Nanang Sulaksono
POLTEKKES KEMENKES SEMARANG

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Optimasi Informasi Diagnostik Citra Axial MRI Brain antara Sekuen SWI dan T2 FLASH 2D pada Kasus Tumor Otak Siti Nur Farida; Nanang Sulaksono; Ary Kurniawati
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.v10i2.11583

Abstract

Background: Pulse gradient echo sequences use varying RF excitation pulses and with NMV flips through various angles (not just 90°). Gradient echo has a sensitive susceptibility effect in detecting the presence of blood products (hemorrhage) and calcifications in brain tumors. The SWI and T2 FLASH 2D sequences are part of the pulse sequence gradient echo, where the SWI sequence is a 3D velocity compensated gradient echo and the T2 FLASH 2D sequence is a 2D multi-slice gradient echo. This study aims to determine the differences in axial image diagnostic information and determine the most optimal axial image diagnostic information in MRI brain examinations between SWI and T2 FLASH 2D sequences in brain tumor cases.Methods: This type of research is quantitative with an experimental approach. Data was taken in March 2024 at the Radiology Installation of RSUP Dr. Sardjito Yogyakarta. The sample in this study was 10 patients with brain tumor cases. An assessment was carried out by 2 respondents to assess the criteria for brain tumors. The assessment data from respondents was tested using the Cohen's kappa test to assess reliability between respondents and the Wilcoxon test to determine the level of difference in axial image diagnostic information, then the mean rank was used to determine sequences with better diagnostic image information.Results: The results of the study show that there is a difference in the diagnostic information of axial images on MRI brain examination between SWI and T2 FLASH 2D sequences in tumor cases with a p-value of 0.014. The significant difference is due to the susceptibility effect in both sequences. Based on the Wilcoxon test, the SWI sequence is the most optimal sequence in displaying diagnostic information with a mean rank value of 4.Conclusions: There is a difference of axial image diagnostic information between SWI and T2 FLASH 2D sequence in Brain MRI with brain tumors cases, and SWI sequence produces the most optimal axial image diagnostic information in MRI brain with brain tumor cases.
Community Empowerment of Yellow Pumpkin Food Processing as an Alternative Snack to Prevent Diabetes Mellitus in The Community in Mangunharjo Tembalang Sub-District, Semarang City Fatimah Fatimah; Nanang Sulaksono; Yeti Kartikasari; Veny Nur Aini; Dimas Prakoso; Siti Masrochah
Wealth Community Empowerment Vol. 3 No. 1 (2026): January 2026
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/welcomejournal.v3i1.14408

Abstract

Mangunharjo Village is expected to realize a healthy village and improve health through efforts to establish healthy SMEs in the village. Besides its high nutritional value, pumpkin is easy to find, grow, and is affordable. Therefore, it is suitable for use as a basic ingredient in making alternative snacks for people with diabetes. The method used in this activity is a training approach, followed by program implementation with mentoring until certification and licensing. Each stage will be evaluated to obtain feedback and further improvement efforts. The results and discussions from this activity showed participants' awareness and understanding of health and the importance of replacing their consumption with healthier ingredients. Participants were able to process and package processed pumpkin products properly. Furthermore, a booklet and video guide on product processing were developed. This activity concluded that it was successfully implemented. There was increased awareness among residents about the importance of maintaining blood sugar levels. Therefore, it is necessary to increase the motivation of the assisted villages to produce other healthy food and beverage products to improve health and increase their income.