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MUSLIMAH PUTRI UTAMI
Universitas Kader Bangsa
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ANALYSIS OF LINEAR ACCELERATOR (LINAC) AS CANCER TREATMENT IN KEN SARAS HOSPITAL, SEMARANG Muslimah Putri Utami; Gatot Murti Wibowo; Mohamad Hidayatullah
Journal of Applied Health Management and Technology Vol 3, No 2 (2021): April 2021
Publisher : Politeknik Kesehatan Kementerian Kesehatan Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (139.396 KB) | DOI: 10.31983/jahmt.v1i2.6662

Abstract

Background: Based on riskesdas data in 2013, the prevalence of cancer in Indonesia reached 1.4% or around 347,792 people. The technique used at Kensaras Hospital for the use of Electalinac for IMRT engineering and Linac Siemens for 3D engineering with energies of 5 mV, 7 mV, 8 mV, 10 mV, 12 mV, 14 mV. Radiotherapy simulation using the GE 16 slice CT Simulator with adequate space, thermoplast masks, individual blocks and universal blocks, and bolus. Constraints that occur in the use of blocks for Siemens linac which still use manual blocks do not use MLC.Methods: Research analysis using SRL PICO method seeks clinical information in scientific evidence-based health science practices. The results of literature search show that the goal of radiotherapy is to provide the maximum radiation needed to kill cancer, while the minimum to the surrounding healthy tissue.Results: The static MLC method is a method in which the MLC moves to form a segment when the radiation stops and MLC stops as long as the radiation lasts for each gantry angle and MLC stops for radiation and so on for each gantry angle. Meanwhile, the kensaras hospital for Linac Siemens still uses a manual block made from a chimney and is attached to the linacgantry which is prone to falling and having to replace the block every corner. Conclusion: Radiation therapy with a linear electron accelerator is experiencing rapid development and is a cancer therapy that is relatively inexpensive and does not provide radioactive waste. The use of MLC is safer and can move to form segments when radiation stops and MLC stops during radiation for each angle of the gantry. 
Chest X-Ray Description Of Vaccinated And Unvaccinated Covid-19 Patients: Case Study Mustika Fatimah; Erna Widiarti; Tri Hastuti; Muslimah Putri Utami; Rima Ernia; Rina E. Sitindaon; Devi Susanti; Rizka Muliani
Science Midwifery Vol 10 No 2 (2022): April: Science Midwifery
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v10i2.556

Abstract

As Covid-19 cases increase and transmission accelerates, it is more likely that new more contagious variants emerge, may spread more easily. Chest X-Rays examination performed during the Covid-19 pandemic is highly suggestive for severe infection and could be used to determine the diagnosis. The chest X-ray image of unvaccinated Covid-19 patients, at the initial onset appeared normal and could find infiltrates paracardial bilaterally. While chest X-ray image of 5-6 months vaccinated Covid-19 patients, in the first days paracardial and bilateral infiltrates were found as well as bilateral parahillar ground-glass opacity, but in late onset, the infiltrates and ground glass opacity became more widespread and bilateral consolidation was also found.
SOSIALISASI PENTINGNYA USG MATERNAL UNTUK MENDETEKSI KEJADIAN STUNTING DI KELURAHAN STERIO KABUPATEN BANYUASIN Rizka Muliani; Muslimah Putri Utami; J. Sigalingging Sigalingging; Leni Noviyanti; Riki Rinaldi; Irdan Irdan
Jurnal ADAM : Jurnal Pengabdian Masyarakat Vol 1 No 2 (2022): Vol. 1 No. 2 Edisi Agustus 2022
Publisher : Institut Pendidikan Tapanuli Selatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (313.241 KB) | DOI: 10.37081/adam.v1i2.1155

