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Prevention, Identification, and Management of Stunting through Health Education and Entrepreneurial Capacity Building in Argomulyo Village, Sleman, Yogyakarta Torana Kurniawan; Yana Supriatna; Sri Dwidanarti; Lina Choridah; Anita Ekowati; Wigati Dhamiyati; Bambang Supriyadi; Mohammad Rizki Pratama; Abdi Alhaq
Jurnal Pengabdian kepada Masyarakat (Indonesian Journal of Community Engagement) Vol 9, No 3 (2023): September
Publisher : Direktorat Pengabdian kepada Masyarakat Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jpkm.83779

Abstract

Stunting is one of the world’s most serious public health issues, with significant morbidity rates, especially in Indonesia. Low public awareness of stunting and low family income are two major causes discovered especially in Special District of Yogyakarta. This community service project was undertaken to address this issue. Following the completion of the situation analysis and problem identification, a community-based problem-solving strategy in the form of health and entrepreneurship education was developed. Three medical experts provided prenatal health education to pregnant women, followed by an ultrasound screening to detect any early anomalies related to stunting. For other members of the community, experienced entrepreneurs give entrepreneurial education, which was supported by workshops for them to immediately practice the material that had been presented. It was intended that the community’s excitement would raise health awareness about stunting and the level of the local economy, allowing the stunting problem in this region to be ameliorated. It was found that the provision of health education programs had succeeded in increasing the level of community knowledge regarding stunting. Ultrasound examination found that all pregnant women in the area had normal pregnancies and fetal conditions. Community-based interventions through health education and increasing economic welfare based on tourism villages can be used to prevent stunting.
The Effect of Using Black Tea as an Alternative Diuretic on Multislice Computed Tomography (MSCT) Urography Examination widyasari, dina; Choridah, Lina; Ardiyanto, Jeffry
JHeS (Journal of Health Studies) Vol. 7 No. 2 (2023): September
Publisher : Universitas 'Aisyiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31101/jhes.3252

Abstract

The MSCT urography examination requires patient preparation, such as fasting and drinking water.In addition,some hospitals use water,furosemide to accelerate the increase in urine volume.However,Furosemide is a chemical diuretic that is feared to increase the workload of the kidneys. So a natural alternative is needed, namely black tea.This study aims to determine the effect of black tea as an alternative diuretic on the urography MSCT examination. This is quasi-experimental research conducted at RSUD by Dr. Soehadi Prijonegoro Sragen,Central Java. Respondents in this study consisted of 18 outpatients with an MSCT urography examination. These respondents were divided into three groups, namely the group of mineral water, furosemide,and black tea, and three radiology doctors. The scanning process uses MSCT 128 Slice and then tracks MSCT urography with the Curved Multiplanar Reconstruction (MPR) application.Data obtained from observations,questionnaires,and interviews with radiologists was then processed and analyzed using quantitative methods.Normal distributed data was analyzed using the ANOVA test. The results showed a significant difference from the assessment of kidney HU,liver HU, and ureteral dilatation in the mineral water, furosemide, and black tea test groups with sig values.<0.05.Black tea increases Hounsfield Unit (HU) values in the kidneys,lungs,liver,and ureteral dilation, as a tracking picture shown in the Curved Multiplanar Reconstruction(MPR) application. This confirms that black tea can be used as a natural diuretic alternative for some reasons:effective, fast, easy, and inexpensive.It makes it easier to track kidney stones.The operation of curved multiplanar reconstruction(MPR) applications during reconstruction can display more optimal image results to support more accurate diagnostic information.
Differentiation of Serous and Non-serous Epithelial Ovarian Cancer by Radiological Imaging Yudistiarta, Devina; Dhamiyati, Wigati; Choridah, Lina
Indonesian Journal of Cancer Vol 18, No 1 (2024): March
Publisher : http://dharmais.co.id/

