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PROMOSI KESEHATAN MASYARAKAT PIJAT AMAN, BAYI SENANG DI POSDAYA ANGGREK HUSADA KELURAHAN KEDUNGMUNDU KECAMATAN TEMBALANG KOTA SEMARANG Sri Mulyati; Darmini Darmini; Jeffri Ardiyanto; Gatot Murti Wibowo
Jurnal LINK Vol 13, No 2 (2017): NOVEMBER 2017
Publisher : Pusat Penelitian dan Pengabdian kepada Masyarakat, Poltekkes Kemenkes Semarang

Pijat bayi dapat diartikan sebagai sentuhan komunikasi yang nyaman antara ibu dan bayi. Pijat bayimerupakan ungkapan rasa kasih sayang antara orang tua dengan anak lewat sentuhan pada kulit. Stimulasimerupakan hal yang penting dalam tumbuh kembang anak. Anak yang mendapat stimulasi yang terarah danteratur akan lebih cepat berkembang dibandingkan dengan anak yang kurang atau tidak mendapat stimulasi.Sentuhan ibu juga akan direspon oleh bayi sebagai bentuk perlindungan, perhatian, dan ungkapan cinta.Tujuan dan manfaat pijat bayi sangat banyak, bagi bayi sendiri maupun ibu antara lain bermanfaat untukmeningkatkan kepercayaan diri, memudahkan orang tua mengenali bayinya, membina ikatan kasih sayangorang tua dan anak (bounding). Metode pengabdian dilakukan dengan cara ceramah dan simulasi pijat bayi.Promosi kesehatan dilakukan oleh dosen dan mahasiswa Jurusan Teknik Radiodiagnostik dan Radioterapi.Kegiatan bertempat di Balai Pertemuan Perum Sinar Waluyo RT 11 RW 01 Kelurahan Kedungmundu dengantema “Pijat Aman, Bayi Senang”. Pelaksanaannya pada saat kegiatan posyandu dan didukung narasumberdari Rumah Sakit Roemani Muhammadiyah Semarang. Peserta kegiatan sekitar 50 orang ibu dan bayi.Kegiatan dapat berjalan lancar, antusiasme warga dan respon yang positif. Diharapkan program tersebutdapat dilanjutkan di masa mendatang dengan topik yang berbeda sebagai wujud pengabdian masyarakat.

PENDAMPINGAN PENINGKATAN OPTIMISASI CITRA MRCP DENGAN PENGGUNAAN TEH OOLONG DAN SUSU SOYA HERBAL SEBAGAI ALTERNATIF MEDIA KONTRAS NEGATIF ORAL DI RS KANKER KEN SARAS UNGARAN KABUPATEN SEMARANG Fatimah Fatimah; Sugiyanto Sugiyanto; Gatot Murti Wibowo
Jurnal LINK Vol 12, No 1 (2016): Mei 2016
Publisher : Pusat Penelitian dan Pengabdian kepada Masyarakat, Poltekkes Kemenkes Semarang

High intensities of gastrointestinal tract may interfere to image quality of pancreatobilliary system that affects MRCP image degradation. The method of implementation of community service activities are divided into two activities : dissemination of material about improving the image optimization deployment training MRCP and use of oolong tea and herbal soy milk as an alternative oral negative contrast agent. Frameworks consist of input, process and output. Input as a potential target group's knowledge on the operation modalities of MRI and MRCP examination procedures. The process is in the form of training activities and the implementation of the use of oolong tea and herbal soy milk as an alternative to oral negative contrast agent on MRCP examination in hopes of generating output in the form of an increase in MRCP image optimization. Framework of solving problems through training implemented in the form of learning and mentoring using oolong tea and herbal soy milk as an alternative oral negative contrast agent MRCP, can produce contrast effect and image effect on the image enhancement MRCP optimization.

