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Pengaruh Acceleration Factor dan Denoising Wavelet Filter terhadap Kualitas Citra MRI Cervical pada Penderita Hernia Nukleus Pulposus Prakoso, Brilian; Latifah, Leny; Fatimah, Fatimah
Jurnal Imejing Diagnostik (JImeD) Vol 11, No 2 (2025): JULY 2025
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v11i2.12759

Background: Nucleus Pulposus Hernia (HNP) in the cervical region is a degenerative condition that can cause pressure on the spinal nerve. Magnetic Resonance Imaging (MRI) is the primary imaging modality for the diagnosis of HNP, but it has a long acquisition time limitation, which risks causing artifacts due to patient movement. The use of GRAPPA parallel imaging techniques can speed up acquisition, but lower the signal-to-noise ratio (SNR). This study aims to evaluate the effect of wavelet denoising filters on improving the quality of images and cervical MRI information of T2 TSE GRAPPA sequences in HNP patients.Methods: The study used a pre-experimental was conducted on 16 cervical HNP patients at Budi Rahayu Hospital Pekalongan. Acquisitions are carried out with acceleration factors 2, 3, and 4. Subjective analysis of image quality by three radiologists was performed on five anatomical structures (disc, corpus, spinal cord, CSF, and spinesus process). Data were assessed using the Cohen's Kappa test for fit between assessors and the Friedman test to compare SNR and CNR values between acceleration factors.Result: The application of wavelet denoising filters significantly increased SNR and CNR values (p = 0.0174 and p = 0.0175). R-factor 3 produced the best overall image quality with the highest Kappa value of 0.681 in the R1*R2 grader pair, indicating substantial conformity. The highest mean rank for visual quality was found in the spinal cord (R-factor 2 = 1.17), while the CSF, corpus, and disc showed the best quality in R-factor 3. This technique has been proven to retain critical diagnostic information with more efficient acquisition times.Conclusions: The combination of GRAPPA with wavelet denoising filters on T2 T2 sequence cervical MRI GRAPPA significantly improved image quality, especially at R-factor 3. These results show that this method is effective in reducing noise and preserving anatomical details, thereby improving the accuracy of cervical HNP diagnosis and patient comfort during the examination.

ADOLESCENT MENTAL HEALTH AND LIFESTYLE CHANGES: EXPLORING EATING DISORDERS AND PHYSICAL ACTIVITY DURING COVID-19 Meilida, Anastasia; Hidayatunnufus, Inayah Aprilia; Helmyati, Siti; Latifah, Leny
Media Gizi Indonesia Vol. 20 No. 3 (2025): MEDIA GIZI INDONESIA (NATIONAL NUTRITION JOURNAL)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/mgi.v20i3.336-346

Background: Mental health, diet, and physical activity play an important role in adolescents development. However, previous studies have reported inconsistent findings on the relationship between mental health, eating disorders, and physical activity. The COVID-19 pandemic has negatively impacted mental health, potentially contributing to eating disorders and reducing physical activity. Objectives: This study aimed to examine the association between mental health, eating disorders, and physical activity in adolescents during the COVID-19 pandemic. Methods: A cross sectional quantitative study was conducted in 2022, involving 236 high school adolescents. Mental health was assessed using the Depression, Anxiety, and Stress Scale (DASS-21), eating disorders were evaluate with the Eating Attitudes Test (EAT-26), and physical activity levels were measured using the International Physical Activity Questionnaire (IPAQ). Results: More than 50% of adolescents experienced depression, anxiety, or stress with severity ranging from mild to very severe. While 82.6% of adolescents did not exhibit eating disorders, 63.6% had low physical activity levels. A significant association was found between depression and eating disorders (p=0.024), but no significant relationship was observed between anxiety (p=0.080) or stress (p=0.232) and eating disorders. Additionally, depression (p=0.411), anxiety (p=0.547) and stress (p=0.097) were not significantly associated with physical activity. Conclusion: During the COVID-19 pandemic, most adolescents experinced mental health challenges, maintened normal eating behaviors, and exhibited low physical activity. Depression was significantly correlated with eating disorders, while no significant associations were found between mental health variables and physical activity levels.

