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Journal : Journal of Applied Health Management and Technology

THE ROLE OF DCM4CHEE AS AN OPEN SOURCE PACS IN THE RADIOLOGY DEPARTMENT OF PRIMAYA HOSPITAL SEMARANG Nuha, M. Dzawin; Wibowo, Gatot Murti; Setjadiningra, Rr. Lydia Purna Widyastuti; Saputra, Kurniawan; Puspita, Mega Indah; Pranandya, Brian Ilham
Journal of Applied Health Management and Technology Vol 6, No 1 (2024): April 2024
Publisher : Politeknik Kesehatan Kementerian Kesehatan Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jahmt.v6i1.10886

Abstract

This research explores the potential use of DCM4CHEE as an open-source Picture Archiving and Communication System (PACS) that is highly flexible for development in the current era. Despite being open source, DCM4CHEE has proven to be effective and reliable in healthcare settings, particularly in radiology department. Primaya Hospital Semarang has successfully implemented DCM4CHEE as an integrated archive system directly connected to CT Scan and Conventional X-Ray modalities. Direct observations were conducted over a significant period at the radiology installation of Primaya Hospital Semarang, which utilizes DCM4CHEE. This provided direct insights into how the system is implemented and used in practical situations. Furthermore, in-depth interviews were conducted with radiographers to gain their perspective on the experience of using DCM4CHEE. The research results indicate that the use of DCM4CHEE contributes positively in various aspects, including user-friendly operation, adequate utility, workflow improvement, and cost savings in healthcare services. The implementation of this software not only aids in the efficient management of radiological data but also reduces dependence on traditional filming systems, supporting the transition towards a paperless workflow. In conclusion, DCM4CHEE is reliable and highly beneficial in the context of healthcare services. Its adaptability allows seamless integration with Hospital Information Systems (HIS) and Radiology Information Systems (RIS), enhancing overall interoperability and efficiency. This research provides a foundation for recommending the use of DCM4CHEE as a customizable PACS solution that can positively contribute to improving the quality of radiology services in various healthcare department.
THE ROLE OF DCM4CHEE AS AN OPEN SOURCE PACS IN THE RADIOLOGY DEPARTMENT OF PRIMAYA HOSPITAL SEMARANG Nuha, M. Dzawin; Wibowo, Gatot Murti; Setjadiningra, Rr. Lydia Purna Widyastuti; Saputra, Kurniawan; Puspita, Mega Indah; Pranandya, Brian Ilham
Journal of Applied Health Management and Technology Vol. 6 No. 1 (2024): April 2024
Publisher : Postgraduate Program , Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jahmt.v6i1.10886

Abstract

This research explores the potential use of DCM4CHEE as an open-source Picture Archiving and Communication System (PACS) that is highly flexible for development in the current era. Despite being open source, DCM4CHEE has proven to be effective and reliable in healthcare settings, particularly in radiology department. Primaya Hospital Semarang has successfully implemented DCM4CHEE as an integrated archive system directly connected to CT Scan and Conventional X-Ray modalities. Direct observations were conducted over a significant period at the radiology installation of Primaya Hospital Semarang, which utilizes DCM4CHEE. This provided direct insights into how the system is implemented and used in practical situations. Furthermore, in-depth interviews were conducted with radiographers to gain their perspective on the experience of using DCM4CHEE. The research results indicate that the use of DCM4CHEE contributes positively in various aspects, including user-friendly operation, adequate utility, workflow improvement, and cost savings in healthcare services. The implementation of this software not only aids in the efficient management of radiological data but also reduces dependence on traditional filming systems, supporting the transition towards a paperless workflow. In conclusion, DCM4CHEE is reliable and highly beneficial in the context of healthcare services. Its adaptability allows seamless integration with Hospital Information Systems (HIS) and Radiology Information Systems (RIS), enhancing overall interoperability and efficiency. This research provides a foundation for recommending the use of DCM4CHEE as a customizable PACS solution that can positively contribute to improving the quality of radiology services in various healthcare department.
DEVELOPMENT OF TOOLS OF THE X-RAY COLLIMATOR (DEV-X) Prasetya, I Made Lana; Santoso, Hari; Wibowo, Gatot Murti
Journal of Applied Health Management and Technology Vol. 2 No. 4 (2020): October 2020
Publisher : Postgraduate Program , Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jahmt.v2i4.6386

Abstract

Background: Technological developments, especially in the field of radiology, is growing rapidly. The radiology quality assurance system has also developed, one of which is the Collimator Test Tools. The method of testing x-ray beams using this tool has also been developed, such as using film and using IP. However, the development of this method has a drawback, namely that the examiner is required to have special skills in image post-processing. The development of Collimator Test Tools by utilizing the nature of x-rays which causes certain substances such as calcium tungstate or zinc sulfide to glow light (luminance) has been done a lot, but there is no study of these products. Therefore, the researcher wants to develop a product by designing a Collimator test tool based on digital image analysis technology (Dev-X) and a digital camera with Android-based calculations on a wirelessly connected smartphone as an update of the testing method. Objective: To create a collimator test tool for x-ray machines based on digital image analysis technology (Dev-X). Methods: This is a research experiment with a posttest group only design type. Research Location at the Radiology Laboratory of the Radiodiagnostic and Radiotherapy Engineering Academy (ATRO) Bali. Result: Functional Test of Dev-X Products (hardware and software), all components function properly. However, it cannot be assessed significantly from statistical results. Conclusion: The creation and proper functioning of hardware and software tools collimator test tool Dev-Xon android smartphone and show the calculation results of the x-ray beam automatically.    
ANALYSIS OF LINEAR ACCELERATOR (LINAC) AS CANCER TREATMENT IN KEN SARAS HOSPITAL, SEMARANG Utami, Muslimah Putri; Wibowo, Gatot Murti; Hidayatullah, Mohamad
Journal of Applied Health Management and Technology Vol. 3 No. 2 (2021): April 2021
Publisher : Postgraduate Program , Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jahmt.v1i2.6662

