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All Journal Jurnal Imejing Diagnostik JOURNAL ONLINE OF PHYSICS Jurnal Kesehatan Vokasional Jurnal Kreativitas PKM Indonesian Physical Review JPK: Jurnal Proteksi Kesehatan International Journal of Health Science and Technology
Shinta Gunawati Sutoro
Poltekkes Kemenkes Jakarta II
Humanities Computer Science & IT Education Engineering Health Professions Medicine & Pharmacology Nursing Physics Public Health

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Edukasi untuk Deteksi Dini dan Perawatan Lansia dengan Alzheimer di Masa Pandemi Covid-19 Nurbaiti Nurbaiti; Shinta Gunawati Sutoro; Eny Supriyaningsih; Sri Wiwik Wiyanti; Imas Maesaroh
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 6, No 7 (2023): Volume 6 No 7 2023
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v6i7.10093

Abstract

ABSTRAK Poltekkes Kemenkes Jakarta II melaksanakan kegiatan edukasi kesehatan lansia. Penduduk usia lanjut dengan kondisi demensia Alzheimer membutuhkan perhatian khusus. Jumlah penduduk lansia di Indonesia yang kian bertambah menjadi tantangan bagi keluarga-keluarga Indonesia. Kegiatan edukasi dilakukan secara online dalam bentuk workshop untuk memperkenalkan kasus demensia Alzheimer, cara merawat pasiennya dan mendeteksi gejala-gejalanya. Peserta adalah warga kompleks Depsos, para mahasiswa dan masyarakat umum. Tujuan kegiatan ini untuk meningkatkan pengetahuan dan keterampilan peserta mendeteksi dan merawat lansia dengan demensia Alzheimer. Kegiatan dilaksanakan secara online dengan bantuan materi ajar yang dikemas dalam bentuk e-booklet dan video pembelajaran. Kegiatan dilengkapi dengan diskusi dan praktek bersama menggunakan instrumen Clockwise dan senam untuk mencegah penyakit Alzheimer. Kegiatan edukasi terselenggara dengan baik pada saat kondisi pandemi Covid-19. Kata Kunci: Edukasi, Demensia Alzheimer, Clockwise  ABSTRACT Poltekkes Poltekkes Kemenkes Jakarta II carried out health education activities for the elderly. Elderly population with Alzheimer's dementia condition requires special attention. The increasing number of elderly people in Indonesia is a challenge for Indonesian families. Educational activities were carried out online in the form of workshops to introduce Alzheimer's dementia cases, how to treat patients and detect their symptoms. The participants were residents of the Ministry of Social Affairs complex, students and the general public. The purpose of this activity was to increase participants' knowledge and skills in detecting and caring for elderly people with Alzheimer's dementia. Activities carried out online were equipped with teaching materials in the form of e-booklets and learning videos. in this activity there were discussions, practice using Clockwise instruments and gymnastics to prevent Alzheimer's disease. Educational activities were well organized during the Covid-19 pandemic. Keywords: Education, Demensia Alzheimer, Clockwise 
Analisis Efektivitas Apron 0.35 mmPb dalam Melindungi Pekerja Radiasi pada Pemeriksaan Radiografi Muhammad Irsal; Shinta Gunawati Sutoro; Mahfud Edy Widiatmoko; Asumsie Tarigan; Guntur Winarno; Legia Prananto
Jurnal Kesehatan Vokasional Vol 8, No 3 (2023): August
Publisher : Sekolah Vokasi Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkesvo.80499

Abstract

Latar Belakang: Quality Control (QC) pada apron wajib dilakukan satu tahun sekali. Hal ini bertujuan untuk memastikan keamanan pada pekerja radiasi sebelum melakukan prosedur pemeriksaan radiologi sehingga penerimaan dosis radiasi tidak melebihi 20 mSv/ tahun.Tujuan: Menganalisis efektivitas penggunaan apron 0.35 mmPb untuk melindungi pekerja radiasi pada pemeriksaan radiografi.Metode: Penelitian ini dilakukan di laboratorium Jurusan Teknik Radiodiagnostik dan Radioterapi, Poltekkes Kemenkes Jakarta II. Prosedur yang dilakukan pada penelitian adalah dengan simulasi apabila pekerja menerima paparan radiasi primer dan sekunder pada jarak 100 cm dengan rentang faktor eksposi 45-100kVp. Apron yang digunakan berbahan timbal (Pb) dengan ketebalan 0.35 mmPb dan, untuk pekerja radiasi, diganti dengan menggunakan pantom anthorophomorpic. Penggunaan luas lapangan sesuai kondisi klinis yaitu 18 cm x 24 cm, 43 cm x 35 cm, dan kemudian dilakukan analisis efektivitas apron Pb terhadap perubahan faktor eksposi.Hasil: Hasil penelitian menunjukkan bahwa efektivitas penggunaan apron 0.35 mmPb pada rentang tegangan tabung 45-100kVp untuk kedua penggunaan luas lapangan memiliki nilai persentasi yang sama 99.9-93%.Kesimpulan: Peningkatan tegangan tabung menyebabkan terjadinya penurunan atenuasi apron Pb.
Implementasi Pemahaman Radiografer terhadap Exposure Index dalam Optimasi Prosedur Pemeriksaan Radiografi Computed Radiography Muhammad Irsal; Guntur Winarno; Shinta Gunawati Sutoro
Jurnal Imejing Diagnostik (JImeD) Vol 10, No 1: JANUARY 2024
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v10i1.10665