PENDAMPINGAN PEMBENTUKAN BANK SAMPAH DI KELURAHAN METESEH KECAMATAN TEMBALANG SEMARANG Sri Mulyati; Emi Murniati; Jeffri Ardiyanto; Gatot Murti Wibowo
Jurnal LINK Vol 15, No 1 (2019): MEI 2019
Publisher : Pusat Penelitian dan Pengabdian kepada Masyarakat, Poltekkes Kemenkes Semarang

Kelurahan Meteseh adalah salah satu Kelurahan yang berada di wilayah Kecamatan Tembalang Semarang. Secara demografis memiliki banyak potensi, diantaranya bidang peternakan sapi, perikanan, pertanian dan kewirausahaan yang dapat dioptimalkan dalam usaha untuk pembangunan Kelurahan untuk meningkatkan perekonomian masyarakat Kelurahan tersebut. Masyarakat memandang masalah sampah menjadi hal yang patut diprioritaskan mengingat pengelolaan sampah melalui bank sampah dapat berimbas baik secara ekonomi, kesehatan maupun lingkungan pada masyarakat sekitar. Salah satunya adalah Prodi D-IV Teknik Radiologi Jurusan Teknik Radiodiagnostik Dan Radioterapi Politeknik Kesehatan Kemenkes Semarang yang memiliki tanggung jawab dalam pelaksanaan tri Dharma Perguruan Tinggi dalam wujud pengabdian kepada masyarakat.Kegiatan ini merupakan stimulan yang dilakukan melalui pemberdayaan kepada masyarakat melalui pembentukan dan pendampingan pentingnya Bank Sampah sebagai salah satu wadah untuk pengelolaan sampah yaitu dengan terbentuknya Bank Sampah Mulia sejahtera di Kelurahan Meteseh Kecamatan Tembalang Kota Semarang. Dengan slogan mengubah sampah menjadi Berkah. Harapan kami, nantinya kegiatan ini dapat ditindaklanjuti oleh warga untuk pemilahan dan pengolahan sampah. Sehingga, dapat terwujud masyarakat yang bersih, sehat dan sejahtera.

BODY WEIGHT EFFECT ON JOINT SPACE WIDTH AND TIBIO FEMORAL ANGLE OF KNEE JOINT MEASUREMENT FOR OSTEOARTHRITIS DETECTION USING IMAGEJ Agung Nugroho Setiawan; Suryono Suryono; Sugiyanto Sugiyanto; Fatimah Fatimah; Gatot Murti Wibowo
Proceedings of the International Conference on Applied Science and Health No. 1 (2017)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

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

Background: Radiograph of knee joint with Kellgren and Lawrence classification system is the gold standard for assessing knee osteoarthritis. However, these grades are still obstacles. It is sometimes not appropriate to assess the progress of osteoarthritis and very long time to see the results of such progress. Osteoarthritis diagnosis and classification have been relying on qualitative visual interpretation by a radiologist. Probably difficult to determine whether there OA in the knee or not. Image quantification of digital radiography is done by measuring the joint space width and tibio femoral angle of the knee joint using the ImageJ software, with body weight variance as one factor that could affect it. Aims: This research aims to get information of body weight effect on the measurement of the joint space width and tibio femoral angle of knee joint in OA detection. Methods: This is a cross-sectional study. Subjects were digital images of the knee joint anteroposterior (AP) projection using Computed Radiography (CR) from 21 respondents with specific criteria. Image is then quantified using ImageJ software to measure the joint space width and tibio femoral angle. Print out of examination visually evaluated by one radiologist to confirm the diagnosis of OA of the knee joint. Results: The value of the right knee joint space width lateral and medial (3.81 ± 1.18 and 2.42 ± 0.77), while the left lateral and medial (3.49 ± 1.11 and 2.69 ± 0.83). Tibio femoral angle range 168.44 to 178.39 with the average tibiofemoral angle right knee 175.18 ± 2.04 and 173.80 ± 2.44 left knee. Body weight has a significant correlation to the tibiofemoral angle of knee joint (p value < 0,03). Conclusion: The joint space width values that taken from digital quantificationcan be baseline data of respondents, especially for those respondents who had grade 2 or indicated osteoarthritis, to be observed or compared in the next examination.The tibio femoral angle can be addition information in relation with knee pain to detect osteoarthritis.

Success Rate of Thorax Ultrasonography in Assisting Thoracocentesis Action in Clinical Pulmonary Tuberculosis at Respira Lung Hospital Yogyakarta Siham Reifqie Fath; Sudiyono Sudiyono; Rini Indrati; Tri Asih Budiati; Gatot Murti Wibowo
International Journal of Public Health Vol. 1 No. 3 (2024): September : International Journal of Public Health
Publisher : Asosiasi Riset Ilmu Kesehatan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62951/ijph.v1i3.82