Abstract

Background: Based on riskesdas data in 2013, the prevalence of cancer in Indonesia reached 1.4% or around 347,792 people. The technique used at Kensaras Hospital for the use of Electalinac for IMRT engineering and Linac Siemens for 3D engineering with energies of 5 mV, 7 mV, 8 mV, 10 mV, 12 mV, 14 mV. Radiotherapy simulation using the GE 16 slice CT Simulator with adequate space, thermoplast masks, individual blocks and universal blocks, and bolus. Constraints that occur in the use of blocks for Siemens linac which still use manual blocks do not use MLC.Methods: Research analysis using SRL PICO method seeks clinical information in scientific evidence-based health science practices. The results of literature search show that the goal of radiotherapy is to provide the maximum radiation needed to kill cancer, while the minimum to the surrounding healthy tissue.Results: The static MLC method is a method in which the MLC moves to form a segment when the radiation stops and MLC stops as long as the radiation lasts for each gantry angle and MLC stops for radiation and so on for each gantry angle. Meanwhile, the kensaras hospital for Linac Siemens still uses a manual block made from a chimney and is attached to the linacgantry which is prone to falling and having to replace the block every corner. Conclusion: Radiation therapy with a linear electron accelerator is experiencing rapid development and is a cancer therapy that is relatively inexpensive and does not provide radioactive waste. The use of MLC is safer and can move to form segments when radiation stops and MLC stops during radiation for each angle of the gantry. 
ANALYSIS OF WINDOW WIDTH VARIATION ON IMAGE ANATOMICAL INFORMATION MSCT STONOGRAPHY Izzudin, Muhammad; Wibowo, Gatot Murti; Hidayatullah, Mohamad
Journal of Applied Health Management and Technology Vol. 3 No. 2 (2021): April 2021
Publisher : Postgraduate Program , Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jahmt.v1i2.6855

Abstract

Multi Slice Computed Tomography is a diagnostic imaging method that can display cross section anatomy in the axial, sagital, and coronal areas. MSCT Stonography imaging both visualizes the anatomy of the urinary tract and stone pathology supported by the presence of ureter tracking techniques and without using contrast media. On this method, the appropriate window width will produce an optimal anatomical picture. The Study aims to determine the effect of window width on anatomical image information on MSCT Stonography.Type of research is quantitative experimental approach, conducted in January-February 2020 in Hasan Sadikin Bandung hospital, Bandung. Research with variations  in window width 300 HU, 350 HU, 400 HU, 450 HU, and 500 HU on MSCT stonography og 10 patients. Criteria’s patients is patients with clinical kidney stones, willing to be a research sample. Result imagery rated two respondents, include parenchymal kidney, pelvic calices kidney, ureters, vesica urinary, and stones kidney. Then do Kappa test continued testing Friedman to know the highest mean rank and the influence og the window width oh the image og MSCT stonography.Based on the result of the Friedman statistical test overall anatomy obtained significance value (p-value) = 0.000 < 0.05 means that there is an influence of window width value, the contrast resolution will increase and the better the firm boundary, but the resulting image will be more radioluscent. Based on Friedman’s mean rank test result obtained the highest mean rank of 3,54 in a variation of window width 300. The most optical window displays anatomy information using window width 300. Keyword : window width, MSCT stonography
Gel Formulation and Evaluation Of Cassava (Manihot esculenta) Flour As Accoustic Coupling Agent (ACA) Ultrasonography Romadhoni, Efriza Nur; Putri, Maizza Nadia; Hanifan, Arinal Hanifan; Fajriyah, Ayu Yuliana; Lokatara, Sista Lokatara; Wibowo, Gatot Murti
Journal of Applied Health Management and Technology Vol. 4 No. 2 (2022): April 2022
Publisher : Postgraduate Program , Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jahmt.v4i2.8420

Abstract

Background: World consumption of hydrogels from synthetic polymers is more than one million tons per year (El Mohdi, 2009). This can cause serious environmental damage problems. According to Moorthy (2004), the amylose content of tapioca flour is in the range of 20-27%. Cassava has a high amylopectin content, with the addition of aloe vera, it is hoped that the gel will be safer and better for patients with sensitive skin problems (Jahan, 2020).Methods: Experimental with true experimental design using posttest only control group design.Results: Three different gel formulations were obtained, including A2 gel with a composition of 25 grams of cassava flour, 4 grams of aloe vera gel, 0.1 grams of methyl paraben and 75 mL of distilled water. Gel B2 with a composition of 25 grams of cassava flour, 4 grams of aloe vera gel, 0.1 grams of methyl paraben, 100 mL of distilled water. The composition of the C2 gel includes 25 grams of cassava flour, 4 grams of aloe vera gel, 0.1 grams of methyl paraben and 125 mL of distilled water. Gel A2 has a standard pH and spreadability.Conclusion: The results of the evaluation of the formula have shown conformity with the parameters set so that gel A2 was chosen to be the optimum formula. Keyword : Cassava, Gel, Ultrasonography.