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Informasi Diagnostik Pemeriksaan Appendikografi Oral dan USG dalam Menegakkan Diagnosis Appendisitis Agustina Dwi Prastanti; Darmini Darmini; Andrey Nino Kurniawan
Jurnal Imejing Diagnostik (JImeD) Vol 7, No 1: JANUARY 2021
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v7i1.6651

Abstract

Background: Patients with suspected appendicitis are always asked by the sending doctor (Pediatric Surgeon) to ask for an oral appendicography examination without seeking other investigations such as ultrasound or CT scan. Whereas in the oral appendicography examination, false negative often occurs so that the patient is exposed to radiation several times until the barium reaches the caecum area and no more barium is still in the small intestine. Compared to the oral appendicography examination, ultrasound examination is easier in patient preparation, cheaper in terms of cost and more safety against the dangers of X-ray radiation.Methods: This research is a descriptive analytic study conducted with a cross sectional approach. The study was conducted by providing interventions for ultrasound examination before carrying out an oral appendicography examination. Ultrasound examination of the appendix is an examination using ultrasound waves with a frequency of 5-7.5 MHz or 2-4 MHz to diagnose appendicitis. Oral appendicography examination is a radiological examination to confirm the diagnosis of appendicitis using 100 grams of barium sulfate contrast medium diluted to a volume of 200 ml that is administered orally.Results: Diagnostic information obtained on oral appendicography examination of suspected appendicitis in radiology department Roemani Hospital, among others, can show the presence of calcification and the length of the appendix organs can be measured. Diagnostic information obtained on ultrasound examination of suspected appendicitis, among others, can show the presence of debris (pus), can evaluate the thickness of the intestinal wall and its vascularity.Conclusion: Ultrasound examination for suspected appendicitis is the first choice in diagnosing appendicitis than oral appendicography because it can be done in a faster, safer, more convenient and non-invasive manner and the cost of ultrasound is cheaper than oral appendicography.
EXTERNAL RADIOTHERAPY PROCEDURE OF THYROID CANCER WITH MASS MALIGNANT THYROID IN RADIOTHERAPY INSTALATION FACILITY OF RSUD DR. MOEWARDI SURAKARTA Himawan Setyono; Darmini Darmini; Khumaidi Khumaidi; Andrey Nino Kurniawan
Jurnal Imejing Diagnostik (JImeD) Vol 4, No 1: January 2018
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v4i1.4008

Abstract

Background: External radiotherapy for thyroid cancer, generally was conducted with 3 exposure area technique, where as in thyroid cancer case with mass malignant thyroid, treatment in Radiotherapy installation facility of RSUD Dr. Moewardi Surakarta used different technique that was by five exposure area in two step. The purposes of this researchwerte to know radiotherapy treatment of thyroid cancer with mass malignant thyroid, the reason of two step exposure and the reason of using direct AP-PA exposure area.Methods: The method of this research was qualitative researchwith case study approachment by observing, interviewing with radiation oncologist doctor, radiotherapy radiographer and medical physicist, and reviewing patient medical record document, simulator image data, treatment planing system resultand patient exposure data. For data analyzing, researcher used interactive model.Results: The result of this research showed that external radiotherapy for thyroid cancer with mass malignant thyroid in radiotherapy installation facility of RSUD Dr. Moewardi Surakarta is using convensional simulator, teleterapy Cobalt-60 machine, and five exposure area technique in twop step exposure. The first step was AP-PA direct exposure and second step were AP supraclavicula and left-right lateral.Conclusion: The reason of two step exposure technique use is for optimalization of therapeutic ratio, whereas the purpose of AP-PA exposure area in this technique is to maximizing dose on mass.
RADIATION EXPOSURE PROFILE IN RADIOLOGICAL DEPARTMENT TO SUPPORTING PROTECTION PROGRAMS IN HOSPITALS / RADIOLOGICAL CLINIC LABORATORY IN SEMARANG CITY Dwi Rochmayanti; Siti Daryati; Darmini Darmini; Yeti Kartikasari
Jurnal Imejing Diagnostik (JImeD) Vol 5, No 1: January 2019
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v5i1.3999