Abstract

Condition at birth is one of the important birth parameters in evaluating the condition of a healthy baby. Stunting at birth is associated with a higher risk of stunting in childhood and adulthood. The health and nutritional status of women during pregnancy affect the health of their babies. Stunting or chronic malnutrition, which is characterized by abnormal height in children, can be prevented during pregnancy. This can be done by detecting stunting through routine ultrasound examinations. Regular check-ups on pregnant women can help determine whether the growth of the fetus is in accordance with age. In an effort to prevent stunting, the Faculty of Health, Universitas Kader Bangsa, Palembang held counseling for residents of the Sterio sub-district, Banyuasin Regency to routinely carry out Maternal Ultrasound. The purpose of this activity is to increase knowledge, especially for pregnant women and mothers who have infants under five to be able to take advantage of existing health services at the Puskesmas to conduct ultrasound examinations for early detection of stunting. The implementation method in the community service program is through providing counseling about the importance of Maternal USG to detect stunting to mothers in the Sterio sub-district area, Banyuasin Regency through 3 (three) stages, namely implementation strategy meetings, site surveys, then preparation of facilities and infrastructure. The ability of participants in mastering the material can be said to be good (75%). Submission of material using lecture and demonstration methods supports the participants' ability to master the material. Through this activity, there was an increase in participants' knowledge of early detection of stunting, in this case anthropometric examination of infants and toddlers. Prevention of stunting in children under five in the village of Sterio is expected to be realized optimally with outreach activities.  
Inpatient and Outpatient Satisfaction Comparison of Radiology Installation Service Quality at Private Hospital Mustika Fatimah; Muslimah Putri Utami; Septi; Yola Erista; Maurend Yayank Lewinsca
Science Midwifery Vol 10 No 5 (2022): December: Science Midwifery
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v10i5.880

Abstract

The challenge faced by a hospital during undercontrolled the Covid-19 pandemic is to continue to provide health services quality, in this case, radiology installation service, with patient outcomes being satisfied with the existing services. The purpose of this study was to analyze inpatient and outpatient satisfaction comparison of radiology installation service quality at private hospital. Methods: This analytic survey research used a cross sectional approach. The samples were taken by total sampling method on as many as 30 inpatients and 30 outpatients in private hospital. Statistical data analysis using SPSS Independent T Test for satisfaction comparison and Mann Whitney U Test for various dimensions of service comparison. Results: There was no significant difference in satisfaction (Sig. value 0.136) and various dimensions such as reliability, responsiveness, assurance, empathy, and tangibles of service (Sig. value 0.945; 0.267; 0.134; 0.516; 0.163) between inpatients and outpatients at private hospital. Conclusion: Hospital must improve the quality of all dimensions of radiology installation service to increase all patients satisfaction, not only inpatient but also outpatient satisfaction.
Perbandingan Gambaran Tuba Pada Pemeriksaan Hysterosalpingography (HSG) Dengan Klinis Infertilitas Primer di Rumah Sakit Siloam Sriwijaya Palembang: Studi Kasus Lilis Rosalina; Mustika Fatimah; Muslimah Putri Utami; Rizka Muliani; Bunga Anggreini Sari
Jurnal Imejing Diagnostik (JImeD) Vol 10, No 2 (2024): JULI 2024
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v10i2.11395

Abstract

Background: In dealing with infertility problems, a deep understanding of the specific causes becomes very important for proper treatment. One of the diagnostic methods often used to assess infertility conditions is hysterosalpingography (HSG). The superiority of HSG lies in its ability to provide clear visual information about the structural condition of the uterus and fallopian tubes, which are key factors in fertilization.Methods: This qualitative descriptive research uses a case study approach conducted at Sriwijaya Siloam Hospital in Palembang to compare the results of HSG examination in primary infertility clinics.Results: In this study, the results of HSG examinations in two patients with clinical primary infertility showed that there was a difference in the picture. The results of the HSG examination in first patient showed both non-patent tubes, where distal occlusion of the right fallopian tube and left peritubal adhesion were found, while in second patient it showed both patent tubes with a positive spill sign.Conclusions: Differences in the results of HSG examinations in primary infertility clinics show the conclusion that even though HSG shows a patent fallopian tube, the couple may still experience primary infertility. This shows that the cause of infertility can come from other factors and requires further evaluation.
UPAYA PENINGKATAN PENGETAHUAN REMAJA MENGENAI PERAN RONTGEN TORAKS PADA PENEGAKKAN DIAGNOSIS TUBERKULOSIS PARU DI SMK KADER BANGSA PALEMBANG Fatimah, Mustika; Utami, Muslimah Putri; Anisah; Novitrie, Ayu; Utama, Harry Wahyudhy
Jurnal ADAM : Jurnal Pengabdian Masyarakat Vol 3 No 1 (2024): Vol. 3 No. 1 Edisi Februari 2024
Publisher : Institut Pendidikan Tapanuli Selatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37081/adam.v3i1.1727