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33371/ijoc.v18i1.1007

Abstract

Background: Ovarian cancer has a high incidence and fatality rate, with the most prevalent type is epithelial origin. The serous subtype of epithelial cancer predominates. For therapy selection, it is important to differentiate this subtype by histopathological examination as a gold standard method. Since some patients are not eligible for a biopsy, radiological modalities such as Magnetic Resonance Imaging (MRI) are superior in discriminating tissue compared to computed tomography (CT) or ultrasound. The use of the T1 weighted imaging (T1WI) and T2WI sequences can best differentiate between a cystic and a solid lesion. The goal of this study was to use radiological examination to assist in the identification of ovarian cancer.Methods: This cross-sectional study used secondary data from histopathology and MRI results from patients with ovarian cancer. Data was gathered utilizing electronic medical records in Dr. Sardjito Hospital between January 2017 and May 2022. The following MRI characteristics are evaluated including ascites, papillary projection, solid nodule, signal intensity of solid and cystic components, size, configuration, enhancement of contrast, and bilateral of the lesion.Results: Thirty-eight subjects made up the study’s sample, and 63% of them had serous subtypes. Bilateral lesion suggested a three times greater likelihood that it was serous ovarian cancer (p 0.02; binary logistic regression). Age 50 years old and strong enhancement on contrast was also relevant for separating the serous subtype from other subtypes (enhancement p 0.02; age p 0.044). Conclusions: A bilateral lesion with a significantly enhanced pattern can be seen on the MRI of a serous subtype of epithelial ovarian cancer. The elderly are also more likely to develop this cancer.
Texture feature extraction for the lung lesion density classification on computed tomography scan image Hasnely, Hasnely; Nugroho, Hanung Adi; Wibirama, Sunu; Windarta, Budi; Choridah, Lina
Communications in Science and Technology Vol 1 No 1 (2016)
Publisher : Komunitas Ilmuwan dan Profesional Muslim Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21924/cst.1.1.2016.14

Abstract

The radiology examination by computed tomography (CT) scan is an early detection of lung cancer to minimize the mortality rate. However, the assessment and diagnosis by an expert are subjective depending on the competence and experience of a radiologist. Hence, a digital image processing of CT scan is necessary as a tool to diagnose the lung cancer. This research proposes a morphological characteristics method for detecting lung cancer lesion density by using the histogram and GLCM (Gray Level Co-occurrence Matrices). The most well-known artificial neural network (ANN) architecture that is the multilayers perceptron (MLP), is used in classifying lung cancer lesion density of heterogeneous and homogeneous. Fifty CT scan images of lungs obtained from the Department of Radiology of RSUP Dr. Sardjito Hospital, Yogyakarta are used as the database. The results show that the proposed method achieved the accuracy of 98%, sensitivity of 96%, and specificity of 96%.
Internal content classification of ultrasound thyroid nodules based on textural features Nugroho, Anan; Nugroho, Hanung Adi; Setiawan, Noor Akhmad; Choridah, Lina
Communications in Science and Technology Vol 1 No 2 (2016)
Publisher : Komunitas Ilmuwan dan Profesional Muslim Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21924/cst.1.2.2016.25

Abstract

Ultrasound (US) is one of the best imaging modalities on thyroid identification. The suspicious thyroid is indicated in the existence of palpable nodules whose solid or cystic composition. Solid nodules have high possibility to be malignant than cystic. An effort to detect and classify the internal content of thyroid nodule has become challenge problem in radiology area. Operator dependence of ultrasound imaging makes it complicated due to missing interpretation among radiologists. Objective Computer Aided Diagnosis (CAD) was designed to solve it which works on texture analysis of histogram statistic, gray level co-occurrence matrice (GLCM) and gray level run length matrices (GLRLM). The fine-needle aspiration cytology (FNAC) is not needed because the textural pattern is significantly different between solid and cystic nodules.  Multi-layer perceptron (MLP) was adopted to do classification process for 72 US thyroid images yield an accuracy of 90.28%, the sensitivity of 87.80%, specificity of 93.55% and precision of 94.74%.
EGFR mutation based on lung laterality in adenocarcinoma type of non-small cell lung cancer Ryan Feraldy Haroen; Paranita Ferronika; Rita Cempaka; Indrawati; Bening Rahimi Titisari; Vincent Lau; Andrew Nobiantoro Gunawan; Brigitta Natasya Halim; Vincent Laiman; Lina Choridah; Didik Setyo Heriyanto
Indonesian Journal of Biomedicine and Clinical Sciences Vol 56 No 3 (2024)
Publisher : Published by Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/inajbcs.v56i3.15943

