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All Journal LINK Jurnal Riset Kesehatan Jurnal Ilmiah Pangabdhi Jurnal Imejing Diagnostik Jurnal Rekam Medis dan Informasi Kesehatan Jurnal Radiografer Indonesia

Emi Murniati

Poltekkes Kemenkes Semarang

Author-ID : 3064197

Humanities Health Professions Medicine & Pharmacology Social Sciences Other

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AKURASI PETANDA BIOKIMIA COMP DAN CTX-II SEBAGAI PREDIKTOR AWAL OSTEOARTRITIS GENU Fatimah Fatimah; Sugiyanto Sugiyanto; Emi Murniati; Ary Kurniawati
Jurnal Riset Kesehatan Vol 5, No 2 (2016): NOVEMBER 2016
Publisher : Poltekkes Kemenkes Semarang

Petanda biokimia COMP dan CTX-II sensitif untuk mendeteksi awal terjadinya osteoartritis genu. Namun demikian, bila dilihat dari hasil penilaian citra digital radiografi genu menggunakan Kellgren-Lawrence (KL) grade, ternyata grading osteoartritis genu belum tentu sesuai dengan hasil pemeriksaan kadar COMP dan CTX-II. Jenis penelitian ini adalah cross-sectional dengan observasional analitik. Sebanyak 36 responden dipilih berdasarkan hasil citra digital radiografi genu proyeksi AP weight bearing kanan dan kiri dengan KL grade less than 2. COMP diambil dari pembuluh darah vena perifer sebanyak 10 ml dan CTX-II diambil dari urin. Penentuan kadar COMP dan CTX-II menggunakan enzyme-linked immunosorbent assay (ELISA). Analisa data dilakukan dengan uji Receiver Operating Characteristic (ROC) dan uji Chi Square. Hasil penelitian menunjukkan tingkat akurasi kadar COMP terhadap osteoartritis genu; sensitifitas 96,30%, spesifisitas 33,33%, prediksi positif 81,25% dan prediksi negative 75% terhadap prevalensi OA 75%, serta terdapat hubungan yang signifikan (p = 0,041) dengan kekuatan hubungan kuat (0,778). Sedangkan tingkat akurasi kadar CTX-II terhadap osteoartritis genu; sensitifitas 59,26%, spesifisitas 77,78 %, prediksi positif 88.89% dan prediksi negative 38.89% terhadap prevalensi OA 75%, terdapat hubungan yang tidak signifikan (p = 0,121) dengan kekuatan hubungan lemah (0,305). Petanda biokimia COMP lebih akurat dalam menentukan diagnosa osteoartritis genu dibandingkan petanda biokimia CTX-II.

SERTIFIKASI KEAHLIAN PETUGAS PROTEKSI RADIASI (PPR) DAN CT SCAN DASAR TERHADAP PENYERAPAN LULUSAN DI DUNIA KERJA Edy Susanto; Emi Murniati; Agung Nugroho Setiawan
Jurnal Riset Kesehatan Vol 5, No 1 (2016): Mei 2016
Publisher : Poltekkes Kemenkes Semarang

This research aims to analyze the skills certification in Radiation Protection Officer (PPR) and Basic CT Scan for graduates in relation with the absorption of graduates employment. The type of research is descriptive qualitative study approach. Subjects were graduates from Diploma program of TRR Semarang and Purwokerto, specialist doctors and radiographers as users of graduates. Data taken from observation and check list/survey of alumni, interviews and focus group discussions. The results of this research are skills certification of Radiation Protection Officer (PPR) provides benefits in terms of radiation protection skills and provide more value when applying on the job. In addition, the ability in the field of radiation protection will ensure radiation safety for patients, radiation workers and community/environment. Basic CT Scan skills certification provides benefits in operating aircraft proficiency CT scans, particularly on the basis of the examination, as add value of graduates and make graduates quickly adjust to working conditions.