Abstract

  Tuberkulosis termasuk masalah kesehatan di tingkat global yang apabila tidak segera ditatalaksana atau terapinya tidak tuntas dapat menimbulkan komplikasi berbahaya hingga kematian. Faktor pengetahuan menjadi penting pada upaya pemberantasan tuberkulosis karena akan mempengaruhi perilaku kesehatan dan motivasi penderita untuk menjalani terapi. Diagnosis tuberkulosis paru dapat ditegakkan dengan salah satunya melalui pemeriksaan rontgen toraks. Foto toraks unggul dalam menggambarkan luas lesi pada paru akibat tuberkulosis. Pengabdian kepada masyarakat ini dilakukan di SMK Kader Bangsa pada bulan Januari 2023 dengan jumlah remaja yang mengikuti pelatihan ini sebanyak 30 orang yang terdiri atas perwakilan kelas X, XI, dan XII. Tahapan pengabdian ini terdiri dari perencanaan, analisis situasi, studi literatur, survei awal, koordinasi perizinan dan kesediaan sasaran, persiapan materi, alat dan bahan, pelaksanaan yang terdiri dari pre test, penyampaian materi, tanya jawab, post test, dan konsultasi serta evaluasi. Sesuai dengan tujuan kegiatan, hasil kegiatan tercapai berupa 1. Penyampaian materi dan terwujudnya diskusi, 2. Bertambahnya pengetahuan peserta mengenai: Peran rontgen toraks pada penegakkan diagnosis tuberkulosis paru yang tergambar dari nilai rata-rata saat pre test 30 meningkat menjadi 85 saat post test. Dengan meningkatnya pengetahuan siswa, diharapkan siswa tersebut tidak ragu dalam menyampaikan informasi mengenai tuberkulosis paru kepada keluarga dan masyarakat sekitar terutama mengenai peran rontgen toraks dalam penegakkan diagnosis tuberkulosis paru. Kata kunci: Pengetahuan Remaja, Rontgen Toraks, Tuberkulosis Paru
Perbandingan Gambaran Tuba Pada Pemeriksaan Hysterosalpingography (HSG) Dengan Klinis Infertilitas Primer di Rumah Sakit Siloam Sriwijaya Palembang: Studi Kasus Rosalina, Lilis; Fatimah, Mustika; Utami, Muslimah Putri; Muliani, Rizka; Sari, Bunga Anggreini
Jurnal Imejing Diagnostik (JImeD) Vol. 10 No. 2 (2024): JULI 2024
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v10i2.11395

