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KOMUNIKASI EFEKTIF BERPERAN DALAM MENINGKATKAN KEPUASAN PASIEN DI INSTALASI RADIOLOGI Marichatul Jannah; Darmini Darmini; Dwi Rochmayanti
Jurnal LINK Vol 13, No 2 (2017): NOVEMBER 2017
Publisher : Pusat Penelitian dan Pengabdian kepada Masyarakat, Poltekkes Kemenkes Semarang

Komunikasi merupakan hal yang penting untuk mempengaruhi kualitas pelayanan sertaditujukan untuk mengubah perilaku pasien dalam rangka mencapai kesehatan optimal. Salah satufaktor yang mempengaruhi kepuasan pasien adalah adanya komunikasi yang terjalin antararadiografer dengan pasien. Tujuan penelitian ini yaitu mendeskripsikan gambaran komunikasiefektif dan menjelaskan pengaruh komunikasi efektif dengan kepuasan pasien di InstalasiRadiologi. Penelitian ini menggunakan metode kuantitatif dengan pendekatan survei. Kuesionerdibagikan kepada 50 orang responden yang komunikatif. Penelitian ini dilakukan di salah satuInstalasi Radiologi terbesar di Jawa Tengah. Analisis data menggunakan metode deskriptif dananalisis regresi linier berganda. Hasil penelitian menggambarkan bahwa humble merupakan faktordominan dengan nilai mean sebesar 9,48 ± 0,995. Hasil uji F menyatakan bahwa respect, empathy,audible, clarity, dan humble secara simultan berpengaruh terhadap kepuasan pasien dengan sig.0,000. Namun, hasil uji t untuk respect dan emphaty tidak terbukti berpengaruh secara signifikanterhadap kepuasan pasien. Besarnya kontribusi komunikasi efektif terhadap kepuasan pasiensebesar 78,1%.

ANALISIS PERBEDAAN KUALITAS CITRA DAN INFORMASI ANATOMI PADA PEMERIKSAAN MRI LUMBAL SEKUEN T2WI FAST SPIN ECHO (FSE) POTONGAN SAGITAL DENGAN VARIASI NILAI TIME REPETITION Merah Bagus YB; Darmini Darmini; Sri Mulyati
JRI (Jurnal Radiografer Indonesia) Vol. 3 No. 1 (2020)
Publisher : Perhimpunan Radiografer Indonesia (PARI)

Background: Lumbar MRI examination at T2 weighted is recommended using the Fast Spin Echo (FSE) sequence because it can detect early symptoms of a pathology, such as edema, tumors, infections, fractures, ligament injuries, and produce images with strong signals in CSF including details of nerve roots. Based on the observations of researchers at MRCCC Siloam Hospital Semanggi Jakarta that uses TR values in the range of 3500-7500 ms with 3 Tesla MRI. This study aims to determine the differences in image quality and anatomical information as well as knowing the TR values that produce best quality and anatomical information on Lumbar MRI on T2WI FSE. Methods: This type of research is an experiment, then a different friedman test was carried out to determine differences in image quality and anatomical information with variations in TR values that produced best image quality and anatomical information. Result: Friedman test shows there are significant differences between the variation of TR on anatomical information produced with p-value < 0.001. The friedman test results obtained p-value SNR < 0.001, CNR < 0.001 and scan time < 0.001. TR which produces best image quality and anatomical information is TR 5500ms with mean rank 2.32 on Lumbar MRI examination by T2WI FSE sequence sagital slices.

Application of Fusion Technique with ImageJ Stacks Feature for Brain Tumor MRI Image Optimization Nur Wahyu Tajuddin; Bambang Satoto; Rini Indrati; Donny Kristanto Mulyantoro; Darmini Darmini; Gatot Murti Wibowo
Asian Journal of Social and Humanities Vol. 2 No. 11 (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.v2i11.359

