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All Journal Mutiara Medika: Jurnal Kedokteran dan Kesehatan Jurnal Imejing Diagnostik Jurnal Manajemen Kesehatan Yayasan RS.Dr. Soetomo Proceedings of the International Conference on Applied Science and Health Journal of Applied Health Management and Technology Jurnal Ners Jurnal Multidisiplin Madani (MUDIMA) JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit)
Gatot Murti Wibowo, Gatot Murti
Technic of Radiodiagnostic and Radiotherapy Department, Polytechnic Health Ministry of Semarang
Civil Engineering, Building, Construction & Architecture Decision Sciences, Operations Research & Management Economics, Econometrics & Finance Education Health Professions Industrial & Manufacturing Engineering Medicine & Pharmacology Nursing Public Health Social Sciences

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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

Abstract

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

Abstract

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 (R&D) 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.
Pengembangan Model Aplikasi Pelatihan Pengendalian Mutu Computed Tomography (CT) Berbasis American College of Radiology (ACR) Phantom Terintegrasi Web Harnanto, Rudy; Adi, Kusworo; Dartini, Dartini; Wibowo, Gatot Murti; Rasyid, Rasyid
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.v11i2.13457

Abstract

Background: The use of Viewdex as a tool for radiographic image evaluation has limitations in flexibility for students, particularly in the installation and input of DICOM ACR image results, which can be complex. This study aims to: (1) Evaluate the performance of the CT Scan training application for the Applied Bachelor Program in Radiologic Imaging Technology at Poltekkes Kemenkes Semarang, based on ViewDex; (2) Develop a web-integrated CT Scan quality control training application based on the ACR Phantom; (3) Measure the performance of the web-integrated CT Scan quality control training application based on the ACR Phantom.Methods: The research method used is Research and Development (R&D), which includes literature study, product development, field testing, evaluation, and product revision. The developed application simplifies the process of importing DICOM data, coding questions, and automatic evaluation, thus improving operational efficiency.Results: Validation by IT and QA/QC experts shows that the application meets high standards with 100% validity. Blackbox testing, which includes general functionality, security, compatibility, performance, usability, dashboard, and user interface, showed that the application is valid and operates well without significant errors. Performance evaluation through pre-test and post-test indicated a significant improvement in participants' knowledge and skills, with the Wilcoxon test yielding a p-value of 0.005, indicating a significant difference between conditions before and after using the application.Conclusions: in conclusion, the developed application is effective and efficient in enhancing student usability and learning experience, overcoming the limitations of Viewdex. This application enables efficient management and analysis of medical images and data, making it well-prepared to support CT quality control training with high-quality standards.
Effective Use of Web-Based Credential Method for Radiographers Wahyuni, Wilda; Adi, Kusworo; Wibowo, Gatot Murti; Hariri, Ahmad
Jurnal Multidisiplin Madani Vol. 3 No. 10 (2023): October, 2023
Publisher : PT FORMOSA CENDEKIA GLOBAL

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55927/mudima.v3i10.6394

Abstract

The radiographer credential is an evaluation process to determine the eligibility of clinical privilege granted to radiographers. This study aims to determine the effectiveness of the web-based radiographer credential method that has been developed by hospital IT. The method used was qualitative descriptive with the distribution of questionnaires to users of 25 respondents. The research variables used were system quality, information quality, service quality, user intention, user satisfaction and net benefit with a pre-experimental design of one group pre and post test Wilcoxson test. The effectiveness test results of the web-based radiogafer credential method are very effective with Asymp.Sig. (2-tailed) 0.000 (<0.05). This shows that web-based Credential Applications are very good and effective utilization
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.
Kesenjangan Pendidikan dan Praktik: Analisis Kualitatif Pemanfaatan Lulusan Ultrasonografi di Fasilitas Pelayanan Kesehatan Indonesia Nurhasuna, Nurhasuna; Susanto, Edy; Nugroho, Agung; Wibowo, Gatot Murti; Kartikasari, Yeti; Hariri, Ahmad
Jurnal Ners Vol. 10 No. 1 (2026)
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i1.52204

Abstract

Penelitian ini dilatarbelakangi oleh belum optimalnya pemanfaatan lulusan konsentrasi ultrasonografi (USG) di fasilitas pelayanan kesehatan, meskipun pendidikan berbasis kompetensi telah diterapkan. Tujuan penelitian adalah menganalisis kesesuaian penempatan kerja, relevansi kompetensi, serta faktor pendukung dan penghambat pemanfaatan profesional lulusan USG Poltekkes Kemenkes Jakarta II. Penelitian menggunakan desain deskriptif kualitatif dengan pengumpulan data melalui tiga Focus Group Discussion, wawancara mendalam dengan pemberi kerja, serta analisis dokumen tracer study dan kurikulum. Analisis tematik Braun dan Clarke digunakan untuk mengidentifikasi pola temuan. Hasil penelitian menunjukkan empat tema utama: pola kerja yang belum sepenuhnya sesuai kompetensi, relevansi kompetensi yang kuat namun tidak selalu diakui, faktor pendukung berupa kurikulum komprehensif, paparan klinik, dan mentorship, serta hambatan struktural seperti ketiadaan pengakuan formal profesi sonografer, ketidakjelasan klasifikasi jabatan, dan ambiguitas regulasi lingkup praktik. Sebanyak 59,04% lulusan bekerja sebagai sonografer penuh atau sambilan, sementara sisanya berada pada peran umum atau non-klinis. Kesimpulannya, lulusan memiliki kompetensi teknis yang baik, tetapi pemanfaatan mereka masih terhambat oleh ketidaksinkronan antara pendidikan, regulasi, dan struktur ketenagakerjaan. Reformasi kebijakan dan penegasan lingkup praktik diperlukan untuk meningkatkan integrasi profesional sonografer.
Co-Authors Agung Nugroho Setiawan Agustina Dwi Prastanti, Agustina Dwi Ari Suwondo Bagus Dwi Handoko, Bagus Dwi Bambang Satoto, Bambang Bedjo Santoso Kadri Budiati, Tri Asih Darmini Darmini Dartini Dartini, Dartini Dwi Rochmayanti edy susanto Fajriyah, Ayu Yuliana fatimah Fatimah Hanifan, Arinal Hanifan Hari Santoso Hariri, Ahmad Harnanto, Rudy Hidayatullah, Mohamad I Made Lana Prasetya Izzudin, Muhammad Jeffri Ardiyanto Kurniawan Saputra Kusworo Adi Lokatara, Sista Lokatara M. Choiroel Anwar M.Pd S.T. S.Pd. I Gde Wawan Sudatha . MAIZZA NADIA PUTR MUSLIMAH PUTRI UTAMI Nugroho, Agung Nuha, M. Dzawin Nur Hayati Nurhasuna, Nurhasuna Pranandya, Brian Ilham Puspita, Mega Indah Rasyid Rasyid, Rasyid Rini, Regi Kusuma Romadhoni, Efriza Nur Setjadiningra, Rr. Lydia Purna Widyastuti Siti Daryati, Siti Sri Mulyati Suan, Kesita Grace Natalia Sudiyono Sudiyono Suryono Suryono Ummah, Sylvia Ishlahul Wahyuni, Wilda Yeti Kartikasari, Yeti