Abstract

Targeted therapies have shown promise in improving survival rates for lung adenocarcinoma, a common and deadly malignancy. EGFR-targeting tyrosine kinase inhibitors (TKIs) are particularly effective among these therapies in cases with EGFR mutations. Detecting these mutations before TKI treatment is essential. Various radiological features have been linked to EGFR mutations. However, the relationship between tumor location and mutation types in Indonesian lung adenocarcinoma patients remains unexplored. This study aimed to identify the frequency of EGFR mutation in local lung adenocarcinoma cases based on the tumor location. Clinical data of lung adenocarcinoma patients (n = 272) diagnosed between 2018 and 2022 were retrospectively taken from the Department of Anatomical Pathology, Dr. Sardjito General Hospital, Yogyakarta. The qRT-PCR data of EGFR mutation status was obtained from the Department of Anatomical Pathology, Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada, Yogyakarta. Descriptive analysis was performed using STATA version 14.0. EGFR mutations were found in 60.7% of patients, with 58.2% having exon 19 mutations and 21.2% exhibiting exon 21 L858R mutations. Mutation status was found to be significantly different based on the patient's gender (p = 0.022) and age (p = 0.029) but not with lung laterality (p = 0.093). The proportion of exon 19, exon 21 L858R, and uncommon mutations in the right and left lung adenocarcinoma was similar across all samples. This study found no difference between specific EGFR mutation types and tumor location in lung adenocarcinoma.
COMPARATIVE STUDY OF TIME ECHO VARIATIONS IN THE METABOLITE VALUES MR BRAIN SPECTROSCOPY Dewi Susanto, Revina; Yuliana F., Ayu; Serfina F., Eunike; Catharina R., Celine; Amnesti, Merry; Masrochah , Siti; Choridah, Lina
Journal of Vocational Health Studies Vol. 8 No. 1 (2024): July 2024 | 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.V8.I1.2024.20-27

Abstract

Background: MR spectroscopy is an additional sequence to evaluate lesion characteristics in the brain. Time Echo (TE) is crucial for analyzing MR spectroscopy metabolite. Purpose: This study aims to evaluate the best TE variations during MR spectroscopy examinations in brain lesions. Method: This research is an experimental quantitative study. Researchers used five samples focusing on the results of head multi-voxel spectroscopy charts with clinical lesions or masses that had been taken twice using TE 35 and TE 144. At each TE in each sample, three voxel areas were measured, namely normal, perilesional, and lesion. Each spectroscopy data result is processed individually through READY View software, automatically producing a spectroscopy graph pattern. The required data in this study is the value of each head spectroscopy metabolism: N-Acetyl Aspartate (NAA), Choline (Cho), Creatine (Cr), Myo-Inositol (MI), Lipids Lactate (LL). All statistical tests used the SPSS v.26 application. Result: Based on Paired T test results, NAA, Cho, Cr, and MI metabolites have p-values that account for 0.779 > 0.05; 0.179 > 0.05; 0.581 > 0.05; and 0.057 > 0.05. Based on the Wilcoxon Sign Rank test, the LL metabolite showed a p-value of 0.460 > 0.05. Conclusion: There is no significant difference between TE 35 ms and TE 144 ms during MR spectroscopy examinations.
Resilience in Healthcare: A Hospital-based Investigation of Breast Cancer Diagnostics Amid the Pandemic in Indonesia Choridah, Lina; Anwar, Sumadi Lukman; Heriyanto, Didik Setyo; Handoko, Alberta Vania; Sumoro, William; Icanervilia, Ajeng Viska; Rengganis, Anggraeni Ayu
Indonesian Journal of Cancer Vol 18, No 3 (2024): September
Publisher : http://dharmais.co.id/