Fusion techniques on MRI for brain tumors can provide comprehensive visualization by combining Axial T2-Flair and Axial T1-GD (T1-weighted post-contrast) sequence images. Fusion MRI in brain tumors is able to clearly display the location, size and characteristics of the tumor. However, not all institutions can install such additional fusion software due to significant additional costs. Therefore, this study aims to prove that the Stacks feature on ImageJ as an alternative can be optimal in visualizing brain tumor image information through MRI fusion techniques. This study used 17 image samples with a quasi experimental design post test only without control group design to compare three analysis methods, namely fusion maximum intensity, minimum intensity and average intensity so that the most suitable projection can be determined. The evaluation of image quality was carried out through a histogram which was then analyzed with a crucal-wallis and the Mann Whitney u test, while the analysis of pathological information used a crucal-wallis, followed by a post hoc test and continued with Mann Whitney u for further analysis. The results show that the stacks feature on ImageJ can be used in the application of fusion techniques so that it will improve the contrast and sharpness of MRI images, especially in areas with high tumor activity. MRI images of brain tumors with maximum fusion intensity produced images with the highest average gray level and the best pathological information. This projection is more optimal than the minimum intensity and average intensity because it provides a more detailed and clear visualization of brain tumors.

Design and Development of A Patient Lifter For Brachytherapy Procedures in Cervical Cancer Treatment Kurniawan, Rudy; BE, Marsum; Masrochah, Siti; Darmini, Darmini; Kartikasari, Yeti
SANITAS: Jurnal Teknologi dan Seni Kesehatan Vol 15 No 1 (2024): SANITAS Volume 15 Nomor 1 Tahun 2024
Publisher : Politeknik Kesehatan Kemenkes Jakarta II

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36525/sanitas.2024.513

The role of a patient lifter in brachytherapy is crucial for ensuring safe and efficient patient transfer during treatment. The use of fabric slings for patient transfer in brachytherapy at MRCCC Siloam Hospitals Semanggi is considered ineffective as it requires at least 6-7 medical staff to move a patient. The development of medical devices, such as brachytherapy patient lifters, is critical for maintaining safety, as any failure or malfunction can cause serious injuries to both medical personnel and patients. This study aims to design a brachytherapy transfer table and evaluate its effectiveness in minimizing physical strain on healthcare workers during patient transfers. Research methods implementing a rigorous development process is essential to minimize the risk of failure by ensuring that validation and verification activities are conducted objectively, reproducibly, and are well documented. This research introduces an approach based on the formal R&D Borg and Gall method for developing brachytherapy patient lifters. Results Functional tests demonstrated the overall success of the brachytherapy patient transfer table, with a 100% validity rating from five experts. The test results showed a significant value of 0.000, less than 0.05, indicating a significant difference between conditions before and after the design of the patient transfer table. The development of the brachytherapy patient transfer table has been highly successful and effective at MRCCC Siloam Hospitals Semanggi. The device also holds potential for further development in studies with larger sample sizes.

Kualitas Sistem Informasi Pelaporan Standar Pelayanan Minimal Instalasi Radiologi Berbasis Web (e-spmrad.com) Romadhoni, Efriza Nur; Santoso, Bedjo; Darmini, Darmini; Satoto, Bambang; Wibowo, Gatot Murti
Jurnal Manajemen Kesehatan Yayasan RS.Dr. Soetomo Vol 8, No 2 (2022): JMK Yayasan RS.Dr.Soetomo, Oktober 2022
Publisher : STIKES Yayasan RS.Dr.Soetomo

ABSTRAKPengembangan laporan Standar Pelayanan Minimal (SPM) radiologi diharapkan dapat mempermudah dan mendukung proses pengambilan keputusan. e-spmrad.com sebagai sistem pelaporan SPM radiologi yang dikembangkan pada tahun 2021 ekuivalen sebagai pelaporan SPM radiologi, Namun dalam penelitian belum dilakukan analisis terhadap kualitas sistem, kualitas informasi dan kepuasan pengguna. Padahal, kualitas sistem dan kualitas informasi mempengaruhi kepuasan pengguna sistem terhadap penggunaan sistem informasi. Penelitian ini bertujuan untuk menganalisis e-spmrad.com efektif terhadap kualitas sistem informasi dalam pelaporan standar pelayanan minimal instalasi radiologi. Desain penelitian ini adalah kuantitatif. Penelitian dilaksanakan di instalasi radiologi RSUI Madinah Kasembon Malang pada Bulan Februari- Juli 2021. Uji coba dalam penelitian ini menggunakan rancangan penelitian pre-eksperimen design dengan rancangan one group pre-post test. Berdasarkan hasil penelitian terdapat perbedaan kualitas sistem, kualitas informasi dan kepuasan pengguna pada seluruh aspek sebelum dengan sesudah pemberian sistem baru (p-value ≤ 0,005). sehingga dapat disimpulkan bahwa sistem informasi pelaporan standar pelayanan minimal instalasi radiologi efektif terhadap kualitas sistem informasi dalam pelaporan standar pelayanan minimal instalasi radiologi, terbukti nilai p-value adalah 0,005.