A Efektivitas Bimbingan Kelompok Simulasi Permainan Rangku Alu untuk Meningkatkan Interaksi Sosial Siswa Afni, Melin; Susanti, Romia Hari; Latifah, Leny
Syifaul Qulub: Jurnal Bimbingan dan Konseling Islam Vol 6 No 01 (2025): Januari-Juni 2025
Publisher : Prodi Bimbingan dan Konseling Islam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32505/syifaulqulub.v6i01.10913

Interaksi sosial adalah hubungan dinamis yang melibatkan komunikasi dan pengaruh timbal balik antara individu. Kurangnya interaksi sosial dapat memengaruhi kepekaan terhadap lingkungan dan prestasi belajar siswa. Untuk meningkatkan interaksi sosial siswa, dilakukan penelitian tentang keefektifan bimbingan kelompok dengan teknik simulasi permainan tradisional rangku alu pada siswa SMP. Penelitian menggunakan metode kuantitatif pre-eksperimen dengan desain One Group Pretest-Posttest. Teknik pengambilan sampel adalah stratified random sampling, dengan kriteria siswa kelas VIII D SMPN 2 Sumberpucung yang memiliki tingkat interaksi sosial rendah hingga sedang, bersedia menjadi responden, dan bersifat heterogen dari jenis kelamin. Analisis data menggunakan uji Wilcoxon. Hasil penelitian menunjukkan peningkatan signifikan pada interaksi sosial siswa setelah treatment. Uji hipotesis dengan nilai Asymp. Sig. (2-tailed) sebesar 0,012 (< 0,05) mengindikasikan bahwa bimbingan kelompok dengan simulasi rangku alu efektif meningkatkan interaksi sosial. Peneliti menyarankan pendalaman teknik simulasi untuk hasil yang lebih optimal.

Socioeconomic Roles in Cesarean Section Delivery in the Philippines: A Secondary Analysis of the 2022 National Demographic and Health Survey Yunitawati, Diah; Laksono, Agung Dwi; Wulandari, Ratna Dwi; Latifah, Leny; Effendi, Diyan Ermawan; Hidayat, Taufiq; Nugraheni, Wahyu Pudji; Batangan, Dennis B.
Nurse Media Journal of Nursing Vol 15, No 2 (2025): (August 2025) [In Progress]
Publisher : Department of Nursing, Faculty of Medicine, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/nmjn.v15i2.70559

Background: Cesarean section (CS) delivery should only be performed with medical indications. It is important to analyze the socioeconomic role in CS and determine how to address socioeconomic-related factors in optimizing CS coverage in the Philippines using the latest national data.Purpose: This study analyzed the socioeconomic roles in CS delivery in the Philippines.Methods: This study used secondary data from the 2022 Philippines National Demographic and Health Survey (NDHS). The cross-sectional study included 4,452 women aged 15–49 who had given birth within the previous three years. Seven control factors were examined: employment, antenatal care (ANC), age, education, marital status, residence, and parity. The mode of delivery was considered the outcome variable, while socioeconomic status was the exposure variable. Binary logistic regression was used for the final data analysis.Results: Cesarean section was performed in 18.45% of deliveries in the Philippines. Analysis of socioeconomic status showed that women in the “poorer” group were 1.758 times more likely than the poorest to undergo CS (AOR 1.758; 95% CI 1.757–1.758). Women in the middle-income group were 2.164 times more likely than the poorest to have a CS (AOR 2.164; 95% CI 2.163–2.165). Those in the richer group were 2.718 times more likely (AOR 2.718; 95% CI 2.717–2.719), and the richest were 4.787 times more likely to deliver by CS compared to the poorest (AOR 4.787; 95% CI 4.785–4.789).Conclusion: Socioeconomic disparities are strongly associated with CS delivery in the Philippines. The wealthier the mother, the more likely she is to have a CS. Efforts should focus on reducing unnecessary CS in the rich and richest groups. Optimizing ANC education should include addressing psychological needs, promoting positive values, and providing a sense of security and comfort in normal childbirth. At the same time, equitable access to CS should be ensured for the poorest groups through education and insurance coverage.