The use of X-ray Thorax (XCR Thorax) in assisting thoracocentesis procedures has some limitations. XCR Thorax only provides a two-dimensional image, which may limit the accuracy in determining the exact location for the puncture. In addition, XCR Thorax cannot detect septation or loculation which may affect the success of the thoracocentesis procedure. Thoracic ultrasonography offers advantages in detecting pleural effusion compared to conventional radiographic methods, but has not been standardized in national guidelines. This study aims to see the difference in the success rate of thoracocentesis between the use of thoracic ultrasound guidance and thoracic photo guidance in patients with clinical tuberculosis at Respira Lung Hospital Yogyakarta. This cross-sectional study used a static group comparison approach to compare the success rate of thoracocentesis between two groups at Respira Lung Hospital Yogyakarta: 30 patients with Thorax ultrasound and Thorax photo guidance (Group A) and 30 patients only with Thorax photo guidance (Group B). With a purposive sampling method and analysis using the chi-square test, this study aims to analyze differences in the success rate of thoracocentesis in real clinical conditions without intervening in existing procedures in the hospital. Thoracocentesis with thorax photo plus thorax ultrasound guidance showed a success rate of 100% compared to 66.67% in procedures with thorax X-ray alone (p < 0.001). The results showed that the use of thoracic ultrasound as a thoracocentesis guide had a higher success rate compared to the use of thoracic photo guidance.

Internet of Things (IoT) Based Radiation Exposure Monitoring System Data Collection, Analysis, and Alerting in Occupational En-vironments Evita Ayu Suryaningtyas; Kusworo Adi; Dartini Dartini; Gatot Murti Wibowo
International Journal of Health and Social Behavior Vol. 2 No. 3 (2025): August: International Journal of Health and Social Behavior
Publisher : Asosiasi Riset Ilmu Kesehatan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62951/ijhsb.v2i3.500

Examinations in radiology installations have increased annually, resulting in a higher risk of radiation hazards to staff, particularly in interventional, conventional X-ray, and CT-Scan environments. Furthermore, not all hospitals are equipped with radiation survey meter monitoring devices. Therefore, an innovative radiation exposure monitoring system based on the Internet of Things (IoT) was developed. This study aims to: (1) develop an IoT-based radiation exposure monitoring system, (2) evaluate the device’s performance, and (3) assess the effectiveness of the system. The research method used was research and development (R&D), which included preliminary information gathering, product planning and development, expert validation, device performance testing, effectiveness testing, and final outcomes. This system was developed for real-time radiation dose monitoring. The product development involved a Geiger-Muller M4011, an ESP32 microcontroller, and a Node-Red web application. Performance testing of the IoT-based radiation exposure monitoring device and a standard survey meter in CT-Scan and conventional X-ray rooms used the T-Test and Mann-Whitney tests. The results showed p-values > 0.05, indicating no significant difference between the two devices. Effectiveness testing through pre-test and post-test questionnaires demonstrated improved usability—namely flexibility, operability, learnability, and understandability—with an N-Gain value of 78.95%, indicating effectiveness. In conclusion, the IoT-based radiation exposure monitoring system proved effective and feasible for real-time radiation dose monitoring in radiology installations, offering advantages in IoT-based data integration, ease of access, and structured data recording. In addition to performance testing, the system was evaluated in terms of its integration with hospital infrastructure. It was designed to provide real-time radiation dose monitoring, automatically updating the dose data and sending alerts when safe exposure levels are exceeded. The system also enables remote monitoring, making it easier for radiology departments to oversee radiation safety without the need for direct physical checks.

Implementation of Pacs System on The Effectiveness of Radiology Services at RSUD Dr. Soedirman Kebumen Metria Riza Sativa; Edy Susanto; I Putu Adi Susanta; Gatot Murti Wibowo
International Journal of Health and Social Behavior Vol. 2 No. 3 (2025): August: International Journal of Health and Social Behavior
Publisher : Asosiasi Riset Ilmu Kesehatan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62951/ijhsb.v2i3.501