The Analyzis Of Computed Radiography (CR) Utilization To The Patient Safety Effort In Radiographic Examination In Hospital Dartini Dartini; Emi Murniati; Rini Indrati
Jurnal Riset Kesehatan Vol 2, No 2 (2013): Mei 2013
Publisher : Poltekkes Kemenkes Semarang

This research is a descriptive study with quantitative and qualitative approaches. Data were obtained from five Clinical Practice Hospitals with Focused Group Discussion. Data were analyzed with descriptif Method. The result shows that the radiographers tend to use higher Expossion Factor and Wider Collimation Field. because the Vendor and Aplicant has informed that CR operation need higher energy and the appearance of noise when the image being manipulated in CR will be lower if high mAs and kV are used. Another affecting factor is prefer images with high density. Radiographers tend to use wider Collimation Field to prevent image cut-off, resize-able image in CR, and availability of widest Imaging Plate size (35x43). Based on that results, optimal exposure factor and precise collimation field should be used in CR in order to minimize the patient dose.

Pendampingan dan Pelatihan Media Buku Saku oleh Kader Sebagai Motivator Keberhasilan Pemberian ASI Eksklusif pada Ibu Rumah Tangga Anjar Astuti; Krisdiana Wijayanti; Emi Murniati; Herlina Tri Damailina
Jurnal Ilmiah Pangabdhi Vol 6, No 2: Oktober 2020
Publisher : LPPM Universitas Trunojoyo Madura

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21107/pangabdhi.v6i2.7561

Cakupan pemberian ASI Eksklusif di Indonesia masih rendah, diantaranya disebabkan rendahnya pengetahuan ibu dan kurangnya kesadaran. Peran kader dalam kesehatan yaitu sebagai pelaku penggerakan masyarakat dalam peningkatan kesehatan ibu bayi. Masalah yang dialami kader yaitu kurangnya pengetahuan dan cara untuk melakukan monitoring pemberian ASI Eksklusif pada ibu menyusui. Media buku saku sebagai motivator keberhasilan pemberian ASI pada ibu rumah tangga dan dapat digunakan untuk meningkatkan pengetahuan kader. Tujuan pengabmas ini adalah untuk meningkatkan pengetahuan kader serta dapat digunakan untuk memonitoring pemberian ASI secara Ekslusif. Sasaran pada pengabdian masyarakat ini adalah ibu kader di Desa Sidomulyo yang berjumlah 37 orang. Pelaksanaan pengabdian masyarakat di lakukan di desa Sidomulyo. Kegiatan yang dilakukan adalah melakukan pelatihan dan pendampingan kepada para kader dalam penggunaan buku saku sebanyak 2x pertemuan serta pembentukan kader sang motivator ASI Eksklusif. Evaluasi dilakukan pada hari ke-2 pengabmas dengan tes pengetahuan dan praktek melakukan monitoring pemberian ASI Eksklusif. Monitoring pengabmas dilakukan setiap bulan selama 3 bulan saat posyandu. Hasil : uji paired t-test menunjukkan bahwa ada perbedaan pengetahuan sebelum dan sesudah pelatihan dengan nilai signifikan p=0.000 (p0.05) dan ada perbedaan ketrampilan kader sebelum dan sesudah pelatihan p=0.000 (p0.05). Simpulan : Ada peningkatan pengetahuan dan ketrampilan kader dalam memonitoring pemberian ASI Eksklusif. Saran: kegiatan pengabmas bisa dilaksanakan secara kontinue agar kader dapat memberikan kontribusi langsung kepada masyarakat dalam memotivasi ibu untuk menyusui secara Eksklusif dan memonitoring pemberian ASI Eksklusif sehingga ibu menyusui sukses memberikan ASI Eksklusif kepada bayinya.

TREATMENT OF RADIOTHERAPHY MONOISOCENTRIC TECHNIQUE IN CASES OF NASHOPHARANGEAL CANCER AT UNIT RADIOTHERAPHY INSTALLATION RADIOLOGY RSUP DR. SARDJITO YOGYAKARTA Hafsi Afrizun Khatamsi; Rini Indrati; Emi Murniati
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.v4i1.3973