Abstract

Background: Increasing the exposure factor is often carried out by radiographers to reduce noise and maintain image quality in computer radiography (CR). Therefore, there is a need for awareness and understanding of the exposure index (EI) to implement optimization procedures in radiographic examinations. Methods: The research method is descriptive and analytical by providing questionnaires to radiographers in PA chest radiographic examinations. This research was carried out at hospitals A, B, and C in the Jakarta-Bogor area with the research carried out between August – October 2023. Statistical analysis used SPSS 27 with data coding previously. After that, the data is processed with descriptive statistics to determine the frequency, distribution, percentage, average, and standard deviation. Then, the test chi-square to determine the relationship between gender, age, education, and work experience in understanding CR optimization procedures. Next, to find out the relationship between age and weight and EI, a test was carried out by Pearson test to determine the level of relationship between the two variablesResults: was found that the level of awareness and understanding of radiographers regarding optimization procedures using EI is still low. Test results chi-square age-understanding 0.309, gender-understanding 0.772, education-understanding 0.036, experience-understanding 0.201. next are the test results Pearson for Hospital-A: age-EI 0.09, weight-EI -0.49, Hospital-B: age-EI -0.21, weight-EI 0.06, Hospital-C: age-EI -0.37, weight-EI 0.56. Conclusions:  implementing EI in the optimization procedure, it needs to be confirmed by measuring the patient's radiation dose so that there are no errors in implementing the optimization.
Evaluation of CT angiography of the thoracic aorta with ECG gating in cases of dissection Widiatmoko, Mahfud Edy; Supriyaningsih, Eny; Sutoro, Shinta Gunawati; Irsal, Muhammad; Anggraeni, Dewi
International Journal of Health Science and Technology Vol. 6 No. 1 (2024): July
Publisher : Universitas 'Aisyiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31101/ijhst.v6i1.3668

Abstract

Type A aortic dissection is a longitudinal tear separating the intima layer from the aortic media and is often not clearly visible due to cardiac motion which can reduce image quality and misrepresent the lumen so that the flowing blood causes several problems such as the aortic root and ascending aorta. CT angiography with ECG gating was chosen to reduce the images of cardiac movement. The purpose is to evaluate the examination procedure and anatomical description of the CT Angiography examination with Gating ECG. The research method is descriptive qualitative research with a case study approach with samples selected based on the examination diagnosis with type A aortic dissection. Observation, documentation, interviews did data collection. Data analysis is described in a descriptive narrative, and a conclusion is drawn. The result of the study is that CT angiography examination with ECG gating provides accurate information that the coronary arteries originate from the true lumen. In this phase, there are no lines that show a significant picture of heart movement disorders so that the coronary arteries can be assessed properly. The anatomical features of MIP, CPR, and VRT visualize the aortic root region until the coronary arteries are displayed more informatively than heart movement disorders. The conclusion is that CTA examination with ECG gating can show the aortic root in cases of type A dissection located at the root or ascending aorta and minimize heart movement interference with MIP, CPR and VRT.
Dosimetry Evaluations in Breast Cancer Using 3D-CRT Technique Ambarsari, Laily Izzati; Irsal, Muhammad; Sutoro, Shinta Gunawati; Apriantoro, Nursama Heru; Winarno, Guntur; Lesmana, Hadi
JURNAL PROTEKSI KESEHATAN Vol 13 No 2 (2024): JPK: Jurnal Proteksi Kesehatan
Publisher : Poltekkes Kemenkes Riau