Dr. Soedirman Kebumen Regional General Hospital has implemented PACS to replace traditional film, but limitations in IT infrastructure, RME integration, and human resource readiness require an integrated implementation model that combines cloud-hybrid, DICOM/HL7 with SSO, continuous training, and managerial support. To evaluate the implementation of the PACS system in the Radiology Department of Dr. Soedirman General Hospital in Kebumen and to analyze the factors that support and hinder the effectiveness of the PACS system in improving the quality of radiology services. The research used a qualitative approach with an interactive model. Data collection was conducted through in-depth interviews, Focus Group Discussions (FGD), direct observation, and documentation. The data obtained were analyzed using ATLAS.ti software to explain the PACS implementation and its impact on the effectiveness of radiology services. The PACS implementation improved the quality of radiology services by accelerating access to medical images and enhancing workflow efficiency. Some challenges, such as system downtime, integration with other systems, and technical limitations, need to be addressed. Integration of artificial intelligence (AI) and telemedicine technologies needs to be enhanced to achieve optimal radiology services. Factors supporting successful implementation include the adoption of advanced technologies (cloud computing and AI), adequate infrastructure, technical support from the IT team, and strong managerial commitment. Barriers to success include imperfect system integration, power outages, downtime, storage capacity limitations, and a shortage of trained human resources. Proposed implementation models include improving PACS system infrastructure, developing ongoing training for staff, improving PACS system integration with other hospital systems, and improving interdepartmental communication to streamline workflows and reduce obstacles in the diagnostic process.

The Use of Ginger Extract as a Diuretic in Multi-Slice Computed Tomography Urology Examinations at Dr. Moewardi General Hospital Putri Hasna Azizah Salsabila; Ari Suwondo; Jeffri Ardiyanto; Gatot Murti Wibowo
International Journal of Health and Social Behavior Vol. 2 No. 3 (2025): August: International Journal of Health and Social Behavior
Publisher : Asosiasi Riset Ilmu Kesehatan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62951/ijhsb.v2i3.506

Urological examinations using Multi Slice Computed Tomography (MSCT) often require the use of diuretic agents to enhance the visualization of the urinary tract system. However, the use of synthetic pharmacological agents may sometimes lead to undesirable side effects. The aim of this study was to evaluate the effectiveness of ginger extract (Zingiber officinale) as a natural diuretic alternative in MSCT urological examinations. This research utilized an experimental design, comparing two groups: one that was given ginger extract before the examination and another control group that did not receive any additional treatment. Key parameters observed included the degree of urinary tract distension, MSCT image quality, and the smoothness of contrast media excretion. The results indicated that the administration of ginger extract significantly increased the degree of ureteral and urinary bladder distension, leading to improved image visualization quality compared to the control group. These findings suggest that ginger extract can serve as a promising natural diuretic alternative for MSCT urological examinations. However, further studies with larger sample sizes are necessary to confirm the validity and reproducibility of these results. Ginger extract offers an innovative and potentially safer approach to improving the effectiveness of MSCT scans without the side effects associated with synthetic diuretics.

Analysis of Unsharp Mask Technique Application on Clinical Stroke MRI Brain Examination using Arterial Spin Labeling (ASL) Sequence in Image Information Esensia Azama Bioasa; Sugiyanto Sugiyanto; Tri Asih Budiati; Gatot Murti Wibowo
International Journal of Health and Social Behavior Vol. 2 No. 3 (2025): August: International Journal of Health and Social Behavior
Publisher : Asosiasi Riset Ilmu Kesehatan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62951/ijhsb.v2i3.507

Magnetic Resonance Imaging (MRI) with Arterial Spin Labeling (ASL) is a non-invasive technique commonly used to assess cerebral perfusion, especially in stroke patients. However, ASL images often suffer from low contrast and high noise, which can hinder diagnostic accuracy in visualizing perfusion areas and detecting ischemic lesions. Image enhancement techniques, such as the unsharp mask, offer a potential solution to improve image quality. The effectiveness of this enhancement depends on the kernel size used in the unsharp mask filter. This study evaluates the impact of different kernel sizes (3×3, 5×5, and 7×7) on the quality of ASL brain images, focusing on both quantitative and qualitative improvements. A total of 63 ASL brain MRI images from stroke patients were processed using unsharp mask filters with the three kernel sizes. Quantitative analysis measured Signal-to-Noise Ratio (SNR) and Contrast-to-Noise Ratio (CNR), while qualitative assessment involved three radiologists independently evaluating five aspects of image quality: perfusion area clarity, grey-white matter contrast, ischemic lesion boundary visibility, noise level, and overall visual quality. Statistical tests, including Friedman and Wilcoxon, were applied to compare results across the kernel sizes. Results revealed that the 3×3 kernel achieved the best results in both quantitative and qualitative assessments, with the highest SNR, CNR, and visual quality scores. Significant differences (p < 0.05) were found between kernel sizes, confirming the superiority of the 3×3 kernel. The 7×7 kernel reduced noise but caused oversmoothing, negatively impacting image sharpness. In conclusion, the 3×3 kernel provides an optimal balance between noise reduction and edge preservation, enhancing ASL brain image quality for stroke diagnosis.

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