Abstract

Background: In dealing with infertility problems, a deep understanding of the specific causes becomes very important for proper treatment. One of the diagnostic methods often used to assess infertility conditions is hysterosalpingography (HSG). The superiority of HSG lies in its ability to provide clear visual information about the structural condition of the uterus and fallopian tubes, which are key factors in fertilization.Methods: This qualitative descriptive research uses a case study approach conducted at Sriwijaya Siloam Hospital in Palembang to compare the results of HSG examination in primary infertility clinics.Results: In this study, the results of HSG examinations in two patients with clinical primary infertility showed that there was a difference in the picture. The results of the HSG examination in first patient showed both non-patent tubes, where distal occlusion of the right fallopian tube and left peritubal adhesion were found, while in second patient it showed both patent tubes with a positive spill sign.Conclusions: Differences in the results of HSG examinations in primary infertility clinics show the conclusion that even though HSG shows a patent fallopian tube, the couple may still experience primary infertility. This shows that the cause of infertility can come from other factors and requires further evaluation.
ANALYSIS OF LINEAR ACCELERATOR (LINAC) AS CANCER TREATMENT IN KEN SARAS HOSPITAL, SEMARANG Utami, Muslimah Putri; Wibowo, Gatot Murti; Hidayatullah, Mohamad
Journal of Applied Health Management and Technology Vol. 3 No. 2 (2021): April 2021
Publisher : Postgraduate Program , Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jahmt.v1i2.6662

Abstract

Background: Based on riskesdas data in 2013, the prevalence of cancer in Indonesia reached 1.4% or around 347,792 people. The technique used at Kensaras Hospital for the use of Electalinac for IMRT engineering and Linac Siemens for 3D engineering with energies of 5 mV, 7 mV, 8 mV, 10 mV, 12 mV, 14 mV. Radiotherapy simulation using the GE 16 slice CT Simulator with adequate space, thermoplast masks, individual blocks and universal blocks, and bolus. Constraints that occur in the use of blocks for Siemens linac which still use manual blocks do not use MLC.Methods: Research analysis using SRL PICO method seeks clinical information in scientific evidence-based health science practices. The results of literature search show that the goal of radiotherapy is to provide the maximum radiation needed to kill cancer, while the minimum to the surrounding healthy tissue.Results: The static MLC method is a method in which the MLC moves to form a segment when the radiation stops and MLC stops as long as the radiation lasts for each gantry angle and MLC stops for radiation and so on for each gantry angle. Meanwhile, the kensaras hospital for Linac Siemens still uses a manual block made from a chimney and is attached to the linacgantry which is prone to falling and having to replace the block every corner. Conclusion: Radiation therapy with a linear electron accelerator is experiencing rapid development and is a cancer therapy that is relatively inexpensive and does not provide radioactive waste. The use of MLC is safer and can move to form segments when radiation stops and MLC stops during radiation for each angle of the gantry. 
Prosedur Pemeriksaan Radiografi Lumbosacral Dengan Kasus LBP (Low Back Pain) Di Instalasi Radiologi Rumah Sakit Siloam Sriwijaya Palembang Tahun 2025 Pramita, Rensalia; Utama, Harry Wahyudhy; Susanti, Devi; Utami, Muslimah Putri
Jurnal Berita Kesehatan Vol 18 No 2 (2025): Desember 2025
Publisher : Sekolah Tinggi Ilmu Kesehatan Gunung Sari