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36929/jpk.v13i2.933

Abstract

Several previous studies have shown that without dose evaluation and monitoring, there is a potential for deterministic radiation effects in 3D-CRT procedures. This study is expected to close the gap by conducting a more comprehensive evaluation of the 3D-CRT technique for breast cancer patients. The research method is quantitative analysis with a study sample of 20 breast cancer patients. Data processing was carried out by conducting statistical tests for the distribution value of organs at risk (OAR) against the Radiation Therapy Oncology Group (RTOG) guidelines and analyzing the conformity index (CI) and homogeneity index (HI) values according to the values recommended by the International Commission Radiation Unit (ICRU). The results of this study obtained OAR doses for the lungs and heart are still within the tolerance value limits set by RTOG p-value <0.05. then for CI and HI there is a deviation p-value <0.05 that there is a difference between the values obtained and the ICRU recommended value. This is due to the location of the target or tumor adjacent to the OAR, to keep the OAR value in accordance with the specified limit value.
ANALISIS VARIASI ARUS-WAKTU TABUNG (mAs) DAN ITERATIVE RECONSTRUCTION (IR) DENGAN PENGUKURAN MODULATION TRANSFER FUNCTION (MTF) PADA CITRA CT SCAN KEPALA Zikri, Ikhwan; Irsal, Muhammad; Sutoro, Shinta Gunawati; Winarno, Guntur; Mullah, Ikra; Akhridinata, Dinda
JOURNAL ONLINE OF PHYSICS Vol. 10 No. 2 (2025): JOP (Journal Online of Physics) Vol 10 No 2
Publisher : Prodi Fisika FST UNJA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22437/jop.v10i2.41433

Abstract

To optimize head CT examination protocols, tube current-time (mAs) variation and the use of iterative reconstruction (IR) are often combined to decrease radiation dose to patients, which may have an impact on image quality and radiation dose. Modulation transfer function (MTF) is an objective measurement to determine the spatial resolution of CT images, so it is expected to provide information on ideal optimization parameters considering radiation dose and image quality. The research method is quantitative descriptive type, data collection was carried out at one of the hospitals in Padang in the August-December period of 2024. Then CT imaging was performed using a head CT protocol that was exposed to the phantom daily CT QC with variations in tube-current of 200 mAs, 300 mAs and a combination of IR with iDose and without iDose. The analysis was performed on 10 pieces of head CT images which will then calculate the 50% MTF value using imageJ. After that, the results of the study will be carried out by making a graph of the average value and a comprehensive literature review is carried out to analyze the tube current-time variation with MTF measurements on head CT images. The results showed that the MTF values of the time-current tube and IR variations tended to have the same pattern for all, so that in this study it can be said that variations in tube current-time (mAs) and iterative reconstruction (IR) cannot affect MTF.
Analysis of Pixel Values in Lateral Os Sacrum Radiographic Examinations Using Various Virtual Grid Ratios Yustiyo, Rafhael Reznandika; Sutoro, Shinta Gunawati; Irsal, Muhammad; Rizqi, Muhammad; Ardoni, Fitrus
JURNAL PROTEKSI KESEHATAN Vol 14 No 1 (2025): JPK: Jurnal Proteksi Kesehatan
Publisher : Poltekkes Kemenkes Riau

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36929/jpk.v14i1.1124

Abstract

Lumbosacral lateral projection radiography, particularly of the fifth lumbar vertebra (L5) and Sacrum, often experiences a decrease in contrast due to exposure factors and object thickness. This study aims to analyze the variation in the Virtual Grid ratio of 8:1, 10:1, and 12:1 in lateral projection sacrum examinations using the Pixel Value indicator. This descriptive quantitative study was conducted in May–June 2025 at the Radiography and Physics Laboratory, Department of Radiodiagnostic and Radiotherapy Technology, Jakarta II Polytechnic. The sample consisted of lateral sacrum images with three grid ratio variations. Analysis was performed on the average Pixel Value, followed by statistical testing using SPSS 27 with the One-Way ANOVA method. The results showed the average Pixel Value: 8:1 ratio at 150.94; 10:1 ratio at 150.46; and 12:1 ratio at 152.75 with P>0.05, indicating no significant difference between the grid ratio variations.
ANALYSIS OF THE SIGNAL TO NOISE RATIO IN USE OF 15% KVP RULE METHOD IN THE RADIOGRAPHY EXAMINATION SUPINE AP CHEST Sutoro, Shinta Gunawati; Irsal, Muhammad; Budiati, Tri Asih; Yansyah, Andri
Indonesian Physical Review Vol. 5 No. 2 (2022)
Publisher : Universitas Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29303/ipr.v5i2.141