Abstract

Background: All acts of radiation use, both for diagnostics, therapy and nuclear medicine, must go through a process of justification, limitation and optimization so that patients, officers and the surrounding environment get as much diagnostic benefit as possible with the smallest possible radiation risk. Some problems that arise in the Hospital / clinic, often ignore and do not pay attention to work exposure safety factors. The purpose of this study was to determine the profile of occupational radiation exposure and the effectiveness of radiation shielding in the radiology department of the Semarang city  then compared to the reference dose to determine the optimization of radiation protection.Methods: The type of research conducted is quantitative research with a survey and observational approach. Exposure measurements were carried out in 5 radiology department, which included 3 hospitals and 2 clinical laboratories. Documents and room observations are also carried out. For the effectiveness of the radiation barrier it is also measured before and after the radiation shielding by using a  surveymeter tool. The results data are then presented in descriptive analyses.Results: The results of the study of radiation exposure profiles in five radiology institutions, four institutions there was radiation exposure recorded on the  surveymeter tool, with the largest exposure value was 0.099 mSv / h (still below the safe limit of 1 mSv / year). Only one hospital is safe, and there are no leaks.Conclusions: The effectiveness of the radiation retaining wall, four hospitals have a barrier level equal to 1 mm Pb at 80 kVp irradiation, and 1 hospital (RSJ) has a radiation barrier equivalent to 0.5 mmPb.
Evaluasi Kecukupan Tebal Lead Apron Guna Mendukung Jaminan Keselamatan Radiasi pada Unit Pelayanan Radiologi Rumah Sakit Yeti Kartikasari; Darmini Darmini; Dwi Rochmayanti
Jurnal LINK Vol 11, No 2 (2015): Mei 2015
Publisher : Pusat Penelitian dan Pengabdian kepada Masyarakat, Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (6007.091 KB) | DOI: 10.31983/link.v11i2.339

Abstract

This study aims to determine adequacy of thick protective lead aprons as radiation in Radiology Services Unit in Semarang. This research is quantitative with observational approach radiation measurements. The samples were hospitals in Kota Semarang. The independent variable is the thickness of the lead apron and the dependent variable in this study is the radiation behind the lead apron. Data analysis was performed using descriptive statistics to take a conclusion. The results showed Adequacy lead apron at the Semarang Hospital, HVL values between 4 to 7 HVL or dose rate are forwarded after passing through the apron of 6.25% to 0, 781%. Value adequacy thick lead apron 0.5 mmPb that used had a value below the threshold set by Bapeten that dose forwarded after passing the lead apron is less than or 0,02 μSv which means lead apron can be used for radiation safety assurance in hospital and radiology departement units in the Semarang.
Analysis Of Radiation Dose In Women's Reproductive Organs In Diagnosis Support Histerosalfingografi As The Radiation Safety Unit Radiology Service Darmini Darmini; Siti Masrochah; Siti Daryati
Jurnal LINK Vol 9, No 1 (2013): Januari 2013
Publisher : Pusat Penelitian dan Pengabdian kepada Masyarakat, Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (8024.38 KB) | DOI: 10.31983/link.v9i1.161

Abstract

A study concerning the analysis of Radiation Dose in Female Reproductive Organs In Examination Hysterosalpingography For Supporting safety Radiation In Radiology Services Unit. The purpose of this study to obtain descriptions of the radiation dose received by the reproductive organs at Hysterosalpingography examination and find out how much the level of safety obtained by the reproductive organs of the risk of biological effects on Hysterosalpingography examination. This research is a quantitative approach to measuring radiation. Amount sample used in this study was performed in 6 patients and Maternity Hospital Semarang. This source obtained using TLD dosimeters chips are placed on the patient's skin surface in mid gonads, right and left ovaries. The value of radiation dose TLD reader reading results are recorded in the tabulation of the radiation dose to the HSG examination. Furthermore, the total value obtained by comparison with a reference standard performed as recommended by BAPETEN that the reference dose on pelvic examination should not be more than 10 mGy. The results showed that the dose of radiation received by the reproductive organs on Hysterosalpingography examination based on exposure factors, the greater the voltage of the tube then the average absorbed dose greater, based on the thickness of the thicker body of the patient's body absorbed dose average lower, receiving total dose accepted patients receiving the lowest dose of 1 x ekposi 1.508 mGy, the highest 2.341 mGy. For patients receiving the lowest dose of 2 x eksposi 3,016 mGy, the highest 4,682 mGy. The level of security is obtained against the risk of reproductive organs of biological effects on the examination Hysterosalpingography is still in the safe level for the highest total dose received was 4,682 mGy (below 10 mGy).
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