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58294/jbk.v18i2.314

Abstract

Nyeri punggung bawah (Low Back Pain/LBP) umumnya dirasakan di area pinggang antara tulang rusuk bagian bawah dan daerah gluteal, sering disertai nyeri yang menjalar ke punggung. Gangguan neuromuskuloskeletal seperti perubahan pada otot, saraf, vertebra, dan diskus intervertebralis sering menjadi penyebabnya. Penelitian ini bertujuan menggambarkan temuan radiograf dan protokol pemeriksaan vertebrae lumbosacral pada kasus LBP di Instalasi Radiologi Rumah Sakit Siloam Sriwijaya Palembang pada bulan Mei 2025. Populasi penelitian adalah pasien yang menjalani pemeriksaan lumbosacral. Sampel pada kasus ini adalah Ny. Id yang melakukan pemeriksaan lumbosacral pada pasien Low Back Pain (LBP) yang datang ke Instalasi Radiologi Rumah Sakit Siloam Sriwijaya Palembang. Penelitian ini dilakukan pada bulan Mei pada tahun 2025. Analisis data dilakukan secara deskriptif untuk mengambil kesimpulan. Hasil pemeriksaan radiograf menunjukkan dextroscoliosis ringan, instabilitas lumbal, spondyloarthrosis lumbalis, serta penyempitan sela diskus pada segmen L5–S1, yang mendukung adanya perubahan degeneratif sebagai faktor penyebab LBP. Protokol pemeriksaan di instalasi tersebut meliputi proyeksi anteroposterior dan lateral, eksposi 77 kV mAs 16 untuk AP dan 80 kV mAs 25 untuk lateral, FFD 100–150 cm, ukuran film 14×17 inci, serta batas pemeriksaan dari umbilikus hingga simpisis pubis, pasien diposisikan berdiri untuk memaksimalkan visualisasi pergeseran tulang belakang. Penelitian ini menyimpulkan bahwa pentingnya ketelitian teknis dan interpretatif radiografer serta penerapan standar keselamatan pasien untuk meminimalkan kesalahan pemeriksaan dan meningkatkan akurasi diagnostik. Penelitian ini di harapkan untuk menjadi referensi dan menjadi lanjutan dengan sampel lebih besar disarankan untuk memvalidasi temuan. Implementasi rekomendasi ini dapat meningkatkan mutu layanan radiologi di rumah Sakit atau fasilitas kesehatan lainnya.
Gambaran radiografi lumbosacral posisi erect dan supine pada pasien hernia nukleus pulposus (HNP) Haikal, M Husin Al; Utami, Muslimah Putri; Anisah, Anisah
JOURNAL of Public Health Concerns Vol. 5 No. 12 (2026): JOURNAL of Public Health Concerns
Publisher : Indonesian Public Health-Observer Information Forum (IPHORR) Kerja sama dengan: Unit Penelitian dan Pengabdian Kep Akademi Keperawatan Baitul Hikmah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/phc.v5i12.2337

