, dan detail anatomi yang cukup jelas, khususnya struktur halus seperti celah sendi, korteks tulang, dan fraktur. Hasil optimal terdapat pada kV 65 – 75.

Teknik Radiografi Shoulder dengan Diagnosa Dislokasi di Instalasi Radiologi Rumah Sakit Umum Daerah Simpang Lima Gumul Anggi Tiur Maduma; Zidda Kamalia
Strada Journal of Radiography Vol. 6 No. 2 (2025): December
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/sjr.v6i2.70

Shoulder joint atau biasa disebut dengan sendi glenohumeral merupakan sendi bola dan soket antara scapula dan humerus. Ini adalah sendi utama yang menghubungkan tungkai atas ke batang tubuh. Pemeriksaan shoulder joint ada beberapa proyeksi yaitu antero- posterio external dan internal rotation, inferosuperio axial, antero-posterio, scapular Y view, dan axillaris view. Salah satu patologi yang sering terjadi di shoulder joint adalah dislokasi. Dislokasi merupakan suatu kondisi di mana tulang bergerak menjauh dari sendi atau pindah dari posisinya. Dislokasi umumnya terjadi karena gerakan sendi yang tiba-tiba atau adanya benturan keras pada bagian tubuh. Penelitian ini bertujuan untuk mengetahui teknik pemeriksaan shoulder joint dengan klinis dislokasi akibat kecelakaan lalu lintas di Instalasi Radiologi Rumah Sakit Umum Daerah Simpang Lima Gumul. Metode penelitian yang digunakan yaitu analisis diskriptif dengan pendekatan studi kasus. Hasil dari penelitian ini yaitu Proyeksi Anteroposterior (AP) merupakan proyeksi utama dalam pemeriksaan shoulder joint pada klinis trauma dikarenakan menampakkan anatomi shoulder joint secara keseluruhan sehingga dapat mendiagnosa apabila terdapat dislokasi atau fraktur kemudian. Kesimpulan dari penelitian ini yaitu di Instalasi Radiologi RSUD Simpang Lima Gumul hanya menggunakan proyeksi Antero-Posterio (AP) dan tidak menggunakan proyeksi tambahan seperti Y View atau axillary view. Proyeksi Y View atau axillary view adalah proyeksi tambahan jika diperlukan dan menyesuaikan keadaan pasien.

Workload, Knowledge Sharing, and Teamwork on Lecturer Productivity at Strada Indonesia University Sholichudin; Anggi Tiur Maduma; Joko Prasetyio; Indasah; Ratna Wardani
Journal for Quality in Public Health Vol. 9 No. 1 (2025): November
Publisher : Master of Public Health Program Institut Ilmu Kesehatan STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jqph.v9i1.550

This study aims to analyze the influence of workload, knowledge sharing, and teamwork on the productivity of lecturers at Strada Indonesia University. The research method used a quantitative approach. Data were collected through questionnaires distributed to staff at Strada Indonesia University and analyzed using dummy linear regression analysis techniques to identify the relationship between these variables and productivity. The results showed that high workloads had a negative impact on productivity, while knowledge sharing and teamwork had a significant positive influence. Effective knowledge sharing and good teamwork can increase productivity by facilitating the flow of information, improving skills, and strengthening working relationships between individuals.

Internal Audit Guide to the K3 Management System at Simpang Lima Gumul Hospital Kediri Indasah; Agus Sukisno; Anggi Tiur Maduma; Sholichudin; Millania Fitri; Andre Bagaskara; Agus Heselo
Journal of Community Engagement in Health Vol. 7 No. 2 (2024): September
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jceh.v7i2.566

Hospitals in the BLUD system play an optimal role in providing health services, including the implementation of hospital operations using income sources and each part of the hospital must be able to have its own role and function but are interconnected to fully support smooth operations. The problem of a company or hospital related to occupational safety and health in general is about the readiness of management and all employees to face risks that may occur before, during and after the production process or health services with the aim of increasing effective, efficient productivity and reducing losses due to the risks incurred. Therefore, it is necessary to carry out an internal audit regarding SMK3. The main target is the management of Simpang Lima Gumul Hospital Kediri. The aim of this activity is to find out the Standard Operational Procedures for SMK3 Internal Audit at Simpang Lima Gumul Hospital Kediri. The method used in this activity is presentation regarding SMK3 Internal Audit Standard Operating Procedures to the management of Simpang Lima Gumul Kediri Hospital using power point as a medium for supplying material. The results of this activity are Standard Operational Procedures for Internal Audit of SMK3 Simpang Lima Gumul Hospital Kediri.

GERCEP (Gerakan Cegah Hipertensi) : Hypertension Prevention Initiative to Raise Public Awareness Regarding Prevention in Kwadungan Village Anggi Tiur Maduma; Dinda Martinita Sari; Tiara Renata; Gerardus Bani; Apliana Kaka Daha; Marshanda Anita Mesak; Aprilla Susanti Ina Kii; Agrita Wungo; Ariance Nunila Bili; Katrina Karlis Rambu Kazi; Bunga Kulsum B Sawaka; Delsiana Kurra
Journal of Community Engagement in Health Vol. 9 No. 2 (2026): September
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jceh.v9i2.847

Hypertension is a major public health problem and a risk factor for cardiovascular disease, stroke, and kidney disorders. Sustained promotive and preventive efforts are needed to improve community awareness and blood pressure control. This community service activity aimed to increase knowledge and awareness of hypertension prevention through physical activity, health education, and blood pressure monitoring. The GERCEP (Gerakan Cegah Hipertensi) program was conducted on August 19, 2026, at Kwadungan Village Hall and targeted adults and older adults from Kwadungan Village RT 01 through RT 01 who were at risk of or had a history of hypertension. A total of 28 participants were involved. The activity consisted of pre-intervention blood pressure measurement, hypertension-specific exercise, health education on hypertension and healthy lifestyles, and post-activity blood pressure measurement. Blood pressure was measured by the community service team, and data were analyzed descriptively by comparing blood pressure categories before and after the intervention. Complete pre- and post-intervention data were available for 20 participants. Fifteen participants experienced a decrease in blood pressure, while five experienced an increase. The number of participants with normal blood pressure increased from 3 to 8, while those with stage 1 hypertension decreased from 6 to 3 and stage 2 hypertension decreased from 6 to 4. These findings indicate an improvement in blood pressure categories following the activity. The GERCEP program has potential as a promotive and preventive community-based strategy through integrated physical activity, health education, and blood pressure monitoring. Sustainable implementation involving community health centers, health cadres, village officials, and residents is recommended.

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