The design of radiology viewing box using charger system and potentiometer Diartama, Anak Agung Aris; Suswaty, Susy; Priantoro, Win; Sugiyanto, Sugiyanto; Sudiyono, Sudiyono; Anwar, M. Choiroel; Latifah, Leny; Santjaka, Aris; Amri, Faisal; Mulyantoro, Donny Kristanto
GHMJ (Global Health Management Journal) Vol. 1 No. 1 (2017)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35898/ghmj-1196

Background: In the process of work to gain the maximum results, a radiologist needs a viewing box tool to read radiographs. Therefore, the authors want to develop a viewing box tool, which in general the work if this tool resembles the factory manufactured tool. The viewing tool box made can adjust the intensity of the light produced.Objective: to create a viewing box tool by using a potentiometer system.Methods: This study used applied research method by creating and using the design of viewing box tool by using a potentiometer system and testing the viewing box tool created by using a Lux meter and 15 respondents consisting of five radiologists and 10 radiographers who should fulfill the questionnaire form.Results: The mean of viewing box illumination reached 220 lux. The results of the questionnaire showed that 100% radiologist gave an A (excellent) and expressed that the viewing box tool created could be used properly and 90% radiographers provided an A (excellent) and expressed that the viewing box tool created could be used properly, while 10% radiographer gave a value of B (moderate).Conclusion: viewing box tool created could be used properly and obtained optimal results as a tool in reading radiographs. Potentiometer system contained in the viewing box was very helpful in reading radiographs because it allowed to adjust the light intensity according to user needs.Keywords : Viewing box, Potentiometer Bibliography : 1980-2011

The design of radiology viewing box using charger system and potentiometer Diartama, Anak Agung Aris; Suswaty, Susy; Priantoro, Win; Sugiyanto; Sudiyono; Anwar, M. Choiroel; Latifah, Leny; Santjaka, Aris; Amri, Faisal; Mulyantoro, Donny Kristanto
GHMJ (Global Health Management Journal) Vol. 1 No. 1 (2017)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

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

Background: In the process of work to gain the maximum results, a radiologist needs a viewing box tool to read radiographs. Therefore, the authors want to develop a viewing box tool, which in general the work if this tool resembles the factory manufactured tool. The viewing tool box made can adjust the intensity of the light produced. It uses batteries as a charger system, so that the viewing box can be used anywhere, especially areas that have not been reached by electricity.Aims: This study aimed to create a viewing box tool by using a potentiometer system and charger system.Methods: This study used applied research method by creating and using the design of viewing box tool by using a potentiometer and charger system. Using a Lux meter, the tool's feasibility and the quality of potentiometer system were assessed by 15 respondents consisting of five radiologists and 10 radiographers who should fulfill the questionnaire form.Results: The results of the questionnaire showed that 100% radiologist gave an A (excellent) and expressed that the viewing box tool created could be used properly and 90% radiographers provided an A (excellent) and expressed that the viewing box tool created could be used properly, while 10% radiographer gave a value of B (moderate).Conclusion: The proposed viewing box tool could be used properly and obtained optimal results as a tool in reading radiographs. Potentiometer system contained in the viewing box was very helpful in reading radiographs. Keywords: Viewing box, Radiology, Potentiometer, Charger Submitted: 3 May 2017, Accepted: 22 June 2017 DOI: https://doi.org/10.35898/ghmj-1196

Pengaruh Acceleration Factor dan Denoising Wavelet Filter terhadap Kualitas Citra MRI Cervical pada Penderita Hernia Nukleus Pulposus Prakoso, Brilian; Latifah, Leny; Fatimah, Fatimah
Jurnal Imejing Diagnostik (JImeD) Vol. 11 No. 2 (2025): JULY 2025
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v11i2.12759