Background: Monoisocentric technique is a recomended technique for examination of nasopharangeal cancer radiotheraphy, but most hospital has not applied this technique, while in Dr. Sardjito Yogyakarta Hospita use this technique has not been done consistently because technique monoisocentric need high-precision tool and techniques monoisocentric of nasopharangeal cancer and why monoisocentric technique used in nasopharangeal cancer in Unit Radiotheraphy Instalation Dr. Sardjito Yogyakarta Hospital.Methods: This type of research is qualitative with case study approach. the data was collected in November-December 2017 at radiotherapy Installation of Dr. Sardjito Yogyakarta Hospital by observation methodology, interview with Radiation Oncologist Specialist, Medical Physiciast and Radiographer. the data obtained from the study were analyzed by an interactive model, creating the interview transcripts subsequently reduced and processed within the type of open coding, given within the type of quotations then are often drawn conclusions.Result: Base of the results of reserch in Unit Radiotheraphy Instalation Dr. Sardjito Yogyakarta Hospital, includes patient examination and staging, CT Simulator, TPS planning, geometry verification and radiotheraphy radiation process. Monoisocentric techniquebare used because irradiation time getting faster, minimize the accurrence of hot spots and cold spot, dose distribution homogeneousConclusion: Administration of mono-centric technique of Nasopharyngeal cancer in Dr. Sardjito Yogyakarta, conducted in several stages: staging, CT simulator, TPS planning (field calculation, isocenter location, beam direction and dosage per fraction), geometry verification (comparing DRR and actual irradiation and values should not be 0.2 mm) and continued with radiotherapy radiation in LINAC treatment room. The aim of using monoisocentric technique in case of nasopharyngeal carcinoma at Radiotherapy Unit of Radiology Installation of Sardjito Yogyakarta was obtained by shorter real time irradiation time, the happening of hot spot and cold spot in the field of radiation between local field of nasopharynx and locoregional become smaller, homogeneous dose distribution.

Perbedaan Informasi Anatomi Sekuen T1WI FSE dengan Fat Saturasi dan Tanpa Fat Saturasi pada Pemeriksaan MRI Kepala Irisan Axial Post Media Kontras Dwi Kristiyanto; Mohamad Irwan Katili; Emi Murniati
Jurnal Imejing Diagnostik (JImeD) Vol 3, No 1: January 2017
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v3i1.3181

Background: MRI of head post contrast media T1WI with Fat saturation the lesions appear bright whereas the organs around the fat looks darker. The purpose of this study was determine the difference in anatomical information of MRI Head FSE sequences T1 weighted axial slice using fat saturation and without fat saturation.Methods: This research is a quantitative research to determine differences in anatomical MRI information head with FSE sequences T1 weighted axial slice using Fat Fat Saturation Saturation and without air MRI on 1.5 T. The results are summarized and described to determine the value of anatomic information. Then proceed with the Wilcoxon test to see differences in anatomical information on T1 weighted MRI with Chief FSE And without Fat Fat Saturation Saturation.Result : The results obtained results description clearer criteria on the use of Fat Saturation is a pathological lesions without Fat Saturation is the maxillary sinus, orbit, skull base, CSF, Sulcus gyrus, cutis and sub cutis. For the p value is 0.108 (p 0.05) there was no significant difference MRI anatomical information chief weighted FSE T1 sequence axial pieces with Fat Saturation and without Fat SaturationConclusion : : From the analysis of quantitative seen that there are no differences in the anatomy of the head of information at the head MRI examination (p 0.05) between Fat saturation and Non Fat Saturation.

Prosedur Pemeriksaan MRI Leher pada Kasus Karsinoma Nasofaring di Instalasi Radiologi RS Ken Saras Kabupaten Semarang Yeti Kartikasari; Emi Murniati; Muhammad Sakur
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.v7i1.6613