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1455.423 KB) | DOI: 10.31983/link.v13i2.2922

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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.
Radiation Dose Acceptence on Thorax Photos at Adult Patient Dwi Rochmayanti; Darmini Darmini; Sudiyono Sudiyono
Jurnal LINK Vol 10, No 3 (2014): September 2014
Publisher : Pusat Penelitian dan Pengabdian kepada Masyarakat, Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (3700.843 KB) | DOI: 10.31983/link.v10i3.83

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This study aims to describe wheter or not the patients' chest x-ray in hospital over Semarang are already has an appropriate radiation dose. This quantitative study was conducted with descriptive analysis. Data were collected by random sampling technique. The method in the measurement of patient dose was using Thermoluminesensi Dosimean meter (TLD) which is placed at the central point (CP). Profile picture over of chest radiation dose in adult patients to the 1st hospital was an average of 0.2139 mGy , 0.0758 mGy in 2nd hospital, and 0.3548 mGy in 3rd hospital . From the overall sample, the average adult chest x-ray dose was 0.1731 mGy. From these data it is concluded that the dose was still below the reference dose (0.4 mGy) , but the application of radiation protection programs and quality control diagnostic tool should still be on the run.
Analysis and Design Software Evaluation Assessment Clinical Practice (PKL / PKN) in the Web-Based Program D-III and Radiotherapy Techniques Radiodiagnostic Semarang Sri Mulyati; Gatot Murti Wibowo; Darmini Darmini
Jurnal LINK Vol 9, No 3 (2013): September 2013
Publisher : Pusat Penelitian dan Pengabdian kepada Masyarakat, Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (3173.02 KB) | DOI: 10.31983/link.v9i3.303

Abstract

Has done research for the analysis and design of software evaluation clinical practice assessment (PKL / PKN) WEB based on the Diploma Program Radiodiagnostic and Radiotherapy Techniques Semarang. Needs analysis has been conducted for designing software evaluation clinical practice assessment (PKL / PKN) Web-based programming using PHP and MySQL. Analyses were performed with several stages of system analysis, analysis of the weaknesses of the old system based PIECES, a new system needs analysis, feasibility analysis and design of software systems sistem.Desain done with methods for object-oriented programming (Object Oriented Programming) created using the Unified Modeling Language (UML) that is using the use case, the database and interface design. With the analysis and design of the software, will be developed (development) and monitoring and evaluation in the next stage of research.
FAKTOR DETERMINAN KOLIMASI, UKURAN IMAGING PLATE DAN DELAY TIME PROCESSING TERHADAP EXPOSURE INDEX Dwi Rochmayanti; Darmini Darmini; Marichatul Jannah
Jurnal Riset Kesehatan Vol 6, No 2 (2017): NOVEMBER 2017
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1261.443 KB) | DOI: 10.31983/jrk.v6i2.2910