Background: Nucleus Pulposus Hernia (HNP) in the cervical region is a degenerative condition that can cause pressure on the spinal nerve. Magnetic Resonance Imaging (MRI) is the primary imaging modality for the diagnosis of HNP, but it has a long acquisition time limitation, which risks causing artifacts due to patient movement. The use of GRAPPA parallel imaging techniques can speed up acquisition, but lower the signal-to-noise ratio (SNR). This study aims to evaluate the effect of wavelet denoising filters on improving the quality of images and cervical MRI information of T2 TSE GRAPPA sequences in HNP patients.Methods: The study used a pre-experimental was conducted on 16 cervical HNP patients at Budi Rahayu Hospital Pekalongan. Acquisitions are carried out with acceleration factors 2, 3, and 4. Subjective analysis of image quality by three radiologists was performed on five anatomical structures (disc, corpus, spinal cord, CSF, and spinesus process). Data were assessed using the Cohen's Kappa test for fit between assessors and the Friedman test to compare SNR and CNR values between acceleration factors.Result: The application of wavelet denoising filters significantly increased SNR and CNR values (p = 0.0174 and p = 0.0175). R-factor 3 produced the best overall image quality with the highest Kappa value of 0.681 in the R1*R2 grader pair, indicating substantial conformity. The highest mean rank for visual quality was found in the spinal cord (R-factor 2 = 1.17), while the CSF, corpus, and disc showed the best quality in R-factor 3. This technique has been proven to retain critical diagnostic information with more efficient acquisition times.Conclusions: The combination of GRAPPA with wavelet denoising filters on T2 T2 sequence cervical MRI GRAPPA significantly improved image quality, especially at R-factor 3. These results show that this method is effective in reducing noise and preserving anatomical details, thereby improving the accuracy of cervical HNP diagnosis and patient comfort during the examination.

Effect of the Combination of Acupressure and Moringa oleifera Extract Consumption on Elevating Breast Milk Production and Adequacy in Lactating Mothers Wahidah, Nurul; Eko Ningtyas, Endah Aryati; Latifah, Leny
Journal of Maternal and Child Health Vol. 8 No. 5 (2023)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejmch.2023.08.05.11

Background: Exclusive breastfeeding is highly recommended because the nutrition is suitable for babies. However, there are still many babies who do not get exclusive breastfeeding. For this reason, there is a need for innovation that can be used as an effort to increase the production and adequacy of breast milk for breastfeeding mothers with a combination of Accupresure and Moringa oleifera extract. This study aimed to prove the potential of a combination of acupressure and Moringa oleifera extract as an intervention in increasing the production and adequacy of breast milk for breastfeeding mothers.Subjects and Method: This study used quasi experiment and pretest-posttest design with control group conducted at the Kelingi IV/C Health Center, Musi Rawas Regency, from December 2022-January 2023. It consisted of an intervention group consisting of a combination of 2x4 minutes of acupressure and 650 mg of Moringa oleifera extract and a control group of counseling for breastfeeding mothers, namely 40 breastfeeding mothers with babies 0-6 months. The dependent variables were the hormone prolactin and baby's weight. The independent variable was the combination of acupressure and extra Moringa oleifera. The data were analyzed by Wilcoxon.Results: The indicator affected by the combination of acupressure and Moringa oleifera extract was an increase in milk production using the prolactin hormone indicator after intervention (Mean= 304.60; SD=131.22) than before intervention (Mean= 162.85; SD= 140.44), and this was statistically significant (p<0.001). There was an increase in the adequacy of breastfeeding using the infant's weight indicator after intervention (Mean= 5550.00; SD=1240.75) than before intervention (Mean= 5015.00; SD= 1444.87), and this was statistically significant (p=0.030).Conclusion: The combination intervention of 2x4 minutes of acupressure and 650 mg of Moringa oleifera extract for 10 days effectively increases the production and adequacy of breast milk for nursing mothers. Keywords: acupressure, Moringa oleifera, prolactin hormone, baby's weight. Correspondence: Nurul Wahidah. Applied Masters Program, Postgraduate School, Health Polytechnic, Ministry of Health, Semarang. Jl. Tirto Agung, Pedalangan, Banyumanik, Kota Semarang, 50239, Central Java, Indonesia. Email: wahidahnurul246@gmail.com.