Background: Magnetic Resonance Imaging (MRI) is a diagnostic imaging modality that can generate slices anatomy body multiplanar by contrast in a very good resolution. The results of the of an MRI description is more accurate for diagnosing Carcinoma of the nasopharynx. On examination of of the neck MRI with the case of carcinoma, after infusion of contrast Moeller and Reif (2003) suggested to use T1 TSE Coronal and axial sequence and using the 4 mm slice thickness , but in Radiology instalation of Ken Saras Hospital using T1 and T1 TSE TSE Fat Saturation Coronal, sagittal and axial sequence as well as using slice thickness 2 mm in axial slices. The purpose of this research is to know the procedure of examination of of the neck MRI in the case of Carcinoma of the nasopharynx, justifying T1 Fat Saturation sequence after infusion media kontaras and reasons of wearing slice thickness 2 mm in axial slices.Methods: This type of research is qualitative research with case studies approach. Data retrieval is done by observation, documentation, interviews with two specialists in radiology, 2 radiografer and 1 doctor who send the patient. The data obtained analized by using the table categorisation and coding.Result: The results of the research showed that MRI examination procedure of the neck in the case of Carcinoma of nasopharynx in Radiology Installation of Ken Saras hospital using T1 TSE multi planar (coronal, sagittal and axial), T2 TSE multi planar and T2 TSE Fat Saturation multi planar sequences before infusion of contrast media, T1 and T1 TSE TSE Fat Saturation multi planar sequences after infusion contrast and using the slice thickness 2 mm in axial slices. Addition sequence T1 TSE Fat Saturation after infusion of contrast aimed to clarify the limits of the tumor with surrounding tissue and image of Lymphadenopathy.Conclusion: While using 2 mm slice thickness in axial slices aims to show the abnormalities or nodules-small nodules on the nasopharynx and to see the expansion Stadium in the surrounding area of the nasopharynx.

DIFFERENCES OF ACCELERATION FACTOR APPLICATION TOWARD CHARACTERISTICS OF DIAGNOSTIC IMAGE T2WI FSE IN MRI LUMBAL HERNIATED NUCLEUS PULOSUS (HNP)CASE Ildsa Maulidya; Gatot Murti Wibowo; Emi Murniati
Jurnal Imejing Diagnostik (JImeD) Vol 4, No 2: July 2018
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v4i2.4005

Background : Patients with HNP cases have a bigger chance to do a movement during MRI examination, and it causes poor MRI image. Quick time of MRI examination is needed to produce an optimal image. The technique of parallel imaging is a technique that can increase the speed of MRI data acquisition by passing through several lines of phase encoding in k-space. The GRAPPA technique is one of the methods used to reconstruct data on MRI parallel imaging techniques with better overall image quality. The technique of parallel imaging has a special parameter called acceleration factor. Acceleration factor (R-factor) will affect scan time. The purpose of this research is to know the difference of diagnostic image characteristic which is resulted in applying acceleration factor 2, 3 and 4 in parallel imaging of GRAPPA method and know the optimal acceleration factor to obtain MRI image of lumbar HNP case.Methods : This research type is quantitative research with descriptive approach. The study was conducted by MRI Siemens 3 T in RSUD Dr. Soedono Madiun. The data were 30 MRI images of lumbar sagittal of HNP cases on T2WI FSE with acceleration factor 2, 3 and 4 GRAPPA methodsResult : The results of this study indicate that there are differences in diagnostic image characteristics in the application of acceleration factor 2 and 4, 3 and 4 with VGA test. Acceleration factor value optimal with VGC test known is acceleration factor 2 and 3Conclusion : Based on the result there was differencediagnostic image characteristics of MRI Lumbar in sagital plane Fast Spin Echo (FSE)sequence with variation acceleration factor 2, 3 and 4 parallel imaging GRAPPA methode in case Herniated Nucleus Pulposus (HN0). Optimal value of variation acceleration factor value for MRI Lumbar examination of Heniated Nucleus Pulposus (HNP) is 2 dan 3.

PERBEDAAN PENERAPAN ACCELERATION FACTOR TERHADAP KARAKTERISTIK CITRA DIAGNOSTIK T2WI FSE PADA MRI LUMBAL KASUSHERNIATED NUCLEUS PULPOSUS (HNP) Maulidya Nasokha Ildsa; Gatot Murti Wibowo; Emi Murniati
Jurnal Imejing Diagnostik (JImeD) Vol 5, No 2: July 2019
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v5i2.4464