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33371/ijoc.v18i3.1166

Abstract

Background: Widespread disruptions in healthcare services have occurred due to ongoing challenges during the pandemic. The tremendous impacts have struck countries with limited resources, greater distances of geographical access to healthcare services, and a shortage of healthcare personnel. Long delay of diagnosis and disruption in patient care affects the long-term prognosis of breast cancer. This study was conducted to investigate the effects of the COVID-19 pandemic and government-mandated social restrictions on the provision of diagnostic services for breast cancer patients in a tertiary referral hospital. The study aimed to explore how travel restrictions and patients' apprehension about COVID-19 exposure have contributed to notable declines in diagnostic and treatment procedures for breast cancer within this healthcare setting. Methods: This study was retrospective design and used a hospital registry to collect information on demographics, imaging, and pathology from January 2018 to September 2021.  Breast ultrasound  (US) and mammography data were collected from the Picture Archiving and Communication System (PACS), while pathology data were collected from e-medical records. The descriptive statistics of the annual total volume of imaging and pathological examinations were interpreted and statistics were only calculated for diagnostics mammography. Results: Between 2018 and 2021, the volume of monthly breast sonograms drastically decreased by 65% in 2020 and 2021 during the pandemic, while mammography significantly reduced by more than 40% from the 2019 levels. Breast US and mammography procedures were significantly lower during the first and second waves of the pandemic in March until May 2020 and June until September 2021, respectively. Although the proportion of breast ultrasound-guided fine-needle aspiration biopsy (FNAB) increased year by year, the number of FNAB for primary breast lesions significantly decreased by 84% in 2020 and 2021. Conclusions: We observed significant decreases in diagnostic procedures for breast cancer. Reconfiguration of breast cancer care scheduling is required to accommodate the potential for increased hospital visits after the travel restrictions.
Evaluasi Pemanfaatan PACS dan RIS Rumah Sakit Provinsi Yogyakarta, Indonesia Icanervilia, Ajeng Viska; Choridah, Lina; Pribadi, Amri Wicaksono; Rahman, Afif; Gusti, Abdi Marang; Huwaida, Azizah; Kusumasari, Dyan Pramandita Windu; Kusumawardani, Aurisa Winda; Frinces, Freshilla Sonia; Setyawan, Nurhuda Hendra
Jurnal Kesehatan Vokasional Vol 9, No 1 (2024): February
Publisher : Sekolah Vokasi Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkesvo.92887

Abstract

Latar   Belakang:    Permintaan pemeriksaan radiologi di kalangan profesional kesehatan terus meningkat. Meskipun Picture Archiving and Communication System (PACS) dan Radiology Information System (RIS) telah diterapkan di RSUP Dr. Sardjito selama dua tahun, tetapi sistem tersebut masih kurang dimanfaatkan. Sistem tersebut sangat penting diterapkan untuk interpretasi yang akurat dan distribusi hasil pencitraan yang tepat waktu.Tujuan: Penelitian ini bertujuan untuk mengevaluasi pemanfaatan PACS dan RIS oleh tenaga medis di RSUP Dr. Sardjito.Metode: Penelitian ini merupakan penelitian kualitatif dengan metode wawancara mendalam. Responden dipilih berdasarkan metode purposive-maximum variety sampling. Metode wawancara menggunakan rekaman audio dan transkrip secara verbatim yang dianalisis secara tematik.Hasil: Penelitian ini menghasilkan 3 tema, yaitu: a) Manfaat PACS  dan RIS; b) Feedback terhadap PACS   dan  RIS; c) Pelatihan meningkatkan pemahaman & pemanfaatan PACS   dan RIS. PACS dan RIS dapat mempersingkat waktu pelayanan kesehatan dan membantu staf medis bekerja secara efisien. Selain itu, sosialisasi dan pelatihan PACS dan RIS juga membawa dampak positif dalam implementasinya, meskipun beberapa responden masih mengandalkan hard film karena keterbatasan akses komputer.Kesimpulan: Penerapan PACS dan RIS meningkatkan kualitas pelayanan rumah sakit. Optimalisasi pemanfaatan sistem PACS dan RIS memerlukan lebih banyak komputer di rumah sakit, pembaruan fitur di telepon seluler, dan pelatihan bagi pengguna