Application of Fusion Technique with ImageJ Stacks Feature for Brain Tumor MRI Image Optimization Nur Wahyu Tajuddin; Bambang Satoto; Rini Indrati; Donny Kristanto Mulyantoro; Darmini Darmini; Gatot Murti Wibowo
Asian Journal of Social and Humanities Vol. 2 No. 11 (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.v2i11.359

Fusion techniques on MRI for brain tumors can provide comprehensive visualization by combining Axial T2-Flair and Axial T1-GD (T1-weighted post-contrast) sequence images. Fusion MRI in brain tumors is able to clearly display the location, size and characteristics of the tumor. However, not all institutions can install such additional fusion software due to significant additional costs. Therefore, this study aims to prove that the Stacks feature on ImageJ as an alternative can be optimal in visualizing brain tumor image information through MRI fusion techniques. This study used 17 image samples with a quasi experimental design post test only without control group design to compare three analysis methods, namely fusion maximum intensity, minimum intensity and average intensity so that the most suitable projection can be determined. The evaluation of image quality was carried out through a histogram which was then analyzed with a crucal-wallis and the Mann Whitney u test, while the analysis of pathological information used a crucal-wallis, followed by a post hoc test and continued with Mann Whitney u for further analysis. The results show that the stacks feature on ImageJ can be used in the application of fusion techniques so that it will improve the contrast and sharpness of MRI images, especially in areas with high tumor activity. MRI images of brain tumors with maximum fusion intensity produced images with the highest average gray level and the best pathological information. This projection is more optimal than the minimum intensity and average intensity because it provides a more detailed and clear visualization of brain tumors.

Rational Modelling to Support Stunting Diagnosis Rational Modelling to Support Stunting Diagnosis Masrochah, Siti; Darmini, Darmini; Sari, Yeti Kartika; Susanto, Edy
Jurnal Rekam Medis dan Informasi Kesehatan Vol 7, No 2 (2024): OKTOBER 2024
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jrmik.v7i2.12289

Stunting is a health problem characterized by disrupted growth conditions in toddlers due to a lack of nutritional intake over a long period of time, starting in the womb until the child is two years old. Stunting causes children to be short in stature and is at risk of causing problems with motor and mental development. In Cilacap Regency, the prevalence of stunting reached 32.1%, above the national figure and the limit set by WHO. Therefore, accelerating stunting reduction is carried out through a holistic, integrative and multisector approach. One of the efforts made is the development of an information system to comprehensively monitor and prevent stunting, including a diagnostic model that involves various health parameters.

Rancang Bangun Alat Pelapis Kaset Sebagai Upaya Pencegahan Infeksi pada Pemeriksaan Radiografi Prastanti, Agustina Dwi; Darmini, Darmini; Daryati, Siti; Wibowo, Gatot Murti; Suan, Kesita Grace Natalia
Jurnal Imejing Diagnostik (JImeD) Vol 11, No 1 (2025): JANUARY 2025
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v1i1.12567

Background: Infection control in radiography is carried out by wrapping tapes and radiograph equipment using polyethylene plastic bags. Existing conditions in the hospital require at least 1 to 2 layers of plastic for each radiography in patients with a history of infectious diseases. The use of plastic causes the amount of infectious plastic waste to be increased. Therefore, an alternative is needed to use acrylic mica material that can be used repeatedly and is environmentally friendly as a replacement for plastic bags.Methods: This research design is a Research and Development (RnD) study with the ADDIE model which is carried out with five stages, namely analysis, design, development, implementation, and evaluation. The data collection method is carried out by observation, testing the function of the tool, and then the data is processed and analyzed by criticizing the results of radiographic image quality using ImageJ software.Results: Four sizes of precision radiographic cassette coating have been produced with four radiographic cassette sizes. The average decrease in the mean number is 1.07%.Conclusion: The radiograph quality from using acrylic mica cassette coatings in radiograph examinations can still produce good quality radiographs based on the results of histogram graph analysis which produces graphs that have a similar shape between those without using cassette coatings and those with cassette coatings.