An Oral Sedation Preparation Based on Pistachio Nuts with Organic Melatonin Content To Support MRI Examination Surya Wrddhi Putra, IM Dwitya; Satoto, Bambang; Dartini, Dartini; Masrochah, Siti; Latifah, Leny; Murti Wibowo, Gatot
Asian Journal of Social and Humanities Vol. 3 No. 3 (2024): Asian Journal of Social and Humanities
Publisher : Pelopor Publikasi Akademika

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59888/ajosh.v3i3.466

Sedation of propofol, chloral hydrate, midazolam, and ketamine is commonly used in MRI examinations. There are still risky side effects from the previous 4 sedations, so melatonin tablets are a safer option. Melatonin synthesized in tablets can still cause quite adverse side effects. Pistachios processed into milk can be used as an alternative to natural melatonin oral sedation. Research Objective: To determine the potential of pistachio milk as an alternative to oral melatonin sedation to support MRI examinations. Research Method: This research uses the R&D (Research and Development) method with 4 stages, namely finding potentials and problems, data collection, product design, and design validation. The product in the form of 200 mL pistachio milk with concentration variants of 35 g, 45 g, 55 g, 65 g was tested in a laboratory to determine its potential from the test results with a reference to melatonin tablets of 10 mg. Research Results: Laboratory tests showed the presence of melatonin and other accompanying ingredients such as phenolics, carotene, and polyphenols. The melatonin content of the 35 g, 45 g, 55 g, 65 g variants is 5.5 mg, 6.1 mg, 8.7 mg, 10.5 mg, respectively. Conclusion: Pistachio milk with a 65 g variant has a melatonin content of 10.5 mg which is close to the reference for sedation of melatonin tablets of 10 mg, so it has the potential to be an alternative to oral sedation of melatonin to support MRI examinations.

Pengembangan inventori problem solving skills bagi mahasiswa universitas kanjuruhan Malang Nurvianti, Meisy Dwi; Bariyyah, Khairul; Latifah, Leny
JPGI (Jurnal Penelitian Guru Indonesia) Vol. 7 No. 2 (2022): JPGI
Publisher : Indonesian Institute for Counseling, Education and Therapy (IICET)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29210/02541jpgi0005

Problem solving skills merupakan keterampilan dan kecakapan yang didasari dengan proses berpikir untuk menyelesaikan permasalahan bedasarkan potensi yang dimilikinya dan dari proses tersebut dapat membantu mahasiswa dalam membuat pertimbangan dari berbagai sudut pandang sehingga mahasiswa mampu membuat keputusan secara tepat dalam menyelesaikan masalah yang dihadapinya. Penelitian ini bertujuan untuk menghasilkan pengembangan inventori problem solving skills bagi mahasiswa. Inventori dikembangkan dengan mengkuti prosedur pengembangan inventori Azwar. Metode penelitian menggunakan model pengembangan Borg & Gall yang populasi penelitian ini meliputi mahasiswa yang berumur 19-22 tahun dari Universitas Kanjuruhan Malang. Untuk menentukan jumlah sampel sebanyak 300 mahasiswa digunakan teknik cluster random sampling. Instrumen penelitian yang digunakan yaitu skala likert problem solving skills dan lembar penilaian uji ahli atau uji validator. Analisis data menggunakan analisis Pearson Product Momen, Alpha Cronbach dan analisis faktor. Hasil penelitian pengembangan ini menghasilkan inventori problem solving skills untuk mahasiswa Universitas Kanjuruhan Malang yang terdiri dari 28 item pernyataan yang di nyatakan valid dan memimiliki koefisien reliabilitas tinggi. Inventori problem solving skills ini memiliki 10 faktor yang berkorelasi, sesuai dengan konstruk problem solving skills bedasarkan teori Andorsen yang mendasari pengembangan inventori. Saran untuk peneliti selanjutnya dapat mengembangkan inventori problem solving skills untuk tingkat lain seperti SMA/sederajat, SMP/sederajat dan SD/sederajat. Mengingat setiap tingkat tersebut memiliki masa perkembangan dan kematangan usia dan proses belajar masing-masing tingkat berbeda dari mahasiswa.

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