Background: Patients with HNP cases have a bigger chance to do a movement during MRI examination, and it causes poor MRI image. Quick time of MRI examination is needed to produce an optimal image. The technique of parallel imaging is a technique that can increase the speed of MRI data acquisition by passing through several lines of phase encoding in k-space. The GRAPPA technique is one of the methods used to reconstruct data on MRI parallel imaging techniques with better overall image quality. The technique of parallel imaging has a special parameter called acceleration factor. Acceleration factor (R-factor) will affect scan time. The purpose of this research is to know the difference of diagnostic image characteristic which is resulted in applying acceleration factor 2, 3 and 4 in parallel imaging of GRAPPA method and know the optimal acceleration factor to obtain MRI image of lumbar HNP case.Methods: This research type is quantitative research with descriptive approach. The study was conducted by MRI Siemens 3 T in RSUD Dr. Soedono Madiun. The data were 30 MRI images of lumbar sagittal of HNP cases on T2WI FSE with acceleration factor 2, 3 and 4 GRAPPA methodsResult: The results of this study indicate that there are differences in diagnostic image characteristics in the application of acceleration factor 2 and 4, 3 and 4 with VGA test. Acceleration factor value optimal with VGC test known is acceleration factor 2 and 3Conclusion: Based on the result there were differencediagnostic image characteristics of MRI Lumbar in sagital plane Fast Spin Echo (FSE)sequence with variation acceleration factor 2, 3 and 4 parallel imaging GRAPPA methode in case Herniated Nucleus Pulposus (HN0). The optimal value of variation acceleration factor value for MRI Lumbar examination of Heniated Nucleus Pulposus (HNP) is 2 dan 3.

Analisis Informasi Citra Antara Sekuens T2 FRFSE dengan T2 Propeller pada pemeriksaan MRI Cervikal Potongan Axial dengan Pesawat MRI GE Signa 1,5 T Sri Adhi Lukito; Darmini Darmini; Emi Murniati
Jurnal Imejing Diagnostik (JImeD) Vol 3, No 2: July 2017
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v3i2.3197

Backgroud:research has been done on the difference of image information for T2 FRFSE sequences and T2PROPELLER in Radiology Installation of General Hospital Dr Moewardi. The aim of this study is to determine THE differences of the image information between T2 FRFSE sequences and T2PROPELLER sequences and determine the best sequence between T2 PROPELLER with T2 FRFSE in cervical MRI examination of Spine Axial Slice.MethodsThis research is a quantitative study with experimental approach in Radiology Installation Dr. Moewardi Hospital. Data is collected on examination MRI Cervical in 15 patients, after a Cervical MRI scanning with sagittal slice T2 FRFSE sequences, and then performed scanning T2 PROPELLER sequences on Axial slice. Presented to the three doctors radiologist to assess. Once the image judged by the three respondents, the data analyse by using SPSS 17.0 with Wilcoxon test.Results:the result showed obtained significance value 0,001 or p value 0,05 Which means that there are differences image information between T2 FRFSE sequences and T2 PROPELLER sequences. Sequens T2 PROPELLER better than sequens T2 FRFSE in MRI CervicalAxial slice.Conclusion:Mean value of the same rank on the anatomy of the vertebral body and the soft tissue of the neck are 5.50 and 4.00 , while the mean rank differently on intraforamen structure is 6.5 , nerve root is 5.56 , so that the spinal cord was 6.15 T2 PROPELLER still better.

Co-Authors Adhani Windari Agung Nugroho Setiawan Ahda Nur Arifah Akhmad Haris Sulistyadi Anjar Astuti Ary Indra Wicaksono Ary Kurniawati Ary Kurniawati Darmini Darmini Dartini Dartini Dwi Kristiyanto Dwi Rochmayanti Dwi Rochmayanti Edy Susanto Edy Susanto Fatimah Fatimah Fatimah Fatimah Gatot Murti Wibowo Gatot Murti Wibowo Gatot Murti Wibowo Hafsi Afrizun Khatamsi Herlina Tri Damailina Ildsa Maulidya Mar'athus Nasokha Irwan Katili Jannah, Marichatul Jeffri Ardiyanto Krisdiana Wijayanti Mohamad Irwan Katili Muhamad Marno Alamsyah Muhamad Marno Alamsyah Muhammad Irwan Katili Muhammad Sakur Novelin Safitri Maulida Rachman Kusumadi Rasyid Rasyid Rasyid Rasyid Rini Indrati Rini Indrati Siti Daryati Siti Masrochah Sri Adhi Lukito Sri Mulyati Sri Mulyati Sri Mulyati Sugiyanto Sugiyanto Sugiyanto Sugiyanto Thuthit Dwi Astuti Yeti Kartikasari Yeti Kartikasari

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