Pengembangan Model PACS Server Post Processing Terintegrasi “CLEMAGS” untuk Meningkatkan Keefektifan Pembelajaran Klinis pada Program Studi Imaging Diagnostik Program Pascasarjana Poltekkes Kemenkes Semarang Pranandya, Brian Ilham; Wibowo, Gatot Murti; Suwondo, Ari; Anwar, M. Choiroel; Darmini, Darmini
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.v11i2.13327

Background: One aspect of digital transformation in education today is online learning or commonly referred to as E-learning. Clinical Education Management System or CLEMAGS, is an application system used for clinical education management in the field of web-based Diagnostic Imaging. The development of Clinical Learning Management System (CLEMAGS), which was built with the help of Orthanc Platform, is to create a more inventive and interactive learning model for students of Postgraduate Diagnostic Imaging study program of Poltekkes Kemenkes Semarang. Designing and developing the PACS Server Post Processing model in CLEMAGS to support activities in the Diagnostic Imaging Postgraduate Program of the Poltekkes Kemenkes Semarang and testing the effectiveness of the PACS Server Post Processing model in CLEMAGS in the Diagnostic Imaging Postgraduate Program of the Poltekkes Kemenkes Semarang.Methods: This type of research is Research and Development (RD) which uses the Rapid Application Development (RAD) research approach method. Analysis of differences in pre-test and post-test data using paired sample t-test. While analyzing the increase in effectiveness test results using the N-Gain Test.Results: The paired sample t-test results are sig. value of 0.003 (p-value 0.05), which means that there is a significant difference between the pre-test data and the post-test implementation of the PACS Server Post Processing Model in CLEMAGS. Overall, the average N-Gain score is 0.89 and is included in the “High” understanding improvement category. The percentage of N-Gain obtained was 89.94% and included in the effective category.Conclusions: The PACS Server Post Processing model in CLEMAGS is effective in improving user performance in managing medical imaging data. The TRIP-ID system is a medical image-based learning solution that can be practically applied in health education institutions. Further development can be directed toward the integration of artificial intelligence (AI) for automatic interpretation, as well as expanding implementation in various other educational institutions.

From Ritual to Virtual: Enhancing Hindu Religious Education through Digital Literacy Suciartini, Ni Nyoman Ayu; Darmini, Darmini; Payuyasa, I Nyoman
EDUKASI: Jurnal Penelitian Pendidikan Agama dan Keagamaan Vol. 22 No. 1 (2024): EDUKASI: Jurnal Penelitian Pendidikan Agama dan Keagamaan
Publisher : Badan Litbang dan Diklat Kementerian Agama RI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32729/edukasi.v22i1.1717

This study highlights the ideal ratio between the number of lecturers and students in Islamic Education classes at the Faculty of Economics, Udayana University, Bali. With only one lecturer teaching 200 students, this imbalance is a significant concern, especially amidst worries about the spread of extremism and exclusivism on campus. The research aims to evaluate the learning process, religious moderation attitudes among lecturers and students, and factors influencing religious moderation attitudes among students. Using a qualitative descriptive method and a case study design, data were collected through observation, in-depth interviews, and questionnaires, and analyzed using descriptive analysis techniques. The findings indicate that the ratio of Islamic Education lecturers to students does not meet government standards, despite the implementation of various teaching methods. Nevertheless, attitudes towards religious moderation are generally positive, although there are indications of a lack of moderation among some students. Internal and external factors were identified as influencing factors on religious moderation attitudes. These findings emphasize the need for ongoing efforts to improve the quality of Islamic Education learning through enhancing lecturer competencies and implementing programs to strengthen religious moderation in higher education, aiming to promote tolerance and reinforce religious moderation among students.

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