Abstract

Exposure index merupakan parameter yang penting terhadap kualitas citra, meskipun bukan merupakan hal teknis yang dapat menentukan dosis pada pasien, tetapi menjadi rujukan dalam mengestimasi dosis yang diterima oleh pasien. Penelitian ini bertujuan untuk mengetahui faktor-faktor yang mempengaruhi nilai exposure index dengan menggunakan phantom thoraks. Faktor yang diteliti meliputi kolimasi, ukuran imaging plate yang digunakan serta delay time processing. Penelitian kuantitatif ini dilakukan dengan pendekatan eksperimen. Ukuran kolimasi yang digunakan meliputi dua ukuran yaitu 35x35 cm dan 35x43 cm. Untuk luasan kolimasi menggunakan lima variasi ukuran yaitu 30x30 cm, 30x35 cm, 35x35 cm, 30x40 cm, dan 35x43 cm. Delay time processing sebesar 0 menit, 10 menit, dan 20 menit. Semua data nilai exposure index dicatat untuk selanjutnya dilakukan pengolahan data dan dilakukan analisis dengan uji korelasi. Dari hasil penelitian didapatkan bahwa delay time processing memberikan pengaruh yang dominan dibandingkan dengan variabel yang lain, dengan nilai signifikansi sebesar 0.000 less than 0.05, sedangkan besar pengaruh adalah 73%. Adapun ukuran imaging plate yang digunakan tidak memberikan efek yang jelas terhadap perubahan nilai exposure index. Faktor kolimasi memberikan pengaruh sebesar 49%, sedangkan untuk ukuran imaging plate tidak ada perbedaan pengaruh terhadap exposure index.
Pengolahan Limbah Jelantah Menjadi Lilin Aromaterapi Sebagai Pendongkrak Potensi Ekonomi Dan Peningkatan Kesehatan Masyarakat Agustina Dwi Prastanti; Bagus Abimanyu; Dwi Rochmayanti; Rini Indrati; Darmini Darmini
MATAPPA: Jurnal Pengabdian Kepada Masyarakat Volume 5 Nomor 2 Tahun 2022
Publisher : STKIP Andi Matappa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31100/matappa.v5i2.1801

Abstract

The purpose of this training is to provide education on the use of used cooking oil household waste into aromatherapy candles through intensive assistance to improve the economic level and public health. The community service method used is lecture, discussion and direct practice. The community service element involves the head of the PKK RT, RW and health cadres. The direct practice of processing household waste cooking oil by the community obtained results in the form of aromatherapy candles where the used cooking oil was cleared up first as the basic ingredient. Aromatherapy candles are ready to use after a period of 2 (two) days to get maximum wax density. The benchmark for the success of making aromatherapy candles from used cooking oil is assessed from candles that can be used as lighting when the lights go out as well as aromatherapy as well as room decoration, repellent for flies, mosquitoes and other insects.
Co-Authors A.A. Ketut Agung Cahyawan W Agustina Dwi Prastanti Agustina Dwi Prastanti, Agustina Dwi Alifia Dian Rizqi Arshyva Andrey Nino Kurniawan Anggraini Dwi S Anita Nur Mayani Ari Suwondo Arinawati Arinawati Arum Dwi Afriyani Aryani, Asri Indah Bagus Abimanyu Bambang Satoto Bambang Satoto, Bambang BE, Marsum Bedjo Santoso Kadri Dimas Prakoso Dimas Prakoso Donny Kristanto Mulyantoro Dwi Kurniarahman, Yoyok Dwi Rochmayanti Dwi Rochmayanti Dwi Rochmayanti Dwi Rochmayanti Edy Susanto edy susanto Efriza Nur Romadhoni Eko Kuntjoro Emi Murniati Farid Agusyahbana, Farid Fatimah Fatimah Feni Try Sabdo Gatot Murti Wibowo Gatot Murti Wibowo Gatot Murti Wibowo Gatot Murti Wibowo Gatot Murti Wibowo, Gatot Murti Gunawan Santoso Himawan Setyono I NYOMAN PAYUYASA . Ida Ayu Ari Angreni J. Dahjono J. Dahjono Jannah, Marichatul Jannah, Marichatul Jeffri Ardiyanto Juniarso Juniarso Khumaidi Khumaidi Kristanto Mulyantoro, Donny M. Choiroel Anwar Merah Bagus YB Muhammad Raizal Rais Murti Wibowo, Gatot Nui, Muhammad Nur Wahyu Tajuddin Nurul Fatimah MZ Pranandya, Brian Ilham Rasyid Rasyid Rini Indrati Rini Indrati, Rini Rizqi, Intan Purnami Romadhoni, Efriza Nur Rudy Kurniawan Sari, Yeti Kartika Selfia Claudiana Rahma Dewi Sigit Wijokongko Siti Daryati Siti Masrochah Soewondo, Arie Sri Adhi Lukito Sri Mulyati Sri Mulyati Suan, Kesita Grace Natalia Suciartini, Ni Nyoman Ayu Sudiyono Sudiyono Tajuddin, Nur Wahyu Tito Aditya Resmana Tri Andayani Tri Andayani Widiya Purnama Sari Yeti Kartika Sari Yeti Kartikasari Yeti Kartikasari Yeti Kartikasari, Yeti