Abstract

The exposure factor is one of the important parameters in optimizing the radiographic examination. This study aimed to analyze the value of the Signal To Noise Ratio (SNR) against the use of the 15% kV rule method in the examination of Chest AP Supine. Descriptive quantitative research method conducted in the laboratory of the Department of diagnostic imaging and radiotherapy, Health Polytechnic of the Ministry of Health, Jakarta 2, using computer radiography, X-rays, piranha radiation detectors, and anthropomorphic phantoms, with statistical analysis of the Pearson test to determine the level of relationship between SNR and Exposure Index (EI). Against the 15% kV rule method, then the one-way ANOVA test to determine the effect of the 15% method on changes in value. The results of the Pearson test obtained a p-value of 0.820 with a strong relationship between SNR and EI against the 15% kV method. Therefore, using an exposure factor of 15% kV rule method makes it possible to control the SNR and EI values. The one way ANOVA test has a p-value of 0.943, so there is no significant difference in the SNR value to changes in the exposure factor with the 15% kV rule method so that the optimization of the exposure factor with the 15% kV rule method can reduce the radiation dose while maintaining the image quality radiographic
THE EFFECT OF USING 4 POINTS LOCKS AND 9 POINTS LOCKS MASKS ON PATIENT SET-UP IN NASOPHARYNX CANCER Anggraeni, Rina; Irsal , Muhammad; Sutoro, Shinta Gunawati; Widiatmoko, Mahfud Edy; Tarigan, Asumsie; Ardoni, Fitrus; Apriantoro, Nursama Heru
Indonesian Physical Review Vol. 7 No. 1 (2024)
Publisher : Universitas Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29303/ipr.v7i1.229

Abstract

The set-up aims to find out the value of the shift that occurs while the patient is undergoing the irradiation process on the X-axis (right-left), Y-axis (caudal-cranial), and Z-axis (anterior-posterior). The procedure for collecting research data is by making direct observations and being involved in measuring set-up shifts. The data used amounted to 20 nasopharyngeal cancer patients. Set-up shift measurement data were taken sequentially from fractions 1-33 for each patient using 4 and 9 points locks masks. Analysis of statistical test data using SPSS version 25, to determine the effect of using 4 and 9 points locks masks on shifts in nasopharyngeal cancer irradiation set-up patients with fraction group: Group 1 (fraction 1), Group 2 (Fraction 2 – 15), Group 3 (16-33)  using the Wilcoxon test because the normality test results were not fulfilled. If the p-value ≤ 0.05, there is an effect of using 4 and 9 points locks mask on shifts, while for p-value ≥ 0.05, there is no effect of using 4 and 9 points locks mask on set-up shifts in nasopharyngeal cancer irradiation set-up. The results of the shift in the set-up of 4 and 9 points lock irradiation vertically in the lateral, longitudinal, and vertical directions tend to be positive (left, caudal, posterior). There was no effect of all fraction groups using 4 and 9 points locks on the shift in nasopharyngeal cancer irradiation set-up p-value> 0.05.
Implementasi Pemahaman Radiografer terhadap Exposure Index dalam Optimasi Prosedur Pemeriksaan Radiografi Computed Radiography Irsal, Muhammad; Winarno, Guntur; Sutoro, Shinta Gunawati
Jurnal Imejing Diagnostik (JImeD) Vol. 10 No. 1: JANUARY 2024
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v10i1.10665

Abstract

Background: Increasing the exposure factor is often carried out by radiographers to reduce noise and maintain image quality in computer radiography (CR). Therefore, there is a need for awareness and understanding of the exposure index (EI) to implement optimization procedures in radiographic examinations. Methods: The research method is descriptive and analytical by providing questionnaires to radiographers in PA chest radiographic examinations. This research was carried out at hospitals A, B, and C in the Jakarta-Bogor area with the research carried out between August – October 2023. Statistical analysis used SPSS 27 with data coding previously. After that, the data is processed with descriptive statistics to determine the frequency, distribution, percentage, average, and standard deviation. Then, the test chi-square to determine the relationship between gender, age, education, and work experience in understanding CR optimization procedures. Next, to find out the relationship between age and weight and EI, a test was carried out by Pearson test to determine the level of relationship between the two variablesResults: was found that the level of awareness and understanding of radiographers regarding optimization procedures using EI is still low. Test results chi-square age-understanding 0.309, gender-understanding 0.772, education-understanding 0.036, experience-understanding 0.201. next are the test results Pearson for Hospital-A: age-EI 0.09, weight-EI -0.49, Hospital-B: age-EI -0.21, weight-EI 0.06, Hospital-C: age-EI -0.37, weight-EI 0.56. Conclusions:  implementing EI in the optimization procedure, it needs to be confirmed by measuring the patient's radiation dose so that there are no errors in implementing the optimization.
Co-Authors Akhridinata, Dinda Ambarsari, Laily Izzati Asumsie Tarigan Budiati, Tri Asih Dewi ANGGRAENI Eny Supriyaningsih Fitrus Ardoni, Fitrus Guntur Winarno Guntur Winarno Imas Maesaroh Irsal , Muhammad Irsal, Muhammad Legia Prananto Lesmana, Hadi Mahfud Edy Widiatmoko Muhammad Irsal Muhammad Rizqi Mullah, Ikra NURBAITI NURBAITI NURSAMA HERU APRIANTORO Rina Anggraeni, Rina Sri Wiwik Wiyanti Supriyaningsih, Eny Tarigan, Asumsie Widiatmoko, Mahfud Edy Winarno, Guntur Yansyah, Andri Yustiyo, Rafhael Reznandika Zikri, Ikhwan