Abstract

Background: Lumbosacral radiology plays a crucial role in evaluating spinal disorders, particularly Herniated Nucleus Pulposus (HNP), which is a common cause of low back pain in productive age groups. The quality of radiographic images determines diagnostic accuracy, with patient positioning, either erect or supine, influencing the clarity of spinal structures. The erect position allows weight bearing effects, making changes in intervertebral disc spaces and vertebral alignment more visible, while the supine position reflects a non-load condition with limited visualization. Thus, examination positioning is essential to produce representative diagnostic images and support accurate clinical decision-making. Purpose: Provides an anteroposterior (AP) projection of the lumbosacral radiograph in the erect and supine positions in cases of Herniated Nucleus Pulposus (HNP). Method: This study was conducted in 2025 at the Radiology Department of Siloam Sriwijaya Hospital, Palembang, involving radiographers and radiologists in lumbosacral radiographic examinations of HNP patients. The research objects were radiographic results in AP projection with erect and supine positions, selected through purposive sampling. Data were collected via observation, interviews, and medical record documentation, and analyzed using a qualitative descriptive comparative approach. Results: The erect position provided clearer visualization of spinal structural changes due to weight bearing, while the supine position was less optimal in displaying abnormalities because of the absence of load on the lumbosacral segment. Conclusion: Lumbosacral radiography in HNP cases can be performed in both erect and supine positions, each with advantages and limitations. The erect position better demonstrates spinal changes under weight bearing, whereas the supine position serves as an alternative for patients unable to stand or experiencing severe pain, despite less optimal visualization. Examination positioning should therefore be adapted to patient clinical conditions to optimize diagnostic outcomes. Suggestion: Position selection in lumbosacral radiography for HNP should be tailored to patient clinical conditions and diagnostic objectives. The erect position is recommended for assessing structural changes under weight bearing, while the supine position may be used as an alternative for patients with mobility limitations or severe pain, with attention to patient comfort and safety to enhance diagnostic accuracy. Keywords: Erect position; HNP; Lumbosacral radiography; Supine position; Visual diagnosis Pendahuluan: Radiologi lumbosakral memiliki peran penting dalam menilai kelainan tulang belakang, khususnya Hernia Nukleus Pulposus (HNP) yang sering menjadi penyebab nyeri punggung bawah pada usia produktif. Kualitas citra radiografi sangat menentukan akurasi diagnosis, di mana posisi pemeriksaan pasien, baik erect maupun supine, memengaruhi kejelasan gambaran struktur tulang belakang. Posisi erect memungkinkan efek weight bearing sehingga perubahan celah diskus intervertebralis dan alignment vertebra tampak lebih nyata, sedangkan posisi supine menggambarkan kondisi tanpa beban dengan keterbatasan visualisasi kelainan. Pemilihan posisi pemeriksaan menjadi aspek penting dalam menghasilkan citra diagnostik yang representatif dan mendukung pengambilan keputusan klinis yang tepat. Tujuan: Memberikan gambaran radiografi lumbosakral posisi erect dan supine proyeksi anteroposterior (AP) pada kasus Hernia Nukleus Pulposus (HNP). Metode: Kegiatan dilaksanakan pada tahun 2025 di Instalasi Radiologi Rumah Sakit Siloam Sriwijaya Palembang, Sumatera Selatan, dengan melibatkan radiografer dan dokter radiologi dalam pemeriksaan radiografi lumbosakral pada pasien HNP. Objek penelitian berupa hasil radiografi proyeksi anteroposterior (AP) dengan posisi erect dan supine yang dipilih melalui purposive sampling. Data dikumpulkan melalui observasi, wawancara, dan dokumentasi rekam medis. Analisis dilakukan menggunakan pendekatan kualitatif deskriptif komparatif. Hasil: Posisi erect memberikan gambaran lebih jelas terhadap perubahan struktur tulang belakang karena adanya beban tubuh (weight bearing), sedangkan posisi supine cenderung kurang optimal dalam menampilkan kelainan akibat tidak adanya tekanan pada segmen lumbosakral. Simpulan: Pemeriksaan radiografi lumbosakral pada kasus HNP dapat dilakukan dengan posisi erect maupun supine, masing-masing memiliki kelebihan dan keterbatasan. Posisi erect lebih jelas menampilkan perubahan struktur tulang belakang karena adanya beban tubuh (weight bearing), sedangkan posisi supine menjadi alternatif bagi pasien yang tidak mampu berdiri atau mengalami nyeri berat meskipun gambaran kelainan kurang optimal. Oleh karena itu, pemilihan posisi pemeriksaan harus mempertimbangkan kondisi klinis pasien agar hasil radiografi mendukung diagnosis secara optimal. Saran: Pemilihan posisi pemeriksaan radiografi lumbosakral pada kasus HNP dapat disesuaikan dengan kondisi klinis pasien dan tujuan diagnostik. Posisi erect lebih dianjurkan untuk menilai perubahan struktur akibat beban tubuh (weight bearing), sedangkan posisi supine dapat digunakan sebagai alternatif bagi pasien dengan keterbatasan mobilisasi atau nyeri berat, dengan tetap memperhatikan kenyamanan dan keselamatan pasien untuk meningkatkan akurasi diagnosis.
Co-Authors Adela, Natri Aditya Pirmansyah Anisah Anisah Anisah ANISAH Bunga Anggreini Sari Devi Susanti Devi Susanti Devina Liya Diana Sartika Dinda Rahma Dita Rahmalia Erna Widiarti Gatot Murti Wibowo Gatot Murti Wibowo, Gatot Murti Haikal, M Husin Al Harry Wahyudhy Utama Hidayatullah, Mohamad Irdan J. Sigalingging Sigalingging Leni Noviyanti Lilis Rosalina Marlina, Devi Maurend Yayank Lewinsca Mohamad Hidayatullah Muliani, Rizka MUSTIKA FATIMAH Nova Mabela Novitrie, Ayu Prama Sugara Pramita, Rensalia Rapi Dzaki Almugni Riki Rinaldi RIMA ERNIA Rina E. Sitindaon rizka muliani Rosalina, Lilis Septi Tri Hastuti Utama, Harry Wahyudhy Yola Erista Zanariah Zanariah, Zanariah